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HomeMy WebLinkAbout20000556.tiff RESOLUTION RE: APPROVE APPLICATION FOR FEDERAL ASSISTANCE FOR EDUCATION TECHNOLOGY OPPORTUNITIES PROGRAM 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 an Application for Federal Assistance for Educational Technology Opportunities Program from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, to the U. S. Department of Commerce, National Telecommunications and Information Administration, commencing October 1, 2000, and ending September 30, 2002, with further terms and conditions being as stated in said application, and WHEREAS, after review, the Board deems it advisable to approve said application, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Application for Federal Assistance for Educational Technology Opportunities Program from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, to the U. S. Department of Commerce, National Telecommunications and Information Administration, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said application. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 8th day of March, A.D., 2000. BOARD OF COUNTY COMMISSIONERS W LD COUNTY, COLO' • DO ATTEST: ► 'r �► _�.® C • �q p `arbara J. r meye , Chair Weld County Clerk to the :oar. r- -- , ` y . J. a-ile, Pro-Tem BY: Deputy Clerk to the Boa = ,, Li IlkJ 1�„ e --4--- Georg . Baxter APPROVED AS TO FORM: '' EXCUSED DATE OF SIGNING (AYE) Dale K. Hall Li ? 7 r / Count?Attorney Glenn Vaad�/ � / 2000-0556 HR0071 MEMORANDUM TO: Barbara J. Kirkmeyer, Chair Board of County Y Commissioners ' C FROM: Walter J. Speckman, Executive Director Human l,�f' k Services COLORADO DATE: March 6, 2000 SUBJECT: Application for Technology Funding from the Department of Commerce Enclosed for Board approval is an application to the U.S. Department of Commerce, National Telecommunications and Information Administration for $ Atk The purpose of this proposal is to: $287,970 • Connect the Learning Lab to the Weld County Jail using an existing fiber optics cable to extend the educational opportunities of the Learning Lab to inmates. • Connect the Learning Lab to 19 rural senior centers through the Internet and provide access through the Internet to rural Weld seniors to a wide array of health and senior related information available on Web sites. The request is to cover costs for purchasing hardware and software, phone lines and staff time to execute the project. Questions may be directed to Julie Brewer Computer Services; Charles Dalpra; Human Services Learning Lab; Ken Poncelow ,Weld County Jail, or Linda Piper; Director Area Agency on Aging. 2000-0556 7r OMB Approval No.0348-1043 Application for 2.DATE SUBMITTED Application Identifier Federal Assistance March 6, 2000 1.TYPE OF SUBMISSION: 3.DATE RECEIVED BY STATE State Application Identifier Application Preepplicatlon O Construction C Construction 4.DATE RECEIVED BY FEDERAL AGENCY Federal Identifier E Ncn•Canslructen C Non-Cans:ruction 5.APPLICANT INFORMATION Legal Name Organizational Unit . Board of Weld County Commis ,'ioles Weld County Division of Human Services Address(give city,county,state,and zip code) Name and telephone number of the person to be contacted on matters involving this 915 10th Street aoolicatmon(give area code) Greeley, Weld, Colorado 80632 Walt Speckman (970) 353-3800 office (970) 356-3975 fax 6.EMPLOYER IDENTIFICATION NUMBER(EIN):1ST. 14 16 © n 8 3 7.TYPE OF APPLICANT:(Enter appropriate letter in box) LGJ A. Stale H. tndependent School District B. County I. Slate Controlled Institution of Higher Educator 8.TYPE OF APPLICATION: C. Municipal J. Private University D. Township K. Indian Tribe E. Interstate L. Individual ® New ❑ Continuation 0 Revision F. Intermunicipal M. Profit Organization G. Special District N: Other(soecify) It revision,enter appropriate letter(s)in box(es): ❑ 9.NAME OF FEDERAL AGENCY: A.Increase Award B.Decrease Award C.Increase Duration National Telecommunications and information Administration D.Decrease Duration E.Other(specify): 10.CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER: 11.552 11.DESCRIPTIVE TITLE OF APPLICANTS PROJECT: TITLE: Telecommunications and Information Community Networking and Services Infrastructure Assistance Program "Weld County Educational Technology 12.AREAS AFFECTED BY PROJECT(cities,counties,states,etc.) Opportunities Program" Weld County 13.PROPOSED PROJECT: 14.CONGRESSIONAL DISTRICTS OF: Start Dale I Ending Date a.Applicant b.Project 10/01/00 09/30/02 Colorado - 4 Colorado - 4 15.ESTIMATED FUNDING: 16.IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS? a. Federal S .00 a. YES THIS APPLICATION WAS MADE AVAILABLE TO THE STATE EXECUTIVE ORDER 287,970 12372 PROCESS FOR REVIEW ON: b. Applicant $ 341,952 .00 DATE c. State S .00 b. NO ❑ PROGRAM IS NOT COVERED BY E.C.12372 d. Local $ .00 e. Other $ 00 0 OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW f. Program Income $ .00 17.IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT? g. TOTAL $ .00 0 Yes If"Yes,"attach an explanation No El 629,922 18.TO THE BEST OF MY KNOWLEDGE AND BELIEF,ALL DATA IN THIS APPLICATIONIPREAPPLICATION 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.Typed Name of Authorized Representative b.Title Board of Weld County c.Telephone Number • Barbara J. Kirkmeyer Commissioners, Chair (970) 356-4000 d.Si .ature of Authorized Represen tive e. Date Signed r�' U3/C,YieOcc, Pr vious Edition Usable Standard Form 424(REV .4-92) Prescribed by OMB Circular A-'02 Authorized for Local Reproduction 2 .0,55- 0 c INSTRUCTIONS FOR THE SF 424 Public reporting burden for this collection of information is estimated to average 45 minutes per response,including time for reviewing instructions, searching existing data sources,gathering and maintaining the data needed,and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project(0348-0043),Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET, SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. This is a standard form used by applicants as a required facesheet for preapplications and applications submitted for Federal assistance. It will be used by Federal agencies to obtain applicant certification that States which have established a review and comment procedure in response to Executive Order 12372 and have selected the program to be included in their process,have been given an opportunity to review the applicant's submission. Item: Entry: Item: Entry: 1. Self-explanatory. 12. List only the largest political entities affected (e.g., State, counties,cities). 2. Date application submitted to Federal agency (or State if applicable)&applicant's control number(if applicable). 13. Self-explanatory. 3. State use only(if applicable). 14. List the applicant's Congressional District and any District(s) affected by the program or project. 4. If this application is to continue or revise an existing award, enter present Federal identifier number. If for a new project, 15. Amount requested or to be contributed during the first leave blank, funding/budget period by each contributor. Value of in-kind contributions should be included on appropriate lines as 5. Legal name of applicant,name of primary organizational unit applicable. If the action will result in a dollar change to an which will undertake the assistance activity,complete address existing award, indicate only the amount of the change. For of the applicant, and name and telephone number of the decreases,enclose the amounts in parentheses. If both basic person to contact on matters related to this application. and supplemental amounts are included,show breakdown on an attached sheet. For multiple program funding, use totals 6. Enter Empioyer Identification Number(EIN)as assigned bythe and show breakdown using same categories as item 15. Internal Revenue Service. 16. Applicants should contact the State Single Point of Contact 7. Enter the appropriate letter in the space provided. (SPOC) for Federal Executive Order 12372 to determine whether the application is subject to the State 8. Check appropriate box and enter appropriate letter(s) in the intergovernmental review process. space(s)provided: 17. This question applies to the applicant organization, not the — "New means a new assistance award. person who signs as the authorized representative. — "Continuation means an extension for an additional Categories of debt include delinquent audit disallowances, funding/budget period for a project with a projected loans, and taxes. completion date. — "Revision" means any change in the Federal 18. To be signed by the authorized representative of the applicant. Government's financial obligation or contingent liability A copy of the governing body's authorization for you to sign from an existing obligation. this application as official representative must be on file in the applicant's office. (Certain Federal agencies may require that 9. Name of Federal agency from which assistance is being this authorization be submitted as part of the application.) requested with this application. 