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Home My WebLink About20040325.tiff RESOLUTION RE: APPROVE 2004-2005 COMMUNITY SERVICES BLOCK GRANT (CSBG) APPLICATION AND PLAN 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 2004-2005 Community Services Block Grant(CSBG)Application and Plan 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, to the Colorado Department of Local Affairs,commencing March 1,2004,and ending February28, 2005, with further terms and conditions being as stated in said Application and Plan, and WHEREAS,after review,the Board deems it advisable to approve said Application and Plan, 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 2004-2005 Community Services Block Grant(CSBG)Application and Plan 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,to 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 Application and Plan. The above and foregoing Resolution was,on motion duly made and seconded,adopted by the following vote on the 26th day of January, A.D., 2004. BOARD OF COUNTY COMMISSIONERS WcatY, V :R ADO ATTEST: fatetke Robert D. Masden, Chair Weld County Clerk to t�.1 Cd / •� T� -� / William H. e, Pro-Tem BY: .. ✓� ti Deputy Clerk to the Boarw►� � (/ice M. eile APP D TO FOR David . Long o y Attorney Glenn Vaad Date of signature: 2004-0325 �. HR0075 11� G.A-CeJ—Ci! jfie DEPARTMENT OF HUMAN SERVICES EMPLOYMENT SERVICES OF WELD COUNTY 1551 NORTH 17TH AVENUE PO BOX 1805 ' Co GREELEY, CO 80632 (970) 353-3800 FAX(970) 356-3975 COLORADO Date: January 22, 2004 To: Robert D. Masden, Chair, Board of County Commissioners From: Walter J. Speckman, Executive Director r•..z Subject: Community Service Block Grant for FY 2004-2005 Enclosed for Board approval is the Community Services Block Grant for the Program Year 2004-2005, between the Weld County Division of Human Services and the Colorado Department of Local Affairs. The total of the request is for$275,916. The focus of the Grant is linkages of services and access to transportation for the in-need rural elderly and unemployed citizens 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 with WELDCO's senior volunteer pool to transport seniors in volunteer vehicles for one-time needs that Mini-Bus Transportation cannot address, and reimburses the volunteer at $.34 per mile. This funding also allows needed supplies for full time employment resources for supplies, education and training, to help the clients remain self sufficient. The term of this request will be March 1, 2004 through February 28, 2005. If you have any questions, please telephone me at 353-3800, extension 3317. dJ??Opts- 2004-0325 2003-04 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 $ 275,916.00 PROGRAM PERIOD: March 1, 2004 To February 28,2005 attach additional pages if more space is needed. e : I , 1 wm, _ 9 •. To 'Di ti COB "E nF a tt y, , xt , t t' I�. w,i' _.3.-its,,, 2' a Seeq a K e 47,s•,3 2N�}� .: r r ,rruj' .. by U. . amani 2 °f q` r � '° stj v, fit S xy3 }'," r,` 1. Employment $ 51,805.00 $ $ 51,805.00 2. Education $ $ $ 3. Income Management $ $ $ 4. Housing $ $ $ 5. Emergency Services $ $ $ 6. Nutrition $ $ $ 7. Linkages with Other Programs $ 224,111.00 $ $ 224,111.00 8. Self-Sufficiency $ $ $ 9. Health $ $ $ 10.Other(define): $ $ $ TOTAL $ 275,916.00 $ $ 275,916.00 I. The "Other" category should only be used for services that are not covered under Federal Objectives 1-9. It should not be used to reflect administrative/indirect costs. lax/-63.25 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 II. BUDGET Cost Category Employment Education Income Housing Emergency Nutrition Linkages Self- Health Other(define) TO TAL Management Services Sufficiency A. Personnel $ 15,005 $86,715 $ 101,720 %of time paid with CSBG B. Direct $ 36,800 $107,296 $ 144,096 Operating C. Indirect/ $25,600 $ 25,600 Overhead (administrative) D. Capital $ Equipment E. Subcontract $4,500 $ 4,500 F. TOTAL $ 51,805 $224,111 $275,916 List all agencies and funding you plan to subcontract with to provide CSBG services: (Please add additional sheets if necessary) * See Narrative for WELDCO'S $ 4,500.00 II. BUDGET NARRATIVE Cost Category Explain each CSBG cost as related to the proposed CSBG plan. Please add additional sheets if necessary A. Personnel Employment: $15,005 Employment Services Technician at.40FTE, $ 15,005.00 The Employment Services Technician will match and track low income, unskilled, unemployed adult participants to full time employment. Linkages: $86,715 Community Services Director at 0.5FTE, $25,917 Volunteer Support Community Services Technician at .40FTE, $17,402 Volunteer Support SEP Case Manager at 1.0 FTE, $43,396 Single Entry Support These CSBG funds will pay for Service Directors and Service Technicians time for training of Volunteers at all rural senior sites. This helps Volunteers and Coordinators provide access to services and programs for rural low-income seniors. The Senior Case Manager staff member will work with about 60 HCBS/Medicaid recipients who will qualify to be assessed for medical and life care needs. B. Direct Operating EMPLOYMENT: $36,800 Employment Services: General Operating for Employment