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HomeMy WebLinkAbout931077.tiff RESOLUTION RE: APPROVE STATEMENT OF GRANT AWARD FOR VICTIMS OF CRIME ACT PROGRAM FROM 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 Statement of Grant Award for Victims of Crime Act Program from the Colorado Division of Criminal Justice, commencing October 1, 1993, and ending September 30, 1994, with further terms and conditions being as stated in said award, and WHEREAS, after review, the Board deems it advisable to approve said award, 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 Statement of Grant Award for Victims of Crime Act Program from the Colorado Division of Criminal Justice be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is, authorized to sign said award. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 18th day of October, A.D. , 1993, nunc pro tunc October 1, 1993. //) ��/ BOARD OF COUNTY COMMISSIONERS ATTEST: � ;- WEL COUNTY, COLORADO e the B/b �i7 Weld County Clerk to the Board Constance/a� L. Harbert, Chairman ,Y/ BY: �I N ta/t7it NI Deputy Clerk to th oar W. H. ebster, Pr Tem APPROVED AS TO FORM: G- orge . Baxt ou ty Attorney Dal K. Hall arbara J. Kirkmey r 0 931077 DAUE�� ,1 1)/(9-, STH MEMO TO: Constance Harbert Chair, Weld County Board of Commissioners FROM: Nancy McMenamin Community Programs Administrator DATE : 10/14/93 RE: VOCA Grant I would appreciate your signing the attached VOCA Grant for the Victim Assistance Program Counselor in the 19th Judicial District Attorney's Office. I have marked the two (2 ) places for you to sign. Both pages need to be returned to the Department of Safety. I will send you a copy when they return the approved grant to me. Thank you for your assistance. 931077 d DS William Woodward, Director Division of Criminal Justice Suite 1000 700 Kipling Street COLORADO Denver,Colorado 80215 DEPARTMENT OF (303) 239-4442 PUBLIC SAFETY October 4, 1993 10 ILjlr Ms. Nancy J. McMenamin District Attorney's Office, 19th Jud. Dist. cza`/' Off, ((zit_ P.O.P.O. Box 1 167 '7 @ GREELEY, CO 80632Pep 46L, 026/ d Dear M cMena"in: v:\ e. / ,m RE: 1993 VOCA Grant # 93-VA-19- 63, D.V. & Special atl rX�tison Project Please find enclosed two sets of the Statement of Grant Award (SOGA) for your recently funded VOCA project. One is blue; the other is white and has a copy of your application attached. Please read all of the instructions and conditions carefully. Both sets of your SOGA (blue and white) must be signed by your Authorized Official and returned to DCJ, Attention: Chris Navarro, as soon as possible. Please keep the entire white copy intact--do not remove the top portion to send back to us. The entire white copy is your 1993 VOCA contract with DCJ. After DCJ signatures are completed, we will return the white set for your file. SIGNING AUTHORITIES On page 20 of your 1993 VOCA Applicaton you designated the following signing authorities: Project Director I - Ms. Nancy J. McMenamin//Phone: (303)356-4000X4735 Roy Romer GOVERNOR Financial Officer - Mr. Donald D. Warden // Phone: (303)356-4000 Patrick C.Ahlstrom ' EXECUTIVE DIRECTOR Authorized Official - Ms. Constance L. Harbert//Phone: (303)356-4000x4200 Colorado State Patrol If any of the above responsibilities have changed since April, I need for you to inform Colorado Bureau us of the change by completing DCJ Form 4-B and returning along with your signed of Investigation SOGA's. Copies of Form 4-B are included in this mailing. Division of Criminal Justice FINAL APPROVED BUDGET Division of Please examine page 1 of the SOGA and page 6 of the application attached to the Fire Safety white copy of the SOGA. This is your final approved budget which includes both the federal and local match portions. PLEASE either destroy or mark "void" all copies of proposed and preliminary budgets. Make certain that your financial officer,bookkeeper oF'cotp\ or accounting office has only final, approved budget figures. You must adhere to this oA budget unless you receive approval for a budget modification BY COMPLETING THE H' 0 APPROPRIATE FORM IN THE SERIES OF DCJ FORMS 4 (A,B,C, OR D.) 76 '-'98 7 Ms. Nancy J. McMenamin Page 2 October 4, 1993 ADMINISTRATIVE GUIDE New subgrantees will find enclosed 2 copies of the "Administrative Guide for Federal Justice Grant Programs." However, since the guide was not revised this year, I have not enclosed additional copies for continuing grants. It is imperative that both the Project Director and Financial Officer read and understand the guide. Please make certain now that you have sufficient copies--it's green and is dated September, 1990. If you need additional copies, please call Colleen Shepherd, (303) 239-4479, and request the number that you need. I have enclosed a "Quick Reference to the Administrative Guide," which will call to your attention some very important issues which are sometimes overlooked. Please use the "Quick Reference" to beain your review of the Administrative Guide. CASH REQUESTS and REPORT FORMS You may submit your first cash request when you return the Statements of Grant Award. Cash request forms and various reporting forms (some of them revised) have been enclosed. You may not have a need for all of them. If you need additional forms feel free to make copies, or you may request them from this office. The instructions and timetable for completing forms are contained in the Administrative Guide and on the forms themselves. Please refer to Grant #93-VA-93-VA-19- 63 in all correspondence and reports. I need to emphasize that this VOCA grant will expire on September 30, 1994. Therefore, no grant extensions will be possible. I look forward to working with you and hearing how your program develops. Feel free to call me at (303) 239-4446 at any time. Sincerely, Carol C. Poole Program Administrator Program and Grants Unit CP:cs Enclosures 93vasogaNr 971077 STATEMENT OF GRANT AWARD DIVISION OF CRIMINAL JUSTICE STATEMENT OF GRANT AWARD Federal Program: Victims of Crime Act SuJlgrantee Name: District Attorney's Office. 19th Jud. Dist. Address: P.O. Box 1167. GREELEY. CO 80632 Attention: Ms. Nancy J. McMenamin Grant Number: 93-VA-19- 63 Project Title: D.V. & Special Populations Liaison Proiect Grant Period: October 1. 1993 To September 30. 1994 Date Issued: September 30. 1993 In accordance with the provisions of the Victims of Crime Act, 1984, as amended, the Division of Criminal Justice hereby awards a grant to the above-named subgrantee. The attached grant application, including the Certified Assurances and Special Provisions are incorporated herein as a part of this document. APPROVED BUDGET Source of Funds Budget Category Federal Cash Match In-Kind Match Total Personnel $ 5,000 $ $ $ 5,000 Supplies and Operating 1,250 1,250 Travel 0 * Equipment 0 Professional Services 0 TOTAL BUDGET r$ 5,000 $ 1,250 $ 0 $ 6,250 *Purchase of equipment requires the prior written approval of the Division of Criminal Justice. Special Conditions: 971.0r Rev.3/93 Page 1 of 3 vasoga.doc Victims Assistance STATEMENT OF GRANT AWARD INSTRUCTIONS 1. Grant activities must be based on the approved budget in this document and grant activity must be based on the approved objectives in the attached grant application. The subgrantee must secure prior written approval from the Division of Criminal Justice if there is to be a change in any budget category. 2. The Financial Officer of the project must be provided a copy of this document in order to adequately prepare the necessary financial reports. 3. Review carefully the Certified Assurances and Standard Conditions contained on pages 15 through 19 of the attached grant application. 4. Review carefully the Administrative Guide accompanying this Statement of Grant Award. The Administrative Guide includes procedures regarding this document, procedures for requesting grant funds and procedures for quarterly reporting. 5. This grant award may be voided without further cause if it is not signed by the Authorized Official and returned to the Division of Criminal Justice within 45 days of the date of issuance. 6. The signature of the Authorized Official below should be the same as the one on page 20 of the attached grant application. If there has been a change in the Authorized Official, please submit with this document DG Form 4BB or a letter so stating. 7. The subgrantee must notify the Division of Criminal Justice,in writing,of any changes in the Project Director,Financial Officer or Authorized Official. Standard Conditions; 1) Commencanent within 60 Days. If a project is not operational within 60 days of the original starting date of the grant period, the subgrantee must report by letter to the Division of Criminal Justice the steps taken to initiate the project, the reasons for delay, and the expected starting date. 2) Operational Within 90 Days. If a project is not operational within 90 days of the original starting date of the grant period,the subgrantee must submit a second statement to the Division of Criminal Justice explaining the implementation delay. Upon receipt of the 90-day letter, the Division of Criminal Justice may cancel the project, or where extenuating circumstances warrant, extend the implementation date of the project past the 90-day period. 