10. Use the Catalog of Federal Domestic Assistance number and title of the program under which assistance is requested. 11. Enter a brief descriptive title of the project. If more than one program is involved,you should append an explanation on a separate sheet. If appropriate (e.g., construction or real property projects),attach a map showing project location. For SF 424 Back(REV 4-52) preapplications, use a separate sheet to provide a summary description of this project. OMB Approval No.0348-0044 BUDGET INFORMATION—Non-Construction Programs SECTION:A-Budget Summary Grant Program Catalog of Federal Estimated Unobligated Funds New or Revised Budget Function Domestic Assistance or Activity Number (a) (b) Federal Non-Federal Federal Non-Federal Total (C) (d) (c) (f) (y) 1 NTIA/TIIAP 11.552 $ $ $ 287,970 $ 341,952 $ 629,922 2 3 4 5 Totals $ $ $ 287.970 $ 341,952 $ 629,922 SECTION 8-BUDGET CATEGORIES 6. Object Class Categories GRANT PROGRAM,FUNCTION,ACTIVITY Total (5) (1)FEDERAL (2)NON-FEDERAL (3) 1 (4) -I i a. Personnel $ 61,090 $ 152,332 $ $ $ 203,534 b. Fringe Benefits 15,272 15,473 30,745 c. Travel 1,911 0 1,911 d. Equipment 75,362 14,909 90,271 e Supplies 5,415 0 5,415 f. Contractual 30;976 9.528 40,504 - _ 9. Construction 0 0 0---, h. Other 97,944 149,710 j 247,654 I. Total Direct Charges(sum of 6a-0h) 287,970 341,952 629,922 , j. Indirect Charges k TOTALS(sum of 61 and 6j) $ $ 341,9 52 $ $ $ , 287,970 629,922 7 Program Income $ $ $ $ $ Previous Edition Usable Authorized for Local Reproduction �J StanJar6 1.'O11424A(4-92) Prescribed by OMB Circular A-102 • SECTION C NON-FEDERAL SOURCES (a)Grant Program (b)Applicant (C) State (d)Other Sources (e)Totals 8 NTIAITIIAP $ $ $ $ 341 .95? 341,952 9. 10. 11. 12. TOTAL.S(sum of lines 8-11) $ 341 952 $ $ $ 341.952 SECTION D-FORECASTED CASH NEEDS 13- Federal Total First Year 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter $ 216,828 $ 157,749 $ 24,063 $ 17,507 $ 17,509 14. Non-Federal 190,325 80,051 36,758 36,757 36,759 15 TOTAL(sum of lines 13 and 14) $ $$$$ 407,153 237,800 60,821 54,264 54,268 SECTION E-BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT (a)Grant Program FUTURE FUNDING PERIODS(Years) (b)First (c)Second (d)Third (e)Fourth 16. NTIA/TIIAP $ 71 , 142 $ $ $ 17. 18. 19. 20. TOTALS(sum ot lines 16-19) $ 71,142 $ $ $ SECTION F-OTHER BUDGET INFORMATION) 21. Direct Charges. 22. Indirect Charges. 23 Remarks Authorized for Local Reproduction Standard Dorm 424A(4-92)Page OMB Approval No.0348-3040 ASSURANCES--NON-CONSTRUCTION PROGRAMS Public reporting burden for this collection of information is estimated to average 15 minutes per response,including time for reviewing instructions,searching existing data sources,gathering and maintaining the data needed,and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information,including suggestions for reducing this burden,to the Office of Management and Budget,Paperwork Reduction Project.(0348-0040),Washington,DC 2.0503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET, SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Certain of these assurances may not be applicable to your project or program. If you have any questions, please contact the awarding agency. Further,certain Federal awarding agencies may require applicants to certify 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 7. Will comply,or has already complied,with the requirements of institutional, managerial, and financial capability (including Titles II and Ill of the Uniform Relocation Assistance and Real funds sufficient to pay the non-Federal share of project cost)to Property Acquisition Policies Act of 1970(P.L.91-646),which ensure proper planning,management.and completion of the provide for fair and equitable treatment of persons displaced or project described in this application. whose property is acquired as a result of Federal or federally assisted programs. These requirements apply to all interests 2. Will give the awarding agency,the Comptroller General of the in real property acquired for project purposes regardless of United States, and if appropriate. the State, through any Federal participation in purchases. authorized representative,access to and the right to examine all records,books,papers,or documents related to the award; 8. Will comply with provisions of the Hatch Act(5 U.S.C.§§1501- and will establish a proper accounting system in accordance 1508 and 7324-7328), which limit the political activities of with generally accepted accounting standards or agency employees whose principal employment activities are funded directives. in whole or in part with Federal funds. 3. Will establish safeguards to prohibit employees from using 9. Will comply, as applicable,with the provisions of the Davis- their positions for a purpose that constitutes or presents the Bacon Act(40 U.S.C.§§276a to 276a-7), the Copelard Act appearance of personal or organizational conflict of interest,or (40 U.S.C. §276c and 18 U.S.C. § 874), and the Contract personal gain. Work Hours and Safety Standards Act(40 U.S.C.§§327-333). regarding labor standards for federally assisted construction 4. Will initiate and complete the work within the applicable time subagreements. frame after receipt of approval of the awarding agency. 10.Will comply, if applicable, with flood insurance purchase 5. Will comply with the Intergovernmental Personnel Act of 1970 requirements of Section 102(a) of the Flood Disaster (42 U.S.C.§§4728-4763)relating to prescribed standards for Protection Act of 1973(P.L.93-234),which required recipients merit systems for programs funded under one of the nineteen in a special flood hazard area to participate in the program and statutes or regulations specified in Appendix A of OPM's to purchase flood insurance if the total cost of insurable Standards for Merit Systems of Personnel Administration(5 construction and acquisition is$10,000 or more. CFR 900:Subpart F). 11.Will comply with environmental standards which may be 6. Will comply with ail Federal statutes relating to prescribed pursuant to the following: (a) institution of nondiscrimination. These include out are not limited to: (a) environmental quality control measures under the National Title VI of the Civil Rights Act of 1964 (P.L. 88-352), which Environmental Policy Act of 1969(P.L.91-190)and Executive prohibits oiscriminatton on the basis of race,color,or national Order(EO)11514;(b)notification of violating facilities pursuant origin;(b)Title IX of the Education Amendments of 1972,as to EO 11738;(c)protection of wetlands pursuant to EO 11990: amended(20 U.S.C. §§ 1681-1683, and 1685-1686), which (d)evaluation of flood hazards in flood plains in accordance prohibits discrimination on the basis of sex;(c)Section 504 of with EC 11988;(e)assurance of project consistency with the the Rehabilitation Act of 1973,as amended.(29 U.S.C.§794), approved State management program developed under the which prohibits discrimination on the basis of handicaps;(d) Coastal Zone Management Act of 1972(16 U.S.C.§§1451 et the Age Discrimination Act of 1975,as amended(42 U.S.C.§§ seq.); (f)conformity of Federal actions to State (Clean Air) 6101-6107),which prohibits discrimination on the basis of age; Implementation Plans under Section 176(c)of the Clean Air (e)the Drug Abuse Office and Treatment Act of 1972(P.L.92- Act of 1955, as amended (42 U.S.C. § 7401 et seq); (g) 255),as amended, relating to nondiscrimination on the basis protection of underground sources of drinking water under the of drug abuse; (f) the Comprehensive Alcohol Abuse and Safe Drinking Water Act of 1974,as amended(P.L. 93-523): Alcoholism Prevention,Treatment, and Rehabilitation Act of and (h) protection of endangered species under the 1970(P.L.91-616),as amended,relating to nondiscrimination Endangered Species Act of 1973,as amended(P.L.93-205). on the basis of alcohol abuse or alcoholism;§§523 and 527 of the Public Health Service Act of 1912(42 U.S.C.290 dd-3 and 12.Will comply with the Wild and Scenic Rivers Act of 1968(16 290 ee-3), as amended, relating to confidentiality of alcohol U.S.C.§§ 1271 et seq.),related to protecting components or and drug abuse patient records:(h)Title VIII of the Civil Rights potential components of the national wild and scenic rivers Act of 1968(42 U.S.C. §3601 et seq.),as amended,relating system. to nondiscrimination in the sale,rental,or financing of housing; (i) any other nondiscrimination provisions in the specific statute(s) under which application for Federal assistance is being made; and (j) the requirements of any other nondiscrimination statute(s) which may apply to the application. • Previous Edtlon Usable Standard Form 424e 14/92) Prescribed by CMB Circular A-102 Authorized for Local Reproduction 13.Will assist the awarding agency in assuring compliance with 16.Will comply with the Lead-Based Paint Poisoning Prevention Section 106 of the National Historic Preservation Act of Act(42 U.S.C.