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HomeMy WebLinkAbout20042744.tiff RESOLUTION RE: APPROVE CONTRACT FOR JUVENILE ACCOUNTABILITY INCENTIVE BLOCK GRANT 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 a Contract for the Juvenile Accountability Incentive Block Grant between the County of Weld,State of Colorado, by and through the Board of County Commissioners of Weld County,on behalf of the Sheriffs Office, and the Colorado Division of Criminal Justice, with terms and conditions being as stated in said contract, and WHEREAS,after review,the Board deems it advisable to approve said contract, a copy of which is attached hereto and incorporated herein by reference. NOW,THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County,Colorado,that the Contract for the Juvenile Accountability Incentive Block Grant between the County of Weld,State of Colorado,by and through the Board of County Commissioners of Weld County, on behalf of the Sheriff's Office, and the Colorado Division of Criminal Justice be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign the contract. The above and foregoing Resolution was,on motion duly made and seconded,adopted by the following vote on the 15th day of September, A.D., 2004. BOARD OF COUNTY COMMISSIONERS � ��� WELD COUNTY, COLORADO 14 Els EXCUSED r 1861 _ Robert D. Masden, Chair Clerk to the Board ♦� 1 ®ffp / William H. r e, Pro-Tem -- C-`1-Deputy Clerk to the Board - ee AP D AS M: fi David E. ong ounty A orney Ant Glenn Vaad -� Date of signature: 2eigjk /5-07 2004-2744 SO0025 5O 967 a3--O DCJ FORM 30 CERTIFICATION OF COMPLIANCE WITH REGULATIONS OFFICE FOR CIVIL RIGHTS, OFFICE OF JUSTICE PROGRAMS FOR SUBGRANTS ISSUED BY THE COLORADO DIVISION OF CRIMINAL JUSTICE INSTRUCTIONS: Complete the identifying information, which is found on the Statement of Grant Award(SOGA), in the table below. Read the form completely, identifying, under `I,"the person responsible for reporting civil rights findings;and checking only the one certification under "II"that applies to your agency. Have your Authorized Official sign at the bottom of page 2,forward a copy to the person you identified under "I"and return the original to the Colorado Division of Criminal Justice, 700 Kipling, Ste. 1000, Denver, CO 80215, within 45 days of the grant award beginning date. Grant# 23-JB-L-19-13 Grant Project Title: Juveni le Accountabi 1 i ty B1 ork Grant Subgrantee Name(Funded Entity): Weld County Address: 1950 "0" Street Greeley, CO 80631 Duration: Beginning date: October 1, 2004 End date: September 30,2005 Award: $64,948 Project Director's Name& Phone#: Kenneth Poncelow (970) 356-4000 Ext. 2802 AUTHORIZED OFFICIAL'S CERTIFICATION: As the Authorized Official for the above Subgrantee, I certify,by my signature below,that I have read and am fully cognizant of our duties and responsibilities under this Certification. I. REQUIREMENTS OF SUBGRANT RECIPIENTS: All subgrant recipients (regardless of the type of entity or the amount awarded)are subject to prohibitions against discrimination in any program or activity, and must take reasonable steps to provide meaningful access for persons with limited English proficiency. +I certify that this agency will maintain data(and submit when required)to ensure that: our services are delivered in an equitable manner to all segments of the service population; our employment practices comply with Equal Opportunity Requirements,28 CFR 42.207 and 42.301 et sea.; our projects and activities provide meaningful access for people with limited English proficiency as required by Title VI of the Civil Rights Act, (See also, 2000 Executive Order#13166). ♦I also certify that the person in this agency or unit of government who is responsible for reporting civil rights findings of discrimination will submit these findings,if any,to the Division of Criminal Justice within 45 days of the finding,and/or if the finding occurred prior to the grant award beginning date, within 45 days of the grant award beginning date. A copy of this Certification will be provided to this person,as identified here: Person responsible for reporting civil rights findings of discrimination: (Name, address&phone) 915 10th Street 9/15/2004 Greeley, CO 80601 'William 11. Jerke, Pro—Tem, Weld County Board of Commissioners(970)356-4000 X4200 II. EQUAL EMPLOYMENT OPPORTUNITY PLAN(EEOP) CERTIFICATIONS: Check the box before ONLY THE ONE APPROPRIATE CERTIFICATION(A,B,CI or C2 below)that applies to this subgrantee agency during the period of the grant duration noted above. Ll CERTIFICATION "A" [NO EEOP IS REQUIRED if(1),(2)or(3),below,apply.] This is the Certification that most non-profits and small agencies will use. Check(1), (2) and/or(3)as they apply to your entity. (More than one may apply.) This funded entity has not been awarded more than $1 million cumulatively from all programs administered by the U.S. Department of Justice over an 18-month period that includes the above grant duration period,and (1) is an educational,medical or non-profit institution or an Indian Tribe; and/or (2) has less than 50 employees; and/or _(3) was awarded through this grant from the Colorado Division of Criminal Justice less than $25,000 in federal U.S. Department of Justice funds. Therefore,I hereby certify that this funded entity is not required to maintain an EEOP,pursuant to 28 CFR 42.301, et seq. (CONTINUED ON REVERSE SIDE) Colorado Division of Criminal Justice Page 1 of 2 2004-2744 DCJ FORM 30: CERTIFICATION OF COMPLIANCE WITH REGULATIONS, OFFICE FOR CIVIL RIGHTS,OFFICE OF JUSTICE PROGRAMS (Continued) II. EQUAL EMPLOYMENT OPPORTUNITY PLAN(EEOP)CERTIFICATIONS: (Continued) O CERTIFICATION "B" (EEOP MUST BE ON FILE) This funded entity, as a for-profit entity or a state or local government having 50 or more employees,was awarded, through this grant from the Colorado Division of Criminal Justice, more than$25,000,but less than $500,000 in federal U.S. Department of Justice funds. Also, it has not been awarded more than $1 million cumulatively from all programs administered by the U.S. Department of Justice over an 18-month period that includes the above grant duration period. Therefore, I hereby certify that the funded entity has formulated an Equal Employment Opportunity Plan in accordance with 28 CFR 42.301, et seq., subpart E,that it has been signed into effect by the proper authority and disseminated to all employees, and that it is on file for review or audit by officials of the Division of Criminal Justice or the Office for Civil Rights, Office of Justice Programs as required by relevant laws and regulations. O CERTIFICATION "Cl" (EEOP MUST BE SUBMITTED) This funded entity,as a for-profit entity or a state or local government having 50 or more employees,was awarded, through this grant from the Colorado Division of Criminal Justice, more than $500,000 in federal U.S. Department of Justice funds,but,it has not been awarded more than$1 million cumulatively from all programs administered by the U.S. Department of Justice over an 18-month period that includes the above grant duration period. Therefore, I hereby certify that the funded entity will submit,within 45 days of the award,an EEOP or an EEOP Short Form,that will include a section specifically analyzing the subgrantee (implementing)agency. O CERTIFICATION "C2" (EEOP MUST BE SUBMITTED) This funded entity,having 50 or more employees,has been awarded more than $1 million cumulatively from all programs administered by the U.S. Department of Justice, including this subgrant from the Div. of Criminal Justice, over an 18-month period that includes the above grant duration period. Therefore, I hereby certify that the funded entity will submit,within 45 days of the award, an EEOP or an EEOP Short Form,that will include a section specifically analyzing the subgrantee(implementing)agency. (If you have already submitted an EEOP applicable to this time period, send a copy of the letter received from the Office for Civil Rights showing that your EEOP is acceptable.) As the Authorized Official for the above Subgrantee,I certify,by my signature below,that I have read and am fully cognizant of our duties and responsibilities under this Certification. I,hereby,also certify that the content of this form,other than the data entry required,has not been altered. CrA i 09/15/2004 [Authorized Official's signature] [Date] William H. Jerke Pro-Tern, Weld County Board of Commissioners [Typed Name] [Title] s * * * s • * * * * This original signed form must be returned to the Colorado Division of Criminal Justice, 700 Kipling, Ste. 1000, Denver, CO 80215, within 45 days of the rant award beginning date. You must also forward a si ed copy to the person you identified under "I"on page 1. DCJ will forward a copy to the Office for Civil Rights, Office ofJustice Programs, U.S. Department of Justice. Colorado Division of Criminal Justice Page 2 of 2 (Rev.8/19/2004) J c('/ Q 7C/ COLORADO DIVISION OF CRIMINAL JUSTICE 7.6c STATEMENT OF GRANT AWARD (SOGA) 01 �e O \---*1876 FEDERAL PROGRAM INFORMATION CFDA Title& Number: #16.523 Federal Agency: Office of Juvenile Justice and Delinquency Prevention, OJP, DOJ Federal Award Name& Number: #2003-JB-BX-0027 Juvenile Accountability Incentive Block Grant Program Award Subgrantee Name: Weld County Project Director: Kenneth E. Poncelow Project Director Address: Weld County, Sheriffs Department 1950 "O" Street Greeley, CO 80631 Grant Number: 23-JB-L-19-13 Project Title: Juvenile Accountability Incentive Block Grant: Weld County Grant Period: October 1, 2004 To September 30, 2005 Date Issued: August 24, 2004 In accordance with provisions of the Colorado Revised Statutes §24-33.5-502, the Division of Criminal Justice hereby awards a grant to the above-named subgrantee. The attached grant application, including Special Provisions and Certified Assurances, is incorporated herein as a part of this document. APPROVED BUDGET BY PURPOSE AREA Purpose Area#/Project Federal Award Cash Match Total • 12a-Crisis Assessment $41,226.00 $7,216.00 $48,442.00 • 15a-Female Offender Program $23,722.00 $0.00 $23,722.00 TOTAL BUDGET $64,948.00 $7,216.00 $72,164.00 • The detailed budget(s)found in the attached, approved plan provide budget category amounts for each purpose area. Use these approved detailed budget(s)for reporting expenditures by Purpose Area. * Purchase of equipment requires prior completion and approval of DCJ Form 13. • Professional services require prior completion and approval of DCJ Form 16. Special Condition(s): 1.Express written approval from the Division of Criminal Justice must be secured by the Subgrantee prior to the direct or indirect use of any these federal grant funds in support of the enactment, repeal, modification or adoption of any law, regulation or policy, at any level of government. 2. A contract between Weld County and North Range Behavioral Health and Hawk II Systems must be submitted within 45 days of the grant start date. Version 2-14-02 Page 1 of 3 H:\dcj\Office of Juvenile Justice\JAIBG\23J613.SOGA.wpd Statement of Grant Award (SOGA) INSTRUCTIONS 1. Grant activities must be based on the approved budget shown on page one of this Statement of Grant Award, and the approved detailed budget(s)within the attached application,which supersedes any earlier budget request submitted, and which may be different from the budget originally submitted in your application. The subgrantee must secure prior written approval from DCJ if there is to be a change in any budget category (see DCJ Form 4-A). 