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Home My WebLink About20260304 Resolution Approve Application for Disability Benefit Assistance Grant for Supplemental Social Security Income (SSI) and Social Security Disability Insurance (SSDI) and Authorize Chair and Department of Human Services to Sign and Submit 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 the Disability Benefit Assistance Grant for Supplemental Social Security Income (SSI) and Social Security Disability Insurance (SSDI), pursuant to Request for Application Addendum #1, KDOO 2026-14025, from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, to the Colorado Department of Labor and Employment, 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 the Disability Benefit Assistance Grant for Supplemental Social Security Income (SSI) and Social Security Disability Insurance (SSDI), pursuant to Request for Application Addendum #1, KDOO 2026-14025, from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, to the Colorado Department of Labor and Employment, be, and hereby is, approved. Be it further resolved by the Board that the Chair, Jamie Ulrich, Director of the Department of Human Services, and Tanya Geiser, Fiscal Division Director for the Department of Human Services, be, and hereby are, authorized to sign and submit said application. cc: j-l.S D, A cT(cD) 2026-0304 ud\‘qvo HR0098 Application for Disability Benefit Assistance Grant for Supplemental Social Security Income (SSI) and Social Security Disability Insurance (SSDI) Page 2 The Board of County Commissioners of Weld County, Colorado, approved the above and foregoing Resolution, on motion duly made and seconded, by the following vote on the 11th day of February, A.D., 2026: Scott K. James, Chair: Aye 0+0�� Jason S. Maxey, Pro-Tem: Aye �,: '• Perry L. Buck: Aye I Lynette Peppler: Aye Kevin D. Ross: Aye ' r Approved as to Form: ,®;,. ��' Bruce Barker, County Attorney Attest: Esther E. Gesick, Clerk to the Board 2026-0304 HR0098 BOARD OF COUNTY COMMISSIONERS PASS-AROUND REVIEW PASS-AROUND TITLE: Colorado Department of Labor and Employment Disability Benefit Application Assistance Grant Application DEPARTMENT: Human Services DATE: February 3, 2026 PERSON REQUESTING: Jamie Ulrich, Director, Human Services Brief description of the problem/issue: The Department is requesting approval to respond to the Colorado Department of Labor and Employment Disability Benefit Application Assistance Grant solicitation. Funding from this grant would support assistance for Human Services customers in applying for and obtaining Supplemental Security Income (SSI) and Social Security Disability Insurance (SSDI) benefits. This funding will replace the Disability Navigator funding previously received from the Colorado Department of Human Services. Application due by February 20, 2026. What options exist for the Board? • Approval of the Colorado Department of Labor and Employment Disability Benefit Application Assistance Grant Application. • Deny approval of the Colorado Department of Labor and Employment Disability Benefit Application Assistance Grant Application. Consequences: The DHS Family Resource Division will not be able to apply for this grant opportunity. Impacts: The DHS Family Resource Division will not receive grant funding to replace the Disability Navigator funding previously received. Costs (Current Fiscal Year/ Ongoing or Subsequent Fiscal Years): • Total Amount Requested = $248,223.76 • Funded through the Colorado Department of Labor and Employment Disability Benefit Application Assistance Grant. Pass-Around Memorandum; February 3, 2026 — NOT IN CMS 2026-0304 Z/1 \ P(1200C1'? Recommendation: • Approval of the Grant Application and authorize the DHS Fiscal Division Director, the OHS Director and the Chair to sign. Support Recommendation Schedule Place on BOCC Agenda Work Session Other/Comments: Perry L. Buck /411, Scott K. James Jason S. Maxey -34 Plrfs Lynette Peppier Kevin D. Ross f Pass-Around Memorandum; February 3, 2026 — NOT IN CMS • 000rtmentLORADO Depa of TY CDLE Labor and Employment RFA ADDENDUM #1 Disability Application Assistance Grant (DAAG) RFA # KDOO 2026-14025 This addendum is issued for the above-mentioned RFA and corrects the following: 1. Section VI. C.(3), Questions and Inquiries, is hereby replaced with: Submit questions to melissa.ortiz@state.co.us 2. Section VI. D., Pre-application Conference, 2nd paragraph now reads: Should you require reasonable accommodation for the meeting, such as American Sign Language (ASL) interpreter, foreign language interpreter, etc., please send that request to Melissa Ortiz, melissa.ortiz@state.co.us at least ten (10) business days in advance of the Pre-Application Conference. Receipt of this addendum must be reflected on the signature page of the RFA during submission. 262( —C3 - Attachment A - CDLE RFA Cover Sheet It Signature Page RFA Title DAAG RFA Number RFA # KDOO 2026_14025 Company Tax ID 846000813 Company SAM/UEI MKKXT9U9MTV5 Number (FEIN) Number • Company Legal Weld County Company DBA, if N/A Name applicable Company 315 N. 11 th Avenue Address Greeley, CO 80632 Contact Name Julie Witkowski Contact Phone (970)-400-6777 Contact Fax N/A Contact Email witkowjx@weld.gov Should this RFA be modified, applicants should indicate review of all modifications as published on Bidnet. Our Company acknowledges receipt of RFA# KDOO 2026_14025 Modification Numbers (List all applicable numbers): "kV F7 1 Signature of legally authorized representative Date (This may be an electronic signature) Scott K. James Chair, Board of County Commissioners Printed Name Title PARENT COMPANY - A vendor, owned or controlled by a parent company should provide the name, main office address, and tax identification number of that company on a copy of this form. The tax identification number provided should be that of the vendor's parent company who will be legally responsible for performing services under any commitment document resulting from this RFA. THIS FORM SHOULD ACCOMPANY ALL PROPOSALS. A PERSON LEGALLY AUTHORIZED TO BIND THE COMPANY SHOULD SIGN. z (Y2 c 5U- -I Attachment B - Financial Risk Assessment Questionnaire FINANCIAL RISK ASSESSMENT FORM Please complete all of the questions below in their entirety. Failure to complete a question will result in the question being assessed at the highest risk rating for that question. Please retain a copy of this form for your records. Please note that the term "Sub-recipient" refers to the applicant filling out this form. SUBRECIPIENT DETAILS Full legal company or organization name of Subrecipient: Weld County Name and title of person completing this form: Julie Witkowski, Family Resource Division Director Amount of funding requested on this grant application: $ 248,223.76 OPERATION CONSIDERATION The significant aspects of Sub-recipient's operations, the failure of which could impact Sub-recipient's ability to perform and account for the grant deliverables. 1) Sub-recipient's total annual operating budget: $16,740,434 CCY2026 2) Total state, federal and private grants that Subrecipient expects to receive in its current fiscal year, including this grant: • Total number of all grants: 9 • Total dollar amount of all grants: $16,031,722 CCY26 3) Total dollar amount of all grant funding Subrecipient will receive from CDLE in its current fiscal year, including this grant: $1,451,098 SFY25-26 allocation 4) Will the Subrecipient sub-grant any portion of this award? Yes No 5) Total dollar amount of grant funds Subrecipient received in its last fiscal year: $14,900,265 CCY2024 EXPERIENCE CONSIDERATION Sub-recipient's experience and history with the same or similar Federal awards or grants. 6) How many years has Subrecipient been in existence? 165 7) Has Subrecipient administered programs similar to this grant? Yes No • If yes, please list and explain. CDHS Disability Navigator Program. The Disability Navigator Program was a statewide program which aimed to help persons with disabilities participating in the State AND-SO program navigate the application and/or appeal process for federal disability benefits under the SSI program. The goals of the Disability Navigator Program were to assist eligible participants with submitting timely and complete applications for SSI, increase the percentage of SSI approvals, reduce the time to SSI approval, and reduce time on AND-SO. 8) Has Subrecipient satisfactorily met any State, Federal or private grant deliverables in the past? Yes No Not Applicable • If no, please explain what deliverables were not met and why Subrecipient was unable to meet them: Type Answer Here FINANCIAL CONSIDERATION Sub-recipient's financial stability and ability to comply with the grant's financial reporting requirements. 9) Does Subrecipient have a time and effort reporting system in place or maintain time cards to account for 100% of each employee's time (both salaried and hourly employees) broken down by time spent per funding source (or grant), with evidence of supervisory approval? Yes No • If no, If no, explain how Subrecipient intends to document each employee's time by funding source: Type Answer Here 10) Does Subrecipient have an accounting system to track expenditure activity by funding source (or grant), with mechanisms to track multiple activities within the grant? Yes No • If no, explain how Subrecipient intends to keep CDLE's grant segregated from other regular or grant activities of the Subrecipient: Type Answer Here 11) Does Subrecipient maintain time records (timesheets or personnel activity reports) for all employees when their effort cannot be specifically identified to a particular program or cost objective: for example, general administrative staff such as accountants? Yes No • If not, does Subrecipient have an approved alternative system to account for time distribution of overhead salaries and when was it adopted? Type Answer Here 12) Does Subrecipient have a cost allocation plan that spreads all common costs, such as phone, rent, utilities, etc. among all funding sources based on a systematic metric; for example, FTE or square footage? Yes No • If no, describe how the Subrecipient allocates common costs. Type Answer Here MONITORING AND AUDIT RESULT CONSIDERATION Results of Sub-recipient's previous audits or monitoring visits. 1 3) Has Subrecipient received an audit under the Single Audit Act/Uniform Administrative Requirements, 2 CFR Part 200, Subpart F (Government Auditing Standards)? Yes No • If yes, provide a copy (electronic preferred) of its most recent audit report. https://www.weld.gov/Government/Departments/Finance-and- Administration/Accounting-Department/Annual-Report 14) Has the Sub-recipient received an annual financial statement audit under Generally Accepted Auditing Standards (GAAS)? Yes No • If yes, provide a copy (electronic preferred) of its most recent audit report. https://www.weld.gov/Government/Departments/Finance-and- Administration/Accounting-Department/Annual-Report 1 5) Are there any outstanding audit findings from prior audits? Yes No • If yes, identify the following: o Number of Outstanding Control Deficiencies: Type Answer Here o Nature of Outstanding Control Deficiencies: Type Answer Here o Number of Outstanding Significant Deficiencies: Type Answer Here o Nature of Outstanding Significant Control Deficiencies: Type Answer Here o Number of Outstanding Material Weaknesses: Type Answer Here o Nature of Outstanding Material Weaknesses: Type Answer Here INTERNAL CONTROL CONSIDERATION Sub-recipient's ability to safeguard its assets and resources, deter and detect errors, fraud and theft, ensure accuracy and completeness of accounting data, produce reliable and timely financial and management information, and ensure adherence to its policies and plans. 16)Has Subrecipient updated any of its policies and procedures within the last two years? Yes (ongoing, periodic reviews and updates are made as needed) No • If no, please indicate when policies and procedures were last updated. Type Answer Here 17)Does Sub-recipient's accounting system allow it to segregate all assets, liabilities, revenues and expenditures by funding source, and produce a balanced trial balance by funding source or grant? Yes No • If no, explain how the Subrecipient intends to segregate this grant from its other activities. Type Answer Here 18)Does Subrecipient have an active oversight committee/board, and is it provided financial reports and information on a regular basis? Yes No 19)Does Subrecipient have fidelity bond insurance coverage (or any other form of insurance coverage) to protect itself from fraudulent acts of its employees, at a minimum all employees who handle cash? Yes No IMPACT CONSIDERATION Potential impact of Sub-recipient's non-compliance to the overall success of the program objectives. 