§§4801 et seq.),which prohibits the use of 1966,as amended(16 U.S.C.470),EO 11593(identification lead-based paint in construction or rehabilitation of and protection of historic properties),and the Archaeological residence structures. and Historic Preservation Act of 1974(16 U.S.C.469a-I et seq.). 17.Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act 14.Will comply with P.L 93-348 regarding the protection of of 1984. human subjects involved in research, development, and related activities supported by this award of assistance. 18.Will comply with all applicable requirements of all other Federal laws, executive orders, regulations, and policies 15.Will comply with the Laboratory Animal Welfare Act of 1966 governing this program. (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. • SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL TITLE 4i . Board of Weld County Commissioners, tiL cre Chair APPLICANT ORGANIZATION Date Submitted Board of Weld County Commissioners Standard Form 4248(4/92)Back FORM OO-511 UNITED STATES DEPARTMENT OF COMMERCE ;7/91) CERTIFICATIONS REGARDING DEBARMENT, SUSPENSION,AND OTHER RESPONSIBILITY MATTERS; DRUG-FREE WORKPLACE REQUIREMENTS AND LOBBYING Applicants should refer to the regulations cited below to determine the certification to which they are required to attest. Applicants should also review the instructions for certification included in the regulations before completing this form. Signature on this form provides for compliance with certification requirements under 15 CFR Part 26,"Governmentwide Debarment and Suspension (Nonprocurement),"and"Governmentwide Requirements for Drug-Free Workplace"and 15 CFR Part 28,"New Restrictions on Lobbying." The certification shall be treated as a material representation of fact upon which reliance will be placed when the Department of Commerce determines to award the covered transaction,grant,or cooperative agreement. 1. DEBARMENT,SUSPENSION,AND OTHER RESPONSIBILITY (1)The dangers of drug abuse in the workplace; MATTERS (2)The grantee's policy of maintaining a drug-free workplace: As required by Executive Order 12549, Debarment and Suspension, and implemented at 15 CFR Part 26,for prospective participants in (3) Any available drug counseling, rehabilitation, and employee primary covered transactions,as defined at 15 CFR Part 26,Sections assistance programs;and 26.105 and 26.110- (4) The penalties that may be imposed upon employees for drug (1) The prospective primary participant certifies to the best of its abuse violations occurring in the workplace: knowledge and belief,that it and its principals: (c)Making it a requirement that each employee to be engaged in the (a)Are not presently debarred,suspended,proposed for debarment, performance of the grant be given a copy of the statement required declared ineligible,or voluntarily excluded from covered transactions by paragraph(a); by any Federal department or agency; (d)Notifying the employee in the statement required by paragraph(a) (b)Have not within a three-year period preceding this proposal been that,as a condition of employment under the grant,the employee will convicted of or had a civil judgment rendered against them for - commission of fraud or a criminal offense in connection with obtaining,attempting to obtain,or performing a public(Federal,State, (1)Abide by the terms of the statement;and or local)transaction or contract under a public transaction;violation of Federal or State antitrust statutes or commission of embezzlement, (2)Notify the employer in writing of his or her conviction for a violation theft,forgery,bribery,falsification or destruction of records, making of a criminal drug statute occurring in the workplace no later than five false statements,or receiving stolen property; calendar days after such conviction; (c) Are not presently indicted for or otherwise criminally or civilly (e) Notifying the agency in writing, within ten calendar days after charged by a government entity (Federal, State, or local) with receiving notice under subparagraph (d)(2) from an employee or commission of any of the offenses enumerated in paragraph(1)(b)of otherwise receiving actual notice of such conviction. Employers of this certification;and convicted employees must provide notice,including position title, to the Director, Office of Federal Assistance, Office of Federal (d) Have not within a three-year period preceding this Assistance and Management Support, HCHB Room 6054, U.S. application/proposal had one or more public transactions (Federal, Department of Commerce, Washington, DC 20230. Notice shall State,or local)terminated for cause or default. include the identification number(s)of each affected grant: (2)Where the prospective primary participant is unable to certify to (f) Taking one of the following actions, within 30 calencar days of any of the statements in this certification,such prospective participant receiving notice under subparagraph (d)(2), with respect to any shall attach an explanation to this proposal. employee who is so convicted- (1)Taking appropriate personnel action against such an employee, 2. DRUG-FREE WORKPLACE REQUIREMENTS up to and including termination,consistent with the requirements of Alternate I.Grantee Other Than Individuals the Rehabilitation Act of 1973,as amended;or As required by :he Drug-Free Workplace Act of 1988, and (2) Requiring such employee to participate satisfactorily in a drug implemented at 15 CFR Part 26,Subpart F,for grantees,as defined abuse assistance or rehabilitation program approves for such at 15 CFR Part 26,Sections 26.605 and 26.610- purposes by a Federal, State, or local health, law enforcement, or other appropriate agency; A.The grantee certifies that it will or will continue to provide a drug- (g) Making a good faith effort to continue to maintain a drug free free workplace by: workplace through implementation of paragraphs(a),(b),(cS,(d},(e), (a) Publishing a statement notifying employees that the unlawful and(f). manufacture, distribution, dispensing, possession, or use of a B.The grantee shall insert in the space provided below the site(s)for controlled the hesactio is hat wi l in the grantee's employeesworkplace and the performance of work done in connection with the specific grant; specifying actions that will be taken against for violation of such prohibition: (b)Establishing an ongoing drug-free awareness program to inform employees about- Authorized for Local Reproduction USCOMM DC 91-7115 • Place of Performance:(Street address,city,county,state,ZIP code): 2)If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing an officer or employee of an agency,a Member of Congress,an officer or employee of 1551 North 17th Avenue/PO Box 1805 Congress,or an employee of a Member of Congress in connection • with this Federal contract,grant,loan,or cooperative agreement,the Greeley, Weld, Colorado 80632 undersigned shall complete and submit Standard Form-!_LL, "Disclosure Form to Report Lobbying."in accordance with its instructions. Check❑if there are workplaces on file that are not identified here. (3)The undersigned shall require that the language of this ternate II.Grantees Who Are Individuals required by the Drug-Free Workplace Act of 1988,and 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 subrecipientsl mplemented at 15 CFR 26,Subpart F,for grantees,as defined at 15 shall certify and disclose accordingly. FR Part 26,Sections 26.605 and 26.610- This certification is a material representation of fact upon,which A)The grantee certifies that,as a condition of the grant,he or she will reliance was placed when this transaction was made or entered into. t engage in the unlawful manufacture,distribution,dispensing, Submission of this certification is a prerequisite for making or ssession,or use of a controlled substance in conducting any activity th the grant; 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 of not less than$10,000 and not more than B) If convicted of a criminal drug offense resulting from a violation $100,000 for each such failure. ccurring during the conduct of any grant activity,he or she will report he conviction,in writing,to the Director,Office of Federal Assistance, Statement for Loan Guarantees and Loan Insurance ffice of Federal Assistance and Management Support, HCHB Room 054,U.S. Department of Commerce,Washington, DC 20230. When The undersigned states that, to the best of his or her knowledge and otice is made to such a central point,it shall include the identification belief: umber(s)of each affected grant. If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any LOBBYING agency,a Member of Congress,an officer or employee of Congress, or any employee of a Member of Congress in connection with this s required by Section 1352,Title 31 of the U.S. Code,and commitment providing for the United States to insure or guarantee a mplemented at 15 CFR Part 28,for persons entering into a grant, loan,the undersigned shall complete and submit Standard Form-LLL, perative agreement.or contract over$100,000,or loan or loan "Disclosure Form to Report Lobbying,"in accordance with its uarantee over$150,000,as defined at 15 CFR Part 28, Sections instructions. 