Loading...
HomeMy WebLinkAbout910321.tiff RESOLUTION RE: APPROVE EMERGENCY SHELTER GRANT APPLICATION TO STATE DEPARTMENT OF LOCAL AFFAIRS, DIVISION OF HOUSING, 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 an Emergency Shelter Grant Application to be submitted to the State Department of Local Affairs, Division of Housing, with the terms and conditions being as stated in said Application, and WHEREAS, after review, the Board deems it advisable to approve said Application, 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 Emergency Shelter Grant Application to be submitted to the State Department of Local Affairs, Division of Housing, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is, authorized to sign said Application. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 17th day of April, A.D. , 1991.OF ATTEST: BOARD WELD COUNTY, LORADO COMMISSIONERS Weld County Clerk to the Board Gor o . L an By: C / ('KX 0/AJ Deputy jerk to the Board G e Ken e y, Pro-Ten Augss p, AS TO FORM: onstance L. Harbert 6174.5,1_,County Attorney C. W. Kirby ll W. H. Webster 910321 SSC"X31.n no ;4A ate �1 liwo WELD COUNTY HOUSING AUTHORITY v: PHONE ('sJ3) 352-1551 P.O. Box a GREELEY, COLORADO 80632 ge. COLORADO 1991 EMERGENCY SHELTER GRANT PROGRAM APPLICATION TABLE OF CONTENTS APPLICATION FOR ESG SECTION A BUDGET SECTION B MATCHING FUNDS SECTION C RENOVATION/REHAB SECTION D LOCAL GOVERNMENT COORDINATION SECTION E MANAGEMENT CAPACITY SECTION F PROBLEM/NEED DESCRIPTION SECTION G MATCHING FUND DOCUMENTATION SECTION H ASSURANCES AND CERTIFICATIONS SECTION I `71;21 . "EQUAL HOUSING OPPORTUNITY" 1SS1 EKEr.,.eNCY SHELTER GFA.N S PR3GFAy, APF,1C- 1 . APPLICANT NAME AND ADDRESS: Weld County Gordon Lacy c/o Weld County Housing Authority CHEF ELECTED OFFICIAL OF P.0 Box A Greeley, CO 80632 LOCAL GOVERNMENT PHONE: (303) 352-1551 2. CONTACT PERSON: NAME James M. Sheehan TITLE Executive Director, Weld County Housing Authority PHONE 352-1551 ext. 4445 Minimum. Applicant Request Amount Required Match 3. AMT REQUESTED 1. Homeless Prevention $ 17.400 3 17,400 ' 2. Renov/Rehab/Conversion $ -0- $ -0- 3. Essential Services 3 3.650 $ 3,650 4. Operational $ 54.250 S 54,250 TOTAL S 75,300 i 75.300 ATTACHED BUDGET DETAIL FOR CATEGORIES SELECTED AND FOR EACH SUB-RECIPIENT 4. PROPOSED SUB-RECIPIENT(S): (IF APPLICABLE) AGENCY: Greeley Transitional House AGENCY: Weld Information & Referral Service ADDRESS: 1202 6th St. Greeley 80631 ADDRESS: 1211 A Street Greeley 80631 PHONE: 352-3215 PHONE: 352-9477 CONTACT/TITLE: Michael Muskin/Director CONTACT/TITLE: Gil Hernandez/Executive Directo: s s t $ Y t r = 2 AGENCY: A Woman's Place, Inc. AGENCY: Catholic Community Sys. Guadalupe Ctr. ADDRESS: 1317 2nd Ave Greeley 80531 ADDRESS: 1311 llst. Greeley 80531 PHONE: 352-3215 PHONE: 353-6433 CONTACT/TITLE: Patricia Campbell/ CONTACT/TITLE: Mary Orleans/Director Executive Director ATTACH SEPARATE SHEET FOR ADDITIONAL SUB-RECIPIENTS s s r s s s r r E. ACCOMPLISHMENTS: SERVICE AREA Weld County (complete one fcr each sub—recipient) ACTUAL YID W/ESC W/ECSH rs Client Inquiries(inc.phone) 11,289 12.700 12,700 0 Served (Exc. referrals) 1,065 1,415 1,490 0 Volunteer Hours: 7,034 13,200 13,400 R Meals Served: 18,533 20,000 20,000 0 of Shelter Nights: 12,279 13,600 13,600 $ of Beds Available: 56 56 56 **NOTE' accomplishments w/ESG, ESCH are 91 projections based on actual 90 totals. 910,,,py 2`•>21 ACCOMPLISHMENTS CATHOLIC C01,2'1UNITY SVS. GUADALUPE CENTER Actual W/ESG F/ECSF. Client Inquiries 700 900 # Served 500 620 # Volunteer Hours: 900 1 ,200 # Meals Served: 6,800 8,000 11 of Shelter Nights: 3,450 4,000 11 of Beds Available: 20 20 A WOMAN'S PLACE ACTUAL W/ESG W/ECSH Client Inquiries 2,694 3,000 # Served 237 325 if Volunteer Hours: 3,294 5,000 fl Meals Served: 11,733 12,000 11 of Shelter Nights: 3,911 4,200 # of Beds Available: 20 20 WELD INFORMATION AND REFERRAL SERVICE ACTUAL W/ESG W/ECSF. Client Inquiries 7,680 8,500 # Served 150 250 295 # Volunteer Hours: 1,040 2,000 2,200 # Meals Served: N/A N/A S of Shelter Nights: NIA N/A # of Beds Available: N/A N/A GREELEY TRANSITIONAL HOUSE ACTUAL W/ESC W/ECSH Client Inquiries 215 300 # Served 178 220 # Volunteer Hours: 1,800 2,000 $ Meals Served: N/A N/A # of Shelter Nights: 4,918 5,400 � 21. N of Beds Available: 16 16 6. LIST PRIOR ESG AWARDS/AML ZS/ACTIVITIES/STATUS YEAR AMOUNT ACTIVITIES STATUS* 1990 15,000 Shelter Completed 1990 15,000 Operations/Rehab 857, 1990 15,000 Operations 757, 1989 10,000 Operations Completed SEE ADDITIONAL PAGE *% of Completion or Completed. 7. SERVICE AREA: Weld COUNTY Weld CITy various . PROJECT SUMMARY: There are four facets to our Emerggncv Shelter Program WIRE works with families at risk of loosing their homes. They provide assessments, plans of action, support and a comprehensive case management that enables families to resolve issues affecting their housing needs. The other 3 programs provide shelter for our homeless community. The Greeley Transitional House and Guadalupe Center provide shelter for homeless families and j.ndividuals, while A Woman's Place shelters battered women. All of these programs work closely with other service agencies to provide for such critical needs as food, clothing, employment, daycare, medical/dental services and mental health counseling. ESG funds will help provide these critical services to homeless families in Weld County by partly funding operations and essential services which will substantially and directly benefit the health and welfare of our clients as well as reduce the costs of providing non—facility shelter services. 9. FUND DISBURSEMENTS MAY BE PASSED THROUGH THE UNIT OF LOCAL GOVERNMENT. UNITS OF LOCAL GOVERNMENT HAVE THE RIGHT TO DISAPPROVE PROPOSALS THAT DO NOT COMPLY WITH LOCAL OR STATE COMPREHENSIVE HOMELESS ASSISTANCE PLAN (CHAP) AND MUST PRIORITIZE LOCAL PROPOSALS. l ATTACH CERTIFICATION AND ASSURANCES FOR COMPLIANCE WITH STATUTORY AND REGULATORY REQUIREMENTS SIGNED BY THE CHIEF ELECTED OFFICIAL OF LOCAL GOVERNMENT OR AUTHORIZED NON- PROFIT SIGNATORY. 