HomeMy WebLinkAbout910387.tiff M '` MEMORAnDum
Gordon E. Lacy, Chairman
ToBoard of County Corrmiissioners Date April 30, 1991Wilk COLORADO From Walter J. Speckman, Executive Director, Human Resources 1r
Subject. Migrant Head Start Duality Improvement and Expansion
Enclosed for Board approval is the Migrant Head Start Quality Improvement
and Expansion, for a total of $242,621.
If you have any questions please telephone me at 353-3816.
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OMB AOptOral No.0348-0043
APPLICATION FOR 2 DATE SUBMITTED Ac It Wencher
FEDERAL ASSISTANCE April 29, 1991 90CM013606
I. TYPE OF SUBMISSION: 3.DATE RECEIVED BY STATE Slate Aoollcacon identifier
ADpltcanon Preappltcatdn 90CM013606
O Construction ❑ Construction
4 DATE RECEIVED BY FEDERAL AGENCY Federal Identifier
g Non-Consuucnon ❑ Nonconztrucnon i 90CM013606
a. APPLICANT INFORMATION
Legal Name Or anizehanal Unit
Weld County Division of Human Resources Family Educational Network of Weld County
Address (owe UN coun N. state. and by code, Name and telepnone nuinoer of the person lo be contacted on mallets involving
mg application (pwe area codel
1551 N. 17th Ave. Walt Speckman, Executive Director
P.O. Box 1805 i (303) 353-3816
Greeley, Weld County, Colorado 80632
A EMPLOYER IDENTIFICATION NUMBER MINT 7. TYPE OF APPLICANT: (enter adtrodatale feller in boa
A State M Independent Schad Dist.
8 4 6 0 0 0 8 1 3 B minty 1 Slate Cdntrolled Institution d Higher Learning
C. Municipal J Private University
E TYPE OF APPLICATION: D Township K. Indian Tribe
g(] New ❑ Continuation O Revision E. Interstate L Individual
F Inlermumdoal M Psoth Organizatldl
If Revision.enter appropriate MTter1A in boxiest: ❑ O G Special District N.Other ISOeclty)
A Increase Award B. Decrease Award C Increase Duration
D Decrease Duration Other(spectlys I. NAME OF FEDERAL AGENCY:
Department of Health and Human Services
•
10. CATALOG OF FEDERAL DOMESTIC 11. DESCRIPTIVE TTTLE OF APPLICANTS PROJECT:
ASSISTANCE NUMBER: 1 3 • 6 0 0
Migrant
TITLE: Head Start PY91-92 - PA23
Migrant Head Start Expansion Grant
tr. AREAS AFFECTED BY PROJECT(attn. counties. states. etc.Y
State wide (Colorado)
12. PROPOSED PROJECT'. 1 u. CONGRESSIONAL DISTRICTS OF 4
Start Date Ending Date a Applicant b Project
6/1/91 tc 5/31/92 4
is ESTIMATED FUNDING: is.IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12313 PROCESS?
a Federal $ 00 a YES "HIS PREAPPLICATION;APPLICATION WAS MADE AVAILABLE TO THE
122,000 STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON
b AODIICanT $ 00 DATE
24,400
C State t .00
b NO 0 PROGRAM IS NOT COVERED BY E O. 12372
d Local t _UU ❑
OR PROGRAM HAS NOT BEEN SELECTED BY 5767E FOR REVIEW
e Other t 00
t Program income $ 00 IT. IS THE APPLICANT DELINOUENT ON ANY FEDERAL DEBT?
