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Home My WebLink About890490.tiff RESOLUTION RE: APPROVE JUVENILE DIVERSION PROGRAM CONTRACT WITH THE DEPARTMENT OF PUBLIC SAFETY, DIVISION OF CRIMINAL JUSTICE, AND AUTHORIZE CHAIRMAN TO SIGN WHEREAS , the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with a Contract with the Department of Public Safety, Division of Criminal Justice, concerning the Juvenile Diversion Program, and WHEREAS , the term of said Contract is from July 1 , 1989 , through June 30 , 1990 , with the further terms and conditions being as stated in the Contract, and WHEREAS , after review, the Board deems it advisable to approve said Contract , a copy being attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Contract with the Department of Public Safety, Division of Criminal Justice , concerning the Juvenile Diversion Program be, and hereby is , approved. BE IT FURTHER RESOLVED by the Board that the Chairman be , and hereby is , authorized to sign said Contract. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 12th day of June, A.D. , 1989 . f BOARD OF COUNTY COMMISSIONERS ATTEST: Q�� WELD COUNTY,, COLORADO Weld County lerk and Recorder , / / and Clerk to the Board C.W. Kirby, Ch rman BY; / O7Jcjti�ci �L.� u 1 e Jo . on, Pro-Tem Deputy County erk fir APPROVED AS O FORM: ,ene R. Bran er George K County Attorney Go ,. -,a 890490 Fonn 6-AC-02A(R 1/88) DEPARTMENT OR AGENCY NUMBER 460000 CONTRACT ROUTING NUMBER CONTRACT THIS CONTRACT, Made this 30th day of May 1989 , by and between the State of Colorado for the use and benefit of the Department of t' Public Safety, Division of Criminal Justice, 700 Kipling (Suite 3000) , Denver, Colorado 80215 hereinafter referred to as the State, and .2 flffiCP of the Eli ctrirt Attnrnpy, 19th ,ludirial DictriCt p 0 Rnx 1167, Greeley, CO 80642 hereinafter referred to as the contractor, WHEREAS,authority exists in the Law and Funds have been budgeted,appropriated and otherwise made available and a sufficient unencumbered balance thereof remains available for payment in Fund Number 1001 , G/L Account Number_5]1i_5_6 , Contract Encumbrance Number ; and WHEREAS, required approval, clearance and coordination has been accomplished from and with appropriate agencies; and WHEREAS, " the Department of Public Safety, Division of Criminal Justice, is authorized under 19-2-303, C.R.S. , to establish and administer Juvenile Diversion programs; and WHEREAS, the Colorado General Assembly has appropriated $926,400 for ongoing and new Juvenile Diversion programs, as defined in the "Colorado Children' s Code", for Fiscal Year 1989-1990 (July 1, 1989 to June 30, 1990) ; and WHEREAS, the Contractor has the ability to manage and deliver programs and services to divert delinquent youth from further penetration or involvement in the juvenile justice and correctional system; and WHEREAS, the Contractor was selected to deliver Juvenile Diversion services in compliance with State procurement rules through RFP #MG—0789 . . . . NOW THEREFORE, it is hereby agreed that 1. " STATEMENT OF WORK a. The Contractor shall manage a community-based program for delinquent youth to divert them from further involvement in the Justice/Correctional System. b. The above services shall be provided by the Contractor in accordance with the program proposal dated July 1 , 1989 through June 30, 1990, which is incorporated and made a part hereof as if fully set forth herein, and attached hereto for reference as Exhibit A. 2. STATEMENT OF DOLLARS a. The State shall provide no more than 75 percent of total project funds during the contract period and the Contractor shall provide at least 25 percent of the funds during the contract period, commencing July 1, 1989. The State share Page 1 of JA_ pages 89O49O 395-53-01-1014 *(See instructions on reverse of last page) is $ 23,000.00 . The Contractors share is $ 7,667.00 and may be in the form of cash or in-kind services or supplies. b. Payment pursuant to this contract will be made as earned, in whole or in part, from available state funds encumbered in an amount not to exceed $ 23,000.00 for the purchase of community-based services providing the Contractor has met the requirement of providing its share of $ 7,667.00 in cash or in-kind match . The total disbursement under this contract shall not exceed $ 23,000.00 . c. The monies provided herein shall only be expended for purposes of the Projects as set forth in Exhibit A. 3-. METHOD OF PAYMENT a. The Contractor shall secure and maintain copies of invoices, contracts, and interagency documents for all services , supplies, capital equipment, and travel , including the rental property, which are used by the Contractor in providing services under this contract. b. The State shall pay the actual cost incurred by the Contractor for provision of services under this contract in the following manner: i ) State funds may be advanced on a quarterly basis. Such advance of State funds shall be based on anticipated program expenditures during the quarter as reflected on a written form provided by the State, (this