HomeMy WebLinkAbout851344.tiff RESOLUTION
RE: AUTHORIZATION FOR CHAIRMAN TO SIGN STATEMENT OF ASSURANCES
CONCERNING REVENUE SHARING
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 U.S. Department of Treasury, Office of Revenue
Sharing, has informed the Board of County Commissioners that, in
order for governments to receive payments concerning Revenue
Sharing, a Statement of Assurances must be signed indicating that
they will comply with the requirements of the Revenue Sharing
Action, 31 U.S. Code, 6701-6724 , and
WHEREAS, the Board of County Commissioners deems it advisable
to authorize the Chairman to sign said Statement of Assurances.
NOW, THEREFORE, BE IT RESOLVED by the Board of County
Commissioners of Weld County, Colorado, that the Chairman be, and
hereby is, authorized to sign said Statement of Assurances.
The above and foregoing Resolution was, on motion duly made
and seconded, adopted by the following vote on the 25th day of
November, A.D. , 1985 .
BOARD OF COUNTY COMMISSIONERS
ATTEST: e�h_ziote WELD COUNTY, COLORADO
Weld County elerk and Recorder EXCUSED
and Clerk to the Board Ja eline Johnson, Chairman
a
BY: tCflL )c.-,<-(L) Gene R. Bra43S1L
eTem
Dputy County Clerk
APPROVED AS TO FORM: C.W. I 1
Coun y Attorn y
Frank amag i
7,/,//e, fD 7 851344
Statement of - surances Certification orm EP 17
I
mO I,the undersigned Chief Executive Officer,do hereby assure the Director of the Office of Revenue Sharing that the government m
t0 named on this form will comply with the requirements of the Revenue Sharing Act,31 U.S.C.6701-6724,as cited on the enclosed
m < Statement of Assurances.I make this assurance in order to qualify this government to receive Revenue Sharing payments during O
ca
a m Entitlement Period 17,subject to the provisions of the Criminal Code of the U.S.(18 U.S.C. 1001). C.)
m livembrr 18. 1985 �._
o DATE SIGNATURE OF CHIEF EXECUTIVE OFFICER
m
tha Jacqueline Johnson. Chairman Board of Wald County ( 303 ) 356-4UU0
NAME AND TITLE(PLEASE PRINT) Coun$B iip¢tg✓s AREA CODE - TELEPHONE NUMBER
co
f 4 Ft D t [?'JNTY 061" CTL—' 24'9
!:.'sAI''ti;AN SO CuMM 062
03 GPeELEY C[7LL'g4;JO 80631 061
-0
O
i-
DUPLICATE-RETAIN FOR YOUR FILES
ORS-G.S.OCT.1985
fF OFFICE OF THE SECRETARY OF THE TREASURY
WASHINGTON, D.C. 20226
DIRECTOR
OFFICE OF REVENUE SHARING
240?E STREET.N.W
COLUMBIA PLAZA
October 31, 1985
Dear Revenue Sharing Recipient:
In order to qualify for receipt of Revenue Sharing funds, each recipient
governnent must assure the Director of the Office of Revenue Sharing that it
will comply with the provisions contained in the Revenue Sharing Act. To
facilitate this requirement, a new Statement of Assurances Certification Form
for Entitlement Period 17 is enclosed. Period 17 begins on October 1, 1985
and ends on September 30, 1986.
After carefully reading the enclosed Instructions and the Statement of
Assurances, the Chief Executive Officer of your governnent must sign, date,
and mail "Copy A" of the Certification Form to us to quality your government
for Revenue Sharing payments. Please note that under the provisions of the
Revenue Sharing Act, only the Chief Executive Officer is authorized to sign
the Certification Form, thereby certifying that a governnent will comply
with the requirements of the Act as described in the enclosed Statement of
Assurances. "Copy B" of the Certification Form is to be retained in your files
as part of your Revenue Sharing docwnentation. "Copy A" of the Certification
Form should be mailed as soon as possible, but not later than November 15, 1985,
to ensure that we receive it in time to qualify your government for the first
quarterly payment for Entitlement Period 17 to be issued on January 8, 1986.