Services(375*12*.40FTE)=$1,800. Supportive Services: $35,000 Employment First Food Stamp Job Search and Triage Targeted Population Programs-Pays for client supplies and services not allowed by EF grant, i.e. eyeglasses or repairs,physicals, uniforms or special clothing to start job, immunizations needed for job, Drivers License or State ID, Background checks,transportation vouchers, hygiene kits, ELS\GED books, education, training and job search supplies,to get and maintain employment$35,000. LINKAGES: $ 107,296 Transportation: $93,965 Pays for general operating costs of providing rural senior minibus services. This program increases the availability of transportation to our rural low-income seniors for essential services that would be otherwise be missed due to no transportation. This in turn improves the life conditions of the low-income rural elderly. Volunteer Support: $ 11,007 Senior Volunteer mileage-Pays for mileage incurred for Coordinators for service to senior sites, $2,800.00 Volunteer Insurance-Pays for the under 55 volunteers supplemental car insurance, $300.00( See WELDCO'S subcontract) Volunteer Recognition Banquet- Pays DHS portion of countywide senior volunteer banquet, $1,400.00 General Operating for Volunteer Support(378.33*12*1.4FTE)=$6,507.00. Senior Case Management $2,324 General Operating for Case Management(378.33*12*.05FTE)=$2,324. C. Indirect/Overhead Administration: $25,600.00 Administration Staff Personnel Costs $ 19,506.00 Administration Operating Costs $ 6,094.00 Pays for administrative time to administer, budget,track and report on grant. D. Capital Equipment Describe equipment needed and your procurement process. The State requires that bids and equipment final invoices are submitted to the State. E. Subcontract WELDCO'S Contract: $ 4,500.00. Pays WELDCO'S for Volunteer Mileage.This service is coordinated through the senior sites. Volunteers use their own vehicles to provide transportation services to rural low-income seniors to doctor appointments, grocery store, meal sites, and other needed services,that are not meet by the minibus service. These Volunteers are only reimbursed their mileage expenditures. 4 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$100,000,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 certifr to any of the statements in this certification,please attach an explanation to this application) CONTRACTOR: Weld County Board of Commissioners 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. POSITION TITLE: M v DATE: 0106/7004 Robert D. Masden, Chair V. CSBG BOARD LIST: Representatives of Private Sector: Name: Cornelia Dietz (United Way Representative) Name: Mary Fox (Senior Coordinator—Kersey Site) Address: 1713 Glen Meadows Drive Greeley,CO 80631 Address: 415 la`Street Kersey,CO 80644 Phone: (970)352-8313 H Phone: (970)356-6277 H (970)352-8394 B Name: Glenn Vaad (County Commissioner) Name: John Lee (City of Greeley) Address: 915 10th Street Greeley,CO 80631 Address: 1000 10th Street Greeley,CO 80631 Phone: (970)353-3800 ex.4200 B Phone: (970)350-9731 B Representatives of Public Sector: Name: Bonnie Veik(Disabled Comm Rep) Name: Address: 14801 WRC 100 Nunn,Colorado Address: Phone: Phone: Name: Name: Address: Address: Phone: Phone: Low-Income Persons or their Representatives: Name:Yvonne Benevides(FENWC Parent Policy Representative) Name: Address: 136 E.24`h Street#9 Greeley,CO 80631 Address: Phone: (970)395-0429 H 9970)352-1551 B Phone: Name: Patricia Pene (FENWC Parent Policy Representative) Name: Address: 502 Peterson,Dr. Johnstown,CO 80534 Address: Phone: (970)785-0836 H 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. Community Action Plan 1. Community Needs Assessment(including food needs): For the Program year(March 1, 2004 through February 29, 2005), Weld County is using the Weld County Area Agency on Aging Needs Assessments of Weld County Older Adults and The Greeley/Weld Economic Development Action Partnership, Inc. In addition, we have evaluated historical population trends for the County's seniors, using 2000 Census information and Community Transportation Magazine October 2002. Together, these sources have shown a continuing need for transportation services, especially for rural seniors and the developmentally disabled. See Attachments A-I. Current needs assessment for the employment segment of the CSBG grant request was derived from surveying Weld County applicants' demographics for the 2000-2001 year ending (03/20/01). The majority of the tracked applicants (48.21% ) did not have either a high school diploma or G.E.D. and the majority ethnic group (73.17% ) was Hispanic. This demonstrates Weld County's primary area of unmet employment needs: placing an unskilled minority adult in the labor force. See attachment G. Community Action Plan 2.