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HomeMy WebLinkAbout901172.tiff 46)fit, mrmoRAnDUI) i Gene R. Br, Chairman To County Board of County Commissioners Date November 13, 1990 COLORADO From Walter J. Speckman, Executive Director, Human Resourc sub,ect: FY 1991 Area Agency on Aoinq Annual Plan Supplement Enclosed for Board approval is the Fiscal Year 1991, Area Agency on Aging Annual Plan and Budget. The total budget request is for $357,103 in federal and state monies. A summary of the budget allocations is as follows: Administration $ 32,704 Supportive Services 156,743 Congregate Meals 138,061 Home Delivered Meals 29,595 TOTAL Federal/State Request $357,103 The Plan was presented in public hearings in Dacono on September 18, 1990, and in Kersey on October 2, 1990, and approved by the Area Agency Advisory Board on November 5, 1990. Agencies to be funded under this Plan include: Home Health Services for Case Management Clients: NORMEDCO, HHCS, NPSI $ 9,300 Weld Mental Health Peer Counseling Program 23,737 Eldergarden Adult Day Program 13,950 RVNA Home Health Care 21,390 Meals on Wheels 23,966 Catholic Community Services Hispanic Outreach 25,653 Catholic Community Services Respite Care Program 7,931 Charles Connell , Attorney Consultant 6,045 If you have any further questions , please telephone Linda Piper at 353-3816. yoii7z Koov j A\ 11,2 SECTION A: ANNUAL PLAN AND GRANT APPLICATION TITLE III - SLDER AMERICANS ACT Fiscal Year 1991 Due: October 15, 1990 Colorado Department of Social Services Aging and Adult Services 1575 Sherman Street, 10th Floor Denver, Colorado 80203-1714 Grantee Organization Weld County Division of Human Resources Address 1551 N 17 Avenue, PO BOX 1805 Greeley, Colorado 80632 Area Agency Name Weld County Area Agency on Aging Address 1551 N 17 Avenue, PO BOX 1805 Greeley, Colorado 80632 Grant Award Number Grant Period From January, 1991 To December, 1992 Type of Application /1-7 Initial Application / / Revision i (2/90) STATEMENT OF INTENT The Annual Plan is hereby submitted for Region II B Planning and Service Area for the period January 1 , 1991 through December 31 , 1991 . It includes all assurances and plans to be followed by the Weld County Area Agency on Aging Name of Area Agency on Aging under provisions of the Older American' s Act, as amended, during the period identified. The Area Agency identified will assume full responsibility to develop and administer the Annual Plan in accordance with the requirements of the Act and related State Policy. In accepting this authority, the Area Agency assumes responsibility to promote the development of a comprehensive and coordinated system of community services and to serve as the advocate and focal point for older persons in the planning and service area. The Annual Plan has been developed in accordance with the rules and regulations specified under the Older American' s Act and is hereby submitted to the Colorado Department of Social Services , Aging and Adult Services for approval . November 13, 1990 (Signed)acfn-CleA..- e (Date) (Director, Ar Agency on Aging) November 13, 1990 (Signed) (Date) (Executive Director, Grantee Organization) v The governing body of the Area Agency has reviewed and approved the Annual Plan. November 19, 1990 (Signed) (Date) (Title) Chairman. WeJd County Commissioners (Chairperson of Governing Board, County Commissioners, etc. ) ii (7/89) ADVISORY COUNCIL REVIEW The Area Agency Advisory Council has had the opportunity to review and comment on the following items in the annual plan and grant application. (Comments are attached. ) 1 . Statement of Intent and Justification for Transfers Budgeted among 8, C-1 and C-2: 2. Application for Waiver for Area Agency to Provide Direct Services : 3. Request for Waivers of the Requirement to award minimum percentage of funds for required support services : and 4. Revisions to the Annual Plan and Grant Application which result in a 157. change in funds, or client services . November 13, 1990 /r (Signed) �h.� ��.�. „, t (Date) (Chairperson, Area Agency Advisory Council ) er (7/89) ABLE OF CONTENTS SECTION A: :NTRODUCTICN PAGE If Annual Plan and Grant Application Cover Page i Statement of Intent i Advisory Council Review i Table of Contents iv SECTION B: ANNUAL PLAN AAS 100 Annual Plan Summary 1 AAS 110 Goals and Objectives 3 AAS 116 Targeting Plan 10 AAS 120 County Priorities , Services , and Resource 11 Distribution AAS 130 Title III Service Objectives and Cost Summary 12 SECTION C: GRANT APPLICATION AAS 200 Title III Award Request 15 AAS 205 Request for Approval of Transfer cetween Title III B, C-' and C-2 ( if applicable) 16 AAS 210 Title III Budget Summary for Services 17 AAS 220 Area Agency Administration Budget 18 AAS 225 Title III B Support Services Budget 19 AAS 235 Title III B Grants by Service Provider 20 AAS 240 Title III Nutrition Budget 22 AAS 260 Title III C-1 and C-2 Meal Service Chart 26 AA$ 275 Title III D Support Services Budget 30 AAS 276 Title III D Grants by Service Provider 31 AAS 280 Proposed Staffing Plan for the Area Agency 32 AAS 290 Community Focal Points and Senior Centers 33 SECTION D: ATTACHMENTS 1 . Summary of public hearings . 37 2. Audit plan. 38 3. List of nutrition sites closed and opened since prior year' s Annual Plan. _ 4. Senior center facilities acquisition, construction or alteration ( if applicable) . _ 5. Nutrition narrative for first year nutrition providers (if applicable) . _ iv (2/90) SECTION E: APPROVALS ( if applicable) 1 . Request for approval of capital expenditure(s) : 38 a. Acquisition of fixed asset(s) valued at $1000 or more. b. Repair(s) valued at $500 or more which increase the useful life of the asset. 2. Request for approval to acquire aata processing haroware and/or software. 