8.105 and 28.110,the applicant certifies that to the best of his or her nowledge and belief: Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352,title 31,U.S.Code. 1)No Federal appropriated funds have been paid or will be paid,by or Any person who fails to file the required statement shall be subject to n behalf of the undersigned,to any person for influencing or a civil penalty of not less than$10,000 and not more than$100,000 ttempting to influence an officer or employee of an agency,a Member for each such failure. f Congress,an officer or employee of Congress,or an employee of a ember of Congress in connection with the awarding of any Federal ontract,the making of any Federal grant,the making of any Federal oan,the entering into of any cooperative agreement,and the extension,continuation,renewal,amendment,or modification of any Federai contract,grant,loan,or cooperative agreement. As the duly authorized representative of the applicant,I hereby certify that the applicant will comply with the above applicable certification(s). NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Board of Weld County Commissioners "Weld County Educational Tehnolcgy Opportunities Program" PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Barbara J. Kirkmeyer, Chair SIGNATURE DATE i4' .11(be• it.ki-A-k- J.horized for Local Reproduc on J DISCLOSURE OF LOBBYING ACTIVITIES Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352 (See reverse for public burden disclosure) Form Approved OMB Nu.0348.0046 1. Type of Federal Action: 2.Status of Federal Action: 3.Report Type: ® a.contract ® a.bid/offer/application ® a.initial filing b.grant b.initial award b.material change c.cooperative agreement c. post-award d.loan For Material Change Only: e.loan guarantee f. loan insurance year quarter date of last report 4. Name and Address of Reporting Entity: 5. If Reporting Entity in No.4 is Subawardee,Enter Name and Address of Prime: ❑ Prime ❑ Subawardee Tier (if known) Congressional District,if known: #4 Congressional District,if known: 44 6. Federal Department/Agency: 7. Federal Program Name/Description: National Telecommunications and Informatio-I Technology Opportunities Program Administration, US Department of Commerce CFDA Number.if applicable: 11.552 8. Federal Action Number,if known: 9. Award Amount,if known: $ 10.a. Name and Address of Lobbying Registrant b. Individual Performing Services(including address if different from (if individual,last name,first name, MI): f0a)(last name,first name, Mt) 11 Information requested througn this form is authorize]by title 31 Signature: iz,6"'""— /1 ^""'_'/,w� U.S.C.,section 1352. This disclosure of lobbying activities is a U material representation of faO upon which reliance was placed by Barbara J. Ki rkmeyer the tier above when this transaction was made or entered Into. Print Name: This disclosure is required pursuant to 31 U.S.C. 1352. This Chair, Board of Weld County Commissioners information will be reported to the Congress semi-enrwallyand will Title: be available for public inspection. Any person who fails to file the required disclosure shall be subject to a civil penalty of not less €Telephone No.: (970) 356-4000 Date: 3/(2e/M60 that$10.000 and not more than$100,000 for each such failure. ederalUseOttfje Authorized for Local Reproduction Standard Form LLL INSTRUCTIONS FOR COMPLETION OF SF•LLL,DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity,whether subawardee or prime Federal recipient,at the initiation or receipt of a covered Federal action,or a material change to a previous filing,pursuant to Title 31 U.S.C.section 1352. The filing of a form is required for each payment or agreement to make a payment to any lobbying entity 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 a covered Federal action. Use the SF-LLL-A Continuation Sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1. Identify the type of covered Federal action for which lobbying activity has been secured to influence the outcome of a covered Federal action. 2. Identify the status of the covered Federal action. 3. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported,enter the year and quarter in which the change occurred. Enter the date of the last previously submitted report by this reporting entity for this covered Federal action. 4. Enter the full name,address,city,state,and zip code of the reporting entity. Include Congressional District,if known. Check the appropriate classification of the reporting entity that designates if it is,or expects to be,a primate or subaward recipient. Identify the tier of the subawardee,e.g.,the first subawardee of the prime is the 1st tier. Subawards include,but are not limited to,subcontracts subgrants,and contract awards under grants. 5. If the organization filing the report in item 4 checks"subawardee,"then enter the full name,address,city,state,and zip code of the prime Federal recipient. Include Congressional District,if known. 6. Enter the name of the Federal agency making the award or loan commitment. Include at least one organizational level below agency name, if known. For example,Department of Transportation,United States Coast Guard. 7. Enter the Federal program name or description for the covered Federal action(item 1). If known,enter the full Catalog of Federal Domestic. Assistance(CFDA)number for grants,cooperative agreements,loans,and loan commitments. 8. Enter the most appropriate Federal identifying number available for the Federal action identified in item 1 (e.g., Request for Proposal(RFP) number: Invitation for Bid(IFB)number;grant announcement number;the contract,grant,or loan award number:the application/proposai control number assigned by the Federal agency). include prefixes,e.g.,"RFP-DE-90-001." 9. For a covered Federal action where there has been an award or loan commitment by the Federal agency,enter the Federal amount of the award/loan commitment for the prime entity identified in item 4 or 5. 10. (a) Enter the full name,address,city,state,and zip code of the lobbying registrant under the Lobbying Disclosure A.ct of 1995 engaged by the reporting entity identified in item 4 to influence the covered Federal action. (b) Enter the full name(s)of the individual(s)performing services,and include full address if different from 10(a). Enter the Last Name,First Name,and Middle Initial(Ml). 11. The certifying official shall sign and date the form,print his/her name,title,and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response,including time for reviewing instructions, searching existing data sources,gathering and maintaining the data needed,and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information,including suggestions for reducing this burden,to the Office of Management and Budget,Paperwork Reduction Project(03-48-00-46),Washington,DC 20503. DISCLOSURE OF LOBBYING ACTIVITIES CONTINUATION SHEET OMB Approval No.0346-004a Reporting Entity: page ^f Standard Form-LLL-A Authorized for Local Reproduction WELD COUNTY EDUCATIONAL TECHNOLOGY OPPORTUNITIES PROGRAM EXECUTIVE SUMMARY This is a project intended for the Community Networking and Services primary application area. The Weld County Educational Technology Opportunities Program will provide educational opportunities to rural senior citizens and inmates who have significant barriers to accessing computers and the Internet. Our goals are to bring the resources of the Weld County Human Services Learning Lab to inmates, to bring the Learning Lab educational programs to 19 rural senior centers using the Web, and to provide rural seniors access to the Web for a wide array of health and general information. The partners for this project will be the Human Services Learning Lab,the Weld County Jail, the Weld County Area Agency on Aging and WELDCOS, Inc. The sites will include the Weld County Jail classrooms and 19 rural senior centers located in small communities throughout Weld County. The partners with utilize state of the art educational software, and LAN and Internet technologies to deliver educational products to the end users. The end users will be able to log into the Learning Lab and the Internet to receive training and access information. By expanding the capacity of the Learning Lab, we save cost and duplication of effort while serving two diverse groups currently outside the purview of the Lab. We expect to decrease recidivism with the inmate population which has been substantiated by national research and to lessen the disparity between rural and urban senior usage of computers and the Internet. PROJECT NARRATIVE PROJECT PURPOSE The purpose of this project is to provide educational