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Home My WebLink About860811.tiff istsc"kn MEMORAI1DU hiDe Jackie Johnson, Chairman To Board of County Commissioners _ Date_August 12, 1986 COLORADO From Walter J. Speckman, Executive Director (1)/0 ,11:- subjec : Amendment to the 1986 PA 22 Head Start Basic Enclosed for Board approval is a resubmitted amended grant application to the 1986 PA 22 Head Start Basic. The Head Start Regional Office requested we resubmit the grant for $18,000.00 instead of $16,000.00 because Head Start was able to access additional monies. The funds will be utilized to replace a 1972 Ford Mini-Van with capacity for eleven (11) passengers to provide transportation for Head Start children. If you have any questions, please call me. 8608.11 OMB A royal No.0348-0O06 FEDERAL ASSISTAN JC ANTS 2.C NUMBER 3. ATE a.NUMBER APPLI- ' TYPE • CATION 08CH0019/13 DENTi OF 0 NOTICE OF INTENT(OPTIONAL) IDENTI- FIER SUBMISSION FIER d DATE NOTE*TO BE b. DATE (Mark op. ❑ PREAPPUCATION Year month day ASStG*!ED ASSIGNED Year month day roroPoicte O APPLICATION 19 86 08 13 BY STATE box) 19 Leave Blank 4. LEGAL APPLICANT/REORIENT 5. EMPLOYER IDENTIFICATION NUMBER(EIN) a-Ap$cantName -'Weld County Division of Human Resources 84-6000813 b.Organization Unit •Weld County Head Start 6. c.Street/P.O.Box •P.0. Box 1805 PRO- a. NUMBER 1.1 131 • 16 1 010 1 d•City •Greeley e.county Weld GRAM f.State -Colorado 9-MP cods 80632 (From CFDA) MULTIPLE O h.Contact Person(Name Mr. Walter J. Speckman b• TITLE Child Development el Telephone Na) •(303) 353-0540, Extension 2360 Head Start 7. TITLE OF APPLICANTS PROJECT (Use section IV of this form to provide a summary description of the 8. TYPE OF APPLICANT/RECIPIENT pr°lect) A t ae o saaw wrye.?l.Mn z a c'u'e" I r � 1986 PA 22 Basic - Purchase of Equipment E Oryserozsece a-ua.nr,e. e E-0,, % K.<*.(Sprq 0.. z Engle appropriate law D U J a 9. AREA OF PROJECT IMPACT(Name of citi .counties statue etc) 10.ESTIMATED NUMBER 11. TYPE OF ASSISTANCE +- I OF PERSONS BENEFITING '8"e G o-- w�e. 6 Weld County, Colorado 300 ""`"` �E-°'"' Ertrapp,.. Piste Jrtads) vWl 12. PROPOSED FUNDING 113. CONGRESSIONAL DISTRICTS OF: 14. TYPE OF APPLICATION A-Am C--near°" E-Ammftem a.FEDERAL s 18,000 .00 a• APPLICANT b. PROJECT s-Re e.a araw,,.o„ tom.eeproprisse lever ❑ b.APPLICANT 3,600 .00 4 County-Wide 17.TYPE OF CHANGE(For lee ar,wl A--increase Dolan F-Other(Spreihk F.STATE .00 15. PROJECT START 16. PROJECT a.-pause odbn d.LOCAL DATE Year month day DURATION ovnnon E-C sOm e.OTHER 001 19 Months Al; 18. DATE DUE TO Year month day leteprtrt.ys) IA I I ,f. Total $ 21,600 .001 FEDEP,AL AGENCY► 19 86 08 13 19. FEDERAL AGENCY TO RECEIVE REQUEST Administration for Children, Youth & Families 120'EXISTING FEDERAL GRANT a. ORGANIZATIONAL tsl.. . � I.AN Sr-MACES P b ADMINISTRATIVE CONTACT(IF KNOWN) IDENTIFICATION NUMBER !. " g _ 08CH0019/13 (> 1c. ADDRESS r ._ Cr, rt,,...; ni :) I. �`(,):-';'/, rS.