38 3. Lertification Regarding Lobbying 42 SECTION F: WAIVERS 1 . Direct Service Provision Waiver 45 2. Waiver of Required Services. - iv (2/90) r-, , SECTION B: ANNUAL PLAN TITLE III OLDER AMERICANS ACT ANNUAL PLAN SUMMARY Three areas of emphasis will be concentrated on for FY 1991 . These areas are community services, community based support services, and long term care services. Planning, coordination, advocacy, resource development and contractual arrangements for FY 1990 will focus on enhancing these areas of emphasis. 1 . In FY 1990, much was accomplished in continuing to strengthen the rural community outreach program which is called the Senior Aide or WELDCO network. The network, consisting of 20 Senior Aide Stations throughout rural Weld county, is the core of the Area Agency"s rural outreach as well the rural information and referral system. With on going technical assistance and support many rural stations continued to expand services to seniors within their catchment areas. In 1990 a majority of the senior aide stations became involved in the Colorado Food Share Program. This program has had a very positive affect on entire rural communities, providing an additional source of food and increasing volunteerism in the communities. In FY 1991 , the Area Agency will continue to emphasize outreach to Hispanic elderly by building on the progress of made in the current year. Five new Hispanic support groups were formed in 1990. The Area Agency will concentrate on strengthening and expanding these groups. Particular emphasis will be given to building leadership within these groups. 2 . In FY 1990 , the Area Agency worked to fine tune the day to day management of the Home and Community Based Services Program. The goal of a comprehensive, single entry point for long term care case management services is still in progress. The principal barrier to fully realizing the full potential of this program continues to be inadequate funding for both casemanagement services and funding for home health care services. In FY 1991 , the Area Agency will continue to be an active player in the State of Colorado planning process for Single Entry Point implementation. Locally, emphasis will be on seeking other sources of funding to support the private side of the case management program. In addition, the Area Agency will continue to staff and provide technical assistance to the Long Term Care Coordinating Committee comprised of approximately 25 agencies involved in long term care service to elders . The Committee will assist the Area Agency in planning activities directed toward elder abuse , shared housing, public relations, single entry point implementation, live in companions, respite care , and guardianships. em PAGE 1 ANNUAL PLAN SUMMARY (continued) Region II B FY 1991 Page 2 of 2 3. The Area Agency will continue to support an array of "intermediate" service to promote independence and improve the quality of life of frail elderly in a home setting. In 1991 , the Area Agency will concentrate on expansion of transportation services to South Weld County and other more remote areas of the county. This expansion will be made possible through new funding from the Colorado Department of Highways UMPTA Section 18 grant . Caregiver support outreach increased in FY 1990 through a grant from the Colorado Trust . Several support groups have been formed and more volunteers have been recruited to assist with this growing need. During year two, 1991 , the Area Agency will work even more closely with this project to make existing services more available to caregivers in rural areas of the county. In FY 1990, a complete evaluation of the Area Agency's legal service program was conducted. This resulted in a reordering of priorities in regard to services provided under this program. Services will be targeted even more to those most in need, with most Wills being referred to local attorneys. In 1991 , the Area Agency will fine tune this reordered service . In the absence of donations which were generated from providing Wills, the Area Agency will need to seek other ways to supplement the income of this program. In 1991 , the Area Agency expects increased involvement with Nursing Homes due to the enactment of the new OBRA legislation. A volunteer visitor program to nursing homes will be implemented to increase contact with Weld's five facilities. Board and Care Homes will continue to be a major issue for Weld County. The Area Agency will work to enforce existing state and local regulations affecting board and care homes . We will also, seek to strengthen these regulations . Unfortunately, the potential for abuse and poor quality of care in board and care homes continues to be great . Shared housing, live in companions, adult day expansion, elder abuse, and guardianships are other resources the Area Agency will continue to concentrate on in FY 1991 . 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W W `J I— H ♦ W W 4a, r7 n 4:t OM CO O O 0.'a J Q O C, al crs T on i as ro s c rr cs ro s 01 C C -C o V m cn i I U O C m Z O C O U 4-, N (C5 O y E a a) a) i E U L U a) A-) n .= 0 E +) a- O U U -O U • -C C L O N et V , -0 U 0 Qt >,.r- L i C • +) C Y O r E a O 'O U O E 3 0 i +) O 0 r0 ti U Q C of >> F- O 4- U N 'p d •.- O S.- r- = +) yt U O (0 T La C 3 C C C r 'O r N O O -C U -0 O- r d 4-, i L E s O •� O O r- >) O O O U U i N Q U U i-r W U U -0 C CJ V W 2 O b C N T >-• r > 4-) U Vn E i a) 3 «5 U C os U U i N O C > C co U E N i L S- •,- O U +) a,- U O Vt •,- J "O 3 S. J i r0 C U d o S- o T O- 4- O Y U 4 +-r C U O n. O r0 C Y •r U N O U t L i U +-) V sr) 4 O 0 C i- O n-0 O r0 a) vl r- L V U C U r0 -O N +-) O 3 U b i +) r r +) 4_, 4- C r0 N O U U U -p E O -0 U C in U r •r � 0 r0 r- > +> O_ i E C O 'A- w co •-. 0 rl O � m rn o- a l 4 U w w w C 7 7 7 C .