10. SUB-RECIPIENT NAME Catholic Community Svs. Guadalupe Center # 1 of 4 SUB-RECIPIENT NAME A Woman's Place # 2 of 4 SUB-RECIPIENT NAME Weld Information and Referral Service SUB—RECIPIENT NAME The Greeley Transitional House APPROVED: Gordon Lacy CHIEF ELECTED OFFICIAL Chairman, Weld County Commissioners TITLE April 17, 1991 DATE IF APPLICANT IS A NON-PROFIT, THE APPLICABLE UNIT OF LOCAL GOVERNMENT MUST SIGN AND COMPLETE THE ATTACHED CERTIFICATION OF LOCAL APPROVAL FOR NON-PROFIT ORGANIZATIONS. REQUIRED ATTACHMENTS: ASSURANCE AND CERTIFICATIONS BUDGET DETAIL AND MATCH DOCUMENTATION LOCAL GOVERNMENT COORDINATION MANAGEMENT CAPACITY PROJECT IMPACT AND DESCRIPTION ,�� "'AGF ATTACHMENTS (IF ANY) PRIOR ESG AWARDS/AMOUNTS/ACTIVITIES/STATUS YEAR AMOUNT ACTIVITIES STATUS 1989 10,000 Operations Completed 1989 10,000 Shelter Completed 1988 10,000 Shelter Completed 1988 10,000 Shelter Completed vg1C,�y'� 1991 PRIORITIES 1. Prevention program for Weld Information and Referral Service 2. Operations for Transitional House 3. Operations for A Woman's Place 4. Operations for Guadalupe Center 5. Essential Services for Transitional House 6. Prevention for Transitional House 7. Essential Services for Guadalupe Center 8. Administration Costs l i I K ♦ -s-ht wz co to m 01 ao CO CO m m m m m teGrua�''-�• w z al al O1 v m al al al al al W al b..) H C >4 » >. » » » >+ 1>4 >• » » >+ e--. o x w Iw i-i X CO O IL ..-1 -0 CO C) > u .-I -i > O 0 T M 0 T. u T.U to T CO C C CO 7 3 H w 7 3 CU '9 C C U 0 17 O O U b '0 S U CU TI +i W M al al • •.1 0 U C J-1 .1 II >G 1! al 1J u H> H O � u V.-I C C •.I HI +I CO 0. 3+ HI Z N < O 44 0 0 0 C 41 0 0 u al al C W W XCO wOU 0 03H 0tO0y ow M y a w J_ C 5 O CO 2 2 O O O O O O� n W U 7 O O .1 T c0 .--I C r O . . . J W < C O. .-I O .1 .1 O Q S < r N ..I .-I 1\ 1- 1-.4 Q O 14- >- C V H C7 C W W = Z Z H O O O O , O O r H . 0 U. W O O -1 Cr. C .-t W w 0 C7 a O. .-I O d d O O -•••• u. U) W H N .-I ..... n x W Y IO X 2 0 U Cy ua O ¢ O U S O O O O O CO HJI 9 O J O O O O O J a. .- CA a O a0 c0 N. < o O O H a H CJ ..0N O rn CT O C In .1 N N H O W �I 1. O J O 0- W Z 0. Z U Q < 2 ^• o-.7 W CO < J C O Li.) Q w Z 0- b .d 3.Z . En o-•1 u u u u N 0 U 2 p +1 U +1 CJ 0 al •.I CA W 1.1 . O C 7 a/ 7 a! u M M +1 C Z Z O. W W Z U O a a to u > CO ..t e..1 CC 2 1'1 I"1 0 H 0 .7'I A. 0 w N d tq > O J > >O UJ S U to U t0 M to 41 W o-r Q u 0 0 0 m w .-I F C C O W OC.) U) a 2 +•1 7 -0 7 0 ❑ to T. - O J O I .-I O H 0 0 t•I 1+ a) Z W < C .L • .0 • 0 v w v m HI O Q I u N u to 3 .-i w u 7 H W J Z w 0 > CO > N al 14 O Q U 1.4 > LO U CO U tn d 3 a O S H Z Y .•I ♦t i Z J Z Z O- m J > O 1-+ W CO O 1•q Z ..1 C O I 1.,1 CO H W J O J G7 W N M .1 el ..• C1 Z S 1=•I 1H I H H W W < > Z V < J o-y H ^ > C S C O < H 0 J < W W H Z CJ W V L C 4 tO H O W 0_ Z y < W Z I O ZJC tO0 j CA ►1 Q < H 00 w H 1•-I IHI CO a W < HH ..l Q w I 00 0 H C O 0 W > < Z Z 0. < O > 0 0 to 0 .0 O O Cul T O _ W H H M al H y H E Z W CO TO< o . u u , G oWatncH < Z O > Ca 0 H 0 0 CO S C O W ` U) H o-r H J O H VI N Y+ a/ 01 a/ N tD Q Yi W < M O C 0 a U1 0.1 O. la 0. • 0 G << 0 W O0 P.. 0 i. at M w w M M OO w 2 p- cu i N O w U > w U F- O C g g w t- 0 s < O IW W a X I W W a 00 y 5 -- I 0 r w U O I in O O J T S < N N en O I- n I- 0 5 > 1-1 as W CO 0 2 0 0 W H N NeV U- O It W O O W CO O w = o 0 N N ^'e r-co w C I ^ . N J 1- I .. 0 ... O¢J J U Z N j Q H O O Q r o O 0 o CO 0 eel o r H U Ln in 0 O N u- 0 >- -I z a La O Q a. U f' F . N > J Z O W2 > I— U N Q 2 - CO r .-I .-I U 2 C O 0 e0 el) N w .. C C C 2 Z CC d O O .9-i C ' U W W u u C H w C f .U O N N 2 W C1) O O i J CO E etl ea T C Z C.7C O . C w w 5 ¢ w > ;,,) NdZ H E 0 u 2 LL Q CC 0 T. >, O +e O � UO O v v U 5 .v 01 al 01 O 1- W J Z U 1-1 M I Ol N au) 'O .O > O v 7 v 7 .-I 4-I rr Q J 7 S+ o t+ o a1 7 2 J 2 Z H I-I Q 02 02 36 O In. uJ COOP-IX 9 J O I-i CC I 1- Q 2U I P..e --, .2-e0 c i ww < > ZU4 7 7 W > C Z C O Q I— J --1 0- � L d .-+ v1 w w .r Z J < C .9 -N19- GUJ j w U = 2 Z N Q w S C O Z -.e C N O N «» O < 1- O U .,.I en f- e-e •+ CO a 2 l-I W Q 1- /- ."'I 0 > a222 w .a 0 * S 2 w CO S a U ¢ 4Lu H M 01 U N X C O w Q N F- _ M 04 19- T 0 .>.. 01 7 7 '0 i 9- N e7 Q to J % J � L0 4e v E I M w O = U W VI P.La 6 s • « +. U < SOURCES AND AMOUNTS OF ESG MATCHING SUPPLEMENTAL REVENUE ' Name of Service Provider: Catholic Community Sys. Guadalupe Center Hard Match Amount Amount Available from Dates: (Specify by name, i .e. , CDBG, 1-1-91 to 12-31-91 FEMA,. ESAP, Private Foundation, etc. ) 1 . FEMA $ 9.000 2. United Way $ 8.000 Continental Airlines $ 3,000 a. s 5. _ SUBTOTAL REVENUE: $ 20,000 In—Kind Donations (Soft match amount). Give detail such as buildings, equipment, furnishings, staff, etc. Use description in instructions for method of calculating Amount Available from Dates: value. tc 1 . _ 3. S 4. i 5. 6. _ SUBTOTAL REVENUE: $ 20.000 =LESS: REQUESTED REDUCTION IN MATCH REVENUE $ -0- TOTAL REVENUE AND IN-KIND $ 20,000 =Applicants least capable of providing the required matching amounts are requested to insert a specific dollar amount of reduction in match revenues. This form should be completed for each service provider requesting ESG funding. SOURCES AND AMOUNTS CF ES: Mr-.TC ONO S' FPLE-MTN A'_ REd=S__ Name of Service Provider: A Woman's Place Hard Match Amount Ac__ .. Aveila: '.e fr. . CateE . (Specify by name , i .e . , CCE_, 1-1-91 12-31-91 ESA.F , Private Foundation,, etc. ) 1 . United Way ! 9,010 2. Weld County Department of Social Services 5,600 In-Kind 3 5,790 • 4. 3 5. 3 SUBTOTAL REVENUE: $ 20,400 In—Kind Donations (Soft match amount). Give detail such as buildings, equipment, furnishings, staff, etc. Use description, in instructions for method of ealeulatin Ar:ount Avcile: le fro- D_.e: : value. tc 1 . • ! , <. ! E SUBTOTAL REVENUE: $ 20,400 *LESS: REQUESTED REDUCTION IN MA.TCM REVENUE 3 -0- TO'TA.L REVENUE AND IN-KIN: : 20,400 . 711:?nts lust capable cf providing the reduired ratc".in, annnto 2 -E rE='JE`_te: :: ."_; a specific dollar amount of reduction in match revenues. This form should be completed for each Service Providf ' re-.,a-tin; ES; funo'nc SILL�'� SCUFCEE AND AMCUNTS OF ESC M-'CF S!PP'LEM=!,'._ Name cf Service Provider: Wald Tnfnrmatinn and Referral Service Hard Match Ar., unt A-.c_ _ A:e '. la. le frcr Da:EE . (Specify ty na-e , i .e. , CF.-C. 4-1-91 6-30-92 FED ES , Private Fcundatic :, et: . ) 1 . State of Colorado Department of Social Services 4,800 2 , United Way 10,000 . FEMA 3 17,000 4. 3 5. 3 SUBTOTAL REVENUE: S 31.800 In-Kind Donations (Soft match amount). Give detail such as buildings, equipment, furnishings , staff, etc. Use description in instruetiocs fen method of caleutatin; Ar.c_-:t Avelia: le frcr Deter : value . t: 1 . • 4. 