DYes It 'Yes.' atlach an explanation. a No
q TOTAL t 00
146,400
,s. TO THE BEST OF MY KNOWLEDGE AND BELIEF.ALL DATA IN THIS APPLICATION PREARPLICATION ARE TRUE AND CORRECT.THE DOCUMENT HAS BEEN DULY
AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT ANo THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED
Title We d Cou t Board mftel•131dn•num�
d Typed Name or Autn sized Retire nld ills b y
Gordon E. Lacy Ch man o mmi ioners (3031 356-amic
CI Signature of Awnooted tiI/2 ATTEST: a Date Signed -_
nn __'_' ,, 5-1-91
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91.039'7-
FAMILY EDUCATIONAL NETWORK OF WELD COUNTY
PROGRAM QUALITY IMPROVEMENT PY 1991
BUDGET PA 22
SALARIES AND FRINGE
Salaries $38,235.00
Fringe 4,897.00
SUBTOTAL 43,132.00
FAMILY LITERACY
Expansion of Lab Hours
SUBTOTAL 6,318.00
OTHER QUALITY IMPROVEMENT
Employee Retirement Fund
SUBTOTAL 38,830.00
TOTAL 88.280.00
91.03
EXPANSION PY 1991
BUDGET PA 22
PERSONNEL
SALARIES
.5 FTE Teacher $ 5,046.00
.5 FTE Teacher Aide 3,772.00
2 .25 FTE Bus Drivers 6,762.00
SUBTOTAL/SALARIES 15,580.00
FRINGE
FICA 1,192.00
Workman's Compensation 1,179.00
Disability Insurance 80.00
SUBTOTAL/FRINGE 2,451.00
SUBTOTAL/PERSONNEL 18,031.00
SUPPLIES
Classroom Supplies 4,500.00
Kitchen Supplies 550.00
Medical/Dental Supplies 225.00
Special Needs 500.00
SUBTOTAL SUPPLIES 5,775.00
OTHER
Transportation 5,000.00
Parent Activities 650.00
Child Care 500.00
Insurance 36.00
Medical/Dental Services 1,900.00
Training 900.00
Utilities/Telephone 750.00
Miscellaneous Costs 6,500.00
Special Needs Contracts 5,000.00
Janitorial Services 1,458.00
Staff Travel 1,000.00
Repair and Maintenance 2,500.00
SUBTOTAL/OTHER 24,736.00
TOTAL $50,000.00
91038
START UP COSTS
EXPANSION BUDGET PA 22
Modular 60,000.00
Outdoor Equipment 1,000.00
Children's Books and
Resource Materials 3,000.00
Office Equipment 500.00
Audio/Visual Equipment 2,500.00
Vehicle Replacement 5,000.00
TOTAL 72,000.00
BUDGET NARRATIVE PA 22
PROGRAM QUALITY IMPROVEMENT
SALARIES AND FRINGE
All staff members of The Family Educational Network of Weld County will
receive a minimum salary increase of six percent (6%) . The following
positions have been upgraded (See Attachment I, Wage Sheets and Attachment
II Wage Comparability Study) : The Education Coordinator was upgraded from
an HIC to an HIE; The Office Manager was upgraded from an HH to an HIC; the
Teachers were upgrade from an HG to an HH; and the teacher aides were
upgraded from an HA to an HC. The changes were determined from the wage
comparability study and the amount of responsibility of a position to the
pay•
FRINGE
Pays for the following fringe benefits for all full time regular employees:
FICA .0765 x salary
Disability Insurance $.51 per $100.00 up to $5,000.00
Workman's Compensation
Teacher and Teacher Aides $7.57 per $100.00 made
All other staff $0.58 per $100.00 made
Health Insurance $105.00 per employee
Life Insurance 3 x salary divided by 1000 x .265
FAMILY LITERACY
Pays for the expansion of computer lab hours at The Employment Services of
Weld County so that our clients may participate in GED Courses and Adult
Basic Education Courses offered.
The approximate cost for sixteen (16) parents to participate is $395.00 per
student. The cost pays for the lab to remain open two (2) hours per day
exclusively for Head Start Parents.
OTHER QUALITY IMPROVEMENT
Will pay for all employees to partake in Weld County's Retirement Fund.
For all employees to enter into the Retirement Fund they must have a six
percent (6%) match of their salary, this amount equals a total of
$20,363.00. The grantee must match another six percent (6%) , totaling
$18,467. Therefore all employees will receive an additional six percent
(6%) to their salary and the FENWC Program will match its six percent
portion.
91.038 .�
BUDGET NARRATIVE
EXPANSION
BUDGET PA 22
PERSONNEL
Salaries
Pays for one (1) half time ( .7 FTE) Teacher
1,262 x 65% divided by .5 x 12
Pays for one (1) half time ( .7 FTE) Teacher Aide
942 x 65% divided by .5 x 12
Pays for two (2) quarter time ( .25 FTE) bus drivers
Fringe
Pays for the following fringe benefits:
FICA .0765 x salary
Workman's Compensation $7.57 per $100.00 of salary
Disability Insurance $.51 per $100.00 of salary up to
$5,000.00
SUPPLIES
Classroom Supplies
Class room supplies include teaching materials, construction paper, paint,
scissors, etc.
Kitchen Supplies
Kitchen supplies include silverware, plates, cups, serving bowls, etc.