-• ., ~ C_.)CO W W W 4 U 7 7 "J r on OD OD O O O ' C J w, O •� C7 Region II B FY 1991 TARGETING PLAN The Weld County Area Agency on Aging"s plan to ensure that services are targeted to low-income and minority individuals is based on the following strategy: 1. Targeting to Minority increase outreach worker FTE time for the Catholic Community Services Hispanic Minority Outreach Program. allocate time of Area Agency Administrative Assistant (bilingual) to work with the Catholic Community Services outreach workers to increase outreach to selected rural communities. recruit Hispanic leaders to serve as members of the Area Agency Advisory Board. provide training and technical assistance to AAA Board members, Senior Aide Coordinators, Long Term Care Coordinating Committee members, and others on issues and concerns of serving Hispanic elders. advocate with United Way of Weld County to increase local funding of the Hispanic Elderly Outreach Program. 2. Targeting to Low Tncome issue purchase of service agreements that specifically target Title III funds to be used to suubsidize services for individuals who have no other source of third-party reimbursement, including private pay. utilize a case management approach for the expenditure of Title III dollars on home health care activities ensuring that services are targeted to those most in need. provide services in towns and neighborhoods where there are concentrations of low income and ensure services are accessible. , PAGE 10 Region II B FY 19 91 1 COUNTY PRIORITIES, SERVICES, AND RESOURCE DISTRIBUTION Section A: Describe the special needs and priorities of each county within a multi—county PSA which has 1% or more of the state' s 60 plus population . Section B: List the services which will be provided to address the special needs of each of those counties and identify the Title III Federal /State funds to be expended within each county. SECTION A: PRIORITIES: COUNTY NOT APPLICABLE SECTION B: SERVICES AND RESOURCE DISTRIBUTION SERVICES FEDERAL/STATE FUNDS NOT APPLICABLE Reviewed by county council on . Their comments are included in Attachment Number 2 . (Date) 1 Each county must be entered on a separate form. Page of AAS 120 (7/89) Page 11 a-' O p I t+Y. m a ^o V) ch IT ato � I- = to N O N . • - I =•••• !CO 0 r+ =W v..4 i �-. IO�p� .1o = r I J W=r i C 16 +1W r S y N n o H _ V O � � W I o "' u Jz�� CC W N o CO I n O r U `" ' i t .. N c �I � ., r x N1. ... VI � l I ii . N r. W ' I I ' o CO CO • I I i I I ^ CO f 7 tr r O .... NI N C NI W 7 (11 H a VI 'n W to J = C W. r\ I I •-•-• ! Cr r CC W Co)J CO U "' 7F. W W C or^QQi J m OI tO C) N vl 1 W UI rQ NII N N r r •CC V)•-• 7)::1 WO _ ^ ¢ G �, H _ � 2 W V = r to O 00I I C i 0 = NI °a Is • S m N III II � I 0_ r I = 1 W C • tr) O( N C,) N' O = ^" li I I- =J • O C O a f..7 C 01 C I C I C I 0 1 C 1 C Q O 1 ----- • r- . VI r -_, CI --- : --- i ---- : O ' \I --I \ �'-+ • H 7 --_ I tr)I = = i tfI 7I 7 .--1 Ft C. M = W N' = V u C y' = _G C GI N Oi _I L. it � H, - 1 Ip, 7 P �. NI a 71, I_. �I C., = O; y ._; C ' Al I_: Ui CI • �, C-0 • v• r0 • Q rvl �i Oi r; --' S: ICI AI � W E OI �I = U N CI vii CI a.. • ul rn C� O W N tl LI -I Cu OI CI: • OI CJ CI yr C E U V `I ...r4 ipl DI Ni Ai G 71 INi+ = O OI EI N I O (••) •0 OI �i NI WI U1 rl CI •C ^ =I �' C W I I U .. is W' 1 ^ It ^ • • A, 1 J•1. �•. • ... .•�•A. • -r •• CO In M LP*, C N _ ..—_ _C—___.- CC 0 H = H J v w sc J I .. Q J I J0 = 1- J W 0 f�f >- 16 IA Li i. - = 8 d w NL.0 O L.0 01 O W J Y LD CD O Y o 0 --I .-I N H T- Y= > J 1 .4 d 111 IY W N _ Y m = jN I. 17 p U ... .•. = � I I I ,` .. .. H H H I N C'.i O U 2 I IC .- r+ N .. , L`1> i-- .-. N O r-- H W U M C-7 ri rn O W CC I.-) r I ^ p M M m •-• N •--I N ' fy Y MI Y NI W N QQCJ W W = W O O C C I.-. C 0 W V v. t ., U F• 0 IIp W � � vD CV un ii 6 J. 6 W N M in I!'•61 � Lo I Lo .. 0 J I= ti ,—, Q 1 u. 0 _ _ _. _ ___ N Cca' 61 _ W _ - 1p 0 I ° MI � 2 i ___. _. I 0 ly I l 6 U I III ,r. I M M I W -, g N L.0 N .N-II p 2 I v I • J H r•rms I 1 W � I = , J Q.0 r!� ct e co In W CI I `� M- 0 1...1N= M N'. I C: J ' I -- O W I CM ! p p, 6.J ! Q I Q I 1/40 Q NI 0z) Q Q I Lc), QI Q ' = W • I .-I I--II <0 I C i = N I .., u, y CJ .I Y C u1 LI di v', LI C C AI =I C . 0 .-I OI •r T .' (-II Gi rI • 01 it C U >I Ni to Y Y! en NI "J. = v LI NI S ICI i v II F- N CJI A •I CJI •-I NI C OJIni CUrt, \ >! GI CJ C I-I W N 0 �i Li �I cl i.1 W NI lxi; N OP p yl A C�. 6 an .`.- CCJI .E+1 r+1 � •� .-1 L. LI In1 _ CJ I- LI CJI f0 CI ml GI > !CC 6J CJI CI L- ~ CI -•I G d ft m C vi 7 .V r+1 O GI LI 11. . C.>I HI CU 2 HI = > 6J N JI C S I-4i U W 2 U ••, > I ^ 2r. LL r- 44, O N Lo I� CO M O O l0 O CO co I� f+1 � Qn I f\ t\ Ol (v O I— i O C p co co VI O N c CO LD a N N Ln G C 0.. W 2 H V LP Q1 2 Jv1..1 ¢ Ln .< a) �, O� �JJ I N i° Ncr i ,� J 02I— = d' = ro M JW =i l N •-' nr C 6Jw I— • , sN f F S o o 8 1/40 LT � CO J 2 i w CO cal 1/40 n r 5= zs CO v CO > JC H O. H C _ y I o - II- O G L'7 c U rr • Ln Q1 Ln N Ln Qn P ".^1/4 C U rn CV 01X`�, .. 0.. N «I .. VI I— �a„ VI CO r p p e U ).O co 01 O 01 (7) = V = CO co. M Q M � ti N P.M W J Il . CD LC) I-, CO c.7 ^o o I rn OI O te►r a O L r .--1 n Y • C r CU > N J C 1-a H 0- N p N W • W Z N O N C1 VI J C I01 p .--, C0p W U Y _U it S.- ! > N W W -O d = L..I M. � J v i O I W 1' J CO O I- O O O I V7 I...� Qyw E il0 ci- l0 rw U J C c-I S- c .. Q a w e .0 � s .. ' •C y0 a 4- I J U CC ., H O O "O O O ~ «=-, O I L'1 M �_. CU S L =W O —, p -, co cv co co v I Lo ti M .-I J. I.01 ...- •• • Y Z O a O J as ¢� O CD O C O U• CJ U 0_' O M Ltd I CO Cr M = -I inC •! N N . 4cci • O U 'O • O O Ln I Cr I N I. 1t6 • LS') O N I Lei C ¢ O ¢ E ¢ ! l0 ,-4 I Q I m O M � � • I • .-. I ^i • ....... O 67 O C > Cu' E Vf �! S L 71 N T L.,1 .._- .14 C s. I V) 6! WI Q I- Y Y t0 g d r .Y+ 'L ++ .rte C C i+ IO C I H V7 •i+ L, C g f..0 Ln 67 I O 4 — COI O C I O r... W C i-t E > .e rn a+ vl ..-..r a+ w w = o \� a 9 o c e �I G ro .+ryyM++.r � ~ C vui JI V .E C Q C ~ C eO�S ++li U C U V7 GI WI N p N 2 U1 2 BIZ O N W U rr , = ti • W 1=4 I N L-. I .r SECTION C: .dRANT APPLILA! ICN ITLE ::: OLDER AMERICANS ACT 9 -JIB 2-B type of Application Account No. Region No. X77 Initial Area Agency: _/ Revision of Application Submittea Grant Application Period: from January 1, 1991to December 31, 1991 TITLE III AWARD REQUEST Potential NOGA Award Award Transfer Reauest I Request , I Admin Carryover -0- 1 -0- Admin New Alloc. I 32,704 -0- ! 