3) When issuing statements,press releases, requests for proposals,bid solicitations,and other documents describing projects or programs funded in whole or in part with federal money, all subgrantees receiving federal funds, including but not limited to state and local governments, shall clearly state (1)the percentage of the total cost of the program or project which will be financed with federal money, and (2) the dollar amount of federal funds for the project or program and (3)use the phrase: ..."through the Division of Criminal Justice, Department of Public Safety." 4) Either party may terminate the grant with thirty days written notice of intent to cancel or terminate. The grant may be terminated if the services are not satisfactorily performed by the subgrantee or if it is in the best interest of the State of Colorado to terminate the grant. If the grant is terminated by either the subgrantee or the State, the subgrantee shall be paid a prorated amount based on the number of days of project operation prior to the date of termination. Any equipment purchased under this grant would revert to the Division of Criminal Justice upon termination of the grant. 5) Federal funds for this grant award expire September 30, 1994. Therefore, no grant extensions are possible. Unexpended funds remaining on September 30, 1994, must be returned to the Division of Criminal Justice. Rev.3/93 Page 2 of 3 vasoga.doc Victims Assistance 19:21 STATEMENT OF GRANT AWARD THIS GRANT AWARD WHICH SERVES AS THE CONTRACT BETWEEN THE DIVISION OF CRIMINAL JUSTICE AND THE SUBGRANTEE SHALL NOT BE DEEMED VALID UNTIL IT SHALL HAVE BEEN APPROVED AND SIGNED BY THE DIRECTOR OF THE DIVISION OF CRIMINAL JUSTICE OR SUCH DIRECTOR'S DESIGNEE AND BY THE CONTROLLER OF THE STATE OF COLORADO OR SUCH CONTROLLER'S DESIGNEE. Responsibility for narrative and fiscal reporting requirements are delegated to the designated project Director, who will sign all such reports. This delegation is for purposes of reporting to the Division and for operational ease, and in no way limits the authority and responsibility of the Authorized Official. This grant is accepted by: l 'et /watwiJ‘>7 Ljati l Je� 18, /9q3 Signature f Authorized IO/ /q13 Date ATTEST: /✓ G!/ h WELD QUNTY CLE:'::c 0 THE EgARD 3y ,.S.2�! 4 �s2O. D_r;t:1 C:Cu:f; i0 THE Cz✓ D STATE OF COLORADO ROY ROMER, GOVERNOR By Director, Division of Criminal Justice Date Department of Public Safety APPROVED STATE CONTROLLER CLIFF HALL By Controller Date Department of Public Safety Return 13OTH SETS of the Statement of Grant Award with ORIGINAL SIGNATURES to: Division of Criminal Justice, Office of Victims Programs, 700 Kipling Street, Suite 1000, Denver, CO 80215. Rev.3/93 Page 3 of 3 vasoga.doc Victims Assistance 92107' ADMINISTRATIVE GUIDE Quick Reference 1. Do you have approved expenses in the Personnel Category of your budget? Be sure and read page 3-3 in your guide regarding time and attendance records. A sample time sheet is illustrated in appendix 5. 2. Do you have approved expenses in the Consultants/Professional Services Category? Read pages 3-5 and 3-6 very carefully regarding debarment, contracts, records, and compensation. Appendix 4 and Appendix 2 contain additional information yital to the execution of your grant. Remember prior approval by DCJ is required for all non-competitive procurement (see Page A2-3). 3. Do you charge any fees for services provided in your VOCA project? This is Project Income. Read pages 3-7, 3-8, and 3-9, and see DCI Form 1-B, Al-as through A1-15. 4. Do you know what information and statistics you will be responsible for providing to DCJ at the end of your first quarter? (By January 15. 1994, to be exact.) Please review DC Forms IA and 2V now so that you will keep appropriate records throughout the quarter. 5. Please note that I expect quarterly reports to be received (or at least postmarked ) by the due date. Accuracy is also expected. Chronic tardiness and/or errors are noted and may become a factor in continued funding. cPagderil[1 COLO )O DIVISION OF CRIMINAL JUSTICE SUBGRANT FINANCIAL REPORT- FEDERAL, CASH MATCH, AND IN-KIND MATCH FUNDS DCJ FORM 1-A Sec Appendix 1 of the Administrative Guide,or the revcnc side of this form,for detailed instructions for completing this Term. SUBGRANTEE: GRANT NUMBER: PROJECT TITLE PROJECT DURATION FROM: TO: PREPARED BY: DATE: PHONE:( ) TYPE OP REPORT: REPORT COVERS PROJECT ACTIVITY DURING THE FOLLOW1NO CALENDAR QUARTER OP 19: Qaartab Pra teM Rnl Oct 1-Dee 31 Jr I Mfl 31 Apd7 Wane 30 _ Jaly I3tpt.30 Seaiea 1: AWARD STATUS Local Cads la-Kind Match($) Federal Panda Match Metier AsuYasae Omly) Tend Pods I. Teal Award 2. S Reed To Due J. Balsam HI aims 02) 4. S Recd This Qtr. Section B: AXPENDITURES A B C Total Exp:diurct Empe.ditmes Total Approval Begiming of quarter This Quarter EWeadiwres Unpaid Budge Calcgos? Budge (C oa previous repeat) (Include both to Date(A 4 B) Obigatier S.it match) 300000000( S. Ponneel )00000000( s. Suppliesm 7. Travel S. Equipment 9. Coomltsats/ Prof.Service. I00000IXXX 10.Confidential Funds 00000000( II. TOTAL 12.Pedant Share S U.Cash Match Share S XXXXXXXXX 14.la-Kid Match S XXXXXXXXX IS.TOTAL 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 grant award documents. Financial Officer's Signature/Date Project Director's Signature/Date SUBMIT TWO FORMS WITH ORIGINAL SIGNATURES TO DCJ NO LATER THAN 15 DAYS AFTER THE END OF%''H 4 ' ► / ' QUARTER Rev. 12/92 dcjformLfrm COLORADO DIVISION OF CRIMINAL JUSTICE SUBGRANT FINANCIAL REPORT FOR PROJECT INCOME DCJ FORM 1-B Sea App oin l et the Ado.LLtrSC..Guider r the ravers aide of Ibis form,for moiled fertrud:ar for s thin fa BUBGRANTEE GRANT NUMBER DATE PROJECT MIS/DURATION PREPARED BY PHONE ( ) FROM: TO: TYPE OF REPORT: PROJECT ACTIV TY DURING: Jan 1-Mar 31 April 1-June 30 Quarterly Pmpaas Phial July 1-Sept 30 Oct 1-Dec 31 This foam will be mod may by MISIRRYISIO gasending Sae fie reit nihilism. Project income can be such Ito as: Reimbursement for aweless,sale of goods produced with project funds,liquidated seised mete,diet fees,registration fees, etc. All project income fiords received and upended by the project should be reported in this section and should not be Included on DCJ Form 1-A,Financial Report for Federal,Casb Match,and In-Kind Match funds. Bee the AdmInistrative Guide for additional details,or call DCJ for assistance at(303)239-4442. 1.CASH BALANCE Beginning of Quarter(.1 Previous Report) G $ 2.RECEIPTS(INCOME)BY SOURCE $ S S TOTAL REC IPTS H $ 3.EXPENDITURES d(any)* Pommel $ Supplies&Operating S Travel f Equipment S Conndaants/Pmfaeiooal Services S Confidential Funds S Other(Specify) f TOTAL RXPH(DI URES I $ 4.CASH BALANCE End of Quarter J f (G + H-D aThe above expenditures were made for criminal justice purposes. _Ys _No U any portion of these expenditures were for other activities,please attach a description of those activities. Rev.3/93 Signature dgers.frm Project Director COLORADO DIVISION OF CRIMINAL JUSTICE VOCA Assistance Subgrants Quarterly Statistical & Narrative Report DCJ Form 2-V SUBGRANTEE GRANT NUMBER DATE PROJECT TITLE PREPARED BY: DURATION: FROM TO: PHONE: TYPE OF REPORT: Quarterly: 1. OCT-DEC_ 3. APR JUN 2. JAN-MAR_ 4. JUL-SEP_ or Final NOTE: Please read the instructions on the back of pages 1 and 2 before completing this form. Requests for funds may be denied unless this report is complete and filed on time as required by the DCJ. I. STATISTICAL REPORT Please check one: _I am reporting only the number of victims served with VOCA funds and matching funds. _I am reporting the total number of victims served by the entire victims assistance program. VOCA and matching funds represent approximately_% of the agency's total victim assistance budget. Number Served this Quarter: Annual Unduplicated A. Type of Victimization Number Served Primary Victims Secondary Victims Oe Report Oolyl NEW ONGOING NEW ONGOING PSTMARY SECONDARY Child Victims of Physical Abuse Child Victims of Sexual Abuse Victims of DUI/DWI - Victims of Domestic Violence Adult Victims of Sexual Assault Elder Abuse Victims Adults Molested as Children Survivors of Homicide Victims Robbery Victims Hate Crime Victims Assault Victims Other Victims of Violent Crime (Identify): Total Victims Served u 1 07' B. Number of Primary Victims Served by Categories Designated NEW ONLY ANNUAL TOTAL Child Disabled/Handicapped Native American Elderly Minorities Number of Victims Receiving Type of Service C. Type of Services Provided to Primary & Total Annual Secondary Victims (New and Ongoing) Current Quarter An An ual Only) Counseling Follow-up Contact Therapy Group Treatment/Support Counseling Crisis Hotline Counseling Shelter/Safe House Information/Referral Criminal Justice Support/Advocacy Emergency Financial Assistance Emergency Legal Advocacy/Restraining Orders Info About Filing Compensation Claims Personal Advocacy Home Visits Transportation Interpretation Child Care Other (Specify Below) 2 U. NARRATIVE REPORT A. Objectives: Write out your approved objectives illlmg performance indicators exactly as they are represented on page 4 of your final approved application. Provide a narrative with support data regarding the activities or tasks accomplished during the quarter. The FINAL REPORT should address each objective and should summarize the activities, accomplishments and problems associated with the objective. Use additional sheets if neMccary. (See example below.) Objective#1: Progress: Objective#2: Progress: B. Special Conditions: If not addressed in your objectives, list the Special Conditions attached to your grant and describe how they are being satisfied. C. Project