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Home My WebLink About941684.tifft WIWDC COLORADO April 27, 1994 DEPARTMENT OF BUILDING INSPECTION PHONE (303) 3333045, EXT. 3525 WELD COUNTY ADMINISTRATIVE OFFICES 1400 N.17TM AVENUE GREELEY,COLORADO 80631 Hugo Franco 201 Main Street P.O. Box 453 Gilcrest, CO 80623 Code on parcel of land describas Subject: BCV-2108 Building Lot 132, Country Estates iMobile na Home Park, Weld County, Co orado. Dear Mr. Franco: The property referenced above remains in violation of the Wald County Building Ordinance. I have scheduled a meeting with the Board of County Commissioners on Tuesday, May 10, 1994 at 10:00 a.m. to consider the Building Code Violation occurring on your property. This meeting will take place in the County Commissioners' Hearing Room, first floor, Weld County Centennial Center, 915 Tenth Street, Greeley, Colorado. It is recommended that you or a representative be in attendance to answer any questions u eci Board of County Commissioners might have about the violation. The Department of Planning Services' staff will be recommending that the Board of County Commissioners authorize the County Attorney to proceed with legal action to remedy the violation. Our records indicate that you were made aware of the nature of the violation, the action necessary to correct the violation, and that you were given sufficient time to remedy the violation. If you have any questions concerning this matter, please call me. Respectfully, Edwin stoner Lead Combination Inspector 940433 WELD cowry BUILDING CODE VIOLATION NOTICE Date 11 Property Address "i Violation Numbet- Permit Number 372 - <r, ':Tenant t r A//L / Legal Description Address .' /f- • -tY' ?"7 ✓447.� Inspection of the above described property revealed building code violations of Section(s) 7") y 7 7O 'c i 140 5 / f,o. c,, 'r '> 2 of the Weld County Building Code Ordinance. Explanation of Violation: iilr 4,CJn/ 7(1u<'A4in/S') /1<fs porn :1 t'arfnrp•:.1. m t ' a £f to ,,,r - It is the intention of this office to assist and cooperate with the residents of Weld County without imposing undue hardships; However. we have no discretion in this matter if you fail to correct this violation. You have until c:/ 2/ 1T V to correct this violation. Failure to do so will result in this office referring the violation to the Cemmey lets ..y's other for appropriate legal cooton. Card of Cowwty Coos. ••• i 55Ibid.r3. rAiy A...P•4; WE// be Any information you have that may help to resolve this matter will be helpful. This office is ready to be of any assistance in clarifying or answering questions concerning this matter. Please call or write the Department of Planning Servtees' office within five days. 11For Mora /O, /991. At Thal' 4<:.4c,yov w<%/ /7duct a.t mpgpiiompot ooia:u/t/.•:7S Lp Zsk Mr -flame off neeces51/y. zn •_9'ie.;<ut et Y,.,e ,r Inspector Weld County Building Inspection Department 1400 N. 17th Avenue Greeley, Colorado 80631 Phone 353-3845 Ext. 3525 940433 sag, Prance 201 Hein Street, p.e.baz 453 Oilcreat,Celerada. 80623 telephone # (303) 737_ 07 !ti Xarch 29 , 1994 Department of Building Inspection Weld County kfideiatratien Offices 1400 1. 17 U Avenue Greeley, Colorado. 80631 Subject; permit #3733 approval Date if Permit : Sy eo 1993 Property Located at 3500 35th Avenue #132 Dear tic. Sevin: I Am Writing this letter to yen to apilegize Mt my trailer conditions, I would like to make you understand that I am doing all the best that I en possible do to have ai trailer net 'sly in coaditiens for a Mailed, respective, but also to have it ready se 1 and my family can live is it. It has been hard to pay space rest fir almost a frill year and sot live in it. I would also like to apologise for answer year letter so late, but as yea, know I drat live at the stress your letter was sent to, I have been living, in Oilcrest while 5 could get my sobible brae readytor live in it. The main ruses S havest finished the home is money, I never thoogt it was, going to take ao much mosey in moving it and fixing it, also utilities, I also got behind en a4' bills, sad before S knew it 3 had part of my salary check garnished for about three months , Also at that time working, hours went doom to 32 hours a week, and with thee garnishment I was takia, ea I could not finish the trailer. Ghat / can soy is that now my financial situatin is doing better, and I Am back at the trailer trying to have it finished, for that rasa I would like to ask if possible have an exteassivn on my permit so I can get caught up , and have it finished. QM again Kevin I Apologize far all the time is taking Xe. Sincerely, 1�raiw /✓11;732LL logo and finaily (J 0 2 R 1994 940433 COLORADO t DEPARTMENT OF BUILDING INSPECTION PHONE (303) 353.3845. EXT. 3525 WELD COUNTY ADMINISTRATIVE OFFICES 1400 N. 17TH AVENUE GREELEY, COLORADO 80631 March 14, 1994 Franco Hugo 3500 35th Avenue #132 Greeley, CO 80631 Subject: Permit #3733 Approval Date of Permit: May 20, 1994 Property located at 3500 35th Avenue #132. Dear Mr. Hugo: In reviewing our records, we noticed chat the above permit has not been finaled. The Weld County Building Code Ordinance requires that all inspections on mobile homes or manufactured homes be satisfactorily completed within 180 days after the mobile home building permit has been approved and released by the Department of Building Inspections. Please make arrangements co complete all unfinished work and have all inspections completed within ten (10) days of the date of this letter. Failure to obtain a Certificate of Final Inspection by the end of this ten day period will result in the issuance of a violation notice. Your cooperation is appreciated. Sincerely, Kevin $yal Electrical Inspector 71 940433 RESOLUTION RE: APPROVAL OF RENEWAL REQUEST FOR 3.2% BEER LICENSE ISSUED TO LEO K. WARDMAN, DBA LEO'S HUT - EXPIRES JULY 18, 1995 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, Leo K. Wardman, dba Leo's Hut, presented to the Board of County Commissioners of Weld County, Colorado, an application for the renewal of a County Retail License for the sale of fermented malt beverages, containing not more than 3.2% of alcohol by weight, in sealed containers not for consumption at the place where sold, and WHEREAS, pursuant to Weld County Ordinance No. 6, Section IX., C., said applicant has paid the sum of i57.50 to the County of Weld for the renewal of the existing license, and WHEREAS, said applicant has exhibited a State License for the sale of 3.2% fermented malt beverages in sealed containers not for consumption at the place where sold, outside the corporate limits of any town or city in the County of Weld at the location described as follows: Route 66, Highway 85, Carr, Colorado 80612 NOW, THEREFORE, BE IT RESOLVED that the Board of County Commissioners of Weld County, Colorado, having examined said application and the other qualifications of the applicant, does hereby grant License Number 94-07 to said applicant to sell 3.2% fermented malt beverages in sealed containers not for consumption at the place where sold, only at retail at said location; and the Board does hereby authorize and direct the issuance of said license by the Chairman of the Board of County Commissioners, attested to by the Clerk to the Board of Weld County, Colorado, which license shall be in effect until July 18, 1995, providing that said place where the licensee is authorized to sell 3.2% fermented malt beverages in sealed containers not for consumption at the place where sold, shall be conducted in strict conformity to all of the laws of the State of Colorado and the rules and regulations relating thereto, heretofore passed by the Board of County Commissioners of Weld County, Colorado, and any violations thereof shall be cause for revocation of the license. 940442 arc; .So; a',elnad RENEW 3.2% BEER LICENSE - LEO'S HUT PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 25th day of April, A.D., 1994. ATTEST: Weld County Clerk to the Board BY: r��c Deputy erk to the Board APPROVED AS TO FORM: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Da1R,K. Hall, 7i-Tem /// GeoE. Baxter County Attox'ney onstance L. Harbert 411 arbara J. Kirkme er 940442 THIS LICENSE MUST BE POSTED IN PUBLIC VIEW CO 0402 (101t2) DEPARTMENT ALCOHOLIC STATE OF COLORADO • OF REVENUE Liquor Enforcement Division 1375 Sherman Street Denver. Colorado 80261 WARDMAN LEO K MRS LEOS HUT RT 66 HWY 85 I CARR CO 80612 BEVERAGE LICENSE AOCuum Nets Liability iManitatian LICVdS UMPIRES AT SUMMIT County City laduat. Tr Lit.bility Dale 1.4 09594 03 020 5921 I 071970 . JUL 18, 1.995 Typo Sant* and 0aaatiption of Weems Pee 2122 2190 al 3.2 PERCFNI RETAIL BEER LICENSE OFF P£RMISFS COUNTY 85 PERCENT OAP FEE $ 50.00 $ 42.50 TOTAL flue This license is issued subject to the laws of the State ot Colorado and especially provision of Title 12, Articles 46 or 47. CRS 1973. a mended nontransferable and shall be conspicuously posted in the place above described only valid through the expiration date shown above. Questions concerning be addressed to the Department of Revenue. Liquor Enforcement 0ivision. Street Denver, CO 80261. testimony whereof, I have hereunto set my hand. SL Joan MAY 1 0 194 D1v,.I6a Ohaatat Inez $ 92.50 under the This license is This license is this license should 1375 Sherman de n.r.1.0\s, tiv. Ql, a SOLD HERE N Cr) ,�� le �a �t fi uj+ siht.' !C 1.vat a2;f �� + lLr •rl r 940 OR 5400 (W89 ntie Cob. gquoe Enf Enforcement e0MB i375 Shannon Street Denver, Colorado 80251 8563741 Liquor or 3.2 Beer License Renewal Application n:ikr;mA% LEO !i'...MRS LEGS HUT SRk CU 80612 Donnas Number: - 14-09594-•000 Lars Type:: 2122 Liability Information' 33 021 5921 I C71970 Buefnaes. t.Wetlen: KT 55 Hv.Y e5 CA: -.(r.: C.^, Current License Expires: JUL 113. 14,74, f/gadRII fYG © YOUR PROMPT ATTENTION IS REQUIRED. FAILURE TO COMPLETE MIS FORM A000RATELY AND PROMPTLY MAY RESULT IN YOUR UCENSE NOT BEING RENEWED. • FILL OUT THIS FORM COMPLETELY AND CHECK APPROPRIATE BOX BELOW p.(This renewal refecta no changes from last application. O There are changes from last application. (Report changes on form DR 8176 --Report of Changes • Liquor and 3.2 Beer Licenses• and attach that form to this renewal application.) • SIONTHE FORM • ENCLOSE TOTAL AMOUNT DUE • SUBM1• FORM TO LOCAL (OTWCQ efiro UCENSIN0 AUTHORITY FOR APPROVAL • CHECK WITh LOCAL AUTHORfl'Y FOR AMOUNT OF LOCAL FEES. moPtIOAN I dads* under penalty cl perjury In me second degree mat this rpplkatlon and all attachments are live, correct, and complete to the beat ofmywlowkdge. Authorized Signature: . ;- Onwnaes itAil'l it ePhone:. 1 - /7 2; 13 Title of Signer (a corporation): Sales Terre. /'fc /3 ?AI ATTACHED DR 8401 MOST BE COMPLETED (ALL 3 COPIES) SUBMIT THE STATE COPY AND LOCAL (CITY/COUNTY) AUTHORITY COPY TO YOUR LOCAL (CITY/COUNTY) LICENSING AUTHORITY NO LATER THAN 45 DAYS BEFORE YOUR UCENSE EXPIRES. EXCEPTION: Wholesaler, manufacturer, importer, and public transportation system license renewals do not need t oral Licensing Authority approval and must be returned directly to the Colorado Department of Revenue no later than 30 days prior to license expiration. -REPORT AND APPROVALOP LOCAL LICENSING'AUTHORITY The foregoing application has been examined and the premises, business conducted and character of the applicant are satlsfac- tory and we do hereby report'thatsuch license, if granted, will comply with the provisions of Title 12, Articles 48 and 47. THEREFORE THIS APPLICATION-IS.Ap,PROVED, Local Uceneing Authority y ter -•.. $M 'w'ELD (4i}r)iTY• COLORADO .Y itI ' E TOWN/CITY a COUNTY Signature: C. tl't•. l TM CH.AT.101N4, k'Y40 (A -S BOM4') OF S4`%va T9\LS Amer: I4?/4j hY : �E T�r U 1 J� /Dat5 .✓ vA r. 04/7.5/96 Do rdor Crr ur • 06 nnr oeGcw: loo eor .cH - Do nor eE+,rCM • Do NOT oeTAcw • Do xo. oemcw • Do xor oerncw • Do idol oeucw • DoxoTDETACN v ..c NAME: USE LICENSE NUMBER FOR AU. REFERENCE LIABILITY fNFORMATION RENEWED LICENSE EXPIRES AFTER rouNrY are INDUST. TYPE MAR. GATE ..CS ,+LT 14-01594-004 33 ,C2C 5921 I 57197C 07-1S-95 TYPE OF LICENSE ISSUED CASH FUND STATE FEE CITY 85%OAP CO 85%OAP M-01 on 414 (0) 484 (9) 37.1 (9) 401 (9) j..< e.'ttt.4-hi 'it.:n R:,TA1♦. L:C:'S. (C.[F P ":SES) s 2t.CC S 25.0 e 42.50. Make check RPARTMe ro: COLORADO DnNusrwaar or Aanaua TOTAL AMOUNT DUE* $ 92. EXTENDED HOURS — Applies only to Hotel and Restaurant, Beer and Wine, Club, Tavern, Extended hours? and Alts licenses. If desired, cheek "yes' and enclose Total Amount Due PLUS $170.00. O Yes 1}) No r LZaO/'i. 940442 • ""a'd'"a" Attachment to Liquor/3.2 License Renewal Application This pap must be completed end attached to your taped renewal application form. Failure to include title pepr with the applaeon they revolt in your Moen not belie renewed, Truk Name of Establishment 1eo'S State Lkrn war 1. Do you have legal posesslon of the premises for which this app%caton for tense is made? YES . fao O Are the premises owned or rented? . If rented, effective and emkation date of lease: 2. (a) Has the applicant, or any of the partners, or officers, stockholders or drectors of said apgkant Of a corporation) ever been vis[J NOV convicted of a crime? If answer is yes; explain in detail and attach. (b) Have persons lending assistance orflnanclalsupporttothe appleant, or manager, oremployees,(her beencomictedofatrine? YES . NOX If answer is yes, explain in detail and attach. 3. Has the applicant, or any of the partners, or officers, erectors or stockholders of said applicant Of a corporation) or manager, aver: (a) been denied an alcoholic beverage license? YES (b) had an alcoholic beverage Ikense suspended or revoked? YES❑ (c) had Interest in any entity that had an akoholk beverage license suspended or revoked? YES If answer is yes' to any of the above questions, explain in detail and attach. ■ o NOM sox NoJR' ..a._Dpes9t.QidaaalRapt,.ot.KryofUUSttottsAcoffitetucreole%At.dptWlOidetxaseid poFtant(t)ELayo[tlba.Aavekrirect_ —[SO tea or indirect interest in any other Colorado liquor license (include loans to or from any licensee, or interest in a loan to any licensee)? If answer is yes, explain In detail and attach. "" 5. Identify the persons, firms or corporations who now or will have a financial interest, evidenced either by a ban to, or equity ownership in, the business for which this license is requested, State the names and addresses and the amount and source of such financial interest(i.e., bark, relatives, friends, previous owners, etc.), expressed in dollars or other items of value, such as inventory, furniture or equipment. Use so ante sheet if necessary. - Name Address 'Interest I Type and Amoud 1 6, List on a separate sheet the names and addresses of al liquor businesses In which any of the persons in question No. 5 are materialy interested. 7. Operating Manager Address 1 Date of Birth 8. If applicant is a DartnersNp (except husband and wife), list all general partners. Use separate sheet If necessary. 'Fame - I `7iidress Data of Birth Name Address Date of Birth 9, If the applicant is a corporation, answer the following: (a) Corporation is organized under the laws of the State of: Date Incorporated: (b) Principal place of business is: lc) Date of filing last annual corporate report to the Cob. Secretary of State: , (d) Name of each officer listed below: - DatteffiOtr . - Vice-Pres. Home Address Date of Birth Treasurer Home Address Date of Birth Secretary I Home Address Date of Beth (e) list all stockholders,5% or over, (if a public corporation) inducing actual owner or pledgee. (Use separate sheet if necessary) Flame - Address Percent of Stock Date of Birth Name f1 Address Percent of Stock Date of Birth Name Address Percent of Stock Date of Birth (f) Name of ail Direttors/Trustees of Corporation Name Address Date of Birth Name Address AIAAA° Date of Birth • DATE: April 18, 1994 TO: ROSEMARY LOPER, RECORDS FROM: OFFICE OF WELD COUNTY CLERK TO THE BOARD SUBJECT: LIQUOR LICENSE CHECKS Please run a records check on the following establishment. This information will be used by the Board of County Commissioners in considering renewal of liquor license. Please respond no later than April 22, 1994, 10:00 AM Thank you. ESTABLISHMENT: Mrs. Leo K. Waldman, dba Leo's Hut Rt. 66 Hwy 85 Carr, CO 80612 INCLUSIVE DATES: April 19, 1993 through April 18, 1994 BY: Lin Dodge, Deputy Call 356-4000, ext. 4226 WHEN COMPLETED, OR IF QUESTIONS. No violations on record. VIOLATIONS: (PLEASE LIST ) BY: QaVY aru l C7�1 rt ) BY: 940442 LEOS HUT 06.71 LEO K WARDMAN 62011 HWY 85 CTY ROAD 128 CARR, CO 80612 Pay to tee Order of l r`:kt: AbnwtSen* One*, NA aNlwrinSTOANKS l9 Jd61 7025 Nktf100Av.au COWS CoANedJeQWt Mom . &m i •1:10 7000 34 31: L. 280 1 194 3 le P 387 472 524 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVEN& PROVIQEO NOT FOR INTERNATIONAL MAIL (See Reverse) ! I Sent to COLORADO DEPT OF REVENUE LIQUOR ENFORCEMENT DIVISION STATE CAPITOL ANNEX 1375 SHERMAN ST DENVER CO 80203 I 'antra . a Special Delivery Fee Restricted Delivery Fee Return Receipt showing 10 whom an0 Dale DeSvered Relurn Recept showing t0 whom. Dale. and Address of Delivery TOTAL Postage and Fees 5 Postmark or Date =u-91 0 15 2 152 $241/1070 $ L6tlars i • 't 9\,an 940442 P 387 472 £29 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE ? MO NOT RJR INTERNATIONAL MAIL (See Reverse) Sent to MRS. LEO K. WARDMAN DEA LEOS HUT RT 66, HWY 85 CARR, CO 80612 Special Delivery Fee Reenacted Delivery Fee Return Receipt slowing to whom ens Date Delivered Return Receipt shaving to whom, Date. and Manna of Delivery TOTAL Postage art Fees 5 r Postmark or OMB s-a3-9zi rti •. r4.`"ti et" 940442 •-1 - a N b a G d ft na a t a 6. 0 N c.!y Z .4 y N C= < d O .� 71 G � O S C N o V ..Ni .N. .q•+ 00 r a+ v1 p., r N cn< O G O'O':� !z.] awe -N O 3s - no O...r F W _ N w'`w O ,U J`>`"', �� / ��.. a' J S • 1 P .e-� l/� \�Cr� /t/ hl r�fJ1� gjj4y* „i..JJ /j }' SCCOc r/' w✓JST Oii0.! WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/11/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROJ DATE : 05/11/94 PAGE : 1 WARRANT AMOUNT A220397 AV -TECH ELECTRONICS, INC 7343 A220398 ['LEY ASSOCIATES A220399 BOB BARKER COMPANY A220400 BRATTON'S, INC A220401 CENTURY PAPERS 050694 262595 C58079 C58124 C58797 58314 58481 58758 366869 366870 A220402 COMPUTER EQUIP WAREHOUSE 033747 A220403 COOL CARE, INC 1205 60-2160-6360 34-1944-6910-PLAZ 01-2310-6220-INMT 01-3182-6210 01-3182-6210 01-2310-6212 19-4110-6210-HHW 21-6480-6210 19-4110-6210-GHE 01-1061-6250-JANT 01-1061-6250-JANT 64-1155-6250-SCTI 01 -1061 -6360 -JAIL 270.00 -w--- 270.00 nom= 1,289,10 000 1,289.10 =====s==ss===a= 3,992.70 3,992,70 3.34 20,63 109.25 9.00 27.60 111.19 —��-281.ox _as===s===a:a== 164,6♦ 23.52 188.16 95.40 95.40 36.00 36.00 _____=====saws WAP200P WELD COUNTY WARRANT REGISTER AS OF : 05/11/94 DATE : 05/11/94 PAGE : WARRANT PAYEE INVOICE ACCOUNT NUMBER WARRANT NUMBER NUMBER FO DEPT OBJ PROJ AMOUNT _ __-.