HomeMy WebLinkAbout20043110.tiff RESOLUTION
RE: APPROVE STATEMENT OF GRANT AWARD FOR DOMESTIC VIOLENCE AND
SPECIAL POPULATIONS PROJECT 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 Statement of Grant Award for Domestic
Violence and Special Populations Project between the County of Weld, State of Colorado, by and
through the Board of County Commissioners of Weld County,on behalf of the 19th Judicial District
Attorney's Office,and the Colorado Division of Criminal Justice,commencing January 1,2005 and
ending December 31, 2005, with further terms and conditions being as stated in said grant, and
WHEREAS, after review, the Board deems it advisable to approve said grant, 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 Statement of Grant Award for Domestic Violence and Special
Populations Project between the County of Weld, State of Colorado, by and through the Board of
County Commissioners of Weld County,on behalf of the 19th Judicial District Attorney'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 said grant.
The above and foregoing Resolution was,on motion duly made and seconded, adopted by
the following vote on the 27th day of October, A.D., 2004.
BOARD OF COUNTY COMMISSIONERS
E1LLa W LD COU TY, COLORADO 141861 Robert D. Mas en, Chair
Id •,y Clerk to the Board William H. rke, Pro-Tem
•I
Deputy Clerk to the Board
. . G
APPR AS RM:
David E. g
my Atto ey
Ler7 Glenn Vaad
Date of signature:
2004-3110
CC ; �A DA0019
IN /0-69L/
OF'COO
Division of Criminal Justice H� Safi
Office for Victims Programs * Gig
GOVERNOR DIVISION OF CRIMINAL JUSTICE J876
Bill Owens Raymond T.Slaughter,Director --- --
DEPARTMENT OF PUBLIC SAFETY OFFICE FOR VICTIMS PROGRAMS
Joe Morales,Executive Director Nancy Feldman,Manager
Date: October 8, 2004
Mr. Gary Rathke
District Attorneys Office, 19th Jud. Dist.
P.O. Box 758
Greeley, CO 80632
Re: VOCA Grant 23-VA-19-551 (CY 2005)
Dear Mr. Rathke:
Please find enclosed your Statement of Grant Award documents for calendar year 2005. Should you find it
necessary to make any change to the SOGA(e.g. if someone signs in the wrong area), DO NOT USE WHITE-
OUT. Make one cross through the mistake, insert the correct information, and initial the change. Please note your
new grant number. Use this new number on all future correspondence with the Division of Criminal Justice
regarding your 2005 allocation.
Please read and complete the following checked process items immediately to avoid a delayed start date.
X BOTH copies of the Statement of Grant Award documents(BLUE AND WHITE) must be signed by your
Authorized Official and returned with ONE copy of the Application,the Special Provisions and Certified
Assurances, and the Certification of Match form to this office NO LATER THAN NOVEMBER 1,2004.
Early return of required documents is strongly encouraged!
X Please check the Special Provision and Certified Assurances signature page nine, and if there have been
any changes in the Authorized Official, Financial Officer, and/or Project Director, please complete and
return two copies of DCJ Form 4-8 Change in Signing Authority for each change,to our office. A blank
form is included in this packet.
Enclosed is a Certification of Compliance with Reaulations(prey form),concerning Equal Employment
Opportunity Plans. This form must be completed by your Authorized Official and returned with your
signed Statement of Grant Award documents.
XThere are additional original signatures and/or initials that are required. Please note all of the 'SIGN HERE"
or'INITIAL HERE" stickers that have been placed throughout the Statement of Grant Award and have the
appropriate individual sign or initial where noted.
Your match is different and is higher than was originally calculated. We have revised the Certification of
Match Form after the Special Provisions and Certified Assurances signature page nine. Please have the
Authorized Official initial the change).
Your grant award has a special condition, which must be met. Please call DCJ staff if you have any
questions about your special condition.
Other: twice
_s o-(f- k_ kit" .4 4 -D r I
Thank you in advance for your timely response,
Rob Gallup, VOCA Administrator
(303)239-4529, robert.gallup@cdps.state.co.us
"'6"64--6
0
(*` ' a) COLORADO DIVISION OF CRIMINAL JUSTICE
STATEMENT OF GRANT AWARD (SOGA)
Nct/876
FEDERAL PROGRAM INFORMATION
CFDA Number: 16.575
Federal Agency: Office of Justice Programs, U.S. Dept. of Justice
Federal Award Name & Number:Victims of Crime Act,Crime Victim
Asst. Program—22-VA-GX-0008, 23-VA-GX-0017, 24-VA-GX-0052
Subgrantee Agency Name: Weld County,
District Attorney 19th District
Project Director: Mr. Gary Rathke
Address: P.O. Box 1167
Greeley, CO 80632
Grant Number: 23-VA-19-551
Project Title: Domestic Violence/Special Populations Project
Grant Period: 1/1/2005 to 12/31/2005
Date Issued: 9/24/2004
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
Budget Category Federal Cash Match In-Kind Match Total
Personnel $31,352.00 $7,838.00 $0.00 $39,190.00
Supplies and Operating $0.00 $0.00 $0.00 $ 0.00
Travel $0.00 $0.00 $0.00 $ 0.00
* Equipment $0.00 $0.00 $0.00 $ 0.00
* Professional Services $0.00 $0.00 $0.00 $ 0.00
TOTAL BUDGET $31,352.00 $7,838.00 $0.00 $39,190.00
' Purchase of equipment requires prior completion and approval of DCJ Form 13.
* Professional services require prior completion and approval of DCJ Form 16.
i...i.i.tYtia.liaa•i•aait a.a i.i...' ...1..... '..111.1., ai1.I..11...1....1..,i.aa1...1. .1,,11314 ....11.1.1 Alai.Ia..iai.....a................3.111...13.
SPECIAL CONDITIONS
I. STANDARD SPECIAL CONDITIONS (applies to all subgrants)
The Victim of Crime Ad (VOCA) subrecipient agrees and understands that meeting the following eligibility requirements is a special
condition of their Statement of Grant Award (contract) as originally referenced on page 1 of the Special Provisions Certified
Assurances. Subgrantee agrees and acknowledges that the language contained herein was included in the governing legislation for
this grant program from the United States Department of Justice, Office of Justice Programs, under federal statutory authority Victims
of Crime Act of 1984 (VOCA), as amended, Public Law 98-473, Chapter XIC, 42 U.S.C. 10601, et. Seq., Section 1402, Section 1404,
and under applicable program rules and regulations established by the federal program office.
2004-3110
H.\GIANAG\V0CA32004 Grant process\SOGASMaster SOGA.doc Page 1 of 6
. Statement of Grant Award
Subrecipient Organization Eligibility Requirements
VOCA establishes eligibility criteria that must be met by all organizations that receive VOCA funds.These funds are to be awarded to
subrecipients only for providing services to victims of crime through their staff. Each subrecipient organization shall meet the following
requirements:
1. Public or Nonprofit Organization. To be eligible to receive VOCA funds, organizations must be operated by a public or nonprofit
organization, or a combination of such organizations, and provide services to crime victims.