Changes: Describe any major changes or modifications which have occurred or which are being considered. Examples are changes in principal staff positions;objectives added,modified or deleted;and location changes. Proposed changes in objectives must be submitted for approval on DC Form 4-D. inclusion of changes in the quarterly report is not sufficient for approval. M. PROGRAM DEVELOPMENT A. Indicate the number of VOCA personnel (volunteer and/or paid) receiving various types of training during this reporting period. Type of Training _ Number of Staff Trained Victim Compensation Related Training Counseling and Other Direct Services Training (specify topic) Other (specify topic) B. Briefly describe efforts made during this reporting period to coordinate victim services at the local level, ith the local victim compensation program staff, mental health, social set-vices, etc. Also, describe any probl ms impacting the coordination of services. C. Briefly describe efforts taken during this reporting period to improve victim cooperation with law enforcement, such as victim information cards, multi-disciplinary crisis teams, etc. Also, describe any impediments to providing victim services. IV. VOLUNTEERS A. The number of active volunteers assisting with the VOCA project during this reporting period: B. The number volunteer hours contributed to the VOCA project during this reporting period: (Please note: Volunteer lists,training information and documentation of hours must be maintained for monitoring purposes.) V. CERTIFICATION I understand that this agency, as subgrantee, entered into an agreement to provide specific services as outlined in our final approved application. I understand that any deviation from my planned programmatic or financial plans must receive prior written approval from the Division of Criminal Justice. As an authorized individual for this grant, I certify that the information contained in this report and the attachments (if applicable) are accurate and, to the best of my knowledge, program expenditures and activities are in compliance with the approved grant and federal/state regulations. Signature of Project Director (as listed in the giant award) Date Typed Name and Title Telephone Number ocp-v.FaM Raid 7/11193 Res Disregard Ear Fame 4 931077 COL ..ADO DIVISION OF CRIMINAL auBTICE CASH REQUEST DCJ FORM 3 FEDERAL FUNDS WILL BE WITHHELD IF QUARTERLY REPORTS ARE DELINQUENT. SUBGRANTEE GRANT NUMBER DATE PROJECT TITLE/DURATION PREPARED BY PRONE ( ) FROM: TO: Make warrant payable to: (Do not exceed four lines) Agency: Street: Attn: City, State, Zip: Section I: Cash Needs for Time Period * 1. Projected or Actual Expenditures for * $ (Federal and Match) (Time Period) 2. Less Cash Match on Hand 3. Total Cash Needs for Period (Line 1 minus Line 2) Section II: Federal Cash Summary and Reauest 4. Total Amount of Federal Dollar Award: $ 5. Total Amount of Federal Dollars Rec'd to Date: $ 6. Total Amount of Federal Dollars Requested, Not Rec'd: $ 7. Total Amount of this Request (#3 above) : $ 8. Totals of Lines 5, 6, & 7: $ 9. Federal Award Balance (Line 4 Less Line 8) : $ Project Director's Signature SUBMIT TWO FORMS WITH ORIGINAL SIGNATURES TO DCJ. DCJ Approval: $ Amount Program Specialist Date DCJ Denial: Reason: Program Specialist Date Rev. 9/90 dcjfon8.frw 931077 COLORADO DIVISION OF CRIMINAL JUSTICE DC.1 FORM 4 - GRANT AMENDMENT SUBGRANTEE GRANT NUMBER DATE PROJECT TITLE/DURATION PREPARED BY PHONE FROM: TO: Instructions: A grant amendment may be initiated by either DO or the subgrantee. A GRANT AMENDMENT IS NOT AUTHORIZED UNTIL IT IS APPROVED IN WRITING BY THE DIVISION OF CRIMINAL JUSTICE. For any change submit two grant amendment forms with original signatures. One copy will be returned to the subgrantee for its records. The grant amendment is used to make changes in the grant agreement in the following areas: DCJ Form 4-A: Budget Revision (Requires prior approval). DCJ Form 4-B: Change Signing Authority: Project Director and/or Financial Officer. DCJ Form 4-C: Grant Extension(Requires prior approval). DCJ Form 4-D: Modification of Other Grant Agreements(Requires prior approval). DCJ FORM 4-A-BUDGET REVISION THE ABOVE REFERENCED GRANT IS HEREBY AMENDED. THE PURPOSE OF THE AMENDMENT IS TO REVISE THE BUDGET. THE TOTAL AMOUNT OF THE GRANT REMAINS THE SAME. (1) (2) (3) (4) (5) BUDGET CATEGORY APPROVED BUDGET )(EOUESTED BUDGET AMOUNT OF CHANGE Iner. S Deer. Personnel Supplies and Operating Travel Equipment Consuhants/Professional Services Confidential Funds TOTAL FEDERAL SHARE S CASH MATCH SHARE S IN-KIND MATCH SHARE$ TOTAL ( = TOTAL above) All other terms and conditions of the original grant and any previous amendments thereto remain in full force and effect. A narrative explaining and justifying the need for a budget revision is attached. The budget revision is not approved until the subgrantee has received written approval from DO. SUBGRANTEE PROJECT DIRECTOR/DATE PROGRAM SPECIALIST, DCJ /DATE Rev.0/92 x`' 31077 COLORADO DIVISION OF CRIMINAL JUSTICE DCJ FORM 4 - GRANT AMENDMENT SUBGRANTEE GRANT NUMBER DATE PROJECT TITLE/DURATION PREPARED BY PHONE FROM: TO: Instructions: A grant amendment may be initiated by either DO or the subgrantee. A GRANT AMENDMENT IS NOT AUTHORIZED UNTIL IT IS APPROVED IN WRITING BY THE DIVISION OF CRIMINAL JUSTICE. For any change submit two grant amendment forms with original signatures. One copy will be returned to the subgrantee for its records. The grant amendment is used to make changes in the grant agreement in the following areas: DG Form 4-A: Budget Revision(Requires prior approval). DC) Form 4-B: Change Signing Authority: Project Director and/or Financial Officer/Authorized Official DO Form 4-C: Grant Extension(Requires prior approval). DO Form 4-D: Modification of Other Grant Agreements(Requires prior approval). DCJ FORM 4B-CHANGE IN SIGNING AUTHORITY-PROJECT DIRECTOR/FINANCIAL OFFICER/AUTHORIZED OFFICIAL THE ABOVE REFERENCED GRANT IS HEREBY AMENDED. THE PURPOSE OF THE AMENDMENT IS TO REVISE THE SIGNING AUTHORITY OF THE PROJECT DIRECTOR AND/OR FINANCIAL OFFICER, AND/OR AUTHORIZED OFFICIAL. (INCLUDE AN ADDRESS IF THERE HAS BEEN A CHANGE.) Change the Project Director: From: To: Type or Print Name/Telephone No. (Original Signature required)/Date Change the Financial Officer: From: To: Type or Print Name/Telephone No. (Original Signature required)/Date Change the Authorized Official: From: To: Type or Print Name /Telephone No. (Original Signature required)/Date Date Change Effective: All other terms and conditions of the original grant and any previous amendments thereto remain in full force and effect. Acknowledged: PROGRAM SPECIALIST, DO DATE Csacium full gal 077 • COLORADO DIVISION OF CRIMINAL JUSTICE DO FORM 4 - GRANT AMENDMENT SUBGRANTEE GRANT NUMBER DATE PROJECT TITLE/DURATION PREPARED BY PHONE FROM: TO: Instructions: A grant amendment may be initiated by either DCJ or the subgrantee. A GRANT AMENDMENT IS NOT AUTHORIZED UNTIL IT IS APPROVED IN WRITING BY THE DIVISION OF CRIMINAL JUSTICE. For any change submit two grant amendment forms with original signatures. One copy will be returned to the subgrantee for its records. The grant amendment is used to make changes in the grant agreement in the following areas: DC Form 4-A: Budget Revision(Requires prior approval). DCJ Form 4-B: Change Signing Authority: Project Director and/or Financial Officer. DCJ Form 4-C: Grant Extension (Requires prior approval). DCJ Form 4-D: Modification of Other Grant Agreements (Requires prior approval). DCJ FORM 4-C - GRANT EXTENSION THE ABOVE REFERENCED GRANT IS HEREBY AMENDED. THE PURPOSE OF THE AMENDMENT IS TO EXTEND THE GRANT AWARD PERIOD. THE GRANT AWARD AMOUNT REMAINS THE SAME. Current grant award period: From: To: Revised grant award period: From: To: AB other terms and conditions of the original grant and any previous amendments thereto remain in full force and effect. A narrative explaining and justifying the need for the grant extension is attached. The grant extension is not approved until the subgrantee has received written approval from DCJ. SUBGRANTEE PROJECT DIRECTOR PROGRAM SPECIALIST, DO DATE DATE Del Form 4-C(4/92) dcjfonna9310Yf17 COLORADO DIVISION OF CRIMINAL JUSTICE PCI FORM 4 - GRANT AMENDMENT SUBGRANTEE GRANT NUMBER DATE PROJECT TITLE/DURATION PREPARED BY PHONE FROM: TO: Instrucdoaa: A grant amendment may be initiated by either DO or the subgrantee. A GRANT AMENDMENT IS NOT AUTHORIZED UNTIL TT IS APPROVED IN WRITING BY THE DIVISION OF CRIMINAL JUSTICE. For any change submit two grant amendment forms with original signatures. One copy will be returned to the subgrantee for its records. The grant amendment is used to make changes in the grant agreement in the following areas: DC Form 4A: Budget Revision(Requires prior approval). DC Form 4-B: Change Signing Authority: Project Director and/or Financial Officer. DC Form 4-C: Grant Extension(Requires prior approval). DCJ Form 4-D: Modification of Other Grant Agreements(Requires prior approval). DCJ FORM 4-D-MODIFICATION OF OTHER GRANT AGREEMENTS THE ABOVE REFERENCED GRANT IS HEREBY AMENDED. THE PURPOSE OF THE AMENDMENT IS TO: ADD,MODIFY, OR DELETE GOAL(S)AND OBJECTIVE(S) ADD, MODIFY, OR DELETE SPECIAL CONDITIONS OTHER(Please specify) DESCRIPTION OF MODIFICATION: (Continue on plain bond paper as necessary.) All other terms and conditions of the original grant and any previous amendments thereto remain in full force and effect. SUBGRANTEE PROJECT DIRECTOR PROGRAM SPECIALIST, DCJ DATE DATE Dci Pone 4-D(4/92) dcj(om,4.