& 4. Service Delivery System and Coordination with other Public and Private Resources: Weld County Division of Human Services is a one stop service center for various Federal and State programs all targeted to low income at-risk individuals. This includes the children's program area, Family Educational Network of Weld County(FENWC), which oversees Head Start, Migrant Head Start, and Preschool. The Area Agency on Aging umbrellas several senior programs including Older American Act Programs, Single Entry Point and Supplemental Foods. The Employment Service Area has WIA Adult and Youth programs, Dislocated Workers, Employment First, TANF, Job Service, Americorp, and an Educational Computer Lab. All programs are targeted to low income at-risk individuals. CSBG funding fills the gaps in integrated services we currently provide. Community Action Plan 3. Linkages: A. Because we are a Human Services agency serving a low income in-need population, in various ways, we have developed many partnerships with other county agencies pursuing the same goals. With these linkages our Case Managers can refer clients who qualify for our programs as well as refer them to other agencies. Other agencies can refer their clients to Human Services as well. With this partnership clients will not have gaps in-between services. Our Case Managers always do follow up consultations of our clients. B. We currently work with Social Services, Weld Information& Referral Services (WIRS), primary and secondary educational systems as well as a host of non-profits in Weld County aimed at self-sufficiency for the citizens of our area. Since we track all of our clients we are able to avoid any duplication of services. Community Action Plan 5. Innovative Community and Neighborhood-based Initiatives: Since Weld County Division of Human Services is a one stop service center for various Federal and State programs, this gives initiatives for parents to address all needs. With CSBG funding, this program's goal can be achieved to strengthen family's with employment and educational opportunities, which will help parents become self sufficient. This along with the programs of Social Services can reach it goal of strengthening families and encourage effective parenting. 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, Greedy CO 80634 Phone Number: (970)352-3740 Fax: (970) 356-3975 Email Address: Program Period: 03/01/04 to 02/28/05 CSBG Award: $49,903.00 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: O Goal 1 Low-income people become more self-sufficient.(Family) O 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. (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 Direct Measure/Indicator (see CSBG National Goals and Outcome Measures sheet) Low income Target Population: Number of medically challenged participants maintaining an independent living situation. Official Signature: r ---- Date: 01/26/2004 Official's Name and Title: Robert D. Meader'. Chair COLORADO CSBG APPLICATION(ROMA Logic Model) AGENCY: Weld County Human Services PROGRAM: Area Agency on Aging PROGRAM MISSION STATEMENT: To help Weld County seniors' maintain their individual independence and dignity in their home home as well as in their community by identifying and advocating for their special needs. National Goal 14: 6 Circle ONE Outcome Goal: Family Community Agency Problem, Service, Activity or Outcome Indicator(#and %) Measurement Data Source Frequency of Need or Intervention Tool(s) and Data Situation Collection Collection Procedures Lack of help The Senior Case These seniors will maintain The number of seniors The Area The Senior Data is accessing Manager will track their independence and self maintaining independency Agency on Case entered daily medical and and serve Medicaid sufficiency. versus the number of clients Aging client Manager will as the client's life care needs recipients of Weld using AAA Services. tracking keep track of register. by Medicaid County to make sure system. each client's clients. that their medical and intake. essential needs are being met. Weld County Human Services estimates that the number of client intakes will be 80. EXPLANATIONS/DISCUSSION: Form Adapted by the Colorado Community Action Association and the Colorado Department of Local Affairs. Created by Virtual Outcomes College;C FY 2001, 2002, The Center for Applied Management Practices, Harrisburg,PA. 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)352-3740 Fax: (970) 356-3975 Email Address: Program Period: 03/01/04 to 02/28/05 CSBG Award: $ 16,805.00 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: X Goal 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) OGoal 6 Low-income people,especially vulnerable populations,achieve their potential by strengthening family and other supportive systems. (Family) Select ONE National Direct Measure/Indicator (see CSBG National Goals and Outcome Measures sheet) Low income Target Population: Number of participants seeking employment who obtain it[as compared with the total number of participants]. Official Signature: �� Date: 01/26/2004 Official's Name and Title: Robert D. Masden, Chair COLORADO CSBG APPLICATION(ROMA Loaic Model) AGENCY: Weld County Human Services PROGRAM: Employment Services PROGRAM MISSION STATEMENT: Conform the workforce system, to be responsive to the low-income, unskilled job seekers, and help clients obtain full time employment for self-sufficiency, in partnership with Weld County employers. National Goal#: 1 Circle ONE Outcome Goal: Family Community Agency