20)This grant will be disbursed on a cost reimbursement basis. Does the sub- recipient have sufficient liquid assets, including cash, to allow it to manage its finances between the time costs are incurred and reimbursed? Yes No • If no, explain how Subrecipient intends to cover its costs prior to receiving reimbursement. Type Answer Here 21)Has Sub-recipient had any significant changes in its key personnel (e.g. Controller, Executive Director, Accounting Manager, Program Manager, etc.) or its time keeping or accounting systems in the last year? Yes Weld County Chief Financial Officer left October 2025 and Weld County Controller left January 2026 and recruitment for both positions is active; no material changes to staff at the Department of Human Services. Timekeeping system changed from PeopleSoft to Workday in 2024 and financial system changed from Banner to Workday in 2026. No • If yes, explain the changes. Type Answer Here 22)Does Sub-recipient have any potential conflicts of interest in accordance with the State of Colorado which includes any potential or actual situations where any employee's objectivity, professional judgment, professional integrity or ability to perform work related to procurements is compromised by financial, personal or familial interests (see 2CFR 5200.112)? Yes No • If yes, explain the potential conflict of interest. Type Answer Here Please Sign and Date below, electronic signatures are acceptable. Executive Director (or authorized delegee) Date Signature Financial Director Signature Date 70ZCp-030(4—Z Attachment C - Grant Funding Sources Please list ALL grant funding sources your organization currently has under an Active Federal Agreement, State of Colorado Grant Agreement, or Local Agreement and their purpose below. Grant Name Grant Source Purpose of Grant Area Agency on Federal/State/Loc The Older American's Act (OAA) Grant Aging al/Private administers the Senior programs of the Area Agency on Aging (AM). State general funds mirror Federal funding of the Older Americans Act and includes Administration, Information, and Assistance; Health Promotions; Education; Ombudsman; Homemaker; Personal Care; Outreach, Case Management; Counseling; Chore; Transportation; Congregate Meals; Home- Delivered Meals; Visually Impaired; Dental-Vision-Hearing; and Respite. The AAA grant provides several contracted services to older Weld County adults including legal counseling, ombudsman services, homemaker services, personal care, peer counseling, outreach, and transportation. The Congregate Meat Program provides meals to the senior population at nutrition sites around the Weld County. The Home Delivered Meals grant provides home delivered meals through Meals on Wheels. The Health Services grant provides health services to the senior community, including supporting evidence-based health programs. The Elder Abuse grant provides educational training to the community on elder abuse. The Special Ombudsman funds supplement the Ombudsman program. The caregiver respite program provides support to family members who care for relatives at home. Case Management Federal/State The Case Management Agency provides Agency (CMA, case management services to Medicaid- TCMM, SGF) (3 eligible clients for Options to Long-Term Grant Name Grant Source Purpose of Grant distinct grants) Care and State Waiver program services. The program supports individuals who meet nursing facility level of care, allowing them to remain in their homes and communities. Each person served represents a cost-effective alternative to institutional care while supporting better health and quality-of-life outcomes. Workforce Federal Workforce Investment Opportunity Act Innovation Et (WIOA) has several sub-programs Opportunity Act including Reskilling, Upskilling, New- Skilling (RUN) program; the Adult WIOA program, providing employment and training for eligible adults; the Youth WIOA program provides employment and training programs for in-school and out- of-school youth; and the WIOA Dislocated Worker program provides employment and training services to individuals who lost employment at no fault of their own. AmeriCorp Federal The AmeriCorps Program operates in a Youth Corps model prioritizing land, water and energy conservation projects. Community Federal The Community Services Block grant Services Block supports case management and Grant emergency funding assistance for low- income individuals and families who are struggling with homelessness who are migrants or elderly. The goal is to address barriers to self-sufficiency by supporting services which address employment, Education, housing, budgeting, nutrition, and health. Home Care Federal The Home Care Allowance grant provides Allowance case management services to Medicaid eligible clients. Disability Program Federal/State A collaborative agreement between the Navigator CDLE Division of Employment and Grant Name Grant Source Purpose of Grant Training's Workforce Development Programs (WDP), the Division of Vocational Rehabilitation (DVR), and local workforce areas allows the use of the DVR match funding option to create full-time Disability Program Navigator (DPN) positions at the local workforce area level. These positions increase workforce center programmatic accessibility for individuals with disabilities and serve as liaisons between DVR and the local workforce system. The DPN position serves as a disability subject matter expert (SMEs) and possesses the skills needed to help individuals with disabilities access all disability-related and workforce services to gain meaningful employment. Attachment D - Sponsoring Division/Applicant Questionnaire Application Questions Applicant Information 1. Organization Director: Jamie Ulrich 2. Director Cell Phone: (970)-400-6510 3. Director Email: ulrichjj@weld.gov 4. If Organization Contact is different from Director, please provide for Org Contact Person a. Org. Contact: Julie Witkowski b. Org. Contact Cell Phone: (970)-400-6777 c. Org. Contact Email: witkowjx@weld.gov 5. Employer Identification Number (EIN): 846000813 6. Year Org. was Founded: 1861 If Org. has existed less than 3 years, please provide sponsor: 7. If the Mailing Address is different from the Org. Physical Address, please provide Mailing Address here: a. P.O. Box A, Greeley, CO 80632 8. List of types of Application Assistance Org. will be providing (You may not answer "ALL"): Social Security Disability Income (SSDI), Supplemental Security Income (SSI), Social Security Redetermination, Social Security Reconsideration, Aid to the Needy and Disabled (AND). Eligibility (Mark with X if applicable) 1. Is your entity's governing board composed of persons with a demonstrated commitment to improving the lives of recipients with disabilities? Yes No N/A 2. Does your entity's governing board include members who understand a range of disabilities? Yes No N/A 3. Is a majority of the board members composed of individuals with disabilities, their immediate family members, or caregivers? Yes No N/A 4. As an alternative to the board composition requirements, does the entity have a contract with an organization that meets the statutory criteria to assume the disability perspective approved by the committee? Yes No N/A, Weld County Department of Human Services Community Advisory Board meets the above requirements. 5. If you are a County Department of Social Service or County Department of Human Service eligible under C.R.S. §8-88-203 (1)(b) through a contract with an organization that meets the governing board requirements of C.R.S. S8- 88-203 (1)(a), please provide the following details for that organization: N/A • Organization Name: • Address: • Contact information: Program Specific Services 1. Description of Proposed Project: The Disability Application Assistance Program is a critical initiative designed to remove barriers for individuals with disabilities who are engaged in Weld County Department of Human Services programs. Navigating the complex application and reconsideration processes for federal disability benefits under Supplemental Security Income (SSI) and Social Security Disability Insurance (SSDI) can be overwhelming and time-consuming, often resulting in delays or denials that leave vulnerable residents without essential support. This program provides hands-on guidance to ensure applications are accurate, complete, and submitted promptly. By streamlining the process, reducing errors, and accelerating timelines, we help eligible individuals access life-changing benefits such as SSI, SSDI, and Aid to the Needy and Disabled (AND). Ultimately, this program strengthens financial stability, improves health outcomes, and promotes independence for some of our community's most at- risk residents. 2. Projected Start Date: 7/1 /2026 3. Projected End Date: 6/30/2027 4. Requested Grant Amount (may not exceed $250,000.00) $248,223.76 a. Final grant amount for an awarded applicant will be determined based upon final budget review and approval. 5. Anticipated Number of People Expected to be Served with this Grant Funding: 150 6. Anticipated Number of SSA (SSDI/SSI) Applications Expected to be Completed:150 Background and Qualifications 1. Describe current disability application assistance programs your organization currently provides, if any, including the populations served, and the number of FTEs within your organization providing this assistance: Weld County currently provides the application assistance described above; however, previous Disability Navigator funding from the Colorado Department of Human Services has ended, and we anticipate a reduction or possible elimination of the local administrative funding that has allowed us to sustain this service. At present, two full-time employees deliver this critical support— one dedicated to individuals over 18 and the other to children and their caregivers. Securing this funding is essential to maintain and continue offering Disability Application Assistance, ensuring that vulnerable residents receive the guidance they need to access life-changing benefits. a. Organization's Mission Statement: Engaging and partnering with the community to improve the safety, health and well-being of individuals and families through the delivery of responsive and collaborative services. https://www.weld.gov/Government/Departments/Human-Services b. Organization's Equity, Diversity, and Inclusion (EDI) Statement: Weld County Government will provide a welcoming environment where all individuals are respected, appreciated, included and valued. The County recognizes the unique perspective and wide range of knowledge diversity affords us. The County is committed to learn from each other and understand that similarities and differences are what create a strong organization and community. Diversity is an inclusive term that includes all the differences which distinguish individuals and groups from each other. The mosaic of the people of the County brings a variety of backgrounds, style, perspectives, values and beliefs as assets to the community. To appreciate diversity is to recognize that the sum of the different groups and individuals is a richer whole than the parts alone. Diversity includes, but is not limited to, race, color, age, disability, creed, religion, cultural background and experience. Diversity is integral to our success as an organization and community which will add to the splendor and desirability of the County as a place to live and work. Weld County expectations. • County employees and volunteers will understand and strive to follow stated County organizational values and mission statement. • The County workforce, public advisory boards and committees will strive to have diverse representation. • County internal systems and policies will reflect commitment to diversity. Examples include hiring practices, selection criteria, recruitment processes, training, etc. • The County work place will be free from all illegal and inappropriate discrimination or harassment. • All County departments and offices will provide services to citizens and clients in a manner that is respectful and free from illegal or inappropriate discrimination or harassment. If the County's expectations as listed above are not met, the following procedures will apply. • Employee reports the problem to a responsible County official, such as a supervisor, elected official, department head or the Director of Human Resources. • The official receiving the report documents all information received and persons spoken to and notifies the Department of Human Resources within twenty-four (24) hours of the alleged incident. • In cooperation with the requesting department, the Department of Human Resources investigates, develops and retains documentation of all allegations and ensures that appropriate corrective actions are taken, including disciplinary measures by the appropriate person when justified, to remedy all violations of this policy. • The Department of Human Resources follows up within thirty (30) days to assure no further violations of the policy have occurred. County policies and internal systems will be monitored by all elected officials and department heads for compliance to this policy. Retaliation of any kind will not be tolerated. (Weld County Code Ordinance 2002-12; Weld County Code Ordinance 2007-4; Weld County Code Ordinance 2007-6) 2. Please provide a list of your governing board members. • Victoria Maul • Regina Weisman (Hunt) • Brittany Logue • Letica Arguello • Cathy Kellogg • Dawn Simmons https://www.weld.gov/Government/Departments/Human-Services/Be- Involved/Boards-Committees-Councils/CMA-Community-Advisory-Committee Colorado Service Regions Rural Region Reference map 1. County of Organization's Primary Location (HQ): Weld 2. Additional Locations (if any): N/A 3. Please list the anticipated counties that will be served. Of these, indicate how many are considered rural and detail the plan for reaching those rural communities. Weld County encompasses one of the largest geographic areas in Colorado, spanning over 4,000 square miles. While it is not officially classified as a rural county, its size and diversity create unique challenges and opportunities. Many of Weld's municipalities and unincorporated communities maintain a distinctly rural character, with agricultural landscapes, wide-open spaces, and limited access to urban infrastructure. This expansive geography means that residents often live far from centralized services, requiring innovative approaches to ensure equitable access to resources and support. The combination of growing urban centers and deeply rooted rural communities makes Weld County a dynamic region with both metropolitan and agricultural identities. Weld County's Disability Application Assistance team is committed to meeting individuals and families where they are, ensuring services are accessible and convenient. The team offers flexible meeting options, including appointments at our office, in clients' homes, or at community locations that best meet their needs. To accommodate residents across our expansive county, staff frequently travel to southern Weld County and utilize local libraries or other accessible venues when preferred by the customer. This approach reflects our dedication to reducing barriers and providing personalized support throughout the application process. Attachment E - Project Budget and Narrative Please submit your Attachment E, Budget and Narrative covering the Grant Program timeline using two separate files: 1 Itemized Budget: An Excel file, utilizing the provided linked budget template. 