3 E . 3 SUETOIAL REVENUE : 3 31,800 * EES: RECUESTED P,EDUCTIO!: IN MI.7CY, REVENUE 3 5.000 7C'A: REVEK!E AND IN—KIND 3 26,800 A. . : :__ .._ leas: capable cf prcvitint the recuired ra cr ir, £ E fEC E_:C __ . a specific dollar amount of reduction in match revenues. This fore shc::ld be co7plete7 for each SErViCf provid: ' rezJectin ESC funciF. 213321_2 SOURCES ANO AMOUNTS OF ESC MATCHING SUPPLEMENTAL REVEN'J= Name of Service Provider: Greeley Transitional House Hard Match Amount Amount Available from. Dates: (Specify by name, i .e. , DDSS, 1-1-91 to 4-1-92 FEHA, ESAP, Private Foundation, etc. ) 1 . United Way $ 13,500 2 . FEMA S 6,500 • 4. S 5. S . SUBTOTAL REVENUE: $ 20,000 In-Kind Donations (Soft match amount). Give detail such as buildings, equipment, furnishings, staff, etc. Use description in instructions for method of calculating Amount Available from Dates: value. to 1 . S / S S 4. 5. S 6. S SUBTOTAL REVENUE: S 20,000 *LESS: REQUESTED REDUCTION IN MATCH REVENUE $ -0- TOTAL REVENUE AND IN—KIND S 20,000 =Acclicants least capable of providing the required matching amounts are requested to insert a specific dollar amount of reduction in match revenues. This form should be completed for each service provider requesting ESG funding. 9.1.0321 PROJECTS INVOLVING RENOVATION, MAJOR REHABILITATION OR CONVERSION There are no projects planned for this year which will fall into any of these catagories. f,2 r J ^,`�'4.)YY :� PROJECTS INVOLVING RENOVATION , MAJOR REHABILITATION OF CONVERSION Have plans , specifications and cost estimates been Yes_ No attached'. Has the local building department reviewed and Yes_ No approved the proposed work? Can the proposed project be developed under the current zoning Yes_ No ESG ENVIRONMENTAL ASSESSMENT Will the proposed work be undertaken in flood hazard Yes_ No areas? List the source in reaching this conclusion. Will the proposed work be undertaken in geological Yes_ No hazard areas , or affect historical , cultural or archeological resources? List the source in reaching this conclusion. Will the proposed project be within 1 , 000 feet of a Yes_ Nc_ major highway , 3 , 000 feet of a railroad , 15 miles of a commercial airport or near some other major noise source? Will the proposed project be within one-mile of above Y"e=__ Nc_ ground storage tanks , transmission pipelines or loading facilities for explosive or fire-prone substances? Will the proposed project be undertaken near Yes— Nc_ commercial airports or military airfields? If YES to any of the environmental assessment questions , what alternatives have been considered? How do you plan to mitigate the effects? � !Cf7-� ; PLEASE LIMIT NARRATIVE TO TWO PAGES PER CATEGORY • DESCRIPTION OF LOCAL GOVERNMENT COORDINATION Effective January 1, 1991 Weld County Housing Authority was designated by Weld County as the agency responsible for the coordination of homeless activities within the county. The purpose of this coordinative measure is two—fold: to develop a process of review for applications submitted to State and Federal funding sources and to provide for a vehicle to make Weld County homeless applications more competitive. The process works as follows: 1. When we are notified that applications are to be accepted for a specific program, a notification of funding availability (NOFA) will be sent to all recognized homeless providers. The NOFA identifies all acceptable and unacceptable criteria of the specific grant as well as the local elements, such as self— sufficiency components that the county through the Housing Authority would like to see in the overall objective of the program. The NOFA will also detail the process we will use to evaluate the proposals. Standard elements to be included in the proposals shall include: A. A narrative which identifies the problem issue and alternatives or objectives to be addressed, B. A financial budget for each activity specifying the requested amount and the source of match, C. The management capacity of the service provider as demonstrated by successful past performance of homeless activities, and D. A time table, including milestones which can be used to evaluate the activity. 2. Once the proposals are received by the WCHA, each will be evaluated by program staff to determine if the objectives of the program have been met. Additional clarification of information will be requested from the service providers as needed. Applications will be forwarded to a review committee of the Housing Authority. The committee shall consist of two members of the Housing Authority Board, two representatives from Weld County and a representative of United Way. The committee shall determine applications to be recommended to the County Board of Commissioners. Prior to the submissicn of this application, the designated homeless providers met to cocrdinate their request thus avciding duplication of services provided through the grant funds ei 0321- PLEASE LIMIT NARRATIVE '.0 TWO PAGES PER CATEGORY ESG MANAGEMENT CAPACITY The four individuals responsible for the managment of our programs are highly qualified. Together they have over 75 years of experience in social services. Mary Orleans is the Weld County Director of Catholic Community Services/Northern which operates the Guadalupe Center. This shelter has been in operation since 1987 and under the direction of Ms. Orleans for the past six years. She holds a Masters Degree in Human Service Administration and has over 20 years of experience in Social Services. In her current capacity she is responsible for the finacial and administrative management of a $200,000 annual budget. Patricia Campbell is the Executive Director of A Woman's Place, Inc. This shelter for battered women which has provided assistance to women and their families since 1981. Ms. Campbell has over 20 years of experience in Public Health Administration. She received her Masters Degree in Health Education from the University of Northern Colorado and her Nurse Practicum from C.U. She has recently joined the staff at A Woman's Place and has been in place for less than a year. However, she has taken charge and is in the process of directing the nine member staff and 28 volunteers through new programs which will help provide improved service to their clients. This program requires Ms. Campbell