32,704 TOTAL ADMIN. I 32,704 -0- � 32,704 Part B Carryover -0- Siliam _0_ Part B New Alloc 118,085 32,908 150,993 TOTAL PART 5 118,085 32,908 150,993 Part Cl Carryover -0- I -0- Part Cl New Alloc 158,061 (20,000) 138,061 TOTAL PART rl 158,061 (20,000) 138,061 ?art C2 Carryoverl 7,000 I I 7,000 I Part C2 New Allocl 35,503 (12,908) 22,595 TOTAL PART C' 42,503 (12,908) 29,595 agiommini Part D Carryover 2 ,875 i I 2,875 Part D New Alloc 2,375 j 2 ,875 TOTAL PART D 5,750 I 5,750 Tot Svc Carryover 9,275 -0= 9,375 Tot Svc New Alloc 314,524 -0- 314,524 TOTAL SERVICES 324.399 -0- 324,399 Part D is excluded from all transfers. AAS 200 Page ,r ...27 , (2/90) Region 2-B FY 19 91 REQUEST FOR APPROVAL OF TRANSFER Statement/Justification for the Transfer: Weld County AAA requests the transfer of $20,000 out of C-1 and $12,908 out of C-2. The total amount, $32,908, will be transferred to B Services. The C-1 and C-2 budgets, less the transfer dollars , will still allow both to maintain their present course on number of sites and/or meals served (based on 1990 figures). The B Services cover a number of various services to Weld County' s elderly population. Because of the size and various services given in this category, Weld County AAA feels the need to supply this area with the extra dollars as long as it does not inhibit services to any other category. A summary of public hearing comments with regard to the transfer of funds is included in Attachment Number 1 . (Please note: A public hearing is required for revised area plans only if there is a 157 change in funding or client services.) AAS 205 (7/89) Page 16 d .-I .) ", z OL Y N I I N Q J Q O = J I 1 N O a1 x N LT Q y } U O I n i r-- cc u_ O O 01 a Ol J O i in I M Q U LC1 N 1--- 0 LC) LP 1 " Lai H WI— U N M � LC) O O1 wr,, e---• ...., 01 LD I al LO al Ot O Ln I-, CO C'd C! Q a . O Co 01 LC) 7 i cc CO N N C!l Q .-I .-I CO C!C LL p La- I L.L- Qti W Z E I OU d C! ti U U � ¢ O I O— o� O C E O Q L.1 CO I W N —. C t Q U U '— a 8--.. v J O O O L V Q ! V- 41 N N Lp I c t� I- N N N W ++ ¢ E E Q CO CO .--. M0 LD s- E LO OL E Q 01 O 01 co Co 'vi O LL. w 0 V L H V M coW n 01 VI ti M CO M CO C V. O - N .-. M E Lel a.)= N H 9 1-L a -- L ¢ 0 a > cu c 0 T.- 0 O 0 O •- U 0 L L C O n n 0 0 L t- 01 n(- N n ¢ =IOU CI • 2 rti _ y.- _.- y- E 01 w ¢ robca .o ¢ U L L L L L r ., C � 00000 U N tr www w 4- 2 N I I LCI W W CO U U 0 N U b m te na et Q J J J J J 0 a+ 4-J a+ Q I— I-• H 1¢- F¢-- II-- l- I� -- 0 O W O O O O O 1' I- I--• I- l- I- < .- NM O Ln Region 2-B FY 19 91 AREA AGENCY ADMINISTRATION BUDGET Prior Year' s Cash In-Kind Total Expenditures, Budget Budget Budget LINE ITEM BUDGET PERSONNEL 33,515 37,792 -0- 37,792 TRAVEL 4,572 1 ,500 -0- '_ ,500 � I I EQUIPMENT 240 -0- -0- -0- OTHER DIRECT 9,815 5,322 -0- 5 ,322 INDIRECT TOTAL 48,]42 44.614 -0- 44,614 I o v FEDERAL 35,434 32 ,704 I1 32 ,704 O N 4 'O 7 F 73 it-, LOCAL 12,705 11,910 -0- 11,910 I Cash only. From the most recent final expenditure report. AAS 220 (2/90) Page 18 7. Region 2-3 FY 1991 -ITIE III B SUPPORT SERVICES BUDGET � I Prior Year' s Cash In—Kind Total Expenditures] Budget Budget Budget LINE ITEM BUDGET AAA EXPENDITURES PERSONNEL 67,903 67,287 -0- 67,287 TRAVEL 4,783 1,000 j -0- 1 ,000 EQUIPMENT OTHER DIRECT 26,021 2,000 -0- 2 ,000 t INDIRECT � I AAA SUBTOTAL 98,707 70,287 -0- 70,287 CONTRACTUAL Unit cost 43,948 37,435 -0- 37,435 reimb. SUBGRANTEE 70,154 106,271 -0- 106,271 i TOTAL 212,809 213,993 -0- 213,993 o PROGRAM INCOME 5,818 3,000 mommimmommil 3,000 Cl L• , FED/STATE 206,991 150,993 ®I150,993 c (n w LOCAL 55,000 -0- 55,000 Indicate the percent of the Title III B Funds budgeted to be expended in the following priority service categories: Category Percent Access 261 In-home 26 Legal 8% 1 Cash only. From the most recent final expenditure report. AAS 225 (2/90) Page 19 - ^.!`, I ti N N ¢ O C N ca 2 w H I N CO 2 C r . 4"' N 0l Q C 01 O ^ O LO C U I N 0 0J CO O 1•. r0 ¢ n • d ¢ v O J¢ O 2 U O a o `o J U O O 47 O Cr) r E 01 O <t p OC C p w Cr) M O 0- cD pMj w 4 I- CO � al H W H N N .M-I OJ S. , O = w In a y c ` a C. pp ', W O QI Co it y g N u ¢ ww CC a I I C V W T (('�� O O p I I O VI O O I I I 01 v, CL 144 Q Ol N Y > NO u Q c = O M O C O 12 '" o 1F �) '� a CO LC U F n n o r� CO � rn c c 0 Q� ri a, LO in ^ Ou C1.) U CO .p FC n N N CO OJ N N.r >I H ^ I••� m ¢ L N S] w 6 = 0 1.. C I- ¢ a L I W "- G O .-1 .-1 .. E .,+ i J Y �. O Ol Ol VI L CU N b H \\ i d L O U p I— 1•. 1r = .r .r _ _ _ O -0 u .4 i c o w ---� 4-, _ _ _ 4-0 Q L.)o_ r' � ro >o o 0 VU O O. ¢ u = of 1-4 CU 9 y i CU O U w ¢ . ICI-. O cc co re v ro y O C t W W U tj N OJ CU V) >> 7 C L+ N n 0 J 5- S- 0 4) 0) L O v rr t t U 'O r0 N U .- d rd C i -O a T V, L U r0 N O) L ¢ �a _ v N C r0 a a � .D > N O +O+ L v w "` 2 •r- O i i rp O n-L U t+ W CO CJ (0 • C v 0 i U d Gr E L C n' a E Q> ro i ,- � o O. +1 d a..1 VO H _ = J S.- 0 W W ro a J v1 = L C I-- 4' I t n O u O ++ c c a S- a L Q an U C > OU uC.1 -0 .)t I-)..= a ++ re ++ 0 OJ to -0 5_ J i 0 L J y ++ a+ L ++ 5:v) b x O � r- E 0 E o I¢- .- O A c c W U 2 .y.. v L O O Z C co C 'C U L 1 Q N N n •a V U � U N CJ O 0 E i- ce W n E U O a•E Cl U V N O O w w U ¢ O •r U N i 01 U r- i w w of n- isi > p .� ro ] W i 0) to i Y of OS- ^ > T a 01 CAI fi T C S Q 01 E a o v co _c N .C i Lai cr i C Vf 2 C > 4-) c O r� rro E S-S- CU v O �+ a '� U U U V I In Cr) N I C W w H •— N W . I— N N O U m p_ Z M 2 W v CO O C i ti N Ot O C 01 O _ ^ O 01>,- J Ili N In C J. 0 I IN at Jw co ON DI N b Q I- C Q L-.• O IN N.O ID CO J O^ CO CO � p O ¢ NO LO LO L o VI J U u • E M to LO N. M C O ch ^ CT CO 4- W C H CO 0, O L W N LO CU r-I N+ ri_' C �' C Q. C ,O O L W p / d p p j A e 0 an W•J C E I I 0 p O O L O O p N L C Z I I CO LO • O N mN CL H O L .1 O GI NCI > U O = L N. N N CO L rd ¢ O CO l0 CO l0 CO J-I 4-) b C lD (") J W ^ • n n C C 01 O GI U O Cr)cI ¢ C7 IrI U E _ N ii m O m N N N Q L vt " u ¢ = ra U I rn ¢ E � tic ..J y ce Q CIF .-4CLI L CU vi b ii O 2 C ti \ _ - L O U f• '''' O W \N - - CI W O O.LI C I- ¢ = y U F-. Q i+ vI CT 4 CC W W C C O Q C 0 .C N C .