2. The Financial Officer of the project must be provided a copy of this document in order to adequately prepare the necessary financial reports. 3. The subgrantee agrees that the attached grant application, including "Special Provisions and Certified Assurances", is hereby incorporated by reference as part of this grant award. Review carefully the Special Provisions and Certified Assurances contained in the approved grant application. 4. Review carefully the"Administrative Guide for Federal Justice Grant Programs Administered by the Colorado Division of Criminal Justice,"which includes procedures regarding this document, draw-down of grant funds, reporting requirements and requesting grant modifications. 5. This grant award shall be effective upon the intended start date (as set out in the grant period shown on page 1 of this SOGA); however final approval by the State Controller or designee, is required. 6. This grant award may be voided in whole without further cause if it is not signed by the subgrantee's Authorized Official and returned to the Division of Criminal Justice within 45 days of the date of issuance. 7. The signature of the Authorized Official below should be the same as the one on the grant application.The subgrantee must promptly notify the Division of Criminal Justice of any changes in the Authorized Official, Project Director, or Financial Officer, by completing and submitting DCJ Form 4-B. (If changes have already occurred, submit completed DCJ Form 4-B with this document). ADDITIONAL DCJ REQUIREMENTS (1) Commencement within 60 Days. If a project is not operational within 60 days of the start date of the grant period, the subgrantee must report the following by letter to the Division of Criminal Justice: a. the steps taken to initiate the project; b. the reasons for delay; and, c. the expected starting date. (2) Operational Within 80 Days. If a project is not operational within 80 days of the original start date of the grant period, the Division of Criminal Justice may begin termination or reduction in grant award proceedings as described in "Special Provisions & Certified Assurances", Section entitled"Termination or Reduction in Grant Award." (3) All subgrants are conditioned on the ability to report to the Division of Criminal Justice all the information contained on the DCJ quarterly narrative and financial reporting forms,which are provided with this SOGA. Technical assistance is available upon request. (4) These funds cannot be guaranteed beyond the end date of the grant period on page 1 of this SOGA. Unexpended funds remaining at the end of the grant period must be returned to the Division of Criminal Justice. RETURN: ALL SETS of the Statement of Grant Award with ORIGINAL SIGNATURES to: Division of Criminal Justice, Office of Juvenile Justice, 700 Kipling Street, Suite 1000, Denver, CO 80215. After other required signatures are obtained, the white SOGA copy with approved application will be returned to your Project Director. Statement of Grant Award (SOGA) THE PARTIES HERETO HAVE EXECUTED THIS BINDING SUBGRANT AWARD Version 2-14-02 Page 2 of 3 H:\dcj\Office of Juvenile Justice\JAIBG\JAIBG SOGA.pages 2-3.ju1y02.frm SUBGRANTEE: STATE OF COLORADO: Weld County The Honorable Bill Owens , GOVERNOR Legal Name of Subgrantee Agency Agency FEIN(or Social Security)# 846000813 By %1/lt SIGNATURE of Authorized Official DIR TOR Colorado Divisio of Criminal Justice William H. Jerke, Pro-Tem Raymond T. Slaughter, Director Print Name& Title of Authorized Official Print Name & Title of DIR CTOR Date Signed: 09/15/2004 Date Signed: I'/ ) o Provide below for Corporate/Board Secretary or Equivalent, or Town/City/County Clerk to Certify .hat person named as Authorized Official above ATTEST BY: las the legal authority to enter into binding legal STATE OF COLORADO LEGAL REVIEW: contracts on behalf of this agency, and is in fact he person who signed where indicated. See Contract Routing Waiver# 127 (or if not waived) WELD C UNT CL FRK T E Signature to , ATTORNEY GENERAL BY: r DE UTY CL `z�\y Title p hors BY: PLACE AGENCY SE ism IQ Or Date Signed: Indicate No Seal Avail f ALL CONTRACTS & SUBGRANT AWARDS MUST BE APPROVED BY THE STATE CONTROLLER CRS 24-30-202 requires that the State Controller approve all state contracts. This subgrant award is not valid until the State Controller, or such assistant as he may delegate, has signed it. If performance begins prior to the date below, the State of Colorado may not be obligated to pay for the goods and/or services provided. STATE CONTROLLER: LESLIE M. SHENE�ELT BY DATE 9c/40c iC CS -Ate 1/44 Version 2-14-02 Page 3 of 3 H:\dcj\Office of Juvenile Justice\JAIBG\JAIBG SOGA.pages 2-3.ju1y02.frm FORMAT FOR COORDINATED ENFORCEMENT PLAN TO REDUCE JUVENILE CRIME JUVENILE ACCOUNTABILITY INCENTIVE BLOCK GRANT PROGRAM (This page shouldbe completed and submitted as the first page of your plan.) Grant# 072-L1/7-/-/91/3 (DCJ use only) Will grant funds be used to conduct research? Yes x No If yes,please identify the type of research: Toe project involves research and/or statistical activities but does not involve the collection of information identifiable private persons The project involves research and/or statistical activities and involves the collection of information identifiable to private persons APPLICANT AGENCY: Legal Title of Applicant Agency: Weld County Address: 1950 O Street City, State,Zip: Greeley Colorado 80631 County: Weld Phone: (970 )356-4015 x 280Federai Employer ID Number846000813U LOCATION OF AGENCY: U.S. Congressional District: 4 State Judicial District 19 SERVICE AREA: (This project will service the following areas:) a. U.S. Congressional District#/s: 4 b. Judicial District#/s: 19 c. City(ies): AND/OR County(ies): Weld d. Population size(census)of service area: 200,000 . GRANT APPLICATION TYPE:(Check One) x JAIBG Local Allocation State Program Funds:Statewide Emphasis (Disregard Page 2 and Section I on Page 3) Project Title: _ Other Project Tide: TYPE OF APPLICATION: _New Xx Continuation If this is a continuation application, provide JAIBG funding information from the two most current years: Grant Number. Amount Duration: Grant Number. Amount Duration: PROJECT DIRECTOR: (The Project Director is considered to be the primary contact person, and the person who is directly responsible for ensuring that the plan is implemented. All future correspondence from the Colorado Division of Criminal Justice, regarding this grant,will be sent to this person). Project Director Kenneth E. Poncelow Agency: Weld County Mailing Address: 1950 0 street, Greeley, Colorado 80631 Phone: e70)356-4015 x 2802 Fax: (970) 304-6467 E-mail: ALLOCATION/REQUESTED AMOUNT:(If this is a joint plan, provide the total from all entities.) JAIBG Amount $ 64,948 Cash match $ 7,216 (This must be at least 10%of Total Cost) Total Cost $ 72,164 PROJECT DURATION DATES: From: October 1. 2004 To: September 30,2005 (Revised 3/2004) Page 1 LOCAL JUVENILE CRIME ENFORCEMENT COALITION FOR: Weld County (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. Mimimum 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 high B. Sheriffs 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 social jurisdiction services NAME AGENCY/ORG *AMES'S CATEGOICY Robert D. Masden Chair, Board of County Commissioners P. O. Box 758, Greeley, CO 80631-0758 H Judge Kline 19th Judicial District Judge Karowsky - P.O. Box C, Greeley, CO 80632 D Al Dominguez, Jr. District Attorney, 19th Judicial District 915 10th Street, Greeley, CO. 80631 B John Cooke Weld County Sheriff's Office 1950 0 Street, Greeley, CO 80631 A Jerry Wommack Chief Probation Officer 934 9th Avenue, Greeley, CO 80631 C John Gates Weld County School District Six 1025 9th Avenue, Greeley, CO 80631 E Joelle France A Women's Place 3700 Golden, Greeley, CO 80632 G Dan Daily North Range Behavioral Health 1306 11th Avenue, Greeley, CO 80631 G B. J. Dean Island Grove Regional Treatment Center 1140 M Street, Greeley, CO 80631 G Windy Rich-Goldsbhmidt UNC/Weld County Chief of Police REP Gray Hall, Greeley, CO. 80631 A Paul H. Branham Greeley Police Department 919 7th Street, Greeley, CO 80631 A - Michael Guthrie Evans Police Department 1100 37th St (Continue on a copied page if necessary. Return to DCJ with "Intent to Accept Funds"Form.) JUVENILE CRIME ENFORCEMENT COALITION (JCEC) Leaders from agencies throughout the community came together to create the Weld County Criminal Justice Advisory Board in the latter part of 1998 (SEE APPENDIX A). Their function was five fold and included the following: • To facilitate review, coordination,planning and continuous improvement of the local criminal justice system within Weld County. • To review and recommend local law enforcement block grant expenditure requests by the Sheriff's Office to the Board of Weld County Commissioners and comply with the requirements of the Local Law Enforcement Block Grant Program. • To approve the use of forfeited property or the expenditure of forfeited proceeds by the seizing agency and comply with the requirements of C.R.S. 16-13-702, Disposition of forfeited property, as amended. • Develop, coordinate, and integrate an effective,efficient, comprehensive continuum of jail alternative sentencing. • Review, develop, and make recommendations to maintain a long term criminal justice capital needs strategic plan. A sub-committee of the Weld County Criminal Justice Advisory Committee has overseen previous J.A.I.B.G. Grants and will continue to oversee this grant, it successful. This sub- committee will serve as the Juvenile Crime Enforcement Coalition. The Weld County Criminal Justice Advisory Committee meets on the second Tuesday of January,April, July, and October of each year. The Juvenile Crime Enforcement Coalition will also meet on these dates and additional dates, as necessary. H. COMPLIANCE WITH THE JJDP ACT To be eligible for JAIBG funds, the Division of Criminal Justice requires that the jurisdictions within the applicant service area be certified by the Juvenile Justice and Delinquency Prevention (JJDP) Council as being in compliance with Sections 223 (a)(11) (Deinstitutionalization of Status Offenders); (a)(12) (Separation); (a)(13) (Jail Removal); and (aX22) (Disproportionate Minority Contact) of the JJDP Act of 2002. If the service area includes multiple law enforcement jurisdictions, all facilities operated by or under contract to each local unit of government included in the area will be included in this certification. After the compliance monitor from the Division of Criminal Justice completes the certification form and obtains necessary signatures, it will be given to the project director listed on page 1 of the plan format for his/her files, and a copy will be kept at DCJ. Indicate your status of compliance: X All jurisdictions have been certified to be in compliance. • III. ANALYSIS OF JUVENILE JUSTICE SYSTEM NEEDS Weld County encompasses over 4000 square miles with a very diverse population of approximately 200,000. This population is projected to grow rapidly due to an influx of citizens moving in from other states