Medical/Dental Supplies
Medical/Dental supplies include first aid kits, thermometers, ice packs,
disinfectant, band aides, cotton balls, etc.
Special Needs Supplies
Special Needs Supplies include special silverware and supplies needed in
the classroom and program so that the child with special needs may have a
successful Head Start experience.
OTHER
Transportation
Pays for all transportation costs for transporting 15 children at $333.00
per child. These costs include gas and oil, repair and maintenance and
allocated funds for vehicle replacement.
Parent Activities
Includes costs incurred for Parent Policy Meetings, parent trainings and
activities.
Child care
Pays for child care for parents while they are participating in Literacy
classes, volunteering in the classroom and attending parent related
meetings, trainings and activities.
Insurance
Pays for child liability insurance; $2.40 x 15 children.
Medical/Dental Services
Medical/Dental Services include the costs incurred for physical and dental
screenings and examinations for children attending the program.
Training
Pays for Teacher and Teacher Aide training in Appropriate Early Childhood
Practices, and start up for CDA for the Teacher.
Utilities/Telephone
Pays for costs incurred for gas, electricity, water, sewage and telephone
• usage.
91.0381
Miscellaneous Costs
Pays for incidental costs, such as Weld County Indirect Costs,
publications, advertising etc.
Special Needs Contracts
Pays for the addition of children added to the special needs contracts with
The University of Northern Colorado, speech and Centennial Developmental
Services for OT/PT and Special services.
Janitorial Services
Pays for the cost of janitorial services through Weld County and also the
costs of additional janitorial supplies.
Staff Travel
Pays for staff travel for trainings, home visits and site visits,
and also per diem costs. Approximately 2,500 miles x .25 = 625.00;
per diem 15 days at 25.00 per day = 375.00.
Repair and Maintenance
Pays for repair and maintenance for machines and equipment, as well as any
building repair and maintenance.
BUDGET NARRATIVE
EXPANSION-START UP COSTS
PROGRAM ACCOUNT PA 22
Modular Building
Pays for the cost of a modular building to include set up costs, utility
hookups etc.
Outdoor Equipment
Consists of equipment used outdoors for children's gross motor development
to include tri-cycles, climbing apparatus etc.
Children's Books and Resource Materials
Includes books, film strips, videos, tapes etc. for the classroom. Also
pays for multi-cultural resource materials and books.
Audio/Visual Equipment
Includes VCR's, record players and tape recorders.
Vehicle Replacement
FENWC's allocated portion for the replacement of mini-buses/vans.
"9,-)
FAMILY EDUCATIONAL NETWORK OF WELD COUNTY
PROGRAM QUALITY IMPROVEMENT
BUDGET PA 22
PROGRAM NARRATIVE
SALARIES AND FRINGE
The Family Educational Network of Weld County (FENWC) proposes to raise the
salaries of all staff a minimum of six percent (6%) , and upgrade the status
of the following positions: Education Coordinator, Office Manager,
Teachers and Teacher Aides. The Education Coordinator will receive an
upgrade of one step in lieu of the fact that she supervises approximately
three times the staff of the other coordinators. The Office Manager
received an upgrade of two steps as her duties increase daily and she will
be responsible for the supervision of a secretarial pool. The Teacher
received an upgrade of one step, as the qualifications are becoming more
stringent and the responsibilities the teaching staff are becoming more
complex. The Teacher Aides received an upgrade of two steps for the same
reasons as the teachers and also to widen the gap between their wages and
minimum wage.
The salaries in Weld County for Early Childhood Programs are comparatively
lower than those paid by FENWC, however, the requirements and
responsibilities of FENWC employees supercede those of other programs.
It is surmised that an increase in salaries and benefits will allow FENWC
to recruit qualified staff more readily. It is also felt that the morale
of the staff of FENWC will improve dramatically with the aforementioned
salary improvements.
FAMILY LITERACY
In order to enhance the literacy level of the families of FENWC, we have
entered into an agreement with The Employment Services of Weld County,
Literacy Lab, for sixteen parents (minimum). The Literacy Lab is using
computer software developed by The Jostens Corporation called INVEST (see
Attachment III) . The software is a self-paced software and user friendly.
A lab teacher and assistant will be available at all times so that parents
may receive the assistance needed to ensure success with their individual
learning needs.