-- N E C O v W J N E v >1 b O c x = c' Ili 4-0 m vI u ++ ^CC 1 = E C � 'Cr N L U C w..W •r- ] O^ L u �+ W m d CU in N is QI 0.4-.E L C �O OE al rn n +_+ aa+ u . Z O V O u L O i+ . L > N i+l U N 0.1 CC N 4-1 01 V C O W OI Y b +•+ O J .0 U L VI..- -Fa CU J•+ 4-I L IL J N Q '0 L C C O C_ C W � v a ++ >-) O J Ou L 1 C T V +.+ C C 1— O CO E L y W O. C 'C O O tn 00 = 4- I° •-•-- \ U V V I~ V- vs r p C >> �, -O N O a UI vA SI .- W Q "" x r- N N ++ CO N 2 (1) N 3 3 E .. E I- L (!/ O O O I w C 4+ C W W F. ^ N Region --g a 9-- -Fri ; . I IUTRITICN RUDGET* PROVIDER NAME: >+eld Ccunty AAA 3-1 ii7r7 CONGREGATE MEALS -2 / -OME-DELIVERED 3ONTRACT PERIOD: jan 1 , 1991 - Dec. 31, 1991 — +EALS PROGRAM INCOME FEDERAL/STATE/LOCAL PROGRAM INCOME i GRAND TCTAL I Cash In-Kind Totai (C + 0) LINE I-EM BUDGET (A + 3) I RAW FOOD t PERSONNEL 40,9981 40,998 40,998 TRAVEL 2,7711 2 ,771 i 2 ,771 i EQUIPMENT OTHER DIRECT 9,746 ,1 9,746 9,746 �1 INDIRECT EMINIMMEmmomMileI f CONTRACTUAL (unit cost reimb) 109,2001 109,200 i 81,990 191 ,190 TOTAL BUDGET 162,7151 162 ,715 81 ,990 244,705 LESS USDA CASH (24,654)®j (24,654) Inmisj (24,654) NET BUDGET 138,061 138,061 I 81 ,990 1220,051 fit o PROGRAM INCOME Imo'®1Ommommol1 81,990 81 ,990 ! f I �I i.t, FED/STATE 138,061 138,061 138,061 n" � LOCAL ANTICIPATED U.S.D.A. CASH PAYMENT (either C-1 or C-2 as appropriate) : Total Number of Eligible Meals (either C-1 or C-2) 65,000 U.S.D.A. per Meal Reimbursement Rate X .5676 Estimated U.S.D.A. Revenue 536,894 Less Applicable Fixed Commodity Allotment (12,240) Estimated U.S.D.A. Cash Paymentl $24,654 PRODUCTIVITY FACTOR (Meals — Federal and State Cash) 41% 1 Enter this amount on the "Less USDA" budget line. ♦ If program income is to be used to fund services other than meals , nutrition education or outreach , additional budget pages must be completed. Contact the AAS for the necessary forms. ` A separate AAS 240 must be submitted for each C-1 and C-2 project, in addition to the C-1 and C-2 budget summary. AAS 240 (2/90) Page 22 %egion Tom_ ' 1 . " _ ... MRITIC� RUDGET* 2ROVIDER NAME: .:e1d County ,AA/MOW combinea S-1 CONGREGATE MEALS -2 /XX/ =OME-rDELIVERED :CNTRACT PERIOD: 3an 1 . 1991 - Jec 31 , 1991 ?EALS PROGRAM INCOME FEDERAL/STATE/LOCAL 2ROGRAM INCOME I CRAND TOTAL I t Cash In-Kind . Totai (C . u) LINE I-EM BUDGET I (A B) 1 RAW FOOD I PERSONNEL 'RAVEL EOUIPMENT OTHER DIRECT AMMOMMEMEMMIMMI INDIRECT ' IIIMMISIMOMMEMEMMI , CONTRACTUAL (unit cost reimb) X48,090 I 2,397 150,487 I 38,300 j 88,787 TOTAL 3UDGET 48,090 I 2,397 50,487 38,300 88,787 MemmommommI ®i LESS USDA CASH 18,495) i®1 (18,495) ICI ( 18,495) NE T BUGE DT 2 . 2,397 29,595 I.2595 38,300 70,292 I Imo:-;mmimmIMMEI PROGRAM INCOME 'IMMIIMMW®ICI 38,300 38,300 , uI I is �IFED/STATE . 29,595 29,595 -I '_9 ,595- == - -i ammimmaI ..,' LOCAL 2,397 I 2 ,397 mai 2 ,397 ANTICIPATED U.S.D.A. CASH PAYMENT (either C-1 or C-2 as appropriate) : Total Number of Eligible Meals (either C-1 or C-2) 34,000 U.S.D.A. per Meal Reimbursement Rate X . 5676 Estimated U.S.D.A. Revenue S19,298 Less Applicable Fixed Commodity Allotment (803) Estimated U.S.D.A. Cash Paymentl 518,495 PRODUCTIVITY FACTOR (Meals — Federal and State Cash) 115° 1 Enter this amount on the "Less USDA" budget line . • If program income is to be used to fund services other than meals , nutrition education or outreach, additional budget pages must be completed. Contact the AAS for the necessary forms. A separate AAS 240 must be submitted for each C-1 and C-2 project, in addition to the C-1 and C-2 budget summary. AAS 240 23 (2/90) Page e -` , ..ly Region 7( 1 g 91 ".77777 :.. `'UTRITil ELY61 * OVIDER NAME: -leld County AAA :DNGREGATE MEALS :-2 /77 OME-DELIVERED :O`1TRACT PERIOD: -an 1 , 1991 - Jac 31 , 1991 EALS PROGRAM :NOCHE FEDERAL/STATE/LOCALPROGRAM INCOME ;RAND TOTAL I Cash :n-Kind :Total � (C T D) _:NE :-EM BUDGET (A + 3) I , PAW FOOD ?FRSONNEL -RAVEL OUIPMENT :THER DIRECT ' INOMMMOMMEMMEW INDIRECT IMIMOMMEMMIMMEMI CONTRACTUAL :unit cost reimb) 7,380 I 7,380 ! 5,850 13,230 TOTAL BUDGET 7,380 I 7,380 I 5 ,850 13,230 nsI j llIMIIIIIMI.1 LESS USDA CASH ( 1,751) I®t (1 ,751) ! Einam.I ( 1 ,751) NFT R i LDGET 5 ,629 I I 5,629 � 11,479 AIMMEMINIO;MIELAMMEMM:MMEMMIMM1 ' PROGRAM INCOME IMMEMEMMAIMMEMMSEMIMMEMMEMMOI 5,850 5 ,850 i I simiiiiialI G-4 FED/STATE 15,629 i I 5 ,629 'Ems 5 ,629 ==LP SI -'''''sLOCAL ANTICIPATED U.S.D.A. CASH PAYMENT (either C-1 or C-2 as appropriate' : Total "Dumber of Eligible Meals (either C-1 or C-2) 4,500 U.S.D.A. per Meal Reimbursement Rate X . 5676 Estimated U.S.D.A. Revenue $2 ,554 Less Applicable Fixed Commodity Allotment (803) Estimated U.S.D.A. Cash Payment' 51 ,751 PRODUCTIVITY FACTOR (Meals — Federal and State Cash) 1 Enter this amount on the "Less USDA" budget line. s If program income is to be used to fund services other than meals , nutrition education or outreach , additional budget pages must be completed. Contact the AAS for the necessary forms. A separate AAS 240 must be submitted for each C-1 and C-2 project, in addition to the C-1 and C-2 budget summary. AAS 240 (2/90) Page 24 g, ��.,, tys ..T. :edion `-B ., is 91 TL E :i NJTRIT: l BUDGET* PROVIDER NAME: 'deals On Wheels CONGREGATE MEALS /7 ^OME-DELIVERED CONTRACT PERIOD: jan 1 , 1991 - Dec 31. 1991 — MEALS PROGRAM INCOME FEDERAL/SATE/LOCAL PROGRAM INCOME i GRAND TOTAL I I Cash :n—King 'oral (C + 0) LINE ITEM BUDGET a + B) RAW FOOD PERSONNEL TRAVEL j , OUIPMEN7 OTHER DIRECT ! j j j NDIRECT i -I CONTRACTUAL (unit cost reimb) 40,710 2 ,397 40,710 32,450 75,557 TOTAL BUDGET 40,710 2 ,397 40,710 32,450 ! 