(rm 931077 }§ p § § 2 IX E " la t) § }� i E iz § k z / 2 § 14 ■ 2II § § 2 . K ] El> 0 in § § ( § § § 2 § ) ) El § § ■ . 0 § tf § 2 t . ark t ■ ! £ § § a E % ..g. ! i < : : 9310 , f 3 , ;, a'A t`Spc Sw''M+i'rrn,nn,Ii" wRY ofF s , P ..1.4 93-VA-19-63 1993 VICTIMS OF CRIME ACT APPLICATION TITLE PAGE . , f d y Ab' . ppR 16 19 3 Y.Zklk q, f M :Z, 0,$.Y4AY.Opp K rAf << 0�.� Page 1 of 22 19th Judicial District Attorney' s Domestic Violence and Special 1. Project Tide: Populations Liaison Project 2 BriefProjectDescription: This project will provide direct services to domestic violence victims and their children and will enhance and expand direct services to elderly and disabled victims of crime, i.e. , victim compensation, referrals to community agencies and liaison within the Criminal Justice System 3. ApplinntAgency: 19th Judicial District Attorney' s Office Add=ss: P.O. Box 1167 Greeley. Colorado 80632 Telephone: { 303 356-4010 U.S. Congressional District: Fourth Federal Employer ID Number._LA_5_ 0 0 Q,$ j 3_ Judicial District in which Agency is located: 1 cl t h Community Programs 4. ProjectDirector. Nancy J. McMenamin Title: AAminigfrafnr Telephone: ( 303 ) 356-4010 x4735 Fax Number: (303 ) 352-8023 5. Federal VOCA Funds Requested: $ 5,000.00 6. Prior VOCA Funding for this Project Grant Number. 92—VA-19-63 Amount:$ 4 ,605 .00 Grant Number. 91—VA-19-63 Amount$ 7, 542 .00 Grant Number. 89—VA-14 Amoune$ 4, 000 .00 7. Primary Types of Victims to be Served by this Project(The sum of all categories chosen must total to 100%): Programs with combined services must estimate a percentage of total VOCA caseload for each type of victim served. % Child Abuse(physical or sexual) 80 % Domestic Violence % Sexual Assault (including adult survivors of child sexual abuse) 20 % Previously Underserved (specify types) Elderly and Disabled % Other Victims of Violent Crime (specify types) 100 % Total 8. When did the applicant submit a copy of this application to its local VALE Board, or the State VALE Board, as required? Date of Submission: 4/13/93 In Which Judicial District: 19th • 931077 VICTIMS OF CRIME ACT APPLICATION Page 2 of 22 9. Purpose of Application: (Check only one) a. Start a Tha victim services project in a new or existing agency which did not previously serve victims of crime. xb. Continue a victim assistance project funded by VOCA in a previous year. _ C. Expand or enhance an exisuna victim assistance project gM funded by VOCA in the previous year. d. Start or continue a tribal victim assistance project g a Native American reservation. 10. Requested VOCA funds will be used to: a. Expand services into a new geographic area x d. Continue existing services to atone victims _ b. Offer new types of services y_ c. Serve additional types of victims _ e. Other 11. Description of Applicant Agency: _Criminal JustioelGovt. _Non-Criminal Justice/Government _Native American Tribe or Org. Law Enforcement (Identify) _On Reservation x Prosecution _Off Reservation Court _Private Non-Profit Organisation _Correctiaos 12. Total Funding for Agency's Victim Services Program: If the information provided is for a period other than the 12 months of 1992 and 1993,please indicate here Actual Revenues Rec'd Anticipated Revenues 1992 1993 Sources of Revenue Federal funds(excluding VOCA) S 0 3 0 - VOCA federal$ (not match) $ $d. F 0 5 On $ 9, non 0 0 00 VOCA State funds Local VALE funds S 35, 500 .00 $ 38, 395. 0Q D Ns): 19 Local Government ids S 34, 000 ;00 $ 34, 000 .00 Weld County Comm. Private funds S — S — TOTAL $ 74, 105 .00 $ 77, 395 .00 VOCA and matching funds represent approximately 6 %of the agency's annual victim assistance budget. 13. VOCA Project Staff: Identify number of MI-time equivalent staff who will be assigned to the proposed VOCA project. 1 number of PAID staff 1 number of VOLUNTEER staff I wish to apply for a waiver of the requirement to use volunteers in programs funded by VOCA. Reasons are explained on page 11, k25. 14. Types of Services to be Provided by this Project(check all that apply): x Assistance with/referral to Victim Compensation(required by federal VOCA regulations) _ Counseling Shelter or Safehousing x Personal Advocacy x Follow-up Contact x Information/Referral Other(as specified below) • Therapy x Criminal Justice Advocacy Group Treatment/Support x Emergency Financial Assistance Hotline Counseling Emergency Legal Advocacy = VIC77MS OF CRIME ACT APPLICATION Page 30.122 of 22 1548 Projea Summary The 1992 statistics continue to indicate the growing severity of the domestic violence problems in the 19th Judicial District (the 19th Judicial District is synonomous with Weld County) . In 1992, there were 568 arrests made in domestic violence crimes . However, this does not reflect the over 1000 police contacts involving domestic disputes . In 1992, A Women's Place, the battered women's shelter in Greeley, reports 3,233 nights of crisis shelter given to approximately 258 battered women and their children, 1130 crisis counseling calls, plus a total of 2,381 domestic violence information and referrals. These growing numbers impact the 19th Judicial District Attorney's Victim Assistance Program as this project provides education, legal liaison, referral and support services to these victims. This program is only one of its kind within the 19th Judicial District to provide such a service. In addition to domestic crimes, the special populations of the elderly and disabled are in great need of education, legal liaison, referral and support services within the the 19th Judicial District. There are no unique services for the elderly and disabled within the 19th Judicial District 's Criminal Justice System. Investing time through this project with these unique victims can be empowering in order for them to be invested in the court process and their own recovery. 16. Project Description: The 19th Judicial District Attorney' s Domestic Violence and Special Populations Victim Liaison Project is staffed with one . 20 FTE,Community Counselor II, who is the coordinator and 1 volunteer, both of whom work directly with domestic violence and the elderly and disabled victims of crime who are involved in the Criminal Justice System. A domestic violence victim is referred to this project by the shelter. It is at this time that the support services and education are offered to that victim, i,e. , court process information, bond/sentencing options, referrals to other agencies, victim compensation and crisis counseling. This project will provide legal liaison, education and personal support services to the elderly and disabled victims of crime who are involved in the 19th Judicial District Criminal Justice System. Referrals will come from law enforcement, District Attorney's Office, and other agencies in the community. As a part of the District Attorney' s Office this project will continue to educate Law Enforcement, the D.A. 's Office and community agencies about the special services to be provided by this project early in the criminal justice process and collect data on numbers served for future planning. 93vagmr.app Revised 3/93 ,:. 931077 VICTIMS OF CRIME ACT APPLICATION Page 4 of 22 17. Goals and Objectives: GOAL 1: To provide direct services as Criminal Justice support and education to victims of domestic violence in the 19th Judicial District Criminal Justice System. OBJECTIVE: - To send copies of Restraining Orders and Bond Conditions to 600 (not including children) to victims of domestic violence when partners are arrested. - To provide information about liason services to 300 domestic violence victims (i .e. case status, dropping of charges, bond conditions, disposition and courtroom advocacy) - To provide liaison services to 300 domestic violence victims and the District Attorney. - To refer 300 domestic violence victims to other community agencies including; victim compensation, A Woman' s Place, Legal Aid, mental health services, Department of Social Services and Child Advocacy Resource and Education, Inc. (CARE) for services . - To provide education and information to the 19 law enforcement agencies in Weld County and at least 10 other agencies working with victims of crime about the liaison services through this project for domestic violence victims and their children. GOAL 2 : To enhance and expand direct services as criminal justice support and education to elderly and disabled victims of crime in the 19th Judicial District Criminal Justice System. - To provide education and information to the 19 law enforcement agencies in Weld County and at least 4 other agencies working with elderly and disabled about the liaison services through this project. - To act as liaison to eldery and disabled victims of crime between the victim and the District Attorney by providing legal education, liaison, referral and support services within first quarter of the 1993-94 funding year. - To provide assistance to elderly and disabled victims of crime in applying for Victim Compensation within the first quarter of the 1993-94 funding year. - To collect statistical data related to the number of elderly and disabled victims of crime served by this project on a monthly basis for the 1993-94 funding year. 93vagmt.cpp�y� ..,� 9V j0 VICTIMS OF CRIME ACT APPLICATION Page S of 22 18. TO BE COMPLETED BY CONTINUING APPLICANTS ONLY. NEW PROJECTS NEED NOT COMPLETE. Describe the major differences,between your 1992 VOCA Project and the proposed 1993 VOCA Project u J stify any increase requested over your 1992 awed amount The major differences between our 1992 VOCA Project and the proposed 1993 VOCA Project is the focus on special populations, specifically elderly and disabled victims of crime. Our 1992 VOCA Project concentrated primarily on the domestic violence victims and how the Domestic Violence Task Force made significant changes in the direct services to domestic violence victims and their children in Weld County. The numbers have increased in our direct services to victims of domestic violence and with the impact of the Victims ' Rights Amendment, and it is anticipated that the domestic violence numbers will grow along with all other populations of crime victims who are in need of direct services within the Criminal Justice System. Also, this project will seek to unite all agencies who serve victims of crime to enhance services and to identify the quality and consistency of direct services in this area. Increased education regarding our services to law enforcement, the D.A. 