HomeMy WebLinkAbout20060398.tiff RESOLUTION
R . APPROVE NON-Cr r TITIVE PPLICATION FOR FUNDING FOR COLORADO
REVENTION ' 4•TNERS S '•ATEGIC PREVENTION FRAMEWORK STATE
I • E OR• NT • HORIZE CHAIR TO SIGN
WHE- , S,th Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute - • th ounty Home Rule Charter, is vested with the authority of
administering the a -irs f Weld ounty, Colorado, and
WHEREAS,the B•-r h s bee pre nted with a Non-Competitive Application for Funding
for Colorado Prevention Part -r trat ic Prevention Framework State Incentive Grant between
the County of Weld, State of Co • a , y �gs)hh the Board of County Commissioners of Weld
County,with the Department of So' al S ice acting ae Fiscal Agent on behalf of the Island
Grove Regional Treatment Center,an the lorado Department of Human Services,Alcohol and
Drug Abuse Division, commencing Mar ' 1, 200§raaid ending September 29, 2006, with further
terms and conditions being as stated in s ' alication, and
WHEREAS,after review,the Board dee advisable to approve said application, a copy
of which is attached hereto and incorporated herei by r- - -nce.
NOW,THEREFORE,BE IT RESOLVED by the = -rd • ••ity Com .' i.ners of Weld
County, Colorado, ex-officio Board of Social Services, tha pp Non- •.• •-titive Application for
Funding for Colorado Prevention Partners Strategic Preventio r>:_ ork State Incentive Grant
between the County of Weld, State of Colorado, by and :ugh the Board of County
Commissioners of Weld County,with the Department of Social Servi.-s acting as the Fiscal Agent
on behalf of the Island Grove Regional Treatment Center, and Color- ,o Department of Human
Services, Alcohol and Drug Abuse Division be, and hereby is, approve•.
BE IT FURTHER RESOLVED by the Board that the Chair be, and here is, authorized to
sign said application.
The above and foregoing Resolution was,on motion duly made and seconded,a •pted by
the following vote on the 6th day of February,A.D., 2006.
g OARD OF COUNTY COMMISSIONERS
D-12,6 LD COUNTY, COLORADO
ATTEST: Lil
q
*' ise � eile, Chair
v.
Weld County Clerk to the Bo rte„ -CC "• <6
''avid E. Long, Pro-Temrt_k ( jut
D uty CI k to the Bo r
Wi ' m H. Jerke`nn
AP ED AS TOV,I
Robe D. Mas an/
County Afforney �� UA 14-4-0A
Z�y�I Glenn Vaad
Date of signature: l
2006-0398
SS0033
tO `. SS 03-06 -0fo
rs
DEPARTMENT OF SOCIAL SERVICES
P.O. BOX A
GREELEY, CO. 80632
I Website:www.co.weld.co.us
Administration and Public Assistance(970) 352-1551
O Fax Number(970) 346-7691
•
COLORADO MEMORANDUM
TO: M.J. Geile, Chair Date: February 3, 2006
Board of County Commissioners FR: Judy A. Griego,Director, Social Services qu,upRE: Non-Competitive Application under"Color do
Prevention Partners"
Enclosed for Board approval is a non-competitive application under"Colorado Prevention
Partners". This grant application is being submitted on behalf of the Interagency Officers Group
of the HB04-1451, "Collaborative Management of Multi-agency Services Provided to Children
and Families."
The first phase of the project is a planning period entitled, "Community Planning and
Mobilization". If successfully awarded funds, the period of the grant is three years. The fiscal
agent for this planning project must be a unit of local government.
The major provisions of the Grant are as follows:
1. If awarded, the grant period is March 1, 2006 through September 29, 2006.
2. The grant request is for$37,389. This request will fund a Coordinator to be hired by
Island Grove Regional Treatment Center and includes related operating expenses.
3. The goal of the substance abuse prevention grant is to increase community capacity to
initiate implementation of Strategic Prevention Framework project.
If you have any questions,please contact me.
2006-0398
App ii± Lion far FuMirt.Funding
Cover rag*
Option 1
1. FISCAL AGENT: Weld County Department of Social Services
ADDRESS: 315 N. 11`h Ave. Greeley, CO 80631
CENTRAL TELEPHONE: (970) 352-1551 FAX: (970)353-5215
FISCAL CONTACT PERSON: George Heeter, Business Office Manager
PHONE NUMBER: (970) 352-1551
EMAIL ADDRESS: FEDERAL TAX II) #: 84-6000813
2. FUNDS REQUESTED (Must agree with budget forms):
Amount Requested Between $20,000 and $49,000: $37,389
3. CONTACT PERSON [or COORDINATOR if Applicable]:
NAME: Lisa Gawenus
AGENCY OR ORGANIZATION: Island Grove Regional Treatment Center, Inc.
