HomeMy WebLinkAbout20042858.tiff RESOLUTION
RE: APPROVE GRANT APPLICATION FOR FEDERAL ASSISTANCE FOR REGION VII
HEAD START REFUNDING AND AUTHORIZE CHAIR TO SIGN - UNITED STATES
DEPARTMENT OF HEALTH AND HUMAN SERVICES
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 GrantApplication for Federal Assistance
for Region VII Head Start Refunding between the County of Weld,State of Colorado,by and through
the Board of County Commissioners of Weld County, on behalf of the Department of Human
Services, Family Educational Network of Weld County,and the United States Department of Health
and Human Services, commencing January 1, 2005,and ending December 31,2005,with further
terms and conditions being as stated in said grant application, and
WHEREAS,after review,the Board deems it advisable to approve said grant application,a
copy of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the Grant Application for Federal Assistance for Region VII Head Start
Refunding between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Department of Human Services, Family
Educational Network of Weld County, and the United States Department of Health and Human
Services be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to
sign said grant application.
The above and foregoing Resolution was,on motion duly made and seconded, adopted by
the following vote on the 27th day of September, A.D., 2004.
BOARD OF COUNTY COMMISSIONERS
WELInUn COLORADO
441 ,0746140L4 &-
Robert D. Masden, Chair
Clerk to the Board
1861 `' Q� �Zit -4—rete
`,,q William H. rke, Pro-Tem
nlig Clerkt the Board 7 //� P(w
M. J. Geile
APPROVED-AS TO, .
EXCUSED
David Long
ç
ounty Atto e
y (L49.
Glenn Vaad
Date of signature: /19 16 72V
2004-2858
HR0075
/e'-8b O��
n
MEMORANDUM
4444 DATE: September 17, 2004
r
V I TO: Board of County Commissioners
FROM: Walt Speckman, Executive Director��`
COLORADO SUBJECT: Region VII Head Start Refunding
Application
Presented for approval before the Weld County Board of County Commissioners is the Head
Start Refunding Grant Application for fiscal year 2005. The total grant amount is $2,774,039.
If you have any questions please contact Janet Flaugher, Director, @ 353-3800, ext. 3340.
tcc ( -2531
APPLICATION FOR 2.DATE SUBMITTED: Applicant Identifier 08CH0019
FEDERAL ASSISTANCE
1.TYPE OF SUBMISSION 3.DATE RECEIVED BY STATE: State Application Identifier
Application Preapplication
n Construction In Construction 4.DATE RECEIVED BY FEDERAL AGENCY Federal Identifier
08CH0019
n Non-Construction TI Non-Construction
5.APPLICANT INFORMATION
Legal Name: Weld County Division of Human Services Organizational Unit:
Department: Family Educational Network of Weld County
Organizational DUNS: 139136811 Division:
Address: Name and telephone number of the person to be contacted on matters
Street: P.O. Box 1805 involving this application(give area code)
1551 North 17th Avenue Prefix:Mr, First Name:Walt
City: Greeley Middle Name:
County: Weld Last Name: Speckman
State: CO Zip Code:80632 Suffix:
Country: USA Email: wspeckman@co.weld.co.us
6. EMPLOYER IDENTIFICATION NUMBER(EIN) Phone Number(give area code) Fax Number(give area code)
970-353-3800 x3317 970-356-3975
8 4 . 6 0 0 0 8 1 3
8.TYPE OF APPLICATION 7.TYPE OF APPLICANT(enter appropriate letter in box) B
New x Continuation Revision
If Revision,enter appropriate letter(s)in box(es): Other(specify)
Other(specify) _ 9.NAME OF FEDERAL AGENCY:
U S D H HSIACFIACYF/H EADSTART
10.CATALOG OF FEDERAL DOMESTIC 11.DESCRIPTIVE TITLE OF APPLICANT'S PROJECT:
ASSISTANCE NUMBER: 9j 3 • 6 0 0 PY 2005
TITLE (Name of Program):HEAD START PA22/20 Head Start Basic&
T&TA Continuation Grant
12.AREAS AFFECTED BY PROJECT (Cities,Counties,States etc.):
Weld County,Colorado
13.PROPOSED PROJECT: 14.CONGRESSIONAL DISTRICTS OF:
Start Date: 1/01/2005 Ending Date: 12/31/2005 a.Applicant4 b.Project 4
15. ESTIMATED FUNDING 16.1S APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372
PROCESS?
a Federal $ 2,774,039.00 a. YES THIS PREAPPLICATION/APPLICATION WAS MADE AVAILABLE TO THE STATE
EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON
b Applicant $ 693,510.00
c State $ .00 Date
b. NO PROGRAM IS NOT COVERED BY E.O.12372
d Local $ .00
nOR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW
e Other $ .00
f Program Income $ .00 17.IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT?
g Total $ 3,467,549.00 Yes If'Yes,"attach an explanation. X No
18.TO THE BEST OF MY KNOWLEDGE AND BELIEF,ALL DATA IN THIS APPLICATION ARE TRUE AND CORRECT. THE DOCUMENT HAS BEEN DULY AUTHORIZED
BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED
a.Authorized Representative
Prefix Mr. I First Name Robert Middle Name
Last Name Masden Suffix
b.Title Chair,Weld County Board of County Commissioners c.Telephone number 97`�00�-356-0000
d.Signature of Authorized RepresentativeCal �r e.Date Signed St P y, 7
�. 2004
Standard Form 424(Rev.9-2003) Prescdy "
2004-2858
BUDGET INFORMATION -Non-Construction Programs OMB Approval No.0348-0044
SECTION A.BUDGET SUMMARY............: -
Grant Program Catalog of Federal Estimated Unobligated Funds New or Revised Budget
Function Domestic Assistance
or Activity Number Federal Non-Federal Federal Non-Federal Total
(a) (b)
1.Program Operation 93.600 $2,734,487 $693,510 $3,427,997
2.T&TA 93.600 $39,552 $39,552
3.
4.
5. Totals $2,774,039 . $693,510 $3,467,549
,t zi 'rz'. ai ,�. ." �x ,i+�' -e,•.c"• a -^1 A +i62+ 'i�-ti''
.., :. :.k��fit:SECTIONj6 BUQGE'I ATEG.ORIES t <..�. i- ..- `. ? . ` :R rigtr� ti gr
GRANT PROGRAM,FUNCTION OR ACTIVITY Total
6.Object Class Categories
(1) Program Operation (2) T&TA (3) (4)
a. Personnel $1,251,240 $1,251,240
b.Fringe Benefits $323,105 $323,105
c.Travel $6,000 $6,000
d.Equipment
e.Supplies $107,000 $107,000
f.Contractual $250,000 $250,000
g.Construction
h.Other $797,142 $39,552 $836,694
i Total Direct Charges(sum of 6a-6h) $2,734,487 $39,552 $2,774,039
j.Indirect Costs
k.TOTALS(sum of 6a-6j) $2,734,487 $39,552 $2,774,039
j��.�.. .� t��.. roc < _
"`! � T •i.'tF'' nr. .... .i. ..: _ <,: •7.Program Income
Authorized for Local Reproduction Standard Form 424A(Rev.7-97)
Prescribed by OMB Circular A-102
08CH0019 / 0 2005 Weld County Division of Human Services Basic HS Grant Application 2005 Continuation--Basic and T &Ti
�. '° ..F
• ,.-•;.•. SECTION C=NON-FEDERAL RESOURCES--1,;_. ..,::::Y: ��-
(a)Grant Program (b)Applicant (c)State (d)Other Sources (e)TOTALS
8. NFS $693,510 $693,510
9.
10.
11.
12. TOTAL(sum of lines 8-11) $693,510 $693,510
�. .,.. � w ..� S��,s.. .40:.... .:r � ''ice 'xe,',:,. ,r:.•w• S�:
,�. � ����-r�-� �... - '�=���' ._.. °;SECTION D=FORECASTED CASH NEEDS�-,`
Total for 1st Year 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter
13. Federal $2,774,039 $693,510 $693,510 $693,510 $693,509
14. Non-Federal $693,510 $173,378 $173,378 $173,378 $173,376
15. TOTAL(sum of lines 13-14) $3,467,549 $866,888 $866,888 $866,888 $866,885
•
rx . t iti s 5
E µ 13UDGETGESTIMATES OFFEDERAL�F,UNDS NEEDED FOR BALANCELOF�THEIPROJECT�.�
FUTURE FUNDING PERIODS(Years)
(a)Grant Program
(b)First (c)Second (d)Third (e)Fourth
16.
17.
18.
19.