The signed Certification Form must be on file in this Office by
November 22, 1985, in order for your government to qualify for receipt of
Entitlement Period 17 funds.
Michael F. Hill
Revenue Sharing
= p = 17
Statement of Assurances
ENTITLEMENT PERIOD 17
OCTOBER 1, 1985-SEPTEMBER 30, 1986
The recipient government assures that it will:
(1) Establish a trust fund and deposit all Revenue Sharing funds received in that trust fund, accord-
ing to regulations prescribed by the Office of Revenue Sharing.
(2) Use, obligate or appropriate Revenue Sharing funds within a reasonable time (two years from
the end of each entitlement period) according to regulations prescribed by the Office of Revenue Sharing.
(3) Not use entitlement funds for lobbying or other activities intended to influence any legislation
regarding the provisions of the Revenue Sharing Act.
(4) Provide for the expenditures of Revenue Sharing funds in accordance with State and local laws
and procedures applicable to the expenditure of its own revenues.
(5) Use fiscal, accounting, and audit procedures, as specified by the Office of Revenue Sharing;
provide access to and the right to examine books, documents, papers, or records for purposes of review-
ing compliance with the Revenue Sharing Act; and submit such reports as the Director may require.
(6) Comply with the independent audit requirements under the Revenue Sharing Act and Regula-
tions.
(7) Comply with the public hearing and the public participation requirements of the Revenue Shar-
ing Act and Regulations.
(8) Comply with the prevailing wage provisions of the Davis-Bacon Act on any construction project
costing in excess of$2,000 when 25 percent or more of the cost of such project is paid with Revenue Shar-
ing funds.
(9) Pay individuals employed in jobs financed in whole or in part with Revenue Sharing funds not
less than the prevailing rates of pay for persons employed in similar public occupations by the same
employer. This provision does not apply to an employee or employees in any program category who are
being paid in whole or in part with Revenue Sharing funds unless 25 percent or more of the total wages
paid to all employees in that category are paid from Revenue Sharing funds.
(10) Not exclude from participation in, deny the benefits of, or subject to discrimination under any
program or activity, any person in the United States on the grounds of race, color, national origin, or sex.
Not discriminate on the basis of age under the Age Discrimination Act of 1975, or with respect to an
otherwise qualified handicapped individual as provided in Section 504 of the Rehabilitation Act of 1973,
or on the basis of religion,except that any exemption from such prohibition against discrimination on the
basis of religion as provided in the Civil Rights Act of 1964, or Title VII of the Act of April 11, 1968, shall
also apply. This assurance includes compliance with the administrative requirements of the Revenue
Sharing handicapped discrimination provisions contained in Section 51.55(c), (d), (e), and (k)(5) of the
Regulations.
(11) Provide within 10 days of receipt by the recipient government a copy of a holding (as defined in
the Revenue Sharing Regulations) to the Director of the Office of Revenue Sharing, in the event a Federal
or State court or Federal administrative law judge makes sure a holding against the recipient.
I assure the Director of the Office of Revenue Sharing that this government will comply with the re-
quirements of the Revenue Sharing Act (31 U.S.C. 6701-6724) and the Regulations (31 C.F.R. part 51), with
respect to payments received under the Act.
I understand that the acceptance of the Statement of Assurances Certification Form for Entitlement
Period 17 by the Director of the Office of Revenue Sharing, does not prevent the Director from holding a
recipient government responsible for noncompliance with the Revenue Sharing Act and the Regulations.
ORS-GS. OCT. 1985
•NTITLEMENT PERIOD 17
OCTOBER 1, 1985-SEPTEMBER 30, 1986
Note: These instructions are part of the documentation that supports your assurances and must be
retained for public examination on request.
STATEMENT OF ASSURANCES
1. The Revenue Sharing Act, as amended (31 U.S.C. 6701-6724 hereinafter referred to as the Act), provides that each
recipient government must assure the Secretary of the Treasury that it will comply with the statutory provisions con-
tained in the Act in order to qualify to receive Revenue Sharing funds. Copy A of the Certification Form has been
prepared to facilitate the submission of your assurances on behalf of your government. Copy B of the Certification
Form is to be retained in your files.
