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Home My WebLink About20050599.tiff RESOLUTION RE: APPROVE APPLICATION FOR COMMUNITY HEALTH INVESTMENT PROGRAM - PLATTE VALLEY MEDICAL CENTER 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 an Application for Community Health Investment Program from 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, Area Agency on Aging,to the Platte Valley Medical Center,with terms and conditions being as stated in said application, and WHEREAS,after review,the Board deems it advisable to approve said application, 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 theApplication for Community Health Investment Program from 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,Area Agency on Aging,to the Platte Valley Medical Center be, and hereby is, approved. The above and foregoing Resolution was,on motion duly made and seconded,adopted by the following vote on the 23rd day of February, A.D., 2005. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO 1861 t 4671/64411 William H. Jer -, Chair o'`'• u Clerk to the Board M. ile, Pro- e� B : 12 Deputy Cler oth Board Da•'. E. Lon. AP V AS Robert D. as en oun Att ney Aof 1‘9; Glenn Vaad Date of signature: 2005-0599 HR0076 MEMORANDUM tipol6 DATE: February 17, 2005 r WilkTO: William Jerke, Chair, Weld County Board of Commissioners FROM:Walter Speckman, Executive Director, Weld County Division ) ( COLORADO of Human Services SUBJECT: Weld County Area Agency on Aging's Application for Dental, Hearing and Vision Program Funds from the Platte Valley Medical Center's Community Investment Program. Enclosed for board approval is the Area Agency on Aging's funding request of$10,000 from the Platte Valley Medical Center's Community Investment Program. The funds will be used to enhance the Area Agency on Aging's Dental, Hearing and Vision services to seniors 60 years of age and older who reside in south Weld County. If you have additional questions please contact Eva Jewell, Director of the Weld County Area Agency on Aging at 353-3800, extension 3331. 2005-0599 General Information Applicant Weld County Area Agency on Aging Eva Jewell, Director Contact Person Address 1551 N. 17th Ave. ,P0 Box 1805, Greeley, CO 80632Phone (970)353-3800 EXT: 3331 Collaborating Organizations (priority will be given to projects involving collaborating organizations) Sunrise Community Health Center, Salud Family Health Clinic(Ft.Lupton/Frederick) , Dept. of Social Services, Old Age Pension Program. Proposal On no an two (2) additional pages, describe the proposed project addressing the following: • Documented Need (i.e. research data, health statistics, etc...) ■ Expected Results of Project ■ Specific Objectives, Timetables and Process utilized to research project goals ■ How Results will be Measured Financial Information Total Cost for Program $ 20,000.00 Grant Amount Requested $_ 10,000.00 Amount of Funding Available irom other Sources $ 30,000.00 Give some details of how grant funds, if approved by the CHIP Committee, will be used: Please see attached pages. If the project or program is to continue beyond the time frame for which the grant is given, how will it be funded? From funds received from the State Grant. . This application, with at least one additional proposal page, and a copy of the following must be submitted to the CHIP Committee: 1) Names and addresses of applicant officers and members of its Board of Directors or governing body. 2) Articles of Incorporation and By-laws or other documents which define the applicant's purposes, membership, management and operation. 3) Statute, regulation or the applicant's Internal Revenue Service letter which shows the applicant is exempt from Federal income taxes, is not a private foundation and that donors may deduct contributions to the applicant as provided in Section 170 of the Internal Revenue Code. 4)A financial audit or other financial information for the most recent three fiscal years. 5)A detailed budget for the proposal. All applications must be submitted to the CHIP Committee no later than the month ending previous to scheduled CHIP Committee meetings (The Committee meets the second Wednesday every other month as follows: January, March, May,July, September and November). COMMUNITY HEALTH INVESTMENT PROGRAM GRANT REQUEST FOR PROGRAM YEAR BEGINNING AUGUST 1, 2005 AND ENDING JULY 30,2006. PROPOSAL: The Weld County Area Agency on Aging has received three grants from the CHIP Committee to expand our dental, hearing and vision program into South Weld County. When we submitted the first grant request, we believed that here was a need for these very important services in South Weld County. We had received funding from State, but did not