`.RVICES p —'i 21. REMARKS ADDED 8 PECr0N , FEDr7 .L J ':Y.Gi 1961 STOUT STRE;;T, DENVER CO R0994 ❑ Yes O No o 2. To the th in best of my knowledge �1pGn �belief, a. YES,THIS NOTICE OF INTENT/PREAPPLICATION/APPLICATI�IN WAS MADE AVAILABLE TO THE STATE application EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON: APPLICANT are true and correct,the document has LL CERTIFIES been duty eutherized by the 9ovetning DATE THAT► body of the applicant and the applicant - will comply with the attached assurances b. NO,PROGRAM LS NOT COVERED BY E-O. 12372❑ • if the assistance is approved. OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW til 23. a. TYPED NAME AND TITLE b. SIGNATURE W CERTIFYING REPRE- Jacqueline Johnson, Chairman SENTATIVE Weld County Board of Commissioners - oc�.`�,a\,,r,Q�, I3/ 24. T P ICA- Year '..oath day '25. FEDERAL APPLICATION 1OE IFS TION N�MRER 26. y RAL GRANT IDENTIFICATI RECEIVED 19 V v 27. ACTION TAKEN 28. FUNDING Year month day 30- Year month date O a. AWARDED STARTING © b. REJECTED 29. ACTION OATEN.- 19 DATE 19 5 O c. RETURNED FOR a. FEDERAL 1 S .00 31. CONTACT FOR ADDITIONAL INFORMA- 32. Year month date AMENDMENT b. APPLICANT I TION!tibme and telephone number) ENDING 03 • 0 O d. RETURNED FOR - DATE 19 W E.O. 12372 SUBMISSION r• STATE 00 33. REMARKS ADDED c BY APPLICANT TO d. LOCAL .00 'A STATE o e. DEFERRED e OTHER 00 O t. WITHDRAWN I. TOTAL S .001 ❑ Yes ❑ No iN 7540-07-006-8162 Y :. d24-103 :=VIOUS EDITION STANDARD FORM 424 PAGE 1 (Rev.4-84) OT USABLEPrescribed by OMB Circular A-102 PART HOMB No.0349-0006 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) !tern 3. , 1 , �� Does this assistance request require State, local, Name of A L'1�.��f eq eq Approving AgencyC h ' t m n� F'drent regional or other planning approval? X Date CC Yes No P licy Council Item 4. Is the proposed project covered by an approved compre- Check one: State ❑ hensive plan? Local O Regional ❑ Yes X No Location of Plan Item 5. Will the assistance requested serve a Federal X Name of Federal Installation installation? Yes 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 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 X provided. Yes No OMB No.O3484XK PART III - BUDGET INFORMATION SECTION A- BUDGET SUMMARY Grant Program, Federal Estimated Unobligated Funds New or Revised Budget Funion or Actctivtty Catalog No. Federal Non-Federal Federal Non-Federal Total (a) (b) (c) (d) (e) (1) (g) 1. PA 22 13.600 $ $ $ 18,000 $ 3,600 $ 21,600 2. 3. 4. 5. TOTALS $ - $ $ 18,000 $ 3,600 $ 21 ,600 SECTION B-BUDGET CATEGORIES -Grant Program, Function or Activity 6. Object Class Categories n Total (1) PA 22 (2) (3) (4) _ (5) a. Personnel $ S $ $ $ b. Fringe Benefits c. Travel I d. Equipment 18,000 1 18,000 e. Supplies f. Contractual g. Construction • h. Other i. Total Direct Charges 18,000 18,000 j. Indirect Charges k. TOTALS $ 18,000 $ $ $ $ 18,000 7. Program Income • • $ $ $ $ $ { :.......,...... .,..r.....,..s'�i'H,,,�Y1rX► . ,t* '�• :• +ud..uF.+.oewa► �1+ uY�r.C. .,. .Sia�!':e4ie �w. .w'hx" OMB NO.0348000E SECTION C- NON-FEDERAL RESOURCES (a)Grant Program (b)APPLICANT i (g)STATE , (d)OTHER SOURCES (e)TOTALS 1 8. PA 22 $ 3,600 !s $ $ 3,600 1 10. 