Problem, Service, Activity or Outcome Indicator(#and %) Measurement Data Source Frequency of Need or Intervention Tool(s) and Data Situation Collection Collection Procedures Lack of The Employment The unemployed client will The number of clients Employment Centralized Data is full-time Services Technician obtain full time employment seeking employment versus Services data base of entered daily employment will register, track and and become self sufficient. the number of clients who are client tracking client in the system among the match the low- no longer unemployed. system. registration in as the clients low-income income and unskilled Employment come in to and unskilled clients to full time Services. register. adult labor opportunities with in force. Weld County. Weld County Human Services estimates that the number of clients who will register with us will be 4,500.With the nation wide economy increasing in layoffs and unemployment this number could be larger. EXPLANATIONS/DISCUSSION: Form Adapted by the Colorado Community Action Association and the Colorado Department of Local Affairs. Created by Virtual Outcomes College;©FY 2001, 2002, The Center for Applied Management Practices,Harrisburg,PA. 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 Sneckman Complete Mailing Address, including zip: 1551 N. 17th Ave, Greeely CO 80634 Phone Number: (970)352-3740 Fax: (970) 356-3975 Email Address: Program Period: 03/01/04 to 02/28/05 CSBG Award: $93,965.00 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) O Goal 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 Direct Measure/Indicator (see CSBG National Goals and Outcome Measures sheet) Low income Target Population: Increase in availability and afford ability of essential services,e.g. transportation medical care,child care. Official Signature: Rait Date: 01/26/2004 Official's Name and Title: Robert D. Masden. Chair COLORADO CSBG APPLICATION(ROMA Logic Model) AGENCY: Weld County Human Services PROGRAM: Transportation Department PROGRAM MISSION STATEMENT: To help Weld County seniors' maintain their individual independence and dignity in their home home as well as in their community by identifying and advocating for their special needs. National Goal#: 2 Circle ONE Outcome Goal: Family Community Agency Problem, Service, Activity or Outcome Indicator(#and %) Measurement Data Source Frequency of Need or Intervention Tool(s) and Collection Data Situation Procedures Collection Lack of The Transportation These seniors will maintain The number of seniors The The Data is transportation Department will their independence and self maintaining independency Transportation Transportation entered daily access to the coordinate with sufficiency through their versus the number of clients Departments' Logs as the client's frail and rural clients to provide transportation needs. using transportation services. tracking coordinate elderly and transportation for system. their needs. convenient services such as and affordable health care facilities, transportation Weld County internal to the low- programs, Social income. Services, shopping and recreation for the residences of Weld County. Weld County Human Services estimates that 3800 clients will be served. EXPLANATIONS/DISCUSSION: Form Adapted by the Colorado Community Action Association and the Colorado Department of Local Affairs. Created by Virtual Outcomes College;CO FY 2001, 2002, The Center for Applied Management Practices,Harrisburg, PA. 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)352-3740 Fax: (970) 356-3975 Email Address: Program Period: 03/01/04 to 02/28/05 CSBG Award: $35,000.00 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) OGoal 5 Agencies increase their capacity to achieve results. (Agency) OGoal 6 Low-income people,especially vulnerable populations, achieve their potential by strengthening family and other supportive systems. (Family) Select ONE National Direct Measure/Indicator (see CSBG National Goals and Outcome Measures sheet) Low income Target Population: Increase in availability&afford ability of essential services. Official Signature: \a Y\)S — Date: 01/26/2004 Official's Name and Title: Robert D. Masden, Chair COLORADO CSBG APPLICATION(ROMA Logic Model) AGENCY: Weld County Human Services PROGRAM: Employment Services PROGRAM MISSION STATEMENT: Conform the workforce system, to be responsive to the low-income,unskilled lob seekers, and help clients obtain full time employment for self-sufficiency, in partnership with Weld County employers. National Goal#: 2 Circle ONE Outcome Goal: Family Community Agency Problem, Service,Activity or Outcome Indicator(#and %) Measurement Data Source Frequency of Need or Intervention Tool(s) and Data Situation Collection Collection Procedures Lack of The Employment The newly employed client The number of clients using Employment Centralized Data is supportive First Food Stamp Job will maintain employment supportive services verses Services data base of entered daily services, to Search Programs through these supportive the number of clients in client tracking client in the system obtain needed and Triage services and remain self Employment First. system. registration in as the clients supplies for Population Programs sufficient. Employment come in to full-time will provide Services. register. employment, supportive services resources for not allowed by the education, and Employment First training. Grant. The services provided include eyeglasses, physicals, uniforms and transportation vouchers, ELS\GED books, supplies and computer lab needed to help the estimated 1000 Weld County Clients. EXPLANATIONS/DISCUSSION: Form Adapted by the Colorado Community Action Association and the Colorado Department of Local Affairs. Created by Virtual Outcomes College;©FY 2001, 2002, The Center for Applied Management Practices, Harrisburg,PA. 