2. Budget Narrative: A Word document explaining each line item in the budget. Resources and Instructions: • Required Template and Instructions: Please utilize the provided linked budget template, which also includes a sample budget and narrative instructions for reference. o NOTE: The sample budget and narrative provided in the link are for different grant programs but serve as an example of a constructed line item budget and narrative. • Editing the Template: You must make a copy of the template to edit it for your application. • Submission Format: Ensure the Line Item Budget is exported as an Excel file and the Narrative as a Word document for submission to Attachment E. • Travel Reimbursement: Travel expenses will only be reimbursed at a maximum of the State's current mileage rate, which is $0.63/mile, effective January 1, 2025. • Negotiated Indirect Cost Rate (NICRA): If claiming reimbursement for indirect costs using a NICRA, you must provide a complete copy of the current NICRA from the approving agency. Exhibit E Budget Et Narrative Template organization compensation, program costs, contractual costs , and sub-recipient costs. Please see below for definitions of each budget category. Rows BUDGET Line Item Details: Budget Category Time and effort, estimates, quanity Base Costs Unit Total Organizational Compensation SOAR, SSI, SSDI Supervisor/Adult Specialist 1 FTE $111,654.93 Per Year $111,654.93 Fringe/Benefits 42.90% $47,887.78 Per Year $47,887.78 SSI, SSDI Disability Youth Specialist 1 FTE $84,980.62 Per Year $63,735.47 Fringe/Benefits 14.61% $12,420.77 Per Year $9,315.58 Subtotal (Compensation) Program Grant Program Costs Staff mileage reimbursement 1000 miles $0.63 Per Mile $630.00 Supportive Services Costs Client Transportation Assistance for Disability 150 customers $100 Per Customer $15,000.00 Sub Total (Program) Contractual/Sub-Awards Contractual Sub-Award Sub Total (C/SA) Budget Subtotal MTDC or NICRA Base CDLE will verify calculations based on current de minimis rate per MTDC or Indirect Costs Pool approved current NICRA base*. $0.00 Budget Total $248,223.76 Negotiated Indirect Cost Rate Agreement with the State Agency, if award is State Funded; and/or Currently Approved Attestation from State Agency PROPOSED BUDGET NARRATIVE Project Title: Disability Application Assistance Organization: Weld County Department of Human Services Budget Narrative This budget narrative outlines the detailed breakdown and justification for costs associated with the Disability Application Assistance Program proposed by the Weld County Department of Human Services. The proposed budget is designed to directly support the project's goal of helping residents apply for, or navigate the reconsideration process for, federal disability benefits through the Social Security Administration. All expenses are necessary, reasonable, and based on current market rates and the organization's personnel structure. Organizational Compensation Personnel Costs ($175,390.40) The personnel request includes one full-time SSI/SSDI Supervisor/Adult Specialist and 0.75 FTE Children's Specialist. Both positions require strong communication and organizational skills to assist customers in gathering and organizing the necessary documentation to ensure complete applications. These Specialists guide each customer through the entire SSI/SSDI application process, provide support with SSI reconsiderations, and help access programs such as Aid to the Needy and Disabled (AND), Medicaid, and Food Assistance when appropriate. Personnel costs are aligned with current market rates for organizations of similar size and responsibilities. In addition to direct service, the SSI/SSDI Supervisor/Adult Specialist is responsible for training, supervising, and overseeing the work of the Children's Specialist. Fringe Benefits ($57,203.36) All employees are offered a full range of fringe benefits, though the total cost of each employee's benefits package varies based on the options they select. The baseline fringe benefits include retirement, Medicare, Social Security, and short- and long-term disability insurance. Additional optional benefits include health, dental, vision, and life insurance. The proposed fringe benefit rates are consistent with those of organizations of similar size and with comparable responsibilities. Program Staff Mileage ($630.00) Both Specialists provide services at locations most convenient for the customer, based on their request. This includes in-person meetings at any of our four office locations, in the customer's home, or within the community. The proposed mileage reimbursement rate of$0.635 per mile aligns with the state's current standard. Supportive Services Costs ($15,000.00) Funding is requested to provide transportation assistance of up to $100 per customer to help cover travel costs for medical and evaluation appointments required for SSI and/or SSDI applications. Total Requested: ($248,223.76) 1 Attachment F - Sample State of Colorado Grant Agreement Grant Agreements are expected to utilize Small Dollar Grant Awards. Terms and Conditions attached as a separate Word Document (Attachment F- SDGA Terms and Conditions). Exhibit F State of Colorado Small Dollar Grant Award Terms and Conditions 1. Offer/Acceptance. This Small Dollar Grant Award, together with these terms and conditions (including, if applicable, Addendum 1: Additional Terms and Conditions for Information Technology, and Addendum 2: Additional Terms and Conditions for Federal Provisions, below), and any other attachments, exhibits, specifications, or appendices, whether attached or incorporated by reference (collectively the "Agreement") shall represent the entire and exclusive agreement between the State of Colorado, by and through the agency iden ' 'ed on the face of the Small Dollar Grant Award ("State") and the Subrecipient identifies the .ce of the Small Dollar Grant Award ("Grantee"). If this Agreement refers to Grante. s or • 'posal, this Agreement is an ACCEPTANCE of Grantee's OFFER TO PERFORM i accordan the terms and conditions of this Agreement. If a bid or proposal ' so eren , this Agreement is an OFFER TO ENTER INTO AGREEMENT, subject to Gran pta demonstrated by Grantee's beginning performance or written accept e 'Agreement. Any COUNTER-OFFER automatically CANCELS this Agreement, u c' s,e order is issued by the State accepting a counter-offer. Except as provided th t shall not be responsible or liable for any Work performed prior to issu. s e oft g ent. The State's financial obligations to the Grantee are limited by the a )1ip Funds awarded as reflected on the face of the Small Dollar Grant Aw 2. Order of Preceden In the event of a conflic consistency within this Agreement, such conflict or inconsistency shall be resolved by giving preference to the documents in the following order of priority: (1) if applicable, Addendum 2: Additional Terms and Conditions for Federal Provisions, below; (2) the Small dollar Grant Award document; (3) these terms and conditions (including, if applicable, Addendum 1 below); and (4) any attachments, exhibits, specifications, or appendices, whether attached or incorporated by reference. Notwithstanding the above, if this Agreement has been funded, in whole or in part, with a Federal Award, in the event of a conflict between the Federal Grant and this Agreement, the provisions of the Federal Grant shall control. Grantee shall comply with all applicable Federal provisions at all times during the term of this Agreement. Any terms and conditions included on Grantee's forms or invoices not included in this Agreement are void. 3. Changes. Once accepted in accordance with §1, this Agreement shall not be modified, superseded or otherwise altered, except in writing by the State and accepted by Grantee. 4. Definitions. The following terms shall be construed and interpreted as follows: (a) "Award" means an award of Federal financial assistance, and the grant setting forth the terms and conditions of that financial assistance, that a Non-Federal Entity receives or administer.;(b) "Budget" means the budget for the Work described in this Agreement; (c) "Business Day" means any day in which the State is open and conducting business, but shall not include Saturday, Sunday or any day on which the State observes one of the holidays listed in CRS 524-11 01(1); (d) "UCC" means the Uniform Commercial Code in CRS Title 4; (e) "Effective Date" can he date on which this Agreement is issued as shown on the face of the Small Dollar Awa (f) "Federal Award" means an award of federal financial assistance or a c t-reimbur contract, by a Federal Awarding Agency to the Recipient. "Federal Awar•" is eans agreement setting forth the terms and conditions of the Federal Award, w' s an ditions shall flow down to the Award unless such terms and conditions s• 'fi dicate otherwise. The term does not include payments to a contractor or payme a -dividual that is a beneficiary of a Federal program; (g) "Federal Awarding Ag- ' e• a -deral agency providing a Federal Award to a Recipient as described in 2 CF 00.1; " . tee" means the party or parties identified as such in the Grant to which the • onditions apply. Grantee also means Subrecipient; (i) "Grant Funds" me fun hat have been appropriated, designated, encumbered, or otherwise made ava bl nt by the State under this Agreement; (j) "Matching Funds" mean the funds provi ed by t Grantee to meet cost sharing requirements described in this Agreement; (k) "Non-Fede Entity" means a State, local government, Indian tribe, institution of higher education, or nonprofit organization that carries out a Federal Award as a Recipient or Subrecipient; (l) "Recipient" means the State agency identified on the face of the Small Dollar Grant Award; (m) "Subcontractor" means third parties, if any, engaged by Grantee to aid in performance of the Work; (n) "Subrecipient" means an entity that receives a subaward from a pass-through entity to carry out part of a Federal award. The term subrecipient does not include a beneficiary or participant. A subrecipient may also be a recipient of other Federal awards directly from a Federal agency; (o) "Uniform Guidance" means the Office of Management and Budget Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. The terms and conditions of the Uniform Guidance flow down to awards to Subrecipients unless the Uniform Guidance or the terms and conditions of the Federal Award specifically indicate otherwise; and (p) "Work" means the goods delivered or services, or both, performed pursuant to this Agreement and identified as Line Items on the face of the Small Dollar Grant Award. 5. Delivery. Grantee shall furnish the Work in strict accordance with the specifications and price set forth in this Agreement. The State shall have no liability to compensate Grantee for the performance of any Work not specifically set forth in the Agreement. 6. Rights to Materials. [Not Applicable to Agreements issued either in whole in part for Information Technology, as defined in CRS § 24-37.5-102(2); in which case Addendum 1 §2 .lies in lieu of this section.] Unless specifically stated otherwise in this Agreement, all •eri. including without limitation supplies, equipment, documents, content, informat . or . -r material of any type, whether tangible or intangible (collectively "Materia furnishes the State to Grantee or delivered by Grantee to the State in performan • ' a ' s under this Agreement shall be the exclusive property the State. Grantee rn or eliver all Materials to the State ip upon completion or termination of this A e 7. Grantee Records. Grantee shall make, keep, m.'