1t. 12. TOTALS $ 3,600 is $ -s 3,600 SECTION D-FORECASTED CASH NEEDS Total for 1st Year 1st Quarter i 2nd Quarter 3rd Quarter 4th Quarter 13. Federal $ $ IS $ 18,000 $ _ 14. Non-Federal 3.600 1 15. TOTAL I S 1$ ;S $ 21,600 SECTION E E. BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT FUTURE FUNDING PERIODS (YEARS) (a)Grant Program (b)FIRST I (c)SECOND (d)THIRD (e)FOURTH 16. $ S $ $ 17. 18. 1 • 19. t 20. TOTALS $ Is $ $ SECTION F-OTHER BUDGET INFORMATION (Attach Additional Sheets it Necessary) 21. Direct Charges: 22. Indirect Charges: 23. Remarks: PART IV PROGRAM NARRATIVE (Attach per instruction) IV. Narrative: 1. Need The Weld County Head Start Program is requesting funds to replace one of its vehicles utilized to provide transportation for Head Start children. The funds will be utilized to replace a 1972 Ford Mini-Van with capacity for eleven (11) passengers. The vehicle has 250,680 miles. The motor has been replaced twice, due to malfunction, and the transmission was replaced once. The vehicle' s unsafe condition puts the lives of the children being transported in danger. ,' Office of i DEPARTMENT OF HEALTH & HUMAN SERVICES Human Development Services c 4.4 . .. .. Region VIII Federal Office Building ( h 1961 Stout Street ��° I SEP ni ' ' �`' Denver CO 80294 Ms. Jacqueline Johnson ,. ^e>;'a r'. `` Board Chairperson BOARD OF WELD COUNTY COMMISSIONERS P.O. Box 758 Greeley, CO 80632 Re: Grant Number : 08CH0019/13 Amendment No. : 2 Program Title: Head Start Dear Ms. Johnson: Enclosed is a revised Notice of Financial Assistance Awarded (NFAA) for your grant referenced above. Please note the changes in any of the categories for this program year on the enclosed NFAA. Please refer to the above referenced grant number in all correspondence pertaining to this budget period. If you have any questions regarding this NFAA or fiscal matters, please contact your Fiscal Operations Specialist at (303) 844-2011 . For questions that are program related, please contact your Regional Office Program Specialist. S' erely yours, l-ly--\ David C. C ��yha a P Regional Program Direct r Administration for Children, Youth and Families Enclosures cc: Juanita Santana, Head Start Director Jeannie Tacker, Fiscal Officer Arlene Perea, Policy Council Chairperson Walter Speckman, Executive Director DEPARTMENT OF HEALTI. AND HUMAN SERVICES CH it Office of Human Development Services DFAFS DOCUMENT NUMBER NOTICE OF FINANCIAL ASSISTANCE AWARDED 01 1. AWARDING OFFICE 2.CATALOG NO. 3. AWARD NUMBER 4. AMEND. NO. HEAD START. ACYF 13. 600 ORCH0019/14 2 5. TYPE OF ASSISTANCE: g GRANT 5 COOPERATIVE AGREEMENT 6. BUDGET PERIOD: Under Authority of P.L. 97-35 AS AMENDED FROM 01 /01 /86 THROUGH 12/31 /86 and Subject to Pertinent DHEW& HDS Regulations and Policies Applicable to. 7. PROJECT PERIOD: FROM THROUGH TNFFFTNTTF ❑RESEARCH DEMONSTRATION 8. TYPE OF ACTION NEW TRAINING IT SERVICE EXTENSION _I SUPPLEMENT REVISION I I See Reverse for explanation E1 OTHER COMPETING CONTINUATION ONON-COMPETING CONTINUATION 9. PROJECT/PROGRAMTITLE PA 22 FULL YEAR HEAD START, PART DAY ; PA 26 HANDICAP ; PA 20 TRAINING/TECHNICAL ASSISTANCE 10. RECIPIENT ORGANIZATION 11. PRINCIPAL INVESTIGATOR OR