2. Record of Effective Services. Demonstrate a record of providing effective services to crime victims.This includes having the
support and approval of its services by the community, a history of providing direct services in a cost-effective manner, and
financial support from other sources.
3. New Programs.Those programs that have not yet demonstrated a record of providing services may be eligible to receive VOCA
funding, if they can demonstrate that 25-50 percent of their financial support comes from non-federal sources. It is important that
organizations have a variety of funding sources besides federal funding in order to ensure their financial stability. States are
responsible for establishing the base level of non-federal support required within the 25-50 percent range.
4. Program Match Requirements.The purpose of matching contributions is to increase the amount of resources available to the
projects supported by grant funds. Matching contributions of 20%(cash or in-kind)of the total cost of each VOCA project(VOCA
grant plus match) are required for each VOCA-funded project and must be derived from non-federal sources, except as provided
in the OJP Financial Guide,effective edition (Part Ill. Post Award Requirements,Chapter 3. Matching or Cost Sharing). All funds
designated as match are restricted to the same uses as the VOCA victim assistance funds and must be expended within the grant
period. Match must be provided on a project-by-project basis. Any deviation from this policy must be approved by OVC.
For the purposes of this program, in-kind match may include donations of expendable equipment, office supplies,workshop or
classroom materials,work space, or the monetary value of time contributed by professionals and technical personnel and other
skilled and unskilled labor, if the services they provide are an integral and necessary part of a funded project.The value placed on
donated services must be consistent with the rate of compensation paid for similar work in the subrecipient's organization. If the
required skills are not found in the subrecipient's organization, the rate of compensation must be consistent with the labor market.
In either case,fringe benefits may be included in the valuation.The value placed on loaned or donated equipment may not exceed
its fair market value.The value of donated space may not exceed the fair rental value of comparable space as established by an
independent appraisal of comparable space and facilities in privately owned buildings in the same locality.
a. Record Keeping.VOCA recipients and their subrecipients must maintain records that clearly show the source,the
amount, and the period during which the match was allocated.The basis for determining the value of personal services,
materials, equipment, and space must be documented. Volunteer services must be documented, and to the extent
feasible, supported by the same methods used by the subrecipient for its own paid employees.The state has primary
responsibility for subrecipient compliance with the requirements. State grantees are encouraged not to require excessive
amounts of match.
b. Exceptions to the 20% Match. OVC sets lower match requirements for:
1) Native American Tribes/Organizations Located on Reservations. The match for new or existing VOCA subrecipients
that are Native American tribes/organizations located on reservations is 5%(cash or in-kind) of the total VOCA
project. For the purpose of this grant, a Native American tribe/organization is defined as any tribe, band, nation, or
other organized group or community, which is recognized as eligible for the special programs and services provided
by the U.S.to Native Americans because of their status as Native Americans. A reservation is defined as a tract of
land set aside for use of, and occupancy by, Native Americans.
2) The U.S. Virgin Islands, and all other territories and possessions of the U.S., except Puerto Rico, are not required to
match VOCA funds. See 48 U.S.C. 1469a(d).
3) OVC may waive the match requirement if extraordinary need is documented by State VOCA administrators.
5. Volunteers. Subrecipient organizations must use volunteers unless the state grantee determines there is a compelling reason to
waive this requirement.A"compelling reason" may be a statutory or contractual provision concerning liability or confidentiality of
counselor/victim information,which bars using volunteers for certain positions, or the inability to recruit and maintain volunteers
after a sustained and aggressive effort.
6. Promote Community Efforts to Aid Crime Victims. Promote,within the community, coordinated public and private efforts to aid
crime victims. Coordination may include, but is not limited to,serving on state,federal, local, or Native American task forces,
commissions,working groups, coalitions, and/or multi-disciplinary teams. Coordination efforts also include developing written
agreements that contribute to better and more comprehensive services to crime victims. Coordination efforts qualify an
organization to receive VOCA victim assistance funds, but are not activities that can be supported with VOCA funds.
H:\DIANAG\VOCA\2004 Grant process\SOGAS\Master SOGA doc Page 2 of 6
- Statement of Grant Award
7. Help Victims Apply for Compensation Benefits. Such assistance may include identifying and notifying crime victims of the
availability of compensation,assisting them with application forms and procedures, obtaining necessary documentation,and/or
checking on claim status.
8. Comply with Federal Rules Regulating Grants. Subrecipients must comply with the applicable provisions of VOCA,the Program
Guidelines,and the requirements of the OJP Financial Guide,effective edition,which includes maintaining appropriate
programmatic and financial records that fully disclose the amount and disposition of VOCA funds received.This includes:financial
documentation for disbursements;daily time and attendance records specifying time devoted to allowable VOCA victim services;
client files;the portion of the project supplied by other sources of revenue;job descriptions; contracts for services;and other
records which facilitate an effective audit.
9. Maintain Civil Rights Information. Maintain statutorily required civil rights statistics on victims served by race, national origin,sex,
age, and disability,within the timetable established by the state grantee; and permit reasonable access to its books, documents,
papers, and records to determine whether the subrecipient is complying with applicable civil rights laws.This requirement is
waived when providing a service,such as telephone counseling,where soliciting the information may be inappropriate or offensive
to the crime victim.
10. Comply with State Criteria. Subrecipients must abide by any additional eligibility or service criteria as established by the state
grantee including submitting statistical and programmatic information on the use and impact of VOCA funds, as requested by the
grantee.
11. Services to Victims of Federal Crimes. Subrecipients must provide services to victims of federal crimes on the same basis as
victims of state/local crimes.
12. No Charge to Victims for VOCA-Funded Services. Subrecipients must provide services to crime victims, at no charge,through the
VOCA-funded project.Any deviation from this provision requires prior approval by the state grantee. Prior to authorizing
subrecipients to generate income,OVC strongly encourages administrators to carefully weigh the following considerations
regarding federal funds generating income for subrecipient organizations.
a. The purpose of the VOCA victim assistance grant program is to provide services to all crime victims regardless of their
ability to pay for services rendered or availability of insurance or other third-party payment resources.Crime victims suffer
tremendous emotional, physical, and financial losses. It was never the intent of VOCA to exacerbate the impact of the
crime by asking the victim to pay for services.
b. State grantees must ensure that they and their subrecipients have the capability to track program income in accordance
with federal financial accounting requirements. All VOCA-funded program and match income, no matter how large or
small, the VOCA grant.
Program income can be problematic because of the required tracking systems needed to monitor VOCA-funded income
and ensure that it is used only to make additional services available to crime victims. For example: VOCA often funds
only a portion of a counselor's time.Accounting for VOCA program income generated by this counselor is complicated,
involving careful record keeping by the counselor,the subrecipient program, and the state.
13. Client-Counselor and Research Information Confidentiality. Maintain confidentiality of client-counselor information, as required by
state and federal law.