form is attached to this contract as Exhibit B) . At no time shall the total of those quarterly advances exceed the pro-rated amount of State share of the contract for the quarter and expired months of the contract period, unless prior written approval has been received from the State. ii ) The first quarterly advance may be requested on the form attached as Exhibit B. Subsequent advances shall be made only after the State has received and approved that form, (Exhibit B) , the form attached to this contract as Exhibit C, and required data collection forms . State approval shall be based on actual expenditures rates and estimated expenditures for program activities described in Exhibit A. iii ) The Contractor shall report to the State on the form attached as Exhibit C the amount of local cash contributions or in-kind services received to support program activities . Such local contributions shall equal at least 25 percent of total program expenditures during the contract period. iv) The Contractor will adhere to written accounting procedures established by the State in accordance with Exhibit B and Exhibit C; and 890490 Page 2 of 11 v) The Contractor will identify any cost allocation methods used in distributing portions costs . c. The State shall disallow the reimbursement of expenditures or funding advances that are determined by the State to be for: i ) Alcoholic beverages; ii ) Costs not incurred during the contract period; iii ) Program costs not approved by the State in Attachment A; iv) Bank overdraft charges or penalty interest expenses; and v) Capital outlay in excess of $250.00 per purchased item where prior approval was not obtained from the State . 4. STATEMENT OF FISCAL UNDERSTANDING a. The Contractor agrees that until an accepted Fidelity Bond is obtained, no advance funds can be made available from the • State, and that such Fidelity Bond shall be equal to 16 percent of the contract amount to ensure refunds in the event of an audit exception. The Contractor or employees of the Contractor who have responsibility for receipt and/or disbursement of money under this contract shall be required to be bonded . The State shall be immediately notified of bond cancellation either by the underwriter or the Contractor. A copy of the certificate of the Fidelity Bond is attached to the Exhibit A, documenting coverage during the entire contract period. b. Within thirty (30) days of the end of the contract period, the Contractor shall submit to the State a final record of Expenditures using the form attached as Exhibit C. Any monies dispersed in excess of actual costs and expenditures as reflected by that report shall be refunded to the State by the Contractor within the same thirty (30) day period. c. Within thirty (30) days of the end of the contract period, the Contractor shall refund to the State any share of the State contribution not matched by the required local cash and/or in-kind contribution . d. The Contractor agrees to complete and pay the cost of an independent fiscal audit for any fiscal or calendar year within the past two years or agree to an audit by a State auditor, if available, and deliver such audit to the State prior to December 31 , 1989. Such requirement may be waived , all or in part, by the State. 890490 Page 3 of 11 e. The Contractor agrees to maintain sufficient accounting records to enable the State and the independent auditor to determine all costs for all community-based services . The Contractor shall provide to the State and the independent auditor all other sources of support and revenue attributable to the Diversion Program and all costs related to the program must be accounted for and properly classified. The Contractor agrees that any and all accounts which pertain to any service components described in Exhibit A shall be made available upon request to the State or the independent auditor. 5. EVALUATION AND MONITORING a. All research instruments and products pertaining to the Contractor's justification for serving youth under the terms of this contract shall be the property of the Division of Criminal Justice for use by the State. Such instruments and products shall not be used except with the express permission of the State. b. To comply with the Single Audit and State's evaluation requirements, the Contractor shall provide fiscal , program and the client information to the State at the time requested and on the forms provided for this purpose by the State. The Contractor shall provide any and all clients' information as may be permitted by the law to be released as requested by the State, including but not limited to: i ) Number of clients referred per month; ii ) Number of clients served per month; iii ) Number of clients terminated per month with reasons for termination; iv) Name of client and number of hours served per month; v) Type of service provided per month for each client with number of hours for each service component provided; vi ) Number of program hours available per month for each service component offered by the program. c. The Contractor shall be required