---�N-__�.40.06.11 - A220404 COREN PRINTING A220405 DENCO SALES CO 13713 19-4110-6320-GNE 34.00 238633 239184 11-3141-6229 11 -3141 -6250 -SIGN 11-3141-6229 4220406 EXECUTIVE TRAVELPOINTS 022283 01-2118-6370 A220407 FRANKLIN QUEST COMPANY REFILL 21-6950-6210 A220408 FRITO LAY INC. 281708 86-2311-6250-COMM A220409 HENSLEY BATTERY S SUPPLY 55903 01 -1061 -6360 -CC A220410 HOLIDAY INN 7921 21-6790.6373 A220411 HUGH M. WOODS 0198,085049 60-2160-6360 34,00 ====xsx ======as 21.60 11,155.00 10,931.90- 244.70 ===2*XZ==z==ass 49,50 49.50 :sass===:s=aaa= 19.95 19.95 sa:ssas:aassasa 206.22 206.22 =====if 2 St flats 28.94 28.94 s===ss=saassasa 130.00 130.00 _ =s a aaa aaiiasMS 41.94 WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/11/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROJ DATE : 05/11/94 PAGE : 3 WARRANT AMOUNT A220411 HUGH M. WOODS 084903 A220412 INLAND ASSOCIATES, INC. 251483 A220413 JEROME CO H21349 H21372 H21372A H213728 21349H A220414 JOHN WILEY t SONS, INC 7313403 A220415 K -MART A220416 KING SOOPERS 35850594 400921 405192 422777A A220417 MERCK, US HUMAN HEALTH DV 5004 01 -1061 -6360 -JAIL 21-6960-6220 86-2311-6250-COMM 01-2110-6220 01-2111-6220 01-2310-6220 86-2311-6220 01-1012-6229 01-2110-6220 60-2260-6336 88-2112-6220-EXPL 01-2118-6220 21-6600-6221 92.05 133.99 ==ss aas sszssass 740.00 740.00 ==========ssms= 211.95 39.74 39.74 39.74 22.54 353.71 =====2s=i22s==2 61.75 61.75 ===2s2==22asssa 83.16 397.40 480.56 = z=z za=s sssa:ss 12.02 3.87 ----------"- 15.89 1,134.00 1,134.00 z=======s2=ssss WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/11/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT 08J PROJ A220418 NELSON OFFICE SUPPLY 012756 A220419 NIMS. V. GALE A220420 OFFEN ACE HARDWARE 051094 95441 A220421 ONE HOUR PHOTO EXPRESS 78942 79363 4220422 PENNY SAVER MEDICAL. SPLY 10625421 10625422 -CE 10682670 10682671 10689430 10782980 10782981 A220423 PIERCE ROYAL BOND A220424 PIONEER CLEANERS 202951 043094 MMOIMOND DATE : 05/11/94 PAGE : 4 WARRANT AMOUNT 64-11.55-6250-OFSU 63 -9020 -6740 -LIFE 01-1061-6212 01-2111-6220 01-2111-6220 19 -4140 -6221 -COP 19-4140-6221-CDP 19 -4140 -6221 -COP 19-4140-6221-CDP 19 -4140 -6221 -COP 19 -4140 -6221 -COP 19-4140-6221-CDP 01-2180-6210 01+2110-6390-TRNG 179.21 179,21 sasasttaaa 1,000.00 1,000.00 98.99 Alb 98.99 ===2=aaasanass 3.73 7.00 MOM. me SWAM WM RI. INS IMInam •WOIMINS 10.75 3l-:aasasaasaaa 625.40 625.40- 362.00 362.00- 362.00 35.40 11.80 409.20 asaasa:ssasaaaz 79.20 79.20 364.95 364.95 a:as=======a:a: MAP20OP WARRANT PAYEE NUMBER MELO COUNTY WARRANT REGISTER AS OF : 05/11/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROJ A220425 PRO GLASS DATE S 05/11/94 PAGE : 5 WARRANT AMOUNT ......... 021439 01 -1061 -6360 -CC 48.00 A220426 PUBLIC SAFETY SUPPLY CO FREIGHT 5663 A220427 PVI INDUSTRIES, INC A220428 R D STEWART 48.00 01-2310-6212 5.00 01-2310-6212 453.25 458.25 Y=it=S2= 111712 01 -1061 -6360 -CC 94.00 94.00 050594 22 -9020 -6920 -WNW 34,200.00 A220429 ROCKY MTN SUPPLY,INC 123913 124104 124720 A220430 ROLM A220431 SAFEWAY RN14339 RHS2480 SHIPPING 01 -1061 -6233 —CC 01 -1061 -6233 —CC 01 -1061 -6233 -CC 67-1192-6212 67-1192-6212 67-1192.6212 223217 01-2980-6210 34,200.00 mats ...... 20.95 149.05 3.02 173.02 195.00 145.00 4.00 344.00 15.00 15.00 =22===2==SSii== MAP200P WARRANT PAYEE NUMBER A220432 SCOTT, DOREEN J MELD COUNTY WARRANT REGISTER AS Of : 05/11/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROJ DATE : 05/11/94 PAGE : 6 WARRANT AMOUNT REISSUE 042894 19-4170-6370-W 72.75 4220433 SHERMAN SPECIALTY COMPANY 111205 A220434 TNISSEN CONST CORP 4220435 TOWN OF LASALLE 72.75 ni:a=sa=samssas 52 -5510 -6210 -SAP ♦9.77 52-5560-6210-5RP 49.78 s==4a==s 99.5$ 043094 34 -1944 -6920 -JAIL 55.449.00 55.449.00 ianaganxaazsaa 5400 01 -1061 -6340 -ROAD 40.85 A220436 TURF TEC DISTRIBUTORS INC 4523 4545 4586 4631 4632 4633 4655 4728 4731 4744 4793 4220437 TUXALL UNIFORM S EQUIP FREIGHT 902125 01-1061-6360 01-1061-6360 01-1061-6360 01-1061-6360 01-1061-6360 01-1061-6360 01 -1061 -6360 -CC 01-1061-6360 01-1061-6360 01-1061+6360 01 -1061 -6360 -CC .. �..�--------- 40.85 oa=s=¢alas asasa 97.91 145.31 35.74 113.41 163,41 125.71 452.40 114.95 100.66 197.58 452.40 --------..+..- 1,999.48 01-2111-6220 10.75 01-2111-6220 238.00 249.55 WAP20OP WARRANT PAYEE NUMBER MELD COUNTY WARRANT REGISTER AS OF : 05/11/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT 08J PR0J DATE : 05/11/94 PAGE : 7 WARRANT AMOUNT A220438 U S POSTMASTER EXTRA A220439 UNITED RESTAURANT SUPPLY 5675 567571 A220440 UNITED STATES WELDING INC R045361 R050911 1303181 01-1011-6311 01-1012-6311 01-1014-6310 01-1015-6310 01-1021-6310 01-1025-6311 01-1031-6310 01-1041-6310 01-1061-6310 01-1123-6310 01-1125-6311 01-1126-6311 01-1151-6310 01-115276310 01-1153-6311 01-1154-6310 01 -2111 -6311 -ADM 0172340-6321 01-2420-6310 01-3182-6310 01-340076310 01-3700-6310 19-4110-6311 21-6600-6311 21-6950-6311 21-6960-6311 60-2160-6310 64-115576599 21-6850-6229 21-6830-6229 19 -4170 -X6229 -L 19-4170-6229-L 19,-4170-6229-LSTD 14.84 18.63 45.25 50.19 489.41 10.42 99.09 15.15 .25 30.56 20.60 19.31 5.03 72.56 10.27 14.64 93.61 3.93 17.81 12.11 70.95 .87 136.70 31.16 17.43 34.18 61.18 8.17 --------------- 1.404.26 159.90 24.00 183.90 ssasnassaa 18.55 18.55 7.34 --- ------..- 44.44 saasa2faa WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/11/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROD DATE : 05/11/94 PAGE : 8 WARRANT AMOUNT A220441 UNITOG RENTAL SERVICES 3624510420 64-1155-6210 A220442 WALTER F STEPHENS JR INC 13907 A220443 WASTE SERVICES INC -„. 10.00 10.00 z==a=za=a=3aaaa 01-2310-6220-INMT 961.05 00075365 01-1061-6360 00076847 01-10616360 00077291 01-10616360 00077334 01-1061-6360 A220444 WESTERN TEMPORARY SVCS 389633 A220445 WILLAMETTE, INC 52521217 67-1192-6350 64-1155-6250-SCTI FINAL TOTAL : 961.05~ =z=za===z==*aas ==3ai 21.00 21.00 10.50 26.25 78.75 167.04 167.04 _a=saasa===zasa 820.26 820.26 =sasmss=sszasaa 108,841.03 WAP200P WELD COUNTY WARRANT REGISTER AS OF : 05/11/94 DATE : 05/11/94 PAGE : 9 THIS IS TO CERTIFY THAT ALL ACCOUNTING AND BUDGETING PRODECURES HAVE BEEN COMPLETED ON THE ABOVE LISTED CLAIMS AS SHOWN ON PAGE 1 THROUGH 8 i AND DATED 05/11/94, AND THAT PAYMENTS SHOULD BE TO THE RESPECTIVE VENDORS IN THE AMOUNTS SET OPPOSITE THEIR NAMES, WITH THE TOTAL AMOUNT DATED THIS 161111) Y OF rnRi 1994. DIRE TOR 0 INANCE AND ADMINISTRATION SERVICES SUBSCRIBED AND SWORN TO BEFORE ME THIS /1O ' DAY OF MY COMMISSION EXPIRES: My Commission EIres January 10, 1995 • mAY 19, ( NOTARY PUBLIC WE, THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO, HEREBY (APPROVE) (DISAPPROVE) THE CLAIMS AS SET FORTH ABOVE) AND WARRANTS IN LAYMENT THEREFORE ARE HEREBY ORDERED DRAWN UPON I THE �C.1., FUND -� TOTALING $ 1QElI®4f 'Q.3 DATED THIS /loth DAY OF SIAY 19.�,• Lie PI% WELD COUNTY CLERK TO THE BOARD cf_c% DEPUTY MEMBER MEMBER CMAIRMAN WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/11/94 INVOICE NUMBER S860976 AGLAND. INC $860977 CITY OF GREELEY $660978 COLLINS MUFFLER S860979 K MART S860980 NO COLO DRIVELINE SERVICE $860981 PHIL'S PRO AUTO S860982 TARGET ACCOUNT NUMBER FD DEPT OBJ PROJ DATE : 05/11/94 PAGE : 1 WARRANT AMOUNT 12-4425-6716-EDUC 12-4425-6716-EMPL 12-4425-6716-EMPL 12-4425-6716-CWEP 12-4425-6716-EDUC 12-4425-6716-EMPL 124425-6716-EDUC 12-4425-6716-EDUC 12-4425-6716-EDUC 12-4425-6716-EDUC 12-4425-6716-EDUC 12-4425-6225 1.808.85 60.00 65.00 110.00 2,043.85 ====xa=asa=aaxs 110.75 33.00 143.75 ====x=s=ssas=ss 41.95 41.95 ___======n=s=s 83.07 15.00 98.07 =x==3a==sa=ix=s 199.00 199.00 47.45 47.45 o zsa=a= n nsaa 67.97 67.97 WAP2DOP WARRANT PAYEE MELD COUNTY WARRANT REGISTER AS OF : 05/11/94 INVOICE ACCOUNT NUMBER NUMBER NUMBER PD DEPT 08J PROJ DATE : 05/11/94 PAGE : 2 WARRANT AMOUNT ---------------- __ ----- ________ ----- ----------- ------------__ S860983 VISION CLINIC 5860984 MELD COUNTY HUMAN RESOURC $860985 9TH AVE AUTO WRECKING S860986 A WOMAN'S PLACE S860987 CATHOLIC COMMUNITY SERVIC S860988 FORNEY, W. MARK/MELD CO D S860989 K MART PHARMACY 84347 5860990 KING SOOPER PHARMACY 832 12-4425-6392 12 -4425 -6716 -OJT 12-4425-6116-EDUC 12-4431-6710-SHEL 12 -4431 -6710 -SPIEL 12-4431-6351-GADN 12-4431-6712-GADG 12-4131-6712-GADG 92.00 92.00 =as= ss= =a= ss=sa 15,434.83 ---- 15,434.83 =massaaaaassa:a 45.00 45.00 =;assn==ssassa 531.96 531.96 ta=s=a2==Sasass 3,754.68 3,754.68 ------ mantas= 1,141,00 --------a-----".. 1)141000 s==a=aSas;a.Csss 103.37 103.37 =aaa==a=s:saa:= 176.62 176.62 =ss==5=2=a=:a:a WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/11/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT 08J PROJ DATE PAGE : 05/11/94 3 WARRANT AMOUNT 5860991 PUBLIC SERVICE CO 5860992 STODDARD FUNERAL HOME 5860993 TRANSITIONAL MOUSE S860994 MAL MART PHARMACY *10-098 5860995 A C M GLASS 5860996 HARDING GLASS $860997 MCCREERY G SUN S860998 FAMILY SUPPORT REGISTRY 12-4431-6710-GAKI 12 -4431 -6396 -BUR 12 -4431 -6710 -SPIEL 12-4431-6712-GADG 12-4463-6710EMER 12-4463-6710-EMER 12-4463-6710^EMER 12-0001-2045 Minn 191.16 191.16 ========= ===i3 1,000.00 1,000.00 i3==aSiaaaaZS* 6,438.20 -----a-..- ---- 6,438.20 Sin=anal 17.77 17.77 =3= a 3 :a=== =zaia 224.94 224.94 =====33a=aasaaa 161.15 161.15 96.50 96.50 assaaaaaaaasaaz 3.059.41 3,059.41 =assn=z==znags i WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/11/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT 08J PROJ DATE : 03/11/94 PAGE : 4 WARRANT AMOUNT 5860999 *COLLECTION SRVCS GTR S861000 BENAVIDEZ, MARY ANN S861001 BURNETT, MARGARET JOIE S861002 DOMINGUEZ, DEBORAH 5861003 GUTIERREZ, DENISE MICHELL 5861004 HINOJOSA, IRENE 5861.0.05 LUGERO, BARBARA J 5861006 MAES, CAROLYN 12-0001-2085 12-0001-2045 12-0001-2045 12-0001-2045 12-70001..2065 12-0001-2045 12-0001.2045 12-0001.-2065 216.00 z=sz sas 216.00 54.45 ___----_-..-M- 54.45 =as==sa=l==a=st 392.00 392.00 s===az==aaaa=sa 300.00 300.00 ===s=sa==a3=:as 116.00 116.00 3==zsszz==sa=ss 332.76 332.76 ======z asza=ass z 68.88 68.16 200.00 200.00 zss===z=sa=aazz WAP20,0P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 65/11/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROJ DATE : 05/11/94 PAGE : 5 WARRANT AMOUNT 5861007 MARTINEZ, ROSALIE IRENE $861008 MEDINA, MICHELLE ANNE 5861009 MENG, MENDELL E 5861010 RODARTE, REBECCA S861011 SANCHEZ, SALLY 5861012 WARDE, TERESA LYNN $861013 REICH, LOUIS RAY 12-0001-2045 12-0001-2045 12-0001-2045 12-0001-2045 12-0001-2045 12-0001-2045 12-0001-2040 FINAL TOTAL : a 75.00 75.00 66.00 66.00 ===s= 88.00 88.00 140.00 ....... 140.00 37.60 37.60 ssnsnasssa 87.00 87.00 =====aazaszszss 220.40 220.40 = === == ===aaaaaa 37,504.72 =sa======aaaasa WAP20OP WELD COUNTY WARRANT REGISTER AS OF : 05/11/94 DATE : 05/11/94 PAGE : 6 THIS IS TO CERTIFY THAT ALL ACCOUNTING AND BUDGETING PRODECURES HAVE BEEN COMPLETED ON THE ABOVE LISTED CLAIMS AS SHOWN ON PAGE 1 THROUGH 5 , AND DATED 05/11/94, AND THAT PAYMENTS SHOULD BE TO THE RESPECTIVE VENDORS IN THE AMOUNTS SET OPPOSITE THEIR NAMES, WITH THE TOTAL AMOUNT Ilofh DATED THIS 19 94. DIRECT'' • ' INANCE AND ADMINISTRATION SERVICES SUBSCRIBED AND SWORN TO BEFORE ME THIS th DAY MY COMMISSION EXPIRES: Lw .lr:�!i,95�S;GJ:C,195 • ide4 NOTARY PUBLIC WE, THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO, HEREBY (APPROVE) (DISAPPROVE) THE CLAIMS AS SET FORTH ABOVE; AND WARRANTS IN PAYMENT THEREFORE ARE HEREBY ORDERED DRAWN UPON THE <.M3CAGt.-I SERVICk. FUND TOTALING DATED TIJIS l( DAY OF MAY WELD COUNTY CLERK TO THE BOARD �.-�P DEPUTY MEMBER Y/L2rr, sra ca ,..csai�7GZsia_. MEMBER S 3154.7? 19 ca. WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/12/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROD DATE : 05/12/94 PAGE : 1 WARRANT AMOUNT A220446 AAA TRAVEL AGENCY A220447 ACNZIGER, LYLE E AMAYA 0594 CARLINO 0394 DNANSEN 0594 DREMER 0594 ERBES 0594 GALINDO 0694 J LUNA 0594-2 JLUNA 0594 NARANJO 0594 051094 A220448 REF/CAPITAL COMMUNICATIONS 3858A A220449 AIMS COMMUNITY COLLEGE B 188 8-172 8-188 252 A220450 ALL PET ANIMAL CLINIC 94MC1094 21-6640-6373 21-6640-6373 21-6640-6373 21-6640-6373 21-6640-6373 21-6640-6373 21-6640-6373 21-6640-6373 21-6640-6373 60-2160-6345-EMSP 60-2160-6370-EMSP 01-1125-6370 21-6580-6382 21-6600-6382 21-6390-6382 21-6430-6382 21-6440-6382 21-6450-6382 21-6530-6382 21-6990-6382 21-6390-6381 01-2980-6220 247.00 247.00 247.00 247.00 247.00 247.00 247.00 247.00 247.00 2,223.00 =============== 70.29 58.00 128.29 302.00 302.00 412.10 120.20 ♦0.25 1,701,87 60.98 329.42 124.08 8.60 180.00 2,977.50 = 95.00 95.00 =============ss WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/12/94 INVOICE NUMBER ACCOUNT NUMBER FO DEPT 08J PROJ DATE : 05/12/94 PAGE : 2 WARRANT AMOUNT A220451 ARC -AUTOMATIC REFRESHMENT CENTER 0599 A220452 BAKER & TAYLOR BOOKS 117800 403023 4220453 BAUER. RICHARD M 407958 416190 940 50 4 A220454 BEARS CAR WASH t STORAGE N 2302 A220455 DLIMPIE SUBS AND SALADS 233612 A220456 ORATION'S. INC C57905 C57933 CS7946 C57947 C57991 C58038 C58052 C58366 C58383 21-6950-6379 71.70 52-5540-6229-CR 52-5540-6229 52-5580-6322 52-5540-6229 52-5580-6322 52-5540-6229 52-5580-6322 01-2111-6220 01-1123-6361 19-4140-6335-N 01-3182-6229 01-1014-6210 01-1014-6210 01-1021-6210 19-4110-6210-GHE 64-1155-6250-0FSU 01-1041-6210 0P-2310-6366 01-1014-6210 71.70 ==2===== 15.00- 13.32 128.50 51.08 200.52 39.48 179.11 597.01 =s-sns 9.03 9.03 ====s= 34.00 34.00 95.37 95.37 =s=======ssssza 177.39 49.00 5.24 9.36 46.79 17.85 55.66 467.52 9.19 WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/12/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROJ DATE : 05/12/94 PAGE : 3 WARRANT AMOUNT A220456 BRATTON'S, INC A220457 BURCH, JILL E C58449 058536-058537 C58578 058747 C58788 058800 5853658537 5294 A220458 BURT CHEVROLET INC. AND GMAC 4-3070 A220459 CASA BONITA JUNE7H1 JUNE7M2 A220460 CASCO INDUSTRIES, INC. 152674 A220461 CDAC 8886A 01-1125+6210 19+4170-6210-E 01+2111+6212 01+1025+6210 01-1041-6210 19+4170+6210+E 19-4170-6210 19+4140-6370-N1V 19-4140+6370+MFM 19+4140-6370-T8 61-1945-6940 21-6600-6390-H1 21-6600-6390-H2 01-2310-6940 01-1123-6370 01-1123-6530 21.96 205.07 109.25 33.18 45.69 76.50 6.40 1,336.05 xaxx=xxaa;x=ams s 1.75 1.00 2.25 5.00 2=7.21===a 12,212.00 12,212.00 12,212.00 ss=s======cam== 62.25 62.25 124.50 =aa-xaaas;=sari 2,724.00 2,724.00 ax=x.=x =sr. 190.59 133.34 323.93 sa==a=s==sari= WAP200P WARRANT PAYEE NUMBER MELD COUNTY WARRANT REGISTER AS OF : 05/12/94 INVOICE NUMBER ACCOUNT NUMBER FA DEPT OBJ PROJ DATE : 05/12/94 PAGE : 4 WARRANT AMOUNT A220462 COP PUBLICATION 50294 A220463 CHILDREN'S HOSPITAL 5694 A220464 CJ PRINTING 9023 A220465 CLIFTON, SHARON 5C059♦ A220466 COFFEE MAID 42294 A220467 COLO CHEMICAL CO HANDLING 79553 A220468 COLO DEPT OF HEALTH 01-1125-6330 19-4140-6335—CHP 01-3400-6210 01-3400-6310 01-1126-6210 01-1061-6250—JANT 01-1061-625.)—JANT 16.95 16.95 mass 250.00 250.00 256.04 256.04 s-ss 40.00 40.00 ..... s=_==a =ass 43.64 43.6♦ r---s=sss 27.68 112.32 140.00 3_==ssaaaa 5994 19 -4110 -6210 —ASST 100.00 A220469 COLO DEPT SOCIAL SERVICES MAR 94 100.00 =as===zs===asaa 21-6790-6599 1;729.61 1.729.61 =s=s==ssxtaa=aa WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/12/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROD DATE : 05/12/94 PAGE : 5 WARRANT AMOUNT A220470 CONNELL. CHARLES J. A220471 COREN PRINTING CJCAPR94 21-6830-6358 393.84 393.84 23153 01-1014-6328 187.01 A220472 CRAWFORD SUPPLY COMPANY I10649 I10651 110918 A220473 DEEP ROCK NORTH A220474 DELEON. RAYMOND A220475 DENVER POST A220476 DENVER ZOO A220477 DISCOVERY ZONE 40194 50194 86-2311-6250-COMM 86-2311-6220 86-2311-6220 01-1126-6210 01-1125-6210 940511 01 -2310 -6599 -PROD T0328438854 21-6600-6337 MAY19C2 21-6600-6390-C2 MAY18C2 21-6600-6390-G2 187.01 99.84 124.80 168.80 393.44 _==K= 56.80 67.50 124.30 __=====nn===ii= 55.00 55.00 ====== 3- 198.18 198.18 92.00 92.00 _----=nsz= 75.00 WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/12/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROJ DATE : 05/12/94 PAGE : 6 WARRANT AMOUNT A220477 DISCOVERY ZONE A220478 DOMINGUEZ, A M A220479 DUNBAR, LYDIA A220480 DURANT, SHELLY A220481 EMDREE, KRISTINA B A220482 EMPIRE ELEC., INC. 50694 MI0494 MI0494 5894 11480A A2204B3 FAMILY WELLNESS ASSN. 2984A A2204B4 FARM JOURNAL, INC 4733550 01-1123-6370 21-6650-6372 21-6600-6375 19-4140-6370-HCP 01 -1061 -6360 -CC 01-1125-6210 01-3400-6310 75.00 237.05 237.05 2=s=a==-aszalms 66.75 66.75 12.00 12.00 25.00 25.00 ss===aa=saasass 32.60 32.60 _=====2ar==iaa$ 120.00 120.00 20.00 20.00 sa==maaa WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF 05/12/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT 08J PROJ DATE : 05/12/94 PAGE : 7 WARRANT AMOUNT 4220485 FEDERAL EXPRESS CORP 5 210 57506 5 215 66044 A220486 FIRST BANKS 4220487 GALL'S INC A220468 GALLEGOS, MARIE A220489 GERBERDING, RONALD A220490 GRAY OIL COMPANY 19 -4140 -6310 -MINT 19-4140-6310-HIVT 69.50 66.75 136.25 02103 01-2910-6380 260.00 42794 01-1123-6370 32.65 582212901011 MI0494 652900 050694 A220491 GREELEY DAILY TRIBUNE (THE) 93185 A220492 GREELEY FLORAL LTD 4309♦ 01-2110-6226-TRNG 21-6510-6372 01 -2111 -6315 -JAIL 01 -2111 -6361 -GRIM 01-1154-6337 01-1125-6210 292,65 a= 187,91 187.91 s 25.50 25.50 21.34 21,3♦ 168.53 168.53 s ===== 59.22 ------- 59.22 92.22 WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/12/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROD DATE : 05/12/94 PAGE : 8 WARRANT AMOUNT A220492 GREELEY FLORAL LTD A220493 HAFFNER, NANCY I 42794 A220494 MAN MEDICAL COMPANY 211635 A220495 HALL, WESLEY E. 051194 A220496 HIGHLAND NURSERIES 25701 A220497 HULL, HARRISON MI0494 A220498 INGRAM BOOK CO 035191 042602 051483 943911 960689 989984 992950 01-112546370 19 -4140 -6360 -COL 01-2180-6350 01 -1061 -6360 -CC 21-6510-6372 52-5540-6229 52-5580-6322 52-5580-6322 52-5540-6229 52-5580-6322 52-5540-6229 52-5580-6322 52-5540-6229 52-5580-6322 52-5580-6322 52-5540-6229 ------- 92.22 ♦1.88 a 41.88 az=z=a 38.00 38.00 975.00 975.00 LG3=Saza_====aa 900.00 900.00 x 27.25 27.25 „_=___3=_===s= 61.97 54.02 37.62 201.79 270.46 13.11 293.48 3.57 24.20 39.42 75.63 WAP200P WELD COUNTY DATE : 05/12/94 WARRANT PAYEE NUMBER WARRANT REGISTER AS OF : 05/12/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROJ PAGE : 9 WARRANT AMOUNT A220498 INGRAM BOOK CO A220499 JEROME CO A220500 JOHNSON, JOYCE A220501 JOHNSON, JUDITH A 992950 52-5580-6322 54.03 999889 52-5580-6322 17.01 1,146.31 ____====:s=nz: 21378 01-1061-6250—JANT 2,290.00 2,290.00 MI049♦ 21-6600-6375 21.00 21-6850-6372 10.75 50294 A220502 JUNIPER VALLEY PRODUCTS 94-9938 A220503 KEEFE COFFEE AND SUPPLY I52026 A220504 KING SOOPERS A220505 KLH ENGINEERING 405169 405197 01-1125-6370 21-6530-6320 86-2311-6250-COMM 01-3400-6210 01-3400-6210 31.75 116.75 116.75 =2 :-=z= 51.29 51.29 _______x===:=S 496,18 496.18 ===s=====s::ass 6,87 3.19 10.06 02863 01-6520-6920—IGTC 855.40 NAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/12/9♦ INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROJ DATE : 05/12/94 PAGE : 10 WARRANT AMOUNT A220505 KLH ENGINEERING A220506 KOBEL, CAROL S A220507 KRIEGER, KATHY A220508 LARA, DORA E 50994 5294 MI0494 A220509 LAZNICKA, SUZANNE L 003361 940510 A220510 LEPPEK. VICKI MCDONALD 16405 A220511 LINOAHL, JAMIE L A220512 LONGMONT TIMES CALL 5594 00102249 01-1123-6370 19-4140-6599-ARS 21-6510-6372 21-6530-6372 855.40 =s==== 81.50 81.50 =====t=====sail 35.00 35.00 =======S=s2SIMS •62 46.75 47.37 ====ss 01 -2110 -6370 —SVGS 23.36 01-2110-6372-TRNG 22.00 19-4110-6382-HHW 19 -4140 -6370 -FP 21-6510-6337 45.36 ===s=Zs 250.00 250.00 ======sass 241050 241.50 27.30 NOY 27.30 ===s====xssasa2 NAP20OP WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/12/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROD DATE : 05/12/94 PAGE : 11 WARRANT AMOUNT A220513 MATT, JULIE A. A220514 MATT, RICHARD 4220515 MCMENAMIN, NANCY 40694 48944 42194 A220516 MEADORS 6 WHITLOCK, INC 1509A A220517 MEEK, NANCY C 5594 A220518 MICRO COMPUTER WORLD INC 32052 A220519 MIKE'S CAMERA 2290 A220520 NATL ASSN OF COUNTY ENGINEERS GUIDES 01-1123-6350 01-1123-6350 01-1125-6370 01-1123-6350 19-4140-6370—CDP 19 -4140 -6370 —MAP 01-3400-6229 60-2160-6336 11-3180-6370 YAM 152.50 152.50 60.50 _ 60.50 ======= a2=auss 233.80 233.80 12.00 12.00 ==s=saas 16.75 9.00 25.75 =ssa=ss==sates 285.00 285.00 35.77 35.77 a __snare= S===t= 148.00 148.00 WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/12/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROJ DATE : 05/12/94 PAGE 12 WARRANT AMOUNT A220521 NATL DAIRY DATABASE A220522 NEWBREY. ROBIN L A220523 NEWCO INC 042294 5294 144934 144934-01 A220524 NINO-AGUILAR, MARIA C $10494 A220525 NORTHERN CO GRAPHICS, INC FREIGHT 11035 A220526 PETERSON, ROCKY C 4220527 PIERCE, SHELLY MI0594 MI0494 A220528 PONY EXPRESS COURIER 1794496 01-3400-6210 19-4110-6370-HHW 01-1061-6236 01-1061-6236 105.00 105.00 =s22==s=seas:s 99.00 99.00 == sxxns 445.66 27.00 472.66 21-6700-6372 43.40 60-2160-6210 60-2160-6210 21-6440-6372 21-6600-6375 19-4170-6310-Z 43.40 37.79 623.70 661.49 _ s-ss= 20.50 20.50 38.50 38.50 25.25 WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/12/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROJ DATE : 05/12/94 PAGE : 13 WARRANT AMOUNT A220528 PONY EXPRESS COURIER A220529 PROFESSIONAL FINANCE CO 042594 A220530 PUTNAM, MARY A A220531 QUALITY BOOKS INC MP0594 361812 A220532 QUALITY TOWING AND RECOVERY 10716 A220533 RAY'S OFFICE EQUIP INC 6918 A220534 REGION VIII MEAD START DUES94 A220535 RICO, SHEILA R MI0494 60-2160-6561 01-3400-6310 52-5580-6322 01 -2111 -6317 -GRIM 64-1155-6250-OFSU 21-6600-6335 21-6600-6375 25.25 .