14. Confidentiality of Research Information. Except as otherwise provided by federal law, no recipient of monies under VOCA shall
use or reveal any research or statistical information furnished under this program by any person and identifiable to any specific
private person for any purpose other than the purpose for which such information was obtained in accordance with VOCA. Such
information, and any copy of such information, shall be immune from legal process and shall not,without the consent of the
person furnishing such information,be admitted as evidence or used for any purpose in any action, suit, or other judicial,
legislative, or administrative proceeding. See Section 1407(d) of VOCA codified at 42 U.S.C. 10604.
These provisions are intended, among other things, to ensure the confidentiality of information provided by crime victims to
counselors working for victim services programs receiving VOCA funds. Whatever the scope of application given this provision, it
is clear that there is nothing in VOCA or its legislative history to indicate that Congress intended to override or repeal, in effect, a
state's existing law governing the disclosure of information which is supportive of VOCA's fundamental goal of helping crime
victims. For example,this provision would not act to override or repeal, in effect, a state's existing law pertaining to the mandatory
reporting of suspected child abuse. (See Pennhurst School and Hospital v. Halderman,et al.,451 U.S. 1 (1981).) Furthermore,
this confidentiality provision should not be interpreted to thwart the legitimate informational needs of public agencies. For example,
this provision does not prohibit a domestic violence shelter from acknowledging, in response to an inquiry by a law enforcement
agency conducting a missing person investigation,that the person is safe in the shelter. Similarly,this provision does not prohibit
access to a victim service project by a federal or state agency seeking to determine whether federal and state funds are being
utilized in accordance with funding agreements.
H:\DIANAGWOCA\2004 Grant process\SOGAS\Master SOGA.doc Page 3 of 6
Statement of Grant Award
II. SUBGRANT SPECIFIC SPECIAL CONDITIONS
None •
H:\DIANAGWOCA\2004 Grant process\SOGAS\Master SOGA.doc Page 4 of 6
- Statement of Grant Award
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 current applicable Administrative Guide of the Division of Criminal Justice for this grant program,that includes
procedures regarding this document, drawdown 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.
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 Victims
Programs, 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.
H\DIANAGwocA\2004 Grant process\SOGAS\Master SOGA doc Page 5 of 6
Statemnent of Grant Award
THE PARTIES HERETO HAVE EXECUTED THIS BINDING SUBGRANT AWARD
SUBGRANTEE: STATE OF COLORADO:
Weld County, District Attorney 19th District
Legal Name of Subgrantee Agency BILL OWENS, GOVERNOR
Agency FEIN (or Sociall�Se�curity)# 846000813
By Yvv` �. 2c,1-- By
Signature of Authorized Official DIR CTO olorado Division of Cri final Justice
Robert D. Masden, Chair
Board of County Commissioners, Weld County,
Colorado IZI1/2 {Y`PDUJ S , blf2E0-TpR—
Print Name & Title of Authorized Official Raymond T. Slaughter
Date Signed: 10/27/2004 Date Signed: tvl vt•
Provide signature of Corporate/Board Secretary or
equivalent,or Town/City/County Clerk,to certify that person
ATTEST BY: named as Authorized Official above has the legal authority STATE OF COLORADO LEGAL REVIEW:
o enter into binding legal contracts on behalf of this agency,
and is in fact the person who signed where indicated. See Contract Routing Waiver# 89
�"'�•1 (or,if not waived)
10 27 211
Date
L , ATTORNEY GENERAL
rot 1'2
per the Board (970)356-4000
Tl Phone BY:
A, 7- �_,, Date Signed:
�-y Deputy Clerk o the Board
Indicate No Seal Available
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:
BY �EULIEt M. SHENEFELT
DATE 1 L/20/oy
.adayst-2//O
H\DIANAG\vOCA\2004 Grant process\SOGAS\Master SOGA.tloc Page 6 of 6
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-VA-19-551 Grant Project Title: Domestic Violence & Special Populations Project
Subgrantee Name(Funded Entity): District Attorney's Office, 19th Judicial District
Address: 915 1 nth St., P. O. Box 1167, Greeley, CO 80632
Duration: Beginning date: 01/01/2005 End date: 12/31/2005 Award: $ 31,352.00
Project Director's Name & Phone#: Gary L. Ratlike (970-356-4010, ext. 4747)
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 seg.; 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#13066).
♦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)
A. M. Dominguez, Jr. , District Attorney, District Attorney's Office, 19th Judicial
District, P. O. Box 1167, Greeley, CO 80632
I. EQUAL EMPLOYMENT OPPORTUNITY PLAN (EEOP)CERTIFICATIONS: Check the box before ONLY THE ONE
APPROPRIATE CER1II4CATION(A,B, Cl or C2 below) that applies to this subgrantee agency during the period of the
grant duration noted above.
O 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 ofcrimina)Justice Page 1 of 2 (Rev.7/31/2002)
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)
)P[ 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.
Cl CERTIFICATION "C2" (EEOP MUST BE SUBMITTED) This funded entity,having 50 or more employees,has
been awarded more than$1 million cumulatively from all programs administered by the U.S.Department of Justice,
including this subgrant from the Div. of Criminal Justice,over an 18-month period that includes the above grant duration
period.
Therefore,I hereby certify that the funded entity will submit, within 45 days of the award,an EEOP or an EEOP Short
Form,that will include a section specifically analyzing the subgrantee(implementing)agency. (If you have already
submitted an EEOP applicable to this time period, send a copy of the letter received from the Office for Civil Rights
showing that your EEOP is acceptable.)
As the Authorized Official for the above Subgrantee,I certify,by my signature below,that I have read and am fully cognizant of
our duties and r ponsibilities under this Certification.
— / - 10/19/04
[Authorized Official' gnature] [Date]
A. M. Dominguez, Jr. District Attorney
[Typed Name] [Title]
* * * * * * * * * *
This original signed form must be returned to the Colorado Division of Criminal Justice, 700 Kipling, Ste. 1000, Denver, CO
80215, within 45 days of the grant award beginning date. You must also forward a signed copy to the person you identified
under "1" on page 1. DCJ will forward a copy to the Office for Civil Rights, Office of Justice Programs, U.S. Department of
Justice.
Colorado Division of Criminal Justice Page 2 of 2 (Rev.7/31/2002)
•
SEC'N A: Agency Information (ALL APE C )
Please do NOT change format of table or appliff j. R wa711A )''j
1. APPLICANT AGENCY: DCJ USE ONLY
Division or Unit(if applicable): District Attorney's Office, 19th Judicial District VA-xx
Mailing Address: P.O.Box 1167, Greeley, CO 80632-1167 Grant# a3-VA - (q-5SI
Street Address: 915 Tenth Street, Greeley,CO 80631 Award$.3( .3 Kra 0e
City/Town: Greeley Zip Code: 80632
County: Weld Judicial District: 19 New Applicant Agency
Phone#: (970) 356-4010 Fax#: (970)352-8023 Continuation Applicant Agency
E-Mail Address: GRathke@co.weld.co.us
Federal Employer Identification number(EIN): 846000813
2. CONTACT PERSON: Gary L.Rathke Position: Community Programs Administrator
Phone#: (970) 356-4010,ext. 4747 Fax#: (970)352-8023 E-Mail: GRathke@co.weld.co.us J1
3. FUNDS REQUESTED: $ 31,352.00
4. APPLYING FOR: (Please check only one program box.)
X VOCA
SECTION B: Project Narrative
5. BRIEF PROJECT TITLE: I Domestic Violence & Special Populations Project
6. BRIEF PROJECT SUMMARY:
This program is a prosecution-based project, serving all of Weld County (the 19th Judicial District), providing
direct services to adult and child victims of domestic violence, victims of child sexual abuse (primary and
secondary), adult sexual assault victims, and "previously under-served"victim populations, including elderly
victims, assault victims, Spanish-speaking victims, at-risk-adult victims, et al.