- .in, a llo inspection and monitoring by the State of a complete file of all records, ds�- . munications, notes and other written materials, electronic media file corn inications, pertaining in any manner to the Work (including, but not limited to t o • •rograms) performed under this Agreement (collectively "Grantee Records"). Grante st collect, transmit, and store information related to this Agreement in open and machine-readable formats (2 CFR 200.336). Unless otherwise specified by the State, the Grantee shall retain Grantee Records for a period (the "Record Retention Period") of three years following the date of submission to the State of the final expenditure report, or if this Award is renewed quarterly or annually, from the date of the submission of each quarterly or annual report, respectively. If any litigation, claim, or audit related to this Award starts before expiration of the Record Retention Period, the Record Retention Period shall extend until all litigation, claims or audit finding have been resolved and final action taken by the State or Federal Awarding Agency. The Federal Awarding Agency, a cognizant agency for audit, oversight, or indirect costs, and the State, may notify Grantee in writing that the Record Retention Period shall be extended. For records for real property and equipment, the Record Retention Period shall extend three years following final disposition of such property. Grantee shall permit the State, the federal government, and any other duly authorized agent of a governmental agency to audit, inspect, examine, excerpt, copy and transcribe Grantee Records during the Record Retention Period. Grantee shall make Grantee Records available during normal business hours at Grantee's office or place of business, or at other mutually agreed upon times or locations, upon no fewer than two Business Days' notice from the State, unless the State determines that a shorter period of notice, or no notice, is necessary to protect the interests of the State. The State, in its discretion, may monitor Grantee's performance of its obligations under this Agreement using procedures as determined by the State. The federal government and any other duly authorized agent of a governmental agency, in its discretion, Grantee shall allow the State to perform all monitoring required by the Uniform Guidance, based on the State's risk analysis of Grantee and this Agreement nd the State shall have the right, in its discretion, to change its monitoring procedures a eq ' ements at any time during the term of this Agreement. The State will monitor Grantee' rma in a manner that does not unduly interfere with Grantee's performanc of the Wo ntee shall promptly submit to the State a copy of any final audit repo - a udit p ormed on Grantee Records that relates to or affects this Agreement or t ork he he audit is conducted by Grantee, a State agency or the State's au iri - •resentative, or a third party. If applicable, the Grantee may be required to perform a 8' - a ' under 2 CFR 200.501, et seq. Grantee shall submit a copy of the results o .u. to e State within the same timelines as the submission to the federal goy ment. 8. Reporting. If Grantee is served h a di or other document in connection with an action before a court or other admin rve ision- making body, and such pleading or document relates to this Agreement or may a rantee's ability to perform its obligations under this Agreement, Grantee shall, within 10 days after being served, notify the State of such action and deliver copies of such pleading or document to the State. Grantee shall disclose, in a timely manner, in writing to the State and the Federal Awarding Agency, all violations of federal or State criminal law involving fraud, bribery, or gratuity violations potentially affecting the Award. The State or the Federal Awarding Agency may impose any penalties for noncompliance allowed under 2 CFR Part 180 and 31 U.S.C. 3321, which may include, without limitation, suspension or debarment. 9. Conflicts of Interest. Grantee acknowledges that with respect to this Agreement, even the appearance of a conflict of interest is harmful to the State's interests. Absent the State's prior written approval, Grantee shall refrain from any practices, activities, or relationships that reasonably may appear to be in conflict with the full performance of Grantee's obligations to the State under this Agreement. If a conflict or appearance of a conflict of interest exists, or if Grantee is uncertain as to such, Grantee shall submit to the State a disclosure statement setting forth the relevant details for the State's consideration. Failure to promptly submit a disclosure statement or to follow the State's direction in regard to the actual or apparent conflict constitutes a breach of this Agreement. Grantee certifies that to their knowledge, no employee of the State has any personal or beneficial interest whatsoever in the service or property described in this Agreement. Grantee has no interest and shall not acquire any interest, direct or indirect, that would conflict in any manner or degree with the performance of Grantee's Services and Grantee shall not employ any person having such known interests. 10.Taxes. The State is exempt from federal excise taxes and from Sta n cal s les and use taxes. 11.Payment. Payments to Grantee are limited to the unpaid • e l of the Grant Funds. The State shall not pay Grantee any amount under this --i, t tha exceeds the Document Total shown on the face of the Small Dollar Gra wa The State shall pay Grantee in the amounts and in accordance with the schedul nd o • ons set forth in this Agreement. Grantee shall initiate payment requests by in e S ate, in a form and manner approved by the State. The State shall pay Gr. - or a ounts due within 45 days after receipt of an Awarding Agency's approved i • : _ est, or in instances of reimbursement grant programs a request for reimb m nt co •liant with Generally Accepted Accounting Principles (GAAP) and, if applicable G ent c ounting Standards Board (GASB) of amount requested. Amounts not paid by th ithin 45 days of the State's acceptance of the invoice shall bear interest on the unpaid balance beginning on the 45th day at the rate set forth in CRS §24-30- 202(24) until paid in full. Interest shall not accrue if a good faith dispute exists as to the State's obligation to pay all or a portion of the amount due. Grantee shall invoice the State separately for interest on delinquent amounts due, referencing the delinquent payment, number of day's interest to be paid, and applicable interest rate. The acceptance of an invoice shall not constitute acceptance of any Work performed under this Agreement. Except as specifically agreed in this Agreement, Grantee shall be solely responsible for all costs, expenses, and other charges it incurs in connection with its performance under this Grantee. 12.Term. The parties' respective performances under this Agreement shall commence on the "Service From" date identified on the face of the Small Dollar Grant Award, unless otherwise specified, and shall terminate on the "Service To" date identified on the face of the Small Dollar Grant Award unless sooner terminated in accordance with the terms of this Agreement. 13.Payment Disputes. If Grantee disputes any calculation, determination or amount of any payment, Grantee shall notify the State in writing of its dispute within 30 days following the earlier to occur of Grantee's receipt of the payment or notification of the determination or calculation of the payment by the State. The State will review the information pre ted by Grantee and may make changes to its determination based on this review. The cul ' n, determination or payment amount that results from the State's review shall no bje o additional dispute under this subsection. No payment subject to a dispu under thi ction shall be due until after the State has concluded its review, and the - l not y any interest on any amount during the period it is subject to dispute und- ect 14.Matching Funds. Grantee shall provide Matching Fu ' req, e• - this Agreement. If permitted under the terms of the grant and per this Agree ,t, - ,tee may be permitted to provide Matching Funds prior to or during the c•�'� e . 'ject or the match will be an in-kind match. Grantee shall report to Stat ardi g the status of such funds upon request. Grantee's obligation to pay all an • :ny Matching Funds, whether direct or contingent, only extend to funds duly awf appropriated for the purposes of this Agreement by the authorized representati rantee and paid into Grantee's treasury or bank account. Grantee represents to the State that the amount designated "Grantee's Matching Funds" pursuant to this Agreement, has been legally appropriated for the purposes of this Agreement by its authorized representatives and paid into its treasury or bank account. Grantee does not by this Agreement irrevocably pledge present cash reserves for payments in future fiscal years, and this Agreement is not intended to create a multiple-fiscal year debt of Grantee. Grantee shall not pay or be liable for any claimed interest, late charges, fees, taxes or penalties of any nature, except as required by Grantee's laws or policies. 15.Reimbursement of Grantee Costs. If applicable, the State shall reimburse Grantee's allowable costs, not exceeding the maximum total amount described in this Agreement for all allowable costs described in the grant except that Grantee may adjust the amounts between each line item of the Budget without formal modification to this Agreement as long as the Grantee provides notice to, and received approval from the State of the change, the change does not modify the total maximum amount of this Agreement, and the change does not modify any requirements of the Work. If applicable, the State shall reimburse Grantee for the properly documented allowable costs related to the Work after review and approval thereof, subject to the provisions of this Agreement. However, any costs incurred by Grantee prior to the Effective Date shall not be reimbursed absent specific allowance of pre-award costs. Grantee's costs for Work performed after the "Service To" date identified on the face of the Small Dollar Grant Award, or after any phase performance period end date for a respective phase of the Work, shall not be reimbursable. The State shall only reimburse allowable costs described in this Agreement and show in the Budget if those costs are (a) reasonable and necessary to accomplish the Work, a ) e al to the actual net cost to Grantee (i.e. the price paid minus any items of value rec Gr ee that reduce the costs actually incurred). 16.Close-Out. Grantee shall close out this Award within 5 r the " ervice To" date identified on the face of the Small Dollar Grant Award, inc i • a odifications. To complete close-out, Grantee shall submit to the State . -live •l- 'ncluding documentation) as defined in this Agreement and Grantee's final reimb• - equest or invoice. In accordance with the Agreement, the State may wi 1 •e tage of allowable costs until all final documentation has bee ubmi. •no .ccepted by the State as substantially complete. 17.Assignment. Grantee's rights and obi' under this Agreement may not be transferred or assigned without the prior, written consent of the State and execution of a new agreement. Any attempt at assignment or transfer without such consent and new agreement shall be void. Any assignment or transfer of Grantee's rights and obligations approved by the State shall be subject to the provisions of this Agreement. 18.Subcontracts. Grantee shall not enter into any subcontract in connection with its obligations under this Agreement without the prior, written approval of the State. Grantee shall submit to the State a copy of each subcontract upon request by the State. All subcontracts entered into by Grantee in connection with this Agreement shall comply with all applicable federal and state laws and regulations, shall provide that they are governed by the laws of the State of Colorado, and shall be subject to all provisions of this Agreement. 19.Severability. The invalidity or unenforceability of any provision of this Agreement shall not affect the validity or enforceability of any other provision of this Agreement, which shall remain in full force and effect, provided that the Parties can continue to perform their obligations in accordance with the intent of the Agreement. 20.Survival of Certain Agreement Terms. Any provision of this Agreement that imposes an obligation on a party after termination or expiration of the Agreement shall survive the termination or ex tion of the Agreement and shall be enforceable by the other party. 21.Third Party Beneficiaries. Except for the parties' respective successors and s, is A ment does not and is not intended to confer any rights or remedies up. .ny p• on o tity other than the Parties. Enforcement of this Agreement and all rig an• igations hereunder are reserved solely to the parties. Any services or benefits which .ar receive as a result of this Agreement are incidental to the Agreement, an. . • • -at any rights for such third parties. 22.Waiver. A party's failure or de ' exe g any right, power, or privilege under this Agreement, whether explicit or lac f ement, shall not operate as a waiver, nor shall any single or partial exercise of any ght, p er, or privilege preclude any other or further exercise of such right, power, or privilege. 23.Indemnification. [Not Applicable to Inter-governmental agreements] Grantee shall indemnify, save, and hold harmless the State, its employees, agents and assignees (the "Indemnified Parties"), against any and all costs, expenses, claims, damages, liabilities, court awards and other amounts (including attorneys' fees and related costs) incurred by any of the Indemnified Parties in relation to any act or omission by Grantee, or its employees, agents, Subcontractors, or assignees in connection with this Agreement. This shall include, without limitation, any and all costs, expenses, claims, damages, liabilities, court awards and other amounts incurred by the Indemnified Parties in relation to any claim that any work infringes a patent, copyright, trademark, trade secret, or any other intellectual property right or any claim for loss or improper disclosure of any confidential information or personally identifiable information. If Grantee is a public agency prohibited by applicable law from indemnifying any party, then this section shall not apply. 24.Notice. All notices given under this Agreement shall be in writing, and shall be delivered to the contacts for each party listed on the face of the Small Dollar Grant Award. Either party may change its contact or contact information by notice submitted in accordance with this section without a formal modification to this Agreement. 