's office and other agencies regarding domestic violence victims and special populations will also increase the numbers served by this project. The amount requested for this proposal is less than 10% of the amount received in our 1992 VOCA Grant Award ( 1993 requested: $5,000.00; received in 1992 : $4 ,605. 00) a difference of $395.00. It is felt that with a small increase and slight alteration of priorities, this project can provide direct services to both domestic violence victims and elderly and disabled victims of crime. Data collection will be important to determine the numbers of special populations receiving services from this project for 1993-94 to assess future need. 93107'7 y.. 93vagmcapp Revised 3/93 VICTIMS OF CRIME ACT APPLICATION Page 5a Match Work Sheet DO I INCLUDE THIS PAGE WHEN MAKING THE 30 COPIES OF ITEMS #1419 FOR THE COORDINATING COMMITTEE. The VOCAL budget must include the appropriate match. It is important that the match amount is computed correctly because the same budget restrictions apply to match that apply to the federal award. On page 2, item#10, you indicated that this proposed VOCAL project Required Match ,;'..Federal Percent < ` a. starts a new project 35% or 35 65%or 65 b. continues a VOCAL project 20% or.20 $0%or 80 c. expands a project which has existed one year 20%or.20 t `<1$0%a J0 �.Sa3f�¢d�,1 x•+ K K d. starts or operates a tribal project on a Native American reservation 596 or.OS �:k5 r 95nt 1014 Re-select the appropriate letter above to determine required match. 1. S 5, 000. 00 ,t. .S0 = $ 6, 250 .00 Federal VOCAL dollars requested Federal percent for letter selected Total Project Cost $ 6, 250.00 _ $5, 000.00 $ 1 , 250.00 Total Project Cost from above Federal VOCAL dollars requested Required Match (Rounded to the nearest whole dollar) 2. Grant Match Summary: Federal VOCA dollars requested $ 5, 000 . 00 . Required mat $ 1, 250 .00 Total VOCA Project Cost $ 6, 250 .00 EXAMPLE for either(b)continuing or(c)nxiding project: 1. S 12,250.00 - .80 = S 15,312.50 Federal VOCAL$ requested Federal portion for letter selected Total Project Cost 2. $ 15,313.00 - $ 12,250.00 = S 3,063.00 Total Project Cost from above Federal VOCA dollars requested Required Match (Rounded to the nearest whole dollar) 3. Grant Match Summary: Federal VOCAL$ requested(no match) $ 12,250.00 Required match $ 3,063.00 Total VOCA Project Cost $ 15,313.00 All budget pages MUST agree with the above figures. 93vagmt.app A Revised 3/93 931tl • , VICTIMS OF CRIME ACT APPLICATION Page 6 of 22 • 19.21 Budget Section 19. Detailed VOCA Project Budget This budget details the total VOCA Project post-the resources covered by both the federal portion and the required local match as calculated on the Match Wok Sheet. Po not exceed the required match. Carefully review pages I-5 through I-7 of the General Guidelines for ineligible VOCA costs. ROUND TO NEARF WHOLE DOLLAR PERSONNEL(Employeat 4 iut}et 4 �� ( r),% Total Cost Position I Annual Full-time 1 % of Time for ape Line Item) Cost Total Salary VOCA Project Community Counselor II 25, 000 . 00YR X 20 % = 5, 000. 00 I IYR X % _ /YR X % _ Subtotal of Personnel RCA. Retirement, Fringe Benefits X % of Salary = Total Personnel Cost 5 5, 000 • SUPPl S AND�'O?ERA'i1ilai XPENsEs c& 'h :i�a g,§r ,�4 �TCtlt,3.r.rv«v fllstr 1pn'e46)a'• .cY� S Klar a.n '"a b: ' :. Office Supplies $690 .00 Copying 560 . 00 Total Supplies and Operating Cost $ 1, 250 . .00 .............. .. 'INSTATE TRr1VEI (Itemize'itanspnttat ein'*ysubSistenci M`4 s Total Indatn Travel Cost $ .00 t 1;Q(IIPMENT(itemirej Total Equipment Cost $ 00 PROFESSIONAL SERVICES (itemize individuals and\organ nations) Total Professional Services Cost $ .00 • TOTAL PROJECT COST . i $ 6, 250 . 00• 9svag u.app 9819'1'7 VICTIMS OF CRIME ACT APPLICATION Page 7 of 22 20. Budget Summary' BOUND TO THE NEAREST WHOLE DOLLAR yg , ...1:447-- .1: ��. y Y.z a' ±:„ .�., " a Tr^^`�,'C g tom`t t ist Personnel $5, 000 $5, 000 .00 $1, 250 1, 250 .00 Supplies and Operating 00 Travel ► EquiPment 00 .00 I Professional Services - $5, 000 $1, 250. I $6, 250 TOTALS .00 f5�w ��$� p VtlOA• Ftmds Stequeated p lmatchllfh.4-in-land match) h itInw� �iY : $5, 000 00 I $1, 250 00 I $6, 250 .001 Indicate choice from match work sheet: a. New Project 35%'non-federal match required x b. Continuing Project 20%non-federal match required c. Farting Project 20% non-federal match required d. Tribal Project on Reservation 5% non-federal match required What is the source of the matching funds? Cash Match: Weld County Commissioners In-Kind Match: 93vagrnz.app '41ib77 VICTIMS OF CRIME ACT APPLICATION Page 8 of 22 21. Budget Narrative: Explain and)�y the project budget as outlined on the previous page. Follow instructions and address each item in the budget. Project Liaison: The salary is based on Ms . Walker's 1992 figure of $25,000x with 20% of her time exclusively devoted to the District Attorney' s Domestic Violence and Special Populations Victim Liaison Project. Ms. Walker's salary is made up by the Victim Assistance Program and VALE Funds (job description in Appendix B) . This position is described as Community Counselor III per the Weld County Personnel pay level at $11.05 per hour. This rate per hour is equivalent to the average pay scale for counselors performing in a similar position in this area with the addition of benefits . This rate of pay is determined by Weld County Personnel for the position held by Jennifer Walker. Benefits : Benefits, insurance and taxes for 15% of Ms. Walker' s salary is calculated at the Weld County rate. Supplies and Operating Expenses: Copying, materials, and maintenance of copiers are supplied by Weld County (copies based on . 11 per copy plus maintenance) . Cost breaks out to be approximately $46 . 00 per month) . Supplies are also supplied by Weld County which includes all materials used for this project (letterhead, envelopes, pens, pencils, mailing costs, etc. ) Cost breaks out to be approximately $57 . 00 per month. State Travel: Not applicable Equipment: Not applicable Consultant/Professional Services:. Not applicable VICTIMS OF CRIME ACT APPLICATION Page 9 of 22 22-29. Organizational Qua:fru:4 m 22. Continuing applicants requesting the same amount or no more than a 10%increase over their 1992 VOCA award may .at...inar. Brief organizational description and history: NOT APPLICABLE 23. Continuing applicants requesting the same amount or no more than a 10% increase over their 1992 VOCA award may eliminate. Describe the network of victim services in your service area, including how your agency's V0CA project fits into that system. (Address all issues listed in instructions. NOT APPLICABLE 93vagrnt.app Revised 3/93 • VICTIMS OF CRIME ACT APPLICATION Page 10 of 22 24. Please indicate with colored marker the area to be served by your project. DENVER VICINITY MAP: Z. ...1.11AIICEV1030 IIII� (; _ . lilt, WPM • L.. 3�3 — 1 "'" IT STATEWIDE JUDICIAL DISTRICT MAP: Mt _ t 8th 1 _. .. ._.r • •~• 1:th . „qt _._.. .. 9t11 �,..._ 2n� 17th :. ... 21st w, ,4th .. — .....• ..._.. ... • 7t '� .. 15th -• _,�. 10th _.. .4... 12th h ... .loth 22nd 6th _- I -• .-.