___s_=sXsams=si' 216.25 218.25 s -s -ac Sire 20.00 20.00 312.19 312.19 45.00 45.00 =====s=3==assay 99.36 99.36 ________======= 388.00 388.00 _ 12.00 12.00 WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/12/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROD DATE : 05/12/94 PAGE : 14 WARRANT AMOUNT A220536 RIGGENBACH, DAWN A220537 RIZO, FRANCES A220538 ROBINSON TEXTILES A220539 RODRIGUEZ, DOMINGA A220540 ROLM A220541 ROTH, LAWRENCE MI0494 MI0494 28826 MI0494 RM53992 RM53996 RM54269 RM54337 S t M SC H TRAN 21-6790-6372 21-6600-6375 01-2310-6220-INMT 21-6600-6375 67-1192-6945 67-1192-6945 67-1192-6212 67-1192-6945 67-1192-6945 67-11926212 67-1192-6945 71.50 71.50 =s=========ss=s 21,50 21.50 3,986,73 3,986.73 52,50 52.50 ====s=ss=sx..ssss 1,095.00 4,757.00 450.00 1,895.00 4.00 24.00 5.00 8,230.00 ==5L=s 940511 01 -2310 -6599 -PROD 50.00 50.00 A220542 ROYAL SANITARY SUPPLY 110164 01-1061-6250-JANT 900.00 900.00 =ssssss WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/12/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROJ DATE : 05/12/94 PAGE : 15 WARRANT AMOUNT A220543 RUGE, MARIAN 5994 19-4110-6370-GHE 33.50 19 -4110 -6370 -SCI 2.75 A220544 SCHOOL DISTRICT 16 FAC6793CC 21-6600-6363 FAC6793UTL 21-6600-6340 FAC6794CC 21-6600-6363 FAC6794UTL 21-6600-6340 A220545 SCHOOL DISTRICT RE -3J HSE0494 HSE0494 A220546 SCHWARTZ) MARY H A220547 SCOTT, SHANNON DR. 1487706 21-6600-6340 21-6600-6340 21-6600-6363 36.25 =_=a====same=s 3,603.48 3,361.14 3,603.48 3,361.14 13.929.24 ---^-s===xsss=a 170.00 34.00 182.50 386.50 asa=s=s 01-2111-6315-INCS 16.60 16.60 =x====z==salsas 33194 01-1125-6350 270.00 A220548 SERVICE AMERICA CORP 073090 073091 569073 73085 A220549 SHEPARD'S MC GRAM HILL 16436 01-1011-6377 19-4170-6379—S 01-2310-6220 01-1126-6370 270.00 =acs==s=sax=sass 184.00 23.25 425.98 33.00 666.23 a==as=x=flassas 01-1123-6229 385.20 WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/12/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OOJ PROD DATE : 05/12/94 PAGE 14 WARRANT AMOUNT A220549 SHEPARD'S MC GRAN HILL 385.20 A220550 ST VRAIN VALLEY-RE1-J APR 9♦ A220551 STAMP -KO A220552 STATE OF COLORADO A220553 STATE OF COLORADO A220554 SWANA A220555 TAPIA, MABEL A220556 THOMPSON; DARLINE 18139 M8718694 M85053-94 51094 MI0494 5894 21-6600-6222 19-4110-6220 11-3146-6452 11-3146-6452 19-4110-6335-NMW 21-6600-6375 19•-4110-6370 1.321.50 1.321.50 ====xmzsa===aas 7.92 7.92 x=====4 550.00 ------- 550.00 sz axax== 15.00 225.00 225.00 15.00 52.00 52.00 am=a===a=:asasa 14.40 14.40 =========a=iaza WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF S 05/12/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT 08J PROJ DATE S 05/12/94 PAGE S 17 A220557 TUXALL UNIFORM t EQUIP FREIGHT 902475 A220558 TWENTY-NINTH STREET INVESTMENTS W4573♦ U45735 A220559 UNITED STATES WELDING INC 8621487 01-2310-6212 01-2310-6212 WARRANT AMOUNT 10.75 236.40 247.15 ..... a ssas=laa 24-9034-6397-4715 317.00 24-9034-6397-4715 413.00 730.00 ====a===sx=ssas I9 -4170-6229—L 21.40 A220560 UNIVERSITY OF NORTHERN CO GEDMARAPR94 21--6440-6383 21-6580-6383 A220561 US WEST COMMUNICATIONS USW 0494 A220562 US WEST PAGING, INC 87866 A220563 WARD CONSTRUCTION CO 81 A220564 WELD COUNTY REVOLVING FUND 40494 21-6960-6345 01-11236530 11-3190-6397 01-1125-6370 21.40 a=z$=sa 48.00 80.00 128.00 s =2 II 3 3 375.40 375.40 ===as= 16.90 16.90 =.... ss===sa 25,775.85 25,775.85 sa==s= 15.00 WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/12/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROJ DATE 05/12/94 PAGE : 18 WARRANT AMOUNT A220564 WELD COUNTY REVOLVING FUND 50494 50 994 7976 7991 A220565 WELOCO'S SENIOR COORDINATORS INC WSC0394-2 WSC0494 A220566 WEST PUBLISHING COMPANY 3149♦ A220567 WESTERN MOBILE BOULDER 16060 16080 16098 16147 16175 A220568 WESTERN MOBILE NORTHERN 15378 15379 15398 15399 15400 15401 15402 15411 15419 15432 15433 15434 15435 01-1123-6370 01-1126-6370 01-1014-6370 88-2112-6220-RESV 340.46 108.00 79.47 407.00 949.93 21-6650-6358 .50 21-6650-6358 122.47 122.97 01-1123-6229 72.50 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 72.50 =G======G===GPIs 124.00 248.00 100.75 85.25 31.00 589.00 181.78 271.98 1.617.81 192.97 210.17 121.30 476.25 2,000.63 1,625.47 386.25 41853.59 109.35 4,319.77 WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/12/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROJ DATE : 05/12/94 PAGE : 19 WARRANT AMOUNT A220568 WESTERN MOBILE NORTHERN 15447 15448 15449 A220569 WESTERN MOBILE NORTHERN 15450 15451 15452 15457 15458 15459 15460 15461 15462 15467 15468 15480 15481 15482 15483 15484 A220570 WESTERN MOBILE NORTHERN 15485 15486 15487 15488 15489 15490 15491 15492 15493 15494 15495 15500 15501 15502 15503 15504 113190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 113190-6471 113190-6471 11-3190-6471 1I-3190-6471 11--3190-6471 11-3190-6471 11-3190-6471 113190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190+6471 11-3190-6471 11-3190-6471 861.00 3,808.82 135.23 21,172.37 ======s=sztsass 5,304.63 61.86 3,639.76 696.00 3,486.32 127.55 3,430.01 123.71 5,429.24 746.25 12,403.55 490.50 629.95 293.36 628.09 305.59 37,796.37 3 =ice 830.87 316.25 1,242,97 294.21 2,146.22 296.34 1,731.71 309.14 1,763.85 295.35 2,004.87 683.25 211.02 1,411.20 201.50 1,946.4♦ WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/12/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROD DATE : 05/12/94 PAGE : 20 WARRANT AMOUNT A220570 WESTERN MOBILE NORTHERN A220571 WESTERN MOBILE NORTHERN 15505 15506 15507 15508 15509 15510 15511 15512 15513 15514 15515 15516 15525 15526 15527 15528 A220572 WESTERN MOBILE NORTHERN 15529 15530 15537 15538 15543 15544 15545 15546 15547 15548 15560 15561 15562 15563 15564 15565 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-31906471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 =ass - 15,685.19 ----s-sass 208.61 2,113.66 205.3♦ 2,160.74 210.46 1,626.77 216.71 2,248.59 217.28 1,978.98 215.86 1,516.99 739.50 1,913.72 80.49 7,469.77 23,123.47 _====a=a==saass 25.17 6,389.32 1,078.50 16,227.61 598.50 1,670.27 101.25 2,915.52 11.35 10,480.00 621.00 1,293.60 221.97 1,054.42 138.65 212.73 43,045.86 a WAP200P WARRANT PAYEE NUMBER MELD COUNTY WARRANT REGISTER AS OF : 05/12/94 DATE : 05/12/94 PAGE : 21 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROJ WARRANT AMOUNT A220573 WESTERN MOBILE NORTHERN 15566 15567 1556B 15569 15570 15571 15572 15573 15574 15575 15576 15577 15590 15591 A220574 WESTERN SIZZLIN A220575 WINDSOR BEACON 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 11-3190-6471 205.48 2,597.15 207.04 645.73 65.41 1,964.80 215.29 2,600.40 217.1♦ 2,214.61 213.87 1,429.97 653.25 1,403.23 14,633.37 CstS= 05109♦ 01-1014-6370 159.73 159.73 42894 19-4170-6337-5 4.06 4.06 :=== =s=== FINAL TOTAL : 255,909.82 =====a¢cax WAP200P WELD COUNTY WARRANT REGISTER AS OF : 0S/12/94 DATE : 05/12/94 PAGE : 22 THIS IS TO CERTIFY THAT ALL ACCOUNTING AND BUDGETING PRODECURES HAVE BEEN COMPLETED ON THE ABOVE LISTED CLAIMS AS SHOWN ON PAGE 1 THROUGH 21 , AND DATED 05/12/94, AND THAT PAYMENTS SHOULD BE TC THE RESPECTIVE VENDORS IN THE AMOUNTS SET OPPOSITE THEIR NAMES, WITH THE TOTAL AMOUNT DATED THIS +h 19 DZRECTCR dF I A14CE AND ADMINISTRATION SERVICES SUBSCRIBED AND SWORN TO BEFORE ME THIS a IS(Ji DAY OF ��II�Y 299S. MY COMMISSION EXPIRES: _ggogailliatiimlnaty10,1995 NOTARY PUBLIC WE, THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO, HEREBY (APPROVE) (DISAPPROVE) THE CLAIMS AS SET FORTH ABOVE; AND WARRANTS IN PAYMENT THEREFORE ARE HEREBY ORDERED DRAWN UPON THE GN_.1.t_.m_ DATED THIS ler DAY OF FUND - TOTALING s Z,Kosoilp' 199J, WELD COUNTY CLERK TO THE BOARD MEMBER • WAP200P WARRANT PAYEE NUMBER MELD COUNTY MARRANT REGISTER AS OF : 05/12/9♦ INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROJ DATE : 05/12/94 PAGE : 1 WARRANT AMOUNT 5861014 DUCHER► ANTHONY JAMES $861015 DAVILA, PEDRO 5861016 RIVERAx MARTIN S061017 WELLER, JERRY 5861018 FAMILY SUPPORT REGISTRY 5861019 FAMILY SUPPORT REGISTRY 12-0001-2040 12-0001-2040 12-0001-2040 12-0001-2040 12-0001-2045 12-0001-2045 FINAL TOTAL : 40.00 40.00 ====z==x==ss==s 248.50 ...W.m.micaan=P4Mem.mirSeaepa 248.50 ==ass=s==sasrna 165.50 165.50 .aS-.a. 199.15 w — 199.15 2,333668 2x333.68 a===s=2===--ssa 3x570.59 3,570659 6,557642 ==S2=========23 AMOUNTS SET OPPOSITE THEIR NAMES, WITH THE TOTAL AMOUNT DATED THIS 19 441• DIRECTOR OF MNiTNC'E AND ADMYNISTRATION SERVICES SUBSCRIBED AND SWORN TO BEFORE ME THIS MAP200P MELD COUNTY WARRANT REGISTER AS OF : 05/12/94 DATE : 05/12/94 PAGE : 2 THIS IS TO CERTIFY THAT ALL ACCOUNTING AND BUDGETING PRODECURES HAVE BEEN COMPLETED ON THE ABOVE LISTED CLAIMS AS SHOWN ON PAGE 1 THROUGH 1 , AND DATED 05/12/94, AND THAT PAYMENTS SHOULD BE TO THE RESPECTIVE VENDORS IN THE : 1045.1'x'2 • l&filk DAY OF mot' 4 MY COMMISSION„ EXPIRES: My C0ramissionExpi;csa30jary1O,1995 NOTARY PUBLIC • WE, THE BOARD OF COUNTY COMMISSIONERS OF MELD COUNTY, COLORADO, HEREBY (APPROVE) (DISAPPROVE) THE CLAIMS AS SET FORTH ABOVE; AND WARRANTS IN PAYMENT THEREFORE ARE HEREBY ORDERED DRAWN UPON THE 5 .+Ak�S�.IQVI �F✓�,�_FUND - TOTALING S,_' . 57 �Z6 DATED THIS l�1fih y� DAY OF may lay 19.q• "777�� 1I% WELD COUNTY CLERK TO THE BOARD 1481, Qhl DEPUTY 1C t MEMBER MEMBER 'VIA kCIRMAN MEMBER MEMBER WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/13/94 INVOICE NUMBER ACCOUNT NUMBER FO DEPT OBJ PROJ DATE : 05/13/94 PAGE : 1 WARRANT AMOUNT A220576 ARMSTRONG, CAROL S A220577 BATT, PHYLLIS A220578 BOYLE, BRENDA A A220579 ORATION'S, INC A220580 BURCH, JILL E A220581 BURSON, MARY L 004875 7276 0512MI C57845 C58742 58 787 48 36 38 40 49 52 63 -9020 -6740 -DENT 79-1031-6147 01-I04I-6370 19-4170-6210-F 01-1123-6210 19 -4110 -6210 -ASST 79-4140-6147 79-4140-6147 79-4140-6147 79-4140-6147 79-4140-6147 79-4140-6147 32.00 32.00 ======zs=amsaaa s an - 150.00 150.00 104.00 104.00 = assz====ssa ass 46.72 3.94 22.04 72.70 sa ...... tasaa as 36.00 11.75 32.00 12.00 16.00 25.00 132.75 =ass=as=seas=ss 004876 63-9020-6740-VISN 85.00 85.00 SsassiszsaasaX A220582 CARLETON, RANDALL R 181445 395987 79-2111-6143 5.00 79+2111+6143 19.45 MAP200P WARRANT PAYEE NUMBER MELD COUNTY WARRANT REGISTER AS OF : 05/13/9♦ INVOICE NUMBER ACCOUNT NUMBER ED DEPT 08J PROJ DATE : 05/13/94 PAGE : 2 WARRANT AMOUNT A220582 CARLETON, RANDALL R 52464590004 79-2111-6143 41.00 669332 79-2111-6143 10.00 A220583 CENTRAL INC. 0129906360 01-2990-6360 A220584 C£RDA. JESSIE S 004877 63 -9020 -6740 -DENT A220585 COLO METALIZING C MACHINE 2044 01 -1061 -6360 -CC 2046 01 -1061 -6360 -CC A220586 COLO STATE SPECIAL BRIDGE FUND 14.5/254 A220587 COSSON, KIMBERLY K 75.45 xa s=ax==z==szs 17.04 ------- 17.04 2aassssazsasa MA 71.50 71.50 ____=====ax*sas 45.00 52.30 97.50 11-3190-6397-1425 228,098.52 228,098.52 =zxz=z=zzs===sx 004878 63 -9020 -6740 -DENT 138.50 A220588 CULLEN. JOHN M.D./FAMILY PRACTICE 051094 II -3190-6399 A220589 DENVER ZOO MAY24OR2 138.50 sx=itx=asxa 90.00 90.00 21-6600-6390-DR2 128.00 WAPZOOP WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/13/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT 08J PROJ DATE : 05/13/94 PAGE : 3 A220589 DENVER ZOO A220S90 DROEGENUELLER. B. RENEE 051294 A220591 EASTMAN KODAK CO 5813934 A220592 FEDERAL EXPRESS CORP 521075899 521504644 A220593 GALINDO, LETICIA A220594 GRAHAM, WILLIAM J A220595 GRAPHIC CONTROLS 521566062 52206 90 40 MI0494 004879 1251502 79-1041-6143 64-1155-6360 01-1011-6311 01-1123-6310 01-1151-6310 01-2111-6311-CIVL 19-4110-6311 01-1011-6311 01-1011-6311 21-6590-6372 21-6600-6375 21-6640-6375 21-6640-6377 63 -9020 -6740 -DENT 01-21186220 WARRANT AMOUNT -------MIIIIMI-IMM 128.06 s axzasassssssss 34.00 34.00 ===s_sss-ssassa 1.286.07 a- 1.286.07 =sssa=ass=assns 38.00 35.00 45.50 13.00 35.00 45.00 67.50 279.00 =sna==saltaiaa3 16.75 132.25 .50 1.79 151.29 zassssas 625.00 625.00 39.75 39.75 NAP206P NARRANT PAYEE NUMBER MELD COUNTY WARRANT REGISTER AS OF : 05/13/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT O8J PROJ DATE : 05/13/94 PAGE : 4 WARRANT AMOUNT A220596 GUERRERO, ESTHER T 040794 051094 051394 A220597 HAZELDEN EDUCATIONAL MATERIALS 1505981 A220598 HOMESTEAD TITLE COMPANY 3167 A220599 HUITT ENGRAVING A220600 JIRICEK, JAMES T A220601 JONES1 DONALD E *220602 JUDISCHD THERESE M A220603 K -MART 9571 004880 004881 51294 9450364 79-6960-6143 79-6960-6143 79-6960-6143 01-2310-6220-INMT 11+3190-6397+3225 01-2110-6225-TRMG 63 -9020 -6740 -DENT 63 -9020 -6740 -DENT 01-1061-6370 86-2312-6212 20.00 58.00 52.00 -« 130.00 ==saaaa sass=ass 156.00 156.00 2=2saa=s==saSaS 185.00 188.00 16,50 s 16.50 a=aiaa 50.00 50.00 =====.=.= ..... 21.30 21.38 aaias=saaaaaaaa 18.9♦ 18.94 121.31 I MAP200P MARRANT PAYEE NUMBER MELD COUNTY WARRANT REGISTER AS OF : 05/13/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROJ DATE : 05/13/94 PAGE : 5 A220603 K -MART A220604 KIN 94034 11-3190-6350 A220605 LANCE GRAPHICS, INC 6908 64-1155-6320 G SURVEYORS A220606 LENLING, NANCY M 004882 63 -9020 -6740 -DENT A220607 MASTER GUIDE INFO SERVICE K18UR2069♦ 21-6950-6373 A220608 MILLER♦ SHELLY K 5172 05/02-27 79-1015-6147 A220609 MOORE PRODUCE 54420 01-2990-6360 A220610 NAGEL, JOHN K. M.D. 5994 19-4140-6335-N MARRANT AMOUNT ------..-------- a 121.31 100.00 100.00 aaas=z=assaszas 235.00 -� 235.00 a asassasssasass 264.00 264.00 z=asasasassaasa 450.00 --------------- 450.00 = ===== =saaa=aaa 392.00 392.00 sass= szn 19.00 - 19.00 a as a as as ===== aa 150.00 150.00 =zsassasss====s WAP200P WARRANT PAYEE NUMBER MELD COUNTY WARRANT REGISTER AS OF : 05/13/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT 08J PROJ DATE : 05/13/94 PAGE : 6 WARRANT AMOUNT A220611 NEWSY, PHYLLIS A 05110I A220612 NORTHERN COLO PAPER CO 299842-00 A220613 NRA SALES OFFICE A220614 OFFEN ACE HARDWARE A220615 PATTEN? ELVIN 0 A220616 PETERSON, ROCKY C A220617 PITNEY BORES 4220618 PITNEY BOWES INC 5994 95875 042594 050994 11848 004883 53154 637806 01-1041--6370 01-1061-6250-JANT 19•-4140-6322-CHP 01 -1061 -6360 -CH 79-2310-6143 79-2310-6143 79-2310-6143 63-9020-6740-VISN 011123-6360 64-1155-6360 24.50 24.50 993.32 993.32 a ss*afmsasal saa 16.91 16.91 Csa as as ass ataas 25.06 25.06 =a= maaasa=asaaa 5.73 5.00 24.00 AM "We Slit flMIMIAMIM• 34.73 asaaa=asxaaaaas 85.00 - SIMMOMINS.IPMSCSISIPOdIO 85.00 600.00 600.00 t=asalasaaaaaaa 180.00 WAP200P WARRANT PAYEE NUMBER MELD COUNTY WARRANT REGISTER AS OF : 05/13/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT 08J PROJ DATE : 05/13/94 PAGE : 7 A220618 PITNEY BOWES INC A220619 PRESSLY, NANCY A A220620 PRICES ALAN A A220621 RIGHT CHOICE (7HE) 004886 004884 004885 63 -9020 -6740 -DENT 40.00 63 -9020 -6740 -DENT 63 -9020 -6740 -DENT WARRANT AMOUNT SaMISIMSS 180.00 =21===.231======= 478050 ♦78.50 sss 68.00 5994 A220622 ROYAL SANITARY SUPPLY 110167 A220623 SANDOVALI TERRY R 004887 004888 A220624 SARTORI LAURA A 19-4140-6J22-CHP 01-2310-6366 63 -9020 -6740 -DENT 63 -9020 -6740 -DENT 108.00 zz======2=2= ss Sass 86.50 86.50 907.68 907.68 a s :s sissssstxzs 76.00 92.00 168.00 ts=z=Sat 004889 63-9020-6740-V15N 36.00 A220625 SCHAEFER ENTERPRISES INC 8021 8030 8089 01--9020-6310 01-9020-6310 01-9020-6310 36.00 z==zm=zzs=sszsz 132.26 76.88 95.19 WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/13/94 INVOICE NUMBER A220625 SCHAEFER ENTERPRISES INC 8133 0158 A220626 SCOBY, JERRY L DATE : 05/13/9. PAGE : 8 ACCOUNT NUMBER WARRANT FD DEPT OBJ PROD AMOUNT 01-9020-6310 01-9020-6310 73.20 1,375.47 1,753.00 szsa=ss=====sss 0512MI 01-1041-6370 106.25 A220627 SIMMERING, GERALD W 041194 041794 04209♦ 550309 A220628 SPECKMAN, WALTER J MEALS94 MIJUNE94 A220629 STARKS, WILLIAM E 0930 0935 0946 0973 79-2310-6143 79-2310-6143 79-2310-6143 79-2310-6143 106.25 ss_==asa=asasas 5.00 10.00 73.25 10.00 sa --SS 98.25 21-4920-6377 112,57 21-6920-6372 79-1123-6147 79-1123-6147 79-1123-6147 79-1123-6147 Sn 195.2$ 307.82 90.00 ♦5.00 90.00 97.00 322.00 s===ass===sssas A220630 STEARNS, KRISTINE M 04/01-04/29 79-1126-6147 190.00 A220631 TUXALL UNIFORM 4 EQUIP 902453 190.00 01-2110-6225-TRNG 110.65 WAP200P WARRANT PAYEE NUMBER WELO COUNTY WARRANT REGISTER AS OF : 05/13/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROJ A220631 TUXALL UNIFORM C EQUIP A220632 UNION COLONY BANK A220633 WEBER, VONDA 015194 77-5300-6610 77-5300-6620 DATE : 05/13/94 PAGE : 9 WARRANT AMOUNT MISS 110.65 =m3=3m==2LMNaa 2.232.7® 1,367.22 3,600.00 =====Sails===am 42594 01-1123-6350 172.00 172.00 fafszfls3amaaaa FINAL TOTAL : 244.421.37 tsaaasaamtimaa WAP200P WELD COUNTY WARRANT REGISTER AS OF : 05/13/94 DATE 2 OS/13/94 PAGE 2 10 THIS IS TO CERTIFY THAT ALL ACCOUNTING AND BUDGETING PRODECURES HAVE BEEN COMPLETED ON THE ABOVE LISTED CLAIMS AS SHOWN ON PAGE I THROUGH 9 , AND DATED 05/13/94, AND THAT PAYMENTS SHOULD BE TO THE RESPECTIVE VENDORS IN THE AMOUNTS SET OPPOSITE THEIR NAMES, WITH THE TOTAL AMOUNT DATED THIS ��?�DAY OF -_�1. r 19 DIRECTO* OF'FrNP('NCE AND ADMINISTRATION SERVICES SUBSCRIBED AND SWORN TO BEFORE ME THIS MY COMMISSION EXPIRES: a°:wJ::^``'""yi0.i�S eit NOTARY PUBLIC DAY OF • • 19 7`( • WE, THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO, HEREBY (APPROVE) (DISAPPROVE) THE CLAIMS AS SET FORTH ABOVE: AND WARRANTS IN PAYMENT THEREFORE ARE HEREBY ORDERED DRAWN UPON THE ��~ ' n,�� FUND,-244411�� __- TOTALING ppB_ �'Y- (.37 DATED IS D Y OF v 19'G'F • MELD COUNTY CLERK TO THE BOARD DEPUTY MEMBER _Lsreaa.besida, MEMBER CHAIRMAN MEMBER WMP451P SOCIAL SERVICES WARRANT REGISTER PAGE 1 DAY CARE REPORT 18109182 DATE OF MAILING WARRANTS 05/16/94 FOR THE MONTH PAID MAY 199♦ WARRANT I.D. PROVIDER NAME NUMBER ACCOUNT NUMBER 08/13/94 WARRANT AMOUNT 196627 575107 ABC CHID DEV CTR/JACKSON 196628 571785 ABC CHILD DEV CTR/CAMERON 196629 589465 ABC CHILD DEV GTR/MCAULIF 196630 $75108 ABC CHILD DEV CTR/MONFORT 196631 $71786 ABC CHILD DEV GTR/SCOTT 196632 571787 ABC CHILD DEV CTR/SHAWSHE 196633 $82711 ABC CHILD DEV CTR/9TH AVE 1244376734 1244376735 1244376735 1244376735 1244376735 1244376734 TOTAL 1244376734 1244376735 1244376735 1244376735 1244376733 TOTAL 1244376735 1244376735 1244376735 1244376734 TOTAL 124437673♦ 1244376735 1244376735 1244376735 TOTAL 1244376734 1244376735 1244376735 TOTAL 1244376735 1244376735 1244376733 1244376734 TOTAL *32.97 616483.57 6225.64 6902.36 8480.19 $404.06 836528.79 816.80 826659.56 $16130.12 6296.46 8423.50 846526.44 6469.23 8685.66 $196.60 $135.40 616017.66 8255.36 $656.85 $16042.30 8364.92 82,319.43 $73.60 616219.04 8466.73 616759.37 $76.60 $627.98 $16275.64 $180.57 $26160.79 WWP4S1P SOCIAL SERVICES WARRANT REGISTER 05/13/94 PAGE 2 DAY CARE REPORT 18209262 DATE OF MAILING WARRANTS 05/16/94 FOR THE MONTH PAID MAY 1994 WARRANT NUMBER 1.0. PROVIDER NAME 196634 546680 ABC CHILD DEVELOPMENT CTR 196635 S77468 ABC LEARNING CENTER 196636 $78720 AICHELMAN, CECILIA 196637 513070 ALLISON, TERESA 196638 $67422 ANDERSON JILL 196639 512884 ARELLANO REBECCA 196640 568353 ARMSTRONG, BECKY 196641 S13059 BALL JUDITH 196642 59392♦ BARNES, STACI 196643 512859 BARRIENTES FLORA 196644 513110 BAUMGARTNERR, DAWN ANN ACCOUNT NUMBER 1244376734 1244376734 1244376734 1244376734 1244376734 1244376735 1244376735 1244376735 1244376735 1244376733 1244376733 1244376734 TOTAL 1244376733 1244376735 1244376734 1244376735 1244376735 1244376734 1244376734 1244376735 1244376734 1244376735 NARRANT AMOUNT ** ****6* 4205051 4811.68 41,560.38 4776.13 44,559.84 $10,727.79 43,927.78 $543.80 $617.44 $258.72 $332.90 $693.93 $25,015.90 4882.00 $363.13 $64.05 $243.00 4219.85 4935.36 4257.98 4122.50 4133.00 $99.20 WWP4S1P SOCIAL SERVICES WARRANT REGISTER 05/13/94' PAGE 3 DAY CARE REPORT 18209252 DATE OF MAILING WARRANTS 05/16/94 FOR THE MONTH PAID MAY 1994 WARRANT I.D. PROVIDER NAME NUMBER 196645 571030 BEAR LINDA 196646 S13149 BECKLEY GERI 196647 549806 BECKSTED, FRAN 196648 513010 BENNETT PEGGY 196649 590552 BERGMANN JENNY 196650 565217 BOWLES DONNA 196651 548393 BRAWNER. MIRIAM 196652 588621 BROWN. THELMA M. 196653 513052 BULL. DENA 196654 549650 BUMGARNER. LYNN C. 196655 513145 BURKHART, KAREN 196656 513150 BUTLER JACQUELINE 196657 575515 CALKINS JANEEN ACCOUNT NUMBER 1244376735 1244376734 1244376735 1244376734 1244376734 1244376735 1244376735 1244376735 TOTAL 1244376735 1244376735 TOTAL 1244376735 1244376735 1244376735 TOTAL 1244376735 1244376734 1244376734 WARRANT AMOUNT $235.00 $99.20 6430.15 $65.45 $188.80 $99.00 6819.12 $897.00 $1.716.12 $263.20 6188.20 6451.40 6211.00 6378.60 6252.65 6631.25 6100.00 $127.30 $601.80 WWP4S1P SOCIAL SERVICES WARRANT REGISTER 05/13/94 PAGE 4 DAY CARE REPORT 18:09552 DATE OF MAILING WARRANTS 05/16/94 FOR THE MONTH PAID MAY 199♦ WARRANT NUMBER I.D. PROVIDER NAME ACCOUNT NUMBER WARRANT AMOUNT 196658 546757 CAMPUS CHILD CARE CENTER 196659 S12966 CAPLINGER JANET 196660 878335 CARMIN, SHERRI 196661 553020 CAROLUS, RETA 196662 512314 CARROLL, SHIRLEY 196663 512278 CASAUS, ANGELINA 196664 568519 COSI (CENTENNIAL ELEM) 196665 568518 C0SI (DOS RIOS) 196666 584209 COSI (JEFFERSON) 196667 564435 CENTENNIAL DEV CENTER,INC 1244376734 1244376734 1244376734 1244376735 1244376735 1244376735 TOTAL 1244376735 1244376735 1244376735 TOTAL 1244376735 1244376735 1244376734 1244376735 1244376735 1244376735 TOTAL 1244376735 1244376735 1244376735 1244376735 1244376735 TOTAL 1244376734 1244376735 1244376734 $315.00 8315.00 $294.00 $649.00 $1,844.00 $310.00 $3,727.00 $256.14 *234.65 6234.00 $468.65 8270.00 $147.00 $261.00 6254.60 $290.00 *192.00 8736.60 8211.00 $1,689.05 606.40 $255.00 $303.50 62,333.95 $840.05 *467.50 12,319.80 WWP4SIP SOCIAL SERVICES WARRANT REGISTER 05/13/94 PAGE 5 DRY CARE REPORT 18:09252 DATE OF MAILING WARRANTS 05/16/94 FOR THE MONTH PAID MAY 1994 WARRANT I.D. PROVIDER NAME NUMBER ACCOUNT NUMBER WARRANT AMOUNT 196668 557988 CERETTO, GWEN 196669 $45502 CHILDREN'S HOUSE OF WELD 196670 565877 CHILDREN'S WORLD - FT COL 196671 $45471 CHILDREN'S WORLD - LNGMT 196672 $65907 CHILDREN'S WORLD LRN CNTR 196673 549010 CNILDRENS WORLD 196674 $87384 COPLEY, JACQUELINE 124437673♦ 1244376734 1244376735 1244376735 1244376735 1244376735 1244376733 1244376734 1244376733 1244376734 TOTAL 1244376735 1244376734 1244376735 1244376735 1244376735 1244376734 1244376734 1244376734 1244376734 1244376735 1244376735 1244376735 1244376735 124437673♦ TOTAL 1244376735 1244376735 TOTAL 1244376735 $528.00 $672.00 610,479.20 5710.65 $537.00 6408.00 $1,007.50 1176.00 $619.50 $1,519.00 s20,284.40 $548.85 $165.00 $202.30 $1,118.06 1346.33 $351.33 61,628.68 $267.68 $1,125.39 $4,843.68 $602.66 $2,083.27 $83.65 $694.20 $12,026.87 $367.00 $196.00 1563.00 4967.04 SWP451P SOCIAL SERVICES WARRANT REGISTER 05/13/94 PAGE 6 DAY CARE REPORT 18109152 DATE OF MAILING WARRANTS 05/16/94 FOR THE MONTH PAID MAY 1994 WARRANT I.D. PROVIDER NAME NUMBER 196675 S13038 CORDER DELORIS 196676 S46766 COUNTRY VILLAGE CNLDS CTR 196677 $60349 CREATIVE YEARS CHL'S CNTR 196678 584010 CRESPIN, SHANNON 196679 512561 CRUZ, RUBY 196680 590840 DAVIS, VANESA 196681 S78582 DAYSPRING CHRISTIAN SCH. 196682 583704 DEERY, DELORES 196683 $63771 DISCOVERY PRESCHOOL ACCOUNT NUMBER WARRANT AMOUNT 1244376734 $136.54 1244376735 1244376734 1244376734 1244376735 1244376735 1244376735 1244376735 1244376735 1244376734 TOTAL 1244376735 1244376735 1244376733 TOTAL 1244376735 1244376734 1244376735 1244376735 TOTAL 1244376734 1244376735 1244376735 TOTAL 1244376734 1244376735 $139.00 $601.20 $535.00 $674.20 $157.00 6221.40 $294.20 $270.20 $1,105.40 $3,997.60 $663.333 $787.33 $66.92 i1,517.58 168.25 $166.08 8184.65 1173.54 8358.19 $651.00 $215.50 $1,i271.50 $2,138.00 $41.28 $641.33 WWP4S1P SOCIAL SERVICES WARRANT REGISTER 05/13/94 PAGE 7 DAY CARE REPORT 15:09;52 PATE OF MAILING WARRANTS 05/16/94 FOR THE MONTH PAID MAY 1994 WARRANT NUMBER I.D. PROVIDER NAME ACCOUNT NUMBER WARRANT AMOUNT 196684 552359 DODGE KATHY 196685 547857 DOSCH, ANITA 196686 583147 DUVALL2 DONNA 196687 568096 EBERHARD) SHARON 196688 579697 EDMISTON, MELVA 196689 512986 ESQUIVEL ERNESTINA 196690 592200 ESTEs TERESA 196691 562517 FALCONBURG KAREN 196692 S57041 FLECK, LORETTA 196693 $71713 FORT LUPTON SCH. DIST RE8 196694 $12919 FOX, PATTI 196695 558855 FRESHOUR, TRACY L 196696 558887 FRIE8US, DOROTHY H 1244376734 1244376735 1244376735 1244376734 TOTAL $341.25 $430.50 $136.30 6465.00 6601.50 1244376735 $200.00 1244376735 6705.60 1244376734 $167.60 1244376735 $264.20 1244376734 $283.50 1244376735 6231.00 1244376735 1244376734 1244376735 1244376735 TOTAL 1244376735 1244376735 1244376734 1244376735 1244376734 $12119.00 6357.00 6693.00 62,310.00 $4,479.00 $67.85 $555.24 6797.95 1836.50 $525.75 WWP451P SOCIAL SERVICES WARRANT REGISTER 05/13/94 PAGE 8 DAY CARE REPORT 18109252 DATE OF MAILING WARRANTS 05/16/94 FOR THE MONTH PAID MAY 1994 WARRANT I.D. PROVIDER NAME NUMBER 196697 513068 GAOALDON, MADELINE 196698 S84260 CALVIN, KAREN 196699 513077 GARCIA ANY 196700 511477 GARCIA, JUANITA 196701 S13108 GARCIA, RAFAELA 196702 S82700 GEESAMAN, SANDY 196703 548990 GIBS0Np BETTY 196704 547852 GIESICK, MELANIE A 196705 579061 GIFFORD, JOANN ACCOUNT NUMBER WARRANT AMOUNT 196706 S47191 GLORIA CHRISTY LUTHERN 196707 549078 GOBLE? HELEN TOTAL 1244376735 1244376734 1244376735 TOTAL 1244376734 1244376735 1244376735 1244376734 1244376735 1244376734 TOTAL 1244376735 1244376735 1244376735 1264376734 TOTAL 1244376735 1244376735 1244376735 TOTAL 42,180.20 3158.00 $110.25 $283.00 4393.23 $98.00 $379.36 $156.10 5189.00 4252.65 8353.82 $795.47 $582.75 $435.13 4171.88 $258.02 $429.90 8134.00 8421.00 $245.65 4666.65 YWP451P SOCIAL SERVICES WARRANT REGISTER 05/13/94 PAGE 9 DAY CARE REPORT 18209212 DATE OF MAILING WARRANTS 05/16/94 FOR THE MONTH PAID MAY 1994 WARRANT I•D• PROVIDER NAME NUMBER 196708 659080 GODINEZ• DIANA 196709 512500 GOHEEN, RAELYNM 196710 S12768 GOMEZ MARY 196711 512971 GONZALES HENRIETTA 196712 512208 GONZALES, JESSIE 196713 563075 GONZALES. LAURA 19671♦ 512866 GONZALEZ FRANK 196715 513119 GRAHAM, LYNN 196716 513114 GREEN JANET 196717 579180 GREIFE, BONNIE 196718 513172 GUERRA CARMEN 196719 S13094 GUTIERREZ, DEBRA 196720 513046 GUTIERREZ, MARIA LEOLA ACCOUNT NUMBER 1244376734 1244376735 TOTAL 1244376736 1244376734 124437673♦ 1244376735 TOTAL 1244376735 1244376735 1244376735 1244376735 1244376734 1244376735 1244376734 1244376735 1244376735 WARRANT AMOUNT 6567.00 691.64 $658.54 $75.60 $78.08 6296.72 6144.90 $441.62 6356.30 1178.00 1103.50 637.00 1204.96 6156.90 $91.00 $61.60 $365.36 WWP451P SOCIAL SERVICES WARRANT REGISTER 08/13/94 PAGE 10 DAY CARE REPORT 16109182 DATE OF MAILING WARRANTS 05/16/94 FOR THE MONTH PAID NAY 1994 WARRANT I.D. PROVIDER NAME NUMBER ACCOUNT NUMBER WARRANT AMOUNT 196721 S13164 HABAYEB, JOHANNA 196722 513113 HALL GEORGIA 196723 $81087 HALL, SUSAN 196724 513126 HANKINS, FELICIA 196725 575099 HARRIS. VALERIE 196726 S70037 HAUSE, LORI 196727 $91032 HEIMBUCH. CONNIE M. 196728 512038 HEINZ, CRYSTAL 196729 S13106 HERNANDE2. ED 196730 512505 HERNANDEL. PATTY 196731 511656 HERNANDEZ, SYLVIA 196732 513141 HERRERA. MARIA 196733 591062 HERRICK, WENDI 1244376735 1244376734 1244376735 1244376735 1244376735 1244376735 1244376735 1244376735 124437673$ 1244376734 1244376734 1244376735 TOTAL 1244376735 1244376735 1244376735 TOTAL *117.10 $294.00 $25.00 $145.60 $465.50 $405.15 $232.45 $41.02 $135.00 $252.70 $53.50 6126.00 $181.50 $105.70 $281.65 $149.65 $431.30 WWP451P SOCIAL SERVICES WARRANT REGISTER 05/13/94 PACE 11 DAY CARE REPORT 18109152 DATE OF MAILING WARRANTS 05/16/9♦ FOR THE MONTH PAID MAY 1994 WARRANT I.D. PROVIDER NAME NUMBER 196734 547210 HIGHLAND DAY CARE CENTER 196735 562362 HIRSCH DOLLY 196736 581177 HOLLAND, CHERYL 196737 571242 HUSTON SHERRIE 196738 513072 JACKSON, CHARITY ANNE 196739 553654 JEANNOUTOT, JANICE 196740 S47877 JEWETT, WILMA 196741 564138 JIMENEZ, BRENDA 196742 512972 JONES KATHRYN 196743 $75411 JORDAN, DEBBIE L96744 512007 KALN, MARY ANN 196745 512690 KASPAR, SHERRI 196746 512446 KELLY, SHIRLEY ACCOUNT NUMBER WARRANT AMOUNT 1244376734 1244376735 1244376735 TOTAL 1244376735 1244376735 1244376735 1244376734 1244376735 1244376735 1244376735 1244376735 1244376734 1244376735 TOTAL 1244376735 1244376735 1244376735 6132.00 61,840.00 £20.60 £1,992.60 £567.00 $396.00 3430.15 6132.30 $1,616.26 $299.20 $168.75 6362.00 6206.65 $821.59 $1,108.24 668.32 £.10 4286.90 WMP451P SOCIAL SERVICES WARRANT REGISTER 05/13/94. PAGE 12 DAY CARE REPORT 18209/81 DATE OF MAILING WARRANTS 05/16/9♦ FOR THE MONTH PAID MAY 1994 WARRANT NUMBER I.D. PROVIDER NAME 196747 592257 KENNEDY, KAREN 196748 579552 KESSLER, DOROTHY 196749 547217 KIDDIELAND 196750 513087 KIDWELL LINDA 196751 560472 KILBER JACKIE 196752 555932 KINDER CARE 196753 549688 KLAUSNER, LAN 19675♦ 513098 KONICCZNY. WENDY ACCOUNT NUMBER WARRANT AMOUNT 1244376733 1385.08 1244376734 1244376735 TOTAL 1244376735 1244376735 1244376735 1244376734 1244376734 TOTAL 1244376734 1244376735 1244376735 1244376734 1244376734 1244376734 1244376734 1244376735 1244376735 1244376735 1244376735 1244376733 1244376734 TOTAL 1244376735 1244376735 TOTAL 1244376735 6286.65 $161.44 6448.09 11,265.00 6726.00 6546.00 6260.00 11,064.95 13,861.95 637.00 1257.50 $408.22 6702.66 $535.36 6204.80 $488.22 62,853.28 $1,423.51 $314.22 $1,014.48 $456.22 81,373.51 19,778.78 $403.00 6183.95 $586.95 6186.84 WWP451P SOCIAL SERVICES WARRANT REGISTER 05/13/94 PAGE 13 DAY CARE REPORT 182091ST DATE OF MAILING WARRANTS 05/16/9♦ FOR THE MONTH PAID NAY 1994 WARRANT I.D. PROVIDER NAME NUMBER *********************************** ACCOUNT NUMBER WARRANT AMOUNT 196755 565437 KORLASKEI LINDA 196756 513154 KRENLEL MADOLINE 196757 547297 LA PETITE ACADEMY 196758 511831 LACOSSEI MARY 196759 581981 LADD, TAMMY 196760 511472 LADD, TRACY 196761 587145 LAMBERT, DEBRA 196762 553634 LANGE? DIANA 196763 575601 LARSEN. CARLA 196764 579703 LARSON. JEANNE 1244376735 1244376734 1244376735 1244376734 1244376734 1244376734 1244376735 1244376735 1244376735 1244376734 TOTAL 1244376734 1244376735 1244376735 1244376735 TOTAL 1244376735 1244376735 1244376734 1244376735 TOTAL 1244376735 1244376735 8310.25 8102.04 $394.00 $21541.34 $1,436.40 8344.40 $2,773.66 $11190.60 $1.573.06 *1,953.22 $121206.68 8103.80 8334.98 8145.25 *1,128.00 811608.23 1255.85 $358.00 5110.04 $215.50 $325.54 $281.44 $569.98 MMP4SIP SOCIAL SERVICES WARRANT REGISTER OS/13/94 PAGE 14 DAY CARE REPORT 18;09162 DATE OF MAILING WARRANTS 05/16/94. FOR THE MONTH PAID MAY 1994 WARRANT I.D. PROVIDER NAME ACCOUNT NUMBER WARRANT NUMBER AMOUNT 196765 S89877 LAW. KIMBERLY 196766 582838 LAY KATHERINE 196767 513120 LEBRUN THERESEA 196768 585221 LEDFORD AMY 196769 513112 LEE EILEEN 196770 513131 LEE, EDNA 196771 S89177 LEFFLER JANICE 196772 513006 LINCH SHARON 196773 581343 LINDQUIST. GAIL 196774 511958 LO8AN, ELSIE 196775 591035 LOPEZ LEANNA 196776 513074 LOPEZ RAMONA 196777 512968 LOPEZ ROSE 124437673♦ 1244376735 TOTAL 1244376735 1244376735 1244376735 1244376734 1244376734 1244376734 1244376735 1244376735 1244376735 1244376735 1244376735 TOTAL 1244376734 $252.00 $645.00 $897.00 $308.50 $58.86 $669.65 $279.30 $62.30 $234.00 $163.12 $375.00 $26.20 $278.66 $191.10 $469.75 6147.00 1244376735 1142.00 $NP451P SOCIAL SERVICES &ARRANT REGISTER 05/13/94. PAGE 15 DAY CARE REPORT 18109252 DATE OF MAILING WARRANTS 05/16/94 FOR THE MONTH PAID MAY 1994 WARRANT I.D. PROVIDER NAME NUMBER 196778 S13111 MALDONADO MARTHA 196779 582710 MANY BLESSINGS CHILD CARE 196780 512938 MARES RENEE 196781 511544 MARFIL, GLORIA 196782 513140 MARQUEZ, JOE 196703 S81471 MARSHALL, BRENDA 196784 851058 MARTIN DEBORAH 196785 578051 MARTIN, JANE 196786 513117 MARTINEZ CORRINE 196787 S13076 MARTINEZ NANCY 196788 $11478 MARTINEZ, VIOLA ACCOUNT NUMBER WARRANT AMOUNT 1244376734 175.50 1244376734 1244376735 1244376735 1244376735 1244376735 1244376735 1244376733 1244376734 TOTAL 1244376735 1244376735 1244376734 1244376735 1244376734 1244376735 TOTAL 1244376735 1244376735 1244376734 1244376734 1244376735 1895.86 12,350.38 1371.33 6614.66 6246.06 6769.86 1376.33 6207.33 15,831.81 1135.00 $326.62 644.65 6543.94 6139.48 6312.98 $996.40 6183.60 6696.80 679.58 1254.64 6229.82 NNP451P SOCIAL SERVICES WARRANT REGISTER 05/13/94 PAGE 16 DAY CARE REPORT 181O92S2 DATE OF MAILING WARRANTS 05/16/94 FOR THE MONTH PAID MAY 1994 WARRANT I.D. PROVIDER NAME NUMBER ***************************** 196789 513097 MASCARENAS, KATHLEEN 196790 559446 MCMILLAN, MARIA 196791 512629 MEDINA FANNIE 196792 S86091 MILLER KIMBERLY ACCOUNT NUMBER WARRANT AMOUNT 196793 511358 MILLS, CARMEN 196794 513049 MOELLMER, PATRICIA 196795 513129 MONDRAGON BEATRICE 196796 512957 MONTANO ISABEL 196797 S01737 MONTESSORI EARLY LEARNING 196798 513078 MOORE, ANN 196799 545867 MOORE, JANETTE 196800 513125 MORADO THERESA 196801 577853 MORADO, LORI 196802 513071 MORQUECHO, ENEDINA 1244376735 1244376735 1244376735 1244376734 1244376734 TOTAL 1244376735 1244376735 124437673♦ 1244376735 1244376734 1244376735 1244376735 1244376735 1244376735 1244376735 6389.10 $221.50 1183.42 $259.33 $186.00 $445.35 $99.20 $200.00 $34.65 $135.00 $321.30 1147.00 6683.63 635.52 $257.50 6191.00 WWP4SIP SOCIAL SERVICES WARRANT REGISTER 05/13/94 PAGE 17 DAY CARE REPORT 18209202 DATE OF MAILING WARRANTS 05/16/94 FOR THE MONTH PAID MAY 199♦ WARRANT I.D. PROVIDER NAME NUMBER ACCOUNT NUMBER 196803 561207 MORRIS) ARLINE 196804 512769 MUNOZ CARMEN 196805 512959 MURRAY, WANDA 196806 348814 MUSIL, GEORGIA 196807 546614 MY FRIENDS L ME LEARNING 196808 582817 MY FRIENDS AND ME TOO 196809 S13151 NATIVIDAD. LUCY 196810 513152 NEVAREZ1 ANGELA 196811 513146 NICKELL, ANDREA Co 196812 580030 NUNEZ. ANN 196813 513003 O'CLAIR KAREN 1244376734 1244376734 1244376735 1244376735 1244376734 1244376734 1244376734 1244376735 1244376735 1244376735 1244376735 1244376733 124437673♦ TOTAL 1244376735 1244376735 1244376735 TOTAL 1244376135 1244376735 1244376735 1244376735 1244376735 4 WARRANT AMOUNT $77.50 $147.00 $109.02 $420.15 $750.33 $702.66 $1.149.33 $4,938.98 $2.463.17 6457.28 $427.30 6162.57 6714.66 $110766.28 6761.00 $262.25 $331.00 61'354625 688.20 $91.00 $69.60 $204.75 $142.00 WMP451P PAGE 18 DATE OF MAILING WARRANTS 05/16/94 WARRANT I.D. PROVIDER NAME NUMBER 196814 196815 196816 196817 196818 196819 S13084 OLIVA. AMANDA 511916 OLIVAS. LINDA 512960 OLIVO, LYDIA 513153 PAGE. MAUREEN 512920 PANTOJA. MADALINA 562738 PECKINPAUGH, DONNA 196820 558235 PENCIL FENCE PRESCHOOL 196821 S51552 PEREZ. DELILAH 196822 577341 PRATNER* NICK! 196823 582045 PRATT* LETA SOCIAL SERVICES WARRANT DAY CARE REP REGISTER 05/13/94 0 R T 18:09252 FOR THE MONTH PAID MAY 199♦ ACCOUNT NUMBER 1244376735 1244316735 1244376734 1244376735 TOTAL 1244376735 1244376735 1244376735 1244376735 TOTAL 1244376734 1244376734 1244376735 1244376735 1244376735 1244376734 TOTAL 1244376735 1244376734 1244376734 TOTAL 1244376735 1244376735 TOTAL WARRANT AMOUNT 6133.00 $314.80 $428.40 172.64 $501.04 170.00 $226.17 $228.25 $360.75 $589.00 $175.50 1515.67 $2#907.10 1543.30 $284.00 1374.40 $40799.97 $300.00 $13.20 $194.00 $207.20 $138.50 *115.00 $253.50 J YWP4S1P SOCIAL SERVICES WARRANT REGISTER 05/13/94 PAGE 19 DAY CARE REPORT 18209152 DATE OF MAILING WARRANTS 05/16/9♦ FOR THE MONTH PAID MAY 1994 WARRANT NUMBER I.D• PROVIDER NAME 196824 $64037 PRESBYTERIAN CNLDRNtS CTR 196825 513093 POJAR, ROSALIE 196826 S83439 REDFERN, CHARLOTTE 196827 $66075 REEVES, SHIRLEY 196828 548680 REIL,MARCIA 196829 584791 RICHARDSON, TONYA 196830 548756 RICKARD, BETTY J 196831 512893 RITCHIE, DOLLIE 196832 586860 ROBERSON, JERRINE 196833 512607 ROCHE, LYNN 196834 512805 RODRIGUEZ LISA 196035 $13138 RODRIGUEZ* YVETTE ACCOUNT NUMBER 1244376734 1244376735 1244376735 1244376734 TOTAL 1244376735 1244376735 TOTAL 1244376735 1244376735 1244376735 TOTAL 1244376734 1244376735 TOTAL 1244376735 1244376735 1244376735 1244376735 1244376735 WARRANT AMOUNT 1702.66 1133.00 8195.65 $166.65 8362.30 $780.00 $120.00 1900.00 $712.13 $375.04 6595.50 $970.54 $504.00 1735.65 $1,239.65 $284.90 $391.00 $111.30 $126.88 $114.85 MMP4S1P SOCIAL SERVICES *ARRANT REGISTER 05/13/94 PAGE 20 DAY CARE REPORT 18109181 DATE OF MAILING WARRANTS 05/16/94 FOR THE MONTH PAI!► MAY 1994 WARRANT NUMBER I.D. PROVIDER NAME ACCOUNT NUMBER WARRANT AMOUNT 196836 $76456 ROYBAL1 REGINA 196837 567570 RUFF, CONNIE 196838 512822 RUIZ JUANA 196839 513045 SALAZAR, MARY CHRISTINE 196840 513107 SALAZAR, ROSE 196841 $13030 SANCHEZ NERMELINDA 196842 513101 SANCHEZ, ARGELIA 196843 513130 SANDERS JODIE 196844 579500 SCHAFER. RONNIE 196845 513084 SCHAUB. NORMA 196846 513037 SCHNELLER KIM 196847 $11795 SCHUMAN, KAREN 196848 S80058 SEAMAN. NERDY 1244376734 1244376734 1244376735 1244376735 TOTAL 1244376735 1244376735 1244376735 1244376735 1244376734 1244376735 1244376734 1244376735 1244376735 TOTAL 1244376735 1244376734 1244376735 1244376735 $316.48 *549.15 *541.59 $142.44 $1,549.66 *313.50 $284.00 *261.00 $400.03 *177.88 $86.80 *108.34 $281.65 $252.00 $533.65 5126.00 $83.04 $147.00 *819.46 MMP451P SOCIAL SERVICES WARRANT REGISTER 05/13/94 PAGE 21 DAY CARE REPORT 18109252 DATE OF MAILING WARRANTS 05/16/94 FOR THE MONTH PAID MAY 1994 WARRANT I.D. PROVIDER NAME NUMBER 196849 512766 SHAFFER, RUBY 196850 513092 SHUBERT' HELEN 196851 511821 SNALL, LINDA 196852 565536 SMITH, DARINDA(RINDY► 196853 512463 50LIS, ANNETTE 196854 513139 SORIA, ALICE 196855 582233 SPIKIER) MARY 196856 571769 SPRINGER, NANCY 196857 546734 STARLINE PRESCHOOL 196858 581884 STEEL, SHARON 196859 876512 STEVENS, KATHY 196860 559664 STIGMAS, NORMA ACCOUNT NUMBER 1244376735 1244376735 1244376734 1244376735 TOTAL 1244376734 1244376735 1244376735 TOTAL 1244376734 1244376735 1244376735 1244376734 1244376735 1244376735 1244376735 TOTAL 1244376735 1244376734 1244376735 1244376735 TOTAL WARRANT AMOUNT $351.70 3135.00 $230.20 $318.30 $548.50 $286.65 $136.50 6580.48 $1,003.63 $93.42 $348.62 $410.50 $675.00 $461.40 $424•00 $53.55 $938.95 $923.14 $310.08 $222.00 $532.00 $7$4.00 WMP4SIP SOCIAL SERVICES WARRANT REGISTER 05/10/94 PAGE 22 DAY CARE REP O R T 18209252 DATE OF MAILING WARRANTS 05/16/94 FOR THE MONTH PAID MAY 1994 WARRANT I.D. PROVIDER NAME NUMBER ACCOUNT NUMBER WARRANT AMOUNT 196861 590023 STONE PAM 196862 $49889 STRATFORD, DENIGE 196863 585586 SUICHTA LORI 196864 $47815 SUNSHINE SCHOOL 196865 $49209 SWEET) LINDA 196866 512984 SWOPE KENNETH 196867 S82307 SYDOW, LAURENE 196868 556651 TAYLOR, PAMELA 196869 S13061 TELLEZ, JERRY 196870 558824 TERRIERE, MICHELE 196871 S12962 THADEN, KAREN 196872 S83445 THORNE) CANDICE 196873 $81481 TURNER SANDII 1244376735 1244376735 1244376735 1244376735 1244376735 1244376734 1244376735 1244376735 TOTAL 1244376735 1244376735 1244376735 1244376735 1244376734 1244376735 1244376735 TOTAL 1244376735 1244376734 TOTAL $386.00 $205.06 $91.00 $284.36 *252.00 $160.30 $495.58 $444.55 $940.13 $262.50 $164.30 $947.25 $142.00 $370.00 $564.12 $226.82 51.160.94 $492.15 $429.15 $931.30 NWP4SIP SOCIAL SERVICES WARRANT REGISTER 05/13/44 PAGE 23 DAY CARE REPORT 18101162, DATE OF MAILING WARRANTS 05/16/94 FOR THE MONTH PAID MAY 1994 WARRANT I.D. PROVIDER NAME NUMBER ACCOUNT NUMBER WARRANT AMOUNT 19687♦ 513047 TURNERS BETTE ANNE 196875 580178 TURNER, BRENDA 196876 571523 VAN ORIEL KAREN 196877 570484 VAN ROEKEL, MARCELLA 196878 512384 VANDYNE, SHIRLEY 196879 583225 VANSLAGER, DENISE 196880 512703 VARGAS ROSE MARY 196861 512633 VILLARREAL, CALLETANA 196882 574636 SAGNER. KELLY 196883 S12979 WALKER CAROL 196884 511708 WALKER, GERALDINE J. 196885 550826 WARD, TERESA 196886 584411 WASSENBERG CONNIE 196887 513103 WEBER, SONDRA 1244376735 1244376735 1244376735 1244376735 1244376735 1244376735 1244376735 1244376735 1244376734 1244376735 1244376734 1244376735 1244376735 1244376735 TOTAL 1244376735 1364.24 1753.65 1150.10 1206.40 6173.30 177.70 $46.00 6132.30 6490.00 6142.00 6130.20 6162.50 1590.70 6544.15 11,134.85 6115.88 WWP4S1P SOCIAL SERVICES WARRANT REGISTER OS/L3/94 PAGE 24 DAY CARE REPORT 18:09:52 DATE OF MAILING WARRANTS 05/16/94 FOR THE MONTH PAID MAY 1994 WARRANT I.D. PROVIDER NAME ACCOUNT NUMBER WARRANT NUMBER AMOUNT 196888 S13031 WHIPPLE LORENE 196889 578716 WHITEN ELLEN 196890 562932 WHITE, SHARON 196891 513069 WILLIAMS DIANA 196892 590409 YBARRA VICKY 196893 512522 ZAMORAN CECLIA 1244376735 1244376735 1244376735 1244376734 1244376735 1244376735 $150.38 $305.50 62,518.14 6311.70 $245.65 652.30 WWP451P SOCIAL SERVICES WARRANT REGISTER 05/13/94 PAGE 25 DAY CARE REPORT 18209252 DATE OF MAILING WARRANTS 05/16/94 FOR THE MONTH PAID MAY 1994 WARRANT NUMBER I.D. PROVIDER NAME ACCOUNT NUMBER NARR ANT AMOUNT ttttttttttttttttt#tttttttttttt#t##ttttttttttt***ttt*t#tttt###*ttttttttt#tttttttttt NUMBER OF WARRANTS a 267 TOTAL s 3230.925.68 THIS IS TO CERTIFY THAT ALL ACCOUNTING AND BUDGETING PROCEDURES HAVE BEEN COMPLETED ON THE ABOVE LISTED CLAIMS AS SHOWN ON PAGE 1 THROUGH 24 p AND DATED 05/13/94, AND THAT PAYMENTS SHOULD BE TO THE RESPECTIVE VENDORS IN THE AMOUNTS SET OPPOSITE THEIR NAMES, WITH THE TOTAL AMOUNT DATED THIS 19 Y. 1,230 7.2S. 6Y' DIRECTONANCE AND ADMINISTRATION SERVICES SUBSCRIBED AND SWORN TO BEFORE ME THIS (""'^ DAY OFL9/ <7. MY COMMISSION EXPIRES: MyCOmrrssionDp:resJanuary I0,109r' NOTARY PUBLIC WEB THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO, HEREBY (APPROVE) (DISAPPROVE) THE CLAIMS AS SET FORTH ABOVE; AND WARRANTS IN PAYMENT THEREFORE ARE HEREBY ORDERED DRAWN UPON THE FUND - TOTALING $ -2-3 O/7c S'.Cf' DATED THIS /41.7a.DAY OF A`U 19.9 WELD COUNTY tLta'TO THE BOARD MEMBER DEPUTY MEMBER MEMBER WMv203P COLLECTION OF CLERK FEES 04/04/94 ITEMS MARY ANN FEUERSTE:IN WELD COUNTY CLERK AND RECORDER MONTH: APRIL YEAR: 1994 TOTAL STATE MOTOR VEHICLE DEPARTMENT LICENSE FEES 13656 415165.76 OWNERSHIP TAX 13656 700709.71 SME RENTAL O.T. 25 7565.00 VEH RENTAL O.T. 0 2717.92 PERMITS 2464 2153.00 SALES TAX 0 261307.99 TITLES 5084 27468.00 ID'S 56 196.00 CHATTELS 1609 16800.00 DUP REG/INQUIRY 72 158.40 FICHE 1 50.90 CERTIF. S OTHER 12 27.00 PENALTIES 0 .00 SHE RENTAL TABS 0 .00 DIESEL (COUNT) 0 EMISSION FEES 3551 2485.70 SHORT CHECKS 19 285.00 INSURANCE FEES 0 .00 HANDICAP PLACRD 123 153.15 CONFIDENTIALITY 0 .00 OTHER 0 .00 SUB TOTAL 40328 1437244.13 RECORDING DEPARTMENT UCC INDEX GEN INDEX DOC FEES SEARCH G CERT MICROFILM CERT COPIES NON CERT COPIES MARRIAGE LIC PHOTO COPIES RECEIVABLES OTHER SUB TOTAL 434 4784 439 119 41 17 2506 83 0 0 0 8423 4140.00 52535.00 4053.74 1262.00 11988.85 33.50 8128.75 1660.00 .00 .00 .00 83801.84 COUNTY CLERK FEES 350097.76 50038.00 15030.00 8876.50 682956.11 8876.50 7552.50 12.00 • .00 2717.92 .00 708.10 1444.90 250950.29 10357.70 12555.00 14913.00 112.00 84.00 16800.00 7.24 151.20 50.90 . 