opportunities through the use of electronic technology to two very diverse groups, rural senior citizens of Weld County and inmates of the Weld County Jail. Though diverse in needs and situations, both these groups have barriers to accessing the educational benefits offered by computer technology. There are 20,450 seniors residing in Weld County who are 60 years of age or older. Of these, 7,566 or 37% are rural seniors residing in 28 incorporated towns and on farms and ranches. Eleven percent (11%0) of these seniors are Hispanic and 10.5% are at poverty level. (Data Source: 1998 Final Population Estimates, CO Division of Local Government, prepared November 30, 1999 ) Distance has traditionally been a barrier to services for rural Weld seniors. (Weld County is the size of the State of Connecticut covering 4,004 square miles.) In some instances, travel to Greeley, the county seat, is a 160 mile round trip. A new distance barrier, the "digital divide," is a growing problem for many Weld seniors. Cost, unfamiliarity, lack of self confidence and preconceived ideas about computers widen the digital divide between seniors who use and those who do not use computers. If this divide continues to grow, too many rural seniors will be unable to access the growing array of senior health information, education and information about services that is available on the Internet. Weld County Jail inmates, for obvious reasons, face barriers to educational opportunities. These include their incarceration and their past history as it relates to the lack of success in their former educational environment. Currently, the recidivism rate for Weld's inmates is 93%. The problem, in succinct terms, is how to reduce this rate and improve the chances for inmates to be successful in the"outside world" once they are released from the jail. Counselors working with inmates to help them find employment report that the majority are ill prepared to complete application forms, lack basic educational skills and have attitude problems. Counselors want to better prepare the inmates and themselves for identifying appropriate work settings for released inmates. With the average education rate of Weld's inmates at 10.5 years of formal schooling and with changing workforce needs for well educated and well trained workers, Weld County would benefit from providing selected inmates with a distance learning opportunity to obtain GED status or a jump start toward GED status. To that end, the Weld County Area Agency on Aging, WELDCOS, Inc. (the umbrella association for the 19 rural sites referred to above), the Weld County Jail and the Weld County Human Services Learning Lab propose to enter into a unique collaborative partnership to take advantage of the technical expertise and the educational opportunities available through the Learning Lab. The Learning Lab has the capability to provide a state of the art distance learning package to rural seniors and inmates utilizing computers and Internet technology that would be linked to the Weld County Jail and 19 rural senior centers throughout the county. Beyond that, once connected to Page 1 of 7 the Internet, rural seniors could avail themselves of unlimited information on health and senior services available through the Web. Inmates would not be given access to the Internet. National studies provide overwhelming evidence that prison-based educational programs dramatically reduce recidivism rates and assist with crime prevention. According to the Federal Bureau of Prisons, there is an inverse relationship between recidivism rates and education. The more education received, the less likely an individual is to be re-arrested or re-imprisoned (Mahon, Nancy, et al. 1997). We expect that Weld County inmates will have a higher probability of successful reintegration into the community. We expect that counselors working with the inmates will be able to improve their ability to work with the inmate and employers to place the inmate in appropriate employment. With a recidivism rate at 93% in Weld County, incarceration alone is clearly not enough. We expect that the current 1% of rural seniors using computers and accessing the Internet will increase by a conservative 15% in three years. We expect rural senior participants at our 19 sites to increase purchases of computers for home use once they become comfortable with a computer. We expect that the efficiency in imparting health and aging services information to the 19 centers will be greatly enhanced and will even the "playing field" between rural seniors and other populations in the county who are far ahead of them on computer and Internet usage. As seniors become more comfortable with computers and the Internet, we expect many will become interested in advancing their skills by attending more formalized computer training that could occur at the Human Services Learning Lab, Aims Community College or at various high schools throughout the county. INNOVATION This project is proposing to build and expand upon the capabilities of the Learning Lab which began in 1990 under the auspices of the Weld County Human Services Employment Services Program. The original mission of the Learning Lab was to provide an alternative educational delivery mode to those typically not successful in the traditional educational system. Located in Greeley (pop. 76,520), the county seat, the Learning Lab has received national recognition for the use of the latest software and assessment instruments for its participants. These participants include school drop outs, single mothers, dislocated workers, senior workers and others. In 1999, the Learning Lab served hundreds of individuals in 25 different software programs. Through this computer based educational system, more than 70 GEDs were obtained in 1999. The Learning Lab entered into a second phase of development in 1998 by linking with Weld County's 12 Head Start sites and 9 Migrant Head Start sites. Families of Head Start and Migrant Head Start children now have access to the Learning Lab. In 1999, 20 Head Start families utilized the link to the Learning Lab on a monthly basis from the Head Start Centers. The ESL program was utilized the most and one GED was obtained. The linkages between the Learning Lab and the Head Start Programs have been successful. Page 2 of 7 Now that the Learning Lab is well established, we would like to expand the capabilities of the lab to the two diverse groups described above who reside outside the current purview of the Lab. Even though the Weld County Jail is literally next door to the Learning Lab, the inmates have no possibility of access to the Learning Lab unless they leave the jail which in most cases is not allowable. Weld's rural seniors could potentially access the Learning Lab, but distance and lack of transportation are major barriers. We believe that this project is innovative because it is collaborative, builds on and expands the use of proven existing distance learning technology (Learning Lab), eliminates duplication of effort and reaches out to two population groups that have serious barriers to joining the information age. DIFFUSION POTENTIAL There are hundreds of rural senior centers nationwide who experience the same barriers to computers, the Internet and lifelong learning that are faced by rural seniors in Weld County. This project has great potential for diffusion. The aging network is extensive and well developed. The National Association of Area Agencies on Aging (675 nationally), the Administration on Aging, the Colorado Area Agency on Aging Director's Association, the Colorado Association of Senior Centers, and the Colorado Gerontological Society are just a few partners in the Aging Network that would be interested in the senior aspect of this proposal. All provide opportunities for best practice articles in their publications and on their Web sites. The Weld County Jail is a member of the Colorado Sheriffs Association, and the Colorado Jail Association. Other organizations that they would be able to disseminate results of this project to are the American Jail Association, the American Correction Association, the National Institute of Corrections and Colorado Counties, Inc. All the partners participating in this program have information distribution systems, such as newsletters, regular meetings and information sharing networks. Information about this project also will be disseminated through these channels. PROJECT FEASIBILITY The technical approach to this project has two major aspects. To provide access for senior learners in rural Weld, each of 19 existing rural senior centers will be "fitted" with a computer, software, printer, a second phone line, Internet access and email. The senior centers' access to the Learning Lab software programs will be Web based. Additional access will be allowed and encouraged in terms of other Web site opportunities. For the Weld County Jail, which is literally next door to the learning