7. DESCRIPTION OF PROJECT FOR WHICH FUNDS ARE BEING REQUESTED:
The Victim/Witness Program, in the Nineteenth Judicial District Attorney's Office, is the only prosecution-
based program serving victims and witnesses of crime in its jurisdiction, Weld County. The VOCA project
enables the Victim/Witness Program to provide enhanced services to crime victims, especially those services
being provided to victims of domestic violence and victims in other special populations (e.g., victims listed
in the Victim Rights Act, elderly victims, Spanish-speaking victims, at-risk-adult victims, et al). VOCA
funds partially pay the salaries of four staff persons who provide direct and ongoing services to victims, adult
and child, in about 1,200 domestic violence cases being filed annually and to more than 6,000 victims and
witnesses of other violent crimes. Through their work with domestic violence victims, during hearings in the
District's dedicated domestic violence court and elsewhere, the Victim/Witness staff provides needed direct
services, such as personally providing VRA and Victim Compensation information, facilitating victim's
communication, in English or Spanish, with prosecutors and the Court, etc., and many of these services are
initiated in less than 24 hours after the criminal incident. In addition to the services being provided to
domestic violence victims, staff members offer comprehensive services to all victims and witnesses of violent
crime having contact with the District Attorney's Office and its Victim/Witness Program. Amongst the
comprehensive services provided by the Victim/Witness staff are the following: crisis counseling, follow-up
contacts, criminal justice education and advocacy, personal support, information and referral, emergency
financial assistance, Crime Victim Compensation, HIV notices and education, Victim Rights Act notices, and
other services (e.g., helping victims with Victim Impact Statements and restitution requests, offering and
staffing a separate waiting area during court hearings, providing case status information, etc.).
•
05 VOCA OCA-Recontract_App
C-32(16(1 -..9)/O
SECTION C: Goals and Objectives (VOCA Applicants Only)
Please do NOT change format of table or application.
8. GOALS AND OBJECTIVES FOR THIS PROJECT: (Important: See instructions first)
PERCENT OF VICTIMS SERVED BY VOCA FUNDS PLUS MATCH DOLLARS(select one statement only)
Numbers for the goals and objectives in this report are derived in one of the following ways:
I am reporting the number of victims served with only VOCA funds and matching funds. These funds pay for100% of the
salaries and/or volunteers who provide all the victims and services listed in Goal 1, Objectives 1 & 2.
OR
X I am reporting the total number of victims served by the agency's entire victims assistance program. VOCA and
matching funds represent approximately I 10 %I of the agency's total victim assistance budget.
(VOCA ONLY):
GOAL 1. This project will provide direct services that assist crime victims with emotional and physical needs to stabilize their lives,
provide for a measure of safety and security and/or enhance victims'experience with the criminal justice system.
• Objective 1: Provide services to the following estimated unduplicated number of crime victims during the 12-month grant
period. (See instructions for examples.)
Count each victim ONLY ONCE,by predominant type of crime.
EST
VICTIMS TYPE OF CRIME .# TYPE OF CRIME(continued)
VICTIMS
200 Child Physical Abuse 1,000 Assault
450 Child Sexual Abuse Adults Molested as Children
2,000 Domestic Violence 2 Elder Abuse(including Economic
exploitation and fraud crimes)
75 Adult Sexual Assault 100 Robbery
Victims of vehicular assault or homicide, 1,500 Other violent crimes such as hate and bias
500 DUI/DWI crashes,or careless driving resulting in crime,gang violence(specify): Burglary,
death. Criminal Mischief,Kidnapping,Menacing,
Theft,Other Traffic,et al
150 Survivors of Homicide Victims
TOTAL UNDUPLICATED VICTIMS ESTIMATED TO BE SERVED DURING THE 12-MONTH PERIOD: 5,977
• Objective 2: Provide the following types of services to the following estimated number of victims:
Count each victim ONLY ONCE for each applicable service,no matter how many times a particular service is performed.
Please see definitions of services in instructions.
VICTIMS SERVICES VICTIMS SERVICES(continued)
800 Crisis Counseling 20 Emergency Financial Assistance
3,500 Follow-up gp. Emergency Legal Advocacy
04,
Therapy 5,000 Victim Compensation Assistance(required)
Group Treatment/Support 150 Personal Advocacy
Shelter/Safehouse rt 3,500 Telephone Contact(Info/Ref)
800 Info/Referral in Person 2,500 Other(Be Specific): case status information,
2,500 Criminal Justice Support+Advocacy d. v. letters, restitution assistance, et al
}F'
VOCA applicants should add no more than two or three additional goals with objectives on the next page.
Al ,PFILES\gARY'vOSVQ(AR econvact App 7
ALL APPLICANTS -Please do NOT change format of table or application.
8. (Continued) GOALS AND OBJECTIVES: Please include no more than three goals with objectives. All goals and
objectives must fit on this page. See instructions for more information on Goals and Objectives.
GOAL 2: This project will provide, within the 19th Judicial District, unduplicated, prosecution-based services
to all victims of crime, including victims of domestic violence and other violent crimes, in such a manner as to
meet their physical, emotional, financial, and intellectual needs to the greatest extent possible.
Objective 1: To provide 20,000 victims and witnesses of crime (a duplicated count) with a staffed and separate
waiting area,trial coordination, case-status information, court escort and support, and other services related to
criminal prosecutions.
Objective 2: To help at least 400 individual victims of domestic violence, child physical and sexual abuse,
sexual assault (adult), and other violent crimes (i.e., victims of DUI/DWAI crashes, homicide survivors, elder
abuse victims, assault victims, robbery victims, et al) to submit applications for Crime Victim Compensation.
Objective 3: To help 20 crime victims to receive emergency financial assistance, primarily through the Crime
Victim Compensation Program, for such things as replacing lost income or support, attending to immediate
safety needs (e.g., replacing or upgrading doors, locks, etc.) and so forth, when appropriate.
Objective 4: To provide, related to the criminal prosecution of certain sex crimes, HIV education and
notifications to about 15 victims of child sexual abuse and adult sexual assault.
Objective 5: In relation to the filing charges and prosecution of criminal acts, to personally contact 65 elderly
crime victims, and to provide them with comprehensive services.
Objective 6: To provide 13,000 Victim Rights Act notifications (a duplicated count), concerning each of the
critical stages during the judicial process (e.g., filing charges, arraignments, motions, dispositions, sentencings,
etc.),to all victims covered by the act.