to submit any further information requested regarding client services which is necessary for the State's development of a data-based client information system and a unit cost system for future funding. Such information requests shall be made thirty (30) days in advance and shall not require data collection or analysis on variables not routinely collected by the contractor. d. The Contractor agrees that the program's operations and services may be monitored by the State on a regular basis. The State will provide the contractor with the results of the evaluation and shall allow the Contractor opportunity to respond. Page 4 of 11 890490 6. SUBCONTRACTS a. The parties recognize that the service provided by Contractor are personal in nature and therefore none of the rights, duties or obligations arising under this contract may be assigned or delegated without the prior written consent of the State. b. All subcontracts entered into by the Contractor pursuant to this contract shall be completed in the format provided by the State, and no subcontract shall be valid without prior approval . A specimen copy is incorporated herein, attached hereto and made a part hereof by this reference as Exhibit D. A copy of any such approved contracts shall be supplied to the State. 7 . CONFIDENTIALITY a. All records and information maintained by the Contractor pertaining to clients of the State shall remain confidential and shall not be released to anyone other than the person in interest, the person's parent or legal guardian, or the State, without specific order of a court with proper jurisdiction . Prior to release of any authorized information or record, the Contractor shall notify the State. Nothing in this paragraph shall be construed in any way to prevent the Contractor from releasing information to authorized parties during the normal legal conduct of the Contractor' s business. 8. STATEMENT OF CONTRACT RESPONSIBILITIES The Contractor shall : a. Provide and maintain a facility that will meet all local , county, state, and federal ordinances, regulations and laws . b. Provide a staff as needed to implement the services included in Exhibit A. c. Conduct its program in accordance with all of the terms and specifications of this contract including all exhibits. d. Implement a system to maintain: i ) The legal rights of the client; ii ) Confidentiality of client records which shall include but not be limited to require: a) written consent to gather confidential information about the client; and b) written consent to release confidential information about the client. 890490 Page 5 of 11 iii ) Individual case files that: a) include records of services described in the Exhibit A; and b) document the participants' eligibility as defined by state law. e. Make available to the State, prior to execution of this contract, a copy of the following documents as applicable: i ) Certificate and articles of incorporation; ii ) Internal Revenue Service tax exempt status letter; iii ) Names of persons serving on Board of Directors ; iv) Corporation by-laws ; v) Lease agreement to all properties rented, unless the Contractor is a unit of local government; vi ) Names of persons authorized to sign payroll and expense checks of the Contractor. f. Comply with all federal and state laws, including the Immigration Reform Control Act in all hiring practices . g. Maintain and make immediately available to the State at any time upon request, personnel policies and procedures which shall include policies on conflicts of interest, non- discrimination concerning race, color, creed, and national origin, sex, marital status, religion, ancestry, mental or physical handicap, or age. h. Maintain in full force and effect comprehensive general liability insurance and property damage insurance with limits of at least $150,000 for bodily injury to any one person, $400,000 for any one occurrence, $400,000 for property damage or a total amount of $800,000. The contractor shall furnish the State with written certification of the existence of such liability and property damage insurance policy prior to the effective date of the contract, and must notify the State when insurance is cancelled by either the insured or the underwriter thirty (30) days prior to cancellation and must obtain new insurance coverage prior to the effective date of the cancellation. Certificates documenting such coverage during the entire contract period shall be provided to the State in Exhibit A of this contract. Amounts of coverage required by this contract shall be superceded by the Colorado Governmental Immunity Act, where applicable. Maintain in full force and effect Comprehensive Automobile Liability and Property Damage Insurance (limit of liability $500,000, combined single limit for bodily injury and property damage) if program participants are transported by auto by staff or agents of the program. Proof of such insurance is attached to Exhibit A. Otherwise, a statement from the authorized official will certify that participants are not transported by program staff or agents and such statement is attached to Exhibit A. Page 6 of 11 890490 j . Maintain adequate fiscal records for a period of three (3) years following the termination of this contract subject to inspection and audit by the State or its designee. Any audit exception shall be subject to refund to the State by the Contractor after negotiation for repayment has occurred. The State shall : a. Develop a contract for the execution of the Project. b. Monitor the Project for fiscal and program accountability. c. Provide consultation to Project staff. d. Provide to the Project direction on accounting, record- keeping, and reporting. e. Provide research and evaluation information applicable to Project operation. 