25.Insurance. Except as otherwise specifically stated in this Agreement or a tachment or exhibit to this Agreement, Grantee shall obtain and maintain insurance as ecif in this section at all times during the term of the Agreement: (a) workers' compensation ran s required by state statute, and employers' liability insurance covering rantee e yees acting within the course and scope of their employment, (b) Co . I r bility insurance written on an Insurance Services Office occurrence form, c. - emise operations, fire damage, independent contractors, products and c• -t- ,aerations, blanket contractual liability, personal injury, and advertising lia•' 'ty wi' 'm limits as follows: $1,000,000 each occurrence; $1,000,000 general agg - k 100,000 products and completed operations aggregate; and $50,000 any • - ' - an• Automobile liability insurance covering any auto (including owned, hired and n. • •tos) with a minimum limit of $1,000,000 each accident combined s' e imit. rantee will or may have access to any protected information, then G a al o obtain and maintain insurance covering loss and disclosure of protected informatio aims based on alleged violations of privacy right through improper use and disclosure of protected information with limits of $1,000,000 each occurrence and $1,000,000 general aggregate at all times during the term of the Small Dollar Grant Award. Additional insurance may be required as provided elsewhere in this Agreement or any attachment or exhibit to this Agreement. All insurance policies required by this Agreement shall be issued by insurance companies with an AM Best rating of A-VIII or better. If Grantee is a public agency within the meaning of the Colorado Governmental Immunity Act, then this section shall not apply and Grantee shall instead comply with the Colorado Governmental Immunity Act. 26.Termination Prior to Grantee Acceptance. If Grantee has not begun performance under this Agreement, the State may cancel this Agreement by providing written notice to the Grantee. 27.Termination for Cause. If Grantee refuses or fails to timely and properly perform any of its obligations under this Agreement with such diligence as will ensure its completion within the time specified in this Agreement, the State may notify Grantee in writing of non-performance and, if not corrected by Grantee within the time specified in the notice, terminate Grantee's right to proceed with the Agreement or such part thereof as to which there has been delay or a failure. Grantee shall continue performance of this Agreement to the extent not terminated. Grantee shall be liable for excess costs incurred by the State in procuring similar Work and the State may withhold such amounts, as the State deems necessary. If after rejection, revocation, or other termination of Grantee's right to proceed under the Colorado Uniform Commercial Code (CUCC) or this clause, the State determines for any reason that Grantee was not in de t or the delay was excusable, the rights and obligations of the State and Grantee shall be sa s if the notice of termination had been issued pursuant to termination under §2 28.Termination in Public Interest. The State is entering into this Agreement for - pun. e o rying out the public interest of the State, as determined by its Governor, -ne sembly, Courts, or Federal Awarding Agency. If this Agreement ceases to furthe •u: interest of the State as determined by its Governor, General Assembly, Cou -d- :l , arding Agency, the State, in its sole discretion, may terminate thi t•reem- in • •le or in part and such termination shall not be deemed to be a breach of the •. ions hereunder. This section shall not apply to a termination for cause h sh. se governed by §27. A determination that this Small Dollar Grant Award should t e• n the public interest shall not be equivalent to a State right to terminate for convenience e State shall give written notice of termination to Grantee specifying the part of the reement terminated and when termination becomes effective. Upon receipt of notice of termination, Grantee shall not incur further obligations except as necessary to mitigate costs of performance. The State shall pay the Agreement price or rate for Work performed and accepted by State prior to the effective date of the notice of termination. The State's termination liability under this section shall not exceed the total Agreement price. 29.Termination for Funds Availability. The State is prohibited by law from making commitments beyond the term of the current State Fiscal Year. Payment to Grantee beyond the current State Fiscal Year is contingent on the appropriation and continuing availability of Grant Funds in any subsequent year (as provided in the Colorado Special Provisions). If federal funds or funds from any other non-State funds constitute all or some of the Grant Funds, the State's obligation to pay Grantee shall be contingent upon such non-State funding continuing to be made available for payment. Payments to be made pursuant to this Agreement shall be made only from Grant Funds, and the State's liability for such payments shall be limited to the amount remaining of such Grant Funds. If State, federal or other funds are not appropriated, or otherwise become unavailable to fund this Agreement, the State may, upon written notice, terminate this Agreement, in whole or in part, without incurring further liability. The State shall, however, remain obligated to pay for Work performed and accepted prior to the effective date of notice of termination, and this termination shall otherwise be treated as if this Agreement were terminated in the public interest as described in §28. 30.Grantee's Termination Under Federal Requirements. If the Grant Funds include any federal funds, then Grantee r est ermination of this Grant by sending notice to the State, or to the Federal Awardin e with a copy to the State, which includes the reasons for the terminationV ve date of the termination. If this Grant is terminated in this manner, the any n any advanced payments made for Work that will not be performed •ri. o - effective date of the termination. 31.Governmental Immunity. Liability for claims for injuries to pe 1 •, sperty arising from the negligence of the State, its departments, boards, co '• s CO ' ittees, bureaus, offices, employees and officials shall be controlled and limited . • isions of the Colorado Governmental Immunity Act, NIP CRS §24-10-101, et s ., e Fe. al Tort Claims Act, 28 U.S.C. Pt. VI, Ch. 171 and 28 U.S.C. 1346(b), and the St ' a•ement statutes, CRS §524-30-1501, et seq. No term or condition of this Agree ll be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections, or other provisions, contained in these statutes. 32.Grant Recipient. Grantee shall perform its duties hereunder as a grant recipient and not as an employee. Neither Grantee nor any agent or employee of Grantee shall be deemed to be an agent or employee of the State. Grantee shall not have authorization, express or implied, to bind the State to any agreement, liability or understanding, except as expressly set forth herein. Grantee and its employees and agents are not entitled to unemployment insurance or workers compensation benefits through the State and the State shall not pay for or otherwise provide such coverage for Grantee or any of its agents or employees. Grantee shall pay when due all applicable employment taxes and income taxes and local head taxes incurred pursuant to this Agreement. Grantee shall (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, (b) provide proof thereof when requested by the State, and (c) be solely responsible for its acts and those of its employees and agents. 33.Compliance with Law. Grantee shall comply with all applicable federal and State laws, rules, and regulations in effect or hereafter established, including, without limitation, laws applicable to discrimination and unfair employment practices. 34.Choice of Law, Jurisdiction and Venue. [Not Applicable to Inter-governmental agreements] Colorad w, rules and regulations issued pursuant thereto, shall be applied in the interpretation, cu ' , and enforcement of this Agreement. Any provision included or incorporat erein by rence which conflicts with said laws, rules, and regulations shall be null a -• A it actions related to this Agreement shall be filed and proceedings het. - ate o Colorado and exclusive venue shall be in the City and County of Denver. •r• ,ion incorporated herein by reference which purports to negate this or any other • ovisi• i gis greement in whole or in part shall not be valid or enforceable or available in a •, t law, whether by way of complaint, defense, or lip otherwise. Any provision refl. • ll a oid by the operation of this provision or for any other reason shall not invalidat I - nder of this Agreement, to the extent capable of execution. Grantee e haus •ministrative remedies in CRS 524-109-106, prior to commencing any ju do g.inst the State regardless of whether the Colorado Procurement Code appli is Agreement. 35.Prohibited Terms. Nothing in this Agreement shall be construed as a waiver of any provision of CRS 524-106-109. Any term included in this Agreement that requires the State to indemnify or hold Grantee harmless; requires the State to agree to binding arbitration; limits Grantee's liability for damages resulting from death, bodily injury, or damage to tangible property; or that conflicts with that statute in any way shall be void ab initio. 36.Public Contracts for Services. [Not Applicable to offer, issuance, or sale of securities, investment advisory services, fund management services, sponsored projects, intergovernmental grant agreements, or information technology services or products and services] Grantee certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work under this Agreement and will confirm the employment eligibility of all employees who are newly hired for employment in the United States to perform work under this Agreement, through participation in the E-Verify Program or the Department program established pursuant to CRS §8-17.5- 102(5)(c), Grantee shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract or agreement with a Subcontractor that fails to certify to Grantee that the Subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Grantee shall (a) not use E-Verify Program or Department program procedures to undertake pre- employment screening of job applicants during performance of this Agreement, (b) notify Subcontractor . ,d the State within three days if Grantee has actual knowledge that Subcontractor is empl• g or •ntracting with an illegal alien for work under this Agreement, (c) terminate the subc• if S ontractor does not stop employing or contracting with the illegal alien w' hin three . receiving notice, and (d) comply with reasonable requests made in the co - o inves ' ation, undertaken pursuant to CRS §8-17.5-102(5), by the Colorado Depart • of •or mployment. If Grantee participates in the Department program, .nt- • : l deliver to the State a written, notarized affirmation that Grantee has examined th- w. status of such employee, and shall comply with all of the other requirements . • - 1 e 1 rt nt program. If Grantee fails to comply with any requirement of this provi *in or C• 8- -101 et seq., the State may terminate this p. Agreement for breach and, if - . - e., Grantee shall be liable for damages. 37.Public Contracts wi a ural . sons. Grantee, if a natural on 1 ears of age or older, hereby swears and affirms under penalty of perjury that the pers is a citizen or otherwise lawfully present in the United States pursuant to federal law, (b) shall comply with the provisions of CRS §24-76.5-101 et seq., and (c) has produced a form of identification required by CRS §24-76.5-103 prior to the date Grantee begins Work under terms of the Agreement. 38.Whistle Blower Protections. An employee of a grantee must not be discharged, demoted, or otherwise discriminated against as a reprisal for disclosing to a person or body described in paragraph (a)(2) of 41 U.S.C. 4712 information that the employee reasonably believes is evidence of gross mismanagement of a Federal contract or grant, a gross waste of Federal funds, an abuse of authority relating to a Federal contract or grant, a substantial and specific danger to public health or safety, or a violation of law, rule, or regulation related to a Federal contract (including the competition for or negotiation of a contract) or grant. The subrecipient must inform their employees in writing of employee whistleblower rights and protections under 41 U.S.C. 4712. See statutory requirements for whistleblower protections at 10 U.S.C. 4701, 41 U.S.C. 4712, 41 U.S.C. 4304, and 10 U.S.C. 4310. 39.Accessibility. Grantee shall comply with the Accessibility Standards for Individuals with a Disability, as adopted by the Office of Information Technology pursuant to §24-85-103 C.R.S. The State may require Grantee's compliance with the Accessibility Standards for Individuals with a Disability adopted by the Office of Information Technology pursuant to §24-85-103 C.R.S. is determined and tested by a qualified third party selected by the State. The S ate may ask the Grantee to review the selection of the third party. Grantee shall be resp.