For those families/parents who feel uncomfortable in a learning lab
environment the following options remain: a volunteer providing individual
services from The Right to Read Program, classes at Aims Community College
and services from Rocky Mountain SER, Jobs for Progress (for our spanish
speaking population).
Child care will be provided for all parents wishing to utilize the literacy
programs listed above. FENWC will attempt to provide transportation for
parents utilizing the Learning Lab.
OTHER QUALITY IMPROVEMENT
The staff at FENWC have no retirement benefits other than their Social
Security Benefits. Due to the increasing cost of living a retired person
needs to have money aside from the Social Security Benefits, therefore,
FENWC wishes to place its employees in the County Retirement Fund. Upon
entering the fund all employees will receive an additional six percent (6%)
raise to their salaries, which will be used for their six percent match for
the retirement fund, and the grantee will use the additional six percent
of the quality improvement dollars for their match for employees in the
retirement fund.
The highlights of Weld County Retirement Fund are:
* 6% of income is withheld on a pre-tax basis.
* An employee needs to work 5 years before they are vested in the
plan.
* Normal retirement is at 62 (the average age of FENWC employees is
35) .
* Employees may retire at age 55.
* The monthly amount received upon retirement is based on the years
of service with the County and the average final salary.
* When an employee leaves County employment, they may receive their
accumulated contribution with interest.
91.03
FAMILY EDUCATIONAL NETWORK OF WELD COUNTY
PROGRAM EXPANSION PA 22
PROGRAM NARRATIVE
The Family Educational Network of Weld County is asking for funds for an
additional fifteen (15) children. The additional children will be three
(3) years old. FENWC currently serves 241 four year olds in the Greeley
area and Greeley/Evans School District 6 serves 200 four olds with their
Colorado Preschool Project, for a total of 441 four year olds receiving
Early Childhood Services. School District 6 provides Kindergarten services
to.approximately 750 children, therefore it is estimated that one-half of
the kindergarten population is receiving pre-school services at no cost.
School District 6 requested that FENWC look at providing services for three
year olds. FENWC will work closely with School District to ensure that
the children with the most need receive Head Start Services.
This increase of 15 children will add 1 classroom to FENWC, the children
will be integrated with four year olds from the Head Start Program and The
Colorado Pre-school Project, therefore the class size will not exceed 15
children per class. Individual Education Plans will be written for all of
the children to ensure that their individual needs are met.
The children will come from the northern area of Greeley, (See
Attachment IV) . There will be a minimum of 2 children with special needs
and no more than one child will be over income.
In order to operate the program and assure quality the following positions
will be added to the program: One Teacher with a minimum credential of a
CDA and one Teacher Aide to ensure that the children receive a
developmentally appropriate Head Start experience. Two quarter time bus