and the congestion being experienced in the Denver Metro area. This population diversity includes different socio-economic groups,multi-cultural variances and communities ranging from rural,to small town, to city,to major metropolitan area. The demo graphics of Weld County has created a juvenile system which is centralized and not community based. The resources and skills required to deal with the issues confronting juvenile justice is also lacking. Due to Weld County's proximity to the Denver Metropolitan area and the rapid population growth that Weld County is experiencing, these issues will increase. Over the past several years the criminal justice system and more specifically the juvenile justice system has been moving towards the philosophy of restorative justice. Towards that end, key leaders are looking at changing the way our criminal justice system works. Open discussions are occurring about what is working and what isn't throughout the system. In 2000, a conference was held at the Aims Community College campus in conjunction with the Colorado Forum on Restorative Justice, numerous stakeholders from both inside and outside the criminal justice system met for discussion and training about the system. Additionally, a consultant was obtained through a technical assistance grant from the Colorado Division of Criminal Justice to examine the juvenile justice system in Weld County last year. His recommendations are still be discussed throughout the system. Last year, the Weld County District Attorney's Office filed 1,351 juvenile criminal cases. This is an increase of 25% from the 1013 cases filed in 2001. It appears that in 2005 this trend will continue. Gang related activity and estimated gang recruitment and gang membership also seems to be growing. This trend if left unchecked will have an additional impact on the criminal justice system in Weld County. IV. COORDINATION OF EFFORT The J.A.I.B.G. proposed programs are recommended by a sub-committee of our Senate Bill 94 planning committee, prior to being given final approval of our Weld County Criminal Justice Advisory Board. By doing this,we gain the input from all of the members of this group. This group represents those professionals that on a daily basis are on the front lines of the juvenile justice system. IV. ADMINISTRATIVE COSTS There will be no administrative costs associated with this grant. These costs are being absorbed by the agencies involved in the programs. These costs should be noted as additional matching funds above the requirements of this grant. • A. Identified Problem/Need and the Program Purpose Area Number Problem: Through its work with JAIBG, its member agencies, and other areas of work in the communities of Weld County,North Range Behavioral Health(NRBH) is acutely aware of the variety of problems facing youths who come into contact with the juvenile justice system. Over the past few years, progress has been made in the identification of detained juvenile offenders who are in need of mental health services while they are detained and after they are released back into the community. Recidivism rates remain higher than acceptable and are still increasing for those juvenile offenders with identifiable mental health issues who have not received appropriate mental health care. This project, in the past,has helped to improve the communication between the numerous agencies, offices, institutions, and individuals involved with these juveniles but more work remains to be done in terms of holding the youths accountable for their actions, reducing recidivism, and ensuring greater integration of services in working with each juvenile. Purpose Area: 12. Establishing and maintaining programs to conduct risk and needs assessments os juvenile offenders that facilitate the effective early intervention and the provision of comprehensive services, including mental health screening and treatment and substance abuse testing and treatment to such offenders. Output indicator: Number and percent of assessment staff with specialized training. Short-term indictor: Number and percent of youth fully assessed. Intermediate outcome indicator: Number and percent of youth who cannot receive identified services (slots full, service not provided locally) Summary of North Range Behavioral Health's focus within the Purpose Areas Through this proposal,NRBH seeks to be able to continue to quickly and appropriately identify, assess, evaluate, and treat those detained youth at the Platte Valley Youth Services Center (PVYSC) who are in need of mental health services;to communicate effectively with the juvenile court,probation officers, social services workers, detention facility staff, mental health therapists, school personnel, and pertinent others about each referred individual; and to provide timely mental health treatment to those identified in need of such. JAIBG funds have helped accomplish some of these tasks in past years. NRBH again requests continued and increased funding of its efforts. Through this grant, 20.00 hours(.50FTE) of a mental health clinician's time will be made available weekly to serve these juveniles. This will allow 32 to 40 juveniles to be admitted annually to treatment services. In addition to this, up to nine detainees may be seen each day the therapist is on site at their own requests through "Counselor Alerts" or via referrals made by the Court,the staffs of the PVYSC,the Weld County Department of Social Services (WCDSS,) and Weld County Probation Services for crisis intervention. Many of the juveniles in this latter group, expected to number between 110 and 120, do not need ongoing mental health care but have an emergent or urgent need to speak to a trained counselor. • NRBH proposes to continue to be funded to provide both direct and indirect mental health services to the referred juveniles and to improve its ability to communicate the results of assessments, evaluations, and other interventions to the juvenile court and probation officers so they may have more timely information concerning detained youths involved in this project. Goal 1: To rapidly respond to the mental health needs of those detained youth referred to the project Objective 1-1: Time-Line Measurement Responsible Person(s) To evaluate,refer, communicate 10/1/2004 - Track the number of Program about, and treat those youths referred. 9/30/2005. youths referred and Director and served, document clinical staff. types of services provided. Objective 1-2: Time-Line Measurement Responsible Penon(s) All referred youth opened as NRBH 10/1/2004 - Track the number of Program clients will have a service plan 9/30/2005. youths referred and Director and developed as part of the admission served, document clinical staff process. types of services provided and presence of plan. Objective 1-3: Time-Line Measurement Responsible Person(s) Seventy-five percent of the youth 10/1/2004 - Track the number of Program admitted to mental health treatment 9/30/2005. youths referred and Director and other than crisis services will served, document clinical staff. complete their service plan. types of services provided. Goal 1 Outcome Measures: 1. What will be measured? The time and date of referral,time and date of evaluation will be tracked, as will be when the evaluation was delivered to the person or office needing it. What services were delivered to whom and the total amount of services delivered to each referral will be tracked as will be the impact of the services. 2. How will it be measured? Data will be entered on the form developed in previous years so that the activities can be measured. Provision of mental health services will be documented and measured by written progress and case management notes as well as by entries on a Staff Activity Log, a form already in existence and use at NRBH. Each youth's service plan will be analyzed for compliance and success data. 3. How will the results be analyzed? Progress notes, case management notes, service plans, and Staff Activity Logs will be used to document the delivery of services reflecting quantity, quality, and appropriateness of the services rendered. Goal 1 Cost Needs: NRBH is seeking to cover the salary of the mental health therapist(s) who will be delivering services to the juveniles. No other coverage for expenses incurred is being sought. B. Number of Juveniles Targeted to be Served including Cultural/Gender Competency Plan White Hispanic/ African Native Asian/Pacific Multiracial/ Other Total Latino American American Islander Multiethnic Male 52 57 3 2 1 10 0 125 Female 12 17 2 2 0 2 0 35 It is projected there will be more than 700 detention admissions of Weld County youth to PVYSC this fiscal year. This figure is not equal to the number of juveniles being admitted but to the total number of admissions which is a duplicated count. NRBH proposes to serve at least 160 of those juveniles through this project. Culturally competent services will be provided to all clients served by this project by staff from the Intensive Children, Youth, and Family Services Program (ICYFS) with consultation when needed from the Multi-Cultural Services Program of NRBH,which is housed at the Monfort Children's Clinic. Following up on an initial round of training in cultural competency and sensitivity in May 2002,NRBH provides additional training in this important area each fiscal year. Similarly, gender specific services will be available to meet the identified needs of the target population. C. Evaluation and Long-term Plan NRBH again seeks not only to continue but also to expand and enhance its capacity to provide services to youths detained at the PVYSC. This project has served, and will continue to serve, as a pilot or model for how initial triage and evaluation,treatment, and case management services can be provided to this target population in a manner best suited to reducing recidivism and the severity of repeat offenses for those who do re-offend. Ideally, a full array of mental health services should be available to detained juveniles and their families. This project, as proposed, when linked with the other services to youths provided by the NRBH ICYFS program will serve as a larger step toward achieving that ideal. This will be especially true if a recently submitted proposal to continue the NRBH Comprehensive Crisis Assessment and Treatment Services (CCATS II)project is funded by the Juvenile Justice and Delinquency Prevention Council. NRBH is actively searching for additional funds to provide appropriate mental health services to juveniles and their families. The treatment and case management services to be delivered are part of a service plan developed with and for each youth admitted to NRBH services. Some of the youths to be served by this project will not complete their mental health services during the fiscal year, even some of those who are referred early on in the year. NRBH will continue to track them once they do finish and add their data to that of the others. Those who do finish will immediately help prove the value of services such as these and demonstrate the need for continuing this work. Over the time this project has been funded, the benefit of such services to the children and their families has been clearly shown, demonstrating they do provide cost savings to