20. TOTAL(sum of lines 16-19)
... :- rti':xr. :��. ��.�,-.w. .., - i.��-,c'rTe .i p::�K::•;•tiw— .;..y`.-.r: «a„F"��tv„,- ix., "Y �''4i� ,�, + .�J.
t �saSECTION'F-:OTHER BUDGET INFORMATION
21. Direct Charges: $2,774,039 22. Indirect Charges:
23. Remarks:
Authorized for Local Reproduction
Standard Form 424A(Rev.7-97)Page2
08CH0019 / 0 2005 Weld County Division of Human Services Basic HS Grant Application 2005 Continuation--Basic and T&T/
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
COMPENDIUM OF REQUIRED CERTIFICATIONS AND ASSURANCES
SF 4248
ASSURANCES - NON-CONSTRUCTION PROGRAMS
Note: Certain of these assurances may not be applicable to your project or program. If you have
questions, please contact the awarding agency. Further, certain Federal awarding agencies may require
applicants to certify to additional assurances. If such is the case, you will be notified.
As the duly authorized representative of the applicant, I certify that the applicant:
1. Has the legal authority to apply for Federal assistance, and the institutional, managerial and financial
capability(including funds sufficient to pay the non-Federal share of project costs) to ensure proper
planning, management and completion of the project described in this application.
2. Will give the awarding agency, the Comptroller General of the United States, and if appropriate, the
State, through any authorized representative, access to and the right to examine all records, books,
papers, or documents related to the award; and will establish a proper accounting system in accordance
with generally accepted accounting standards or agency directives.
3. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes
or presents the appearance of personal or organizational conflict of interest, or personal gain.
4. Will initiate and complete the work within the applicable time frame after receipt of approval of the
awarding agency.
5. Will comply with the intergovernmental Personnel Act of 1970(42 U.S.C. 4278-4763) relating to
prescribed standards for merit systems for programs funded under one of the nineteen statutes or
regulations specified in Appendix A of OPM=s Standards for a Merit System of Personnel Administration
(5 CFR 900, Subpart F).
6. Will comply with all Federal statutes relating to non-discrimination. These include but are not limited to:
(a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the bases of
race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended(20 U.S.C.
1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the
Rehabilitation Act of 1973, as amended(29 U.S.C. 794), which prohibits discrimination on the basis of
handicaps; (d) the Age Discrimination Act of 1975, as amended(42 U.S.C. 6101-6107), which prohibits
discrimination on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as
amended, relating to non-discrimination on the basis of drug abuse; (f) the Comprehensive Alcohol Abuse
and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating
to non-discrimination on the bases of alcohol abuse or alcoholism; (g) 523 and 527 of the Public Health
Service Act of 1912 (42 U.S.C. 290 dd-3 and 290 ee-3), as amended, relating to confidentiality of the
alcohol and drug abuse patient records; (h) Title VII of the Civil Rights Act of 1968 (42 U.S.C. 3601 et
seq.), as amended, relating to non-discrimination in the sale, rental or financing of housing; (I) any other
non-discrimination provisions in the specific statute(s) under which application for Federal assistance is
being made; and(j) the requirements of any other non-discrimination statute(s) which may apply to the
application.
7. Will comply, or has already complies, with the requirements of Titles II and III of the Uniform Relocation
Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91-646) which provide for fair and
equitable treatment of persons displaced or whose property is acquired as a result of Federal or Federally
assisted programs. These requirements apply to all interests in real property acquired for project
purposes regardless of Federal participation in purchases.
8. Will comply with the provisions of the Hatch Act(5 U.S.C. 1501-1508 and 7324-7328) which limit the
political activities of employees whose principal employment activities are funded in whole or in part with
Federal funds.
9. Will comply, as applicable, with the provisions of the Davis-Bacon Act(40 U.S.C. 276a to 276a-7), the
Copeland Act(40 U.S.C. 276c and 18 U.S.C. 874), and the Contract Work Hours and Safety Standards
Act(40 U.S.C. 327-333), regarding labor standards for Federally assisted construction subagreements.
10. Will comply, if applicable, with flood insurance purchase requirements of Section 102(a) of the Flood
Disaster Protection Act of 1973 (P.L. 93-234) which requires recipients in a special flood hazard area to
participate in the program and to purchase flood insurance if the total cost of insurable construction and
acquisition is $10,000 or more.
11. Will comply with environmental standards which may be prescribed pursuant to the following: (a)
institution of environmental quality control measures under the National Environmental Policy Act of 1969
(P.L. 91-190) and Executive Order(EO) 11514; (b) notification of violating facilities pursuant to EO 11738;
(c) protection of wetlands pursuant to EO 11990; (d) evaluation of flood hazards in floodplains in
accordance with EO 11988; (e) assurance of project consistency with the approved State management
program developed under the Coastal Zone Management Act of 1972 (16 U.S.C. 1451 et seq.); (t)
conformity of Federal actions to State (Clear Air) Implementation Plans under Section 176(c) of the Clear
Air Act of 1955, as amended(42 U.S.C. 7401 et seq.); (g) protection of underground sources of drinking
water under the Safe Drinking Water Act of 1974, as amended, (P.L. 93-523); and(h) protection of
endangered species under the Endangered Species Act of 1973, as amended, (P.L. 93-205)
12. Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. 1271 et seq.) related to protecting
components or potential components of the national wild and scenic rivers system.
13. Will assist the awarding agency in assuring compliance with Section 106 of the National Historic
Preservation Act of 1966, as amended(16 U.S.C. 470), EO 11593 (identification and protection of historic
properties), and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. 469a-1 et seq.).
14. Will comply with P.L. 93-348 regarding the protection of human subjects involved in research,
development, and related activities supported by this award of assistance.
15. Will comply with the Laboratory Animal Welfare Act of 1966 (P.L. 89-544, as amended, 7 U.S.C. 2131
et seq.) pertaining to the care, handling, and treatment of warm blooded animals held for research,
teaching, or other activities supported by this award of assistance.
16. Will comply with the Lead-Based Paint Poisoning Prevention Act(42 U.S.C. 4801 et seq.) which
prohibits the use of lead based paint in the construction or rehabilitation of residence structures.
17. Will cause to be performed the required financial and compliance audits in accordance with the single
Audit Act of 1984.
18. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations and
policies governing this program.
DRUG-FREE WORKPLACE REQUIREMENTS
GRANTEES OTHER THAN INDIVIDUALS
By signing and/or submitting this application or grant agreement, the grantee is providing the certification set
out below.
This certification is required by regulations implementing the Drug-Free Workplace Act of 1988, 45 CFR, Part
76, Subpart F. The regulations published in the January 31, 1989 Federal Register, require certification by
grantees that they will maintain a drug-free workplace. The certification set out below is a material
representation of fact upon which reliance will be placed when HHS determines to award the grant. False
certification or violation of the certification shall be grounds for suspension of payments, suspension or
termination of grants, or government-wide suspension or debarment.
Workplaces under grants, for grantees other than individuals, need not be identified on the certification. If
known, they may be identified in the grant application. If the grantee does not identify the workplaces at the
time of application, or upon award, if there is no application, the grantee must keep the identity of the
workplace(s) on file in its office and make the information available for Federal inspection. Failure to identify
all known workplaces constitutes a violation of the grantee's drug-free workplace requirements.
Workplace identifications must include the actual address of buildings (or parts of building) or other sites
where work under the grant takes place. Categorical descriptions may be used(e.g. all vehicles of a mass
transit authority of State highway department while in operation, State employees in each local unemployment
office, performers in concert halls or radio studios).
If the workplace identified to HI-IS changes during the performance of the grant, the grantee shall inform the
agency of the change(s), it previously identified the workplaces in question (see above).
Definitions of terms in the Nonprocurement Suspension and Debarment common rule and Drug-Free
Workplace common rule apply to this certification. Grantees'attention is called, in particular, to the following
definitions from these rules:
"Controlled substance"means a controlled substance in Schedules I through V of the Controlled Substances
Act (21 USC 812) and as further defined by regulations (21 CFR, 1308.11 through 1308.15). "Conviction"
means a finding of guilt(including a plea of nob contendere) or imposition of sentence, or both, by any judicial
body charged with the responsibility to determine violations of the Federal of State criminal drug statutes;
"Criminal drug statute"means a Federal or non-Federal criminal statute involving the manufacture, distribution,
dispensing use, or possession of any controlled substance; "Employee"means the employee of a grantee
directly engaged in the performance of work under a grant including: (i)All "direct charge"employees; (ii) all
"indirect charge"employees unless their impact of involvement is insignificant to the performance of the grant;
and(iii) temporary personnel and consultants who are directly engaged in the performance of work under the
grant and who are on the grantee's payroll. This definition does not include workers not on the payroll of the
grantee (e.g., volunteers, even if used to meet a matching requirement; consultants or independent
contractors not on the grantee's payroll; or employees of subrecipients or subcontractors in covered
workplaces).