lab, a link will be established through hubs at each end into an existing fiber optics line. This will establish a LAN between the Learning Lab and the 18 computers placed (6 computers each in 3 learning pods) in the Weld County Jail classrooms. The jail, which was built in 1997, is wired for computers in each classroom. Computers will need to be Page 3 of 7 configured for the jail complex to include security and a a firewall. Inmates will log into the computer and connect to the Learning Lab to access a wide variety of educational software managed at the Learning Lab including software to provide remediation skills, aptitude and attitude assessments and GED training. The inmates will not have Web access. The applicants associated with this project bring many years of expertise in their respective fields. The Vocational/Educational Coordinator and overall Project Coordinator for this proposal has 27 years experience in vocational and adult education. It was through his vision and tenacity that the Learning Lab came into being in 1990. With ten years of experience delivering alternative educational programs through state of the art computer technology, he is well qualified to oversee the educational and technological aspects of this program. He will oversee, in cooperation with Weld County Computer Services, the installation of all the hardware and software needed for this project and oversee the Learning Lab staff who will be assigned to "the learners" whether they are inmates or seniors. It will also be his responsibility to generate all reports associated with the documentation and evaluation of this project as it relates to the Learning Lab. The Director of the Area Agency on Aging, who will oversee the organizational implementation of this project at the 19 rural senior sites, has 22 years of experience in managing aging programs in Weld County. The Area Agency on Aging Director's role in this project will be to work with each of the 19 rural sites, one on one,'to implement written agreements of understanding with each site. These agreements will spell out the roles and responsibilities of the sites who participate in the project. She will be responsible for all liaison activity between the senior centers and the town governments and the Learning Lab. She will be the first line of communication from the centers on any questions, issues, or problems which arise from this project. The Director of Inmate Programs for the Weld County Jail brings 25 years of experience and training in professional law enforcement and administration. His role in this project will be the ultimate oversight of the staff and inmates at the Weld County Jail assigned to the Learning Lab project. He will establish the guidelines for inmate participation and supervise the counselors working directly with the inmates. Potentially 350 inmates will have access to this program at any given time. He will act as liaison between the Weld County Jail and the Learning Lab on all questions and issues associated with this project and will be responsible for dissemination of information about the project to networks associated with law enforcement and county government. WELDCOS, Inc., as an umbrella organization for the 19 rural senior centers throughout Weld County, has been in existence since 1985. This organization, working with and through the Area Agency on Aging, acts as a networking environment for rural senior programs, provides training and technical assistance and works to advance the quality of life of all rural seniors in Weld County. This organization operates with support from Area Agency on Aging staff. The monthly WELDCOS meetings will act as a forum to troubleshoot problems and concerns associated with this project and as a forum for communication and further training as needed. Member communities may be added in years to come giving us the potential for expanding this project to Page 4 of 7 seniors in other communities who currently do not have developed senior center sites. To recap, the partners for this project will be the Weld County Human Services Learning Lab, the Weld County Area Agency on Aging, WELDCOS, Inc. and the Weld County Jail. Each partner will contribute considerable in-kind resources to this project. Sustainability from these partners and commitment to the project is solid. The Weld County Jail is committed to continuing this project after the grant period. The costs to maintain this project will be absorbed in the Weld County Jail's special programs' budget. The Area Agency on Aging Director will contribute 10% of her time to this project for each of the two years and continue to contribute time to the project as needed in the future. The Area Agency of Aging proposes to sustain expenses for the monthly fee of the second phone line and ISP charges for each of the 19 centers through solicitation and development of private and corporate sponsorships as well as requested budget increases. In addition, we propose to include a "train the trainer" concept with each of the senior sites so that sites will not be left without local support. COMMUNITY INVOLVEMENT As we considered the scope of this project, we examined the results of a comprehensive grass roots needs assessment conducted by the Area Agency on Aging in 1998 which confirmed the distance barrier for seniors in terms of transportation. We also learned that 22% of those surveyed said that loneliness was a big concern for them. We have met monthly and continue to meet with the WELDCOS who are the incorporated umbrella of the 19 senior sites mentioned throughout this proposal. Monthly, we hear about the need to better address information barriers that exist for seniors and for the senior coordinators at the sites. We have addressed this project with the Area Agency on Aging Advisory Board, appointed by the Weld County Commissioners, with the members of the Long Term Care Advisory Committee and with the WellSpring Advisory Committee (a health and wellness club for seniors). Represented in these groups is the University of Northern Colorado, North Colorado Medical Center, Aims Community College, various senior - centers, health programs, senior advocates, elected officials, community leaders, and loyal volunteers. The Weld County Jail has established educational goals for inmates and collaborative goals for utilizing the community's resources. To that end, the Weld County Jail has been working with the Learning Lab to find appropriate connections. Recently, an agreement was worked out to allow a pilot group of trustees access to the Lab (on site) in a program called "Pre-release Vocational Assessment, Training and Job Referral Assistance Program." This program is a beginning prototype of what would expand to inmates if the computers and hub links to the existing fiber optics line to the Learning Lab could be secured and placed at the jail. Support for end users will vary according to the needs of the two major groups. Inmates will be supported on-site by counseling staff at all times; the Learning Lab will provide educational support between 8:00 a.m. and 10:00 p.m.; ongoing training will be provided at the 19 senior sites Page 5 of 7 quarterly. Formal training will be provided to each site through the Learning Lab prior to deployment of the project. As pan of the agreement of understanding that will be signed with each senior site, the site will be required to have the senior coordinator and one senior or community volunteer experienced with computers and the Internet to be trained on this project and to act as mentors for one on one assistance to senior users. We expect that the more seniors learn, the more they will help each other. In addition, the jail has implemented a jail ministry program which has 200 volunteers from local churches who are prepared to assist inmates in this project. Privacy is an utmost concern for all partners in this project. Regulations are already in place regarding client confidentiality. All partners are accustomed to client privacy and confidentiality and all records will be maintained in accordance with state and federal privacy acts. This technology will be controlled by the Program Coordinator. Current technology allows all client data to be safeguarded, and its use will be an integral part of this project's software and hardware. REDUCING DISPARITIES According to the NITA report, Falling Through the Net: Defining the Digital Divide, "Regardless of income level, Americans living in rural areas are lagging behind in Internet access. Indeed, at the lowest income levels, those in urban areas are more than twice as likely to have Internet access than those earning the same income in rural areas." Also, the Area Agency on Aging Needs Assessment conducted in 1998 by the University of Northern Colorado showed that 40% of the senior respondents live on $15,000 or less. This could provide one important reason why seniors, rural seniors in particular, are