the community and the state as the mental health treatment costs are much less than those involved in detaining them and immensely less than serving them as committed youth. This project will continue to allow NRBH access to juveniles who otherwise would have nothing to do with mental health care either because they would have refused it or never would have been referred to it. Access is also gained to their siblings and other family members of the referred youths, again expanding NRBH's ability to help others make positive changes in their lives. Measurement of the achievement of the goals set forth herein will be ongoing with reports made at required or requested intervals. Both positive and negative results will be used to modify plans as the year progresses to realize maximum goal attainment and to ensure attainment of the desired impact on the needs the therapists are striving to meet. NRBH will regularly evaluate how best to serve the target population over the course of the new grant period. The efficacy of various evaluation and treatment approaches will be studied to show what, if any, revamping of services is indicated. Strong efforts will be made to improve communications with all others involved in this project and the overall grant. NRBH views this project as a necessary part of its services to the Weld County community and will seek funding to perpetuate and expand it. NRBH will continue to look to JAIBG, Senate Bill 94, federal, state, and other sources for continuing funding. Evaluation of Services and Goal Attainment to Date All goals and objectives for the current fiscal year will be met or exceeded, based on data gathered through 6/30/04. Timely evaluation, case management, and treatment services have been provided to all referred juveniles. The racial balance of those referred was markedly different than expected with Hispanic/Latino youths comprising about 70%of those referred. This also reflects the high percentage of detained youth who are Hispanic/Latino. Timely responses to both the referred youths and to the agencies/individuals who referred them occurred more than 95% of the time. The expected proportion of the youths seen under this grant needed only crisis intervention services while detained. Ongoing services were offered to the rest and included as part of their release plans. D. Budget and Budget Narrative Overall Budget The overall budget for this project will be $48,442, broken down as follows: 1. Personnel: No such expenditures are planned. 2. Supplies and Operating: No support is being requested for costs anticipated for supplies and operating expenses for this project. 3. Travel: No funds to cover travel expenses are being sought. 4. Equipment: No equipment expense is planned. 5. Contracted Consultant/Professional Services: Personnel expenses of$41,226 include the salary, $29,922 and fringe benefits package, $11,304 for the clinical staff who will be performing the services to be delivered. Fringe benefits account for 23% of gross salary and are prorated based on the full time equivalent. Additional personnel expenses such as the salaries of the Program Director and clinical supervisor are not included here nor is grant support sought for them. Data from Mountain States Employers Council, Inc. of Denver indicates the proposed salary is consistent with what is paid for equivalent positions and employee qualifications in this area. BUDGET FORM (Copy this form or use this format for each project and the applicant agency's administrative portion of the funds.) PROJECT TITLE:Collaborative Crisis Assessment PROGRAM PURPOSE AREA: 12 IMPLEMENTING AGENCY: North Range Behavioral Health ROUND ALL AMOUNTS TO THE NEAREST WHOLE DOLLAR. (1) (2) (3) (4) TOTAL Source 1.PERSONNEL Annual Full-time Annual Fringe Sub-Total %of time for Fed$ Match Salary Benefit Cost This Project + = X °� S + = X % $ + = X % $ + = X % $ + = X % $ TOTAL PERSONNEL COST $ TOTAL Source 2.SUPPLIES AND OPERATING Fed$ Match ' $ TOTAL SUPPLIESAND OPERATING COST TOTAL Source 3.TRAVEL(Designate specifically in-state and out-of-state travel.) Fed$ Match TOTAL TRAVEL COST $ TOTAL Source 4. EQUIPMENT Fed$ Match . TOTALS EQUIPMENT1C,OST $ 5. CONTRACTED CONSULTANT AND PROFESSIONAL SERVICES TOTAL Source Attach a copy of each contract with a detailed budget_ Fed$ Match Mental Health Therapist to provide counseling and assessment of juveniles in crisis $48,442 $41,226 $7,216 TOTAL CONTRACTED COST _ $ 6. TOTAL OF ALL PROJECT COSTS TOTAL Source (1 through 5) Fed$ %of Total Match$ %of Total e - $48,442 $41,226 82 $7,216 18 .. ":TOTAL-COST (Revised 3/2004) • 19TH JUDICIAL PROBATION FEMALE OFFENDER PROGRAM FUNDING REQUEST PROBLEM: Statistics in Weld County over the past several years indicate that for juvenile female offenders there is/are: • Increases in the total number of juvenile female offenders • Increase in DA filings for juvenile female offenders • Increases in commitments • Decreases in out-of-home placement/treatment options available • Increases in the length of time on probation At an observational/empirical level it appears that we are seeing more and more juvenile female offenders with a greater range of unidentified problems and unmet needs: • Housing • Employment • Pregnancy • Education • Family • Mental Health • Substance Abuse Additionally, the programs and services that are available are often not integrated into a comprehensive planning strategy. Consequently, the probation officer can often become overwhelmed in reacting to the sheer weight of the needs and numbers, instead of directing the plan. Within the total population of juvenile female offenders there is a subset of extremely high-risk juvenile females who present an even greater challenge to the Juvenile Probation Department. They have significant histories of gang involvement, sexual assaults, drug and alcohol abuse, previous failed out-of- home placements, suicide attempts, parental abandonment, depression, abusive relationships with boyfriends, chronic educational failures, etc. Unfortunately, it is these juvenile females that are often identified for commitment, primarily because they have failed to positively respond to previous services, even when the service was inappropriate for the need. PROJECT TITLE: Juvenile Female Offender Program @FOP) PURPOSE AREA: Number 15. Establishing and maintaining programs to enable juvenile courts and juvenile probation officers to be more effective and efficient in holding juvenile offenders accountable and reducing recidivism. SUMMARY OF FOCUS WITHIN THE PURPOSE AREA: To increase the number of juvenile female offenders that will be served by this program, reduce revocations, reduce out-of-home placements, expedite access to appropriate services and greater accountability. Through providing more intensive supervision, weekly gender specific groups and the development of the Individual Probation Plan (IPP) a greater number of young women will be served. This grant will enhance probation's current services with the professional skills of Hawk II Systems, whose personnel are trained in specialty areas such as family/group dynamics and substance abuse/mental health needs. This collaboration between probation, • Hawk II Systems and other service providers give broader service delivery and greater accountability to this unique population. GOAL 1: For each young woman referred, a collaborative, gender responsive, culturally sensitive process that facilitates timely access to specific community programs, actively involves parents and/or meaningful relations, and incorporates weekly groups, while simultaneously responding to the needs of the probationer and the orders of the court. This rapid and meaningful response, reflected in the creation of an Individualized Probation Plan(IPP), is a critical step in developing a comprehensive assessment, activating appropriate substance abuse services, developing pro-social skills, maintaining accountability, reducing revocations, and increasing the number of positive program completions. Objective 1: To provide greater access to services/accountability to a minimum of 50 juvenile female offenders utilizing the Individual Probation Plan (IPP). Responsible Time-Line Measurement Person Through the use of the multi-disciplinary staffing team, the # of female JFOP IPP will reflect the needs, services and collective inter-agency 10/01/04 to juveniles Probation goals the juvenile female offender will address both short and 9/30/05 assessed Officer long-term. Objective 2: Provide weekly groups and collaborative case management to a minimum of 50 juvenile,female offenders facilitated by the contracted services of Hawk II Systems. Responsible Time-Line Measurement Person Once accepted into the JFOP, the parent/youth group will be # of female JFOP required for a period of one month, then peer education 10/01/04 to juveniles Probation groups will address multiple life-skill subjects. Additionally, 9/30/05 attending & Officer random/collaborative in-home supervision will be provided. completing GOAL 1 INDICATORS 1. Output indicator: • Caseload of grant funded probation officer. Objective #1, the program will serve a minimum of 50 juvenile female probationers, assessed from 10/1/04 to 9/30/05 and recorded. For each of the probationers, an IPP staffing will be initiated and documented by the grant funded probation officer, the IPP will be present in each probationer's file. Review staffings for each probationer will be formally conducted every 30 days for up to 6 months. Objective#2,the actual number of juvenile female probationers who attended the weekly JFOP group will be counted, the assignment completed will be counted as well as the actual number completing / graduating from the groups. • 2. Short-term'indicator: • Average number of supervision meetings per month. Objective #1, each female offender accepted into the program will have a minimum of one supervision contact per week, and may have up to five meetings or contacts per week. These supervision events are based on the level of need, how recently the young woman was staffed into the program, the number of supportive services being provided, and her general day to day level of functioning. Objective #2, each group attended by parent and child, each weekly peer group session, each session on parenting held in the family's home, and each collaborative in-home or in-community contact will also be considered a significant part of the overall supervisory structure, and will vary depending on the level of need and/or functioning. • Number and percent of non-compliance events (missed court dates,positive UA's) Objective #1, the percentage of compliance or non-compliance events, based on a behavioral baseline established at the time of referral to include drug testing will be recorded at each of the monthly IPP staffings. Parents, private providers and other supportive agencies will have opportunities to review and report on the progress to date and help in the development of the next month's goals. Objective #2, the percentage of compliance or non-compliance will be recorded by the attendance and assignments completed at each of the groups provided. This information will then be reported at the monthly IPP staffing. 