— a _ 3rd._.. .:.. .. a. Applicant Agency: 19th Judicial District Attorney's Victim Assistance Office b. Verbal description of geographic area to be served: The 19th Judicial District is one of the largest in the State, spanning form the Northeast Colors o yoming oar er sout to t e rig on i y limits. It is rimaril rural and agricultural. c. Types of victims to be served by project: Child Abuse x Previously Underserved Domestic Violence (specify types) Elder/Disabled Sexual Assault Other s ( pecify types) 43IiesTifrVirm • VICTIMS OF CRIME ACT APPLICATION Page 11 of 22 25. Continuing applicants requesting the same amomt or no more thane 10% increase over their 1992 VOCA award may Deaenbe your current and/or proposed victim assistance VOLUNTEER program (address all aueeaing, orientation,supervision and on-going training.) aspects, i e, recruitment, NOT APPLICABLE 26. Continuing applicants requesting the same amount or no more than a 10% increase over their 1992 VOCA award may eliminate. Describe how your agency serves minorities and recruits minority staff and volunteers in a reasonable proportion to the number of minorities in the service area. NOT APPLICABLE VICTIMS OF CRIME ACT APPLICATION Page 12 of 22 27. Continuing applicants requesting the same amount or ao more thane 10% increase over their 1992 VOCA award may Are any of the services provided by your agency eligible fix Victim Compensation Please elaborate. NOT APPLICABLE 28. Continuing applicants requesting the same amount or no more thane 10%increase over their 1992 VOCA award may eliminate Describe briefly the procedures utilized by your agency to insure sound financial management of the organization. Does your agency have an independent audit or financial review conducted on a regular basis? Please elaborate. NOT APPLICABLE 331077 93vagrntapp VICTIMS OF CRIME ACT APPLICATION Page 13 of 22 29. TO BE COMPLETED BY APPLICANTS WHO DID NO RECEIVE VOCA FUNDS IN 1992. Provide below a detailed project wohplan and timetable indicating teas to be accomplished, by when, and by whom. The wouaplan should reflect the goals and objectives you developed in item/17. NOT APPLICABLE 931077 93tagnu app VICTIMS OF CRIME ACT APPLICATION Page 14 of 22 30. Continuing applicants requesting die same amount or no more thane 10% inane.over their 1992 VOCA award may eliminate. Evaluation: Please describe how you will evaluate the effects of your project in the community and the impact of the VOCA funded sat on the victims you assist. NOT APPLICABLE 931077 93tagmt.app __ — _ Rc.iscd 3/93 VICTIMS OF CRIME ACT APPLICATION Page 15 of 22 31. CERTIFIED ASSURANCES AND SPECIAL PROVISIONS: The applicant hereby certifies that the project described in this application meets all the requirements of the Victims of Crime Act, 1984,as amended, that all information contained in the application is correct, that there has been appropriate coordination with affected agencies and that the applicant will comply with all provisions of the Act and all other applicable Federal and state laws, rules and regulations that have been or may hereafter be established. The applicant further understands and agrees that any subgrant received as a result of this application shall incorporate this application into the subgrant award, and shall also be subject to the grant conditions set forth in the Statement of Grant Award and in the Division of Criminal Justice publication,Administrative Guide for Federal Justice Grant Proerams. A. Finanaal and Adminisrrmin Mangano n 1. The applicant assures that fund accounting,auditing,monitoring,evaluation procedures and such records as the Division of Criminal Justice shall prescribe shall be provided to assure fiscal control, proper management and efficient disbursement of funds received. 2. The applicant assures that it will comply with applicable financial and administrative OMB Circulars A-87, A-102 (Common Rule), A-128, A-110, and A-133, and will comply with the provisions of the Office of Justice Programs publication M7100.1D,Financial and Administrative Guide for Grants. For practical purposes,the requirements which are pertinent to the management of Victims of Crime Act funds have been extracted from the above documents and are contained in the Administrative Guide for Federal Justice Grant Programs referenced above. However,such a guide cannot cover every foreseeable contingency, and the applicant is ultimately responsible for compliance with applicable state and federal laws, rules and regulations. B. Mardi and Non-Supplanting of State/Local Funds 1. The applicant certifies that federal funds made available under this formula grant will not be used to supplant state or local funds but will be used to increase the amounts of such funds that would,in theabsence of federal funds,be made available. C. Inspection, Recordkeeping, and Audit 1. The applicant assures that it will procure an audit by a CPA or licensed public accountant incorporating the subgrant. Audits must be performed in accordance with OMB Circular A-128(State and Local Units of Governments), or OMB Circular A-133(Institutionsof Higher Education and Non Profits).At such time as the audit is completed,ONE COPY OF THE AUDIT REPORT MUST BE FORWARDED TO THE DIVISION OF CRIMINAL JUSTICE for clearance. If the audit report does not meet the applicable A-128 or A-133 standards or is not submitted in a timely manner, then the applicant accepts responsibility for the costs of a financial program audit to be performed by the Department of Public Safety. 2. The applicant assures that it will maintain all project records as will facilitate an effective audit for three years from the date of the final financial report or beyond the three year period if an audit is in progress and/or the findings of a completed audit have not been resolved satisfactorily_ 3. The applicant assures that it will keep copies of all documents and correspondence related to this subgrant in a separate file bearing the project title and grant number. All expenditures must be supported by documentation and only actual approved expenditures will be permitted. 4. The applicant assures that the Division of Criminal Justice, the Department of Public Safety, and the Comptroller General of the United States Department of Justice or his designee, shall have acrecs for purposes of audit and examinations to any bonds, documents, papers and records of the subgrantee and to relevant books and records of subcontractors of the subgrantee. The applicant shall notify any subcontractor of the subgrantee of these provisions. 931077 93vagmcapp VIC77MS OF CRIME ACT APPLICl77ON Page 16 of 22 31. cER77FIED ASSURANCES AND SPECIAL PROVISIONS(Coat): 5. The applicant assures that signatories of the application and subgrant award and personnel employed through this atbgrsnt will appear when requested at any administrative hearing,conference or meeting conducted by the Division of Criminal Justice. 6. The applicant assures that it shall maintain such data and information and submit such reports in such form, at such times,and containing such data and information as the Division of Criminal Justice may reasonably require to administer the program. The applicant further assures that quarterly financial and narrative reports shall be submitted within 15 days of the end of each calendar quarter and shall be current and actual. D. Disaiminarion Prohibited 1. The applicant assures that it will comply with the nondiscrimination requirements of the Omnibus Crime Control and Safe Streets Act of 1968,as amended; Title VI of the Civil Rights Act of 1964; Section 504 of the Rehabilitation Act of 1973, as amended; Title IX of the Education'Amendments of 1972; the Age Discrimination Act of 1975; the Department of Justice Nondiscrimination Regulations 28 CFR Part 42,Subparts C,D, E, and G;and Executive Order 11246, as amended by Executive Order 11375, and their implementing regulations, 41 CM Part 60.1 st,seq.,as applicable to construction contracts. 2. The applicant certifies that helshe will 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 1988 Replacement Vol.), and as required by Executive Order, Equal Opportunity and Affirmative Action,dated April 16, 1975. Pursuant thereto, the following provisions shall be contained in all state contracts or subcontracts. During the performance of this contract, the contractor agrees as follows: a. 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 are 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 forms of compensation;and selection for training,including apprenticeship, the contractor agrees to post in conspicuous places, available to employees and applicants for employment. b. 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. c. The contractor will send to each labor union or representative of workers with which he has collective bargaining agreements or other contract or understanding,notice to be provided by the contracting officer,advertising 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. d. The contractor and labor unions will furnish all information and reports required by Executive Order, Equal Opportunity and Affirmative Action of April 16, 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. e. A labor organization will not exclude any individual otherwise qualified from full membership rights in such labor organizations,or expel any such individual from membership in such labor organization or discriminate against any of its members in the full enjoyment of work opportunity,bemuse of handicap, race,creed, color,sex,age, national • } • Origin,or ancestry. (24-34-402(1)(c)) 931077 93vagnu.app VICTIMS OF CRIME ACT APPLICATION Page 17 of 22 31. j_ER77FJED ASSURANCES AND SPECIAL PROVISIONS(Cont): f. A labor organization,or the employees or members thereof will not aid, abet,incite,compel or coerce the doing of any act defined in this contract to be discriminatory or obstruct any person from complying with 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.(24-34402(lXe)) g. In the event of the contractor's non-compliance with the non-discrimination clauses of this contractor or with any of arch rules, regulations,or orders, this contract may be ram-tiled, 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 others 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. It. The contractor will include the provisions of paragraph (a) through (h) in every sub-contract, subcontractor and purchase order,pursuant to Executive Order,Equal Opportunity and Affirmative Action of April 16, 1975,so that arch provisions will be binding upon each subcontractor or vendor. The contractor will take arch action with respect to any sub-contracting or purchase order as the contracting agency may direct,as a meats of enforcing such provisions, including sanctions for noncompliance;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. 