ADDRESS: 1140 M Street Greeley, CO 80631
PHONE NUMBER: (970) 412-2562 EMAIL: LGawenus( islandgrovecenter.or
4. APPROVALS (Signature, Date one): lELa
Fiscal Agent Director: M.J. Gei e,Boar�fSocial Services February 3 2006 970 *1 j;y pra
Signat Date P kr
Financial Officer: George H ter,WCDSS February 3, 2006 (970) 352.15 ((
Signature Date Phone
5. OFFICIAL Authorized to Sign Contract: M.J. Geile, Chair, Board of Social Services/County
Commissioners
Name (Printed) Title
Billing Address: P.O. Box A, Greeley, Colorado 80632 Federal Tax ID #: 84-6000813
2C/bli' C3`18
B. AGREEMENTS FOR PARTICIPATION
By submitting this application for Option 1 you are agreeing to:
• Name a temporary Contact Person/or Project Coordinator to work with ADAD, OMNI, and
CPP.
• Name a temporary Fiscal Agent (Unit of Local Government) to a) receive the planning grant
funds from ADAD; and b) complete and submit monthly billings for reimbursement to ADAD.
• Complete and mail to ADAD contractual paperwork, including a scope of work, goals,
objectives and timeline, and a budget that reflects the project plan.
• Review initial needs assessment data provided by OMNI, participate in planning, and define
the "community" or target area for funding.
• Meet the following requirements, to be submitted with Grant Year 3 funding application by
July 30, 2006 (contract begins September 30, 2006).
o Develop staffing plans (including a plan for identifying/hiring a Project
Director/Coordinator and other necessary staff to support the project), and the FTE %
needed for all positions.
o Develop a Prevention Policy Board and Community Coalition, and obtain Memoranda
of Agreements with key stakeholders that will participate.
o Obtain Memoranda of Understanding with required signatures from participating
school districts, indicating willingness to participate in the Healthy Kids Colorado
survey.
o Define the"community" or target area that will be targeted for funding.
o Develop a youth involvement strategy.
• Collaborate across funding streams, disciplines, age and cultural groups.
• Apply, through one school district in the county, for funds through the Colorado
Department of Education to support K-12 out-of-contract participation & related costs, and
involve representatives in planning.
• Involve representatives from Higher Education institutions in planning.
• Participate in required informational meetings and trainings.
• Participate in evaluation activities and reporting requirements.
• Use research, information from orientation and training, and community learnings to guide
your process.
• By July 30, 2006, submit an application for funding for Grant Year 3.
• At the end of the project period write and submit a report detailing the progress made
toward all of the above.
Please sign this form and submit it with the contractual paperwork.
I agree to all the abo��xpectations:
t-: ,,-,,-'
`
Name: f a`
�� ' ��/, Date: 2/6/2006
Fiscal gent Repres'e'ntative i
Board of Weld County Comm eiFir
4 111
97OO -0398
Substance Abuse and Mental Health Services Administration
(SAM HSA)
Center for Substance Abuse Prevention
Awarded To Office of the Governor of Colorado
Administered by the Alcohol and Drug Abuse Division, Colorado
Department of Human Services
Non-Competitive Application for Funding
For Strategic Prevention Framework State Incentive Grant
"Colorado Prevention Partners"
Grant Year 2005-2006
OPTION 1
APPLICATION PACKET
Option 1
APPLICATION FOR FUNDING
Please fill in the following information for your Option 1 Community Planning and
Mobilization Start-up application.
Format Requirements:
• Use Arial or Times Roman 12-point font.
• Double space with one inch left and right margins.
• Use 1.5 inch header and one inch footer.
• Number pages in lower right hand corner.
A. ADMINISTRATIVE INFORMATION
1. Please identify which government entity will be the fiscal agent during the planning &
mobilization phase and describe its qualifications.
from Weld County Department of Social Services has been nominated to fulfill the
role of fiscal agent during the planning and mobilization phase.
2. Please indicate the following information about the contact person that will serve as a
liaison between the State, CPP and the community during the initial phases of the project.
If this individual is considered the official Project Director/Coordinator, please check here:
Name: Lisa Gawenus Phone #: (970) 412-2562
Agency or Organization: Island Grove Regional Treatment Center, Inc.
Address: 1140 M Street Greeley, CO 80631 Email Address: LGawenus anislandgrovecenter.org
The above-named individual will work for the project approximately(3)hours per week.