GOAL 3: This project will strive, within the 19th Judicial District, to facilitate crime victim's access to the
criminal justice system and the District Attorney's Office through various efforts to increase community
awareness concerning the Victim Rights Act, Crime Victim Compensation, victim impact statements,
restitution, and other victim services; furthermore, this project will encourage and support efforts,particularly
within the Judicial District, to improve and coordinate the provision of comprehensive and meaningful services
to all victims of crime. .
Objective 1: To provide at least 15 training sessions for law enforcement and victim services agencies with
information and training concerning the Victim Rights Act, Crime Victim Compensation, victim impact
statements, restitution, and other victim services provided by the DA's Victim/Witness Program.
Objective 2: To provide approximately 2,000 victims of crimes (unduplicated count) designated within the
Victim Rights Act and victims of Careless Driving with Injuries with information concerning the Victim Rights
Act and Crime Victim Compensation,to request victim impact statements and restitution information from
these victims, and to offer these victims a comprehensive list of victim services available in Weld County.
Objective 3: To provide staff support and participation in various groups that seek to improve and coordinate
the provision of comprehensive and meaningful services to all victims of crime (e.g., the Weld County
Coordinating Committee for Victims of Crime, Weld County Domestic Violence Coalition, et al).
M.‘wPFIL S,gARN05VOCA Recontma_Appdoc 3
SECTION D: Budget Information (All Applicants
Please do NOT change format of table or application.
Continuation Applicants fill out Columns 1,2 and 3. New Applicants fill out Column 2 only.
9. BUDGET REQUEST: I DCJ Use Only: Application#xx-VA-xx-xx
Continuation Applicants AALL APPLICANTS Continuation
(Column 1) (Column 2) r, Applicants
I (Column it
Current Grant Award I( REQUESTED BUDGET Increase or
(Calendar Year xxxx) (Calendar Year xxxx) ;1 Decrease
PERSONNEL 'ff.ss PERSONNEL(Employees of the applicant agency) ` )
Employee/Job Position (FTE) Employee/Job Position (Full Time Equivalent)
Patch, Cm Sry Cns(.19) $ 7,001 2,b, Patch, Community Srvs Couns II(.19 FTE) $ 7,001 $
Blakely, Cm Sry Tech(.39) $ 10,628 1 Blakely,Community Srvs Tech(.39 FTE) $ 10,628 $
Lopez, Cm Sry Tech(.37) $ 4,831 Lopez, Community Srvs Tech(.37 FTE) $ 4,831 $
74,
Gailitis, Cm Sry Tech(.35) $ 4,544 ' Gailitis, Community Srvs Tech(.35 FTE) $ 4,544 `,. $
$ s
$
$ f' $
$
a - $ $
$ f $ $
$ "; $
$ 4 $ k 34 L $
FICA,Ret. &Fringe $ 4,348 229 FICA,Retirement&Fringe Benefits $ -4-,544 t ,,,, $
Subtotal I $ 31,352 �u
Subtotal $ I $ 31,352 A $
SUPPLIES AND OPERATING i SUPPLIES AND OPERATING EXPENSES(copying h
EXPENSES rent,phone,tuition,registration fees and other items under (+I -)
;t $5,000) ,s
$ �— $ $
$ )
ty $ t $
$ $ Re $
$ '0 $ y 5
$ $ hht, $
Subtotal $ 1 Subtotal I $ ` $
IN-STATE TRAVEL IN-STATE TRAVEL(itemize transportation/per diem, (+/ -)
$ $ $
$ v $ r $
$ $ b $
Subtotal I $ Subtotal I $ $
EQUIPMENT EQUIPMENT(items which cost over$5,000 each) (+/ -)
$ $ $
Subtotal I $ Subtotal $ i $
PROFESSIONAL SERVICES PROFESSIONAL SERVICES (+/ -)
$ $ $
$ $ $
Subtotal I $ Subtotal I $
$
TOTAL FUNDS: $ TOTAL FUNDS REQUESTED: $ 31,352 $
M.\WPPILFSgARY OSVOCA kecenvaa App do: 4
. -1
ALL APPLICANTS - Please do NOT change format of table or application.
10. MATCHING FUNDS BUDGET: List the total matching funds(if required).
ALL VOCA PROJECTS MUST PROVIDE MATCH. VAWA APPLICANTS THAT ARE NON-PROFIT,NON-
GOVERNMENTAL VICTIM SERVICE AGENCIES ARE NOT REQUIRED TO PROVIDE LOCAL MATCHING FUNDS
FOR THIS PROJECT(unless dollars are being requested for law enforcement or prosecution agencies). STATE VALE AND
SAPF APPLICANTS ARE NOT REQUIRED TO PROVIDE MATCHING FUNDS. See instructions for more details.
PERSONNEL(Employees of the applicant agency)
Employee/Job Position(Full Time Equivalent)
Patch,Community Services Counselor II(.045 FTE) $ 1,750
Blakely, Community Services Counselor II(.095 FTE) $ 2,657
Lopez, Comm Srvs Tech(.093 FTE)($1,208)&Gailitis,Comm Srvs Tech(.088 FTE)($1,136) $ 2.344
FICA,Retirement&Fringe Benefits $ 1,087
Subtotal $ $ 7,838
SUPPLIES AND OPERATING EXPENSES(copying,rent,phone, tuition,registration fees and other items under$5,000)
$
$
Subtotal I $
OTHER:In-State Travel,Equipment and/or Professional Services(specify)
$
$
Subtotal $
TOTAL MATCHING FUNDS: $
SOURCE OF MATCH: Roll Fcppoj sour route I IN-KIND: $ CASH: $ 7,838
11. GRANT BUDGET SUMMARY: This chart summarizes all dollars by category. All applicants should fill out pertinent
sections. If your project does not have matching funds. leave match columns blank.
BUDGET CATEGORIES Funding Request In-Kind Match Cash Match TOTALS
Personnel $ 31,352 $ 7,838 $39,190
Supplies& Operating
Travel
Equipment
Professional Services
TOTALS $ 31,352 $ 7,838
$39,190
Funds Requested Match Total(In-Kind Match+Cash Match)—
Total Project Cost
$ 31,352 $ 7,838 $ 39,190.
M.\wPFILES\,ARV\05VOCA.Iteconvuu App.doc 5
•
ALL APPLICANTS -Please do NOT change format of table or application.
12. BUDGET DETAIL AND JUSTIFICATION: (Do not exceed the two pages allowed for this budget narrative.) Please
provide the following information for each budget category:
PERSONNEL REQUEST: (Also, if you are using personnel or in-kind volunteers as match,please describe here.)
a. Please ex lain how you arrived at the cost of the salaries and benefits ou are re uestin .
