HomeMy WebLinkAbout890419.tiff ii ' mEmORAnDUm
C. W. Kirby, Chairman
ro Board of County Commissioners Date May 15, 1989
COLORADO From Walter J. Speckman, Executive Director, Human Resources 'Vote
PY '89 Migrant Head Start Supplemental Grant Application
Subject:
Enclosed for Board approval is the PY '89 Migrant Head Start
Supplemental Grant Application.
This grant application includes a 1% cost of living increase in the
amount of $2,864 and $5 ,564 for salary enhancement for a total of $8,428.
The period of the grant is from June 1, 1989 through June 30, 1990.
,/1 ,� �� 890419
APPLI- a.NUMBER S. .ATE a.NUMBER OMB Approval No.0348-0006
FEDERAL ASSISTANV 2. APPLI
1. TYPE APPLI- CATION
OF
CATION IDENTI.
0 NOTICE OF INTENT(OPTIONAL) IDENTI- FIER SUBMISSION FIER b.DATE NOTE TO BE b. DATE
(Mark rap ❑ PREAPPLICATION Year month day ASSIGNED
ASSIGNED Year month day
box) e
® APPLICATION 19 BY STATE
19
Lease
Blank
4. LEGAL APPLICANT/RECIPIENT 5. EMPLOYER IDENTIFICATION NUMBER(EIN)
a.Applicant Name • Weld County Division of Human Resources
b.Organizelion UnitWeld County Head Start Program 84-6000813
6.
C.Street/P.O.Box P.O. Box 1805
PRO- a NUMBER 13 I ' 16 I OI O d City Greeley e.c«my Weld GRAM
I.State •
Colorado g.ZIP Code. 80632 (From CFDA)
Mr. Walter J. Speckman, Executive Director MULTIPLE ❑
h.Contact Person(Nameb. TITLE
d Telephone No.) (303) 353-3816, extension 3300 Migrant Head Start
i 7. TITLE OF APPLICANT'S PROJECT (Use section IV of this form to Daycare
o project) provide a summary description of the 8. TYPE OF APPLICANT/RECIPIENT
A-Ser N—SP•Awl Atoms*Como
III
C0
1989 Migrant Head Start/Daycare Program gym, '— '�'°^ °^
Supplemental Grant Iti
(—City
«�/
i (COLA and Salary Enhancement) °""'"
Enter appropriate lento D
9. AREA OF PROJECT IMPACT(Names of cities counter;states etc.) 10.ESTIMATED NUMBER 11. TYPE OF ASSISTANCE
I OF PERSONS BENEFITING A-'a"'Gird o-4"
gB-SI S,.wG,r E o..
Weld 200 a Enter app.-
u pri, ierreH/ B
`tX 12. PROPOSED FUNDING 1,13. CONGRESSIONAL DISTRICTS OF: 14. TYPE OF APPLICATION
n
a.FEDERAL S $,4Z$ .00 a. APPLICANT b. PROJECT Ae�1.,...i eon
`" E—""°"'"'°"
b.APPLICANT 2,107 Enter appropriate inter
00 4 County-Wide 17. TYPE OF ORANGE(Fw/ec w/4O
c.STATE .00 15. PROJECT START 16. PROJECT Ate"""•Dolan F-0^'(Sa<ilyl-
DATE 1B-060••••DAM
O.LOCAL .00 Year month day DURATION �uwarr Onion_ was
E ChpYy c
e.OTHER .00 Ij 18. DATE 1989 06 01 12 Months
E rs-ytoo
{J Year month day platsMrerry/ A
I. Total S 10,535 .Go I FEDERAL AGENCY i.- 19
19. FEDERAL AGENCY TO RECEIVE REQUEST
Administration for Children, Youth and Families EXISTING FEDERAL GRANT
S. ORGANIZATIONAL UNIT(IF APPROPRIATE) Ib.ADMINISTRATIVE CONTACT(IF KNOWN) IDENTIFICATION NUMBER
C. ADDRESS 90-CM-0136
21. REMARKS ADDED
1 22. To the best of my knowledge and belief, a. YES,THIS NOTICE OF INTENT/PREAPPLICATION/APPLICATION WAS MADE
AVAILABLE TO THE❑STNo
ATE
5 THE data in this preapplication/application EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON:
APPLICANT are true and correct,the document has
CERTIFIES been duly authorized by the govemirq
t ¢ THAT,- body of the applicant and the applicant DATE
• t will cornpy with the attached assurances b. NO,PROGRAM IS NOT COVERED BY E.O. 12372 b
T if the assistance is approved. OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW 0
23 a. TYPED NAME AND TITLE b SIGNATURE
CERTIFYING �r ��((77 hyy ba 3(�
SENTATIVE &e�d t,OUF� y' �UdrdmOT Commissioners L
24, APPLICA- Year month day 125. FEDERAL APPLICATION IDENTIFICATION NUMBER 26. FE RAL GRANT IDENTIFICATION
TION
RECEIVED 19
27. ACTION TAKEN 128. FUNDING
Year month day 30. Year month date
0 a. AWARDED 29. ACTION DATE► 19 STARTING
E 5 0 b. REJECTED DATE 19
If 8 0 C. RETURNED FOR a. FEDERAL S .00 31. CONTACT FOR ADDITIONAL INFORMA- 32. Year month daze
AMENDMENT b. APPLICANT TION(Name and telephone number) ENDING
E b 0 d. RETURNED FOR .00 DATE 19
6 AN E.O. 12372 SUBMISSION c. STATE .00
G 44.7 BY APPLICANT TO 33. REMARKS ADDED
d. LOCAL ,00M STATE
❑e. DEFERRED e. OTHER .00
❑ I. WITHDRAWN I. TOTAL S
.00
Yes No
NSN 7540-01-008-8162 424-103 890419 PREVIOUS EDITION STANDARD FORM 424 PAGE 1 (Rev.4-84)
IS NOT USABLE Prescribed by OMB Circular 4-102
PART II OMB NO 0348-0006
PROJECT APPROVAL INFORMATION
Item 1.