lagging behind in using computers and accessing the Internet. The "digital divide" referenced by President Clinton not only results from income barriers, but generational barriers often exist as well. This project would give computer and Internet access to seniors in the non-threatening environment of a senior center rather than in a formal educational setting. The Weld County Jail books 13,000 inmates annually. Of these inmates, 62% are minorities, 20% speak only Spanish, 80% have children, 57% have families on welfare, and 12% have children who have dropped out of school at an average age of 15 years. The educational level of a parent is a clear predictor of both the educational achievements of a child and the level of parental involvement in a child's education. Education of adults can have a positive and long-lasting impact upon the lives of their children. Research shows that quality education is one of the most effective forms of crime prevention. Educational skills can help deter young people from committing criminal acts and can greatly decrease the likelihood that people already in the criminal justice system will get into trouble again. If we as communities do not intervene in this cycle, the disparities between the incarcerated population, their families and the rest of society will increase even more. Page 6 of 7 EVALUATION AND DOCUMENTATION The outcomes for this project will be measured in different ways due to the varying partners involved in this project and their individual goals. The evaluation components for users of the Learning Lab are already in place. These components include a tracking system for every user, profiles on every user, pre/post tests where appropriate, results of scores on various tests, sign in times, activities, and documentation on every lesson attempted. The Learning Lab is capable of generating individual and summary reports. Entry and exit evaluations as well as an inmate course review will be statistically analyzed to determine how well the partnership is meeting the desired objectives of the Weld County Jail Six months after an inmate has completed the program, staff from the jail will conduct a criminal history inquiry about the inmate through the National Crime Information Network and ascertain if the inmate has been reincarcerated within the United States since the conclusion of the program. In addition, jail staff will attempt to locate the inmate and provide an oral or written questionnaire to evaluate their progress after completing the program. The Area Agency on Aging will require as a part of the participation agreement that certain documentation activities occur at the senior site. This will include development of an outreach plan to attract seniors to the project, documentation of both individual and frequency of computer use per individual. The Area Agency on Aging will conduct a pre/post questionnaire at each site to compare extent of computer knowledge and attitudes towards computers against those same factors at one year and two years later. The University of Northern Colorado Human Services Program will assist in developing this pre/post tool. Finally, the Area Agency on Aging will • utilize the monthly WELDCOS meetings to discuss the effectiveness and outcomes of this project. Modifications may be recommended through this forum. All successes, difficulties, and challenges will be documented and disseminated. Page 7 of 7 BUDGET NARRATIVE PERSONNEL - Line 6A Project Coordinator. The Educational/Vocational Coordinator will provide the supervision and coordination of this project. This position will be responsible to oversee the system and coordinate with all programs utilizing this project. Twenty percent (20%) of this person's time will be charged to this project. This time will be absorbed into the budgets after the grant period. Based on an annual salary of$32,400, the total project cost will be $12,960. Federal Funds: $12,960 Matching Funds: $0 Total: $12,960 Educational Support. The educational support person will be responsible for maintaining support of all the sites. This position will begin three months into the project. Based on an annual salary of$21,600, the cost to the project will be $37,800. Federal Funds: $37,800 Matching Funds: $0 Total: $37,800 Director of Area Agency on Aging. Ten percent (10%) of this person's time will be charged to this project for oversight and liaison activities with the 19 senior sites. Based on an annual salary of$51,653, the total project cost will be $10,330. Federal Funds: $10,330 Matching Funds: $0 Total: $10,330 Interns. The Weld County Jail will provide trained interns to provide supervision and assistance to inmates with computer assessments and training. The interns will provide a total of 150 hours per month x $5.15 per hour for $773 per month x 12 months for $9,276 per year x 2 years for a total in-kind cost to the project of$18,552. Federal Funds: $0 Matching Funds: $18,552 Total: $18,552 Volunteers. The Weld County Jail will provide volunteers for a total of 80 hours per month. These volunteers, under supervision, will assist-in the classroom management and instruction of inmates. 80 hours per month x $5.15 per hour x 12 months for $4,944 per year x 2 years for a total in-kind cost to the project of$9,888. Eight of the nineteen Area Agency on Aging (AAA) sites will provide volunteer coordinators who will coordinate various services at their individual sites under the supervision of the Community Service Director or the Area Agency on Aging Director. Total in-kind cost to the project will be $19,252. A breakdown of the various sites and the total hours is as follows: • 424A-1 SITE HOURS/YEAR x YEARS IN PROJECT x $5.15 = IN-KIND COST Ault 480 1.75 $4,326 Erie 144 1.75 $1,298 Hill-n-Park 372 1.75 $3,353 LaSalle 540 1.75 $4,867 Lochbuie 144 1 $742 Mead 192 1.75 $1,730 Nunn 216 1.75 $1,947 Wattenburg 192 1 $989 Federal Funds: $0 Matching Funds: $29,140 Total: $29,140 Senior Aide Coordinators. Thirteen of the nineteen AAA sites have Senior Aide Coordinators who will coordinate various services at the their individual sites under the supervision of the Community Service Director or the Area Agency on Aging Director. Twenty percent (20%) of their time will be spent on this project. Total in-kind cost to the project will be $42,750. A breakdown of the various sites and the Senior Aide Coordinator's salaries is as follows: SITE SALARY x YEARS IN PROJECT x 20%= 1N-KIND COST Tri-Town $10,000 1.75 $3,500Ft. Lupton $10,000 1.75 $3,500 Johnstown $10,000 1.75 $3,500 Kersey $12,000 1.75 $4,200Milliken $10,000 1.75 $3,500 Windsor $15,000 1.75 $5,250 Erie $6,000 1.75 $2,100 Eaton $10,000 1.75 $3,500 Pierce $10,000 1.75 $3,500 Platteville $10,000 1.75 $3,500 Lochbuie $6,000 1 $1,200 Wattenburg $10,000 1 $2,000 Grover $10,000 1.75 $3,500 Federal Funds: $0 Matching Funds: $42,750 Total: $42,750 424A-2 Counselor III. There will be one Counselor III position. The Counselor III position will be responsible for the supervision and coordination of the interns and volunteers at the Weld County Jail. This position will maintain weekly, monthly, and annual data for program reporting and evaluation. The position will begin three months into the project. Based on an annual salary of$23,976 for each position, the in-kind cost to the project will be $41,958. Federal Funds: $0 Matching Funds: $41,958 Total: $41,958 Director of Inmate Programs. This person will oversee the overall program for the Weld County Jail. This will include program design and overall supervision and coordination with the Project Coordinator. Twenty percent (20%) of this person's time will be spent on this project. Based on an annual salary of$49,831, the total in-kind cost to the project will be $19,932. Federal Funds: $0 Matching Funds: $19,932 Total: $19,932 Total Federal Funds: $61,090 Total Matching Funds: $152,332 Total Personnel Costs: $213,422 FRINGE BENEFITS - Line 6B Fringe benefits are calculated at 25% of base salary and are included as a cost to the project. Benefits include health care, social security, worker's compensation, short term disability, and retirement benefits. Project Coordinator: 25% of$12,960 for $3,240 Educational Support: 25% of$37,800 for $9,450 Director of Area Agency on Aging: 25% of$10,330 for $ 2,582 Counselor III: 25% of$41,958 for $10,490 In-Kind Director of Inmate Programs: 25% of$19,932 for $4,983 In-Kind Federal Funds: $ Matching Funds: $ Total: $ Total Federal Funds: $15,272 Total Matching Funds: $15,473 Total Fringe Benefits Costs: $30,745 424A-3 TRAVEL - Line 6C The educational support person will make round trips to each site quarterly for set up, occasional maintenance, and ongoing training. Based on an average of 910 miles for one round trip to all the sites, at Weld County's standard rate of$.30 per mile, the total cost for the two year grand period will be $1,911. Federal Funds: $1,911 Matching Funds: $0 Total: $1,911 Total Federal