The salary and benefit costs for all positions are set by the Board of County Commissioners. In projecting
the total salary cost for each VOCA supported position in 2005, a couple of anticipated increases are
expected. First, each year the County Commissioners award a cost-of-living raise to all County employees
and this increase has consistently equaled 4%; therefore, it is expected that all of the positions will receive a
4%raise in 2005. Second, in accordance with County policies, all full-time employees are eligible for regular
step raises and, as these employees remain in their positions, the cost of step raises need to be added to their,
salaries. Finally, each year the overall cost of benefits has tended to increase at a faster rate than salaries, it is
anticipated that this trend will continue in 2005. (Note: It is estimated that benefits for full-time and part-time
employees equal 30% and 20% of their salary respectively.) So, while the total estimated cost of salaries and
benefits during 2005 are expected to increase, I have retained the 2004 projected costs, as follows: total
estimated salary costs are $89,470, total estimated benefit costs are $24,254 and overall total is $113,724.
b. Please provide the following ADDITIONAL information on the positions for which you are requesting funding.
Employee/Job Position Requested #of hours #of hours FTE If THIS grant funding If THIS grant funding
per week per week will not pay for the will not pay for the
requested this entire position,what is entire position,what is
from THIS position the SOURCE of other the AMOUNT of other
grant works in funds that will be used funds that will be used
funding. total. to pay for the rest of to pay for the rest of
this position? this position?
1. Patch,Community Services Couns II 8 40 1.0 Grants,admin&gov $31,490
2. Blakely, Community Services Tech 16 40 1.0 Grants, admin&gov $16,823
3. Lopez,Community Services Tech 8 20+ 0.5 Grants, admin&gov $ 8,105
4. Gailitis, Community Services Tech 7 20 0.5 Grants, admin&gov $ 8,392
5.
6. BENEFITS 18% Grants, admin&gov $19,906
For EACH POSITION OR PORTION OF A POSITION you are requesting,also please answer the following:
c. Fully explain and justify(using concrete data) any increase in dollars and/or positions requested. See instructions for
more detail.
NOT APPLICABLE
M1wPFILESV¢ARYv05 VOCARcconvac,_App doc 6
ALL APPLICANTS -Please do NOT change format of table or application.
12. BUDGET DETAIL AND JUSTIFICATION(CONTINUED)
d. SUPPLIES AND OPERATING REQUEST AND MATCH: Please see instructions,and fully explain and justify the need
for the current request and for any increase over last year. Include and identify any supplies and operating used as cash or
in-kind match,if re uired.
NOT APPLICABLE
e. TRAVEL REQUEST AND MATCH: Please see instructions,and fully explain and justify the need for the current
re nest and for an increase over last ear. Include and identif travel used as cash or in-kind match,if re uired.
NOT APPLICABLE
f. EQUIPMENT REQUEST AND MATCH: Please see instructions,and fully explain and justify the need for the current
request. Generally,very little equipment will be funded. Include any equipment used as cash or in-kind match,if required.
NOT APPLICABLE
g. PROFESSIONAL SERVICES REQUEST AND MATCH: Please see instructions,and fully explain and justify the need
for the current request and for any increase over last year. Include and identify any professional services used as cash or
in-kind match,if required. Please note that professional services expenditures require prior approval by DCJ(Form 16).
NOT APPLICABLE
h. DIFFERENCES FROM LAST YEAR'S REQUEST (Continuation Subgrantees only): Please briefly summarize the
reasons for the differences between this year's re uest and our most recent/current rant award.
NOT APPLICABLE
M.AwPFILESygARYb5VOCA.Recontract App.do: 7
SPECIAL PROVISIONS ANII-atiERTIFIED ASSURANCES SPCA PAGE 1 of 9
Special Provisions&Certified Assu,_.ices must remain attached to the application.
CHECK BELOW TO INDICATE WHICH CATEGORY BEST DESCRIBES YOUR AGENCY:
X Inter-Governmental Grant
Grant to a Colorado State Agency
X Grant to a Unit of Local Government,Tribal Government,or Special District.
Grant 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.
�O NINf GIST ATION FOR THI ANT PRO Any
Victims Of Crime Act Assistance Funds (VOCA). From the United States Department of Justice, Office of Justice
Programs, under federal statutory authority Victims of Crime Act of 1984 (VOCA), as amended, Public Law 98-473,
Chapter XIV, 42 U.S.C. 10601, et seq., Section 1402, Section 1404, and under applicable program rules and regulations
established by the federal program office.
A. STANDARD STATE SPECIAL PROVISIONS
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
Rev.4/22/04
•
SPECIAL PROVISIONS ANA '7ERTIFIED ASSURANCES
I, Special Provisions&Certified Ass..ances must remain attached to the application. SPCA PAGE 2 of 9
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.
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 final 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.
Rev.4/22/04
•
SPECIAL PROVISIONS ANP""ERTIFIED ASSURANCES
Special Provisions&Certified Assu.ances must remain attached to the application. SPCA PAGE 3 of 9
B. GRANT REQUIREMENTS
I. 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 funds 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 I-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 or invention,
original computer programs, writing, sound recordings, pictorial reproductions, drawing or other graphical
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 whatsoever 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.
Rev.4/22/04
ISPECIAL PROVISIONS ANP"'cERTIFIED ASSURANCES SPCA PAGE 4 of 9
.Special Provisions&Certified Assu,"nces must remain attached to the application.
iii. When issuing statements, press releases, requests for proposals, bid solicitations, and other published
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-133 (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 fmancial review:
a) does not meet the applicable A-133 or DCJ 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 1, 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 responsibility 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:
Rev.4/22/04
SPECIAL PROVISIONS ANr'ERTIFIED ASSURANCES SPCA PAGE 5 of 9
Special Provisions& Certified Assu,ances must remain attached to the application.
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 grani: is reduced for cause, final payment to the Subgrantee may be withheld at the
discretion of the Division until completion of fmal 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.
8. 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 manaeement 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;
Rev.4/22/04
SPECIAL PROVISIONS ANr'ERTIFIED ASSURANCES SPCA PAGE 6 of 9
Special Provisions& Certified Assu,ances must remain attached to the application.
vi. Part 42,Nondiscrimination/Equal Employment Opportunity Policies and Procedure;
vii. Part 61,Procedures of Implementing the National Environmental Policy Act;
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. CERTIFICATION REGARDING LOBBYING (Subgrantees receiving $100,000 or more in total federal funds per
year. See 28 CFR Part 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 subgant 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 Part 6.)
Rev.4/22/04
•
SPECIAL PROVISIONS AIrERTIFIED ASSURANCES SPCA PAGE 7 of 9
Special Provisions&Certified Ass".antes must remain attached to the application.
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.
6. CERTIFICATION REGARDING DRUG FREE WORKPLACE(See 28 CFR Part 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 Form 30 with original signature must be returned to the Division with the Statement of Grant
Award(SOGA).
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 H 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 DC 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
(NHPA)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 funds, 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:
i. New construction;
ii. 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;
iii. 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;and
iv. 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.
Rev.4/22/04
SPECIAL PROVISIONS ANA-CERTIFIED ASSURANCES
Special Provisions& Certified Asst. .ces 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. These requirements are more likely to change from year to year than the special provisions and federal certified
assurances shown above,and usually vary across offices within the Division.
1. 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 2441-304 C.R.S., commonly known as the Victim Rights Act, and
enabling legislation.