• sle or all costs associated with the third-party vendor's assessment. If Grantee is not in co as d-termined by the third- party vendor, at the State's request and at the State's directio a• e shall promptly take all necessary actions to come into compliance usin• a e-appr -: vendor, at no additional cost to the State. Grantee shall indemnify, say- oh ar nd assume liability on behalf of the State, its officers, employees, agen a . • ees (collectively the "Indemnified Parties"), for any and all costs, expenses, is, , q ages, liabilities, court awards, attorney fees and related costs, and other a• its i r by any of the Indemnified Parties in relation to Contractor's noncompliance with -; , et seq., C.R.S., or the Accessibility Standards for Individuals with a Disabili bli -d by the Office of Information Technology pursuant to Section §24-85-103, S. S mp yees are considered third parties for the purposes of this section. Addendum 1 : Additional Terms Et Conditions for Information Technology If any part of the subject matter of this Agreement is Information Technology, as defined in CRS r 24-37.5-102(2), the following provisions also apply to this Agreement. A. Definitions. The following terms shall be construed and interpreted as follows: (a) "CJI" means criminal justice information collected by criminal justice agencies needed for the performance of their authorized functions, including, without limitation, all information defined as criminal justice information by the U.S. Department of Justice, Federal Burea Investigation, Criminal Justice Information Services Security Policy, as amended, and all C ina stice Records as defined under CRS §24-72-302; (b) "Incident" means any accidental or ber event that results in or constitutes an imminent threat of the unauthorized ss, loss, osure, modification, disruption, or destruction of any communicatio• • fo ti esources of the State, pursuant to CRS §524-37.5-401 et seq.; (c) "• s pay nt card information including any data related to credit card holders' name e. .rd numbers, or the other credit card information as may be protected b ate o al .w; (d) "PHI" means any protected health information, including, without limi formation whether oral or recorded in any form or medium that relates to th re or future physical or mental condition of an individual; the provision of he an individual; or the past, present or future payment for the provision of t care n individual; and that identifies the individual or with respect to which th rea n ble basis to believe the information can be used to identify the individual including, t limitation, any information defined as Individually Identifiable Health Information by the federal Health Insurance Portability and Accountability Act; (e) "PII" means personally identifiable information including, without limitation, any information maintained by the State about an individual that can be used to distinguish or trace an individual's identity, such as name, social security number, date and place of birth, mother's maiden name, or biometric records, including, without limitation, all information defined as personally identifiable information in CRS §24-72-501; (f) "State Confidential Information" means any and all State Records not subject to disclosure under the Colorado Open Records Act and includes, without limitation, PII, PHI, PCI, Tax Information, CJI, and State personnel records not subject to disclosure under the Colorado Open Records Act, (g) "State Fiscal Rules" means those fiscal rules promulgated by the Colorado State Controller pursuant to CRS §24-30- 202(13)(a); (h) "State Fiscal Year" means a 12 month period beginning on July 1 of each calendar year and ending on June 30 of the following calendar year; (i) "State Records" means any and all State data, information, and records, regardless of physical form; (j) "Tax Information" means federal and State of Colorado tax information including, without limitation, federal and State tax returns, return information, and such other tax-related information as may be protected by federal and State law and regulation, including, without limitation all information defined as federal tax information in Internal Revenue Service Publication 1075; and (k) "Work Product" means the tangible and intangible results of the delivery of goods and performance of services, whether finished or unfinished, including drafts. Work Product includes, but is not limited to, documents, text, software (including source code), research, reports, proposals, specifications, plans, notes, studies, data, images, photographs, negatives, pictures, drawings, designs, models, surveys, maps, materials, id s, concepts, know-how, information, and any other results of the Work, but does not ' ude y material that was developed prior to the Effective Date that is used, without m ' ' tion the performance of the Work. B. Intellectual Property. Except to the extent specifically provided ls- this Agreement, any State information, including without limitation pre-existing S o e, research, reports, studies, data, photographs, negatives or other do nts, a s, models, materials; or Work Product prepared by Grantee in the performa o ligations under this Agreement shall be the exclusive property of the Stat tiv "State Materials"). All State Materials shall be delivered to the State b rant on mpletion or termination of this Agreement. The State's exclusive rig in a o Product prepared by Grantee shall include, but not be limited to, the right y, p lish, display, transfer, and prepare derivative works. Grantee shall not use, willingly al ause or permit any State Materials to be used for any purpose other than the performance of Grantee's obligations hereunder without the prior written consent of the State. The State shall maintain complete and accurate records relating to (a) its use of all Grantee and third party software licenses and rights to use any Grantee or third party software granted under this Agreement and its attachments to which the State is a party and (b) an amounts payable to Grantee pursuant to this Agreement and its attachments and the State's obligations under this Agreement or any amounts payable to Grantee in relation to this Agreement, which records shall contain sufficient information to permit Grantee to confirm the State's compliance with the use restrictions and payment obligations under this Agreement or to any third party use restrictions to which the State is a party. Grantee retains the exclusive rights, title and ownership to any and all pre-existing materials owned or licensed to Grantee including, but not limited to all pre-existing software, licensed products, associated source code, machine code, text images, audio, video, and third party materials, delivered by Grantee under the Agreement, whether incorporated in a deliverable or necessary to use a deliverable (collectively, "Grantee Property"). Grantee Property shall be licensed to the State as set forth in a State-approved license agreement (a) entered into as exhibits or attachments to this Agreement, (b) obtained by the State from the applicable third party Grantee, or (c) in the case of open source software, the license terms set forth in the applicable open source license agreement. Notwithstanding anything to the contrary herein, the State shall not be subject to any provision incorporated in any exhibit or attachment attached hereto, any provision incorporated in any terms and conditions appearing on any website, any provision incorporated into any click through or online agreements, or any provision incorporated into any other document or agreement between the parties that (a) requires t State or the State to indemnify Grantee or any other party, (b) is in violation of S la regulations, rules, State Fiscal Rules, policies, or other State requirements as deeme by State, or (c) is contrary to this Agreement. C. Information Confidentiality. Grantee shall keep confidential, and cause a b ' ractor to keep confidential, all State Records, unless those State Records are p ly . -ilable. Grantee shall not, without prior written approval of the State, use, •lish, •• dis lose to any third party, or permit the use by any third party of any State Reco , - as otherwise stated in this Agreement, permitted by law, or approv 'tin• the State. If Grantee will or may have access to any State Confidential Information o r protected information, Grantee shall provide for the security of all State •nfi•eI 'al formation in accordance with all applicable laws, rules, policies, publication . gui. lines. Grantee shall comply with all Colorado Office of Information Security ("• ' slides and procedures which OIS has issued pursuant to CRS §S24- 37.5-401 through 406 and 8 CCR §1501-5 and posted at http://oit.state.co.us/ois, all information security and privacy obligations imposed by any federal, state, or local statute or regulation, or by any industry standards or guidelines, as applicable based on the classification of the data relevant to Grantee's performance under this Agreement. Such obligations may arise from: Health Information Portability and Accountability Act (HIPAA); IRS Publication 1075; Payment Card Industry Data Security Standard (PCI-DSS); FBI Criminal Justice Information Service Security Addendum; Centers for Medicare Et Medicaid Services (CMS) Minimum Acceptable Risk Standards for Exchanges; and Electronic Information Exchange Security Requirements and Procedures for State and Local Agencies Exchanging Electronic Information with The Social Security Administration. Grantee shall immediately forward any request or demand for State Records to the State's principal representative. D. Other Entity Access and Nondisclosure Agreements. Grantee may provide State Records to its agents, employees, assigns and Subcontractors as necessary to perform the work, but shall restrict access to State Confidential Information to those agents, employees, assigns, and Subcontractors who require access to perform their obligations under this Agreement. Grantee shall ensure all such agents, employees, assigns, and Subcontractors sign agreements containing nondisclosure provisions at least as protective as those in this Agreement, and that the nondisclosure provisions are in force at all times the agent, employee, assign, or Subcontractors has access to any State Confidential Information. Grantee shall provide copies of those signed nondisclosure provisions to the State upon execution of the nondisclosure provisions if requested by the State. E. Use, Security, and Retention. Grantee shall use, hold, and maintain State Confidential Info - ' in c', pliance with any and all applicable laws and regulations only in facilities to ted withi q- .nited States, and shall maintain a secure environment that ensures confia-a i of all ate Confidential Information. Grantee shall provide the State ' s, s ' to Grantee's reasonable security requirements, for purposes of ins ti . monitoring access and use of State Confidential Information and evaluating se c• .l effectiveness. Upon the expiration or termination of this Agreement, Gra al t State Records provided to Grantee or destroy such State Records an certify h to that it has done so, as directed by the State. If Grantee is prevented by law io rom returning or destroying State Confidential Information, Grantee is i guarantee the confidentiality of, and cease to use, such State Confidential In rm F. Incident Notice and Rem di n. If Grantee becomes aware of any Incident, it shall notify the State immediately and cooperate with the State regarding recovery, remediation, and the necessity to involve law enforcement, as determined by the State. Unless Grantee can establish none of Grantee or any of its agents, employees, assigns or Subcontractors are the cause or source of the Incident, Grantee shall be responsible for the cost of notifying each person who may have been impacted by the Incident. After an Incident, Grantee shall take steps to reduce the risk of incurring a similar type of Incident in the future as directed by the State, which may include, but is not limited to, developing and implementing a remediation plan that is approved by the State at no additional cost to the State. The State may adjust or direct modifications to this plan, in its sole discretion and Grantee shall make all modifications as directed by the State. If Grantee cannot produce its analysis and plan within the allotted time, the State, in its sole discretion, may perform such analysis and produce a remediation plan, and Grantee shall reimburse the State for the reasonable actual costs thereof. G. Data Protection and Handling. Grantee shall ensure that all State Records and Work Product in the possession of Grantee or any Subcontractors are protected and handled in accordance with the requirements of this Agreement at all times. Upon request by the State made any time prior to 60 days following the termination of this Agreement for any reason, whether or not this Agreement is expiring or terminating, Grantee shall make available to the State a complete and secure download file of all data that is encrypted and appropriately authenticated. This download file shall be made available to the State within 10 Business Days following the State's request, and shall contain, without limitation, all State Records, Work Product, and any r information belonging to the State. Upon the termination of Grantee's services under th' r ent, Grantee shall, as directed by the State, return all State Records provided by the to rantee, and the copies thereof, to the State or destroy all such State Recor d certify the State that it has done so. If legal obligations imposed upon Grantee •• - r m returning or destroying all or part of the State Records provided by t e - ' antee s all guarantee the confidentiality of all State Records in Grantee's possessi• •• • of actively process such data. The State retains the right to use the establis• • ope is s-rvices to access and retrieve State Records stored on Grantee's infrastructure at • • .cretion and at any time. H. Compliance. If applicable, Granter . revi , on a semi-annual basis, all OIS policies and procedures which OIS has prom ' . • .