The grantee certifies that it will provide a drug-free workplace by:
a) Publishing a statement notifying employees that the unlawful manufacture, distribution,
dispensing, possession or use of a controlled substance is prohibited in the grantee's
workplace and specifying the actions that will be taken against employees for violation of
such prohibition;
b) Establishing a drug-free awareness program to inform employees about:
(1) The dangers of drug abuse in the workplace;
(2) The grantee's policy of maintaining a drug-free workplace;
(3) Any available drug counseling, rehabilitation, employee assistance programs; and
(4) The penalties that may be imposed upon employees for drug abuse violations
occurring in the workplace;
c) Making it a requirement that each employee to be engaged in the performance of the grant
be given a copy of be statement required by paragraph (a);
d) Notifying the employee in the statement required by paragraph (a) that as a condition of
employment under the grant, the employee will:
(1) Abide by the terms of the statement; and
(2) Notify the employer of any criminal drug statute conviction for a violation occurring in
the workplace no later than five days after such conviction;
e) Notifying the agency in writing within ten days after receiving notice under subparagraph
(d)(2), from an employee or otherwise receiving actual notice of such conviction. Employers
of convicted employees must provide notice, including position title, to every grant officer or
other designee on whose grant the convicted employee was working, unless the Federal
agency has designated a central point for the receipt of such notices. Notice shall include the
identification number(s) of each affected grant;
t) Taking one of the following actions within 30 days of receiving notice under subparagraph
(d)(2), with respect to any employee who is so convicted:
(1) Taking appropriate personnel action against such an employee, up to and including
termination, consistent with the requirements of the Rehabilitation Act of 1973, as
amended; or
(2) Requiring such employee to participate satisfactorily in a drug abuse assistance or
rehabilitation program approved for such purposes by a Federal, State, or local
health, law enforcement, or other appropriate agency.
g) Making a good faith effort to continue to maintain a drug-free workplace through
implementation of paragraphs (a) through (1).
CERTIFICATION REGARDING ENVIRONMENTAL TOBACCO SMOKE
Public Law 103-227, also known as the Pro-Children Act of 1994(Act),requires that smoking not be permitted
in any portion of any indoor facility owned or leased or contracted for by an entity and used routinely or
regularly for the provision of health, day care, early childhood development services, education or library
services to children under the age of 18, if the services are funded by Federal program either directly or
through State or local governments, by Federal grant, contract, loan, or loan guarantee. The law also applies
to children's services that are provided in indoor facilities that are constructed, operated, or maintained with
such Federal funds. The law does not apply to children's services provided in private residences;portions of
facilities used for inpatient drug or alcohol treatment; service providers whose sole source of applicable
Federal funds in medicare of medicaid;or facilities where WIC coupons are redeemed. Failure to comply with
the provisions of the law may result in the imposition of a civil monetary penalty of up to $1,000 for each
violation and/or the imposition of an administrative compliance order on the responsible entity.
By signing this certification, the offeror/contractor(for acquisitions) or applicant/grantee (for grants) certifies
that the submitting organization will comply with the requirements of the Act and will not allow smoking within
any portion of any indoor facility used for the provision of services for children as defined by the Act.
The submitting organization agrees that it will require that the language of this certification be included in any
subawards which subrecipients shall certify accordingly.
CERTIFICATION REGARDING DEBARMENT, SUSPENSION AND OTHER
RESPONSIBILITY MATTERS - PRIMARY COVERED TRANSACTIONS
By signing and submitting this proposal, the applicant, defined as the primary participant in accordance with 45
CFR Part 76 certifies to the best of his or her knowledge and believe that it and its principals:
(a) are not presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily
excluded from covered transaction by any Federal Department or agency;
(b) have not within a 3-year period preceding this proposal been convicted or had a civil judgement
rendered against them for commission of fraud or a criminal offense in connection with obtaining,
attempting to obtain, or performing a public (Federal, State or local) transaction or contract under a
public transaction: violation of Federal or State antitrust statutes or commission of embezzlement,
theft, forgery, bribery, falsification or destruction of records, making false statement, or receiving
stolen property;
(c) are not presently indicted or otherwise criminally or civilly charged by a governmental entity(Federal,
State or local) with commission of any of the offenses enumerated in paragraph (1) (b) of this
certification; and
(d) have not within a 3-year period preceding this application/proposal had one or more public transaction
(Federal, State or local) terminated for cause or default.
The inability of a person to provide the certification required above will not necessarily result in denial of
participation in this covered transaction. If necessary, the prospective participant shall submit an explanation
of why it cannot provide the certification. The Department of Health and Human Services' (HHS)
determination whether to enter into this transaction. However, failure of the prospective primary participant to
furnish a certification or an explanation shall disqualify such person from participation in this transaction.
The prospective primary participant agrees that by submitting this proposal, it will include the clause entitled
"Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion-Lower Tier Covered
Transactions,"provided below without modification in all lower tier covered transactions.
CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY
AND VOLUNTARY EXCLUSION - LOWER TIER COVERED TRANSACTIONS
(TO BE SUPPLIED TO LOWER TIER PARTICIPANTS)
By signing and submitting this lower tier proposal, the prospective lower tier participant, as defined in 45 CFR,
Part 76, certifies to the best of its knowledge and belief that it and its principals:
(a) are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily
excluded from participation in this transaction by any Federal department or agency.
(b) where the prospective lower tier participant is unable to certify to any of the above, such prospective
participant shall attach an explanation to this proposal.
The prospective lower tier participant further agrees by submitting this proposal that it will include this clause
entitled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier
Covered Transactions,"without modification in all lower tier covered transactions and in all solicitations for
lower tier covered transactions.
CERTIFICATION REGARDING LOBBYING
FOR CONTRACTS, GRANTS, LOANS
AND COOPERATIVE AGREEMENTS
The undersigned certifies to the best of his or her knowledge and belief, that:
(1) No Federal appropriate funds have been paid or will be paid, by or on behalf of the undersigned, to
any person for influencing or attempting to influence an officer or employee of any agency,a member
of congress, an officer or employee of congress, or an employee of a member of congress in
connection with the awarding of any Federal contract, the making of any Federal grant, the making of
any Federal loan, the entering into of any cooperative agreement, and the extension, continuation,
renewal, amendment or modification of any Federal contract, grant, loan, or cooperative agreement.
(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person
influencing or attempting to influence an officer or employee or an agency, a member of congress, an
officer or employee of congress, or an employee of a member of congress in connection with this
Federal contract, grant, loan or cooperative agreement, the undersigned shall complete and submit
Standard Form LLL, "Disclosure Form to Report Lobbying,"in accordance with its instructions.
(3) The undersigned shall require that the language of this certification be included in the award
documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under
grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose
accordingly.
This certification is a material representation of fact upon which reliance was placed when this transaction was
made or entered into. Submission of this certification is a prerequisite for making or entering into this
transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification
shall be subject to a civil penalty or not less than$10,000 and not more than$100,000 for each such failure.
I hereby a e to the above certifications and assurances.
r SEP 2 7 2004
Signature of Certifying Official Date
Robert D. Masden, Chair
Title
Weld County Board of Commissioners
Applicant Organization
GRANT APPLICATION REPORT
Basic HS Grant Application
Weld County Division of Human Services 08CH0019 / 000 / 2005
Program Approach Form
,undect n Imp
1. Funded enrollment by program option:
Center-based enrollment 562 Number of Pregnant Women: 0
Home-based enrollment 0
Combination option enrollment 0
Family child care enrollment 0
Other option enrollment 0
Total Enrollment 562
nog
1. Program schedule number 1 2
2. Program option identification CB CB
3. Funded enrollment 532 30
{
• fog ilt�c,> �.'�K Cui ttI ��a '^;�ll!�rF:s tTaF ��.otieo.
4a. Number of classes/groups/family child care settings 39 2
4b. Double session Yes No
5. Number of hours of classes/groups/FCC settings per child, per day 3.5 9
6. Number of days of classes/groups/FCC settings per child, per week 4 5
7. Number of days of classes/groups/FCC settings per child, per year 130 250
8. Number of home visits per child, per year 2 2
9. Number of hours per home visit 1.5 2
mPle.a > setl op,io
10. Number of home visits per child, per year
11. Number of hours per home visit
12. Number of hours per home-based socialization experience
9/17/2004 2:50:55 PM 1
Basic HS Grant Application
Weld County Division of Human Services 08CH0019 / 000 / 2005
13. Number of home-based socialization experiences per child, per year -----
9/17/2004 2:50:56 PM 2
Basic HS Grant Application
Weld County Division of Human Services 08CH0019 / 000 / 2005
Line Item Budget For Head Start and Early Head Start
• . (•. t •
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4r:sir•J,• }.140lD_ _ ••i}7�i1yy 1(o i,'rt.- • r'�i .. ..
1 Program Managers&Content Area Experts $79,071 $0 $0 4.00
2 Teachers/Infant Toddler Teachers $401,471 $0 $54,746 25.00
3 Family Child Care Personnel
4 Home Visitors
5 Teacher Aides&Other Education Personnel $293,202 $0 $41,886 24.00
6 Health/Mental Health Services Personnel $2,833 $0 $0 1.00
7 Disabilities Services Personnel $19,827 $0 $0 1.00
8 Nutrition Services Personnel $60,820 $0 $0 24.00
9 Other Child Services Personnel $228,547 $0 $0 12.00
F-'uIjy'a.i`o . :.}: "`75t �(!� 'ar4.1wbCa1 ;•x-�..