3. Will any other staff be paid from these project funds? x Yes ❑ No
If yes, briefly describe their roles.
It is anticipated that within the first month an FTE will be hired and coordinating this
project full-time. Additional support/training staff will include myself and my Executive
Director for approximately 3-hours per week.
2
4. Do you have an established group that fits the definition for a Policy Prevention Board
(PPB) found in Section B, Administrative Structure? x Yes ❑ No
If you do not, briefly describe a general plan for recruiting key players in the community to
create a PPB.
5. If an existing Community Coalition will be involved with the planning and mobilization
phase, describe the entities represented on the coalition and any experience they or the
coalition has had with prevention projects.
Weld County will utilize the start-up funds to enhance the IOG (House Bill 1451)
prevention Board to include substance abuse prevention. Representatives on this Board
include the Executive Directors of Island Grove Regional Treatment Center, North Range
Behavioral Health, County Commissioners, the District Attorney, area School District
Superintendents, and representatives of SB-94 and juvenile justice.
This broad-based community coalition was created to address mental health issues for
juveniles in the justice system. As a Board the IOG has had little experience with
prevention projects, however, independent prevention programs have been developed and
offered through the Board Members' agencies.
6. If you currently do not have a Community Coalition that meets the definition in Section B,
Administrative Structure, please describe your plans for developing one.
7. Please list the name of the college or university President(s) and VP/Dean of Student
Affairs in the county that will be involved in this planning process:
Name of President: Jean Schober-Morrell Phone Number: (970) 351-2796
Name of VP/Dean of Student Affairs: N/A
Name of residential college or university: University of Northern Colorado
Chief of Police: Wendy Rich-Goldsmidt Phone Number: (970) 351-2245
Coordinator Drug, Alcohol, and Tobacco: Bryce Kyburz Phone Number: (970) 351-1136
8. Please describe your general plan for getting started:
Weld County IOG has agreed to participate with the required activities, formative
evaluation and the Healthy Kids Survey. The next stage is for the IOG to develop a
subcommittee that will build capacity, develop consensus of focus, engage youth, and hire
a coordinator.
3
C. SCOPE OF WORK
Please write a Scope of Work that includes goals, objectives, milestones and timelines for the
planning grant, based on the requirements that are listed above.
Goal #1: Increase community capacity to initiate implementation of Strategic Prevention
Framework project.
Objective 1.1: By September 30, 2006, engage key stakeholders from across prevention
disciplines, age, and cultural groups to participate in Prevention Policy Board (PPB) and
coalition.
Milestones:
• Representatives from diverse prevention disciplines agree to participate in planning process
of PPB and/or Coalition.
• Representatives of K-12 schools agree to participate in planning process of PPB and/or
Coalition.
• Representatives of institutions of Higher Education agree to participate in planning process
of PPB and/or Coalition.
• A youth involvement strategy is completed, or youth agree to participate in planning
process of Coalition.
• Representatives of diverse cultural groups present within the community agree to
participate in planning process of PPB and/or Coalition.
• Policy makers and/or community leaders agree to participate in planning process of PPB
and/or Coalition.
Objective 2.1: By September 30, 2006, PPB and Community Coalition will be prepared to
apply for Grant Year 3 funding for State Prevention Framework implementation.
Milestones:
• Staffing plans are developed, including a plan for identifying/hiring a Project
Director/Coordinator and the FTE %needed for all positions.
• Memoranda of Understanding identifying key participants and their commitment are
prepared.
• Grant Year 3 Prevention Policy Board and Community Coalition activities are planned
with guidance from Project Director/Coordinator.
• Fiscal management systems are developed.
• Monthly reimbursement statements are submitted to ADAD.
• Initial assessment data is reviewed and a "community" or target area for funding is
identified.
• Memoranda of Understanding are received from participating school districts identifying
their commitment to participate in the school survey.
5
• Memoranda of Understanding are received from agencies and entities participating in PPB
and/or Coalition.
• An application from one K-12 school district in the county, is submitted for funds through
Colorado Department of Education (CDE) to support K-12 out-of-contract time stipends
and related expenses for school participation on PPB and/or Coalition.
• Planning group or key stakeholders participate in formative evaluation activities and
reporting requirements.
• Planning group or key stakeholders participate in other activities that are appropriate during
this phase of funding.
• Planning group or key stakeholders prepare Grant Year 3 application.
D. BUDGET SUMMARY AND NARRATIVE
Provide a detailed budget and budget narrative for the requested funds. Funds may be requested
between $20,000 and $49,900. All requested funds must be justified and directly relate to the Scope
of Work.