• a to CRS SS 24-37.5-401 through 406 and 8 CCR S 1501-5 and posted at http://oit.stat-.c• /ois, to ensure compliance with the standards and guidelines published therein. Grantee shall cooperate, and shall cause its Subcontractors to cooperate, with the performance of security audit and penetration tests by OIS or its designee. I. Safeguarding PII. If Grantee or any of its Subcontractors will or may receive PII under this Agreement, Grantee shall provide for the security of such PII, in a manner and form acceptable to the State, including, without limitation, all State requirements relating to non-disclosure, use of appropriate technology, security practices, computer access security, data access security, data storage encryption, data transmission encryption, security inspections, and audits. Grantee shall take full responsibility for the security of all PII in its possession or in the possession of its Subcontractors, and shall hold the State harmless for any damages or liabilities resulting from the unauthorized disclosure or loss thereof. Grantee shall be a "Third-Party Service Provider" as defined in CRS §24-73-103(1)(i) and shall maintain security procedures and practices consistent with CRS §524-73-101 et seq. In addition, as set forth in §24-74-102, et seq., C.R.S., Grantee, including, but not limited to, Grantee's employees, agents and subcontractors, agrees not to share any PII with any third parties for the purpose of investigating for, participating in, cooperating with, or assisting with Federal immigration enforcement. If Grantee is given direct access to any State databased containing PII, Grantee shall execute, on behalf of itself and its employees, the Certification PII Individual Certification Form or PII Entity Certification Form on an annual basis and Grantee's duty shall continue as long as Grantee has direct access to any State databases containing PII. If Grantee uses any subcontractors to perform services requiring direct access to State databases containing PII, the Grantee shal quire such subcontractors to execute and deliver the certification to the State on an annu asis o long as the subcontractor has access to State databases containing PII. J. Software Piracy Prohibition. 4The State or other public funds payable under • • •e ll not be used for the acquisition, operation, or maintenance of o •ftware in violation of federal copyright laws or applicable licensing restrictions. e eby certifies and warrants that, during the term of this Agreement and any ex 'ons, as and shall maintain in place appropriate systems and controls to prevent such se of public funds. If the State determines that Nopp Grantee is in violation of this • , t tate may exercise any remedy available at law or in equity or under this eem- cl . ng, without limitation, immediate termination of this Agreement and any edy si -nt with federal copyright laws or applicable licensing restriction K. Information Technology. To the extent that Grantee provides physical or logical storage of State Records; Grantee creates, uses, processes, discloses, transmits, or disposes of State Records; or Grantee is otherwise given physical or logical access to State Records in order to perform Grantee's obligations under this Agreement, the following terms shalt apply. Grantee shall, and shall cause its Subcontractors, to: Provide physical and logical protection for all hardware, software, applications, and data that meets or exceeds industry standards and the requirements of this Agreement; Maintain network, system, and application security, which includes, but is not limited to, network firewalls, intrusion detection (host and network), annual security testing, and improvements or enhancements consistent with evolving industry standards; Comply with State and federal rules and regulations related to overall security, privacy, confidentiality, integrity, availability, and auditing; Provide that security is not compromised by unauthorized access to workspaces, computers, networks, software, databases, or other physical or electronic environments; Promptly report all Incidents, including Incidents that do not result in unauthorized disclosure or loss of data integrity, to a designated representative of the OIS; Comply with all rules, policies, procedures, and standards issued by the Governor's Office of Information Technology (OIT), including project lifecycle methodology and governance, technical standards, documentation, and other requirements posted at www.oit.state.co.us/about/policies. Grantee shall not allow remote access to State Records from outside the United States, including access by Grantee's employees or agents, without the prior express written consent of OIS. Grantee shall communicate any request regarding non-U.S. access to State Records to the State. The State, acting by and t ugh OIS, shall have sole discretion to grant or deny any such request. Grant Federal Provisions If any part of this PO has been funded, in whole or in part, with federal funds, then following provisions shall also apply to this P0. 1. Applicability of Provisions. 1.1. The Grant to which these Federal Provisions are attached has been funded, in whole or in part, with an Award of Federal funds. In the event of a conflict between the provisions of these Federal Provisions, the Special Provisions, the body of the Grant, or any attachments or exhibits incorporated into and made a part of the Grant, the provisions of these Federal Provisions shall control. These Federal Provisions are subject to the Award as defined i of e Federal Provisions, as may be revised pursuant to ongoing guidance from the relevant Fe I or to of Colorado agency or institutions of higher education. 2. Definitions. 2.1. For the purposes of these Federal ' is the following terms shall have the meanings ascribed to them below. For a full . ' itions (as of October 1, 2024) under the Uniform Guidance, see 2 CF' '.. 2.1.1. "Award" mean are Federal financial assistance, and the Grant setting forth the terms ,• • . ons of that financial assistance, that a non-Federal Entity elves or . ministers. 2.1.2. "Entit eans: 2.1.2.1. a non-federal entity; 2.1.2.2. a non-profit organization or for-profit organization; 2.1.3. "Executive" means an officer, managing partner or any other employee in a management position. 2.1.4. "Federal Awarding Agency" means a Federal agency providing a Federal Award to a Recipient as described in 2 CFR 200.1 2.1.5. "Grant" means the Grant to which these Federal Provisions are attached. 2.1.6. "Grantee" means the party or parties identified as such in the Grant to which these Federal provisions are attached. Grantee also means Subrecipient. 2.1.7. "Non-Federal Entity" means a State, local government, Indian tribe, institution of higher education, or nonprofit organization that carries out a Federal Award as a Recipient or a Subrecipient. 2.1.8. "Nonprofit Organization" organization, that: 2.1.8.1. Is operated primarily for scientific, educational, service, charitable, or similar purposes in the public interest; 2.1.8.2. Is not organized primarily for profit; and 2.1.8.3. Uses net proceeds to maintain, improve, or expand the organization's operations; and 2.1.8.4. Is not an IHE. 2.1.9. "OMB" means the Executive Office of the Pre ffic of Management and Budget. 2.1.10. "Pass-through Entity" means are ' ' •t ubre ient that provides a Subaward to a Subrecipient (including to tier bre nts) to carry out part of a Federal program. The aut • • - pass-through entity under this part flows through the Subaward agree b- een the pass-through entity and subrecipient. 2.1.11."Recipient" m, ae C do State agency or institution of higher education identified as th-• • the Grant to which these Federal Provisions are attac •. 2.1.12. "Suba • . • me s an award provided by a pass-through entity to a Subrecipient to contrib. • the goals and objectives of the project by carrying out part of a Federal award received by the pass-through entity. The term does not include payments to a contractor, beneficiary or participant. 2.1.13."Subrecipient" means an entity that receives a subaward from a pass-through entity to carry out part of a Federal award. The term subrecipient does not include a beneficiary or participant. A subrecipient may also be a recipient of other Federal awards directly from a Federal agency. Subrecipient also means Grantee. 2.1.14."System for Award Management (SAM)" means the Federal repository into which an Entity must enter the information required under the Transparency Act, which may be found at http://www.sam.gov. 2.1.15."Total Compensation" means the cash and noncash dollar value an Executive earns during the entity's preceding fiscal year. This includes all items of compensation as prescribed in 17 CFR 229.402(c)(2). 2.1.16."Transparency Act" means the Federal Funding Accountability and Transparency Act of 2006 (Public Law 109-282), as amended by §6202 of Public Law 110-252. 2.1.17."Unique Entity ID" (UEI) is the universal identifier for federal financial assistance applicants, as well as recipients and their direct subrecipients (first tier subrecipients). 2.1.18."Uniform Guidance" means the Office of Management and Budget Uniform Administrative Requirements, Cost Principles, and udit Requirements for Federal Awards. The terms and conditions of the Unifor ui nce flow down to Awards to Subrecipients unless the Uniform Guidance erm nd conditions of the Federal Award specifically indicate oth rwise. 3. Compliance. 3.1. Subrecipient shall comply with all asp • : ovisions of the Transparency Act and the regulations issued pursuant theret• '. ap• able provisions of the Uniform Guidance, and all applicable Federal L. and - 'o s required by this Federal Award. Any revisions to such provisions or • . • shall automatically become a part of these Federal Provisions, wi '•. .- n-. .sity of either party executing any further instrument. The ate ora•., at its discretion, may provide written notification to Subrecipient such is s, but such notice shall not be a condition precedent to the effectiveness re sions. 4. System for Award Manage ent (SAM) and Unique Entity ID Requirements. 4.1. SAM. Subrecipient must obtain a UEI but are not required to fully register in Sam.gov. Subrecipient shall maintain the currency of its information in SAM until the Subrecipient submits the final financial report required under the Award or receives final payment, whichever is later. Subrecipient shall review and update SAM information at least annually after the initial registration, and more frequently if required by changes in its information. 4.2. Unique Entity ID. Subrecipient shall provide its Unique Entity ID to its Recipient, and shall update Subrecipient's information at http://www.sam.gov at least annually after the initial registration, and more frequently if required by changes in Subrecipient's information. 5. Total Compensation. 5.1.1. Subrecipient shall include Total Compensation in SAM for each of its five most highly compensated Executives for the preceding fiscal year if: 5.1.2. The total Federal funding authorized to date under the Award is $30,000 or more; and 5.1.3. In the preceding fiscal year, Subrecipient received: 5.1.3.1. 80% or more of its annual gross revenues from Federal procurement contracts and subcontracts and/ Federal financial assistance Awards or Subawards subject to Tr pare cy Act; and 5.1.3.2. $25,000,000 or more i annual evenues from Federal procurement contrac • ont is and/or Federal financial assistance Awards • uba. rds ct to the Transparency Act; and 5.1.3.3. The public . n. have access to information about the compensation o x-.atives through periodic reports filed under section ', d) of the Securities Exchange Act of 1934 (15 U. 8m(a 8o a) or§ 6104 of the Internal Revenue Code of 1986. 6. Reporting. 6.1. Pursuant to T e y Act, Subrecipient shall report data elements to SAM and to the Recipient as requi in this Exhibit. No direct payment shall be made to Subrecipient for pr viding any reports required under these Federal Provisions and the cost of producing such reports shall be included in the Grant price. The reporting requirements in this Exhibit are based on guidance from the OMB, and as such are subject to change at any time by OMB. Any such changes shall be automatically incorporated into this Grant and shall become part of Subrecipient's obligations under this Grant. 7. Effective Date and Dollar Threshold for Reporting. 7.1. Reporting requirements in 58 below apply to new Awards as of October 1, 2010, if the initial award is $30,000 or more. If the initial Award is below $30,000 but subsequent Award modifications result in a total Award of $30,000 or more, the Award is subject to the reporting requirements as of the date the Award exceeds $30,000. If the initial Award is $30,000 or more, but funding is subsequently de-obligated such that the total award amount falls below $30,000, the Award shall continue to be subject to the reporting requirements. 7.2. The procurement standards in §9 below are applicable to new Awards made by Recipient as of December 26, 2015. The standards set forth in §11 below are applicable to audits of fiscal years beginning on or after December 26, 2014. 8. Subrecipient Reporting Requirements. 8.1. Subrecipient shall report as set forth below. 8.1.1. To Recipient. A Subrecipient shall report the fol ng data elements in SAM for each Federal Award Identification Number (F as ' ed by a Federal agency to a Recipient no later than the end of the month win e month in which the Subaward was made: 8.1.1.1. Subrecipient Unique . I; 8.1.1.2. Subrecipient U ' e • ID if more than one electronic fund transfer (EFT) a .. ; 8.1.1.3. Subrecipi- ''441. - o •anization Unique Entity ID; 8.1.1.4. Su ' is . dress, including: Street Address, City, State, Cou ip , and Congressional District; 8.1.1. c 'ent's top 5 most highly compensated Executives if the crit a in §4 above are met; and Subrecipient's Total Compensation op 5 most highly compensated Executives if the criteria in §4 above met. 8.1.1.6. Primary Place of Performance Information, including: Street Address, City, State, Country, Zip Code +4, and Congressional District. 8.1.2. The Recipient is required to submit this information to the Federal Funding Accountability and Transparency Act Subaward Reporting System (FSRS) at http://www.frsrs.gov. 9. Procurement Standards. 9.1. Procurement Procedures. A Subrecipient shall use its own documented procurement procedures which reflect applicable State, local, and Tribal laws and applicable regulations, provided that the procurements conform to applicable Federal law and the standards identified in the Uniform Guidance, including without limitation, 2 CFR 200.318 through 200.327 thereof. 