to oversee the financial and of administrative managment of three facilities with an annual budget of $220,000. The Weld Information and Referral Service is the most comprehensive homeless case management program in our area. Prevention is their focus and the six member staff is led by Gil Hernandez. Mr. Hernadez has 14 years of experience in the Human Services area and has been with WIRS for the past four and a half years. Mr. Hernandez has his Bachelor's Degree from the University of Northern Colorado. He is involved with not only WIRS, which has an annual budget of $200,000, but he is also the Chair of the Weld County Housing Coalition. He is also a member of the Colorado Homeless Coalition. Michael Muskin will oversee the Greeley Transitional House's portion of the grant. Mr. Muskin has been with the Transitional House program since January of 1988. He has an M.A. in Sociology (Family Studies) from the University of Northern Colorado. In his current position Mr. Muskin oversees eight staff members and a budget of more than $150,000. A,o . PLEASE LIMIT NARRATIVE TO TWO PAGES PER CATEGORY ESG PROBLEM/NEED DESCRIPTION A lack of space and the inability to provide for critical needs plague our shelters. While the people who work there are thoroughly capable, a lack of resources forces more than 175 people away each year. All of our shelters hope that with ESG monies they will able to expand their services so they can reach out to more of those who currently must be turned away. The Catholic Community Services Guadalupe Center is one of our largest shelters, yet it can only house 20 people a night. It does provide two meals per day, personal hygiene supplies, shower facilities laundry supplies and facilities, job referral and support services. In 1991 those services reached 620 people. This totals 3,500 nights of service. The average stay is five days. Still, 100 to 150 people are turned away each year. It is hoped that the ESG grants when combined with other local funding will help to increase the services the Center may provide. They plan to expand their services to provide follow-up and long-term services. They also will provide assistance to individuals who has received a notice of foreclosure as well as assistance in obtaining social, maintenance services and income support services. PLEASE LIMIT NARRATIVE TO TWO PAGES PER CATEGORY ESG PROBLEM/NEED DESCRIPTION The Greeley Transitional House provides temporary housing and case managment services to homeless families in Weld County. GTH is a residential program in which six families live in a cummunal environment while working toward self-sufficiency. In 1990, GTH provided 4916 nights of services to 60 familes, and also provided additional services to over 200 families who were unable to participate in the program. There are two main reasons for this inability to participate. The first is that there isn't enough space to handle the need. The second is that some clients are not appropriate for this kind of program. A 252 increase in the number of nights provide has been experienced in the . first quarter of 1991. ESG funds are critical to continued services. They will also allow an expansion of current activities. Plans are in place to increase the number of hours for the Program Coordinator. This individual will be concentrating on expanding the current educational program as well as the follow—up program. In 1990 over 70% of the families leaving GTH had secured permanent housing and were also employed, or enrolled in an education or vocation program. It is hoped that the current rate will be improved, and the key to that improvement is the expanded role of the Program Coordinator. PLEASE LIMIT NARRATIVE TO TWO' PAGES PER CATEGORY ESG PROBLEM/NEED DESCRIPTION While the three shelters in the Weld County area have been turning people away because there isn' t enough bed space, the Weld Information and Referral Service has been working to identify and assist both individuals and families before they are forced to utilize the shelter. In 1990, 3521 individuals were either homeless or at-risk of becoming homeless in Weld County. Of that figure, 2331 individuals representing 1712 households were at-risk of becoming homeless and were confronting acute housing issues. Client characteristics were as follows: 792 were families 212 were single 32.5 was the average age 50% of families were headed by single parents 502 of families were headed by two parents 577, were Hispanic 417, were Anglo 012 were Black 017 were other 447, were unemployed 30% were employed 192 received Social Service Benifits 072 received Social Security Benifits p WIRS Case Management Demographics: [` 150 Households participated 80% were families 202 were single 32 was the average age 03 family members 782 success rate 132 recidivism rate from 1989 to 1990 To best continue assisting these at-risk people, WIRS has developed a Homeless Case Management Program. This program will be a comprehensive, holistic Case Management program that will perform the following functions: a. Provide a single entry case management service to include social, health and employment service linkages to at-risk and homeless individuals and families of Weld County. b. Develop an objective care plan to meet the needs of the target population and to adjust the plan as necessary. c. Provide on-going case management services with formalize evaluation procedures. d. Implement actions involving the at-risk and homeless, including: obtaining appropriate release of information forms to exchange case management and verification information between agencies, which authorizes its release through the clients signature e°'3.4j 0,4'0 x` PLEASE LIMIT NARRATIVE TO TWO PAGES PER CATEGORY ESG PROBLEM/NEED DESCRIPTIO\ Determine the status of the individual and family through use of client intakes and assessments. Develop plans of action and realistic goal setting. Provide support and advocacy when appropriate. Provide timely review for clients to determine status. e. Determine individuals who shall be considered to be employable or trainable and assess if such individual should be enrolled in Employment Services or training. f. Initially assess, through Case Managers, supportive service needs and provide referrals through a network plan to secure services