Funds: $1,911 Total Matching Funds: $0 Total Travel Costs: $1,911 EQUIPMENT - Line 6D Personal Computers-- A personal computer will be installed at each of the 19 AAA sites. Eighteen computers will be installed in the Weld County Jail. One computer will be installed at Human Services Learning Lab. Total cost for all computers needed will be $64,441. Federal Funds: $64,441 Matching Funds: $0 Total: $64,441 File Server— The server required the following or comparable equipment: File Server $2,407 In-Kind CD Stacker $2,621 In-Kind Baystack Switch $2,337 In-Kind Baystack MDA $677 In-Kind Baystack Cascade Module $337 In-Kind Baystack Cascade Return Cable $133 In-Kind Backup Tape Drive $678 In-Kind Array Controller $1,890 In-Kind 4.9 GB Hard Drives $3,624 In-Kind 64 MB Upgrade $205 In-Kind Federal Funds: $0 Matching Funds: $14,909 Total: $14,909 Printers — There will be one printer at the Weld County Jail and one at each of the remaining 19 AAA sites. Total cost for all printers needed will be $6,691. Federal Funds: $6,691 - Matching Funds: $0 Total: $6,691 424A-4 Additional Equipment— The following is a list of additional equipment that will be needed to connect the Weld County Jail to the Learning Lab. Hub $2,800 MDA Cascade Module $1,100 Fiber Patch Cables $150 Copper Patch Cables $180 Federal Funds: $4,230 Matching Funds: $0 Total: $4,230 Total Federal Funds: $75,362 Total Matching Funds: $14,909 Total Equipment Costs: $90,271 SUPPLIES - Line 6E Supplies needed will include one case of computer paper and four printer cartridges per year for each of the 19 AAA sites. Each cartridge costs $30 and each case of paper costs $22.50. Federal Funds: $5,415 Matching Funds: $0 Total: $5,415 Total Federal Funds: $5,415 Total Matching Funds: $0 Total Supplies Costs: $5,415 CONTRACTUAL - Line 6F Phone Service — An additional phone line will be connected at each of the 19 AAA sites for Internet access. The cost for installation will be $150 per site for a total cost to the project of$2,850. The cost for monthly service will be $24 per month per site for a total cost to the project of$9,144. Each site will absorb this cost at the end of the two year project. Federal Funds: $11,994 Matching Funds: $0 Total: $11,994 Internet Service —The 19 AAA sites will be connected to the Internet at a cost of$22 per month. Total cost to the project is $8,382. Each site will absorb this cost at the end of the two year project. Federal Funds: $8,382 Matching Funds: $0 Total: $8,382 424A-5 Weld County owns a fiber optic line which will be used to connect the county jail facility and Human Services Learning Lab. This line will be utilized for this project. Total in-kind cost to this project of$1,128. Federal Funds: $0 Matching Funds: $1,128 Total: $1,128 Additional cables will need to be pulled in the Weld County Jail from the hub to the classrooms. Total cost to the project will be $5,000.. Federal Funds: $5,000 Matching Funds: $0 Total: $5,000 The Weld County Jail contracts with the Child Advocacy and Resource Education (CARE) who will provide coordination with the inmates and their families to deliver family life skills and job skills. The Weld County Jail pays $350 per month for this service for a total in-kind cost to this project of$8,400 for the two year grant period. Federal Funds: $0 Matching Funds: $8,400 Total: $8,400 Services will be provided by Systems Computing Technology (SCT) for project setup consistent with county procedures, not to exceed $5,600. Federal Funds: $5,600 Matching Funds: $0 Total: $5,600 Total Federal Funds: $30,976 Total Matching Funds. $9,528 Total Contractual Costs: $40,504 OTHER - Line 6H Software—The following are software programs that will be accessible to the project. Can I? Series and Employability Assessment $27,950 In-Kind Abilities and Possibilities $4,400 In-Kind Employment Inventory Audio Version $707 In-Kind Employment Inventory $1,040 Test of Adult Basic Education (TABE) $1,600 CCC Destinations for AAA sites $34,194 CCC Destinations for jail $12,889 Corel WordPerfect for AAA sites $1,045 Corel WordPerfect for jail $550 In-Kind Norton Utilities $1,554 Fortress $558 Job Readiness and Job Retention $1,500 In-Kind Understanding Your PC Tutorial $509 In-Kind WordPerfect Tutorial $510 In-Kind 424A-6 Personal Skills Series $2,500 In-Kind Microsoft Office $750 In-Kind Microsoft Office Tutorial $700 In-Kind Windows 95 Tutorial $494 In-Kind Novell Netware Licensing for jail $3,155 Additional Novell Netware Licensing $2,331 In-Kind Netware Upgrade for File Server $1,680 On The Job Series $9,345 In-Kind Federal Funds: $57,715 Matching Funds: $52,246 Total: $109,961 Training of staff at AAA sites — Two persons from each AAA site will be trained on how to access WordPerfect, Destinations, e-mail, and the Internet. It is anticipated each person will train for six hours at a cost of$5 per hour. Total cost for the project will be $1,140. Federal Funds: $1,140 Matching Funds: $0 Total: $1,140 Web Site development and maintenance — A web site will be developed for the Area Agency on Aging and Wellspring Club that will contain comprehensive health information available locally as well as hot links to national health information web sites. Federal Funds: $2,810 Matching Funds: $0 Total: $2,810 Classrooms at the Weld County Jail —The Weld County Jail will provide six classrooms at 225 square feet per room for housing the computers. This is a total of 1,350 square feet @ $1 per square foot per month x 12 months for $16,200 x 2 years for a total in-kind cost to this project of 532,400. Federal Funds: $0 Matching Funds: $32,400 Total: $32,400 Building space at the Area Agency on Aging (AAA) sites —Based on 100 square feet per site @ $1 per square foot, year one of the project will have an in-kind cost for 17 AAA buildings of$15,300. Year two of the project will have an in-kind cost for space in all 19 buildings of$22,800. Total in-kind costs for the two year grant period are $38,100. Federal Funds: $0 Matching Funds: $38,100 Total: $38,100 Utilities for AAA sites — Year one of the project will have an in-kind cost of$10,047 for utilities at 17 AAA sites. Year two of the project will have a total in-kind cost of$1 1,229 for utilities at all 19 AAA sites. Total in-kind costs for the two year grant period for AAA site buildings are $21,276. 424A-7 Federal Funds: $0 Matching Funds: $21,276 Total: $21,276 • 424A-8 Insurance for AAA sites — Year one of the project will have a total of$2,686 for in-kind costs for the insurance at 17 AAA sites. Year two of the project will have a total of $3,002 for in-kind costs for insurance at all 19 AAA sites. Total in-kind costs for the two year grand period for insurance at the AAA sites are $5,688. Federal Funds: $0 Matching Funds: $5,688 Total: $5,688 Weld County Division of Human Services — Administrative staff for supervision of the grant, fiscal tracking, procurement, and personnel secretarial services as well as overhead and operating expenses for the Human Services' utilities and building costs, and operating costs such as supplies for a total project cost of$ for the two year grant period. Federal Funds: $36,279 Matching Funds: $0 Total: $36,279 Total Federal Funds: $97,944 Total Matching Funds $149,710 Total Other Costs: $247,654 INDIRECT COSTS - Line 6J Total Federal Funds: $0 Total Matching Funds: $0 Total Indirect Costs: $0 • 424A-9 STATEMENT OF MATCHING FUNDS The matching funds will consist of cash and in-kind contributions from the various departments of the Weld County Government who are partnering in this project. A summary of the matching funds and the NTIA request is provided below. Cash Contributions from Weld County Jail • $52,448 in salary and fringe for the Counselor III position • $24,915 in salary and fringe for the Director of Inmate Programs Total cash contributions: $77,363 Cash Contributions from Area Agency on Aging • $42,750 in salary for the thirteen Senior Aide Coordinators Total cash contributions: $42,750 In-Kind Contributions from Weld County Jail • ' $18,552 for intern hours • $9,888 for volunteer hours • $9,528 for Contractual Costs • $32,400 for other costs Total in-kind contributions: $70,368 In-Kind Contributions from Area Agency on Aging • $19,252 for volunteers • $65,064 for other costs Total in-kind contributions: $84,316 In-Kind Contributions from Human Services Learning Lab • $14,909 for equipment • $52,246 for other costs Total in-kind contributions: $67,155 TOTAL MATCHING FUNDS $341,952 424A-10 NTIA REQUEST The Weld County Division of Human Services requests that NTIA provide grant funds to cover the following costs: • $16,200 in salary and fringe for the Project Coordinator • $47,250 in salary and fringe for the Educational Support • $12,912 in salary and fringe for the Director of Area Agency on Aging • $1,911 for travel • $75,362 for equipment • $5,415 for supplies • $30,976 for contractual costs • $97,944 for other costs TOTAL NTIA REQUEST: $287,970 424A-11 Hello