10 Program Managers & Content Area Experts $22,904 $0 $0 1.00
11 Other Family&Community Partnerships Personnel $22,830 $0 $0 2.00
i n -.g- 11-e'.-`11 .z.1"-440n.
12 Executive Director/Other Supervisor of HS Director
13 Head Start/Early Head Start Director $25,610 $0 $0 1.00
14 Managers
15 Staff Development
16 Clerical Personnel $51,985 $0 $0 3.00
9/17/2004 2:50:56 PM 3
Basic HS Grant Application
Weld County Division of Human Services 08CH0019 / 000 / 2005
Line Item Budget For Head Start and Early Head Start
L dR• r E j�y-F' ¢1101, 4
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17 Fiscal Personnel
18 Other Administrative Personnel
9/17/2004 2:50:56 PM 4
Basic HS Grant Application
Weld County Division of Human Services 08CH0019 I 000 I 2005
Line Item Budget For Head Start and Early Head Start
}
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19 Maintenance Personnel
$0 $0
$27,137 $0 $0 12.00
20 Transportation Personnel
21 Other Personnel $15,003 1.00
TOTAL PERSONNEL(6a) $1,251,240 $0 $96,632 111.00
5
9/17/2004 2:50:56 PM
Basic HS Grant Application
Weld County Division of Human Services 08CH0019 / 000 / 2005
Line Item Budget For Head Start and Early Head Start
Zn
4 trIE Ir4i R 1. f .� f 1 I,.7
,4 iii ( .elligl �. I E P.- 1ti (;p71
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1 Social Security(FICA), State Disability, UnemploymE $100,600 $0 $7,769
2 Health/Dental/Life Insurance $146,409 $0 $11,307
3 Retirement $67,125 $0 $5,184
4 Other Fringe $8,971 $0 $693
TOTAL FRINGE BENEFITS(6b) $323,105 $0 $24,953
1 Staff Out-Of-Town Travel $6,000 $0 $0
TOTAL TRAVEL(6c) ( $6,000 $0 $0
1 Office Equipment
2 Classroom/Outdoor/Home-based/FCC
3 Vehicle Purchase $0 $0 $157,500
4 Other Equipment
TOTAL EQUIPMENT(6d) $0 $0 $157,500
taco •
1 Office Supplies $10,000 $0 $0
2 Child and Family Services Supplies $75,000 $0 $0
9/17/2004 2:50:56 PM 6
Basic HS Grant Application
Weld County Division of Human Services 08CH0019 / 000 / 2005
Line Item Budget For Head Start and Early Head Start
F m
`ortg.? e ireli ( ... p{f _ I.Sgd t=1 i{(l
(CW7
3 Food Services Supplies $20,000 $0 $0
4 Other Supplies $2,000 $0 $0
TOTAL SUPPLIES (6e) $107,000 $0 $0
1 Administrative Services(e.g.,Legal, Accounting)
2 Health/Disabilities Services $100,000 $0 $17,500
3 Food Service $150,000 $0 $0
4 Child Transportation Services
5 Training &Technical Assistance
6 Family Child Care
7 Delegate Agency Costs
8 Other Contracts $0 $0 $110,000
TOTAL CONTRACTUAL(60 $250,000 $0 $127,500
C RUC
1 New Construction
2 Major Renovation
3 Acquisition of Buildings/Modular Unites
9/17/2004 2:50:57 PM 7
Basic HS Grant Application
Weld County Division of Human Services 08CH0019 / 000 / 2005
Line Item Budget For Head Start and Early Head Start
ctici
L- (1-L9x1 �k-`Plns. e sJ` ( I "r ��E-� } tC74rl f
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a e �a e LL t✓��'K rI, r I`a i qqI
TOTAL CONSTRUCTION (6g)
9/17/2004 2:50:57 PM 8
Basic HS Grant Application
Weld County Division of Human Services 08CH0019 / 000 / 2005
Line Item Budget For Head Start and Early Head Start
$' y p --#7 B 0r, e 1i *ip p
U r I. e.- 3(•3 I r- .a- � k+fiY'it
"y-i Xd," tg3'{ f, _ ',tt• teu{3 - .3"" .1:., P-.s '• 'l Yom..+ •. c _
1 Depreciation/Use Allowance
2 Rent $1,350 $0 $0
3 Mortgage
4 Utilities, Telephone $25,000 $0 $0
5 Building & Child Liability Insurance $2,280 $0 $0
6 Building Maintenance/Repair and Other Occupancy $40,512 $0 $0
7 Incidental Alterations/Renovations
8 Local Travel $25,000 $0 $0
9 Nutrition Services $3,000 $0 $0
10 Child Services Consultants
11 Volunteers $0 $0 $73,198
12 Substitutes (if not paid benefits)
13 Parent Services $15,000 $0 $0
14 Accounting & Legal Services
15 Publications/Advertising/Printing $15,000 $0 $0
16 Training or Staff Development $0 $39,552 $47,186
17 Other
Childrens Transportation $500,000 $0 $0
Administration Overhead $170,000 $0 $166,541
9
9/17/2004 2:50:57 PM
Basic HS Grant Application
Weld County Division of Human Services 08CH0019 / 000 / 2005
Line Item Budget For Head Start and Early Head Start
I (� f • aE :�•� „
,'� S tS i� ° 'ii! •'l��t�7 I _ tipR� e e
�xCte"� �kar 7 �A LJe�b} ,,rl•,I t +,t
5.{
1
TOTAL OTHER(6h) $797,142 $39,552 $286,925
i.TOTAL DIRECT CHARGES $2,734,487 $39,552 $693,510
j. INDIRECT COSTS
k.TOTALS-ALL BUDGET CATEGORIES $2,734,487 $39,552 $693,510
9/17/2004 2:50:57 PM 10
Basic HS Grant Application
Weld County Division of Human Services 08CH0019 / 000 / 2005
{
Other Cash and In-kind Funding Sources
Federal Funding
1. Federal Child Development and Child Care funds $0
2. USDA Funds for Nutrition Services $210,000
3. Other Federal Funding ( ) $0
State Funding
4. State Preschool Programs $125,000
5. Other State Funding ( ) $0
Local Government Funding
6. School District Funding $231,585
7. Other Local Government Funding ( Weld County Government ) $324,041
Other Funding
8. Tribal Government Funding $0
9. Fund-raising Activities $0
10. Other ( ) $0
TOTAL $890,626
9/17/2004 2:50:57 PM 11
Basic HS Grant Application
Weld County Division of Human Services 08CH0019 / 000 / 2005
Program Narrative
BUDGET NARRATIVE
PROGRAM ACCOUNT 22
Personnel:
Pays for staff gross salaries. See Attachment I for salary breakdown according to position and site.
Fringe Benefits:
Pays for fringe benefits for regular employees at the following rates:
. FICA .0620 x salary
. Medicare .0145 x salary
. Disability .0039 x salary
. Life Insurance .0004 x 3 times salary
. Retirement .06 x salary
. Workman's Compensation .0050 x salary for admin/office positions
.0059 x salary for teacher-type positions
.00747 x salary for aides in classroom
. Health and Dental $3300/staff/year
(Retirement,disability, life,and health insurance are only available to full-time employees.)
See Attachment I for fringe total for each position.
Travel:
Covers out of state travel costs for 2 staff members to go to 2 DHHS regional/national conferences.This will pay the cost of airfare,
registration,hotel, shuttles,and per diem for the participants.
Supplies;
Office Supplies-This covers the cost of office supplies,copying and postage used at the sites.
Classroom/Outdoor/FCC-This covers the cost of all classroom supplies needed as well as medical,dental disability,playground and
cleaning/janitorial supplies for all sites.
Food Service Supplies-Pays for the costs of kitchen supplies, including paper products and utensils,used to serve snacks and meals and food
projects.
9/17/2004 2:50:58 PM 12
Basic HS Grant Application
Weld County Division of Human Services 08CH0019 / 000 / 2005
Program Narrative
Other Supplies-This line item includes basic building supplies like light bulbs, fuses,signs and the like.
Contractual:
Health/Disabilities Services-This line item covers the costs of the contracted mental health services of the program provided by North Range
Behavioral for$40,000,contracted vision screenings with nurse Jean McCarthy for$5000,and audiologist,Jodi Little for$5000. FENWC
also has agreements with Salud clinic to do the rural dental screenings and agreement with Sunrise Clinic and various dentists in Greeley to do
local children. The total for the two agreements is$5000. FENWC also has a contract with a speech language specialist for $5000. The
balance covers the expenses for acute dental care at Childrens Hospital and also medical/dental expenses for the children that are not covered
by insurance.
Food Service-FENWC has contracted with the school districts to provide food for the program. This line item pays for the costs of childrens'
meals not covered by the CACFP reimbursement. It also pays for the costs of adult meals for teachers,ta's, lunch aides,and volunteers who
are supervising the mealtimes for the children in the family style setting. These costs are contracted out and are not reimbursable by USDA.
The contracts are with St. Vrain School District,Weld School Districts 6,RE-1,RE-3J,and RE-5J. Each contract is negotiated at price/meal
and the contracts are not capped. The total line item is based on the historical cost pattern of the total line item from all said contracts.