9. REPRESENTATIVES a. For the purpose of this agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing new or substitute representatives: For the State: Larry Linke Title: Program Administrator, Division of Criminal Justice For the Contractor: Carol C. Poole Title: Administrator, Community Services Office of the District Attorney 10. CONFLICT OF INTEREST Weld County, Colorado a. No employee of the Contractor shall perform or provide part-time services to a consultant or consultant firm that has been retained by the Contractor under the authority of this contract. b. The Contractor agrees that no person who presently exercises any function or responsibility in connection with the program has any personal financial or economic interest , direct or indirect, in this contract except to the extent that he may receive compensation for his performance pursuant to the Contractor. c. No person who presently exercises any function or responsibility in connection with this program on behalf of the Contractor shall have or acquire any personal financial or economic interest, direct or indirect, Page 7 of 11 890490 which will be materially affected by this contract, except to the extent that he may receive compensation for his performance pursuant to this contract. Any economic or financial interest includes, but is not limited to: i ) Any business entity in which the person has a direct or indirect interest worth more than one thousand dollars ($1 ,000.00) ; ii ) Any real property in which the person has a direct or indirect interest worth more than one thousand dollars ($1 ,000.00) ; iii ) Any source of income, loans, or gifts aggregating two hundred and fifty dollars ($250.00) or more in value received by or promised to the person within twelve (12) months prior to the execution date of this contract; iv) Any business entity in which the person is a director, officer, partner, trustee, employee, or holds any position of management. For purposes of this subsection, indirect investment or interest mean any investment or interest owned by the spouse, parent, brother, sister, son, daughter, father-in-law, mother-in- law, brother-in-law, sister-in-law, son-in-law, daughter-in-law of the person by an agent on his/her behalf, by any business entity controlled by said person, or by a trust in which he/she has substantial interest. A business entity is controlled by a person if that person, his/her agent, or a relative as defined above possesses more than 50 percent of the ownership interest. Said person has a substantial economic interest in a trust when the person or an above-defined relative has a present or future interest worth more than one thousand dollars ($1 ,000.00) . d. The Contractor shall incorporate the above subsections of this section into every subcontract into which it enters in connection with this contract, making such provisions applicable to the person or entity with whom the Contractor contracts. 11 . CONTRACT MODIFICATIONS, CHANGES OR AMENDMENTS a. This agreement is intended as the complete integration of all understandings between the parties . No prior or . contemporaneous addition, deletion or other amendment hereto shall have any force or effect whatsoever, unless embodied herein in writing. No subsequent novation, renewal , addition, deletion, or other amendment hereto shall have any force or effect unless embodied in a written contract executed and approved pursuant to the State fiscal rules. Page 8 of 11 S90490 12. INDEPENDENT CONTRACTOR a. The Contractor shall render services under this contract as an independent Contractor and shall be accountable to the State for the ultimate results of its actions but shall not be subject to direction and control of the State as to details, methods or to particular hours or work, except as provided herein. The employees of the Contractor shall not be construed as employees of the State for any purpose. 