drivers are needed to transport children to the center.
91.0:7,9"y
FAMILY EDUCATIONAL NETWORK
EY 6% 1990-1991
HOURLY A B C D E
HA 5. 15 5.29 5 .42 5. 55 5.69
HE 5. 29 5. 42 5. 55 5. 69 5.84
HC 5. 42 5. 55 5.69 5. 84 5.99
HD 5. 69 5.84 5. 99 6. 14 6.30
HE
HF 5.84 5.99 6. 14 6. 30 6. 46
HFO 6. 32 6.48 6.64 6.81 6.97
HG 6. 41 6.58 6.74 6.92 7.09
HH 7 . 25 7 .44 7 .62 7.81 8.01
HI 7 . 62 7 .81 8.01 8. 22 8.43
HIC 8 . 13 8 .33 8. 54 8.76 8.98
HIE 8.70 8.93 9. 15 9.38 9.61
HJ 11 .05 11 .33 11 .61 11.90 12.21
HK 13.46 13.79 14. 14 14. 50 14.86
HKD 14. 14 14.50 14. 86 15. 23 15.61
MW 4.25
MONTHLY A B C D E
HA 896. 10 920.46 943.08 965.70 990.06
HB 920 .46 943.08 965.70 990.06 1,016. 16
HC 943.08 965.70 990.06 1,016. 16 1,042.26
HD 990.06 1 ,016. 16 1 ,042. 26 1 ,068.36 1,096.20
HE
HF 1,016. 16 1 .042 .26 1 ,068. 36 1,096.20 1, 124.04
HFO 1 ,099.68 1 , 127 .52 1 . 155. 36 1, 184.94 1,212.78
HG 1, 115 .34 1 , 144 .92 1 , 172.76 1,204.08 1,233.66
HH 1,261 .50 1 ,294.56 1 ,325.88 1, 358.94 1,393.74
HI 1 ,325 .88 1, 358 .94 1 , 393.74 1 , 430. 28 1 . 466.82
HIC 1,414 .62 1,449.42 1 , 485.96 1,524. 24 1 .562.52
HIE 1,513.80 1.553.82 1 .592. 10 1, 632. 12 1 ,672. 14
HJ 1,922.70 1 .971 .42 2,020. 14 2,070. 60 2 , 124. 54
HK 2,342.04 2,399.46 2, 460. 36 2,523.00 2,585. 64
HKD 2.460 .36 2._ 523.00 2, 585. 64 2.650. 02 2 .716. 14
MW 739 .50
91.038'1
PRESENT SCALE FAMILY EDUCATIONAL NETWORK
1990-1991
HOURLY A B C D E
HA 4.86 4.99 5 . 11 5 .24 5.37
HB 4.99 5 . 11 5.24 5 .37 5.51
HC 5. 11 5 .24 5. 37 5 .51 5 .65
HD 5 .37 5 . 51 5.65 5.79 5 .94
HE
HF 5 .51 5. 65 5 .79 5.94 6.09
HFO 5.96 6. 11 6 .26 6. 42 6. 58
HG 6.05 6.21 6.36 6. 53 6. 69
HH 6.84 7.02 7 . 19 7.37 7 .56
HI 7 . 19 7 . 37 7 .56 7. 75 7.95
HIC 7. 67 7.86 8 .06 8 .26 8.47
HIE 8. 21 8 .42 8.63 8 .85 9.07
HJ 10. 42 10.69 10.95 11 .23 11.52
HK 12.70 13.01 13. 34 13.68 14.02
HKD 13.34 13.68 14.02 14.37 14.73
MW 4 .25
•
MONTHLY A E C D E
HA 845. 64 868.26 889 . 14 911.76 934.38
HB 868. 26 889. 14 911 .76 934 .38 958.74
HC - 889. 14 911 .76 934.38 958 .74 983. 10
HD 934.38 958.74 983. 10 1 ,007 .46 1 ,033. 56
HE
HF 958.74 983. 10 1 ,007 . 46 1 ,033.56 1 ,059.66
HFO 1,037.04 1.063. 14 1 ,089. 24 1, 117.08 1, 144. 92
HG 1 ,052.70 1.080.54 1 . 106.64 1, 136. 22 1, 164.06
HH 1, 190. 16 1,221.48 1 ,251 .06 1,282.38 1,315.44
HI 1 ,251 .06 1,282. 38 1 , 315 . 44 1,348. 50 1 ,383.30
HIC 1 , 334.58 1 , 367 . 64 1 ,402 . 44 1 ,437 .24 1 ,473.78
HIE 1 , 428. 54 1,465 .08 1,501 .62 1 ,539 .90 1 ,578. 18
HJ 1,813.08 1,860 .06 1,905 .30 1 ,954.02 2,004. 48
HK 2,209.80 2.263.74 2,321. 16 2,380. 32 2, 439.48
HKD 2, 321. 16 2,380 .32 2,439. 48 2,500.38 2, 563.02
MW 739 .50
91.03S `y
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Attachment II
WAGE COMPARABILITY STUDY
FAMILY EDUCATIONAL NETWORK OF WELD COUNTY
PROGRAM YEAR 1991-1992
SCHOOL DISTRICT GREELEY/EVANS #6
Principles. $30,000.00 per year plus
Executive Secretary 7.83 to 11.99 per hour
Secretary Assistant 5.32 to 7.83 per hour
Outreach Personnel 7.90 to 11.48 per hour
Nurses (RN) 20,000 per year plus
Nurses Aides 5.32 to 7.83 per hour
Teachers 19,920 per year plus
Teacher Aides 5.32 to 7.83 per hour
**NOTE: The salaries for all positions except the secretarial positions
vary dependent upon educational and experience levels and length of
time employed with the school district.