3. Intermediate Outcome Indicator: • Number and percent of youth to complete their justice requirements successfully. Results of Objective 1, measurements will be analyzed by comparing the total number of juvenile female probationers to those actually served. As part of the analysis, there is an expectation that 100 percent of the FOP girls will have an IPP staffing each month during the time in the program. These staffings will provide a formal method of data collection while giving on going feedback to the youth and her parents. Results of Objective 2 will be analyzed by reviewing the recidivism rate of the JFOP participants to those of the general female offender population. 37 or 75% of the original youth identified will successfully complete this six-month program. While being in the program for the entire six months is important, completing the IPP goals will be the benchmark for successful program graduation. GOAL 1 COST NEEDS: Cost of baseline drug testing,confirmation testing, and case management. • NUMBER OF JUVENILES TARGETED: 50 juvenile (ages 10-18) female probationers will be targeted with an estimated ethnic composition of: 40% Caucasian, 50% Hispanic, and 10% Native American or other heritage. White Hispanic/Latin African Native Asian/Pacifi Multiracia Other Totals o American American c 1/ Islander Multi Ethnic Males 0 0 0 0 0 0 0 0 Females 20-26 25-38 0-3 5-8 0 0 0 50-75 C. Evaluation and Long-term Plan Success will be achieved when 100% (a minimum of 50 annually) of all juvenile female probationers has received greater access to services through the use of the multi-disciplinary staffing and the IPP, and has been provided with weekly groups and collaborative case management. Goals for each individual will be reviewed, renewed and progress acknowledged monthly at the IPP staffing. Supporting measurements of success, including random drug resting, weekly supervision meetings, in home collaborative visitations, group attendance, group assignment completion, school attendance, will also be collected on a regular monthly basis. We are very comfortable that the above indicators of success will result in lowered recidivism/revocation rates as compared to the non-Juvenile Female Offender Program participants. BUDGET/BUDGET NARRATIVE: CONTRACTED CONSULTANT/PROFESSIONAL SERVICES Weld County Probation and specifically Juvenile Probation has contracted with Hawk II Systems L.L.C. continuously for the past several years to work with the Juvenile Female Offender Program (JFOP). In order to expand the number of young women served, and add some additional components to the JFOP such as parent and peer groups, the Probation Officer is requesting $23,022.00 annually to be allocated towards Hawk II Systems' services and $700.00 is requested for baseline and confirmation drug testing. Like other providers or agencies working directly with JFOP, Hawk II Systems will attend monthly staffings where the Individual Probationary Plan(IPP) will be developed, and review and create new goals for the upcoming month outlined. Expenses will cover Hawk II Systems' provision of the required parent/daughter groups that will contain parenting and behavior management information. Additionally, weekly, on-going cognitive girls groups will be provided by Hawk II Systems to address issues of personal safety, teen pregnancy, interpersonal relationships, personal decision making and career choices. In order for the girls and their families to receive support and program consistency, regular in-home and/or school visits will be conducted jointly by Hawk II Systems and the Probation Officer. These visits allow issues that arise to be addressed in a timely and supportive fashion. BUDGET FORM (Copy this form or use this format for each project and the applicant agency's administrative portion of the funds.) PROJECT TITLE:Female Offender Program PROGRAM PURPOSE AREA: 15 IMPLEMENTING AGENCY: 19th J.D. Probation Dept ROUND ALL AMOUNTS TO THE NEAREST WHOLE DOLLAR. (1) (2) (3) (4) TOTAL Source 1.PERSONNEL Annual Full-time Annual Fringe Sub-Total %of time for Fed$ Match Salary Benefit Cost This Project + = X % $ + = X % $ + = X % $ + = X % $ + = X % $ $ TOTAL PERSONNEL COST TOTAL Source 2.SUPPUES AND OPERATING Fed$ Match $ $ $ $ TOTAL.SUPPLIES.AND OPERATING COST $ TOTAL Source 3.TRAVEL(Designate specifically In-state and out-of-state travel.) Fed$ Match is ,TOTAL TRAVEL COAT $ TOTAL Source 4. EQUIPMENT Fed 5 Match $ 5 $ $ TOTAL EQ€11P NT CQ,S3 $ 5. CONTRACTED CONSULTANT AND PROFESSIONAL SERVICES TOTAL Source Attach a copy of each contract with a detailed budget Fed$ Match 9_ Weekly Groups/Coordinate Monthly Staffing,Case Management—Hawk II Systems,LLC $23,022 $23,022 Drug Testing $700 $700 $ OTAL.CONTRACTEDMOAT . . $ 6. TOTAL OF ALL PROJECT COSTS I TOTAL Source (1 through 5) Fed$ %of Total Match$ %of Total ? $23,722 $23,722 100 TOTAL,.COST. ... (Revised 3/2004) •• COLORADO DIVISION OF CRIMINAL JUSTICE JUVENILE ACCOUNTABILITY INCENTIVE BLOCK GRANT PROGRAM SPECIAL PROVISIONS AND CERTIFIED ASSURANCES Special Provisions&Certified Assurances remain attached to the application SPCA Page 1 of 9 CHECK BELOW TO INDICATE WHICH CATEGORY BEST DESCRIBES YOUR AGENCY: Memmental Grant Grant to a Colorado State Agency rant to a Unit of Local Government,Tribal Government,or Special District. QGrant to a Non-Profit,Private Organization(Non-Governmental) The applicant certifies by signing that the project described in this application meets all the requirements of the applicable governing legislation as indicated below;that all information contained in the application is correct;that there has been appropriate coordination with affected agencies; and,that the applicant will read,understand and comply with all provisions of the governing legislation and all other applicable federal and state laws,rules and regulations that have been or may hereafter be established. The applicant further understands and agrees that any subgrant award received as a result of this application shall be subject additionally to the grant conditions set forth in the Statement of Grant Award,and in the current applicable Administrative Guide of the Division of Criminal Justice. GOVERNING LEGISLATION FOR THIS GRANT PROGRAM- Juvenile Accountability Incentive Block Grant Program. From the United States Department of Justice,Office of Justice Programs,Office of Juvenile Justice and Delinquency Prevention, under federal statutory authority, PL105-119, November 26, 1997, Making Appropriations for the Departments of Commerce, Justice and State, the Judiciary, and related Agencies and for other Purposes (Appropriations Act)and under applicable program guidelines established by said federal program office. A. STANDARD STATE SPECIAL PROVISIONS Revised Apnl 1,2004 1. CONTROLLER'S APPROVAL.CRS§24-30-202(1) This subgrant award shall not be deemed valid until it has been approved by the Controller of the State of Colorado or such assistant as may be designated. 2. FUND AVAILABILITY,CRS§24-30-202(5.5) Financial obligations of the State of Colorado payable after the current fiscal year are contingent upon funds for that purpose being appropriated,budgeted,and otherwise made available. 3. INDEMNIFICATION. FOR NON-INTERGOVERNMENTAL GRANTS ONLY: a. The Subgrantee shall indemnify, save, and hold harmless the State, its employees and agents, against any and all claims, damages,liability and court awards including costs,expenses,and attorney fees incurred as a result of any act or omission by the Subgrantee,or its employees,agents,subcontractors,or assignees pursuant to the terms of this subgrant award. FOR INTERGOVERNMENTAL GRANTS ONLY: b. Indemnity: To the extent authorized by law,the Subgrantee shall indemnify,save,and hold harmless the State against any and all claims,damages,liability and court awards including costs,expenses,and attorney fees incurred as a result of any act or omission by the Subgrantee,or its employees,agents, subcontractors,or assignees pursuant to the terms of this subgrant award. c. No term or condition of this grant shall be construed or interpreted as a waiver,express or implied,of any of the immunities, rights,benefits,protection,or other provisions for the parties,of the Colorado Governmental Immunity Act,Section 24-10- 101,et seq.,C.R.S.or the Federal Tort Claims Act,28 U.S.C.2671,et seq.as applicable,as now or hereafter amended. COLORADO DIVISION OF CRIMINAL JUSTICE JUVENILE ACCOUNTABILITY INCENTIVE BLOCK GRANT PROGRAM SPECIAL PROVISIONS AND CERTIFIED ASSURANCES Special Provisions&Certifred Assurances nsgremain attached to the application SPCA Page 2 of 9 4. INDEPENDENT CONTRACTOR 4 CCR 801-2: (THIS PROVISION IS NOT APPLICABLE TO GRANTS TO COLORADO STATE AGENCIES): THE SUBGRANTEE AGENCY SHALL PERFORM THE DUTIES FUNDED UNDER THIS GRANT AS AN INDEPENDENT CONTRACTOR AND NOT AS AN EMPLOYEE OF THE STATE. NEITHER THE SUBGRANTEE NOR ANY AGENT, SUB- CONTRACTOR,OR EMPLOYEE OF THE SUBGRANTEE SHALL BE OR SHALL BE DEEMED TO BE AN AGENT OR EMPLOYEE OF THE STATE BY VIRTUE OF THIS SUBGRANT. SUBGRANTEE SHALL PAY WHEN DUE ALL REQUIRED EMPLOYMENT TAXES AND INCOME TAX AND LOCAL HEAD TAX ON ANY MONIES PAID PURSUANT TO THIS GRANT. SUBGRANTEE ACKNOWLEDGES THAT THE SUBGRANTEE AND ITS EMPLOYEES ARE NOT ENTITLED TO UNEMPLOYMENT INSURANCE BENEFITS UNLESS THE SUBGRANTEE OR THIRD PARTY PROVIDES SUCH COVERAGE AND THAT THE STATE DOES NOT PAY FOR OR OTHERWISE PROVIDE SUCH COVERAGE. SUBGRANTEE SHALL NOT HAVE AUTHORIZATION, EXPRESS OR IMPLIED, TO BIND THE STATE TO ANY AGREEMENTS, LIABILITY, OR UNDERSTANDING EXCEPT AS EXPRESSLY SET FORTH HEREIN. IF THIS GRANT PROVIDES FUNDS FOR ANY PERSONAL SERVICES,SUBGRANTEE SHALL PROVIDE AND KEEP IN FORCE WORKERS COMPENSATION (AND SHOW PROOF OF SUCH INSURANCE) AND UNEMPLOYMENT COMPENSATION INSURANCE IN THE AMOUNTS REQUIRED BY LAW. SUBGRANTEE AGENCY SHALL BE SOLELY RESPONSIBLE FOR THE ACTS OF ITS EMPLOYEES,INDEPENDENT SUB-CONTRACTORS AND AGENTS. 5. NON-DISCRIMINATION. The Subgrantee agrees to comply with the letter and the spirit of all applicable state and federal laws respecting discrimination and unfair employment practices. 6. CHOICE OF LAW. The laws of the State of Colorado and rules and regulations issued pursuant thereto shall be applied in the interpretation, execution, and enforcement of this subgrant.Any provision of this subgrant, whether or not incorporated herein by reference, which provides for arbitration by any extra judicial body or person or which is otherwise in conflict with said laws,rules,and regulations shall be considered null and void.Nothing contained in any provision incorporated herein by reference which purports to negate this or any other special provision in whole or in part shall be valid or enforceable or available in any action at law whether by way of complaint,defense,or otherwise.Any provision rendered null and void by the operation of this provision will not invalidate the remainder of this subgrant to the extent that the subgrant is capable of execution. At all times during the performance of this subgrant,the Subgrantee shall strictly adhere to all applicable federal and State laws, rules,and regulations that have been or may hereafter be established. 