75,557 LESS USDA CASH ( 16,744) ; ,, i(16,744) i (16,744) i NET BUDGET 23,966 2,397 26,363 32 ,450 58,813 i o :-;lj j PROGRAM INCOME mmommom:®l i 32,450 32,450 C� FED/STATE 23,966 23,966 �1 23,966 8-,z "' LOCAL 2 ,397 2 ,397 I I 2 ,397 ANTICIPATED U.S.D.A. CASH PAYMENT (either C-1 or C-2 as appropria rei : Total Number of Eligible Meals (either C-1 or C-2) 29,500 U.S.D.A. per Meal Reimbursement Rate X .5676 Estimated U.S.D.A. Revenue 516 ,744 Less Applicable Fixed Commodity Allotment -0- Estimated U.S.D.A. Cash Payments 516,744 PRODUCTIVITY FACTOR (Meals - Federal and State Cash) 123% 1 Enter this amount on the "Less USDA" budget line. • If program income is to be used to fund services other than meals , nutrition education or outreach, additional budget cages must be completed. Contact the AAS for the necessary forms. ` A separate AAS 240 must be submitted for each C-1 and C-2 project, in addition to the C-1 and C-2 budget summary. AAS 240 (2790) Page 25 �r . 11: I I .n O +-, to I M O N I 01 O ! O I ` I 1 .- a-. t.. (NJ 00 t` 1.1) O O 1 + i 1 a 'v I ! .-4 " r• ' I b a.) � � U 1 f �_Cr‘ I > (-) ! 1 al L > .--.4 dr O al al >- I s_ ,, 1 Z cn_0 r----.-- - (.0 r--- CO N I � Q� C' a) o C al a 1 t\ ,-J- CO r•••• r--- O s.0 ,',3 _CI CT 7U O -I. 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C.) _C O a1 05 >' L (n 1- V E O N L m s_ -csI I ' a a1 all v 2 > I Iv 0 v I L >,(/) N -0y a .r .01t\ a ai V L _ O _ v- O I w O o I "- I- I CC o v c CC CC -S Z CU I s _ T -- .. +' OI C .a Y V m C Cc) � CL) 5- v V O dI L i — 3 t U rs L) ( a N (_i7 L d -I _C CU J 4-. y C QO 54-- (T L a- a L a ~( r S- 4--• L r g_--. �+ L W I a1 1-+ J T 1- m -O -0 C O C L I---- Q O y O a a O 3 3 U I 0 +-. CU \ \ b N V 10 a1 - CU 0 CU LLI 3 .o ,-+ N O O CU a m - _ I O > L O I (Z I- I CL ++ to Y N I E = - E a1 E N O CI � > m +. Is) (n 0 I s_ a) t� al O a1 O r- L - m E a St � -0 N V a1 O N .a Q � b -,- 0 0 E � v tN S-S (n S_ -C O C E O O 3 U I m O ` ar v,, "' co o Co o u 5-C I E a, a, t a/ CJ C1 U O T L a,, Z S E a1 L N N r- J V C) O w . 0 (1) r- a1 S .a L C I-- (o Io •.- r- of a) 1— w 1- ,a ?eaion 2-B `f 1991 TITLE III D SUPPORT SERVICES EUDGET Prior j Year' s Cash In—Kind Total Exoenditures1 Budget Budget Budget LINE ITEM BUDGET AAA EXPENDITURES PERSONNEL -0- j TRAVEL -0- EQUIPMENT OTHER DIRECT -0- INDIRECT AAA SUBTOTAL -0- CONTRACTUAL Unit cost reimb. -0- 5 ,850 5 ,850 SUBGRANTEE -0- TOTAL -0- 5 ,850 5 ,350 PROGRAM INCOME -0- 100 ��� 100 FED/STATE k � -0- 5 ,750 5 ,750 � w' LOCAL I 1 Cash only. From the most recent final expenditure report. AAS 275 (2/90) Page 30 WI I l- �I I U VI l CO I- E .-1 ..I I •-i[ r= I =CCi I II N'01 I I O T C7 O — C] CT Y J •-• I r-1 I CU I10 C u.. 0 II I N01 N O�I CU 01 CO ro Q n d Q .. I I J 2I U Nl -I 0 I F E I I 0s_ sz7j �'• . • w 1.1 F- 1 , -- H, sz7 0 N a HIisi d IC C: Y LL. 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Y C U -C • W N C E C J O L X O. -0 R Ia Y = u 1_ O Q O u 2 IL v r r p Q 7 U O VS C O N cD C 0 _ ^ E ..> = W I--- .^ C1 d Y Y I W r0 m 3 Q ••-• .._-• >, C•- 7 +J .r i' Z O CO IL L L C O L C N C O s- a J -Or > � •N ro L Q = ccl- N L N 0_ C r Ili Id L Y Y 5_ .S- > T CI O a a.- Y > _C•r- 10 O r0 = _ W J "7 V) W C...) CC Op aCO 'J r nvi 0... 1 I 1 • • > O i O N Y C_) N N )l Y Y _.4, RS .- M C O r E d) i v O E ii„ O = X M • _LLJN \ 5- = Q U Y a v = o b w v Y C O • " 0 l 10 atrcl C F- 5_ 4- •.- E Io •N E CO O Y C N N IA C O O Y C V b _ 0O O = r = E ¢ = O 0) O CO OS� N Jrn LI N E N Q O O ¢ JO c, C O DC) � Z Region II B FY 1990 COMMUNITY FOCAL POINTS AND SENIOR CENTERS Site Focal ( Title III Located in Area ' Located in Area Name/Address Point Funded ' with a High con-'with a High con- Phone Number Senior centration of ! centration of Center Low Income Minority Elderly lElderly Ault Senior Center 204 1st Street Ault, Colorado 80610 834-1325 X Tri Town Senior Center 106 5th Street Dacono, Colorado 80514 j833-4300 X X X X Eaton Senior Center ' 233 1st Street Eaton, Colorado 80615 X X 454-8305 Erie Senior Program 544 Main Street Erie, Colorado 80516 828-3261 X X X Evans Senior Center 3700 Golden Evans, Colorado 80620 339-5344 X X X X Fort Lupton Senior Center 240 South Denver Fort Lupton, Colorado 80621 857-4922 X X X Grover Senior Program Prairie Village Senior Housing Grover, Colrado 80729 895-2346 X X X Johnstown Senior Center 202 North Greeley Avenue Johnstown, Colorado 80534 587-2600 X X Page 33 AAS 290 (7/89) Region II B Fy 199U COMMUNITY FOCAL POINTS AND SENIOR CENTERS j Site Focal Title III Located in Area ( Located in Area j Name/Address Point Funded with a High con-lwith a High con-( Phone Number Senior centration of centration of Center Low Income Minority Elderly iElderly Kersey Senior Center 417 1st Street Kersey, Colorado 80644 284-7808 X X X LaSalle Community Building 101 Todd Avenue LaSalle, Colorado 80645 28a-7808 X X Lochbuie Senior Center 0501 Willow Drive Briahton, Colorado 80601 X X X 659-8262 Milliken Senior Center 203 Harriet Milliken, Colorado 80543 587-2484 X X X X Nunn Senior Center 755 3rd Street Nunn, Colorado 80648 897-2459 X X Pierce Senior Center 221 Main Avenue Pierce, Colorado 80650 834-2655 X X X X Platteville Senior Center 701 Main Platteville, Colorado 80651 X X X 785-2805 Wattenberg Community Bldg. Wattenbera, Colorado 659-1185 X X X Page 34 AAS 290 r ,�, (7/89) Region II B FY 19`Ju COMMUNITY FOCAL POINTS AND SENIOR CENTERS Site Focal Title III Located in Area Located in Area Name/Address Point Funded with a High con- with a High con- Phone Number Senior centration of centration of Center Low Income Minority Elderly Elderly Windsor Senior Center 301 Walnut Windsor, Colorado 80550 686-7180 X X Page 35 AAS 290 (7/89) Region II B FY 19 91 Date revised SECTION D: ATTACHMENTS SENIOR CENTER FACILITIES TOTAL FEDERAL/ LOCAL LOCAL OTHER BUDGET STATE CASH IN-KIND RESOURCES 1 . Acquisition 2. Construction 3. Renovation/ Alteration 4. TOTAL 5. Name and Address of Facility NOT APPLICABLE 6. Area Agency Assurance of no suitable alternatives. In the case of acquisition or construction of a facility to serve as a Senior Center, provide a summary of efforts made to locate or lease a facility. 