ABC CHILD DEVELOPMENT CENTER
Teachers 4.50 to 6.25 per hour
Teacher Aides 4.25 to 4.75 per hour
Site Directors 6.00 to 7.50 per hour
Assistant Director 6.00 to 7.50 per hour
Director 25,000 average, dependent upon yearly
profits
MONTESSORI
Teachers 4.50 to 5.50 per hour
No Teacher Aides or
additional staff
Director 15,000 average, dependent upon yearly
profits
CHILDREN'S WORLD
Lead Teachers 5.25 per hour
Teachers 4.50 per hour
Teacher Aides 4.25 per hour
Education Coordinator/
Assistant Director 6.00 per hour
Director 8.00 per hour
pl67PQ.y
SMALL WONDER
Teachers 4.50 to 4.75 per hour
Teacher Aides 4.25 per hour
Assistant Director 5.90 per hour
Director 12,500 average, dependent upon yearly
profits
COLORADO HEAD START SALARY AVERAGES
Director 27,638
Education Coordinator 20,142
PI/SS Coordinator 16,824
Health Coordinator 14,043
Teacher 12,923
Teacher Aide 7,177
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OMB Approval No.0348-7643
APPLICATION FOR 2.DATE SUBMITTED AOpii identifier
FEDERAL. ASSISTANCE April 29, 1991 I 90CM013606
1. TYPE OF SUBMISSION'. J.DATE RECEIVED BY STATE State Application Identifier
Application PresO0licabon 90CM013606
Construction Construction
4 DATE RECEIVED BY FEDERAL AGENCY Federar identifier
ExNan.Constr cnon ❑ Non-Construction 90CM013606
s. APPLICANT INFORMATION
Legal Name Organizational Ural
Weld County Division of Human Resources Family Educational Network of Weld County
Address(give UN Coun N, stale. and rip coder Name and teleonone number Of the Gerson t0 be contacted on matters invOlvmg
this application love area COpel
1551 N. 17th Ave. Walt Speckman, Executive Director
P.O. Box 1805 (303) 353-3816
Greeley, Weld County, Colorado 80632
a. EMPLOYER IDENTIFICATION NUMBER IEINI' J. TYPE OF APPLICANT: (enter aOproOnate letter in Sr)
El
A State H Independent School Dist.
8 4 6 0 0 0 8 1 3 B County I Slate Controlled Insmutal 01 Higher Learning
C Municipal J Private Unrversily
S. TYPE OF APPLICATION: D Township K. Indian Tube
® New ❑ Continuation El Revision E. Interstate L Individual
F IntermunKapal M Profit OrgeniZatron
II Revision.enter apOroDnate latter(5)in boalesc ❑ ❑ G Special District N.Other ISCeodyl
A Increase Award B Oecrease Award C Increase Duration
0 Decrease Duration Other(speedy). I. NAME Of FEDERAL AGENCY:
Department of Health and Human Services
'
t0. CATALOG OF FEDE(UL DOMESTIC II. DESCRIPTIVE TITLE OF APPLICANTS PROJECT:
ASSISTANCE NUMBER: 1 3 e 6 0 0
Migrant PY91-92 PA23
nue. Head Start Migrant Head Start
-Salary Enhancement
12. AREAS AFFECTED BY PROJECT tuns. Counties. stales. WC l' -Quality Improvement and
State wide (Colorado) -Family Literacy
it PROPOSED PROJECT. 14. CONGRESSIONAL DISTRICTS OF 4
Start Date Ending Date a Applicant o Project
6/1/91 05/31/92 4
15.ESTIMATED FUNDING: it IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12172 PROCESS?
a Federal S 00 a YES THIS PREAPPLICATION,APPt_ICATION WAS MADE AVAILABLE TO THE
80,184 STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON
b ApOllCant f 00 PATE
16,037
c Slate S .00
b NO ❑ PROGRAM IS NOT COVERED BY E O. 12372
d LOGaI f .00
OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW
e Other S 00
r Program income S W IT. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT?
❑ Yes If 'Yes, attach an explanation n No
g TOTAL :96,221 oa
iii. TO THE BEST OF MY ANONLEDGE AND BELIEF.ALL DATA IN THIS APPLICATION PREAPPLICATION ARE TRUE AND CORRECT.THE DOCUMENT HAS BEEN DULY
AUTHORIZED BY THE GOVERNING BOOT OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED
e r.r.: Name al Aumonlfs0 Representative b Title
Weld County Board oaf7elephOne number
Gordon E. Lacy Chai an, Co t C mmi sioners (303) 356-400)
d Signature al Auction ReOresenul e ATTEST: a Date Signed
5-1-91
BY: gAHY) ,
prevaus eolbptT le d I Slammed ham 4B _v s IO2
DEPUTY CL RK TO BOARD Slammed o OMB �• Icy 4 ifti
Authorized for Local Reproduction
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