Other
Rent-This line item is for rent of Island Grove site @$150/month.
Utilities/Telephone-this cost was figured on a historical basis. It includes cost for water,electricity,gas trash,pest control,telephone use
and computer lines to all the external sites.
Child Liability Insurance-Based on approximately$3.68/child. Building insurance is included in the County Central Services costs.
Building Maintenance/Repair-This work is done by the various school districts and by County Buildings and grounds. The line item is
figured on a historical basis.
Local Travel-These funds are used for staff mileage reimbursement for travel to and from the centers for business needs. Mileage is
reimbursed at the County rate of$.355 per mile.
Nutrition Services-This line item pays for the costs of nutritional food projects for the children at all sites.
9/17/2004 2:50:59 PM 13
Basic HS Grant Application
Weld County Division of Human Services 08CH0019 / 000 / 2005
Program Narrative
Parent Services-PPC account that is budgeted by them for allowable Head Start Parent needs---i.e.,meeting costs,parent activity needs and
supplies,necessary mileage for meetings,child care costs for meetings,per diem for parents participating in activities and trainings,etc. The
budget is planned out by the PPC and run through their own checking account($4500). Also pays for the cost to send two parents to attend
National training conference. The balance allows for parents to attend Computer Educational Lab or other training and educational programs.
Publications/Advertising/Printing-It includes costs of subscriptions and publications used at the centers. It also includes funds to advertise
for staff and clients for the program. In addition, it allows for the costs of any program printing needs.
Transportation,Childrens'-The Weld County Department of Transportation will be providing our door to door transportation for all of our
sites in the Weld County Area.Transportation is treated as an Internal Service Pool and serves all of the Division of Human Services(DHS)
transportation needs. Charges for this service are based on the number of miles and the number of hours the transportation department spends
on each of the areas/programs it serves. We have budgeted for this service based on historical cost pattems. This line item also includes the
cost of bus monitors and other new requirements.
Administrative Overhead/Direct Allocated Costs- This cost is the administrative cost that the program incurs through the DHS.Like the
transportation costs,these costs are compiled in an Internal Service Pool and are charged to the programs based on the number of hours that the
administrative staff spends on each of the programs it serves. The budgeted amount is based on an approximate 15%coverage.
Division of Human Services Costs:
.15 Executive Director-for overseeing and planning of the DHS programs. $ 24,334
.15 Fiscal Officer-for budget preparation and grant tracking. $ 12,137
.15 Accountant-for cost allocation and reporting. $ 8,685
.15 Fiscal Specialist-for the purchasing function and contract maintenance. $ 7,259
.15 Fiscal Specialist-for account payables. $ 6,643
.15 Personnel Mgr.-for personnel function and payroll. $ 9,296
.15 PBX Operator-for PBX operation. $ 4,260
Supplies $ 10,000
Building Charges(Utilities,repair&maintenance, B&G,Overhead etc.) $ 57,387
Data Processing&Communications $ 30,000
Total $ 170,000
9/17/2004 2:50:59 PM 14
PY05
HS BREAKDOWN OF SALARY/FRINGE TOTAL
TOTAL SALARY AMOUNT
ANNUAL SAL FRINGE &FRINGEITRIBUTABLE HS SAL HS FRINGE
FTE POSITION HRLY RT X QUANTITY(#) TO 04 HS
1 HEAD START DIRECTOR 25.54 53,327.52 11,117.81 64,445.33 32,222.67 25,609.56 6,613.11
1 EDUC.SPEC. 14.41 30,088.08 7,710.91 37,798.99 24,947.34 19,827.36 5,119.98
1 HEALTH SPEC 14.41 30,088.08 7,710.91 37,798.99 24,947.34 19,827.36 5,119.98
1 FAMILY SERV.SPEC 16.86 35,203.68 8,460.86 43,664.54 28,818.60 22,904.11 5,914.48
1 OFFICE MGR 16.86 35,203.68 8,460.86 43,664.54 28,818.60 22,904.11 5,914.48
1 SPECIAL ED/MH SPEC. 14.41 30,088.08 7,710.91 37,798.99 24,947.34 19,827.36 5,119.98
1 ED COORD 14.15 29,545.20 7,631.33 37,176.53 24,536.51 19,500.84 5,035.66
1 ED COORD 14.48 30,234.24 7,732.34 37,966.58 25,057.94 19,915.26 5,142.68
1 OFF ASST 10.20 21,297.60 6,422.23 27,719.83 18,295.09 14,540.36 3,754.73
1 OFF ASST 10.20 21,297.60 6,422.23 27,719.83 18,295.09 14,540.36 3,754.73
1 COMM SERV WKR 11.32 23,636.16 6,765.06 30,401.22 15,200.61 12,080.97 3,119.64
1 COMM SERV WKR 9.92 20,712.96 6,336.52 27,049.48 13,524.74 10,749.04 2,775.70
1 CENTER DIRECTOR 15.28 31,904.64 7,977.22 39,881.86 26,322.03 20,919.92 5,402.11
1 CENTER DIRECTOR 14.15 29,545.20 7,631.33 37,176.53 24,536.51 19,500.84 5,035.66
1 CENTER DIRECTOR 14.15 29,545.20 7,631.33 37,176.53 24,536.51 19,500.84 5,035.66
1 CENTER DIRECTOR 13.78 28,772.64 7,518.07 36,290.71 23,951.87 19,036.19 4,915.68
1 CENTER DIRECTOR 13.13 27,415.44 7,319.10 34,734.54 22,924.80 18,219.91 4,704.89
1 CENTER DIRECTOR 13.13 27,415.44 7,319.10 34,734.54 22,924.80 18,219.91 4,704.89
1 CENTER DIRECTOR 14.84 30,985.92 7,842.54 38,828.46 25,626.78 20,367.36 5,259.42
1 CENTER DIRECTOR 13.13 27,415.44 7,319.10 34,734.54 22,924.80 18,219.91 4,704.89
1 CENTER DIRECTOR 13.13 27,415.44 7,319.10 34,734.54 22,924.80 18,219.91 4,704.89
1 CENTER DIRECTOR 13.13 27,415.44 7,319.10 34,734.54 22,924.80 18,219.91 4,704.89
1 CENTER DIRECTOR 14.15 29,545.20 7,631.33 37,176.53 24,536.51 19,500.84 5,035.66
1 CENTER DIRECTOR 13.45 28,083.60 7,417.06 35,500.66 23,430.43 18,621.77 4,808.66
1 RESOURCE.COORDINATOR 14.38 30,025.44 7,728.75 37,754.19 18,877.10 15,002.92 3,874.17
1 TEACHER- 14.04 29,315.52 7,624.04 36,939.56 24,380.11 19,376.54 5,003.57
1 TEACHER- 12.01 25,076.88 6,998.84 32,075.72 32,075.72 25,492.77 6,582.95
1 TEACHERII 14.78 30,860.64 7,851.94 38,712.58 25,550.31 20,306.58 5,243.73
1 TEACHER 12.29 25,661.52 7,085.07 32,746.59 32,746.59 26,025.96 6,720.63
1 TEACHER 13.24 27,645.12 7,377.66 35,022.78 23,115.03 18,371.10 4,743.93
1 TEACHER 12.29 25,661.52 7,085.07 32,746.59 21,612.75 17,177.14 4,435.62
1 TEACHER 12.60 26,308.80 7,180.55 33,489.35 22,102.97 17,566.74 4,536.23
1 TEACHER 12.60 26,308.80 7,180.55 33,489.35 22,102.97 17,566.74 4,536.23
1 TEACHER 11.71 24,450.48 6,906.45 31,356.93 20,695.57 16,448.19 4,247.38
1 TEACHER 12.29 25,661.52 7,085.07 32,746.59 21,612.75 17,177.14 4,435.62
1 TEACHER 12.60 26,308.80 7,180.55 33,489.35 22,102.97 17,566.74 4,536.23
1 TEACHER 11.71 24,450.48 6,906.45 31,356.93 20,695.57 16,448.19 4,247.38
1 TEACHER 11.71 24,450.48 6,906.45 31,356.93 20,695.57 16,448.19 4,247.38
1 TEACHER 12.60 26,308.80 7,180.55 33,489.35 22,102.97 17,566.74 4,536.23
1 TEACHER 11.71 24,450.48 6,906.45 31,356.93 20,695.57 16,448.19 4,247.38
1 TEACHER 11.71 24,450.48 6,906.45 31,356.93 20,695.57 16,448.19 4,247.38
1 TEACHERII 12.29 25,661.52 7,085.07 32,746.59 21,612.75 17,177.14 4,435.62
1 TEACHER 12.29 25,661.52 7,085.07 32,746.59 21,612.75 17,177.14 4,435.62
1 TEACHERII 12.92 26,976.96 7,279.10 34,256.06 22,609.00 17,968.92 4,640.08
1 TEACHER 12.92 26,976.96 7,279.10 34,256.06 22,609.00 17,968.92 4,640.08
1 TEACHERII 12.60 26,308.80 7,180.55 33,489.35 22,102.97 17,566.74 4,536.23
1 TEACHER 12.29 25,661.52 7,085.07 32,746.59 21,612.75 17,177.14 4,435.62
1 TEACHER ASST- 8.94 18,666.72 6,082.65 24,749.37 16,334.58 12,982.21 3,352.37
1 TEACH ASST- 9.42 19,668.96 6,232.05 25,901.01 17,094.67 13,586.30 3,508.36
1 TEACH ASST 8.94 18,666.72 6,082.65 24,749.37 16,334.58 12,982.21 3,352.37
1 TEACH ASST 8.76 18,290.88 6,026.62 24,317.50 16,049.55 12,755.68 3,293.87
1.00 TEACH ASST 9.18 19,167.84 6,157.35 25,325.19 16,714.63 13,284.26 3,430.37
1 TEACH ASST 9.18 19,167.84 6,157.35 25,325.19 16,714.63 13,284.26 3,430.37
1 TEACH ASST 10.19 21,276.72 6,471.72 27,748.44 18,313.97 14,555.37 3,758.60
1 TEACH ASST 9.18 19,167.84 6,157.35 25,325.19 16,714.63 13,284.26 3,430.37
1 TEACH ASST 10.50 21,924.00 6,568.21 28,492.21 18,804.86 14,945.51 3,859.35
1 TEACH ASST 9.18 19,167.84 6,157.35 25,325.19 16,714.63 13,284.26 3,430.37
1 TEACH ASST 9.18 19,167.84 6,157.35 25,325.19 16,714.63 13,284.26 3,430.37