7 . Grants in excess of $2,000 must comply with the requirements of the Davis-Bacon Act. Attach an explanation of how this requirement will be met. g. Provide a demographic profile of the center participants (e .g. , percent low-income minority) . Authorize ignature Page 36 SECTION O PUBLIC HEARINGS SUMMARY 1. Public Hearings Three public hearings were scheduled and publicized in regard to the annual and four year plans . These hearings were held as follows: A. Greeley Senior Activity Center, September 17, 1990, 9:00 a.m. One person was in attendance alone with two AAA Board members. Due to lack of attendance, an informal discussion was held with the one citizen in attendance. The discussion focused on the citizen's concern over the recent temporary shut down of the Birchwood Nutrition Site for cleaning purposes. B. Tritown Senior Center, Dacono, Colorado, September 18, 1990, 1:30 p.m. Seven persons were in attendance from the community. A full presentation was given, summarizing the purpose of the Older Americans Act, the network of Area Agencies on Aging nationwide, and the funding process. Goals and objectives were reviewed, the budget was explained and reviewed including the likelihood of 7% funding cuts to Title III B services, the transfer of monies to III B from Cl, and how the service funding compares with the current fiscal year. No substantive comments were noted. C. Kersey Senior Center, Kersey, Colorado, October 2, 1990, 1:00 p.m. Twenty-four seniors, eight students from the UNC Gerontology Program, and one newspaper reporter were in attendance. A similar presentation was made as explained in B above. Comments centered heavily around the funding of the Hispanic Outreach Program. Some individuals were very concerned about "special " funding for Hispanic Outreach. Also, the need for more assistance to caregivers was pointed out by several seniors in attendance. Discussion centered around the need to have volunteer respite care programs in the small rural communities , as well as in Greeley. �.�; PAGE 37 SECTION D (continued) 2. Audit Plan Weld County AAA is a component of Weld County Government and is mandated to be audited annually by a CPA firm. Weld County AAA awards funds to only one agency greater than $25,000. However, every two years Weld County HRD Fiscal Department will monitor every subgranted and contracted agency for an examination of financial transactions , accounts , and reports , and an assessment of compliance with applicable regulations. We at HRD feel that this is the best way to keep in touch with the programmatic side of the AAA. The last audit of agencies was done in 1989; the next one will be done in 1991. The Agency will provide the State with a copy of the report by July 1991. Weld County HRD does request annual audit reports from each subgrantee and contract agency that we reimburse Title III funds to. Weld County Fiscal will also annually monitor random nutrition sites to check for accuracy in recording the number of meals served. 3. List of Nutrition Sites Closed and Opened Since Prior Year's Annual Plan N/A 4. Senior Center Acquisitions N/A 5. Nutrition Narrative N/A Section E APPROVAL 1. Request for Approval of Capital Expenditures N/A 2. Request For Approval to Acquire Data Processing Hardware N/A e f, PAGE 38 II — • - as U c °, 55 . Ft nn - c RjT� O c1 CL m o$ Ft g° . 0 nS - ' . 22a I,' Mb 04 W.- .. N N." 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TS c,M ._ y a 30 °� co r"5L 0 m '-° u-a.o � 3 .M o-� b aA. O J U V c6 6 epp "yg2 y�L in CD Q_ 3cn.oai° Q..Q.- .� 'gad° 3y=5 2 � aN 00_, wec., u „,3 . c ccg:�3 aaiy� aEE U M M H m co 'O Cho m U�a � .al� _.,..,..Q..0-..a.-0 F " .9 a,:- ao to E PAGE 39 Ho 61.-m -2-4-::-:,i--4-1C. ! kJ C \- t�S z.1/471 lo- 2- 1 1107n es- ,4aOCeeEs_2 Cletotee artedate _7,444.0,1 co-fa %M. ��en, s6 9 f )1-e- le lc ,S�'av tar. 40f set k�a,.vu. -) -,1 . ..t--_ t" ,�t 7 Q , G. v 7 01 .E 1 7 �: .AA ,�1� / a 5 — / ..-t-÷ Co ‘ - 7. .r. 43 - t -2 tf C.o. `'rke1/4 arste. vice ‘i0 kVitasts , a NelIV4aV,..f.,Th 11-444ren... C Oat a7 ct-ec, of-A-a .1.4LIA:Thfa., �o0/ 1� �1 l� AI • irttates‘' /xl -Art frAttsi aatir cod / ' -14. a /d iQ b� e c /�eD ry R ro( '�17J/ L-U 94 A G a.l S'- 3 4+7,a• gic. a_ 74�-� falie---W-titi..g PAGE $Q ®,e 1 ,v'; _ i k- k-7i4-- k� /7 - y _ ,, , _ / -- ,----L-- '��__,--a-pia t e/6- ` c-1.-^.. a �-c -L.-) ..—e_, `�CJf-E�< _/4 c- YC_.• i7 7: -_-r .w,,C 4 - _ - �- _;__L “4_,_„f -5/,c<-G.iGYM.-e. ._ r ., �L�- ! L.� O /c C 7 77,--et_e„. ,b Cr-,,,,-44-12,_it, Gv 'de-cc ("S irS -"- ,i < i � ,z , C� � `r l —6,- c, �rrT 3J / Li L » 2v �C S y r ./ PAGE 41 Certification Regarding Lobbying Certification for Contracts. Grants. Loans. and Cooperative Agreements The undersigned certifies, to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying, " in accordance with its instructions. (3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352 , title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10, 000 and not more than $100, 000 for each such failure. Weld County Area Agency on Aging - Colorado Organ ' ation Gen . Brantner, Ch irman , ld C0Su�5�tyeBoard of Commissioners X November 14, 1990 Authorized Si ture Title Date a.741 / -rJ '), a. PAGE 42 Certification Regarding Drug-Free Workplace Requirements Alternate I. (Grantees Other fhan Individuals) A. The grantee certifies that it will or will continue to provide a drug-free workplace by: (a) Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the grantee's workplace and specifying the actions that will be taken against employees for violation of such prohibition; (b) Establishing an ongoing drug-free awareness program to inform employees about-- (1) The dangers of drug abuse in the workplace; (2) The grantee ' s policy of maintaining a drug-free workplace; (3) Any available drug counseling, rehabilitation, and employee assistance programs; and (4) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace; (c) Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by paragraph (a) ; (d) Notifying the employees in the statement required by paragraph (a) that, as a condition of employment under the grant, the employee will-- (1) Abide by the terms of the statement; and (2) Notify the employer in writing of his or her conviction for a violation of a criminal drug statute occurring in