00 27.00 .00 . 00 .00 2485.70 285.00 . 00 .OD 30.75 123.00 .00 .00 .00 623337.60 743265.13 70641.40, 1079.00 1079.00 4140.00 52535.00 4053.74 1262.00 11988.85 33.00 8128.75 581.00 . 00 .00 . 00 82722.84 ELECTION DEPARTMENT CERTIFICATION 11 11.00 11.00 MAPS 5 10.00 10.00 LISTS 19 1624.54 1624.54 OTHER 2 17.50 17.30 SUB TOTAL 37 1663.04 1663.04 APR GRAND TOTAL 48788 1522709.01 624416.60 743265.13 155027.28 YEAR-TO-DATE TOTAL COLLECTIONS MOTOR VEHICLE 158158 5701239.15 2442399.14 2978547.38 280292.63 RECORDING 35184 334499.61 3887.00 330612.61 CLERK TO BOARD 0 .00 .00 ELECTION 190 2935.90 2935.90 YTD GRAND TOTAL 193532 6038674.66 2446286.14 2978547.38 613841.14 CRS 30-1-114 N FEUERSTEIN REVISED 1/84 WELD C LINTY CLERK AND RECORDER ol ‘uloA MMV203P COLLECTION OF CLERK FEES 04/04/94;`! MARY ANN FEUERSTEIN MELD COUNTY CLERK AND RECORDER YEAR-TO-DATE TNRU APRIL FOR YEAR: 1994 ITEMS MOTOR VEHICLE DEPARTMENT TOTAL STATE COUNTY CLERK FEES LICENSE FEES 53029 1673446.50 1417611.50 197404.00 58431.00 OWNERSHIP TAX 53029 2813353,61 34153.50 2745046.61 34153.50 SHE RENTAL 0.T. 100 25221.82 25171.82 50.00 VEM RENTAL 0.T. 0 10924.95 .00 10924.95 .00 PERMITS 10390 8742.50 2952.25 5790.25 SALES TAX 0 977250.42 938909.84 38346.58 TITLES 19488 105444.00 48247.50 57196.50 ID05 170 595.00 340.00 255.00 CHATTELS 6836 73440.00 73440.00 DUP REG/INQUIRY 293 644.60 29.30 615.30 FICHE 22 315.90 315.90 CERTIF. i OTHER 32 72.00 .00 72.00 PENALTIES 0 .00 .00 SME RENTAL TABS 0 .00 .00 .00 DIESEL (COUNT) 0 EMISSION FEES 14068 9847.60 9847.60 SNORT CHECKS 7T 1155.00 1155.00 INSURANCE FEES 0 .00 .00 .00 HANDICAP PLACRD 624 779.25 155.25 624.00 CONFIDENTIALITY 0 .00 .00 .00 OTHER 0 .00 .00. SUB TOTAL 158158 5701239.15 2442399.1♦ 2978547.38 280292.63 RECORDING DEPARTMENT UCC INDEX GEN INDEX DOC FEES SEARCH £ CERT MICROFILM CERT COPIES NON CERT COPIES MARRIAGE LIC PHOTO COPIES RECEIVABLES OTHER SUB TOTAL ELECTION DEPARTMENT CERTIFICATION MAPS LISTS OTHER SU8 TOTAL YTD GRAND TOTAL 1788 16845.00 19133 206900.00 154♦ 14258.32 810 8188.00 140 38328.59 385 1126.75 11082 42493.25 299 5980.00 0 .00 0 .00 3 379.70 35184 334499.61 126 126.00 20 76.00 34 2512.85 10 221.05 190 2935.90 193532 6038674.66 YEAR-TO-DATE TOTAL COLLECTIONS MOTOR VEHICLE 158158 5701239.15 RECORDING 35184 334499,61 CLERK TO BOARD 0 .00 ELECTION 190 2935.90 YTD GRAND TOTAL 193532 6038674.66 CRS 30-1-114 REVISED 7/84 3887.00 3887.00 16845.00 206900.00 14258.32 8188.00 30328.59 1126.75 ♦2493.25 2093.00 .00 .00 379.70 330812.6L 126.00 76.00 2512.85 221.05 2935.90 2446280.14 2978547,38 613841.14 2442399.14 2978547.38 280292.63 3887.00 330612.61 .00 2935.90 2446286.14 2978547.38 613841.1♦ MARY N FEUERSTEIN MELD LINTY CLERK AND RECORDER SUMMARY OF THE WELD COUNTY PLANNING COMMISSION MEETING May 3. 1994 A regular meeting of the Weld County Planning Commission was held May 3, 1994 in the County Commissioners' Hearing Room (Room #101), Weld County Centennial Building, 915 Tenth Street, Greeley, Colorado. The meeting was called to order by Vice -Chairperson Richard Kimmel at 1:33 p.m. Tapes Roll Call Richard Kimmel Bill O'Hare Shirley Camenisch Juliette Kroekel Bud Clemons Marie Koolstra Ron Sommer Tom Rulon Judy Yamaguchi Present Present Present Present Present Present Present Absent Absent M O rn oz J Also present: Keith A. Schuett, Current Planner II, Greg Thompson. Current Planner, Department of Planning Services; Lee Morrison, Assistant County Attorney; Becky Schoenfeld. Secretary. The summary of the last regular meeting of the Weld County Planning Commission held on April 19, 1994, was approved as read. Judy Yamaguchi arrived at 1:40. CASE NUMBER: USR-1043 APPLICANT: ADDRESS: REQUEST: Gregory B. and Kristie Kay Bement 8402 Weld County Road 62, Windsor, CO 80550 A Site Specific Development Plan and a Special Review permit for storage and maintenance of delivery trucks for an air freight business with limited storage, transfer, loading, or unloading of freight on site in the A (Agricultural) zone district. LEGAL DESCRIPTION: The E2 NW4 of Section 4, TSN, R67W of the 6th P.M., County, Colorado. LOCATION: 8402 Weld County Road 62 SIZE OF PARCEL: 2.3 acres, more or less V- r Weld PLANNING COMMISSION MEETINGS May 3, 1994 Page 2 Greg Bement, applicant, stated that he is a contractor for Air Borne Express. Mr. Bement stated that Air Borne Express contracts with five or six entities like himself. He stated that he stores 3 to 4 vans on the property. Mr. Bement does maintenance on this property in a shop that this 40 x 60. They do sort freight on the property on Saturday mornings for an hour to hour and a half. He stated the traffic is not a large concern. They make approximately 3 to 4 arrivals and departures and no accidents have occurred with his drivers. Bud Clemons asked what kind of storage facility is on the property. Mr. Bement stated there is a steel building 40 x 60 feet, three overhead doors on the south side, two doors are 16 feet wide and one door is 12 feet wide. Can store 4 vans and one of the medium duty truck at a time. Marie Koolstra asked Mr. 3ement if he received a permit. Mr. Bement said he did apply for a permit but stated to our office that it was for personal use. He is in the process of changing the building to commercial use. Bill O'Hare asked what the average traffic to and from the site. Mr. Bement stated that a dozen or less was a high estimate. Judy Yamaguchi asked if Mr. Bement had any concerns about the staff comments. Mr. Bement stated that he talked to the Health Department about putting bathrooms in but they felt it was unnecessary. He also had concerns over Development Standard #9 that limited outdoor storage. He stated that one medium duty truck must stay outside. The building is not large enough to store both medium duty trucks. The Chairperson asked if anyone in the audience would like to speak for or against the application. Laurie Staley, surrounding property owner, stated that her main concern is growth. She does not mind what is being proposed but does not want this to grow. Keith Schuett stated to the Planning Commission that Condition of Approval #3 regarding the bathroom facilities could be deleted. Discussion followed regarding Development Standard #9. Marie Koolstra asked who owns the vehicles. Mr. Bement stated the corporation he runs owns the vehicles. He stated there are 19 vehicles in the corporation and that each truck comes in once a month for maintenance. He feels this will decrease once Air Borne Express builds their new loading facility. PLANNING COMMISSION MEETINGS May 3, 1994 Page 3 Bud Clemons moved Case Number USR-1043 for a Site Specific Development Plan and a Special Review permit for storage and maintenance of delivery trucks for an air freight business with limited storage, transfer, loading, or unloading of freight on site in the A (Agricultural) zone district be forwarded to the Board of County Commissioners with the Planning Commission's recommendation for approval including the following amendments: Eliminate Condition of Approval #3, addition of Condition of Approval #3 to state: "The 15 inch culvert at the access to the property shall be cleaned to provide adequate drainage", addition of Development Standard #9 to state: "The 15 foot culvert at the access to the property from Weld County Road 62 shall be maintained to accommodate proper drainage", change to the existing Development Standard #9 to state: "No outside storage of materials or equipment associated with this operation shall be allowed on site. No more than one truck may be stored outside the building during daylight hours", and subsequent renumbering of the Development Standards. Motion seconded by Shirley Camenisch. The Chairperson asked the secretary to poll the members of the Planning Commission for their decision. Richard Kimmel - yes; Bill O'Hare - yes; Shirley Camenisch -yes; Juliette Kroekel - no; Bud Clemons - yes; Marie. Koolstra - no: Ron Sommer -no; Judy Yamaguchi no. Motion denied. Juliette Kroekel: "I feel that we should hold the permit to the present property owner only instead of letting it continue on." Marie Koolstra: "I do not want the permit to pass on to another property owner." Ron Sommer: "Same reason, I believe it should not pass on to another property owner." Judy Yamaguchi: "I also agree that it needs to stay with the property owner and not move forward." Ron Sommer moved Case Number USR-1043 for a Site Specific Development Plan and a Special Review permit for storage and maintenance of delivery trucks for an air freight business with limited storage, transfer, loading, or unloading of freight on site in the A (Agricultural) zone district be forwarded to the Board of County Commissioners with the Planning Commission's recommendation for approval including the following amendments: Eliminate Condition of Approval #3, addition of Condition of Approval #3 to state: "The 15 inch culvert at the access to the property shall be cleaned to provide adequate drainage", addition of Development Standard #9 to state: "The 15 foot culvert at the access to the property from Weld County Road 62 shall be maintained to accommodate proper drainage", change to the existing Development Standard #9 to state: "No outside storage of materials or equipment associated with this operation shall be allowed on site. No more than one truck may be stored outside the building during daylight hours", PLANNING COMMISSION MEETINGS May 3, 1994 Page 4 addition of Development Standard #17 that states: "The Special Review permit shall not be transferable to any successors in interest to the described property and shall terminate automatically upon conveyance or lease of the property to others for operation of the facility", and subsequent renumbering of the Development Standards. The Chairperson asked the secretary to poll the members of the Planning Commission for their decision. Richard Kimmel - yes; Bill O'Hare - yes; Shirley Camenisch - yes; Juliette Kroekel - yes; Bud Clemons - yes; Marie Koolstra - yes; Ron Sommer - yes; Judy Yamaguchi - yes. Motion carried unanimously. CASE NUMBER: USR-1044 APPLICANT: Donald L. and Joann K. Harmon ADDRESS: 2631 W. 175th Avenue, Erie, CO 80516-7902 REQUEST: A Site Specific Development Plan and a Special Review permit for an Accessory Structure over 1500 square feet in an Agricultural Subdivision and a horse training facility. LEGAL DESCRIPTION: Lot 10, Ranch Eggs, Inc., First Filing, Weld County, Colorado. LOCATION: Approximately 1300 feet west of Weld County Road 7; south of and adjacent to the Community Ditch, and north of and adjacent to 175th Avenue. Mr. and Mrs. Harmon, applicants, stated they raise and train racing horses. They have been boarding their animals at another location and it would be less expensive to train their own horses on -site. They have approximately 10 acres. This indoor arena would be used in the winter to break the horses. The manure created on site would be used for their own property and any extra would be sold to farmers. There would not be much traffic; only the family members that are involved. Judy Yamaguchi asked if they would have roping events. Mrs. Harmon stated they decided not to have roping events. Marie Koolstra asked how big is the building. Mrs. Harmon stated 100 x 300. Judy Yamaguchi asked if this building was comparable to the buildings in the area. Greg Thompson stated that other buildings in this subdivision are under half this size. Discussion followed. Ron Sommer stated concerns over the fact that the recommendation does not prevent commercial use. Discussion followed. Mrs. Harmon stated that they enjoy raising horses and they are trying to save money by training the horses themselves and it is there own personal project. PLANNING COMMISSION MEETINGS May 3, 1994 Page 5 Mrs. Harmon had a concern over Development Standard #10 regarding the restrooms for the building. She stated it would just be family and she does not see how it would be necessary. Discussion followed. The Chairman asked if there was anyone in the audience who would like to speak for or against the application. Dave Shultz, surrounding property owner, stated the development in the past had been out of control and this new development should be regulated. He also stated that the structure was close to his house and did not fit in with the neighborhood. He stated that he was concerned about traffic since the road is, in his opinion, below grade. Mr. Shultz was also concerned about fire protection since there are not fire hydrants. He stated the building is large and does not need to be in a small acreage subdivision. He was also concerned about his property value decreasing. Marvin Hanel. surrounding property owner, stated that this venture is not an agricultural venture and he had a problem with the building because it does not conform to the neighborhood. Greg Thompson wanted to offer a change of Development Standard #12 because of some confusion over the wording. Ron Sommer asked for clarification on Development Standards regarding manure and waste. Greg Thompson stated that he talked to Jeff Stoll, Weld County Health Department. Jeff stated that agricultural manure is allowed to be put on site. Lee Morrison stated manure is not a solid waste. Bill O'Hare stated Development Standard #7 is different from #4, waste materials are different than manure. Discussion followed. Ron Sommer moved Case Number USR-1044 Site Specific Development Plan and a Special Review permit for an Accessory Structure over 1500 square feet in an Agricultural Subdivision and a horse training facility be forwarded to the Board of County Commissioners with the Planning Commissions' recommendation for approval with the following amendments: Delete Development Standard #10, change the wording on Development Standard #12, and subsequently renumbering the Development Standards. Motion Seconded by Bud Clemons. The Chairperson asked the secretary 'to poll the members of the Planning Commission for their decision. Richard Kimmel - yes; Bill O'Hare - yes; Shirley Camenisch - no; Juliette Kroekel - no; Bud Clemons - yes; Marie Koolstra - yes; Ron Sommer - yes; Judy Yamaguchi - no. Motion carried. Becky Schoenfeld Secretary PLANNING COMMISSION MEETINGS May 3, 1994 Page 6 Shirley Camenisch: Juliette Kroekel: Judy Yamaguchi: Meeting adjourned "I have a problem with the size, and I don't feel it is consistent with the area." "It is the size of the property and the area itself after listening to the home owners and I agree with them you have to step in someplace. This building is going to be a huge building. The building will be to big for the property." "I have to agree with Juliette on the size of the building." at 3:10 p.m. ectfully Submitted TIRE MOUNTAIN, INC.. Phone 303-573-5744 12311 Weld County Rd. 41, Hudson, Colo., 80642 May 10, 1994 ANNUAL TIRE REPORT TIRE MOUNTAIN, INC. 12311 Weld County Road 41 Hudson, Colorado, 80642 Repprd of Incoming and Outgoing Tires January 1, 1993, to December 31, 1993 Incoming Tires Tires Recycled Off Site 346,740 Net Incoming Tires 322,880 Tires Recycled on Site --0-- Tires Stored in storage cells 322,880 MEMO T0: Larimer County Commissioners: Courtlyn getcnkiss Janet Duvall Jim Disney weld County Commissioners: 8111 Webster Connie Harbert George Baxter barb Kirkmeyer Dale Hall Adams County Commissioners: Elaine Valente Harold Kite Guillermo Defterrera boulder County Commissioners: Sandy Hume Romer Page Ron Stewart Randy Grauoerger, COOT Rooert Farley, Executive FROM: Mr. Mr. Mr. John Peacock. Ft. Range Railroad, Ft. Collins WELD COUNTY CO's.,,.,SF'!0'.!. RS 1S9t1 tt„Y 13 RI 9: 26 CLERK TO THE BOARD Director. ORCOG Michael A. Rowe, Member, Colorado Rail Advisory Committee, COOT SUBJECT: Abandonment of area rail lines OATS: 11 May 1994 Please accept my apologies tor a mass-produced memo; time does not permit me the luxury of individually -addressed letters. This memo is regrettably lengthy, due to the complexity of the subject matter addressed herein. Your attentionis directed to the attached setter from Ma. Julie K. brown, Manager Commuter Rail Development. Union Pacific Railroad. This letter was written in response to an inquiry which 1 directed to Mr. Larry Smith, Manager of Commuter Rail Programs at the Union Pacific Railroad. This letter reoresenta a "Now or never!" opportunity to convert years of discussion into some concrete first steps leading to the eventual imolementa- tion of commuter passenger rail services in the North Front Range Urban Cor- ridor. This is not an issue which can be postponed until "after the election," or "next year," or "after 2000." It IS an opportunity to take a pro -active step towards meeting our rapidly worsening transportation and air -quality woes. Unfortunately, railroad abandonments in Colorado seem to have become the order of the day. We have already lost a significant number of lines just within the past few years, including the Rock Island RR line between Limon and Colorado Springs, the Union Pacific line between Union (near Ft. Morgan) and Monfort (near Greeley), the Burlington Northern line between Longmont and Lafayette, and the Union Pacific "Dent Branch" between Dent (near LaSalle) end St. Vrains 104 I 0(411 iC2: EG; PG (east of Erie). At present, I as deeply involvea in efforts to help oreserve the Wyoming & Coioraao Railroad, which rune between Laramie, WyOminq and Walden, Colorado. Unfortunately, each one of these losses (nooexuliy not including the Wyoming & Colorado line) have been accompanied ov a singular degree of local, regional, and state-wide disinterest ana/or last-minute panicked response. This memo is written in the hopes that situation will not occur again. I have ascertained that the Colorado brick Company oricx manufacturing plant at Valmont and Butte Mill Roads, Just to the east of boulder (boulaer County) is being closed, dismantled, and shipped to Lehigh, Iowa. There are sufficient reserves of brick on hand to sustain shipments until the end of May. In the peat, much of that brick has been shipped out of the area by rail on the Union Pacific's "Boulder Branch." Loss of the brick plant removes the last economic Justification for maintenance of rail service on the Boulder branch between Boulder and Denver unless (and this is a faint hope indeed) the Public Service Company of Colorado cin be persuaded to re-route rail shipments of coal from Denver to it's Valmont generation station in boulder away from the Burlington Northern Railroad to the Union Pacific's Boulder Branch. This places the Boulder branch in near -term risk of abandonment. Ms. Brown's letter