1. The budget projection and budget narrative must detail all costs by category(listed below).
2. The budget must be submitted using the ADAD Budget Page that is provided.
3. A budget narrative is required with the application. The budget narrative must explain how the
costs for each line item were c alculated. It must also contain adequate information to show
how the amount requested was calculated. See the details provided below.
Personnel (staff time for contract person/coordinator, administrative support, research, evaluation & data
entry)
Describe how the total amount requested was calculated i.e. number of FTE @ xx monthly
salary. Fringe benefits at xx % of salary for xx months. Please budget local staff time for
required activities during Option 1, including participation in training and orientation
meetings. Assign appropriate staff time for individuals to comply with all evaluation
requirements.
(Note: CPP funds should not supplant current funding for any of the staffing positions listed.)
Example:
.5 FTE, $1,500 monthly salary x 6 months = $9,000.
20% fringe benefits x $1,500 month= $300 month x 6 months = $1,800.
Consultant (facilitation services, training,coordination)
The budget narrative must list estimated costs for consultants, trainers, or other contractors and
a description of the activities that will be performed. (Note: the contract person or coordinator
can be built into this line if no fringe benefits are required.)
6
Travel (mileage, lodging,per diem)
Estimate the cost of local travel necessary to fulfill the scope of work as detailed in the
example below:
500 miles per month x 6 months @ .485 cents per mile (federal rate)* = $1,455
*The federal rate of .485 is acceptable for this grant when it is consistent with the reimbursing agency's
reimbursement policies.
The budget narrative must list the in-state meetings and conferences, as well as the number of
staff attending each and an estimate of associated costs. Costs should include travel to Denver
for quarterly CPPAC meetings, travel to either local or regional meetings for orientation,
training and other planning purposes, and travel for purposes of attending other justifiable
prevention training.
Operating Expenses [training/orientation/conference expenses, copying/printing,meeting expenses(food,
facilitation services,meeting room rental costs), stipends/honoraria,telephone feels, indirect and other justifiable
expenses]
The budget for indirect costs may be up to 20% of the total budget. Items that are not
specifically service related fall into this category (e.g., utilities, rent, Executive Director's
salary, bookkeeping staff, general liability insurance, etc.) Note: Some costs (like rent) could
fall into both "indirect" and "direct." For example, only the area where the service is
performed may be considered applicable for "direct" costs. Again, the agency Executive
Director's space, the bookkeeper's work area, and other non-program related staff areas would
fall into "indirect." Rent costs would be figured at the percentage of time that a person is
assigned to work within this contract.
The applicant must justify in the "budget narrative" section all costs that have been placed in
both the "direct" and "indirect" categories. The process for arriving at the costs listed must be
clearly described.
7
E. BUDGET PAGE
OFFEROR/CONTRACTOR:
PROJECT/PROGRAM TITLE: Weld County Start-up TIME PERIOD:3/01/06thru 9/29/2006
ANNUAL FULL-TIME TIME ON PROJECT COST FOR PERIOD
SALARY PROJECT Other Sources
No.of Hrs./ Total ADAD Other Other
CATEGORY AND LINE-ITME Mos. Week Budget Funds Sources- Source
Cash 1 s:
Non-
Cash/
In-
kind 2
A. PERSONNEL—Position Titles
40K 5 40 16,154
I. Coordinator
36K 3 3 675
2. Temporary Contact
60K 6 3 2,250
3. Island Grove Executive Director
4.
5.
6.
7
19,079
Subtotal Personnel
5,342
Fringes @ 28%
24,421
TOTAL PERSONNEL
B. CONSULTANTS
2.
0
TOTAL CONSULTANTS
C. TRAVEL
450
In-Service Area Committee members to weekly meetings
536
Out-of-Service Area Coordinator to Denver 3x monthly
8
986
TOTAL TRAVEL
D. OPERATING EXPENSE
430
1. Copy/Printing(ink,paper)
1,386
2. Meeting Expenses(space,supplies,flip-
chart,markers)
300
3. Telephone
1,850
4. Educational/Promotional Materials
247
5. Consumable office supplies
278
6. Postage
3,000
7. Coordinator's Office Space
4,500
8. *Evaluation Stipend for members
8,175
9. Indirect Administrative costs(20%)
10.
11,991
TOTAL OPERATING EXPENSE
E. CAPITAL OUTLAY
1. Equipment/Films Over$1,000/each
2.
TOTAL CAPITAL OUTLAY
$37,389
F. TOTAL PROGRAM COST
100%
G. PERCENTAGES
100%
BUDGET PERCENTAGES BY PREVENTION STRATEGY
Community Based Process 100%
Identify all evaluation funds with an * (evaluation expense,including for example: staff
time, consultant, and equipment).