Does this assistance request require Name of Governing Body
State, local regional, or other priority rating? Priority Rating
Yes X No
Item 2.
Does this assistance request require State, or local Name of Agency or
advisory, educational or health clearances? Board
Yes_X No (Attach Documentation)
Item 3.
Does this assistance request require State, local, Name of Apprf vine Agency
regional or other planning approval? Date _6t OJ/ 4 _'
X Yes No
Item 4.
Is the proposed project covered by an approved compre- Check one: State ❑
hensive plan? Local ❑
Regional
Yes X No Location of Plan
Item 5.
Will the assistance requested serve a Federal Name of Federal Installation
installation? Yes_ X No Federal Population benefiting from Project
Item 6.
Will the assistance requested be on Federal land or Name of Federal Installation
installation? Location of Federal Land
_Yes X No Percent of Project
yt Item 7.
Will the assistance requested have an impact or effect See instructions for additional information to be
on the environment provided.
Yes X No
Item 8. Number of:
Will the assistance requested cause the displacement Individuals
of individuals, families, businesses, or farms? Families
Businesses
Yes X No Farms
Item 9.
Is there other related assistance on this project previous, See instructions for additional information to be
pending, or anticipated provided.
Yes X No
890419
OMB NO.03460006
PART III - BUDGET INFORMATION
SECTION A- BUDGET SUMMARY
Grant Program, Federal Estimated Unobligated Funds New or Revised Budget
Function Catalog
No.
or Activity og Federal Non-Federal Federal Non-Federal Total
(a) (b) (c) (d) -- (e) (1) (CO
t• PA 23 13.600 $ $ $ 8,356 $ 2,089 $ 10,445
2. PA 26 13.600 72 18 90
3.
4.
~
-
5. TOTALS $ $ $ 8, 28 $ 2,107 $ 10,535
SECTION B - BUDGET CATEGORIES
6. Object Class Categories -
Grant Program, Function or Activity
Total
(1) PA 23 (2) PA 26 (3) (4)_ (5)
a. Personnel $ 7,266 $ 66 $ $ $ 7,332
b. Fringe Benefits 1,090 6 �_- 1 ,096
c. Travel
d. Equipment
e. Supplies
ii f. Contractual
g. Construction
h. Other
i. Total Direct Charges 8,428 72 8,428
j. Indirect Charges
k. TOTALS $ 8,428 $ 72 $ $ $ 8,428
7. Program Income $ $ $ $ $
890419
OMB NO.031&0006
•r
SECTION C-NON-FEDERAL RESOURCES
(a)Grant Program (b)APPLICANT (c)STATE (d)OTHER SOURCES (e)TOTALS
8. PA 23 $ 2,089 $ $ $ 2,089
9. PA 26 18 18
10.
11.
12. TOTALS $ 2,107 $ $ $ 2,107
SECTION D- FORECASTED CASH NEEDS
Total for 1st Year 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter
13. Federal $ $ $ $ $
14. Non-Federal
15. TOTAL $ $ .$ $ $
SECTION E- BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT
FUTURE FUNDING PERIODS(YEARS)
(a)Grant Program (b)FIRST (c)SECOND I (d)THIRD I (e) FOURTH
16. .$ .$ $ $
17.
18.
19.
20. TOTALS $ $ $ $
SECTION F-OTHER BUC-3ET INFORMATION
(Attach Additional Sheets if Necessary)
21. Direct Charges:
22. Indirect Charges:
23. Remarks:
PART IV PROGRAM NARRATIVE (Attach per instruction)
830419
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