for clients. Areas of service are transportation, child care, employment, health, etc. g. Provide a care plan and assessment information to community agencies as appropriate. h. Provide technical assistance and information regarding needs of the at-risk and homeless population to service providers and the community at-large, when available and requested. i. Prepare and provide client tracking and the monitoring of participation, program goals, and program outcomes to assure that legislative and law intent is met and resources are utilized for maximum community benefit. j . Provide timely reports to the community, funding sources, and service providers as to the condition of the Homeless Issue in Weld County, and to any significant impacts that services have had on the Homeless issue. The ESG Grant is the foundation needed to establish such an ambitious effort as this. It is hoped that with this base, the program will continue to grow, and help more people overcome their housing problems. In this way, the area shelters will also be relieved of some of the burden they currently carry. 910321- PLEASE LIMIT NARRATIVE TO TWO PAGES PER CATEGOP.Y ESG PROBLEM/NEED DESCRIPTION A Woman's Place, Inc. is the only shelter that provides assistance to women who have been battered. It provides emergency shelter, food and support services to both the abused women and their children. During the past year they served 237 women and children for a total of 3911 nights. Lack of space is an issue here as well. 26 women were turned away last year because the facility was full. While the ESG funds are not going to help the overcrowding situation, they will help to expand services and continue the daily operation of the shelter. A new program will be the Advocacy Program which will be a group of volunteers who will work with the clients, helping them get through the crisis time. Another program they would like to work with is daycare. There are many help sessions available to these women, but there hasn't been the childcare accessibility which would allow the women to participate. ESG funds could make that possible. The daily nuts and bolts must also be addressed, and ESG funding will be earmarked to assist with the up-keep of the three facilities. One specific problem which will be addressed will be the painting of the bedrooms. The other problems fall into the everyday needs a facility such as this experiences. ��np 4r �S ci n.. r ' EMERGENCY FOOD AND SHELTER NATIONAL, PR L B OGRAM &A North Fairfax Street,Suite 225,Alexandria Virginia 22314-2007 703-683-1166 0 l:'-'.! teµ r t r i r., t i Chair Phase IX Robert G.Chappell PL 101-467 Assistant Associate Director Office of Disaster Assistance Programs ' Federal Emergency Management Dear Agency Official: Agency 500 C Street SW Washington,DC 20472 Your Local Board has selected your organization for an award to provide food and/or a shelter assistance to individuals in need. The award amount and your identification number are listed below. Please use your I.D.number on all correspondence and reports. A check/credit advise is enclosed for half/third of the award. The first date to which you Brother Joseph Berg can charge expenses under this program is indicated on the label below. Associate Director for Special Pen P Programs Catholic Quotes,USA 9-1116-00 2 1319 F Street NW WELD COUNTY SOCIAL SERVICES: FISCAL Washington,Dc 20004 AWARD AMOUNT: $35,802. 00 , JURISDICTION' S BEGIN SPENDING DATE: 10/01/90 Enso V.Bighmato An interim report(light tan)is enclosed for completion by each agency after first American Red Cross installment spending. This report should be completed,signed and mailed to your Local 17dt a D Streets.NW Washington.DC 20006 Board Chair for approval. THIS FORM MUST BE COMPLETED AND RETURNED TO THE LOCAL BOARD CHAIR IN ORDER TO RECEIVE SECOND/THIRD INSTALLMENTS. wt i William i Fiekfs Awards totaling less than$100,000 will be paid in two equal installments. Awards Regimat Director totaling$100,000 or more will be paid in three equal installments. Mid-America Region tinned Way of America 1400 East TouhyAyenue Second/third installments will be held until jurisdiction's final Local Board report and `es Plaines.IL 60018-3305 documentation have been reviewed and the audit is dear. 0® Both you and your Local Board have certified that your organization meets the following II Mary®Anderson cooper eligibility criteria: Acting Director,Washington Office National Council of churches of Christ • Has the capability to provide emergency food and/or shelter services; in the u 110 Maryland Avenue.NE • Will use funds to supplement g programs arid or extend existing ro s services; Washington.DC 20002 • Is nonprofit; • Has an accounting system or a fiscal agent approved by the Local Board; pop, • Conducts an annual audit; in • Practices nondiscrimination; (those agencies with a religious affiliation Colonel Waller C.French must agree not to refuse service to an applicant based on religion and not Director National Public Affairs Office engage in religious proselytizing in any program receiving Emergency Food The sal anon Army and Shelter Program funds); 1025 Vermont Avenue.NW ,nonprofit, has a volun board; washegtm.Dc z000s ' If private, P �' • As an employer abides by the Drug-Free Workplace Act of 1988; CAP • Has read and understands the Eligible and Ineligible costs of this program; • Will provide required reports and documentation,as requested,to the Local Mark Talisman Board; Director • Will expend monies only on eligible costs; Washington ACTION Office Council of Jewish Federations • Will spend all funds and dose out the program by jurisdiction's chosen end- 227 Massachusens Avenue,NW date. Washington.DC 20002 If not,you must inform the Local Board otherwise. ( ` Stan Wiley B.Cooper Director a SecreWnat The specific budget for your agency is determined by your Local Board,based upon your United Way of America funding request. Local Recipient Organizations(LROs)may not expend funds for items or ' "66 services which have not been approved by their Local Board. If your Local Board has not Fran McCarthy contacted you regarding this award,information or assistance may be obtained from the Emergency Management Specialist Federal Emergency Management Agency 202-e4F-3652 _ Roles and Responsibilities of Local