9
Application Checklist
Option 1
Format Requirements:
• Use Arial or Times Roman 12-point font.
• Double space with one inch left and right margins.
• Use 1.5 inch header and one inch footer.
• N umber pages in lower right hand corner.
Mailing Instructions: Applicants should submit one (1) original (marked "original") and four
(4) copies of the application to:
Alcohol and Drug Abuse Division, Colorado Department of Human Services
4055 S. Lowell Blvd.
Denver, Colorado 80112
Attention: Melody Durso.
Electronic Mailing Instructions: Applicants should submit one (1) electronic copy of the
application to: Melody.Durso@state.co.us
Please check all items before mailing application:
Application Cover Page is signed by Director of fiscal agency and identified
Financial Officer
Temporary Fiscal Agent is named
Temporary Contact Person or Coordinator is named
Application Part A Administrative Information is completed
Application Part B Agreement for Participation is completed and signed by fiscal
agent representative
Application Part C Scope of Work, Goals,Objectives, Milestones and Timeline
are completed
Application Part D Budget Page and Narrative are completed
PPB membership and Coalition or plan for PPB & Coalition recruitment is
identified
Budget request is between $20,000 and $49,900
Budget projection and narrative detail all costs by category
Indirect costs do not exceed 20%
The names of the college or university president(s) and VP/Dean Student Affairs
are identified.
_ Application checklist is completed.
Application uses Arial or Times Roman 12-point font
Application is double spaced with one inch left and right margins
Application uses 1.5 inch header and 1 inch footer
10
Application is numbered in lower right hand corner
One original (marked "original") and four copies of the application are prepared
for mailing
One electronic copy of the application is emailed to Melody.Durso@state.co.us
11
Budget Narrative
Personnel: $19,079
Coordinator: $40,000 has been budgeted for the coordinator's position(pending hiring).
During the planning phase, the FTE will work 40 hours per week for five months, at a
base rate of$40,000/year, for a total of for a total of$16,154 over 5-months of service
during the planning phase. The coordinator will be responsible for participation in CPP
training and orientation, networking, coordination of community meetings and activities,
and reporting.
The temporary contact person (Lisa Gawenus) will work 3 hours weekly for 3-months at
a base rate of$36,000 per year. The temporary contact will offer weekly training to the
FTE to familiarize the effort and offer assistance for a total amount of$675. Additional
supervision and assistance will be provided by Island Grove's Executive Director
(Kendall Alexander) at a base rate of$60,000. He will provide direct assistance and
supervision approximately three hours weekly for the duration of the planning phase for a
total amount of$2,250.
Benefits: $5,342
The fringe benefits charged to this grant are for FICA @ 28% of all personnel time paid
out.
FTE: $16,154 x 28% = $4,523
Temporary Contact: $675 x 28% = $189
Supervision: $2,250 x 28%= $630
Travel: $986
Of this amount $206 is approximated for the coordinator to travel out of service area to
Denver(3)times to fulfill requirements of CPPAC meetings, travel to regional meetings
and orientation. Round trip it is estimated that each travel should encompass 150 miles.
$225 is budgeted for lodging at a rate of$75 per night. A per diem includes three days of
meals budgeted at $35 per day for three days ($10, morning, $10, Lunch, $15 for evening
meal)totaling $105. This leaves $450 for(15) committee members' reimbursement for
travel to Island Grove (estimated 5 miles per week per member). Mileage will be billed
at a rate of.458 per mile (Federal rate).
Operating Expenses: $11,991
Copy/Printing
Printing: Toner @ $60 per one month for 5-months= $300
Laser Printer: 1 Ink @ $130 per cartridge per 6-months
Meeting expenses
Flip Chart: 1 carton of two @ $25
Markers: 1 package of 12 =$11
Food: $15 per person for 15 people one time monthly for 6-months = $1,350
Telephone
$50 per month for 6-months = $300
Educational/Promotional Materials
Brochure: 1000 @ $1.60 per piece= $1,600
Flyers: 2500 @ $.10 per sheet= $250
Postage
Bulk Mailings: estimated $200
Stamps: 2 rolls @ $39 per roll = $78
Consumable Office Supplies
Paper: 2 cases @ $20 per case= $40
Stationary/Envelopes: CPP specific $200
Pens: 2 boxes @ $3.29 = $6.60
Coordinator Office Space
Island Grove office space $600 per month for five months = $3000
Committee Member Stipend
15 members at 2.5 hours per month at a rate of$20/hour for evaluation process = $4500
Indirect Administrative Costs: $898
This is 20% of the total indirect cost allowed. 20% of operating expense is $2,398
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