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)352-3740 Fax: (970)356-3975 Email Address: Program Period: 03/01/04 to 02/28/05 CSBG Award: $ 50,143.00 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 Direct Measure/Indicator (see CSBG National Goals and Outcome Measures sheet) Low income Target Population: Increase in access to community services&resources by low-income people. Official Signature: Date: 01/26/2004 Official's Name and Title: Robert D. Masden. Chair COLORADO CSBG APPLICATION(ROMA Logic Modell AGENCY: Weld County Human Services PROGRAM: AAA Volunteer&Senior Coordinator Services PROGRAM MISSION STATEMENT: To help Weld County's seniors' maintain their individual independence and dignity in their home as well as in their community by partnership with the 24 meal site programs. National Goal#: 2 Circle ONE Outcome Goal: Family Community Agency Problem, Service, Activity or Outcome Indicator(#and %) Measurement Data Source Frequency of Need or Intervention Tool(s) and Data Situation Collection Collection Procedures Lack of The Area Agency on The Area Agency on Aging The number of seniors The meal sites Centralized Data is access to Aging Senior Coordinator and the receiving meals versus the will track the SAMS data entered daily services for Coordinator will direct interaction of the Senior number of clients using AAA participants at base of client in the system the low- our 24 senior nutrition Volunteers, together will services. each. registration in at each site income senior sites and provide provide access to these meal Area Agency as the clients population. training to volunteers services and other programs. on Aging. order meals who run the nutrition and sent program. monthly to AAA. Coordination of this program will provide access to these and other services for the estimated 1,304 senior participants in Weld County. EXPLANATIONS/DISCUSSION: Form Adapted by the Colorado Community Action Association and the Colorado Department of Local Affairs.Created by Virtual Outcomes College;©FY 2001, 2002, The Center for Applied Management Practices,Harrisburg,PA. 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, Greedy CO 80634 Phone Number: (970)352-3740 Fax: (970) 356-3975 Email Address: Program Period: 03/01/04 to 02/28/05 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) OGoal 5 Agencies increase their capacity to achieve results. (Agency) OGoal 6 Low-income people, especially vulnerable populations,achieve their potential by strengthening family and other supportive systems. (Family) Select ONE National Direct Measure/Indicator (see CSBG National Goals and Outcome Measures sheet) Low income Target Population: Increase in the availability and afford ability of essential services, e.g. transportation medical care,and child care. Official Signature: \ ){�'�r� Date: 01/26/2004 Official's Name and Title: Robert D. Masden, Chair COLORADO CSBG APPLICATION(ROMA Logic Model) AGENCY: Weld County Human Services PROGRAM: WELDCO'S PROGRAM MISSION STATEMENT: To provide information and referral services, recruit,train, and utilize volunteer partnership to provide transportation, home visits, telephone reassurance, recreation and other personalized services to the senior citizens of Weld County. National Goal#: 2 Circle ONE Outcome Goal: Family Community Agency Problem, Service, Activity or Outcome Indicator(#and %) Measurement Data Source Frequency of Need or Intervention Tool(s) and Data Situation Collection Collection Procedures Lack of A senior must contact Giving access to services to The number of clients that WELDCO'S WELDCO'S Data is transportation WELDCO'S to clients where there wasn't WELDCO'S is able to serve tracking Mileage logs. collected needs for the provide their one-on- any before and maintaining verses the number of miles. system. daily from the frail, rural, low- one transportation their quality of live and self trip and income elderly service. These rural, sufficiency. mileage logs. citizens who low-income clients need door to must have physical door services problems in which in getting to public transportation their is not adaptable. destinations. Weld County Human Services estimates that 800 clients will be served by WELDCO'S. EXPLANATIONS/DISCUSSION: Form Adapted by the Colorado Community Action Association and the Colorado Department of Local Affairs.Created by Virtual Outcomes College;©FY 2001, 2002, The Center for Applied Management Practices,Harrisburg, PA. Hello