7. VENDOR OFFSET.CRS 24-30-202(1)&CRS§24-30-202.4 (THIS PROVISION APPLIES TO NON-INTERGOVERNMENTAL GRANTS ONLY:) Pursuant to CRS 24-30-202.4 (as amended), the State Controller may withhold debts owed to State agencies under the vendor offset intercept system for:(a)unpaid child support debt or child support arrearages;(b)unpaid balance of tax, accrued interest,or other charges specified in Article 21,Title 39,CRS;(c)unpaid loans due to the Student Loan Division of the Department of Higher Education;(d)owed amounts required to be paid to the Unemployment Compensation Fund; and(e)other unpaid debts owing to the State or any agency thereof,the amount of which is found to be owing as a result of fmal agency determination or reduced to judgment as certified by the controller. 8. EMPLOYEE FINANCIAL INTEREST.CRS§24-18-201&CRS§24-50-507 The signatories aver that to their knowledge,no employee of the State of Colorado has any personal or beneficial interest whatsoever in the service or property described herein. 9. SOFTWARE PIRACY PROHIBITION.(Governor's Executive Order D 002 00) No state or other public funds payable under this subgrant shall be used for the acquisition,operation or maintenance of computer software in violation of United States copyright laws or applicable licensing restrictions. The Subgrantee hereby certifies that,for the term of this subgrant and any extensions,the Subgrantee has in place appropriate systems and controls to prevent such improper use of public funds. If the State determines that the Subgrantee is in violation of this paragraph,the State may exercise any remedy available at law or equity or under this subgrant,including,without limitation,immediate termination of the Subgrant and any remedy consistent with United States copyright laws or applicable licensing restrictions. COLORADO DIVISION OF CRIMINAL JUSTICE JUVENILE ACCOUNTABILITY INCENTIVE BLOCK GRANT PROGRAM SPECIAL PROVISIONS AND CERTIFIED ASSURANCES Special Provisions&Certified Assurances must remain attached to the application SPCA Page 3 of 9 B. GRANT REQUIREMENTS 1. FINANCIAL&ADMINISTRATIVE MANAGEMENT a. The Subgrantee assures that fund accounting,auditing,monitoring,evaluation procedures and such records as necessary will be maintained to assure adequate internal fiscal controls, proper financial management, efficient disbursement of fiords received, and maintenance of required source documentation for all costs incurred. These principles must be applied for all costs incurred whether charged on a direct or indirect basis. b. All expenditures must be supported by appropriate source documentation. Only actual, approved, allowable expenditures will be permitted. c. The Subgrantee assures that it will comply with the provisions of the current applicable Administrative Guide of the Division of Criminal Justice which is hereby incorporated by reference. However, such a guide cannot cover every foreseeable contingency,and the Subgrantee is ultimately responsible for compliance with applicable state and federal laws,rules and regulations. 2. PAYMENT&REPORTING a. The Division of Criminal Justice will pay the Subgrantee the reasonable and allowable costs of performance, in accordance with current Colorado State Fiscal Rules, not to exceed the amount specified herein as the Total Award Amount. b. The Division's requirements for invoice, advance payments,and cost reporting submissions are contained in the DCJ Form 3-Cash Request Procedures,and DCJ Form 1-A-Subgrant Financial Report,which are hereby incorporated by reference. c. Advance payments cannot exceed 30-day operating expenses. d. The Subgrantee assures that it shall maintain data and information to provide accurate quarterly program and financial reports to the Division. Said reports shall be provided in such form, at such times, and containing such data and information as the Division of Criminal Justice reasonably requires to administer the program. e. The Subgrantee assures that quarterly financial and narrative reports shall be submitted within 30 days of the end of each calendar quarter and shall be current and actual. f. The Subgrantee further assures that final financial and narrative reports shall be submitted on the forms provided by the Division of Criminal Justice within 45 days of the end date of the subgrant. g. The Division reserves the right to make and authorize modifications,adjustments,and/or revisions to the Grant Award for the purpose of making changes in budget categories, extensions of grant award dates, changes in goals and objectives, and other modifications which do not change the total amount of the Grant Award. The Division's requirements for such grant adjustments are contained in the procedures for DCJ Forms 4A,4B,4C,and 4D,which are hereby incorporated by reference. h. The Division may withhold payment in the event the Subgrantee fails to comply with conditions and certifications contained in this grant award. 3. PROCUREMENT AND CONTRACTS a. The Subgrantee assures that open, competitive procurement procedures will be followed for all purchases under the grant. All contracts for professional services,of any amount,and equipment purchases over five thousand dollars(per item,with a useful life of at least one-year)must receive prior approval by the Division of Criminal Justice. b. The Subgrantee assures that no contract or agreement will be made for execution of project activities or provisions of services(other than purchase of supplies or standard commercial or maintenance services)that is not incorporated in the approved application or approved in advance by the Division of Criminal Justice. c. The Subgrantee assures that contractors/vendors who assist the Subgrantee to develop specifications, requirements, statements of work and/or Request For Proposal for a proposed procurement shall be excluded from bidding or submitting a proposal to compete for the award of such procurement. d. The Subgrantee assures that where activities supported by this subgrant produce any discovery computer programs,writing, sound recordings,pictorialgraphical or resn original reproductions, drawing or other representation and works of any similar nature,the following requirements apply: i. The Division of Criminal Justice has the right to use,duplicate and disclose,the above material in whole or in part in any manner for any purpose whatvwver and authorize others to do so. ii. If the material or invention is copyrightable,the Subgrantee may copyright such,but the Division of Criminal Justice reserves a perpetual,royalty-free,non-exclusive and irreversible license to practice,reproduce,publish and use such materials in whole or in part,and authorize others to do so. iii. When issuing statements, press releases, requests for proposals, bid solicitations, and other published COLORADO DIVISION OF CRIMINAL JUSTICE JUVENILE ACCOUNTABILITY INCENTIVE BLOCK GRANT PROGRAM SPECIAL PROVISIONS AND CERTIFIED ASSURANCES Special Provisions&Certified Assurances must remain attached to the application SPCA Page 4 of 9 documents describing projects or programs funded in whole or in part with these grant funds, all Subgrantees must clearly: a) State the percentage of the total cost of the program or project,which will be financed with this grant money; b) State the dollar amount of state or federal funds for the project or program; c) Use the phrase-"This project was supported by grant # , issued by the Colorado Division of Criminal Justice." e. The Subgrantee may not assign its rights or duties under this grant without the prior written consent of the Division of Criminal Justice, 4. AUDIT,RECORD-KEEPING,AND MONITORING/INSPECTION a. The Subgrantee assures that it will procure an audit or financial review by a CPA or licensed public accountant incorporating the subgrant. If the agency expends more than$500,000 per year in combined federal funds,an audit must be conducted in accordance with OMB Circular A-I33 (Audits of States, Local Governments, and non-profit organizations). i. At such time as the audit or financial review is completed,ONE COPY OF THE REPORT,INCLUDING THE CORRESPONDING MANAGEMENT LETTER, MUST BE FORWARDED TO THE DIVISION OF CRIMINAL JUSTICE for clearance. ii. The Subgrantee accepts responsibility for the costs of a financial program audit to be performed by the Department of Public Safety in the event that the audit report or financial review: a) does not meet the applicable A-133 or DO standards; b) is not submitted in a timely manner,or, c) does not provide an audit response plan with corresponding corrections made sufficient to satisfy any audit findings. b. The Subgrantee assures that: i. It will retain all project records, as will facilitate an effective audit, for seven years after the end of the state fiscal year that includes the end date of the grant. (For example if the grant ended 9/30/91,the state FY would be July I, 1991-June 30, 1992. The files could be destroyed after 6/30/99);except, ii. If an audit is in progress and/or the findings of a completed audit have not been resolved satisfactorily, then records must be retained beyond the seven-year period until such issues are resolved. c. The Subgrantee assures that it will keep copies of all documents,correspondence,and required receipts related to this subgrant in a separate file bearing the project title and grant number. d. The Division may periodically request submission of supporting financial and programmatic documentation, subcontracts,general and sub-ledgers for the purpose of monitoring compliance with the grant award via desk review, or in preparation for an on-site monitoring visit. Routine or special on-site visits may be conducted at the subgrant agency,and at the location of any collaborating entities,for the same purpose. Subgrantees will be notified in advance of any on-site monitoring visit. e. The Subgrantee assures that the Division of Criminal Justice,Colorado Department of Public Safety,shall have access for purposes of monitoring,audit and examinations to any bonds,documents,papers and records of the Subgrantee and to relevant books and records of subcontractors of the Subgrantee. It is the rc,►unsibility of the Subgrantee to notify any of its project collaborators and subcontractors of these provisions. - f The Subgrantee assures that signatories.of the application and subgrant award and personnel employed through this subgrant will appear when requested at any administrative hearing, monitoring site visit, conference or meeting conducted by the Division of Criminal Justice. 5. COLORADO VICTIM RIGHTS ACT a. The Subgrantee assures that the application signatories,all staff and all volunteers assigned to the funded project have read and understand the rights afforded to crime victims pursuant to§24-4.1-302.5 C.R.S.,and the services delineated pursuant to§§24-4.1-303 and 24-4.1-304 C.R.S.,commonly known as the Victim Rights Act,and enabling legislation. 