confirms my assessment. The abandonment of the Boulder branch is NOT Just a boulder County or Adams County issue. As will become evident, the Boulder branch is important to each and every one of your counties (and deserves your attention) because it iµ a critical link in a wet, of rail lines in northeastern Colorado which can become the centerpiece of a North Front Range Urban Corridor commuter rail program. A look at the enclosed map will reveal that the Boulder branch was once part of the aforementioned Dent branch, which in turn connected to the Union Pacific line between Greeley and Ft. Collins (rail lines in red). The middle portion of this network, from St. Vrains to Dent (dotted red line), was aban- doned about five years ago (a small portion of the line, shown in Dlue, was sold to PSCO in the event the Ft. St. Vrain Nuclear Generation Station was converted to coal, and event that never transpired). Fortunately, my sources at the Union Pacific indicate that the UV did not dispose of the land that makes up the corridor for this missing piece of track, and rail could easily (although not cheaply) be re-laid, once again linking the disparate elements of the Dent branch. Rail would once again connect Ft. Collins, Greeley, Loveland (though a con- necting railroad), and Boulder with Northglenn, Thornton, Commerce City. and, ultimately, Denver Union Station (DUT). Longmont is "out of the loop" but could be served by shuttle bus, light rail, or an extension of the commuter rail system. By virtue of connections at DUT with the City of Denver's proposed "Air Train" or by reconstructing long -abandoned and new trackage from St. Vrains through Brighton, it would be possible to use this trackage to provide vital commuter rail service from the North Front Range communities to both downtown Denver and the new Denver International Airport. These component elements which make up the Dent Branch originate in principal communities but travel through relatively undeveloped countryside, making for a rail corridor offering low -impact, time -efficient, cost-effective commuter -rail service. Commuter rail service could compliment a north -south interstate Amtrak service now being studied by the states of Texas, New Mexico, Colorado, Wyoming, and Montana. - 2 - Conversely, this rail artery could be used to divert freight traffic trom the Burlington Northern's Ft. Collins/Loveland/Longmont/Boulder/Denver line eno the Union Pacific's Greeley/Ft. Lupton/Brighton/Denver line so that tnese latter lines could be used as alternative commuter -rail routes. It should oe noted that loss of the Boulder Mrancn and ailiec rail lines would maze tne implementation of commuter -rail service, while not impossible, certainly manifestly more difficult, for there would be no practical way to separate commuter trains from existing freight traffic (the freight on these lines is interstate in origin and character and cannot easily be disrupted simply for the sake of a few commuter trains). I do not believe that there is anyone within the North Front Range Uroan Corridor who would argue that there is not a desperate need for oetter access to both downtown Denver and the new Denver International Airport. Conversely, I think you would find a lot of people who would argue that pouring vast sums of money into still more highway construction is not an appropriate way to go. Commuter rail service offers a coat -efficient, environmentally -friendly alter- native to the proliferation of automobiles and highways. But we urgently need to see that there are no further losses of rail lines in and between our communities so that our options are preserved. You may ask, "Why isn't this an issue that the State of Colorado should address?" Unfortunately, the newly -constituted Colorado Department of Transportation has barely begun work on developing a state-wide rail policy and does not yet have any systems in place for insuring the preservation of important rail lines. On the other hand, the Union Pacific Railroad, as a for- profit corporation, cannot be expected to continue to pay taxes and perform necessary maintenance on non-productive rail lines while it waits for the State (or communities in our area) to spend long periods of time musing about rail line preservation and commuter -rail service. Larry Smith of the Union Pacific has proposed to the State and to the Commissioners of at least some of our counties that this and other endangered rail lines be "rail banked," that is. purchased and held by an appropriate governmental entity until systems can be put in place for revitalizing freight traffic on light -density lines and/or tor using the■ for public purposes, i.e., commuter rail. One mechanism open to us is the formation of a regional rail district as provided for in the Colorado Rail District Act (C.R.S. 32-12-101 and following). Obviously, the Union Pacific's motives are not totally altruistic; the rail- road stands to make money by providing commuter rail service under contract to an appropriate transit agency. Such expectations are not out of line, ea tne UP and other railroads are already providing commuter rail services in other parts Of the country, to the satisfaction of both the railroad and affected communities. For your information, I a■ enclosing a copy of a Union Pacific brochure which addresses the commuter rail issue. Mr. Smith has delivered to me a personal promise that the Union Pacific will not pursue any precipitous action in the near term which would lead to aban- donment and scraping of the Boulder branch and would advise me of any actions being contemplsted. It is, quite frankly, not a promise that I can hold hi■ or his railroad tO indefinitely. I therefore suggest that all Jurisdictions addressed by this memo establish an intergovernmental process which would lead--ASAP--to a local/state program to acquire and preserve the Boulder Branch and connecting line■ for the commuter rail system that eventually must be forthcoming (the question is "when," not "if"). Nothing less than the future of a significant component of alternative transportation for this, our region, is at stake here. future generations will bless --or Curse--present-oay elected officials ana paid staffs tor the ceoree Of wisdom and foresight exercised in preserving local rail lines. i nooe tnat we are equal to the task! Please advise your constituent communities and your CCG/MP0 of tole situation. Michael A. Rowe 6292 Arapanoe, 02 boulder, CO 80303-1438 (J(1J) 444-6454 (home) (30J> 44/-5125 (work) cc: Julie Brown, Larry Smith, Union Pacific Railroad UNION PACIFIC RAILROAD COMPANY MARKETING SERVICES May 2, 1994 Mr. Mike Rowe 6292 Arapahoe #2 Boulder, CO 80303-1438 Dear Mike: 1116 DODGE STREET OMAHA, NEBRASKA 66179 In an overdue response to your inquiry regarding our rail line planning intentions for the Boulder branch and other UPRR right of way in weld and Lorimer counties, I will address each low density line separately. Our intentions for the Boulder branch are to abandon the right of way unless we find a buyer. The Boulder branch, which runs from Commerce City through Erie to East Boulder ending at Valmont, has just three marginally active customers. Besides the customer interests, another railroad is proposing trackage rights over two miles of our track between Valmont (M.P. 33) extending east to M.P. 31, to serve a new shipper. This proposal has not been accepted officially. In order for this proposal to be accepted, we would reserve the right to abandon all or part of the Joint Trackage giving them an option to purchase, and/or to relocate the track and operation to a smaller strip of land within the 100 ft. right of way. We still own the property underlying the former Dent Branch, which runs from St. Vrains (M.P. 22.2) to M.P. 36.45, where Public Service of Colorado has ownership of the right of way until you reach Dent just east of Milliken, at M.P. 7.50 within Weld County. Although the track has been removed, this corridor parallels Interstate 25 and 85 and intersects Highway 257, 66 and 52. As you can see by the attached map, this corridor offers a central filtering point to the Denver metropolitan area from Ft. Collins, Greeley and LaSalle. Should you deem these two corridors, the Boulder and Dent Branches, as an important resource that should be protected and acquired for corridor preservation, we will be willing to involve your interests upon proper notification. r.'s - 2 - As for Union Pacific's track connecting Ft. Collins to LaSalle, this is a valuable freight corridor for us and will be given proper priority. However, any use that is compatible with the interest and nature of this corridor could be considered. Mike, I have attempted to address the issues you presented. We would be willing to discuss the State's interest or any other concern with these corridors. Should you need further information or clarification, please do not hesitate calling me at (402) 271- 5443. cerely, SE K. BROWN Manager Commuter Rail Development cc: Mr. Robert Farley Executive Director DRCOG 2480 W. 26th Ave., Ste 200-S Denver, CO 80211-5580 Mr. Randy Grauberger CDOT 4201 E. Arkansas Ave., Room 225 Denver, CO 80222 x TIAey 1-)()IlU ltc O Ol ll- X111 They waste billMMMfs of gallons -6f fuel. And, they cost $100 million r mile t()�L�il�. they calle Cheaper the Taxpayer ,two anwn cost per mile $15-20 million •5-7 million CM minor r MOM full heron Tunneling *200 million I Passenger rail requires a very narrow strip of land —usually already dedicated to rail use —to carry people compared to the broad expanses covered by freeways. "We want to make sure that rail in all of its various aspects becomes a part of our transportation future," said Cindy McKim, Director of the California Transportation Department's Rail Division. "I don't see how I could possibly choose driving over this!" Rail capacity, enhanced by appropriate capital improvements, is great enough to absorb both freight and passenger business in many cities, prompting Union Pacific to work with more than a dozen cities interested in commuter mil. Plants WHAT SOUTHERN California Regional Rail Authority Chairman Larry Walker has to say about his agency's relationship with Union Pacific: "Union Pacific was the unexpected but very positive develop- ment in commuter rail (in Southern California)...Union Pacific came in and said, 'Hey, would you like to use this liner We got a very positive deal. The negotiations were fairly simple and very positive. We ended up with a line that — although not a part of the original plan of Metrolink— has in the initial stages been (Metrolink's) most successful. It is one of the major links to the system now." For further Information, please contact • Julie Brown, Manager -Commuter Rail Development, (402) 2774449 • Lany Smith, Program Manager -Commuter Ball, (402) 271.2408 UNION PACIFIC RAILROAD A publication of the Union Pool&Y Railroad, (102) 2713165 Jan 94 Walker concludes by explaining that Metrolink's arrange• ment using Union Pacific's existing route, enabled his agency "ro save the taxpayers literally billions of dollars over what new construction would cost!" A recent study of Tri-Rail riders by the University of South Florida Center for Urban Transportation revealed that simply expanding bus service wouldn't solve all of the Tri-Rail area's congestion problem. This study showed that 60 percent of Tri-Railpacsenvetg never used mass transit beforelail service was established' If rail service were not available, 70 percent ni the Tri- $yi) nassengrs would drive_their automobiles. Q tierCentagoulthicierlith4 While buses serve an important role in our mass transit systems, they are still subject to eeway congestion and bad weather delays. Actually, commuter rail and buses complement one another as commuter mil attracts more riders over longer distances who might otherwise try to get through clogged freeways in single passenger cam. Commuter mil can help revitalize our cities, relieve urban congestion and make commuting easier. A business professional comments about riding to work on a Metrolink train using Union Pacific track "My stress level is much lower. I'll probably live longer and I get to do productive work while I travel rather than just sitting in a car. You also get to appreciate the environment. I don't see how I could possibly choose driving over this!" *4 ut, -.,.. nS Emrsnm,nWM reoprostbs pomp On .c US int WELD COUNTY STATE OF COLORADO DIVISION OF LOCAL GOVEIMp}EN1 0NERS Harold A. Knott, Director May 6, 1994 1999 MAY 13 AM 9:24 Loyola Gomez, Book East Eaton Water Ski District P.O. Box 2193 Eaton, CO 80615 Dear Ms. Gomez: Department of Local Affairs C Romer overner Larry Kallenberser rxecuthe Director The Division of Local Government's intent for dissolution has been ceased because of the districts desire to comply with the election and budget laws. Enclosed you will find your Board of Canvassers Certification of Election Results that you provided the Division on Wednesday, May 4, 1994. The additional enclosures are: budget message form, sample budget format form, a copy of the law pertaining to enterprise status, and the financial management manual. As a reminder, the Division needs a copy of the 'Notice of Cancellation", documentation regarding the appointment of your board, Oaths and Bonds on each board member. Once I receive this information your district will be in compliance with the election portion of the law. The district will need to fill out the 'Budget Message" and provide the district's budget on the "Sample Budget Format." Once this information is received then you will have complied with the budget portion of the law. Don Sandoval has been contacted and we will work with you on a time that we can meet to discuss finances and other administrative issues. We are available to assist you. Sincerely, Lucia Smeaa Lithe Fuller Administrative Program Specialist Administrative Program Specialist cc: Office of the State Auditor Don Sandoval, DoLA Field Representative Weld County Clerk and Recorder Weld County Assessor Board of Weld County Commissioners lite 44 1313 Sherman Street, Room 521, Denver, Colorado 80203 (303) 866-21S6 FAX (303) 866-2251 WaL0 COUNTY CoY..5S OrERS DISTRICT COURT, COUNTY OF WELD, STATE OF COLORADO MY '3 Ali 9; 20 Case No. 94 CV 272 CLERK TO THE BUAKu NOTICE IN THE MATTER OF THE ORGANIZATION OF THOMPSON RIVERS PARK AND RECREATION DISTRICT, WELD COUNTY, COLORADO ALL INTERSTED PERSONS WILL PLEASE TAKE NOTICE THAT: A Petition for the formation and organization of a special district to be known as Thompson Rivers Park And Recreation District has been filed with and is now pending in this Court. A general description of the boundaries of the proposed special district, which lies entirely within Weld County, Colorado, is as follows: THE PROPOSED AREA BOUNDARIES FOLLOW THOSE OF RE -5J SCHOOL DISTRICT LYING WITHIN WELD COUNTY AND INCLUDES THE INCORPORATED MUNICIPALITIES OF JOHNSTOWN AND MILLIKEN. THE EXACT DESCRIPTION IS SET FORTH IN THE PETITION ON FILE WITH THE COURT. The purpose of the proposed special district will be to provide recreational facilities for said area of Weld County thru anticipated revenues and expenditures over the coming years. The Court has Ordered that hearing of such Petition will be held on Monday the 13th day of Jyne, , 1994, at the hour of 3:30 o'clock P. .M. in Division I of this Court, located at the corner of 9th Avenue and 9th Street, Greeley, Colorado, 80631. The owner of any real property located within the proposed special district may file a petition with this Court stating reasons why such property should not be included within the proposed special district and requesting that said real property be excluded from the proposed special district. Such Petitions for exclusion shall be verified, shall describe the property to be excluded, and must be filed with this Court not later than ten (10) days prior to the hearing date as set forth within this notice. DATED this 12th day of nkulaint , 1994, at Greeley, Colorado. rik cc : CAS PG DONNA J. POWELL CLERK OF THE DISTRICT COURT By: '1 DISTRICT COURT, COUNTY OF WELD, STATE OF COLORADO Case No. 94 CV 272 Division 1 ORDER SETTING HEARING AND FIXING BOND FILED IN EELu cam. soia, MAY 11 1994 IN THE MATTER OF THE ORGANIZATION OF THOMPSON RIVERS PARK AND RECREATION DISTRICT A Petition for the Organization of Thompson Rivers Park -And Recreation District having been filed in this Court on the 11th day of May , 1994, pursuant to CRS 32-1-301. THE COURT ORDERS that said Petition be, and it hereby is, set for hearing on Mnnday , the 13th day of ,Lino 1994, at the hour of 1.30 o'clock p M. in Division I of this Court, which hearing day is not less than 20 nor more than 40 days after the filing date of such Petition. THE COURT FURTHER ORDERS that the Clerk of this Court shall give notice as required by CRS 32-1-304. THE COURT FURTHER ORDERS THAT Petitioner post bond in the amount of $200.00 with the Clerk of this Court. DATED this // day of BY THE COURT: 677 , 1994. STRICT UDGE DISTRICT COURT, COUNTY OF WELD, STATE OF COLORADO Case No. C44012.32 — CERTIFICATE OF MAILING IN THE MATTER OF THE ORGANIZATION OF THOMPSON RIVERS PARK AND RECREATION DISTRICT I certify that I have this 2ii day of 1994, mailed a copy of the Notice issued by me pursuant toICRS 32-1-304, to: Weld County Board of County Commissioners 915 Tenth Street Greeley, Colorado 80631 DONNA J. POWELL CLERK OF THE DISTRICT COURT By: p ` heathii4aD DEPARTMENT OF SOCIAL SERVICES 1 ;75 Sherman Stnrn Denver, Colorado 602(1 17: 4 Phone O0.0 NM -57(X) TDD (3(1118Gb.n.h31 FAX (1(171866-4214 mc'd'a o61o\cs4 WELD COUNTY STATE OF COLORADO CONIM!SS!0*.'‘'PRS 199 MY 13 AN 10 28 Division of veteran Affairs Richard F. Cernko, Director Phone (303) 866-2444 CLERK TO THE BOARD May 9, 1994 Mr. Bill Webster, Chairman WELD COUNTY COMMISSIONERS P. O. Box 758 Greeley, CO 80632-0758 Dear Mr. Webster Roy Romer Governor Karen Beye Executive Director On April 5, 6, and 7 in Colorado Springs the Division of Veterans Affairs conducted a training conference for the County Veterans Service Officers from all of the Colorado counties. I wish to express my thanks to you for providing the necessary support for your County Veterans Service Officer to attend this training. As I'm sure you know, training is of critical importance in proper job performance. This is particularly true in the field of veterans benefits where many legislative changes occur each year. The attendance of your County Veterans Service Officer at this training shows a real commitment by your county to its veterans. Thank you. RFC/nff : (/R Richard F. Ceresko, Director Division of Veterans Affairs HEARING CERTIFICATION BUILDING CODE AND ZONING VIOLATIONS RE: VIOLATIONS OF THE WELD COUNTY BUILDING CODE AND ZONING ORDINANCES A public hearing was conducted on May 10. 