2. The name,address, and Revenue Sharing account number for your government appear on both of the Certification
Forms. By signing in the space provided at the bottom of the Certification Form (Copy A),the Chief Executive Officer
assures compliance by the named government with the requirements described in the enclosed Statement of
Assurances. Because the Certification Form is a legal document, it must be signed in ink and by hand (a complete
legal signature). Rubber stamp signatures, initials,or photocopies of signatures will not be accepted. Under the provi-
sions of the Act,only the Chief Executive Officer is authorized to sign the Certification Form.Copy B of this Certifica-
tion Form should be retained for your records.
3. Detach and return the Certification Form (Copy A)with an original signature to the Office of Revenue Sharing. Re-
tain Copy B of the Certification Form for your files. Be sure to place first-class postage on the postcard. (The Postal
Service will not deliver mail without postage.) Please mail the form by November 22, 1985 to ensure that your govern-
ment will receive the first payment of Revenue Sharing funds for Entitlement Period 17 in January 1986.
4. When your form has been received and accepted by the Office of Revenue Sharing, you will receive an Acceptance
Card directly from ORS. This card will be printed with the date your form was accepted and the file number for your
form. The Acceptance Card should be retained as part of your Revenue Sharing records.
PUBLIC PARTICIPATION
The public participation requirements described in Subpart B of the final Revenue Sharing Regulations continue
in effect for Entitlement Period 17. If you believe your government qualifies for a waiver or alternative procedure as ex-
plained below, you must request a "Public Participation Waiver Application Form" from the Office of Revenue Shar-
ing.This waiver must be approved by the Office of Revenue Sharing before your government may appropriate Revenue
Sharing funds.
The waiver application does not replace the Statement of Assurances Certification Form.Even if you qualify for a
waiver of the public participation requirements, you must file a Certification Form.
A waiver or alternative procedure may be applicable to your government only if:
• The cost of newspaper publication of the budget hearing notice, including the budget summary, will exceed
15 percent of entitlement funds in the proposed budget and an alternative method of publication will be used
(see Sec. 51.13(c) of the Regulations); or
• A newspaper publication for any one of the following is impractical or infeasible (for example: a few local
subscribers or no newspaper available) and an alternative method of publication will be used to advertise:
• Budget hearing notice
• Notice of availability of the adopted budget
• Notice of availability of Survey of Expenditures (Use Report)
• Notice of availability of the Audit Reports.
ACCEPTANCE CARD
If you do not receive an Acceptance Card, or if your form has not been returned to you by the Office of Revenue
Sharing within four weeks from the date your form was mailed,contact the Office of Revenue Sharing.Your form may
not have been received by ORS. If you need further information,call ORS Intergovernmental Relations Division at(202)
634-5200. (We regret that we are not authorized to accept collect calls.)
ORS-GS. OCT. 1985
'
DEPARTN NT OF THE TREASURY fl
OFFICE-OF REVENUE SHARING • .T
WASHINGTON D.C. 20226
OFFICIAL BUSINESS
PENALTY FOR PRIVATE USE$300
\I061
FELO COUNTY 062
CHAIRMAN BD COMM 80631 O61
GREELEY COLORADO
DATE: FILE NUMBER:
TYPE OF REPORT: 10192A
Z A
I EP17 STATEMENT OF ASSURANCES 12-13-65
I A '' OFFICE OF THE SECRETARY (`THE TREASURY tif Office of Revenue Sharing
2401 E Street,N.W.
Washington, D.C. 20226
Dear Chief Executive Officer,
This card confirms that the report submitted by your government has been accepted by
the Office of Revenue Sharing. Please note the printed message on the other side of this card;
it will advise you of the type of report received by us,the date on which it was recorded, and
the file number.
Director
Office of Revenue Sharing
Treas.ORS Form 3242
(Rev. FEB. 1977)
Hello