1 TEACH ASST 9.18 19,167.84 6,157.35 25,325.19 16,714.63 13,284.26 3,430.37
1 TEACH ASST 9.18 19,167.84 6,157.35 25,325.19 25,325.19 20,127.66 5,197.53
1 TEACH ASST 9.18 19,167.84 6,157.35 25,325.19 16,714.63 13,284.26 3,430.37
1 TEACH ASST 9.18 19,167.84 6,157.35 25,325.19 16,714.63 13,284.26 3,430.37
1 TEACH ASST 9.42 19,668.96 6,232.05 25,901.01 17,094.67 13,586.30 3,508.36
1 TEACH ASST 9.18 19,167.84 6,157.35 25,325.19 16,714.63 13,284.26 3,430.37
1 TEACH ASST 9.18 19,167.84 6,157.35 25,325.19 16,714.63 13,284.26 3,430.37
1 TEACH ASST 8.76 18,290.88 6,026.62 24,317.50 16,049.55 12,755.68 3,293.87
1 TEACH ASST 8.76 18,290.88 6,026.62 24,317.50 16,049.55 12,755.68 3,293.87
1 TEACH ASST 8.76 18,290.88 6,026.62 24,317.50 24,317.50 19,326.78 4,990.72
0.50 RN 20.90 21,819.60 1,943.47 23,763.07 3,564.46 2,832.92 731.54
0.75 NUTRITIONIST 18.73 29,331.18 2,612.53 31,943.71 1,597.19 1,269.39 327.79
7.0 LUNCH AIDES 7.14 104,358.24 9,169.96 113,528.20 74,928.61 59,550.90 15,377.71
2.60 JANITORS 8.76 47,556.29 4,178.77 51,735.06 34,145.14 27,137.48 7,007.66
GRAND TOTAL 1,917,772.67 495,222.60 2,412,995.26 1,574,346.11 1,251,240.72 323,105.39
Bas
ic HS Grant Application
Weld County Division of Human Services 08CH0019 / 000 / 2005
Program Narrative
NON-FEDERAL MATCH BREAKDOWN
Personnel:
Fort Lupton School District will provide the costs of 3 teachers and 3 teacher aides in our
preschool classrooms at that site-for a total of $96,632 in donated personnel cost.
Fringe: Fort Lupton School District will pay the fringe on the latter for a total of $24,953.
Equipment:
Vehicle Purchase- Weld County will purchase buses to transport the children door to door. Weld
County purchases the vans with general funds. Head Starts percentage of the donation for 2005
will be approximately $157,500.
Contractual:
Health Disabilities Services- School District 6 will provide the disabilities services required
by ADA to Head Start clients with no cost charged to the program. The value of that service is
estimated at $17,500.
Donated value of space, overhead, goods and services from School District RE-1 and RE-5J and
Fort Lupton is $110,000.
Other:
Volunteers- This is the estimated calculation of the value of parent volunteer time to the
program is $73,198.
County Central Services- The percentage of annual central services costs that will be donated
to Head Start by the County is valued at $166,541.
Training & TA services-The donations for our T & TA plan include an Aims Community College
grant which pays for tuition and books for our staff for and supplies for a total of $37,738.
It also includes donated curriculum materials for a total of $9,448.
Total Match value-$693,510.
9/17/2004 2:50:59 PM 15
Wk t • } f M1 nR"s
Weld County Division of Human Services
08CH0019 / 000 / FY 2005 Basic HS Grant Application
Severity Message
Warning The administrative/management allocation for Office supplies is less than 25%.
Warning The administration/management allocation for Maintenance Personnel is 0%.
Warning The administration/management allocation for Rent is 0%.
Warning The administration/management allocation for Utilities/Telephone is 0%.
Warning The administration/management allocation for Building and Child Liability Insurance is 0%.
Warning The administration/management allocation for Building Maintenance/Repair and Other
Occupancy is 0%.
Warning The sum of Personnel and Fringe Benefits normally is between 50% and 80% of the total
budget.
9/17/2004 2:39:05 PM 1
RESPONSES TO AUDIT WARNINGS
Warning;Percentage of several line items had little or no admin percentage charged against
them.
Response;The items are included in the administration overhead line under Other or in the
County Central Services costs and are not split out among the separate line items.
Warning;The sum of Personnel and Fringe are normally between 50-80% of budget.
Response;The reason our percentage is lower is because the agency admin personnel is in the
administration overhead line in Other and the transportation personnel are included in the
Children's transportation line in Other.
Basic HS Grant Application
Weld County Division of Human Services 08CH0019 / 000 / 2005
Program Narrative
PART IV
PROGRAM NARRATIVE
The Family Educational Network of Weld County provides a comprehensive early childhood education program
that focuses on early childhood development and provides support to families within Weld County, supported by
the Head Start framework. FENWC works with a variety of agencies to identify the needs of families and
determine eligibility according to funding sources. Services are individualized so that they are responsible to the
needs of each family. The following services are available to eligible children and families through FENWC.
• Education Services Teaching staff writes and uses Individual Development Plans (IDP'S) for each
child. This working document stimulates social, emotional, motor and intellectual learning experiences;
self-reliance, self-esteem and self-confidence are encouraged, thus, they establish the underpinnings of
future educational success.
• Health Services The Program's Health Component works in collaboration with various agencies and
private providers to furnish a broad range of medical, dental and mental health activities. Children identified
with disabilities are identified and services provided for them/ The Program provides health and nutrition
education to the parents to promote sound physical and mental child development.
• Family Services/Parent Involvement Family Services works directly with a variety of social service
agencies to obtain needed assistance for families and to provide social services, educational and
employment training to parents. This support enables families to improve the quality and condition of their
lives.
FENWC considers parents an integral part of the staff team. Parent participation is encouraged in the
decision-making process, not only regarding their children's education but also in the overall operation of
the program. The Program supports parents in their role and joins them in the process of developing goals
for their children.
9/17/2004 2:51:00 PM 16
Basic HS Grant Application
Weld County Division of Human Services 08CH0019 / 000 / 2005
Program Narrative
MISSION STATEMENT
FENWC's mission is to provide children and families with a high quality, comprehensive program which promotes
self-esteem, fosters social and educational competence, develops independence, and enables children and
families to be lifetime learners and responsible, valued members of their community.
VISION STATEMENT
Our Vision is that FENWC will continue to be a high quality program where the staff is respected, educated and
supported as strong leaders in the field of education. To that end we endeavor to foster unity within the
community and nurture collaborative efforts within the school districts. Our Program strives to work closely with
governing bodies to support families, children and staff to meet their diverse needs.
Funding for FENWC comes primarily from Federal Grants, administered by the Department of Health and Human
Services/Administration for Children, Youth and Families/Administration of Children and Families/Head Start
Bureau/Regions XII and VIII. Other funding sources come from the State of Colorado, passed through local
school districts and CCAP funding from the Department of Human Services.
Children qualify through the following funding sources: the Regional Head Start Program, Colorado Preschool
Program, School District Disabilities Funds and families paying for services. FENWC currently has twelve sties
located throughout Weld County.
I. OBJECTIVES, NEED FOR ASSISTANCE AND GEOGRAPHIC AREA
No additional information is being reported as there are no major changes.
II. PROGRAM APPROACH AND RESULTS OR EXPECTED BENEFITS
No major changes are being proposed. The Family Educational Network
of Weld County proposes to continue a comprehensive Head Start Program in Weld County, providing
services to low-income families and children. Our targeted enrollment is 562 Head Start eligible children
and 48 State-funded children.