1994, at 10:00 a.m., with the following present: Commissioner W. H. Webster, Chairman Commissioner Dale K. Hall, Pro -Term Commissioner George E. Baxter Commissioner Constance L. Harbert - EXCUSED Commissioner Barbara J. Kirkmeyer Also present: Acting Clerk to the Board, Lin Dodge County Attorney, Bruce Barker Planning Department representative. Ed Stoner Planning Department representative, Barry Kramer The following business was transacted: I hereby certify that a public hearing was conducted to consider whether to authorize the County Attorney to proceed with legal action against the individuals named for violations of the Weld County Building Code and Zoning Ordinances. County Attorney Bruce Barker reviewed hearing procedures and reminded the Board to make specific motions for each case heard for the record. Cases heard were as follows. VI #2049 - Bradley and Carolyn Deroo: Ed Stoner, Department of Planning Services, made this a matter of record and presented the case report, including a video of the property made May 9, 1994. He explained the two single-family residences on this single parcel of land are a violation of Sections 31.2 and 31.2.2 of the Weld County Zoning Ordinance, and the property owners must have an approved zoning permit, justify the second residence as an accessory use, or remove the second residence from the property to correct the violation. Mr. Stoner indicated Planning staff recommended referral for legal action. The property owners were neither present nor represented. In response to Commissioner Hall, Mr. Stoner indicated there was no action by property owners following phone conversations with staff. Mr. Stoner responded they had not. (Changed to tape #94-23.) No public testimony was offered. Commissioner Baxter moved to refer VI #2049 against Bradley and Carolyn Deroo to the County Attorney for legal action. Commissioner Kirkmeyer seconded the motion, which passed unanimously. VI #2067 - John Connell: Mr. Stoner reported this case was closed May 9, 1994. VI #2043 - Virginia Lee Turley and September Maria Allee: Mr. Stoner made this a matter of record and presented the case report, including a video of the property made May 9, 1994 and Planning staff's recommendation for referral for legal action. He reported this noncommercial junkyard was in violation of Sections 31.2 and 31.3.9 of the Weld County Zoning Ordinance, and the property owners did not have an approved screening plan and wooden pallets are still piled on the property. The property owners were neither present nor represented. Mr. Stoner verified for Commissioner Baxter that the fencing was new. In response to Commissioner Hall, Barry Kramer, Department of Planning Services, indicated he had not personally talked with the property owners; however, Mr. Stoner stated they were not allowed access onto the property on their first inspection visit. Chuck Cunliffe, Planning Services Director, stated that he and Keith Schuett, Department of Planning Services, inspected the property last week and the screening was not complete; some equipment was still visible over the top of the screening; and there was no gate to the screened area. In response to Commissioner Hall, Mr. Cunliffe indicated that the Zoning Ordinance does require a screening plan be approved by Planning; however, in this case, the screening is already up and the problem now is how to make it adequate • 940421 cc: Pe. BUILDING CODE AND ZONING VIOLATIONS PAGE 2 for the adjacent landower. He reiterated that other vehicles and materials are still outside the screening. Commissioner Kirkmeyer verified that staff had received no response since the first notice in November 1993. No public comment was made. Commissioner Kirkmeyer moved to refer VI #2043 against Virginia Lee Turley and September Maria Allee for legal action. The motion was seconded by Commissioner Baxter and carried unanimously. VI #2044 - Jon Cornell: Mr. Stoner made this a matter of record and presented the case report, including a video of the property made May 9, 1994, and Planning staff's recommendation for referral for legal action. He explained this case involves a noncommercial junkyard and nonpermitted mobile homes on the property, which are violations of Sections 31.2, 31.3.9, and 31.2.16 of the Weld County Zoning Ordinance. To bring this property into compliance, the owners must submit a screen plan for approval and apply for a mobile home permit or remove the nonpermitted homes and junk from the property. Joel Hayes, Colorado Rural Legal Services, was present representing Mr. and Mrs. Shuler, tenants on the property. He explained it was after the Shulers had moved a newer mobile home onto the property and attached it to the older mobile home that they were made aware of the violation. They are asking for sixty days to allow them to either sell the mobile home or have it moved and remove themselves from this case. According to Mr. Hayes, Mr. Cornell, the property owner, has not cooperated with the Shulers applying for the mobile home permit. Staff clarified for Commissioner Kirkmeyer that it was the older mobile home that would require the permit. Commissioner Baxter questioned counsel as to whether the Shulers' situation was actually part of the violation case being considered, and Mr. Barker responded that technically the Board could consider the Shulers' request at this time since the violation is against owners and occupiers of the property. Maggie Vitale, Mr. Cornell's representative, asked the Board's indulgence since she was not familiar with the complaint process and what should be done to correct the violations. She indicated Mr. Cornell resides and works in Wyoming and she has not spoken with him. Commissioner Kirkmeyer asked Ms. Vitale if Mr. Cornell would comply within sixty days. Ms. Vitale indicated she could not guarantee his compliance, but would contact him. No public comment was offered. Commissioner Kirkmeyer moved to delay referral to the County Attorney for legal action of VI #2044 against Jon Cornell for sixty days to allow Mr. and Mrs. Shuler to move or sell their mobile home and to allow Mr. Cornell to submit a screening plan for approval and mobile home permit application to the Department of Planning Services, or remove the mobile home and junk. Commissioner Hall seconded the motion, which carried unanimously. VI #2070 - Patrick and Sue Cunnally: Mr. Stoner made this a matter of record and presented the case report, including a video of the property made May 9, 1994 and Planning staff's recommendation for referral for legal action. Mr. Stoner explained that the noncommercial junkyard is in violation of Sections 31.2 and 31.3.9 of the Weld County Zoning Ordinance, and the property owners must submit a screening plan for approval or remove the junk from the property to correct the violations. Neither the property owners nor their representative was present. Commissioner Baxter verified that property owners had not contacted staff regarding this violation notice. No public testimony was offered. Commissioner Baxter moved to refer VI #2070 for Patrick and Sue Cunnally to the County Attorney for legal action. The motion was seconded by Commissioner Kirkmeyer and carried unanimously. VI #2071 - J.E. and Lorna Miller: Mr. Stoner made this a matter of record and presented the case report, including a video of the property made May 9, 1994, and Planning staff's recommendation for referral for legal action. He explained that the noncommercial junkyard is a violation of Sections 31.2 and 31.3.9 of the Weld County Zoning Ordinance, and the property owners must submit an screening plan for approval or move the junk from the property to correct the violations. Commissioner Kirkmeyer asked staff who lives on the property, and Mr. Kramer indicated that Mr. Miller lives on the property and Mrs. Miller lives in Missouri. Neither the property owners nor their representative were present. In response to Commissioner Baxter, staff indicated that evidently the property owners did not take advantage of the free cleanup in Aristocrat Acres in 1993. 940421 BUILDING CODE AND ZONING VIOLATIONS PAGE 3 Mr. Kramer stated that he had talked with Mr. Miller and explained the violation and Mr. Miller said he would try to have the property cleaned by the end of April. Staff has had no further contact with the property owners. No public comment was offered. Commissioner Hall moved to refer VI #2071 against J.E. and Lorna Miller to the County Attorney for legal action. Seconded by Commissioner Kirkmeyer, the motion carried unanimously. At this time, Commissioner Hall requested a change of procedure to accommodate those property owners and representatives who were present at this hearing. Mr. Barker indicated such a change was appropriate and he would call the cases from the list of those property owners or representatives present. VI #2059 - Vernon 0. Scoggin: Mr. Stoner made this a matter of record and presented the case report, including a video of the property made May 9, 1994. and Planning staff's recommendation for referral for legal. He explained the noncommercial junkyard on this property was in violation of Sections 31.2 and 31.3.9 of the Weld County Zoning Ordinance. Mr. Stoner indicated the property owner must submit a screening plan for approval or move the Junk from the property to comply. Vernon 0. Scoggin, property owner, told the Board the mobile home on the property was intended to be his retirement home and was recently vandalized. He indicated he lives in Commerce City and has not been able to repair much of the damage, but has started to put up a privacy fence and has moved three vehicles off the property. He requested until the end of May to complete the repairs and bring the property into compliance. No public comment was offered. Commissioner Hall moved to delay referral to the County Attorney for legal action of VI #2059 for Vernon 0. Scoggin for thirty days to allow the property owner to submit a screening plan for approval and install screening, or move the remainder of the junk from the property. Commissioner Kirkmeyer seconded the motion, and it carried unanimously. VI #2061 - Dean, Patricia, and Flora Weddle: Mr. Stoner made this a matter of record and presented the case report, including a video of the property made May 9, 1994 and Planning staff's recommendation for referral for legal action. He indicated the noncommercial junkyard and trash disposal business on the property was a violation of Sections 31.2 and 31.3.9 of the Weld County Zoning Ordinance. To correct these violations, the property owners must submit a screening plan for approval or remove the trash business and junk from the property. John Dent, Attorney representing the Weddles, requested a thirty -day delay to confer with his clients and submit the appropriate screening plan to the Department of Planning Services. Mr. Dent indicated the Weddles may apply for a Use by Special Review or find another location to park their trash trucks. No public testimony was offered. Commissioner Hall moved to delay referral to the County Attorney for legal action of VI #2061 against Dean, Patricia, and Flora Weddle for thirty days to allow the property owners and their counsel to complete remedies for compliance with staff. The motion was seconded by Commissioner Kirkmeyer and carried unanimously. VI #2047 - Nick Bacria: Mr. Stoner made this a matter of recnrd and presented the case report, including a video of the property made May 9, 1994, and Planning staff's recommendation for referral for legal action. He explained the noncommercial junkyard on this property was in violation of Sections 31.2 and 31.3.9 of the Weld County Zoning Ordinance. Mr. Stoner indicated the property owner must submit a screening plan for approval or move the junk from the property to comply. He also reported Mr. Bacria has two residences on the property, which is also a Zoning Ordinance violation, and he must complete construction on one and change the other to a different use to correct the violation. Mr. Kramer indicated Mr. Bacria has substantially cleaned up the property recently. Nick Bacria, property owner, indicated only one item constituting the noncommercial junkyard violation remained and explained the anticipated use of the poles and wood materials for landscaping and completing the construction of the house. In response to Commissioner Hall, Mr. Bacrie stated that he is currently unemployed and his employment situation would dictate the rate of compliance. (Let the record reflect that Lee Morrison, Assistant County Attorney, is now attorney of record.) No public testimony was offered. Commissioner Hall moved to delay referral 940421 BUILDING CODE AND ZONING VIOLATIONS PAGE 4 to the County Attorney for legal action of VI #2047 against Nick Bacria until September 1, 1994, to allow the property owner to complete the construction of the new residence and bring the property into compliance. Commissioner Baxter seconded the motion which carried unanimously. Mr. Stoner indicated the violation file would remain open until the second residence is converted to another use. The Board encouraged Mr. Bacria to work with the Department of Planning Services staff on correcting the violations. BCV #2106 - Francis D. and Phyllis Jean Gregerson: Mr. Stoner made this a matter of record and presented the case report and staff's recommendation for referral. No video was made for this case. He explained the property owner has failed to complete the installation of the mobile home, which is a violation of Sections 20.10.4, 20.10.1. 20.10.2, 40.5.1, 50.5.1,20.10.3. 20.9.8, and 70.4.2 of the Weld County Building Code Ordinance. Commissioner Baxter verified that this mobile home permit was issued in January 1993 and these permits usually expire in six months. Francis Gregerson, property owner, acknowledged the violations and requested a ninety -day extension to complete the work on the mobile home. He indicated he has hired setup and construction people and anticipates them starting work by June 1, 1994. No public testimony was given. Commissioner Hall moved to delay referral to the County Attorney for legal action of BCV #2106 for Francis D. and Phyllis Gregerson for ninety days to allow the property owner to bring the mobile home into compliance. The motion was seconded by Commissioner Kirkmeyer and carried unanimously. BCV #2104 - Bob and Cheryl Whiston: Mr. Stoner made this a matter of record and presented the case report and staff's recommendation for referral. No video was made for this case. He explained the property owner has failed to complete the skirting and final inspection of the mobile home, which is a violation of Sections 20.9.3 and 70.4.2 of the Weld County Building Code Ordinance. The skirting and final inspection must be completed to correct the violations. Bob Whiston, property owner, acknowledged the violations, and explained he is not physically able to do the work and has experienced some difficulty finding someone to complete the skirting. In response to Commissioner Baxter, Mr. Whiston indicated he should have the skirting finished by the end of June. No public comment was offered. Commissioner Kirkmeyer moved to delay referral to the County Attorney for legal action of BCV #2104 for Bob and Cheryl Whiston for sixty days to allow the property owner to complete the skirting and final inspection. Commissioner Hall seconded the motion. which carried unanimously. At this time Commissioner Hall moved to reconsider VI #2049 against Bradley and Carolyn Deroo and reopen the record to hear statements by Carolyn Deroo, property owner, who is now present. No public comment was offered. The motion was seconded by Commissioner Kirkmeyer and carried unanimously. VI #2049 - Bradley and Carolyn Perot,: Upon request of Commissioner Baxter and for the record, Ed Stoner reviewed violations in this case. Carolyn Deroo, property owner, stated she was confused as to what the actual violations were and indicated theperson living in the second residence helps on the property as part of her rent. Mr. Cunliffe explained the structure is classified as an accessory farm use; however, the problem is the property owners are charging rent and, technically, cannot under that classification. He indicated a permit is not required, but the property owners must meet the criteria for an accessory use residence, i.e., the person living on the property must be a customer, employee, or engaged in some way in the operation of the property. Mr. Cunliffe stated the other method of compliance would be to apply for a Special Review Permit. He also noted the building was constructed without building permits, and a building permit would be required for a change of occupancy. In response to Commissioner Kirkmeyer, Mrs. Deroo indicated they could come to some agreement with the occupant regarding rent within thirty days. Commissioner Kirkmeyer moved to delay referral to the County Attorney for legal action of VI #2049 for Bradley and Carolyn Deroo for thirty days to 940421 BUILDING CODE AND ZONING VIOLATIONS PAGE 5 allow the property owners time to meet the accessory use criteria and apply for the appropriate building permit. Commissioner Hall seconded the motion, which carried unanimously. VI #2063 - Felix and Jose Reyes: Mr. Kramer reported this case is closed. VI #2060 - William and Marita Mitchell: Mr. Kramer indicated the property owners contacted Planning staff and are unable to attend today's hearing; therefore, he requested this case be rescheduled to June 14, 1994. Commissioner Hall moved to reschedule VI #2060 for William and Marita Mitchell to June 14, 1994. Commissioner Kirkmeyer seconded the motion which carried unanimously. VI #2076 - Kenneth Madsen: Mr. Kramer reported this case is closed. VI #2050 - Albert and Anne Pief: Mr. Kramer reported this case is closed. BCV #2098 - Judith Schell: Mr. Kramer reported this case is closed. VI #2057, #2074, #2075, #2053, BCV #2105, #2108: Because the property owners in these cases were not present at the hearing, Commissioner Hall moved to accept Planning staff's recommendations and refer VI #2057 for Michael and Robin Burns, VI #2074 for Daniel Zavala. V1 #2075 for Norma and Julie Nakamoto, VI #2053 for Annie Vigil, BCV #2105 for Sam Wenzel, and BCV #2108 for Hugo Franco to the County Attorney for legal action. There was no public comment. At this time, Mr. Cunliffe indicated the Nakamotos (VI #2075) had submitted a Site Plan to the Department of Planning Services and recommended a thirty -day deferral. Commissioner Hall amended his motion to include delaying referral of VI #2075 for Norma and Julie Nakamoto to the County Attorney for legal action for thirty days. The motion was seconded by Commissioner Kirkmeyer and carried unanimously. This Certification was approved on the 16th day of May, 1994. ATTEST: Weld County Clerk to the Board By: caged ZT tt&- Deputy C rk to the Board TAPE #94-22 and 94-23 RESO #940421 - #940433 PL0824 APPROVED: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Daley. Hall, Pro= lGeorgvt. Baxter EXCUSED Constance L. Harbert arbara J. Kirkm 940421 VIOLATION HEARINGS AGENDA RECORD OF PROCEEDINGS Tuesday, May 10, 1994 TAPE #94-22 & #94-23 ROLL CALL: PLANNING: NEW: W. H. Webster, Chairman Dale K. Hall, Pro-Tem George E. Baxter Constance L. Harbert - EXCUSED Barbara 3. Kirkmeyet Also present: County Attorney, Bruce T. Barker Acting Clerk to the Board, Lin Dodge Planning Department representative, Ed Stoner Planning Department representative. Barry Kramer 1) VI #2049 - Deroo 2) VI #2067 - Connell - CLOSED 3) VI #2043 - Turley and Allee 4) VI #2044 - Cornell 5) VI #2070 - Cunnally 6) VI 112071 - Miller 7) VI #2057 - Burns 8) VI #2059 - Scoggin 9) VI #2060 - Mitchell - RESCH. 6/14/94 10) VI #2061 - Weddle 11) VI #2063 - Reyes - CLOSED 12) VI #2074 - Zavala 13) VI #2075 - Nakamoto 14) VI #2053 - Vigil 15) VI #2076 - Madsen - CLOSED 16) VI #2047 - Bacria 17) VI #2050 - Pief - CLOSED 18) BCV #2106 - Gregerson 19) BCV #2098 - Schell - CLOSED 20) BCV #2104 - Whiston 21) BCV #2105 - Wenzel 22) BCV 02108 - Franco Tuesday, May 10, 1994 940421 6cf:17. WILk COLORADO fflEORAflDUITI Board of County Commissioners May 5, 1994 To oars Department of Planning Services From Zoning and Building Code Violations Hearing subject: The Department of Planning Services has scheduled the following violations to be considered at the May 10, 1994 hearing beginning at 10:00 a.m. The Department of Planning Services is requesting that the Board review the individual violation cases and determine whether or not to authorize legal action to remedy the violations. VI -2049, Bradley and Carolyn Deroo Sections 31.2 and 31.2.2 More than one single family dwelling VI -2067, John Connell Sections 31.2 and 31.3.9 Noncommercial junkyard VI -2043, Virginia Lee Turley S. September Marie Allee Sections 31.2 and 31.3.9 Noncommercial junkyard V1-2044, John Cornell Sections 31.2 and 31.3.9 Noncommercial junkyard VI -2070, Patrick and Sue Cunnally Sections 31.2 and 31.3.9 Noncommercial junkyard VI -2071, J.E. Sections 31.2 Noncommercial and Lorna Miller and 31.3.9 junkyard VI -2057, Michael and Robin Burns Sections 31.2 and 31.3.9 Noncommercial junkyard VI -2059, Vernon 0. Scoggin Sections 31.2 and 31.3.9 Noncommercial junkyard VI -2060, William and Marita Mitchell Sections 31.2 and 31.3.9 Noncommercial junkyard VI -2061, Dean, Patricia and Flora Weddle Sections 31.2 and 31.3.9 Business and noncommercial junkyard VI -2063, Felix and Jose Reyes Sections 31.2 and 31.3.9 Noncommercial junkyard VI -2074, Danile Zavala Section 31.2.16 Mobile home without permit VI -2075, Sections Business Norma and Julie Nakamoto 33.4.2 and 33.4.5 and outside storage VI -2053, Anne Vigil Sections 31.2 and 31.3.9 Noncommercial Junkyard VI -2076, Kenneth Madsen Sections 31.2 and 31.3.9 Noncommercial junkyard VI -2047, Nick Bacria Sections 31.2 and 31.3.9 Noncommercial junkyard VI -2050, Albert and Anne Sections 31.2 and 31.3.9 Noncommercial junkyard BCV-2106 Francis and Phyllis Gregerson Sections 20.10.4, 20.10.1, 20.10.2, 40.5.1. 