3. The applicant assures that in the event a Federal or state court or administrative agency makes a finding of discrimination after a due process hearing on the grounds of race, color, religion,national origin or sex against a recipient of funds, the recipient will forward a copy of the finding to the Division of Criminal Justice. 4. a. The applicant assures that if required to formulate an Equal Employment Opportunity Program (EEOP), in accordance with 28 CFR 42.301 et.seq., it will maintain a current one on file and agrees to submit a copy of the current EEOP, which meets the applicable requirements to the Division of Criminal Justice. b. If the parent organization of the subgrantee receives subgrants of$500,000 or more in federal funds; an equal employment opportunity program for women and minorities is required to be approved by the U.S. Department of Justice through the Division of Criminal Justice prior to the start of the project. E. Victim Assistance Services ' 1. The applicant assures that victim assistance grant funds shall be used only to provide direct services to victims of crime. 2. The applicant assures that it will assist victims in seeking available crime victim compensation benefits. 3. The applicant assures that it will promote, within the community served, coordinated public and private efforts to aid crime victims. F. Procurement and Contracts 1. The applicant assures that open,competitive procurement procedures must be followed for all purchases under the grant, including especially the purchase of equipment and professional services. All contracts for professional services, of any amount, and equipment purchases over one thousand dollars must receive prior approval by the Division of Criminal Justice. 931077 VICTIMS OF CRIME ACT APPLICATION Page 18 of 22 31. CER77F7ED ASSURANCES AND SPECIAL PROVISIONS(Cont.): 2. The applicant assures that no contract or agreement will be made for execution of project activities or provisions of services(other than purchase of supplies or standard commercial or maintenance services)which is not incorporated in the approved application or approved in advance by the Division of Criminal Justice. 3. The applicant assures that contractors/vendors who assist the subgrantee to develop specifications, requirements, statements of work and/or RFP's for a proposed procurement shall be excluded from bidding or submitting a proposal to compete for the award of such procurement 4. The applicant assures that the Division of Criminal Justice shall have an irrevocable nonexclusive, royalty-free license to any invention and to reproduce, publish and use any materials in whole or in part, and authorize others to do so, which are produced tender this subgrant. G. ladaruti ication To the extent authorized by law,the subgrantee shall indemnify,save and hold harmless the SOP•,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 as or omission by the subgrantee,or its employees,agents,subcontractors,or assignees pursuant to the terms of this subgrant. • H. Prohibited Aas 1. 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. 2. The signatories aver that to their knowledge, no state employee has personal or beneficial interest whatsoever in the service or property described herein in the application/proposal. • L Other Federal and State Requirements 1. 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 subgrant. Any provision of this subgrant whether or not incorporated herein by reference which provides for arbitration by any extra-judicial body or person or which is otherwise 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 or condition 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 subgrant to the extent that the subgrant is capable of execution. 2. Financial obligations of the State of Colorado payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted,and otherwise made available. 3. Any subgrant award is subject to and contingent upon the continuing availability of federal funds for the purposes hereof. 4. Either party may terminate the grant with thirty days written notice of intent to cancel or terminate. The grant may be terminated if the services are not satisfactorily performed by the subgrantee or if it is in the best interest of the state of Colorado to terminate the grant. If the grant is terminated by either the subgrantee or the state, the subgrantee shall be paid a prorated amount based on the number of days of project operation prior to termination. 5. The grant may be suspended or terminated at any time by the Division of Criminal Justice if the subgrantee fails to comply with the provisions of the Victims of Crime Act or any of the Certified Assurances and Special Provisions. 331077 93vagmtapp • VICTIMS OF CRIME ACT APPLICATION Page 19 of 22 31. ER'^FlE7)A cerraANCES AND SPECIAL PR0VISI0N&(Cont.): Certification Regarding Debarntenr,Suspension, Tier rCovered Transaaions I. Subgranten(receiving$25.000 or more) on of this proposal,that neither it nor its principals subcontractors or 1, suppliers ure prospective pe subgrantee debredcertifies, by suspended.proposed rsst ble,or voluntarily excluded from are presently debarred. for debarment,declared ineligible, participation in this transaction by any Federal department or agency the prospective subgrantee is providing the certification set out below. a. By signing and submitting this proposal, of fact upon which reliance was placed when this b. The certificationowasin this clause is a material representationhe subgrantee knowingly rendered an transaction was entered into. If it is later determined that the prospective erroneous certification,in addition to other remedies available to the Federal Government,the department or agency with which this transaction originated may pursue available remedies, including suspension and/or debarment aubgtantee shell provide immediate written notice to the person to whom this proposal is submitted e The prospective if at any time the prospective subgrantee learns that its certification was erroneous when submitted or has become erroneous by reason of changed cir . d. The terms 'envy transaction,' 'debarred; 'suspended.' 'ineligible: 'lower tier covered transaction, covered transaction;'principal:'proposal,'and'voluntarily excluded,'as used 'participant,' have the 'primary gset out in the Definitions and Coverage sections of rules implementing Executive in this clause,have the meanings Order 12549. thisthat, should the proposed covered transaction be e. nt pd into,it subgrantee kn knowingly agil ay submitting t proposal with a person who is debarred, entered into,it shall not eats into any lower tier covered transaction unless suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, • authorized by the department or agency with which this transaction originated. f. The prospective subgrantee further agrees by submitting this proposal that it will include the clause titled 'Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion—Lower Tier Covered Transactions,' without modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions(i.e., contracts for services). g. A participant in a covered transaction may rely upon a certification(OW Form 4061/1)of a prospective participant suspended, ineligible,or voluntarily excluded from the n a covered tier covered transaction,unless transaction that it is not debarred, participant may it knows that the certification is erroneous. A ci t may check the Nonprocurement and frequency by which it determines the eligibility of its principals. Each participant arti pan List. h. Nothing contained in the foregoing shall be construed to require clause. The knowledge establishment nt of a iaf systemn a records cinaorde not er to render in good faith the certification required bycourse of tici ant iingot required to exceed that which is normally possessed by a prudent person in the ordinary i. Except for transactions authorized under paragraph 5 of these instructions,if a participant in cover ineligible,ed t transaction knowingly eaters into a lower tier covered transaction with a person who is suspended, r voluntary excluded from participation in this transaction, in addition to other remedies available to the Federal Government, the department or agency with which this transaction originated may pursue available remedies, including suspension and/or debarment. 2. Where the prospective subgrantee is unable to certify to any of the statements in this certification, the prospective subgrantee shall attach an explanation to this application. 931077 93vagmtnPP • VICTIMS OF CRIME ACT APPLICATION Page 20 of 22 • 32. CERTIFICATION: (Original signatures required. Please sign in BLUE ilk.) The APPLICANT.through the following signatories,understands and agrees that any grant received as a result of this project proposal shall be subject to and incorporate the statements made herein including the Certified Assurances and Special Provisions. 