9/17/2004 2:51:00 PM 17
Basic HS Grant Application
Weld County Division of Human Services 08CH0019 / 000 / 2005
Program Narrative
The current Community Assessment and school district counts have pointed out significant growth in south
and east Weld County towns, such as Fort Lupton, the top school district in Weld for children receiving free
and reduced lunches. In Greeley in 2003 the school district experienced zero growth. In 2004, for a
second year in a row, growth is at zero. The program has requested a change of scope to increase its
collaboration with Fort Lupton and may need to consider moving some Head Start slots to the area to
address the increasing need.
The Family Educational Network of Weld County is committed to providing
at-risk children and families with a developmentally appropriate,
comprehensive program which will promote self-esteem, foster social
competence, develop independence, and enable children and families to
experience future lifetime successes.
Belief Statements: We believe
• In a high quality program which provides continued education and services to families and
children before, during and after Head Start services,
• In building a network of partnerships with the community, staff and families to establish mutual
respect of the services we share among one another,
• That educating children, families and staff in basic health and nutrition practices will establish
a firm foundation for positive and culturally relevant learning and well-being,
• That the power of families happens when the community comes together and shares the
responsibility of helping the families and educators share their ideas and opinions to be better
heard and respected,
• That working together as a team, including staff and families, we can create a comprehensive
program which will meet everyone's needs,
• In a supportive, culturally sensitive learning environment for children, parents and staff that is
developmentally and age-appropriate and promotes social competence, emotional physical
and cognitive growth,
9/17/2004 2:51:00 PM 18
Basic HS Grant Application
Weld County Division of Human Services 08CH0019 / 000 / 2005
Program Narrative
• In promoting and respecting personal and professional growth, and in helping to build a
community that respects and supports the individual needs of each staff member, adult, and
child in our program, thereby ensuring that children and families with diverse needs are valued
members of society.
RESULTS OR BENEFITS EXPECTED
Expected Program Benefits:
• To improve the child's health and physical abilities, including taking appropriate steps to correct present
physical and mental problems and to enhance every child's access to an adequate diet,
• To improve family attitudes toward their future health care and physical abilities,
• To encourage self-confidence, spontaneity, curiosity and self-discipline which will assist in the development
of the child's social and emotional health,
• To enhance the child's mental processes and skills with particular attention to conceptual and
communications skills,
• To establish patterns and expectations of success for the child, which will create a climate of confidence for
present and future learning efforts and overall development, to increase the child's and the family's ability to
relate to each other and to others, and
• To enhance the sense of dignity and self-worth within the child and family.
Results: The following goals were identified through the self-assessment and 2001 and 2003 PRISM reviews
and have been achieved.
• Reorganization of the Administrative structure, including a move to a one-Director system.
• Separation of the Policy Council into a MSHS Policy Council and a RHS Policy Council.
• Reorganize the Program Governance system.
• Implement the National Reporting System for all 4-year-old children.
• Implement an improved nutrition protocol.
• Continued movement toward 100% implementation of national initiatives, including Father
Involvement, staff qualifications, Management Initiative, T/TA Plan initiative and literacy-based
curriculum.
9/17/2004 2:51:00 PM 19
Basic HS Grant Application
Weld County Division of Human Services 08CH0019 / 000 / 2005
Program Narrative
• Reorganization of the Administrative structure, including a move to a one-Director system.
• Separation of the Policy Council into a MSHS Policy Council and a RHS Policy Council.
• Reorganize the Program Governance system.
• Implement the National Reporting System for all 4-year-old children.
• Implement an improved nutrition protocol.
• Continued movement toward 100% implementation of national initiatives, including Father
Involvement, staff qualifications, Management Initiative, 1/TA Plan initiative and literacy-based
curriculum.
9/17/2004 2:51:00 PM 20
FAMILY EDUCATIONAL NETWORK OF WELD COUNTY
PA 20 TRAINING AND TECHNICAL ASSISTANCE
PROGRAM YEAR 2005
Plan Narrative
Stage I: Plan Foundation
The development of FENWC's Training and Technical Assistance plan involved
the review and utilization of data from the following:
2001 and 2003 PRISM review results,
An analysis of Self-Assessment data, including child outcomes,
National Head Start initiatives and priorities,
The Strategic Plan goals and objectives,
Professional Development Plans and Performance Appraisals of staff,
Parent surveys,
Staff Surveys,
Community Assessment data, and
NRS data
Not only did the analysis include identification of performance gaps, but focused
as well on the program's efforts toward continuous improvement.
• The 2001 and 2003 PRISM Reviews identified deficits in the Program's
governance system. Although those deficits have been corrected, there is
still a strong focus on strengthening the system.
• Also identified from the Self-Assessment, professional development plans
and surveys is the need to better define and structure the Program's
system of Staff Professional Development. This critical focus, also a
national priority, is driving the reorganization of the program's current
system.
• Staff performance appraisals and surveys targeted a better understanding
of the Performance Standards and understanding Head Start systems as
a training and technical assistance priority.
The Community Assessment, staff and parent surveys and NRS data
identified a need to move toward the adoption of a literacy-based
curriculum to supplant the current play-based model. Large numbers of
kindergartners in the cachement area have been identified as beginning
school with poor literacy skills.
Prioritization: The ranking of priority of needs was based on 1) areas of
program non-compliance, 2) national Head Start Branch initiatives and priorities,
3) community assessment identified needs, and 4) self-assessment and survey
identified needs.
II. Stage 2: Training and Technical Assistance Goals for 2005:
FENWC has identified four (4) priority goals, listed below, to be addressed by this
Training and Technical Assistance Plan. Each of these goals is developed in
detail on the following pages, to include measurable objectives and learning
outcomes, training activities, learning outcomes, resources, cost, and timeline.
Goal#1 Literacy: FENWC will investigate and adopt a pre-school
curriculum that supports national child-literacy initiatives
Goal #2 Program Governance: FENWC will improve the effectiveness of
the program's governance system.
Goal #3 Staff Professional Development: FENWC will improve the
effectiveness of the program's Staff Development System.
Goal #4 Staff Professional Development: FENWC will insure staff's
understanding of the Head Start Performance Standards as they relate to
implementation of the Head Start Program.
III. Stage III Plan and Delivery System
See the Budget Detail and the following attachments that plot the plan and its
system of delivery.
IV. Stage IV Monitor Progress
FENWC will utilize its internal monthly monitoring system, performance
evaluation, staff, parent and community surveys, NRS and child-outcomes data,
monthly staff and parent meetings, Policy Council meetings, Governing Board
meetings and its annual Program Self-Assessment to report progress and
monitor expenditures, as well as to measure and evaluate the effectiveness of
the Training and Technical Assistance Plan, as outlined in the attachments that
follow. Those findings will be utilized as a means to adjust or modify goals or
objectives as the program moves through the Plan. The program will maintain
ongoing documentation in the Program Training Record of the delivery of all
T/TA.
V. Stage V Evaluation
FENWC will utilize its internal monthly monitoring system, performance
evaluation, staff, parent and community surveys, NRS and child-outcomes data,
monthly staff and parent meetings, Policy Council meetings, Governing Board
meetings and its annual Program Self-Assessment to report progress and
monitor expenditures, as well as to measure and evaluate the effectiveness of
the Training and Technical Assistance Plan, as outlined in the attachments that
follow. Those findings will be utilized as a means to adjust or modify goals or
objectives as the program moves through the Plan. Recommendations
developed through this process will be key in the development of the T/TA Plan
for the following year.
TRAINING AND TECHNICAL ASSISTANCE PLAN 2005
PROGRAM AREA: Child Literacy/Education
GOAL#1: FENWC will investigate and adopt a pre-school curriculum that supports national child-literacy initiatives and local initiatives.
OBJECTIVE: By 2006, a literacy-based curriculum will be operational in all FENWC pre-school classrooms.
OUTCOMES: Program staff and parents will improve their understanding of what constitutes a literacy-based,developmentally-appropriate pre-school curriculum
as measured by the development of curriculum evaluation criteria.