Recipient Organizations (LROs)are outlined in the enclosed Phase 1X Responsibilities and Requirements manual beginning on page 20. All LROs are required to sign the Local Recipient Organization Certification Form found on page TL of the manual. Your Local Board is charged with ongoing monitoring of your program expenditures and services. Local decision- making is an operating principle of this emergency effort. Note: Local Boards can reallocate funds at their discretion. Funds can be reallocated as a result of gross negligence,inadequate use of funds,failure to use funds for purposes intended and any other violation of the National Board Plan. Local Boards may also reallocate funds in response to changes in the priority needs of their community. Your Local Board is empowered to transfer funds between LROs by amending the plan and informing the National Board. The Loral Board is also authorized to allow LROs to shift funds between categories as long as funds are used in compliance with program guidelines. We recognize the limited time schedule and ask you to do your best in this emergency effort. Thank you for your cooperation. Sincerely, Robert G. Chappell Chair, National Board Fndosures 911.032t Y United Way of Weld County, Inc. 1001 9th Avenue P.O. Box 1944 Greeley, Colorado 80632 353-4300 February 22 , 1991 Brian Soukup 1013 Harbor Walk Ct. Ft. Collins, CO 80525 Dear Brian: The United Way of Weld County Board of Directors recently approved the Allocations Committee recommendations for 1991 fund distribution. A total of $895 , 131 will be allocated to 61 program services through 33 agencies . This includes a continued commitment to meet priority needs for Weld County as represented by a 13$ increase for target programs. 1991 allocations funding also includes a first time funding commitment for 5 new programs and a 6$ increase for elderly programs. United Way continues to allocate agency support to specific programs through units of service . The allocation for Catholic Community Services/Northern is : Program Unit Cost Total Senior Companions Short-term 50 individuals $54 . 22 $ 2 , 711 Long-term 160 individuals $96. 03 $15 , 365 Guadalupe Center 1333 individuals $ 6 . 54 $ 8 , 718 Spanish Elderly Outreach 250 contacts $ 8 . 00 $ 2 , 000 The total allocation for 1991 : $28 , 794 United Way is pleased to be able to pick up the 70 loss in Area Agency on Aging funding this year. However, limited resources did not allow for cost of living increases. While pleased to be able to begin support for the Spanish Elderly Outreach Program, we hope future campaigns will allow for a higher level of support. United Way is concerned that the Guadalupe Center remains at an overall occupancy averaging only 50% . We encourage exploration of options to solve transportation issues and provide additional service to families. United Way staff will convene a meeting to discuss these issues before the end of the second quarter of 1991 . Thanks to our community ' s continued support, United Way is able to help meet the important work you do. Please contact, Judy kron, Director of Planning and Allocations , if you have questions. Sincerely, _ 0 ? C, ei. -sa--- M ' •e Phillips Car yn Anderson air Co-Chair Allocations Committee Allocations Committee cc : Mary Orleans Volunteer Resource Bureau -i **POUF THOUSAND DOLLARS AND NO CENTS** GUADALUPE SHELTER 03/20/91 ***4,000.00.r.r. :uektaCft �1��'/ I�J � f/� .; , ,. 03252117H• I:0 2 1 309 3 79i: 60L... 2r^ 541130 \_ qi irRi I_. CONTINENTAL AIRLINES W.DOUG HORN WESTERN DIVISION REG VICE PRESIDENT 8250 SMITH ROAD AIRPORT SERVICES DENVER.COLORADO 8020) PHONF.13031 2804602 April 3, 1991 Guadalupe Shelter c/o Mary Orleans 1311 11th St. Greeley, CO 80631 • Dear Ms. Orleans: I am enclosing your cash distribution from the 1991 Continental Homeless/Hungry Project. You will he receiving word shortly regarding how to access the remaining balance you have at King Soopers. Sincerely, L PC414 PaC441) Doug Horn Regional Vice President Airport Services, Western Division �� a next_. EMERGENCY FOOD AND SHELTER NATIONAL BOARD PROGRAM 601 North Fairfax Street,Suite 225,Alexandria,Virginia 22314-2007 703-683-1166 0 A#7 Chair Phase IX Rooen G.Cheapen Assistant Associate Director PL 101167 Dace of Disaster Assistance Programs Federal mergency Management Dear Agency Official: Agency 500 C Street.SW Washington.DC 20672 Your Local Board has selected your organization for an award to provide food and/or C shelter assistance to individuals in need. The award amount and your identification number are listed below. Please use your I.D.number on all correspondence and reports. A check/credit advise is enclosed for half/third of the award. The first date to which you Brother Joseph Berg can charge expenses under thisprogram is indicated on the label below. Associate Director for Special g Pe Programs Catholic Chimes,USA 9-1 1 1 -i—G^ 9 1319 F Street.NW CATHOLIC C0".�'. SERVICES - NORTHERN Washington.DC 200 . AWAFD AYOU'4T: 59.900.00 JURISCICTIpN' S BEGIN SPENDING DATE : 10/01/90 Enso V.eigninat6 An interim report(light tan)is enclosed for completion by each agency after first American Red Cross installments spending. This report should be completed,signed and mailed to our Local 17th a D Streets.NW Pe B Po P gin Y Washington.DC 20006 Board Chair for approval. THIS FORM MUST BE COMPLETED AND RETURNED TO THE LOCAL BOARD CHAIR IN ORDER TO RECEIVE SECOND/THIRD INSTALLMENTS. William I.Fields Awards totaling less than$100,000 will be paid in two equal installments. Awards �ar+e°�Director totaling$100,000 or more will be paid in three equal installments. United Way of America 1400 East Touhy Avenue Second/third installments will be held until jurisdiction's final Local Board report and '1es Planes.4 600183305 documentation have been reviewed and the audit is clear. 