13. CONTRACT STATEMENT TO HOLD HARMLESS a. It is agreed that the State shall not be held liable for any error or omission of the Contractor in providing services hereunder. The Contractor shall not at any time act as an agent, servant, or employee of the State. To the extent permitted by law the Contractor agrees to indemnify and hold harmless the State, its employees, agents, and officers, against any and all claims, demands, damages, liabilities and court awards, including costs, expenses, and attorney fees incurred as the result of any act or omission of any officer, agent or employee of the Contractor, or acts or omissions by youths within the program of such Contractor, or resulting from the condition of any property owned or controlled by the Contractor. Nothing in this indemnity agreement shall be construed in any way to be a waiver by the Contractor of the protections which are granted to the Contractor and its employees under the Colorado Governmental Immunity Act, C.R.S. 24-10-101 , et seq. , as amended. 14. PERFORMANCE OF CONDITION PRECEDENT TO VALIDITY OF CONTRACT a. The Contractor and the State each certifies that all conditions precedent to the valid execution of the contract on its part have been satisfied. 15. CONTRACT TERMINATION a. This contract may be terminated by either party by giving thirty (30) days notice in writing, delivered by certified mail , return receipt requested, to the other party at the above address, or delivered by personal services upon the party. If notice is so given, this contract shall terminate on the expiration of the thirty (30) days, and the liability of the parties hereunder for the further performance of the terms of this contract shall thereupon cease, but the parties shall not be relieved of the duty to perform their obligation up to the date of termination. Page 9 of 11 890490 Form 6-AC-02B SPECIAL PROVISIONS CONTROLLER'S APPROVAL 1. This contract shall not be deemed valid until it shall have been approved by the Controller of the State of Colorado or such assistant as he may designate.This provision is applicable to any contract involving the payment of money by the State. FUND AVAILABILITY 2. Financial obligations of the State payable after the current fiscal year are contingent upon funds for that purpose being appropriated,budgeted and otherwise made available. BOND REQUIREMENT 3. If this contract involves the payment of more than fifty thousand dollars for the construction,erection,repair.maintenance,or improvement of any building. road,bridge,viaduct,tunnel,excavation or ther public works for this State.the contractor shall,before entering the performance of any such work included in this contract,duly execute and deliver to and file with the official whose signature appears below for the State,a good and sufficient bond or other acceptable surety to be approved by said official in a penal sum not less than one-half of the total amount payable by the terms of this contract. Such bond shall be duly executed by a qualified corporate surety.conditioned for the due and faithful performance of the contract,and in addition,shall provide that if the contractor or his subcontractors fail to duly pay for any labor.materials,team hire,sustenance,pro'isions,provendor or other supplies used or consumed by such contractor or his subcontractor in performance of the work contracted to he done,the surety will pay the same in an amount not exceeding the sum specified in the bond,together with interest at the rate of eight percent per annum.Unless such bond,when so required.is executed,delivered and filed,no claim in favor.of the contractor arising under this contract shall be audited,allowed or paid.A certified or cashier's check or a bank money order payable to the Treasurer of the State of Colorado may be accepted in lieu of a bond. This provision is in compliance with 38-26-106 CRS, as amended. INDEMNIFICATION 4. To the extent authorized by law, the contractor shall indemnify,save and hold harmless the State, its employees and agents, against any and all claims. damages,liability and court awards including costs,expenses,and attorney fees incurred as a result of any act or omission by the contractor,or its employees, agents, subcontractors, or assignees pursuant to the terms of this contract. DISCRIMINATION AND AFFIRMATIVE ACTION 5. The contractor agrees to comply with the letter and spirit of the Colorado Antidiscrimination Act of 1957,as amended,and other applicable law respecting discrimination and unfair employment practices(24-34-402.CRS 1982 Replacement Vol.).and as required by Executive Order,Equal Opportunity and Affirma- tive Action, dated April 16, 1975. Pursuant thereto, the following provisions shall be contained in all State contracts or sub-contracts. During the performance of this contract, the contractor agrees as follows: (I) The contractor will not discriminate against any employee or applicant for employment because of race,creed,color,national origin,sex,marital status, religion,ancestry,mental or physical handicap,or age.The contractor will take affirmative action to insure that applicants are employed,and that employees arc treated during employment,without regard to the above mentioned characteristics. Such action shall include,but not be limited to the following:employment. upgrading,demotion,or transfer,recruitment or recruitment advertising:lay-offs or terminations:rates of pay or other arms of compensation;and selection for training,including apprenticeship.The contractor agrees to post in conspicuous