9.2. Domestic preference for procurements (2 CFR 200.322). As appropriate and to the extent consistent with law, the non-Federal entity should, to the greatest extent practicable under a Federal award, provide a preference for the purchase, acquisition, or use of goods, products, or materials produced in the United States (including but not limited to iron, aluminum, steel, cement, and other manufactured products). The requirements of this section must be included in all subawards including all contracts and purchase orders for work or products under this award. 9.3. Procurement of Recovered Materials. If a Subrecipien a State Agency or an agency of a political subdivision of the State, its contractors c ly w'th section 6002 of the Solid Waste Disposal Act, as amended by the Resource e on and Recovery Act. The requirements of Section 6002 include pro g only it s designated in guidelines of the Environmental Protection Agenc •t F art 247, that contain the highest percentage of recovered m.te • .cticable, consistent with maintaining a satisfactory level of competition, - t •urchase price of the item exceeds $10,000 or the value of the quantit .uire• t e preceding fiscal year exceeded $10,000; procuring solid waste manage • 'ces in a manner that maximizes energy and resource recovery; an 'shi n affirmative procurement program for procurement of r cove to s identified in the EPA guidelines. 9.4. Never contr wi e my (2 CFR 200.215). Federal awarding agencies and recipients are ject the regulations implementing "Never contract with the enemy" in 2 CFR part 183. e regulations in 2 CFR part 183 affect covered contracts, grants and cooperative agreements that are expected to exceed $50,000 during the period of performance, are performed outside the United States and its territories, and are in support of a contingency operation in which members of the Armed Forces are actively engaged in hostilities. 9.5. Prohibition on certain telecommunications and video surveillance equipment or services (2 CFR 200.216). Subrecipient is prohibited from obligating or expending loan or grant funds on certain telecommunications and video surveillance services or equipment pursuant to 2 CFR 200.216. 10.Access to Records. 10.1. A Subrecipient shall permit Recipient and its auditors to have access to Subrecipient's records and financial statements as necessary for Recipient to meet the requirements of 2 CFR 200.332 (Requirements for pass-through entities), 2 CFR 200.300 (Statutory and national policy requirements) through 2 CFR 200.309 (Modification to period of performance), 2 CFR 200.337 (Access to Records) and Subpart F-Audit Requirements of the Uniform Guidance. 10.2. A Subrecipient must collect, transmit, and store information related to this Subaward in open and machine-readable formats (2 CFR 200.336). 11.Single Audit Requirements. 11.1. If a Subrecipient expends $1,000,000 or more in Fed Aw during the Subrecipient's fiscal year, the Subrecipient shall procur arr for a single or program-specific audit conducted for that yea accordan ith the provisions of Subpart F-Audit Requirements of the Uni i e, ' ued pursuant to the Single Audit Act Amendments of 1996, (31 U. ► 7507). 2 CFR 200.501. 11.1.1.Election. A Subrecipient sh. ve . 'ngle audit conducted in accordance with Uniform Guidance 2 - 00. • •se of audit), except when it elects to have a program-specific audi •d in accordance with 2 CFR 200.507 (Program- specific audits). •re 'ent may elect to have a program-specific audit if Subrecipi-• exp • es al Awards under only one Federal program (excluding resear and •- el, ment) and the Federal program's statutes, regulations, or the to . d c• sitions of the Federal award do not require a financial statement . of Recipient. A program-specific audit may not be elected for research and development unless all of the Federal Awards expended were received from Recipient and Recipient approves in advance a program-specific audit. 11.1.2.Exemption. If a Subrecipient expends less than $1,000,000 in Federal Awards during its fiscal year, the Subrecipient shall be exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503 (Relation to other audit requirements), but records shall be available for review or audit by appropriate officials of the Federal agency, the State, and the Government Accountability Office. 11.1.3.Subrecipient Compliance Responsibility. A Subrecipient shall procure or otherwise arrange for the audit required by Subpart F of the Uniform Guidance and ensure it is properly performed and submitted when due in accordance with the Uniform Guidance. Subrecipient shall prepare appropriate financial statements, including the schedule of expenditures of Federal awards in accordance with 2 CFR 200.510 (Financial statements) and provide the auditor with access to personnel, accounts, books, records, supporting documentation, and other information as needed for the auditor to perform the audit required by Uniform Guidance Subpart F-Audit Requirements. 12.Required Provisions for Subrecipient with Subcontractors. 12.1. In addition to other provisions required by the Federa arding Agency or the Recipient, Subrecipients shall include all of the foil. 'qg •lica•le provisions; 12.1.1.For agreements with Subrecipients - I lude the t- ,- the Grant Federal Provisions Exhibit (this exhibit) 12.1.2.For contracts with Subcontrac 1110 de t terms in the Contract Federal Provisions Exhibit. 13.Certifications. 13.1. Unless prohibited by F-.eral st es regulations, Recipient may require Subrecipient to submit certification - tations required by Federal statutes or regulations on an annual 2 C' 00.415. Submission may be required more frequently if Subrecipient ils t requirement of the Federal award. Subrecipient shall certify in writing to t tate at the end of the Award that the project or activity was completed or the evel of effort was expended. If the required level of activity or effort was not carried out, the amount of the Award must be adjusted. 14.Exemptions. 14.1. These Federal Provisions do not apply to an individual who receives an Award as a natural person, unrelated to any business or non-profit organization he or she may own or operate in his or her name. 14.2. A Subrecipient with gross income from all sources of less than $300,000 in the previous tax year is exempt from the requirements to report Subawards and the Total Compensation of its most highly compensated Executives. 15.Event of Default and Termination. 15.1. Failure to comply with these Federal Provisions shall constitute an event of default under the Grant and the State of Colorado may terminate the Grant upon 30 days prior written notice if the default remains uncured five calendar days following the termination of the 30-day notice period. This remedy will be in addition to any other remedy available to the State of Colorado under the Grant, at law or in equity. 15.1.1.Termination (2 CFR 200.340). The Federal Award may be terminated in whole or in part as follows: 15.1.1.1. By the Federal Awarding Agency or Pass-through Entity, if a Non- Federal Entity fails to comply with the rms and conditions of a Federal Award; 15.1.1.2. By the Federal awarding agency or thro Entity with the consent of the Non-Federa tity, in w case the two parties must agree upon the • .t co ons, including the effective date and, in the c. of p. ial to ination, the portion to be terminated; 15.1.1.3. By the N eder pon sending to the Federal Awarding Agency or h Entity written notification setting forth the re. * su ermination, the effective date, and, in the case of part 1 . ion, the portion to be terminated. However, if the CiF r. warding Agency or Pass-through Entity determines in the case f partial termination that the reduced or modified portion of ederal Award or Subaward will not accomplish the purposes for which the Federal Award was made, the Federal Awarding Agency or Pass-through Entity may terminate the Federal Award in its entirety; or 15.1.1.4. By the Federal Awarding Agency or Pass-through Entity pursuant to termination provisions included in the Federal Award 16.Additional Federal Requirements. 16.1. Whistle Blower Protections 16.1.1.An employee of a subrecipient must not be discharged, demoted, or otherwise discriminated against as a reprisal for disclosing to a person or body described in paragraph (a)(2) of 41 U.S.C. 4712 information that the employee reasonably believes is evidence of gross mismanagement of a Federal contract or grant, a gross waste of Federal funds, an abuse of authority relating to a Federal contract or grant, a substantial and specific danger to public health or safety, or a violation of law, rule, or regulation related to a Federal contract (including the competition for or negotiation of a contract) or grant. The subrecipient must inform their employees in writing of employee whistleblower rights and protections under 41 U.S.C. 4712. See statutory requirements for whistleblower protections at 10 U.S.C. 4701, 41 U.S.C. 4712, 41 U.S.C. 4304, and 10 U.S.C. 4310. Attachment G - Agreement Certification Form RFA # KDOO 2026_14025 I, on behalf of the applicant identified below, hereby certify I have read a copy of the sample agreement attached to the RFA and understand the terms and provisions contained in that contract. I further hereby certify it is the applicant's intent to comply with each and every term and provision contained in the sample agreement and propose no modifications to the sample agreement except as provided as redlines (tracked changes) in the sample agreement Word Document included as Attachment E. Any proposed alternative language, if any, should be included in the redlined attachment. I understand the modification(s) proposed in the sample agreement, if any, are offered for discussion purposes only and the State of Colorado reserves the right to accept, reject, or future negotiate any and all proposed modifications to the sample agreement. Company Legal Name: Weld County Authorized Signature: _i� �" Signatory's Full Name: Scott K. James Signatory's Title: Chair, Weld County Board of County Commissioners Date of Signature: FEB 1 1 202S Attest: -✓ate! `" s`4:1"(A E ri_Lc •• Clerk to the Board .tl►� 11 1861 � �`�1 ,By: 1-67/at(ava, '-. •� Deputy Clerk to the oa d ‘42b ZGZ�-03U-4 —3 Attachment H - Conflict of Interest Disclosure Applicants should state whether there are, or potentially could be, actual or perceived organizational or other conflicts of interest with the State of Colorado, CDLE, or CDLE employees with regard to: this RFA, Applicant's submission to this RFA, Applicant's staff, or Applicant's proposed subcontractors. Attach additional pages if necessary. We do not anticipate any actual or perceived conflicts of interest with the State of Colorado, CDLE, or CDLE employees with regard to: this RFA, Applicant's submission to this RFA, Applicant's staff, or Applicant's proposed subcontractors. PCS reserves the right to make a non-responsive determination on an Applicant's application or cancel the award of a successful Applicant's application if there is a conflict and/or a perceived conflict disclosed from any other source. Is your company registered with the Colorado Secretary of State (circle one): YES NO If "Yes" please provide a copy of the Certificate of Good Standing Attachment I - M/WBE Self-Certification Minority and Women-Owned Businesses (M/WBEs) Self Certification Mark with X if applicable In an effort to track levels of participation by women and minorities doing business with the State of Colorado, the following information is requested. Please indicate the appropriate category of ownership for your company. "Owned" in this context means a business that is at least 51 percent owned by an individual(s) who also control(s) and operate(s) it. "Control" in this context means exercising the power to make policy decisions. "Operate" means actively involved in the day-to-day management. If your business is jointly owned by both men and women or is a large publicly held corporation, please check the box labeled "Not Applicable." GENDER INFORMATION: Female Owned: Male Owned: Not Applicable: OWNER ETHNICITY INFORMATION: African American: Asian/Pacific American: White (non-Hispanic): Hispanic American: Native American: Not Applicable: Other: SMALL BUSINESS INFORMATION: A small business is defined as: a business organized for profit, is independently owned and operated, and has 25 or fewer full time equivalent employees. Are you a small business? YES: NO: Attachment J - Applicant's Checklist Applicants should ensure all documentation requested is provided with the RFA submission prior to the RFA submission deadline. Applicants may use this checklist as a guide. Document Title Status Check Complete CDLE RFA Cover Sheet and Signature Page Required Attachment A Financial Risk Assessment Questionnaire Required Attachment B Grant Funding Sources Required Attachment C Sponsoring Division Specific Questionnaire / Work Plan Required Attachment D Project Budget and Narrative Required Attachment E Redlined Agreement Changes If Applicable Attachment F Agreement Certification Form Required Attachment G Conflict of Interest Disclosure Required Attachment H M/WBE Self Certification Required Attachment I Company W-9 Requested SDVOSB Certification If Applicable CO Secretary of State Cert of Good Standing If Already Available RFA#KDOO 2026_14025-Disability Application Assistance Grant(DAAG) Confirmation Number:0000380223 Your bid for solicitation"RFA#KDOO 2026_14025-Disability Application Assistance Grant(DAAG)"has officially been submitted. Bid Submission Date:02/11/2026 06:16 PM EST Confirmation Number:0000380223 Take note that you can withdraw and modify your bid up until the solicitation's closing date set for 02/21/2026 01:59 AM EST. 02/11/2026 06:16 PM EST Page 1 of 1 Hello