have sufficient funds to adequately meet the needs of eligible seniors in South County. With the funding we have received through the CHIP Committee, we have been able to supplement matching state funds to allow our dental, vision and hearing program to expand into South County. As before, the funding we are scheduled to receive from the State and with funding from the CHIP Grant, we wish to continue to offer the dental, hearing and vision services throughout Weld County. Statistically, data cited in Older Americans 2004: Key Indictors of Well-Being supports the belief that this type of program is greatly needed to meet the needs of the seniors by providing financial assistance to enable seniors to obtain the services needed to maintain their health and a quality of life. It has been our experience that seniors requesting assistance may need a combination of services such as dental and vision. DOCUMENTED NEED: We have found that the need for dental, hearing and vision services continues to exist in South Weld County. We continue to use the assistance of the Fort Lupton Senior Center, Salud Family Health Clinic and have other agencies, including area churches, in South Weld County, to provide information to seniors regarding the dental, hearing and vision program. Two additional area providers have been added to ensure easier access to program services; the Vision Center at Wal-Mart in Longmont and Heather Romano, OD in Longmont. Seniors in South Weld County have been instrumental in notifying other seniors about the services available. We believe there are still seniors in need of services in South Weld County, and will do all we can to promote the program to these seniors. We continue to receive requests for information on the dental, hearing and vision services from adult children whose parents reside in South Weld County. Seniors who have been successfully assisted with one of the three services in the past, find they need additional services contact us. This is a clear indication of how important these services are to seniors. The CHIP Grant increases the possibility of serving these seniors. 1 EXPECTED RESULTS OF THE PROGRAM: For Program Year 2002-2003, the Weld County Area Agency on Aging Dental, Vision and Hearing Program, set a goal to assist twenty three (23) seniors within the dental, vision and hearing program with the $ 20,000 grant funds we received from the CHIP Committee for the Program Year. The participant numbers were higher than expected, twenty eight (28), because we were able to work with service providers that were willing to offer discount to seniors, thus allowing more participants to be eligible for assistance. Program Year 2003-2004 we set a goal to provide service to thirty (30) seniors. As of the end of March, you will recall, eighteen (18) seniors were provided service with thirteen (13) participants that had been approved for assistance and were in the process of receiving services. A total of thirty-one (31) recipients were achieved. Program Year 2004-2005 the goal set was to provide service to thirty (30) seniors. By the end of February 2005, twenty-four (24) South Weld County residents have been found eligible and funds committed for assistance. We anticipate that within the next four months, we will be able to assist four (4) more individuals. We have found that in five (5) situations that eligible seniors needed a combination of services to adequately address their needs such as vision and dental. It is important to note that currently a waiting list exists for seniors who reside in North Weld County. We anticipate a waiting list for South County seniors as well. SPECIFIC OBJECTIVES, TIMETABLES AND PROCESS UTILIZED TO RESEARCH PROJECT GOALS: For Program Year 2005-2006, our goal is to enable seniors to obtain the services needed to maintain their health and a quality of life. To reiterate, we have found that in five (5) situations that eligible seniors needed a combination of services to adequately address their needs. We hope to assist thirty (30) seniors in South Weld County 2005-2006. Continued coordination with aforementioned entities we believe will prove to be effective in marketing the dental, vision and hearing aid program. We will continue to encourage local doctors (dental, vision and hearing) to make referrals for seniors who may need assistance. HOW WILL RESULTS BE MEASURED? The participants and services provided through these programs are tracked using SAMS 2000, our agency software. This software allows us to continue to submit progress reports as required by CHIP Committee. We will continue to seek feedback from clients as to their level of satisfaction for services received. Due to the funding received