6. TERMINATION or REDUCTION IN GRANT AWARD The Division will monitor the performance of the Subgrantee against goals and performance standards required herein. The Division will provide reasonable technical assistance to the Subgrantee concerning project goals, performance standards and subgrant requirements;however,substandard performance as determined by the Division will constitute noncompliance with this grant award. Substandard performance may result in termination or reduction of grant award as follows: COLORADO DIVISION OF CRIMINAL JUSTICE JUVENILE ACCOUNTABILITY INCENTIVE BLOCK GRANT PROGRAM SPECIAL PROVISIONS AND CERTIFIED ASSURANCES Special Provisions&Certffied Assurances musLremain attached to the application SPCA Page 5 of 9 a. Reduction In Grant Award Amount for Cause i. The Division may reduce the total Statement of Grant Award amount for cause, without compensation for reduction costs. ii. If the state reduces the grant amount for cause,it will first give ten(10)days written notice to the Subgrantee, stating the reasons for reduction,steps taken to correct the problems,and the date the subgrant award amount will be reduced in the event problems have not been corrected to the satisfaction of the Division. iii. In the event this grant is reduced for cause,the Division will only reimburse the Subgrantee for acceptable work or deliverables received up to the date of reduction. iv. In the event this grant is reduced for cause,final payment to the Subgrantee may be withheld at the discretion of the Division until completion of final Division review. b. Termination for Convenience: i. Either party may terminate the grant with thirty days written notice of intent to cancel or terminate. ii. The grant may be terminated by the Division if it is in the best interest of the state of Colorado to terminate the grant. iii. If the grant is terminated for convenience by either the Subgrantee or the state,the Subgrantee shall be paid the necessary and allowable costs incurred through the date of termination, but not exceeding a prorated amount based on the number of days of project operation prior to the date of termination. c. Termination for Cause: i. The Division may terminate the grant for cause without compensation for termination costs. ii. If the state terminates the grant for cause,it will first give ten(10)days written notice to the Subgrantee,stating the reasons for termination,steps taken to correct the problems,and the date the subgrant will be terminated in the event problems have not been corrected to the satisfaction of the Division. iii. In the event this grant is terminated for cause,the Division will only reimburse the Subgrantee for acceptable work or deliverables received up to the date of termination. iv. In the event this grant is terminated for cause,final payment to the Subgrantee may be withheld at the discretion of the Division until completion of final Division review. d. Any equipment purchased under this grant would revert,at the option of the Division,to the Division of Criminal Justice upon termination of the grant for any of the above reasons. 7. ORDER OF PRECEDENCE a. Any inconsistency or conflict in this grant shall be resolved by giving precedence in the following order: (a) Special Provisions and Certified Assurances,(b)Statement of Grant Award;and,(c)the final approved Subgrant Application. S. DISPUTE RESOLUTION(THIS PROVISION APPLIES ONLY TO INTERAGENCY AGREEMENTS): Any failure of either party to perform in accordance with the terms of this agreement shall constitute a breach of the agreement. Any dispute concerning the performance of this agreement which cannot be resolved at the divisional level shall be referred to superior departmental management staff designated by each department. Failing resolution at that level, disputes shall be presented to the executive directors of each department for resolution. Failing resolution by the executive directors,the dispute shall be submitted in writing by both parties to the State Controller,whose decision on the dispute will be final. C. FEDERAL CERTIFIED ASSURANCES 1. FEDERAL PUBLIC POLICY ASSURANCES a. The Subgrantee hereby agrees that it will comply,and all of its contractors will comply with the applicable provisions of: i. Title I of the Omnibus Crime Control and Safe Streets Act of 1968,as amended; ii. The Juvenile Justice and Delinquency Prevention Act and/or the Victims of Crime Act,as appropriate; iii. All other applicable Federal laws,orders,circulars,regulations or guidelines. b. The Subgrantee agency hereby agrees that it will comply,and all of its contractors will comply with the provisions of 28 CFR applicable to grants and cooperative agreements including: i. Part 18,Administrative Review Procedure; ii. Part 20,Criminal Justice Information Systems; iii. Part 22,Confidentiality of Identifiable Research and Statistical Information; iv. Part 23,Criminal Intelligence Systems Operating Policies; v. Part 30 Intergovernmental Review of Department of Justice Programs and Activities; vi. Part 42 Nondiscrimination/Equal Employment Opportunity Policies and Procedure; vii. Part 61 Procedures of Implementing the National Environmental Policy Act; COLORADO DIVISION OF CRIMINAL JUSTICE JUVENILE ACCOUNTABILITY INCENTIVE BLOCK GRANT PROGRAM SPECIAL PROVISIONS AND CERTIFIED ASSURANCES Special Provisions&Certified Assurances must remain attached to the application SPCA Page 6 of 9 viii. Part 63 Floodplain Management and Wetland Protection Procedures;and, ix. Federal Laws or regulations applicable to Federal Assistance Programs. 2. FINANCIAL&ADMINISTRATIVE MANAGEMENT a. Subgrantee assures that it will comply with appropriate federal cost principles and administrative requirements applicable to grants as follows: i. For state,local or Indian tribal government entities; a) OMB Circular A-87,Cost Principles for State,Local&Indian Tribal Governments b) OMB Circular A-102, Common Rule-Uniform Administrative Requirements for Grants and Cooperative Agreements to State and Local Governments ii. For non-profit organizations; a) OMB Circular A-122,Cost Principles for Non-Profit Organizations b) OMB Circular A-110, Uniform Administrative Requirements for Grants and Agreements with Institutions of Higher Education,Hospitals and Other Nonprofit Organizations iii. For colleges and universities; a) OMB Circular A-21,Cost Principles for Educational Institutions b) OMB Circular A-110, Uniform Administrative Requirements for Grants and Agreements with Institutions of Higher Education,Hospitals and Other Nonprofit Organizations iv. For each agency spending more than$500,000 per year in federal funds from all sources; a) OMB Circular A-133,Audits of States,Local Governments and Nonprofit Organizations b. The Subgrantee assures that it will comply with the provisions of the Office of the Comptroller, Office of Justice Programs OC Financial Guide for Grants current edition. (For practical purposes, the requirements pertinent to the management of these funds have been extracted from the above documents and are contained in the current applicable Administrative Guide of the Division of Criminal Justice,which is hereby incorporated by reference. However,such a guide cannot cover every foreseeable contingency, and the Subgrantee is ultimately responsible for compliance with applicable state and federal laws,rules and regulations.) 3. NON-SUPPLANTING OF FUNDS(Governmental Agencies Only) a. The Subgrantee certifies that any required matching funds used to pay the non-federal portion of the cost of this subgrant are in addition to funds that would have otherwise been made available for the purposes of this project. b. The Subgrantee certifies that federal funds made available under this grant: i. Will not be used to supplant state or local funds; ii. That the Subgrantee's expenditures for the purpose described in this application for the annual period are as great as for the preceding year plus the average annual increment in such expenditures for the past two,three, four or five years;OR iii. Where the certification above(3bii)cannot be made,and there is a reduced or unchanged local investment,then the Subgrantee shall give a written explanation demonstrating that the Subgrantee's reduced or unchanged commitment would have been necessitated even if federal financial support under this federal grant program had not been made available. 4. PROHIBITIONS ON LOBBYING WITH FEDERAL FUNDS(Subgrantees receiving$100,000 or more in total federal funds per year. See 28 CFR Pan 69.) The prospective Subgrantee certifies,by submission of this proposal,that: • a. No federal funds received through this subgrant 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 an employee of a member of Congress in connection with the making of any federal grant,the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any federal grant or cooperative agreement; and, b. If any funds other than funds through this subgrant 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 an employee of a member of Congress in connection with this subgrant,the prospective Subgrantee shall complete and submit Standard Form-LLL,"Disclosure of Lobbying Activities." 5. CERTIFICATION REGARDING DEBARMENT,SUSPENSION,INELIGIBILITY AND VOLUNTARY EXCLUSION (Subgrantees receiving$100,000 or more in total federal funds per year.See,28 CFR Pan 6.) a. The prospective Subgrantee certifies,by submission of this proposal,that neither it nor its principals,subcontractors or suppliers are presently debarred,suspended,proposed for debarment,declared ineligible,or voluntarily excluded from participation in this transaction by any Federal department or agency. COLORADO DIVISION OF CRIMINAL JUSTICE JUVENILE ACCOUNTABILITY INCENTIVE BLOCK GRANT PROGRAM SPECIAL PROVISIONS AND CERTIFIED ASSURANCES Special Provisions&Certhed Assurances must remain attached to the application SPCA Page 7 of 9 6. CERTIFICATION REGARDING DRUG FREE WORKPLACE(See, 28 CFR Pan 67,Subpart F.) a. The prospective Subgrantee certifies,by submission of this proposal,that it will comply with the Drug Free Workplace Act of 1988,as implemented at 28 CFR Part 67,Subpart F. 7. CIVIL RIGHTS COMPLIANCE (See,28 CFR Part 42) a. Upon award,each Subgrantee will be provided DCJ's Form 30,entitled"Certification of Compliance with Regulations Regarding Federal Civil Rights Requirements and Equal Employment Opportunity Plans(EEOP),and will be required to do the following: i. The Project Director must submit the form to the Subgrantee agency's Authorized Official for this grant; ii. The Authorized Official must review the form in conjunction with subgrant agency personnel responsible for reporting civil rights findings of discrimination; iii. The Authorized Official must accurately complete the required information and provide all information requested; iv. The Authorized Official must provide an original signature on the form as indicated;and, v. The DCJ 30 Form with original signature must be returned to the Division with the Statement of Grant Award (SODA). b. Any subgrant agency findings of discrimination must be reported to the Division of Criminal Justice within 45 days of receipt of this grant award,and to the Office for Civil Rights,Office of Justice Programs,U.S.Department of Justice. 8. NON-DISCRIMINATION a The following federal non-discrimination cites apply in particular the nondiscrimination requirements of the Omnibus Crime Control and Safe Streets Act of 1968,as amended;Title VI of the Civil Rights Act of 1964; Section 504 of the Rehabilitation Act of 1973,as amended;Subtitle A,Title II of the Americans with Disabilities Act of 1990,42 U.S.C. 12101,et.seq.and Department of Justice Regulations on Disability Discrimination,28 CFR Part 35 and Part 39;Title IX of the Education Amendments of 1972; the Age Discrimination Act of 1975; the Department of Justice Nondiscrimination Regulations 28 CFR Part 42, Subparts C,D,E,and G; and Executive Order 11246, as amended by Executive Order 11375, and their implementing regulations, 41 CFR Part 60.1 et. seq., as applicable to construction contracts. 