places,available to employees and applicants for employment,notices to be pro- vided by the contracting officer setting forth provisions of this non-discrimination clause. (2) The contractor will.in all solicitations or advertisements for employees placed by or on behalf of the contractor,state that all qualified applicants will receive consideration for employment without regard to race, creed, color, national origin, sex, marital status, religion, ancestry, mental or physical handicap, or age. (3) The contractor will send to each labor union or representative of workers with which he has collective bargaining agreement or other contract or understand- ing,notice to be provided by the contracting officer, advising the labor union or workers' representative of the contractor's commitment under the Executive Order, Equal Opportunity and Affirmative Action, dated April 16, 1975. and of the rules, regulations, and relevant Orders of the Governor. (4) The contractor and labor unions will furnish all information and reports required by Executive Order,Equal Opportunity and Affirmative Action of April l 6. 1975,and by the rules,regulations and Orders of the Governor.or pursuant thereto,and will permit access to his books,records,and accounts by the contracting agency and the office of the Governor or his designee for purposes of investigation to ascertain compliance with such rules, regulations and orders. (5) A labor organization will not exclude any individual otherwise qualified from full membership rights in such labor organization,or expel any such individual from membership in such labor organization or discriminate against any of its members in the full enjoyment of"ork opportunity,because ofrace,creed,color. sex, national origin, or ancestry. (6) A labor organization,or the employees or members thereof still not aid,abet.incite,compel or coerce the doing of any act defined in this contract to he dis- criminatory or obstruct or prevent any person front complying v.ith the provisions of this contract or any order issued thereunder;or attempt either directly or indirectly, to commit any act defined in this contract to be discriminatory. 395-53-01-1022 10 11 • Revised 1/88 page of pages oc.io.zmuea-xa 890490 Form 6-AC-02C (7) In the event of the contractor's non-compliance with the non-discrimination clauses of this contractor or with any of such rules,regulations,or orders,this contract may be cancelled,terminated or suspended in whole or in part and the contractor may be declared ineligible for further State contracts in accordance with procedures,authorized in Executive Order,Equal Opportunity and Affirmative Action of April 16, 1975 and the rules,regulations.or orders promulgated in accordance therewith,and such other sanctions as may be imposed and remedies as may be invoked as provided in Executive Order,Equal Opportunity and Affirmative Action of April 16, 1975, or by rules, regulations, or orders promulgated in accordance therewith, or as otherwise provided by law. (8) The contractor will include the provisions of paragraph(1)through(8)in every sub-contract and subcontractor purchase order unless exempted by rules, regulations,or orders issued pursuant to Executive Order,Equal Opportunity and Affirmative Action of April 16, 1975,so that such provisions will be binding upon each subcontractor or vendor.The contractor will take such action with respect to any sub-contracting or purchase order as the contracting agency may direct,as a means of enforcing such provisions,including sanctions for non-compliance;provided,however,that in the event the contractor becomes involved in.or is threatened with,litigation with the subcontractor or vendor as a result of such direction by the contracting agency,the contractor may request the State of Colorado to enter into such litigation to protect the interest of the State of Colorado. COLORADO LABOR PREFERENCE 6a. Provisions of 8-17-10] & 102,CRS for preference of Colorado labor are applicable to this contract if public works within the State are undenaken hereun- der and are financed in whole or in part by State funds. h. When construction contract for a public project is to be awarded to a bidder,a resident bidder shall be allowed a preference against a non-resident bidder from a state or foreign country-equal to the preference given or required by the state or foreign country in which the non-resident bidder is a resident. If it is deter- mined by the officer responsible for awarding the bid that compliance with this subsection.06 may cause denial of federal funds which would otherwise be avail- able or would otherwise be inconsistent with requirements of federal law.this subsection shall be suspended,but only to the extent necessan.to prevent denial of the moneys or to eliminate the inconsistency with federal requirements (section 8-19-101 and 102, CRS). GENERAL 7. The laws of the State of Colorado and rules and regulations issued pursuant thereto shall be applied in the interpretation,execution and enforcement of this contract. Any provision of this contract whether