from the CHIP Committee, we have been able to expand our dental, hearing and vision program in South Weld County. We have contacted providers in the area who have a genuine interest in assisting seniors in 2 need of the services that we are offering. With the funds provided by the CHIP Committee as supplement funds, and dollars received from the State and the Older Americans Program, these past three Program Years, the dental, vision and hearing program in South Weld County have been most successful. We are enabling seniors to obtain the services needed to maintain their health and a quality of life. We are asking the CHIP Committee members, to once again partner with us in continuing to meet the needs of South Weld County seniors, Program Year 2005- 2006. Any funds received from the CHIP Committee will be used as supplemental funds. The State General Funds will continue as our primary source of funding for the Dental, Vision and Hearing Program. 3 Platte Valley Medical Center Community Health Investment Program 2003-2004 Actual Expenditures August 2003-July 2004 South County Only All of Weld County Aug-Dec South County State Match$ CHIP$ State$ Total$ Client Exp. Used in S.County Used in S.County State&CHIP Admin $ 8,930.93 $ 8,930.93 Dental $ 9,308.80 $ 4,654.40 $ 4,654.40 $ 3,902.50 $ 13,211.30 Optical $ 3,106.38 $ 1,553.19 $ 1,553.19 $ 1,014.86 $ 4,121.24 Hearing $ 2,100.00 $ 1,050.00 $ 1,050.00 $ 2,100.00 Total $ 14,515.18 $ 7,257.59 $ 7,257.59 $ 13,848.29 $ 28,363.47 Jan-Jul South County State Match$ CHIP$ State$ Total Client Exp. Used in S.County Used in S.County State&CHIP Admin $ 8,608.67 $ 8,608.67 Dental $ 6,117.00 $ 3,058.50 $ 2,742.41 $ 32,574.45 $ 38,375.36 Optical $ 1,877.00 $ 938.50 $ 4,979.50 $ 5,918.00 Hearing $ 350.00 $ 175.00 $ 1,025.00 $ 1,200.00 Total $ 8,344.00 $ 4,172.00 $ 2,742.41 $ 47,187.62 $ 54,102.03 Grand Total $ 22,859.18 $ 11,429.59 $ 10,000.00 $ 61,035.91 $ 82,465.50 Over Match $ 1,429.59 Platte Valley Medical Center Community Health Investment Program 2004-2005 Actual Expenditures August 2004-December 2004 Aug-Dec South County State Match$ CHIP$ State$ Total$ State&CHIP Admin $ 3,509.80 Dental $ 3,132.00 $ 1,566.00 $ 1,566.00 $ 5,713.90 $ 8,845.90 Optical $ 4,537.00 $ 2,268.50 $ 2,268.50 $ 49.00 $ 4,586.00 Hearing $ 1,052.00 $ 526.00 $ 526.00 $ 938.00 $ 1,990.00 Total $ 8,721.00 $ 4,360.50 $ 4,360.50 $ 6,700.90 $ 15,421.90 Grant Balance $ 5,639.50 Committed$ $ (4,089.50) Balance $ 1,550.00 NAMES AND ADDRESSES OF APPLICANT AND MEMBERS OF ITS BOARD OF DIRECTORS OR GOVERNING BODY BOARD OF COUNTY COMMISSNERS OF WELD COUNTY, COLORADO 915 Tenth street PO BOX 758 Greeley, Colorado 80632 Mike Geile, Chair David Long Glenn Vaad Rob Masden William " Bill " Jerke Weld County Area Agency on Aging Eva Jewell, Director Kathleen Alvarado, Coordinator Dental, Vision and Hearing Programs 1551 North 17th Avenue, PO Box 1805, Greeley, CO 80632 (970) 353-3800 Ext: 3331 Area Agency on Aging Board Membership List Michelle Adler Don Beierbach Betty Jones 3412 Trinidad Street 4292 W 14th St Dr. 1959 26 Ave Evans, CO 80620 Greeley CO 80634 Greeley, CO 80634 H:970-506-1242 H: 970 352-5952 H: 970-353-7295 W:970-395-6415 E-mail: E-mail: E-mail: dndbeierbach@juno.com wmrch22 a,aol.com Michelle.Adler.iayz@ statefarm.com Ruth Gartrell Mary Jones 20076 Southgate Ave. 30887 Road 88 Adella Andrijeski LaSalle, CO 80645 Ault, CO 80610 26416 Range View Drive H: 970-737-2942 H: 970-656-3652 Kersey,CO 80644 E-mail:trellra(aaol.com E-mail: None H:970-350-0447 E-mail: Mike Geile Pam Shaddock ade126416@netzero.net Commissioner City of Greeley Centennial Complex 1000 10th Street Al Arriessecq Greeley, CO 80631 Greeley, CO 80631 504 N. 71st Ave W: 356-4000 ext 4209 H: 970- 5180 Greeley, CO 80634 Email: O: 970- 350-9770 H-351-7414 mgeileaco.weld.co.s E-mail: E-mail: pishaddock a,comcast.net albert.arriessecq Lnorthran Patricia Graham ge.org 1638 27th Avenue Phil Shovar Greeley, CO 80634 1805 19th Ave Germaine(Geri) Arndt W: 970-351-1559 Greeley, CO 80631 505 2nd St. H: 970-356-1124 H: 304- 9819 Ft. Lupton CO 80621 E-mail: E-mail: H: (303) 857-0832 patricia.graham@unco.edu phi1415( msn.com Email: geriarndt@earthlink.net Nancy Meek 4267 W 15th Street Lane Susan Bromley Greeley, CO 80634 1621 13th Ave H-353-2850 Greeley,CO 80631 C-3963657 Revised 2-05 H: 352-8750 E-mail: W: 353-3373 cobuilder@comcast.net E-mail: susanbromley@earthlink.n Elmer Montoya et 2077 35th Ave Ct. Greeley, CO 80634 Bev Daniel H-339-9094 2244 WCR 12 E-mail: Erie, CO- 80516-8919 eandbmont@netzero.com H: (303) 828-9497 E-mail: None Weld County - Elected Officials - County Commissioners Page 1 of 2 a Welcome to ,� a. CC .,r, r a 4\ ,.6 c ..o rey , co did ct4 3o - Home II Services II Departments