PROGRAM DIRECTOR WELD COUNTY DIVISION OF HUMAN RESOURCES JUANITA SANTA TA WELD COUNTY HEAD START 13. CONGR. DISTRICT 14.COUNTY P. O. BOX 1805 04 • WELD GREELEY CO 80632 15. AWARD COMPUTATION JACQUELINE JOHNSON , BOARD CHAIRPERSON A. TOTAL FEDERAL APPROVED BUDGET $ 558, 321 12. APPROVED BUDGET PERSONNEL $ 350, 565 B. UNOBLIGATED BALANCE FROM PRIOR FRINGE BENEFITS 45 , 779 BUDGET PERIODISI EST. ACT. $ 0 TRAVEL 11 , 047 EQUIPMENT 1 8, 000 C. TOTAL AMOUNT AWARDED THIS SUPPLIES 14, 420 BUDGET PERIOD —$ 558 , 321 CONTRACTUAL 34, 425 OTHER 84, 085 16. AMOUNT AWARDED THIS ACTION • $ it? cnn TRAINEE STIPENDS (No. I • T17. TOTAL RECIPIENT PARTICIPATION DEPENDENCY ALLOWANCE $ 135, 827 20 TRAINEE TUITION & FEES 18. SUPPORT RECOMMENDED FOR REMAINDER OF PROJECT PERIOD DIRECT COSTS $ 558, 321 PERIOD IOTA( FEDERAL 00$75 INDIRECT COSTS 0 CALCULATED AT %OF $ II 0 TOTAL FEDERAL APPROVED BUDGET BPI 558. 321 19. REMARKS GRANTEE ON EXISTING LETTER OF CREDIT. NO CHANGE IN TERMS AND CONDITIONS. FUNDING BREAKDOWN IS ATTACHED. THIS ACTION ( 1 ) INCREASES ENROLLMENT IN PA22 BY 15 STUDENTS AND AWARDS $4, 500 AS A PERMANENT INCREASE ; ( 2 ) AWARDS $18, 000 IN PA22 TO PURCHASE AN 11 -PASSENGER VAN ; ( 3 ) AWARDS $5,000 FOR CDA TRAINING IN PA20 AND ; ( 4 ) AWARDS $15 , 000 FOR HIGH SCOPE RESEARCH PROJECT IN PA22. ACTIONS ( 2 ) , ( 3 ) AND ( 4 ) ARE ONE-TIME-ONLY INCREASES. 20. CAN NO. PROG AMOUNT UNOBL CL POP 21. APPROP. NO. 22.APPLICANT EIN 61084122 S22 37 , 500 7561636 1846000813A1 61084120 T20 5, 000 23. OBJECT CLASS 24. PAYEE EIN 41 . 51 25 IGNATURE- HDS GRANTS qG. FICER DATE 27.SIGNATURE AND TITLE PROGRA OFFICIAL i M. . YOSHICA, DIR/OFc , p/• C. CHAPA 9-,17-06 26. SIGNATURE- CE TIF ING OFFICER DATE DAVID VVV DATE v �ic2Qa-,c /97 !! r-454 e 7/70 REGIONAL PROGRAM DIRECTOR/ACYF Purpose of Revision to: (a) Apply actual unobligated balance from prior budget period and decrease Amount Awarded. (b) Apply actual unobligated balance from prior budget period and increase Amount Awarded. ' (c) Apply actual unobligated balance from prior budget period and decrease Total Federal Approved Budget. (d) Apply actual unobligated balance from prior budget period and increase Total Federal Approved Budget. (c) Approve requested changed in Principal Investigator or Program Director. (t) Approve requested change in date of Budget Period and/or Project Period. (g) Approve requested rebudgeting within Total Federal Approved Budget. (h) Change Total Recipient Participation.(i) Other (See Remarks). PAYMENT INFORMATION—The check marks in the blocks below indicate how payments will be made under this award and where payment information can be obtained. 1. ❑ Payments under this award will be made available through the HHS Payment Management System(PMS). PMS is ad- ministered by the Federal Assistance Financing Branch (FAFB). Office of the Deputy Assistant Secretary, Finance which will forward instructions for obtaining payments. Inquiries regarding payments should be directed to: DHHS Federal Assistance Financing Branch Box 6021 Rockville, Maryland 20852 (301) 443-1660 2. ❑ This award is funded under a HHS Single Letter of Credit,Number 75-08- . Contact the above office for information. 