2. FUTURE FUNDING
a. The capacity for VOCA funds to provide future continuation dollars for projects is undetermined at this time.
Subgrantees are advised to seek other funding sources,especially for personnel dollars.
3. STATE CONFIDENTIALITY OF VICTIMS INFORMATION
a. The Subgrantee certifies that the signing authorities, all staff and volunteers assigned to the VOCA-funded
project have read and understood state laws and applicable rules of professional conduct related to issues of
confidentiality and privilege, particularly with respect to releasing identifying information about victims of
crime,including,but not limited to,those found in C.R.S. § 13-90-107.
4. FEDERAL VOCA CONFIDENTIALITY OF VICTIMS INFORMATION
a. Except as otherwise provided by federal law, no recipient of monies under VOCA shall use or reveal any
research or statistical information furnished under the program by any person and identifiable to any specific
private person for any purpose other than the purpose for which such information was obtained in accordance
with VOCA. Such information, and any copy of such information, shall be immune from legal process and shall
not, without the consent of the person furnishing such information be admitted as evidence or used for any
purpose in any action, suit, or other judicial, legislative, or administrative proceeding. See Section I407(D) of
VOCA codified at 42 U.S.C. 10604.
Rev.4/22/04
• SPECIAL PROVISIONS AND-"z;RTIFIED ASSURANCES SPCA PAGE 9 of 9
IS/iecial Provisions &Certified Assm....ces must remain attached to the application.
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 Robert D. Masden
Position Chai.r
Agency Board of County Cortttissioners, Weld County, Colorado
Mailing Address P. O. Box 758
City,State,Zip Greeley, CO 80632
Telephone# (970) 336-7204, ext. 4200
Fax# (970) 352-0242
E-mail Address RMasden@co.weld.co.us
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FINANCIAL OFFICER
Name Donald D. Warden
Position Director of Finance and Administration
Agency Wield County Government
Mailing Address P. O. Box 758
City,State,Zip Grcc.ley, CO 80632
Telephone# (970) 356-4000, ext. 4218
Fax# (970) 352-0242
E-mail Address DWarden@co.weld.co.us
IStgll ` 4? Leg;r.,{l- r , ra q e 3 �r A l qaa- `a" e
trni �% #�xn-a. � s` p( k�y$j '� p) �b T'y a I H n Wt� ''q1, Pf #S'-P - '
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PROJECT DIRECTOR
Name Gary L. Bethke
Position Community Programs Admul' istrator, Victim/Witness
Agency District Attorney's Office, 19th Judicial District
Mailing Address P. O. Box 758
City,State,Zip Greeley, CO 806:32
Telephone# (970) 356-4010, ext. 4747
Fax# (970) 352-8023
E-mail Address Gpathke@^ . ld.co.us
Signature Date '
, 10-111/4
Rev. 4/22/04
a'LOS/-3//0
27. CERTIFICATION OF MATCHING FUNDS - (All Applicants)
If no match is required,you may disregard this page.
PLEASE BE ADVISED that Weld County Government has appropriated
(unit of government,forfeiture fund,non-profit agency,or corporation)
funds in the amount of$ 7,838.00 to match federal funds for the Domestic Violence/Special Populations Project.
(project title)
The source(s)of these funds is non-federal,governmental funds
These funds are made available as X CASH or IN-KIND match
Execution of this document represents a certification that said funds have been earmarked within the appropriation of budget
process, which by state or local government law or practice, binds and obligates the state/local unit of government or the
implementing agency to use such funds for purposes of this grant funded project, or permits such uses. The funds are, or will be
(within the project duration), actually provided for such purposes.
Signature must be by the individual
authorized to commit these funds on behalf
of the unit of government, forfeiture fund,
Sincerely, non-profit agency or corporation. This
individual is either the Authorized Official
on this grant or appropriate financial
t controller of matching funds.
SEP 0 �4 Ii�I° p
Signature a's" "i°((.r Mialdjkl
Robert D. Masden t t6I 4 �`y��u��- `Y EST:
Typed Name � l` LD COUNTY CLERK TO E BOARD
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Chair, Board of County Commissioners, Weld County, Colorado - l,P v t 4 BY: A,.28`
DEPUTY CLER O HE B AR�`
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Job Descriptions
4
JOB DESCRIPTION
Position: Community Services Counselor II
Department: District Attorney's Office - Community Programs Division, Victim/Witness
Immediate Supervisor: Community Programs Administrator, Victim/Witness
General Supervisors: District Attorney and Assistant District Attorney
Supervisory Functions: None
Job Qualifications: Must have a Bachelor of Arts or Bachelor of Science degree; knowledge of the
criminal justice system; be acquainted with the various community services available to victims of
crime; speak and write in a professional manner; have and maintain a current valid Colorado
driver's license; have some counseling background; work well with people in crisis; have some
computer background; work well with statistic gathering and reporting; some knowledge of grant
management; knowledge of and experience with direct services related to crime victims, including
domestic violence and sexual assault victims.
Date of Job Description: May 22, 2000
Job Duties:
1. Assist the Crime Victim Compensation (CVC) Coordinator in the day-to-day operation of the
CVC Program, including managing case files, preparing claims for board meetings, completing
meeting minutes, updating monthly financial analysis, processing emergency financial awards,
explaining eligibility criteria and helping victims to complete forms, facilitating clerical support of
program, etc.
2. Provide information to victims and witnesses concerning the status and progress of cases in
which they have an interest, including calling off witnesses for court proceedings as needed.
3. Offer information and education to crime victims and witnesses concerning the criminal justice
system.
4. In a manner that maximizes referrals to existing community programs and limits actual
counseling, provide referral assistance and limited crisis response to crime victims and their
families. (Note: As employees of the District Attorney's Office are subject to rules of"discovery,"
information obtained from victims and witnesses of crimes that the office is prosecuting must be
very limited, and referrals for services to outside agencies need to be utilized.)
5. Help crime victims to provide victim impact statements and restitution information for cases
being prosecuted, as needed.
6. Coordinate the program's Senior Project, including seeking and training volunteers, providing
needed in-service trainings, providing daily assistance to volunteers, keeping them updated on
office policies and procedures, providing needed follow-up information to pass on to victims and
witnesses contacted, and maintaining a statistical record of hours worked and duties performed.
7. Assist the District Attorney in hosting the quarterly District Attorney's Citizens Advisory
Commission meetings, including making necessary arrangements and in providing required notices
to members.
8. Speak to and provide training for various individuals, agencies, and professional groups
concerning the Crime Victim Compensation Program, the Victims Rights Act, and other services
provided by the Victim/Witness Program.
9. Actively participate in the Weld County Domestic Violence Coalition, the Area Agency on
Aging's Long-term Care Committee, and other local and state meetings related to job duties.