the workplace no later than five calendar days after such conviction; (e) Notifying the agency in writing, within ten calendars days after receiving notice under subparagraph (d) (2) from an employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must provide notice, including position title, to every grant officer or other designee on whose grant activity the convicted employee was working, unless the Federal agency has designated a central point for the receipt of such notices. Notice shall include the identification number(s) of each affected grant; r PAGE 43 fiiaking one of the following actions, within 30 calendar days of receiving notice under subparagraph (d) (2) , with respect to any employee who is so convicted- (1) Taking appropriate personnel action against such an employee, up to and including termination, consistent with the requirements of the Rehabilitation Act of 1973 , as amended; or (2) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency; (g) Making a good faith effort to continue to maintain a drug- free workplace through implementation of paragraphs (a) , (b) , (c) , (d) , (e) , an (f) . B The grantee may insert in the space provided below the sites for performance of work done in connection with the specific grant: Place of Performance (street address, city county, state, zip code) 1. Weld County Division of Human Resources, 1551 N. 17th Ave. , Greeley, CO 80632 2. Meals on Wheels of Greeley, 708 22, Greeley, CO 80631 3. RVNA Home Health Care, 1500 11 Ave. , Greeley, CO 80631 4. Weld Mental Health Center, 510 13 Ave. , Greeley, CO 80631 5. Catholic Community Services Northern , 1311 11 , Greeley, CO 80631 6. Eldergarden Adult Day Program, 3800 W 20, Greeley, CO 80631 November 14, 1990 (Signed) MS (Date) (Title) Chairman, Weld County Board of Commissioner PAGE 44 SECTION F: WAIVER REQUEST FOR DIRECT SERVICE PROVISION The Weld County Area Agency on Aging is seeking waiver requests for the following programs: (a) Case Management: The Weld County Area Agency on Aging will be providing approximately 500 units of case management services to 25 non-Medicaid eligible elderly in PY 1991. An additional 65 Medicaid eligible clients will be served through the Home and Community Based Program which came under the auspices of the Area Agency in July, 1989. This arrangement has established a single entry point system for case management services. This completes the goal of the State Aging and Adult Services Division Long Term Care Systems Development Pilot Project of which Weld County was a designated local pilot site. It is our opinion that the waiver process does not apply (at least in its established format) because the Weld Area Agency on Aging is carrying out the intent of the Department's goal toward Long Term Care Systems Coordination. (b) Legal Services: The Weld Senior Legal Assistance Program is conducted mainly with a full-time paralegal who is programmatically supervised by the Area Agency Director, but who receives legal supervision through a contractual arrangement with a local attorney. This has proved to be a very effective method of providing legal aid for seniors allowing us to serve 400 clients in 1991. The attorney supervision aspect of the program is bid out bi-annually. The paralegal will remain with the Area Agency on Aging. We question whether a waiver is really required with this arrangement, but are requesting it nevertheless. (c) Senior Nutrition Program: The Weld County Senior Nutrition Program became a service offered through the Weld County Division of Human Resources under the legal auspices of the Weld County Board of Commissioners in April , 1976. The contract relationship at that time was between the Larimer/Weld Area Agency on Aging and the Weld County Commissioners. In May of 1980, Weld County received separate, single county designation as an Area Agency on Aging. The Board of Commissioners designated the Division of Human Resources to administer the new AAA. This immediately placed the Area Agency in a "direct service" posture with the congregate nutrition program which had already been administered by Human Resources for four (4) years. Subsequently, the Weld Area Agency on Aging has followed the public announcement process to notify prospective bidders of Title III monies Page available for services funded under the Older Americans Act. There has been and will continue to be a healthy interest in bidding on the contract to prepare the meals for the program, but there has never been the slightest inquiry regarding the overall administration of the program. This is due to the fact that the Division of Human Resources is regarded as the appropriate agency to administer this human service program under Weld County Government and because the satisfaction level in the community with the Senior Nutrition Program is very high. Many efficiencies have resulted with the administrative merger of the Area Agency and the Senior Nutrition Program, the most obvious of which has been the availability of sufficient dollars each year to maintain a quality program and expand it when appropriate. Three new meal sites were opened in 1989. It still remains that a major portion of the senior nutrition budget (over $100,000) annually is contracted outside the Area Agency to purchase meals. This is in the same manner that the Weld Area Agency contracts for attorney consultation for the paralegal who is part of the Area Agency staff. These arrangements which are part contractual and part direct administration are efficient, are cost effective, and promote a single entry point concept for service delivery to older adults in our county. We are requesting a waiver based on the information as outlined above. 6 1t�� (1) ne rantner, hairman Walter it c man, Executive Director Weld County Board of Commissioners Weld Count ivision of Human Resources r ATTEST WELD COUNTY CLERK TO TH -iOARD By.:7N\ it-m-714_c, (4,(171-,„,„,J Deputy County Clerk rm f-,. 1 w Page 46 . _ Hello