'The signatories certify that we have read the instructions for item 32 above and am fully cognizant of our duties and responsibilities for this project.' Authorized Official i' -' nue of Authorized dal Date Constance L. Harbert Chairman Typed Name. -weld County Title Address P.O. Box 1167 Greeley, Colorado 80632 Telephone: (303) 356-4000 proiect Director 9I� 4`/3153 `y Date of P Director Community Programs Admin. Nanny J McMcar=acin Typed Name Title 19th Judicial District Attorney Address: P.O. Box 1167 Greeley, Colorado 80632 Telephone: (303) 356-4010 #4735 FaO: (303) 352-8023 Financial ffiber Si of Financial r Date Donald D. Warden Financial Officer Typed Name Title Weld County Address: P.O. Box 1162 Greeley, Colorado 80632 Telephone: (303) 356-4000 Fax#: (303) 357-2023 931.077 93vagrntapp Rrvicrd 7/93 • VICTIMS OF CRIME ACT APPLICATION Page 21 of 22 33. Certification of Appropriation of Match: Data 4/11/91 Division of Criminal Justice 700 Kipling St., Suite 1000 Denver, CO 80215 To Whom It May Concern: RE: Certification of Appropriation of Match Please be advised that Weld County has appropriated (source of matching funds) ash and/or in-kind finds in the amount of$ 1250.00 to match federal funds for the 19thi :Judicial District Attorney' s Domestic Violence and Special P Execution of this document represents a certification that said finds have been earmarked within the appropriation of budget process, for use as matching funds for the Victims of Crime Act 1993 application. Sincerely, Signature of Authorized Official Constance L. Harbert Typed Name Chairman of the Weld County Board of Commissioners Title Applications Due: 5:00 p.m., April 16, 1993 Send completed original application*,2 full copies(total of 3), and 30 copies of the first 6 pages to: Carol C. Poole Division of Criminal Justice 700 Kipling St., Suite 1000 Denver, CO 80215 Phone: (303)239-4446 * In accordance with the Colorado Revised Statutes 24-72-202.6, information supplied in this application is considered to be a public record. 931077 93vagmtapp Revic..d 7/93 VICTIMS OF CRIME ACT APPLICATION Page 22 of 22 APPENDIX 34. Attach the following items behind this page and label with the appropriate letter. a. Organizational(hart-Highlight any positions included in your VOCA budget personnel category. Ia. Job Descriptions-Include for any paid or volunteer position included in your VOCA budget personnel category. c. Last of Agency's Board Members, if applicant is a non-profit rather than a government agency. d. Audit or Financial Review Rennet-Include a copy of your most recent aeport Please note that as of October, 1993,all VOCA snbgtwtxa must submit one such report every three years. Agencies receiving$25,000 or more in federal assistance in a year must meet guidelines of OMB Management Citadels A-128 or A-133 annually. e. Three-veer Plan-Include a copy of your most recent long-term plan for the programmatic development and financial support of your victim assistance program. f. Letters of Support or Cooks of Interagency Agreements which show community support and cooperation are welcome. Copies are not sent to the Coordinating Committee members but are reviewed by staff and available for review by the Committee. g. Minutes of the Judicial District meeting of all 1993 VOCA applicants and description of the plan developed. (See Score Enhancer,page I-9.) 931077 93.agrm app T6-T-oT anIwDiJaa 8 ~ U X 7 ' �-g -- 88—F U (7 0 • ; 8 R a 0 - H r.n KC En i ic4 U A8 - 8 _ 8 2 J G y c u 8G VJ / to i J/// J :J h 0 O ' U F U Hi a W J 8 8 8 iq H .— Q 8 U Q G a s G G O G U O O O O 8 W O O U 8 H— r E r H •. Q O G o rt. O ri q O ••H ZIInr b-9 abed • UNKH 931.077 JOB DESCRIPTION Position: Community Programs Victim Assistance Counselor II Department: Community Programs, District Attorney's Office Immediate Supervisor: Community Programs Administrator. In case of the Community Programs Administrator's absense, the Assistant Community Programs Administrator is the Immediate Supervisor. General Supervisors: The District Attorney and Assistant District Attorney. Supervisory Functions: None. Job Qualifications: Must have a Bachelor of Arts or Bachelor of Science Degree; knowledge of the criminal justice system; be acquainted with the various types of community services available to victims of crime; speak and write in a professional manner; have and maintain a valid Colorado driver's license; have some counseling background; work well with people in crisis; have some computer background; work well with statistic gathering and reporting; some knowledge of grant management; knowledge of and experience with direct services relating to victims of domestic violence. Date of Job Description: July 1, 1992 Job Duties: 1. Provide information to victims and witnesses concerning the status and progress of cases in which they have an interest. This includes calling off witnesses from various hearings or trials as needed. 2. Offer information and education to crime victims and witnesses concerning the criminal justice system. 3. Referral assistance and limited crisis response to crime victims and their families. Keep in mind that as employees of the District Attorney's Office, rules of discovery apply to your conversations and communications with witnesses to crimes that the office prosecutes. Limit the amount of information you obtain from victims about the crimes themselves. Maximize referral of services to existing outside community programs and limit actual counseling. 4 . obtain restitution information for the ATTORNEYS on specific cases . S . Assist eligible victims in applying for victim 931077 Community Programs Victim Assistance Counselor II July 1, 1992 Page 2 compensation. 6 . Coordinate the Weld County Domestic Violence Task Force as required by the VOCA grant that partially funds this position. Chair the Task Force meetings. Coordinate meeting times, agendas and disseminate information to the Task Force members. 7 . Carry a cellular phone on a rotating basis and, when on duty, being available twenty-four (24) hours a day for crisis calls. 8. Speak to public and professional groups concerning the various services provided by the Community Programs Department of the District Attorney's Office as coordinated by the Administrator of the Community Programs Department of the District Attorney's Office. 9 . Complete reporting requirements for all grants supporting your position. 10 . Work with volunteers and interns as coordinated by the Assistant Community Programs Administrator. 11. Assist the ATTORNEYS on matters relating to victim and witness assistance. 12 . Be familiar with and conform behavior to office policies and the contents of the "D.A. Handbook. " 13. Other duties as required and coordinated by the Administrator of the Community Programs Department of the District Attorney's Office. 14 . Provide back up reception duties as needed. 931077 JOB DESCRIPTION INTERN / VOLUNTEER FOR VICTIM ASSISTANCE PRIMARY RESPONSIBILITIES: A. Assist with calling off witnesses for County Court and District Court cases . B. Assist, when requested, with determining restitution for County Court and District Court cases . C. Provide information to and assist victims in completing restitution forms . 41 D. Provide information to and assist victims in the process of collecting restitution through the court system. E. Assist victims of sexual assault in completing Victim Compensation forms . F. Assist victims (on the phone) with questions regarding compensation and make necessary referrals . G. Assist victims and witnesses at hearings and jury trials . H. Other duties as requested. S 931077 JOB DESCRIPTION INTERN / VOLUNTEER FOR VICTIM COMPENSATION PRIMARY RESPONSIBILITIES: A. Assist Program Coordinator with the delivery of a variety of casework services to victims of crime, including the following: 1 . needs assessment 2 . crisis intervention 3 . advocacy 4 . education 5 . personal support 6 . information and referral 7 . Victim Compensation applications B. Assist with a variety of court duties including the following: 1. check on status of cases 2 . escort victims and witnesses to court 3 . educate victims and witnesses about court proceedings 4 . help victims submit restitution and Victim Impact Statements C. Other duties as requested. 931.077 ® JOB DESCRIPTION VOLUNTEER/INTERN TO THE COMMUNITY COUNSELOR/DOMESTIC VIOLENCE TASK FORCE COORDINATOR PRIMARY RESPONSIBILITIES: A. Begin new cards on domestic violence victims, completing all appropriate information. B. Send restraining orders (RO) and No Contact Orders (NC) to victims of domestic violence. C. File new cards in numerical order. D. Sit in on direct services for victims within the criminal justice system, i .e. , court room support, education, liaison with District Attorney, case status information, etc. Eventually you will be able to provide your own direct services for victims. E. Assist with crisis intervention. • F. Assist in providing victim impact statements, information about No Contact Orders and basic information to the court and District Attorney to help aid the court in case outcome. G. Assist domestic violence victims apply for Victim Compensation. OTHER DUTIES: A. Assist any person that walks into the Victim Assistance Office. B. Answer telephone; take phone messages . C. Process Victim Compensation applications. D. Assist with the Domestic Violence Task Force meetings. E. Assist with jury trial call offs and trial work. F. Take mail to District Attorney's office daily. G. Assist other Victim Assistance staff members as needed. 931077 Hello