it About Weld lI Property Information I Conta' Home > Departments > Weld County Commissioners Weld County Commissioners a I li 4 � T l ill iI s 4 r ( M. in fps z t $I# ,P 1{ �rG� s 1 ' 11 III p,• ,Yr b ':? ifr �� 1,i_ �. : District 1 District 2 District 3 7 ' ref tf LT David Long Glenn Vaad Rob Masden dlong@co.weld.co_us ovaad@co.weld.co.us rmasden@co.weld.co.us At-Lane At-Lane a e it William "Bill" Jerke Mike Geile 1 bjerke@co.weld.co.us mgeile@co.weld.co.us The five member Board of County Commissioners is the statutory head of Weld County's governme of the commissioners are elected at large and the other three are elected from the district in which reside. As is the case with all elected county officials, commissioners must be at least 21 years of a have resided in the county for at least one year prior to their election. Their elected position must t primary employment during the term they serve. As a board, the commissioners are required to establish a budget, levy taxes, appropriate funds for http://www.co.weld.co.us/departments/commissioners.html - 2/15/2005 Weld County - Elected Officials - County Commissioners Page 2 of 2 business, establish fees and licenses, purchase or otherwise acquire, own, sell, lease, trade, and of deal in real and personal property in the name of the county, receive gifts and grants for the count approve and execute contracts and lawsuits in the name of the county. The board also is required to sit as a board of appeals to hear complaints on actions taken by couni boards, commissions and departments, as a board of equalization to hear appeals on tax assessme a county board of welfare, and to make appointments to fill vacancies in all county offices except tt board of commissioners and the county council. Each commissioner has primary responsibility for one of the county's five departments and serves assistant in another. The five departments are communication services, health services, planning si engineering services, and finance, administration, central purchasing, and personnel. Their respons rotate each year. The chairman of the Board of County Commissioners is chosen by the commissioners each year anc always serves as chairman of the finance and administration department during his tenure as chair the board. Commissioners are only allowed to serve two complete elected terms under charter provisions. The board meets at 9:00 a.m. each Monday and Wednesday in the first floor meeting room at the Centennial Center Complex, 915 10th Street, Greeley. Agendas. and minutes of the Board of County_Commissioners can be obtained by calling this office E 356-4000, extension 4217. For a map of the Commissioner districts, visit the "About_Weld" County pages. Town Meetings Town Meetings are held quarterly in various locations. For more information on town meetings o governmental business contact the Commissioners' office at (970) 356-4000, Extension 4200. Send correspondence to Weld County Commissioners at the following address: 915 Tenth Street P. O. Box 758 Greeley CO 80632 Phone: 970-336-7204 Fax: 970-352-0242 http://www.co.weld.co.us/departments/commissioners.html 2/15/2005 • • • POLITICAL SUBDIVISION EXEMPTION CERTIFICATE (For use by States, Territories, or Political • Subdivision thereof, or the District of Columbia) The undersigned hereby certifies that he is Comptroller Title of Officer of Weld County Government State, Territory, or Political Subdivision, or District of Columbia and that he .is authorized to execute this certificate , and that the articles specified in the accompanying order or on the reverse cid.e h,=,-=-f, are rurchas.d • from • for the exolu_i J'e use of • Department • cf We_A County Government - Greeley, Colorado • $tat TE.,._. ".ri`. or �oliticz'_ S'.2rydiviEioo; or District of Columbia It is understood that the emotion from ter in the case of sales or articles under this exemption certificate to: the State, Territory, or .Political Subdivision, .or District of Columbia, is limited to the sale of tine article purchased for their exclusive use, and it is agreed that if articles purchased tam-tree under exemption certificates are used otherwise or are said to employees or others, such fact must be reported to the manufacturer of the articles covered by this certificate. It is also understood that the fraudulent use of this certificate to secure exemption will subject the undersigned and all guilty . parties to a fine of not more than $10,000.00 or to imprisonment for not more than five. years, or both, together with costs of prosecution. COLORADO SALES TAX CERTIFICATION OF EXEMPTION NUMEEP. - 38-03551 FEDERF_, m_f,, EXEMPTION NEMZER - 84-60OD-81B STATE TAX EXEMPTION NUMBER - 14-O2-1O1• - Date • Hello