3. L:1 Payments under this award will be made available through a letter of credit administered by the Division of Accounting Operations, Grant Accounting Section. Inquiries regarding payments should be directed to: Chief, Grant Accounting Section Room 748-G, South Portal Building Department of Health and Human Services 200 Independence Ave., S.W. Washington, D.C. 20201 Phone: (202) 245-6160 4. G Headquarter Awards—Payments under this award will be made available by Treasury check issued through the Division - - of Accounting Operations, DHHS. Inquiries regarding payments should be directed to the Chief, Grant Accounting Section at the above address. 5. ❑ Regional Awards—Payments under this award will be made available by Treasury check. Inquiries regarding payment under this award should be directed to: H Region 1—Boston, Massachusetts Division of Accounting Fiscal and Budget Services 617/223-6845 ❑ Region 2-New York City, New York Grants Management and Budget Office/HDS 212/264-4116 H Region 3—Philadelphia, Pennsylvania HHS Federal Payment Office 215/596-6435 Box 13716 Philadelphia, Pennsylvania 19101 H' Region 4—Atlanta, Georgia Grants Administration Division 404/242-2211 ❑I Region 5—Chicago, Illinois Grants Management Branch/HDS 312/353-4501 IH Region 6—Dallas, Texas Grants Management Division/HDS 214/767-6235 ❑ Region 7—Kansas City, Missouri Grants Management Branch/OAM/HDS 816/374-2911 • Region 8—Denver, Colorado Grants Management and Budget Office/HDS 303/837-2011 ❑.Region 9—San Francisco, California H DS/Of rice of Grants Management/HDS 415/556-5480 ❑ Region 10-Seattle, Washington , Grants Managemer `fice/HDS 206/442-2432 .�.1. ;T O ice.-CUD H'S; Et:vicT Office of Human Development Servic - Admi .tration for Children, Youth & 1_ Ines SPECIAL CLTDITICN Page 2 of 2 Pages 1. NAME ae GRANTEE 2. GRANT No. P17C RAM YR. AMENDMENT No. WELD COUNTY DIVISION OF HUMAN RESOURCES 08CH0019 I 13 2. SPECIAL 2SIDITSON 2 APPLIES To: 'ME PROGRAM ACC3NP.i LISThU BELOW MUST M PCOOtl[vTFD FOR SEPARATELY. A. IN ALL PPOGRptd ACCOUNIS IN GRANT ACTION B. O Ctu.Y PROGRAM AMOUNT NUMBERCS) This grant is subject to tie Special Condition below, in addition to the applicable General Conditions governing grants under Title II or III-B of the Economic Opportunity pct of 1964 as amended, and Regulations of the Office of Economic Opportunity and the Department of Health and Hunan Services. Funding for this program is approved as follows: FEDERAL FUNDS: I Bilingual PA 22 PA 26 PA 20* PA 22 Personnel $334, 732 $ 5 , 433 _ $ 0 $10 , 400 Fringe Benefits 44 , 634 1, 145 0 0 Travel 2 , 250 0 6 , 097 2, 700 Equipment 18, 000 0 0 0 Supplies 12 , 395 0 125 1 , 900 Contractual 16 , 775 12, 650 5 , 000 0 Other 80, 292 0 3 , 793 0 Total Direct Costs $509 , 078 $19 , 228 $15 , 015 $15 , 000 Indirect Costs 0 0 0 0 iv1AL $509 , 078 $19, 228 $15 , 015 $15 , 000 NON-FEDERAL FUNDS: $135, 827 *PA20 funds do not require non-Federal matching. Note: Administrative costs must not exceed 15 percent of the total costs of the program. Hello