HomeMy WebLinkAbout20061422 COLORADO DIVISION OF CRIMINAL JUSTICE(DCJ)
JUVENILE ACCOUNTABILITY BLOCK GRANT(JABG)
"INTENT TO ACCEPT FUNDS" FORM
Unit of Local Government: Weld County
(Please type or print name of county/municipality)
Interest/intent regarding JABG: (Please check the appropriate response.)
_X_ Interested in receiving our FY05 JABG allocation. (Complete the remaining items on this page)
Not interested in receiving our FY05 JABG allocation. Our allocation can revert to the state to benefit programs
statewide. (Skip to the name and signature of the Authorized Official)
Official Contact Person for Future Correspondence Concerning our JABG Award: (Designated by the Authorized Official)
Name: Kenneth E. Poncelow Title: Commander
Agency: Weld County Sheriff's Office
Address: 1950 O Street
Greeley,Colorado 80631
Phone:(970) 356-4015 ext.2802 ; Fax:(970)304-6467 ; E-mail: kponcelow@co.weld.co.us
Certification of Cash Match:
_X_ I hereby certify that, upon award,a cash match of ten percent(10%)of the total program cost-Federal
award plus cash match-will be provided. If any funds are used for construction of permanent corrections facilities, we will
provide a 50%cash match.
Juvenile Crime Enforcement Coalition:
_X_ Attached is our proposed list of members of our local Juvenile Crime Enforcement Coalition which meets the required
representation. A final list will be provided with our coordinated enforcement plan for reducing juvenile crime.
Authorized Official for this Unit of Government: [Chair of County Commissioners;Mayor, City Manager, or Chair of City
Council (provide documentation of appropriate authority)]
I HEREBY CERTIFY THAT THE INFORMATION PROVIDED ON THIS PAGE IS CORRECT.
Name: M. J. Geil Title: Chair, Board of County Commissioners
Signature: Date: MAY 2 4 2006
The deadline for submission of this intent form i�y�06
RETURN THIS AND ATTACHED PAGE BY MAIL i ri%ATTEST:
Carol Gould, Planning/Grants Specialis at \ ,L COUNTY CLERK TO THE BOARD
Colorado Division of Criminal Justice Denver,CO 80271�I ?gM)EP
7[/pJ -CLERK/FO THE BOARD
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LOCAL JUVENILE CRIME ENFORCEMENT COALITION FOR: Weld County, Colorado
(Please type or print name of county/municipality)
You are encouraged to use existing groups that focus on youth and have or can be enhanced to have the required representation.
Minimum required representation includes A-I: (If any category is impracticable, explain on an attached page.)
A. Police F. Schools: School district and/or local middle and/or
B. Sheriffs high schools (Please include students.)
C. Prosecutors: District, County and/or City G. Business
D. Probation Services H. Prevention organizations
E. Juvenile Court: District and/or municipal I Religious-affiliated, fraternal, nonprofit, and/or
jurisdiction social services
NAME AGENCY/ORG.&ADDRESS CATEGORY
(Continue on a copied page if necessary. Return to DCJ with "Intent to Accept Funds"Form.)
WAIVER OF DIRECT SUBGRANT AWARD
JUVENILE ACCOUNTABILITY BLOCK GRANT (JABG)
for the Federal Fiscal Year 2005 Award
TO: Colorado Division of Criminal Justice, Colorado Department of Public Safety
The Weld County hereby waives its right to its Federal
(Unit of Government)
Fiscal Year 2005 allocated direct subgrant award amount of$16,259 and requests that
(JABG Allocation)
our unit of government's funds be awarded to Weld County Sheriff's Office .
(Designated lead unit of government)
The JABG Plan submitted by this designated lead unit of government includes the needs of our unit of
government and our award amount will be spent for our benefit through this plan. Representation of
our unit of government fully participated in the plan development and will continue to monitor and
participate in the plan implementation.
All cash match associated with our allocated amount will be assured to through the submitted plan.
Authorized Official for this Unit of Government: [Chair of County Commissioners; Mayor, City Manager, or
Chair of City Council(provide documentation of appropriate authority)]
I HEREBY CERTIFY THAT THE INFORMATION PROVIDED ON THIS PAGE IS CORRECT.
Name: M. J. Geile Title: Chair, Board of County
Commissioners
Signature: ,u Date: MAY 2 4 2006
The deadline for submission of this waiver form is May 40,011A14%
RETURN THIS BY MAIL OR FAX TO ATTEST:
Carol Gould, Planning/Grants Specialist
Colorado Division of Criminal Justice WEL OUNTY CLE K TO THE BOA D t tI -s'
v.
700 Kipling, Ste. 100, Denver,CO 80215 �w 0.� t—
Fax: (303)239-4491 BY:
DEP Y CLE ' TO THE BOARD ,•-
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