Program staff and parents will be able to articulate the strengths of the adopted curricular program as measured by presentations to staff and parent meetings
Program staff will successfully implement the adopted curriculum,as measured by monthly monitoring and performance evaluations
TRAINING ACTIVITY GROUP RESOURCES COST EVALUATION TARGET
DATE
Criteria will be developed for determining a Ed. Specailist T/TA facilitator Na Development of Curriculum Evaluation October 2004
curriculum that will best meet program needs. Ed. Coords. Criteria
Program Staff In-kind
Parents,
Identified
Community
Collaborators
Education Component administrative will Ed. Specialist fflA facilitator Na Curriculum materials will be available November/
In-kind December
investigate and secure information about literacy- Ed.Coords. for review by stakeholders. 2004
based curricula to be reviewed and shared with
program staff and parents
Curriculum trainers will be scheduled to review Ed. Specialist Curriculum Variable: Curriculum presentations will be January 2005
their curriculum with staff and parents. Ed. Coords Trainers Approx. $800 documented on Program Planning
Center staff travel Calendar;meeting agendas and minutes
Parents expenses per
visit(3)
Staff and parents will participate in focus groups to Ed. Specialist T/TA facilitator na Agendas, sign-in sheets, criteria 00
Iebruary
5
determine which curriculum best meets identified Ed. Coords evaluation forms.
criteria. Center staff
Parents
Process, findings and recommendations will be Policy Council Ed. Specialist In-kind Staff meeting agenda, Policy Council March 2005
made to program staff and Policy Council Members Center staff aganda,meeting minutes
Parents
Information,recommendations and curriculum Stakeholders Ed. Specialist In-kind Sign in forms;comments March/April
2005
materials will be available to all parents, staff and
Policy Council for review
Curriculum adoption will be approved by Stakeholders Ed. Specialist; In-kind Meeting agendas,meeting minutes May 2005
staff/Policy Council committee
Curriculum materials will be ordered,staff trained All staff Ed. Specialist In-kind Training agenda and materials May 2005
Curric Trainer $9,448
Curriculum will be implemented in pre-school Program Staff Ed. Component In-kind Ed. Component team will monitor and June 2005
classrooms Staff evaluate implementation monthly
NRS test information and child outcomes Ed. Specialist T/TA facilitator na Ed. Component team will gather and Be rnnrng
Fall 2005 and
information will be tracked and analyzed to analyze data ongoing
determine impact of the curriculum
Goal#1 Page 2
TRAINING AND TECHNICAL ASSISTANCE PLAN 2005
PROGRAM AREA: Program Governance
GOAL#2: FENWC will improve the effectiveness of the program's governance system
OBJECTIVE: By 2006,FENWC will provide intensive governance training,including in-dep0th orientation to the Governing Board, the Policy Council and Key Management
Staff Regarding their administrative roles and fiduciary roles and responsibilities and articulation of the process of shared-decision making.
OUTCOMES: Members of the Governing Board,Policy Council and Key Management Staff will understand and be able to articulate the roles and responsibilities of their
group,as measured by the program self-assessment
Members of the Governing Board,Policy Council and Key Management Staff will understand and be able to articulate the roles and responsibilities of the other
respective groups, as measured by the program self-assessment.
Members of the Governing Board,Policy Council and Key Management Staff will understand and be able to articulate how they work in concert with the other
groups in the area of Program Governance,as measured by the program self-assessment.
Meaningful dialog will be initiated and open lines of communication established among the Governing Board,Policy Council and Key Management Staff, as
measured by the program self-assessment.
Program will have developed its 2005-2008 Strategic Plan.
TRAINING ACTIVITY GROUP RESOURCES COST EVALUATION TARGET
DATE',
Strategic Plan Development Retreat. Program Staff, Professional $2,200 Development of 2005-2008 Program January 2005
Parents, Policy Strategic Strategic Plan
Planning
Council, Consultant fee
Governing
Board Location in-kind
T/TA facilitator na
FENWC Management Staff Retreat. Training will Key Head Start $850 for Annual program Self-Assessment June 2005
include the understanding of the function of Training training,
governance in an organization,reviewing Management Consultant travel,
Performance Standards an program governance Staff materials
management systems,creating meaningful program
reports that successfully inform governing groups Location in-kind
and support shared decision-making,and T/TA facilitator na
understanding staff roles as a resource to governing
groups.
Policy Council Retreat. Training will include a Policy Council Head Start $850 for Annual program Self-Assessment September
program overview,review of the Performance Training training, 2005
Standards,the budget planning process,election of Members, Consultant travel,
officers,By-Laws,basic responsibilities of the Exec. Director, materials
policy group members, shared-decision making Director,FCP
responsibilities an dhow shared decision-making Location in-kind
differs from administration,the Policy Council's Specialist T/TA facilitator na
approval function,developing effective leadership
skills and understanding Governing Board and
Policy Council relations and duties.
Governing Board Retreat. Training will include a Governing Head Start $850 for Annual program Self-Assessment October 2005
program overview,review of the Performance Training training,
Standards,the budget planning process,review of Board Consultant travel,
financial management and program oversight Members, materials
responsibilities,understanding basic Exec. Director,
responsibilities of board members,understanding Director Location in-kind
Governing Board and Policy Council relations and T/TA facilitator na
duties,shared decision-making responsibilities,
understanding fincial management and program
oversight responsibilities and creating and
implementing a Strategic Plan.
Governing Board/Policy Council Annual Meeting Governing Management In-kind Annual program Self-Assessment November
Board and Staff 2005
Policy Council Location In-kind
Members,
Exec. Director,
Director,FCP
Specialist
Goal#2 Page 2
TRAINING AND TECHNICAL ASSISTANCE PLAN 2005
PROGRAM AREA: Staff Professional Development/Human Resources
GOAL#3: FENWC will improve the effectiveness of the program's Staff Development System
OBJECTIVE By 2006,FENWC will have in place a clear,structured and well defined system of Staff Professional Development
OUTCOME: By 2006, 100%of non/minimally degreed FENWC staff will have successfully completed course work toward their identified degree/certificate program,as
measured by Staff Development Tracking System, Aims Community College Mentor Reports,Professional Development Plan,and Performance Evaluation.
TRAINING ACTIVITY RESOURCES COST ' EVALUATION TARGET
GROUPDATE
FENWC will investigate successful Staff Career T/TA facilitator Na Meeting agendas,minutes January 2005
Development Systems Development
CDC In-kind
Committee,Ed. Ed. Component in-kind
Component
staff
FENWC will select a system that will best meet the Career T/TA facilitator Na Meeting agendas,minutes March 2005
needs of the program Development
CDC In-kind
Committee,Ed. Ed. Component in-kind
Component
staff
Staff will receive training on the new system. All staff T/TA facilitator Na Meeting agendas,minutes May 2005
CDC In-kind
Ed.Component in-kind
FENWC will implement the new system All Staff CDC In-kind Policy and Procedure;Staff May 2005
Ed. Component in-kind Development Handbook
FENWC staff will continue to take course work for All staff T/TA funds, $22,954 Transcripts January 2005
appropriate degree programs Weld County $8.000 ongoing
General Funds
Aims $37,738
Community
College/FENWC
Collaborative
Grant
TRAINING AND TECHNICAL ASSISTANCE PLAN 2005
PROGRAM AREA: Staff Professional Development/Human Resources
GOAL#4: FENWC will insure staffs understanding of the Head Start Performance Standards as they relate to implementation of the Head Start Program.
OBJECTIVE By 2006,FENWC will have provided training to all program staff on the Head Start Performance Standards.
OUTCOME: By 2006, FENWC staff will understand and be able to articulate their understanding of Core Questions 1-18, as measured by the annual program Self-
Assessment.
TRAINING ACTIVITY GROUP RESOURCES COST EVALUATION TARGET
DATE
FENWC will provide training on each of the All staff T/TA facilitator Na Meeting agendas,minutes, self- January 2005,
PRISM Core Questions. assessment ongiong
Component In-kind
Specialist in-kind
ADDRESS INFORMATION FORM
GRANT NUMBER: 08CH0019 GRANT NAME: WELD
COUNTY DIVISION OF
HUMAN SERVICES
1. HEAD START DIRECTOR: Dr. Janet Flaugher
MAILING ADDRESS: 1551 No. 17th Avenue
P. O. Box 1805
CITY, STATE, ZIP: Greeley, Colorado 80632
TELEPHONE NUMBER: (970) 353-3800 ext. 3340
EMAIL: jflaugher@co.weld.co.us WEBSITE:
2. EXECUTIVE DIRECTOR: Walter S1eckman
MAILING ADDRESS: 1551 No. 17t Avenue
P. O. Box 1805
CITY, STATE, ZIP: Greeley, Colorado 80632
TELEPHONE NUMBER: (970) 353-3800 ext. 3317
EMAIL: wspeckman@co.weld.co.us WEBSITE:
3. BOARD CHAIRPERSON: Robert D. Masden
MAILING ADDRESS: 915 10th Street
CITY, STATE, ZIP: Greeley, Colorado 80631
TELEPHONE NUMBER: (970) 356-4000 ext. 4200
EMAIL: rmasden@co.weld.co.us WEBSITE:
4. POLICY COUNCIL CHAIRPERSON: Tom Denning
MAILING ADDRESS: 1551 No. 17th Avenue
P. O. Box 1805
CITY, STATE, ZIP: Greeley, Colorado 80632
TELEPHONE NUMBER: (970) 348-6253
5. FISCAL OFFICER: Marilyn Carlino
MAILING ADDRESS: 1551 No. 17th Avenue
P. O. Box 1805
CITY, STATE, ZIP: Greeley, Colorado 80632
TELEPHONE NUMBER: (970) 353-3800 ext. 3350
EMAIL: mcarlino@co.weld.co.us WEBSITE:
F:\HS&GRANTS\Grants\FORMS\ADDRES-1.DOC
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