JOB DESCRIPTION
Position: Community Services Technician I
Department: District Attorney's Office - Community Programs Division, Victim/Witness
Immediate Supervisor: Community Programs Administrator, Victim/Witness
General Supervisors: District Attorney and Assistant District Attorney
Supervisory Functions: None
Job Qualifications: Effective knowledge of spelling, punctuation and grammar, and office practices
and procedures, including reception duties and telephone skills, is essential. Requires proficiency
in data entry and/or typing, with speed and accuracy, familiarity with operation of office equipment,
and personal computer experience, including use of word processing and other software. Needs to
have an ability to learn legal terminology, to work well with minimal direct supervision, to follow
verbal and written instructions, and to communicate effectively verbally and in writing. Must be able
to establish and maintain effective working relationships with other employees, agencies,
professionals and the public. A high school diploma or equivalent is required, and some college or
related work experience is preferred.
Date of Job Description: May 22, 2000
Job Duties:
1. Coordinate, together with other assigned staff and volunteers, the Courtroom Assistance
Program (CAP), including staying informed and keeping accurate records of County, Juvenile and
District Court trials, planning and assisting prosecutors with trial coordination, keeping accurate
logs and computer records concerning each trial, providing staff coverage for waiting area and
courtroom, as needed, and other duties as assigned.
2. Along with other assigned staff, prepare a County Court docket in advance of each week,
communicate with attorneys concerning case status information, obtain witness lists, as needed,
including phone numbers, for "call offs" and trial coordination and, whenever applicable, verify that
all "call offs" have been made.
3. Complete assigned "call offs" of witnesses for District, County and Juvenile Court cases which
have reached a plea agreement, been continued, vacated or dismissed, and document all
notifications.
4. Help crime victims by providing education regarding the criminal justice system, information and
referral to victim services, Crime Victim Compensation eligibility information and application
assistance, and other needed help, as assigned.
5. Provide support for the program's efforts related to domestic violence victims, the Crime Victim
Compensation Program, and the Victim Rights Act, including data entry, phone calls,
correspondences, and so forth, as assigned and as prescribed by relevant policies and procedures.
6. Other duties include receiving cross training and providing backup coverage for the Office
Technicians, as needed.
Volunteer Job Descriptions—VOCA Only
JOB DESCRIPTION
Position: Victim/Witness Volunteer
Department: District Attorney's Office - Community Programs Division, Victim/Witness
Immediate Supervisor: Community Programs Administrator, Victim/Witness
General Supervisors: District Attorney and Assistant District Attorney
Supervisory Functions: None
Job Qualifications: Effective knowledge of spelling, punctuation and grammar, and general office
practices and procedures, including good telephone skills, is essential. General knowledge and
ability with personal computers and data entry, including word processing software, is helpful. Must
have good organizational skills, and duties need to be performed with attention to detail and
accuracy. Needs to have an ability to learn legal terminology, to follow verbal and written
instructions, and to become familiar with the criminal justice system and community resources.
Must have good written and verbal communication skills, and be able to establish and maintain
effective working relationships with other employees, professionals, agencies and the public.
Experience in working with the public is helpful. A high school diploma or equivalent is required,
and some college or related work experience is preferred.
Date of Job Description: May 22, 2000
Job Duties:
1. If assigned, to assist the Community Services Counselor II in coordinating the Senior Project,
including contacting senior crime victims, using in-person, telephone and letter contacts, compile
and send special senior information packets, documenting all contacts made, and updating office
records, as required.
2. If assigned, to assist the Courtroom Assistance Program's (CAP) staff, including keeping
accurate records of County, Juvenile and District Court trials, planning and assisting prosecutors
with trial coordination, keeping accurate logs and computer records concerning each trial, providing
coverage for the waiting area and courtroom, and other duties.
3. After training, to provide information to victims concerning community resources, to provide
education and support to victims regarding the criminal justice system, to help victims in applying
for Crime Victim Compensation, and to provide other assistance, as assigned.
4. To become familiar with all aspects of the Victim/Witness Program, including Victim Rights Act
notices, Crime Victim Compensation assistance, Victim Assistance and Law Enforcement (VALE)
grants, et al, and to complete duties in some of these areas, if assigned.
5. To study and adhere to all relevant policies and procedures of the District Attorney's Office, as
explained in the DA Handbook.
Board Members (Private Non-Profits)
(NOT APPLICABLE)
Audit or Financial Review—One Copy Only
(COPY OF AUDIT ENCLOSED SEPERATELY)
Required Memoranda of Understanding (MOU)
(NOT APPLICABLE)
R
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FCO
I fi� N0V 2 4 2004 1 'il Division of Criminal Justice �4 ° _�_',
�V l i�i
�� _LI Office for Victims Programs ca o
OQ7ER R7R DIVISION OF CRIMINAL JUSTICE * �;r`� e *j
Bill Owens Raymond T.Slaughter,Director * 'rHc—Tc^' */
DEPARTMENT OF PUBLIC SAFETY OFFICE FOR VICTIMS PROGRAMS \* 1876
Joe Morales,Executive Director Nancy Feldman,Manager
To: Mr. Gary Rathke Date: November 18, 2004
Weld County, District Attorney 19th District Grant No.: 23-VA-19-551
P.O. Box 1167
Greeley, CO 80632
From: Diana Gutierrez
Financial Grants Specialist
During the financial review of your Statement of Grant Award (SOGA) for compliance with State contract
regulations, a discrepancy was discovered. In order to complete the processing of your SOGA, the item(s)
checked ch below will need to be resolved:
IXl One or more pages of your SOGA and/or Application contained whiteout, which invalidates the
X
document.
❑ One or more corrections were made on your SOGA and/or Application, but were not initialed by the
Project Director or Authorized Official.
❑ An unauthorized individual attested your SOGA. The Authorized Official and Project Director cannot
attest and the Financial Officer can attest ONLY if he/she serves the dual role of Secretary and
Financial Officer OR the agency does not have a Board Secretary and can provide documentation
that substantiates this claim.
OTHER: Any alteration of our SOGA template must be substantiated to our Department Financial
office. Please provide a memo explaining the 2004-3110 sticker and numbering which was added to
the SOGA by your office.
All items requiring correction have been flagged on the enclosed document(s). In some instances, you
may have been provided with your original document(s), in other instances, you have been provided with
new documents to complete.
Please make the following correction(s):
XComplete the enclosed replacement page(s).
❑ Initial the correction(s) made on your SOGA and/or Application.
❑ Complete the enclosed and obtain the proper attestation.
Please return the item(s) to our office no later than November 30, 2004. Not returning this paperwork in a
timely manner may delay the start date of your grant, possibly adversely affecting your cash flow.
If you have any questions, please contact me via e-mail at diana.gutierrez@cdps.state.co.us or by phone
at 303-239-4650.
Thank you!
MEMORANDUM
f ,(6 TO: State of Colorado December 3, 2004
WIiDcFROM: Carol Harding, Office Manager Coordinator
COLORADO SUBJECT: Document Number
A document number is assigned by our office for any item placed on the Board of County
Commissioners agenda. Without the number, approval of the contract is not possible. Similar
numbers have previously been placed on grants and contracts which are submitted to the State by
Weld County with no comment/explanation.
/441
Carol Harding
Office Manager Coordinator
Clerk to the Board's Office
Weld County, Colorado
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