or not incorporated herein by reference which provides for arbitration by any extra-judicial body or person or which is othenvise in conflict with said laws,rules and regulations shall be considered null and void.Nothing contained in any provision incorporated herein by reference which purports to negate this or any other special provision in whole or in part shall be valid or enforceable or available in any action at law whether by way of complaint,defense or otherwise.Any provision rendered null and void by the operation of this provision will not invalidate the remainder of this contract to the extent that the contract is capable of execution. S. At all times during the performance of this Contract,the Contractor shall strictly adhere to all applicable federal and state laws,rules and regulations that have been or may hereafter be established. 9. The signatories hereto aver that they are familiar with 18-8-301,et.seq.,(Bribery and Corrupt Influences)and 18-8-401,et.seq.,(Abuse of Public Office), CRS 1978 Replacement Vol., and that no violation of such provisions is present. 10. The signatories aver that to their knowledge, no state employee has a personal or beneficial interest whatsoever in the service or property described herein: IN WITNESS WHEREOF, the parties hereto have executed this Contract on the day first above written. Contractor: Full Legal Name) Office of the District Attorney STATE OF COLORADO Weld County, Colorado ROY ROMER, GOVERNOR By: e f orBY C.W. Kirb , Chairman 5 EXECUTIVE DIRECTOR. the Position (Title) ers R4-6000R1 "3 social Security Number or Federal I.D. Number DEPARTMENT Public Safety 1(Corporatio .ex Attest (Seal) C ' *County Clerk APPROVALS ATTORNEY GENERAL CONTROLLER Pose 11 Maim os the last of e a pages 8904 • 90 19k95-53-01-1030 tRe.ised I/88) 'set Inn,ourvns on reverse side. DGI0-3J0Sa-88 EXHIBIT "B" COLORADO DIVISION OF CRIMINAL JUSTICE JUVENILE DIVERSION CASH REQUEST FORM 14 CONTRACTOR NAME CONTRACT ENCUMBRANCE NUMBER DATE Make warrant payable to: (Do not exceed four lines) Name: Street : Attn: City, State, Zip: 1 . Total Amount of State Contract: 2 . Total Amount Received to Date: 3 . Total Amount Requested , Not Rec ' d: 4 . Total Amount of This Request: 5 . Total of Lines 2, 3 & 4: 6. Balance of State Contract: (Line 1 Less Line 5) 7 . Estimated Expenditures for: (Time Period) 8. Less Estimated Cash on Hand: 9 . Total Cash Needs : (Line #7 less Line #8) (Must equal line #4) Two signed copies of this form should be submitted to DCJ with Project Director' s Signature original signatures . Phone #: ( ) DCJ Approval : $ Amount Program Administrator Date Revised 6/88 890490 ; . C. .JRADO DIVISION OF CRIMINAL JUS, .CE JUVENILE DIVERSION FISCAL REPORT FORM 8R CONTRACTOR NAME AND ADDRESS: DATE CONTRACT ENCUMBRANCE NUMBE Phone Number ( Type of Report Attn : Progress Final Contract Duration Report Number 1 2 3 4 ILO Time period covered on this report IL Local Cash In-Kind Contract Status ;( State Funds Match Match (in $) p Total Funds Total Award Less - Re eived lan EXPENDITURES A B C Total Expenditures STATE FUNDS Approved Beginning of Expendi- Total Budget Quarter (see tures Expendi- id Budget Catepory Exhibit A) C Report)ious Ouarter Date(A+B) ObThis tures to ligations Personnel Supplies/Oiler. Travel ,Eouipment Prof. Services TOTAL— 1 -- CASH BALANCE Cash Balance Beginning of Quarter $ Plus Receipts During Quarter $ Less Expenditures During Quarter $_ Cash Balance End of Quarter $ EXPENDITURES A B C Total Expenditures LOCAL CASH MATCH Approved Beginning of Expendi- Total Budget Quarter (see tures Expendi- (See C on previous This tures to Unpaid Budget Category Exhi it A Re ort Quartgr Date(A+B) Obligations Personnel u 1 i s/Oge.r. ravel _ E ui ment � 1 Prof. Services I L___ ASH BALANCE '3©490 Cash Balance Beginning of Quarter $ Plus Receipts During Quarter Less Expenditures During Quarter $_ Cash Balance End of Quarter $ _ - EXPENDITURES A B C • Total Expenditures IN-KIND MATCH Approved Beginning of Expendi- Total IN DOLLAR AMOUNTS Budget Quarter (see tures Expendi— I (See C on previous This tures to Unpaid 1 Budget Category Exhibit; A) Report) Quarter Date(A+B)� Obligation Personnel u.p_pi i e s/Oper: - --- --- ---- ----- I- _--- —_-- _� T r a v el _--_--L___ _-- -- - __—_—.. — --__ _--- -------�4 _ _._ ! EQuipment Prof. Services --- _---- ____.__�-- _ ----- ___..__--.--.-_--- TOTAL — T1 I I I IIN—KIND BALANCE Balance Beginning of Quarter $ — Plus Receipts During Quarter $ , Less Expenditures During Quarter $ Balance End of Quarter $_— I If calculations for in--kind services differ from your explanation in Exhibit A, please describe changes in detail . Attach additional sheets if necessary. I certify that to• the best of my knowledge and belief this report is correct and complete and that all expenditures and unpaid obligations are for the purposes set forth in the contract. ( ) Report Prepared By Phone Project Director' s Signatur MAIL TWO COPIES OF THIS FORM TO DCJ WITHIN 15 DAYS FOLLOWING THE END OF EACH QUARTER. ALL SIGNATURES MUST BE ORIGINAL. Revised 6/88 890490 Hello