9. NATIONAL ENVIRONMENTAL POLICY ACT(NEPA)AND NATIONAL HISTORIC PRESERVATION ACT (NAPA)COMPLIANCE (42 USC§§4321-4370 and 16 USC§470) a. The Subgrantee agrees to assist the Division of Criminal Justice and the Office of Justice Programs,U.S.Department of Justice,in complying with the National Environmental Policy Act,the National Historic Preservation Act(NHPA)and other related federal environmental impact analyses requirements in the use of these grant funds either directly by the Subgrantee or by a subcontractor.As long as the activity needs to be undertaken in order to use these grant fimds,this NEPA requirement first must be met whether or not the activities listed below are being specifically funded with these grant funds.The activities covered by this special condition are: b. New construction; c. Minor renovation or remodeling of a property either listed on or eligible for listing on the National Register of Historic Places,or located within a 100-year flood plain; d. Renovation,lease or any other proposed use of a building or facility that will either result in a change in its basic prior use,or significantly change its size. e. Implementation of a new program involving the use of chemicals other than chemicals that are either purchased as an incidental component of a funded activity and traditionally used,for example,in office,household,recreational or educational environments. 10. HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (This provision applies only to entities that provide medical care and treatment) a The Subgrantee acknowledges that it is a covered health care provider under the Health Insurance Portability and Accountability Act,42 U.S.C.1320d-1320d-8,and its implementing regulations and agrees to comply with the requirements of HIPAA concerning any uses and disclosures of protected health information. COLORADO DIVISION OF CRIMINAL JUSTICE JUVENILE ACCOUNTABILITY INCENTIVE BLOCK GRANT PROGRAM SPECIAL PROVISIONS AND CERTIFIED ASSURANCES Special Provisions&Certified Assurances must remain attached to the application SPCA Page 8 of 9 D. PROGRAM SPECIFIC REQUIREMENTS The following program specific requirements are imposed by the Federal or State sponsoring agency concerning special requirements of law,program requirements,and other administrative requirements which must be passed on to subgrant award recipients. 1. Right if Privacy for Recipients of Service and Sharing of information. The prospective subgrantee certifies,by submission of this proposal,that: a. Pursuant to Section 223(a)(18)of the Juvenile Justice and Delinquency Prevention Act,procedures have been established to ensure that this program will not disclose program records containing the identity of individual juveniles. Exceptions to this requirement are authorization by law;consent of either the juvenile or his/her legal authorized representative;or justification that otherwise the functions of this title cannot be performed. Under no circumstances may public project reports or findings contain names of actual juvenile service recipients. b. Necessary information will be shared appropriately among schools,law enforcement,courts and juvenile-serving agencies pursuant to the Family Educational Rights and Privacy Act(FERPA)(20 U.S.C.§1232g),as amended by Improving America's School Act of 1994(IASA). FERPA allows schools to play a vital role in a community's effort to identify children who are at risk of delinquency and provide services prior to a child's becoming involved in the juvenile justice system. c. Necessary information will be shared in accordance with the"Children's Code Records and Information Act,"19-1- 301 et seq.,Colorado Revised Statutes,to balance the best interests of children and the privacy interests of children and their families with the need to share information among service agencies and the need to protect the public safety. 2. In addition to the"Termination for Cause"item,F.3 under Grant Requirements above,the subgrant may be suspended or terminated by the Division of Criminal Justice if the subgrantee fails to comply with the core requirements of the Juvenile Justice and Delinquency Prevention Act,1974,as amended: Deinstitutionalization of Stats Offenders,Section 223 (ax12XA);Separation of Juveniles from Incarcerated Adults,Section 223(ax13);Removal of Juveniles from Adult Jails and Lockups,Section 223(aX14);Disproportionate Minority Confinement,Section(ax23). COLORADO DIVISION OF CRIMINAL JUSTICE JUVENILE ACCOUNTABILITY INCENTIVE BLOCK GRANT PROGRAM SPECIAL PROVISIONS AND CERTIFIED ASSURANCES Special Provisions&Certified Assurances must remain attached to the application SPCA Page 9 of 9 SIGNATURE PAGE->->->TO BE COMPLETED BY ALL APPLICANTS (ORIGINAL SIGNATURES REQUIRED-Please sign in BLUE ink. See instructions for description of proper signatories.) The Subgrantee and responsible signatories certify by signing that they have read the Application including the Special Provisions and Certified Assurances,and are fully cognizant of their duties and responsibilities for this project The Subgrantee understands and agrees that any subgrant award received as a result of this application shall incorporate by reference the information contained herein. Responsibility for narrative and fiscal reporting requirements are delegated to the designated Project Director,who will sign all such reports. This delegation is for purposes of reporting to the Division and for operational ease, and in no way limits the authority and responsibility of the Authorized Official. In accordance with the Colorado Revised Statutes 24-72-202.6,information supplied in this application is considered a public record. AUTHORIZED OFFICIAL Name William H. Jerke Position Chair Pro-Tem Agency Weld County Board of County Commissioners Mailing Address P. 0. Box 758 City,State,Zip Greeley, Colorado 80632 Telephone# (970) 356-4000 X 4200 Fax# E-mail Address �.F.rt:�. rt't -� ,..a a "$' tr �� `'r' s �"�" � ' Ps. T 4*. 3 41'.x, x'f '1� i•21.'41*4E�* Y ( r n �§&" N t+s : -�L .rill w2 b ,. „x g -%i� .. sit+. s„ray ...• FINANCIAL OFFIC Name Kenneth Poncelow Position Commander Agenom' Weld County Sheriff's Office Mailing Address 1950 O Street (A ��✓ City,State,Zip Greeley, Colorado 80631 J� Telephone# ?\°:7(970) 756-4075 x 2R02 Fax# (970) 304-6467 E-mail Address E � "CS 4"- ri� .� "'aS a�Ri ' °fF r� ti Yiv� r" r ?R."«'itY.`3rJA✓ `.�f` "k.i � .a4°" in. rv°t. � ._..r.t � .4. .s."�ir.+.(. .. rt "•: ..: PROJECT DIRECTOR Name Kim Hiquera Position Office Manager Agency Weld County Sheriff's Office Mailing Address 1950 O Street City,State,Zip Greeley, Colorado 80631 Telephone# (970) 356-4015 ext 2804 Fax# (970) 704-6467 E-mail Address khiguera@co.weld.co.us wa • a x � v�-r w c y� .4� M y � •L . A • %YC h , '2 m..,:. •}.. M1� 'y ' • r Federal Fiscal Year 2003 Juvenile Accountability Incentive Block Grant Program APPENDIX After the Certified Assurance pages and signature page of the original application attach this page and the following applicable items labeled with the appropriate letter: A. Organizational Chad-Highlight any positions included in your budget category. B Job Descriptions- Include for any paid or volunteer position included in your budget personnel category. C. Financial Information-Copy of last audit or formal financial review. New applicants need only submit a copy of the last audit management letter,financial review or department information. (DCJ reserves the right to access the entire audit should verification of fiscal issues be required.) Continuation applicants must supply a copy of the agency's last audit or formal financial review. D. Letters of Support - Need to show support and commitment from other juvenile justice agencies and/or community members. E. Any other item(s) specifically requested in the plan format and instructions. (Revised 3/2004) JABG Plan Format-Page 14 This Certification of Appropriation of Match form should be completed by all agencies providing cash match. If there is more than one source of match, copy this page for all agencies providing match. Certification of Appropriation of Match Date: Colorado Division of Criminal Justice Office of Juvenile Justice 700 Kipling Street Denver, Colorado 80215 To Whom It May Concern: Please be advised that 4iCxi S1/ zroC6 has committed support in the form of cash match in the amount of$ ?Jib to match the federal funds for the FY03 Juvenile Accountability Incentive Block Grant for (Project Title or Unit of Local Government) Execution of this document represents a certification that said funds have been earmarked within the appropriation of budget process for use as matching funds for this JAIBG grant application. Sincerely, JUL 2 8 2004 Signature of Person Authorized to Commit to Match Date William H. Jerke, Chair Pro-Tem, Board of County Commissioners Typed Name and Title (Revised 3/2004) JABG Plan Format-Page 13 aoa'i-2/79 ' Financial Management Complete the items below: A. Please provide the date of the agency's last independent audit or fmancial review: G/50/c1.#. Enclose with this application one copy of the agency's most recent audit or financial review. Include any management report or other auditor comments with each set of application copies. B. Does the agency expend over$300,000 from combined federal sources in a year? v Yes No C. Please respond to the following questions regarding the agency accounting system's ability to meet the criteria for managing federal grant funds. (These questions cover areas that will be monitored by DCJ staff during site visits or through other reporting mechanisms. They are not intended to be all inclusive and do not substitute for the agency's responsibility to meet all federal and state requirements for these grant funds.)If the answer is"No"to any questions below,provide an explanation on an inserted page. Brie; ❑No Does the agency accounting system separate ALL revenues and expenditures by funding source? /Yes o No Does the system track revenues and expenditures for each grant award separately through a sub-ledger system? &'Yes 0 No Does the system allow expenditures to be classified by the broad budget categories listed in the approved grant budget,i.e.Personnel, Supplies and Operating,Travel,Equipment and Professional Services? U7Yes 0 No Does the agency reconcile sub-ledgers to its general ledger at least monthly? U4ees 0 No Does the agency mark its invoices with the grant number? 7 Yes 0 No Does the agency maintain time sheets,signed by the employee and supervisor for each employee paid by DCJ grant funds? i ❑No Does the agency have written fmancial policies and procedures in place? 0 No Does the agency have accounting internal controls in place,such as separation of duties,two signatures on certain checks,reconciliations or other reviews? For5C ntinuation Applicants only. bf . o No Does the agency use its accounting system data to prepare the quarterly financial reports for DCJ? zs 0 No Does the agency reconcile its accounting system data with the quarterly financial reports for DCJ? (Revised 3/2004) Page 12 Hello