1/4%- A® ■® Both you and your Local Board have certified that your organization meets the following Mary Anderson Cooper eligibility criteria: Acting Director.Washington Office National Council e a Churches of Christ Has the capability to provide emergency food and/or shelter services; no Maryland Avenue.NE • Will use funds to supplement or extend existing programs and services; Washington.DC 20002 • Is nonprofit; • Has an accounting system or a fiscal agent approved by the Local Board; • Conducts an annual audit; • Practices non-discrimination; (those agencies with a religious affiliation Colonel Waxer C French must agree not to refuse service to an applicant based on religion and not Director National Public Affairs Office engage in religious proselytizing in any program receiving Emergency Food The Sakahon Army and Shelter Program funds); 1025 Vermont Avenue.NW Washington.Dc 20005 • WIf private, nonprofit, has a voluntary board; • As an employer abides by the Drug-Free Workplace Act of 1988; = Hasr • read and understands the Eligible and Ineligible costs of this program; =d ,� JJ • Will provide required reports and documentation,as requested,to the Local Mark Talisman Board; D"CC1rn • Will expend monies only on eligible costs; Washington ACTION Office Council of Jewish Federations • CWill spend all funds and close out the program by jurisdiction's chosen end- 227 Massachusens Avenue.NW date. Washington.DC 20002 7.1 If not,you must inform the Local Board otherwise. Staff Wiley 6.Cooper Director a Secretarial The specific budget for your agency is determined by your Local Board,based upon your tented Way of America funding request. Local Recipient Organizations(LROs)may not expend funds for items or 703-693-7766 services which have not been approved by their Local Board. If your Local Board has not Fran McCarthy contacted you regarding this award,information or assistance may be obtained from the Emergency Management Specialist Federal Emergency Management Agency 202-666-3652 JUDGE'S CHAMBERS Crunt1J Gann P.O. BOX ]89 GREELEY. COLORADO A ANDREW BORG. JUDGE April 10 , 1991 To Whom It May Concern: I fully support the application of A Woman's Place for an increased emergency shelter grant. Over the past ten years much has been done to reduce the incidence and effects of domestic violence. And, A Woman's Place can take credit for much of what has been done. One of the significant contributions of A Woman's Place has been providing emergency safe housing. The availability of safe housing on an emergency basis is often the first step to the realization that there are alternatives to a violent home. To my knowledge, A Woman's Place is the only agency providing this needed service in this area. Please give this application you most serious consideration. Sincerely, CLLtu_ek ; T A. Andrew Borg r,��_ n�� a Y United Way of Weld County, Inc. 1001 9th Avenue P.O. Box 1944 Greeley,Colorado 80632 353-4300 February 22 , 1991 Pete Morrell 801 8th St. ±220 Greeley, CO 80631 Dear Pete: The United Way of Weld County Board of Directors recently approved the Allocations Committee recommendations for 1991 fund distribution. A total of $895, 131 will be allocated to 61 program services through 33 agencies. This includes a continued commitment to meet priority needs for Weld County as represented by a 13% increase for target programs. 1991 allocations funding also includes a first time funding commitment for 5 new programs and a 6% increase for elderly programs. United Way continues to allocate agency support to specific programs through units of service. The allocation for Weld Information and Referral Service is: Program Unit Cost Total Casemanagement 150 individuals $66. 67 $10, 000 Child Care R & R 1320 individuals $ 6. 67 $ 8 , 805 Infomation & Referral 24000 individuals $ 2 . 54 $60, 960 The total allocation for 1991: $79, 765 United Way wishes to compliment the Weld Information and Referral Board and staff on the high level of professionalism and commitment to quality service demonstrated by your agency over the last several years. United Way is for the second year in a row providing a significant increase to your programs. United Way will be purchasing fewer units of Child Care Resource and Referral based on our evaluation of current service levels . We continue to urge Weld Information and Referral Service to look for increased government and foundation support of the housing Casemanagement program and the child care resource and referral program. Weld Information and Referral Service Board also needs to evaluate local fund-raising efforts. Thanks to our community ' s continued support, United Way is able to help meet the important work you do. Please contact, Judy Kron, Director of Planning and Allocations, if you have questions . Sincerely, 910321- Mike Phillips Caro yn Anderson Chair, Allocations Committee Co-Chair, Allocations Committee cc: Gil Hernandez Volunteer Resource Bureau II Unit Cy 1001 9th Avenue �o � ►F c It o. Weld County, Inc. 40 P.O. Box 19.4 Greeley,Colorado 80632 353-4300 February 22 , 1991 Rich Bartels 500 G N B Plaza Greeley, CC 60631 Dear Rich: The United Way of Weld County Board of Directors recently approved the Allocations Committee recommendations for 1991 fund • distribution. A total of $595 , 131 will be allocated to 61 program services through 33 agencies. This includes a continued commitment to meet priority needs for Weld County as represented by a 13% increase for target programs. 1991 allocations funding also includes a first time funding commitment for 5 new programs and a 6% increase for elderly programs. United [day continues to allocate agency support to specific programs through units of service. The allocation for Greeley Transitional House is: Program Unit Cost Total Shelter 4500 individuals $3 . 00 $13 , 500 The total allocation fcr 1991 : $13 , 500. United Way is pleased to hang= your full request for 1991 funding. We encourage continued efforts at increased local fund-raising. Thanks to our community ' s continued support, United Way is able to help meet the important work ycu do. Please contact, Judy Kron, Director of Planning and Allocations, if you have questions . Sincerely, ii / r .ike Phillips Carolz�n Anderson Chair Co-Chair Allocations Committee Allocations Committee • cc: Michael Muskin 4 -w.��i�. VV Volunteer Resource&wean f -1-21,0it - - - _ - - -r= ---- ---:"::::::=<7 --- -- -- - _ - -_ _ __ a __ - - c _ r L r .i -- _ _ -. . _ _ -I - 4 _ _ - EMERGENCY SHELTER GRANTS PROGRAM ASSURANCES AND CERTIFICATIONS Gordon Lacy ( name of chief elected official or appropriate non -profit signatory ) o£ Weld County ( town, city , county or non-profit organization ) which is applying to the State of Colorado for funding through the Emergency Shelter Grant Program from the U . S . Department of Housing and Urban Development ( HUD ) , hereby assures and certifies that : Amounts awarded under this program will be sued only for these purposes : 1 . Assist in the prevention of homelessness . 2 . Rennovate , rehabilitate , expand or convert ( but not acquire ) facilities for use as homeless shelters . 3 . Assist in supporting the essential operating costs of shelters . 4 . Assist in improving the quality of supportive services to the homeless . Projects will not require participation in religious services , as a condition for receiving assistance . All projects funded will develop and administer , in good faith , a policy designed to ensure the shelter is free from the illegal use , possession or distribution of DRUGS or ALCOHOL by it ' s beneficiaries . Political activities will be prohibited in accordance with subsection 675 ( e ) of the Community Services Block Grant Act cf 1981 . The town , city , county or non-profit organization certifies that matching supplemental funds required by the regulations at 24 CFR 576 . 71 and 576 . 85 ( a) ( 3 ) , as modified by the amendments to Items 415 ( a ) and 415 ( c ) of the Stewart B . McKinney Homeless Assistance Act made by Section 832 ( e ) of the Cranston-Gonzalez National Affordable Housing Act of 1990 ( Public Law 101-625 , November 28 . 1990 ) will be provided . The amendment exempts the first $100 , 000 from the matching requirement and requires that the benefit of the $100 , 000 exemption be provided to those recipients from the State that are least capable of providing the matching funds . The requirements of 24 CFR 576 . 21 ( a ) ( 4 ) ( ii ) which provide that. the funding of homeless prevention activities for families that have received eviction notices or notices of termination of utility services meet the following standards : (A ) that the inability of the family to make the required payments must be the result of a sudden reduction in income ; ( B ) that the assistance must be necessary to avoid eviction of the family or termination of the 01.11,3 a services to the family; (C ) that there must be a reasonable prospect that the family will be able to resume payments within a reasonable period of time ; and (D) that the assistance must not supplant funding for preexisting homeless prevention activities from any other source . The requirements of 24 CFR 576 . 51 ( b ) ( 2 ) ( iii ) concerning the submission by non-profit organizations applying for funding of a certification of approval of the proposed project( s ) from the unit of local government in which the proposed project is located . The requirements of 24 CFR 576 . 51 ( b ) ( 2 ) ( v ) concerning the C funding of emergency shelter in hotels or motels or commercial facilities providing transient housing . The requirements of 24 CFR 576. 73 concerning the continued use of buildings for which Emergency Shelter Grant funds are used for rehabilitation or conversion of buildings for use as emergency shelters for the homeless ; or when funds are used solely for operating costs or essential services , concerning the population to be served . The building standards requirement of 24 CFR 576 . 75 . The requirements of 24 CFR 576 . 77 , concerninc assistance to the homeless . � . The requirements of 24 CFR 576 . 79 , other appropriate provisions of 24 CFR. Part 576 , and other applicable Federal lac concerning nondiscrimination and equal opportunity . The requirements of 24 CFR 576 . 80 concerning minimizing the displacement of persons , as a result of a project assisted wit:: these funds . The requirements of 24 CFR 576 . 80 concerning the Cnifor7 Relocation Assistance and Real Property Acquisition Policies Act of 1970 . The requirement of the Cranston-Gonzalez national Affordable Housing Act ( Public Law 101-625 , November 28 , 1990 ) contained in Section 832 ( e ) ( 2 ) ( C ) that grantees develop and implement procedures to ensure the confidentiality of records pertaininz to any individual provided family violence prevention or treatment services under any project assisted "under the Emergency- Shelter Grants Program and "that the address or location of an,: family violence shelter project assisted" under the Emergency Shelter Grants Program "will , except with written authorization of the person or persons responsible for the operation of such shelter , not be made public . " The requirement that local government will comply with the provisions of and regulations and procedures applicable under section 104 ( g ) of the Housing and Community Development Act of 1974 with respect to the environmental review responsibilities under the National Environmental Policy Act of 1969 and related authorities , as specified in 24 CFR Part 58 , and as applicable to activities of non-profit organizations . The requirement that no Federal appropriated funds have been paid , by or on behalf of the local government or non-profit organization , 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 loan , the entering into of any cooperative agreement , and modification of any Federal contract , grant , loan or cooperative agreement . The requirement that 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 local government or non-profit organization shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying , " in accordance with its instructions . The requirement that the local government or non-profit organization shall require that the language of the PROHIBITION OF THE USE OF FEDERAL FUNDS FOR LOBBYING CERTIFICATION be included in the award documents for all subawards at all tiers includinc subcontracts , subgrants , and contracts under grants , loans , and cooperative agreements and that all subrecipients shall certify and disclose accordingly . The required certification that the submission of an application for any emergency shelter grant is authorized under applicable law and that the local government or non-profit organization possesses legal authority to carry out emergency shelter grant activities in accordance with applicable law and regulations of the Department of Housing and Urban Development . Gordon Lacy, Chairman Weld County Commissioners Name and Title • -/9- 9/ signa Date ATTEST: /0141.444 WELD((COUNTY CLERK TO THE BOARD) BY: 1�11��� L�. L�1>0iA) �a O,1, DEPUTY C RK TO THE BOARD Hello