50.5.1, 60.5.1, 20.10.3, 20.9.8, and 70.4.2 Failure to complete inspections BCV-2098, Judith Schell „/ Section 20.9.8 CJ�4� Failure to complete inspections BCV-2104, Bob and Cheryl Whiston Sections 20.9.3 and 70.4.2 Failure to complete inspections Pief BCV-2105, Sam Wenzel Sections 20.10.0, 20.10.2, 50.1, 20.10.3, 20.9.8, and 70.4.2 Failure to complete inspections BCV-2108, Hugo Franco Sections 20.10.3, 20.9.8, and 70.4.2 Failure to complete inspections 940421 DATE: May 10, 1994 VIOLATION NUMBER: VI -2067 NAME: John Connell ADDRESS: 7992 Weld County Road 31 Fort Lupton, CO 80621 LEGAL DESCRIPTION: Tract 1, Aristocrat Ranchettes, Weld County, Colorado. CASE SUMMARY November 2, 1993 March 25, 1994 April 26, 1994 April 27, 1994 Five-day compliance encouragement letter issued. Violation letter issued. Internal case memo. Letter sent to property owner indicating that the violation case was scheduled before the Board of County Commissioners. The noncommercial junkyard is a violation of Section(s) 31.2 and 31.3.9 of the Weld County Zoning Ordinance. To correct the violation a screening plan must be submitted and approved or the noncommercial junkyard must be removed from the property. The Department of Planning also recommends that the County Attorney be authorized to proceed with legal action against any other persons occupying the properties, any person claiming an interest in the properties, and any persons acting in active concert with the identified parties. Wilk COLORADO April 27, 199a DEPARTMENT OF PLANNING SERVICES PHONE (303) 353.3845, EXT. 3540 WELD COUNTY ADMINISTRATIVE OFFICES 1400 N. 17TH AVENUE GREELEY. COLORADO 80831 John Connell 7992 Weld county Road 11 Fort Lupton, CO 80621 Subject: VI -2067 Zoning Violation on a parcel of land described as Tract 1, Aristocrat Ranchettes, Weld County, Cclorado. Dear Mr. Connell: The property referenced above remains in violation of the Weld County Zoning Ordinance. I have scheduled a meeting with the Board of County Commissioners on Tuesday, May 10, 199a at 10:00 a.m. to consider the Zoning Violation occurring on your property. This meeting will take place in the County Commissioners' Hearing Room, first floor, Weld County Centennial Center, 915 Tenth Street, Greeley, Colorado. It is recommended that you or a representative be in attendance to answer any questions the Board of County Commissioners might have about the violation. The Department of Planning Services' staff will be recommending that the Board of County commissioners authorize the County Attorney to proceed with legal action to remedy the violation. Our rectres indicate that you were made aware of the nature of the violation, the action necessary to correct the violation, and that you were given sufficient time to remedy the violation. • If you have any questions concerning this matter, please call me. Respectfully, Barry Kramer Building Inspection Technician INTERNAL CASE MEMORANDUM TO: Case File FROM: Barry Kramer NAME: John Cornell LEGAL DESCRIPTION OF PROPERTY: Tract 1, Aristocrat Ranchettes, Weld County, Colorado. DATE: April 26, 1994 CASE NUMBER: VI -2067 Mr. Cornell stopped by our office to let me know that the derelict auto located on the south half of Tract 1 was owned by the people renting the trailer from him and they moved out and left the car there. He stated that he would like to try to get more than just scrap price for the car but he does not have a title. I told Mr. Cornell that I would be setting the case up for hearing on May 10, 1994 with the Board of County Commissioners and that he could ask for an extension at that time. Mr. Cornell said that the car may be gone by then. 410krzi NOG COLORADO DEPARTMENT OF PLANNING SERVICES PHONE (303) 353- 4S, EXT. 3540 WELD COUNTY ADMINISTRATIVE OFFICES 1400 N. 17TH AVENUE GREELEY, COLORADO 80631 WELD COUNTY ZONING VIOLATION NOTICE Date: March 25, 1994 Violation Number: VI -2067 Name: John Connell Address: 7912. Weld County Road 31 Fort Lupton, CO 80621 Legal Description: Tract 1, Aristocrat Ranchettes, Weld County, Colorado. The uses on the above described property are being considered as zoning violations of Section 31.2 and 31.3.9 of the Weld County Zoning Ordinance. A noncommercial Junkyard (derelict autos ie: Black Lincoln Continental) on the south half of Tract 1 without proper screening. To correct the violation the noncommercial junkyard could be removed, a screening plan could be submitted to the Planning Department or the derelict autos could be brought up to a status where they would not be considered derelict under the 1993 Zoning Ordinance. It is the intention of this office to assist and cooperate with you without imposing undue hardships: however, we have no discretion in this natter if you fail to correct this violation. You have until April 25. 1994. to correct this zoning violation. Failure to do so will result in this office referring the violation to the County Attorney's office for legal action. Any information you have that may help to resolve this matter will be helpful. This office is ready to be'of any assistance in clarifying or answering questions concerning this matter. Please call or write the Department of Planning Services' office. }7 r i1.1.441 ttrsPi Barry Xra$er Building Inspection Technician DEPARTMENT OF PLANNING SERVICES PHONE (303) 353.345, ACT. 3540 WELD COUNTY ADMINISTRATIVE OFFICES 1400 N. 17TH AVENUE GREELEY, COLORADO steal COLORADO November 2, 1993 John Connell 7912 Weld County Road 31 Ft. Lupton, CO 80621 Subject: C-93-109, Property located on Tract 1, Aristocrat Ranchettes, Weld County. Colorado (130927204001). Dear Mr. Connell: It has come to the attention of the Department of Planning Services' staff that the uses on your property may not be in compliance with the Wald County Zoning Ordinance. The potential noncompliance with the zoning ordinance is a noncommercial junkyard not properly screened from adjacent properties and road rights -of -way. Please call me within five working days of the dace of this letter to review the concern with me. 1CAS/sfr te elete-tce DATE: May 10, 1994 VIOLATION NUMBER: vI-2063 NAME: Felix and Jose Reyes ADDRESS: 7890 Henry Street Fort Lupton, CO 80621 LEGAL DESCRIPTION: Lot 4, Block 10, Aristocrat Ranchettes, weld County, Colorado. CASE SUMMARY November 10, 1993 March 25, 1994 April 26, 1994 April 27, 1994 Five-day compliance encouragement letter issued. Violation letter issued. Property inspected. Property still in violation. totter sent to property owner indicating that the violation case was scheduled before the Board of County Commissioners. The noncommercial junkyard is a violation of Sections) 31.2 and 31.3.9 of the Veld County Zoning Ordinance. To correct the violation a screening plan must be submitted and approved or the noncommercial junkyard must be removed from the property. The Department of Planning also recommends that the County Attorney be authorized to proceed with legal action against any other persons occupying the properties, any person claiming an interest in the properties, and any persons acting in active concert with the identified parties. velvo aim 1111De COLORADO April 21, 1994 DEPARTMENT OF PLANNING SERVICES PHONE (303)353-3345, EXT. 3540 WELD COUNTY ADMINISTRATIVE OFFICES 1x00 N. 17TH AVENUE GREELEY.COLORADO 80831 Felix and Jose Reyes 7890 Henry Street Fort Lupton, CO 80621 Subject: vI-2063 Zoning violation on a parcel of land described as Lot 4, Block 10, Aristocrat Ranchettes, Weld County, Colorado. Dear Mr. and Mr. Reyes: The property referenced above remains In violation of the Weld County Zoning Ordinance. I have scheduled a meeting with the Board of County Commissioners on Tuesday, May 10, 1994 at 10:00 s.m. to consider the Zoning Violation occurring on your property. This meeting will take place in the County Commissioners' Hearing Roan, first floor, Weld County Centennial Center, 915 Tenth Street, Greeley, Colorado. It is recommended that you or a representative be in attendance to answer any questions the Board of County Commissioners might have about the violation. The Department of Planning Services' staff will be recommending that the Board cf County Commissioners authorize the County Attorney to proceed with legal action to remedy the violation. Our records indicate that you were made aware of the nature of the violation, the action necessary to correct the violation, and that you were given sufficient time to remedy the violation. If you have any questions concerning this tatter, please call me. Respectfully, Barry Kramer Building Inspection Technician Inspected property to determine compliance. The property is not in compliance at this time. The screening around the noncommercial junkyard has not been repaired, derelict autos and junk can be seen through the fence. COLORADO DEPARTMENT OF PUNNING SERVICES PHONE (303) 353045, EXT. 3540 WELD COUNTY ADMINISTRATIVE OFFICES 1400 N. 17TH AVENUE GREELEY. COLORADO 80631 WELD COUNTY ZONING VIOLATION NOTICE Date: March 25, 1994 Violation Number: VI -2063 Name: Felix and Jose Reyes Address: 7890 Henry Street Fort Lupton, CO 80621 Legal Description: Lot 4, Block 10, Aristocrat Ranchettes, Weld County, Colorado. The uses on the above described property are being considered as zoning violations of Sections 31.2 and 31.3.9 of the Weld County Zoning Ordinance. There is a noncommercial junkyard located on the property. The screening around the noncommercial junkyard has fallen down. To correct the violation the screening would need to be repaired. It is the intention of this office to assist and cooperate with you without imposing undue hardships: however, we have no discretion in' this matter if you fail to correct this violation. You have until April 25, 1994, co correct this zoning violation. Failure to do so will result in this office referring the violation to the County Attorney's office for legal action. Any information you have that may help to resolve this matter will be helpful. This office is ready to be of any assistance in clarifying or answering questions concerning this matter. Please call or write the Department of Planning Services' office. S0-/ 1.?r,,Gn Barry/Kremer Building Inspection Technician COLORADO • DEPARTMENT OF PLANNING SERVICES PHONE (303) 353.345, EXT. 3540 WELD COUNTY A0MINISTaATIVE OFFICES 1400 N. 17Th AVENUE GA£CLEY, COLOAA00 80631 November 10, 1993 Felix and Jose Reyes 7890 Henry Street Ft. Lupton, CO 80621 Subject: C-93-137, Property located on Lot 4. Block 10, Aristocrat Ranchettes, Weld County,. Colorado (130927106001). Dear Mr. and Mrs. Reyes: It has come to the attention of the Department of Planning Services' staff that the uses on your property (7890 Henry Street) may not ba in compliance with the Weld County Zoning Ordinance. The potential noncompliance with the zoning ordinance is a noncommercial junkyard not properly screened from adjacent properties and road rights -of -way. Please call me within five working days of the date of this letter to review the concern with me. Sincerely, urrent Planner KAS/sfr DATE; May 10, 1994 VIOLATION NUMBER: VI -2076 NAME: Kenneth Madsen ADDRESS: 19150 195th Avenue LEGAL DESCRIPTION: Lot 7, Vantage Acres, weld County, Colorado. CASE SUMMARY Match 18, 1994 April 5, 1994 April 28, 1994 Five-day compliance encouragement letter issued. Violation letter issued. Letter sent to property owner indicating that the violation case was scheduled before the Board of County Commissioners. The noncommercial junkyard is a violation of Section(s) 31.2 and 31.3.9 of the Weld County Zoning Ordinance. To correct the violation a screening plan must be submitted and approved or the noncommercial junkyard must be removed from the property. The Department of Planning also recommends that the County Attorney be authorized to proceed with legal action against any other persons occupying the properties, any person claiming an interest in the properties, and any persons acting in active concert with the identified parties. troI(t ;° COLORADO April 28, 1994 DEPARTMENT OF PLANNING SERVICES PHONE (303) 3533845. EXT. 3540 WELD COUNTY ADMINISTRATIVE OFFICES 1400 N. 17TH AVENUE GREELEY, COLORADO 80631 Kenneth Madsen 19150 195th Avenue Hudson, CO 80642 Subject: VI -2076 Zoning Violation on a parcel of land described as Let 7, Vantage Acres, Weld County, Colorado. Dear Mr. Madsen: The property referenced above remains in violation of the Weld County Zoning Ordinance. I have scheduled a meeting with the Board of County Commissioners on Tuesday, May 10, 1994 at 10:00 a.m. to consider the Zoning 'Violation occurring on.your property. This meeting will take place in the County Commissioners' Hearing Room, first floor. Weld County Centennial Center, 915 Tenth Street, Greeley, Colorado. It is recommended that you or a representative be in attendance to answer any questions the Board of County Commissioners might have about the violation. The Department of Planning Services' staff will be recommending that the Board of County Commissioners authorize the County Attorney to proceed with legal action to remedy the violation. Our records indicate that you were made aware of the nature of the violation, the action necessary to correct the violation, and that you were given sufficient time to remedy the violation. If you have any Questions concerning this matter, please call me. Respectfully, IPC,A4iftly 4,444,:47 Barry Kamer Building Inspection Technician tfk 1.1 1111111e COLORADO DEPARTMENT OF PLANNING SERVICES PHONE (303) 353-3945. EXT. 3540 WELD COUNTY AOMINISTRATIVE OFFICES 1400 N. 17TH AVENUE GREELEY, COLORADO 80631 WELD COUNTY ZONING VIOLATION NOTICE Date: April 5, 1994 Violation Number: VI -2074 Name; Kenneth Madsen Address: 19150 195th Avenue Hudson, CO 80642 Legal Description: Lot 7, Vantage Acres, Weld County, Colorado. The uses on the above described property are being considered as zoning violations of Sections 31.2 and 31.3.9 of the Weld County Zoning Ordinance. A noncommercial junkyard located on the property without proper screening. To correct the violation a screening plan would need to be submitted to the Planning Department prior to installation or the noncommercial junkyard would need to be removed. It is the intention of this office to assist and cooperate with you without imposing undue hardships; however, we have no discretion in this matter if you fail to correct this violation. You have until May 5, 1994, to correct this zoning violation. Failure to do so will result in this office referring the violation to the County Attorney's office for legal action. Any information you have that may help to resolve this matter will be helpful. This office is ready to be of any assistance in clarifying or answering questions concerning this matter. Please call or write the Department of Planning Services' office. SSA �fillf%iA Barry Ktamer Building Inspection Technician isce4; vIig€. COLORADO March 29, 1994 Kenneth Madsen 19150 195th Avenue Hudson, CO 80642 DEPARTMENT OF PLANNING SERVICES PHONE ;303) 3533845. EXT. 3540 WELD COUNTY ADMINISTRATIVE OFFICES 1400 N. 17TH AVENUE GREELEY, COLORADO 80631 Subject: C94-40 on a parcel of land described as Lac 7, Vantage Acres, Second Filing. Weld County,Colorado, Dear Mr. Madsen: The purpose of this letter is to summarize the different points which were discussed during our conversation on March 28, 1994. At this meeting we mutually agreed that the actions which need to be taken to correct this violation are: 1. Remove or screen noncommercial junkyard. 2. Remove, screen, or bring derelict vehicles up to a status where they would not be considered derelict under the 1993 Zoning Ordinance. If this office can be of any assistance in clarifying or answering further questions concerning this wetter, please call or write. Respectfully, Barry Kramer/1 Building Inspection Technician ■ • COLORADO March 18, 1994 Kenneth and 19150 195th Hudson, CO Lynda Madsen Avenue 80642 DEPARTMENT OF PLANNING SERVICES PHONE (303) 353a45. EXT. 3540 WELD COUNTY ADMINISTRATIVE OFFICES 1400 N. 17TH AVENUE GREELEY,COLORADO 80631 Subject: C -94-a0 Property located on Lot 7, Vantage Acres, Second Filing. Weld County. Colorado. Dear Mr. and Mrs. Madsen: It has come to the attention of the Department of Planning Services' staff that the uses on your property may not be in compliance with the Weld County Zoning Ordinance. The potential noncompliance with the zoning ordinance is a noncommercial junkyard (derelict vehicles, miscellaneous materials, and junk) located on the property without proper screening from adjacent properties and public rights -of -way. Please call me within five working days of the date of this letter to review the concern with me. Sincerely, Barry Kramer Building Inspection Technician May 2, 1994 DEPARTMENT OF PLANNING SERVICES PHONE (303) 3&1-1845, EXT. 3540 WELD COUNTY ADMINISTRATIVE OFFICES 1400 N,17TH AVENUE GREELEY, COLORADO 80631 Kenneth Madsen 19150 195th Avenue Hudson, CO 80642 Subject: Board of County Commissioners Hearing Dear Mr. Madsen: After our conversation of Friday April 29. I wanted to clarify the procedure that our office uses for Zoning Violations. You will have up to and including May 5, 1994 as per your Zoning Violation letter to remove or screen what the Planning Department considers a noncommercial junkyard. If after that date the noncommercial junkyard is still located on the property without proper screening a hearing is scheduled with the Board of County Commissioners, and at the hearing you may present your side and the Board of County Commissioners decide whether or not to refer the case to the County Attorney's Office. or grant an extension of time to clear up the violation depending on each case. If there are some things that the Planning Department considered a noncommercial junkyard that you would like to keep on the property a screening plan would need to be submitted to the Planning Department for approval prior to installation. If a screening plan is submitted to the Planning Department prior to the hearing date you would not need to attend the hearing and you would have 30 days to complete the screening. I apologize for any misunderstanding the hearing letter may have caused. If you have any questions, please call me at 353-6100. Extension 3540. Thank You. i Barry itfamer Building Inspection Technician I S DATE: May 10, 1994 VIOLATION NUMBER: VI -2050 NAME: Albert and Anne Pief ADDRESS: 5053 Pawnee Drive Creeley, CO 80634 LEGAL DESCRIPTION: Lot 7, Block 3, Arrowhead, First Filing, weld County, Colorado. CASE SUMMARY February 11, 1994 March 18, 1994 April 21, 1994 April 27, 1994 Five-day compliance encouragement letter issued. Violation letter issued. Property inspected. Property still in violation. Letter sent to property owner indicating that the violation case was scheduled before the Board of County Commissioners. The noncommercial junkyard is a violation of Section(s) 31.2 and 31.3.9 of the Weld County Zoning Ordinance. To correct the violation a screening plan must be submitted and approved or the noncommercial junkyard must be removed from the property. The Department of Planning also recommends that the County Attorney be authorised to proceed with legal action against any other persons occupying the properties, any person claiming an interest in the properties, and any persons acting in active concert with the identified parties. 404; 111i�PC COLORADO April 27, 1994 DEPARTMENT OF PLANNING SERVICES PHONE (303) 353.3945, EXT. 3540 WELD COUNTY ADMINISTRATIVE OPPICES 1400 N. 17TH AVENUE GREELEY, COLORADO 80631 Albert and Anne Pief 5053 Pawnee Drive Greeley, CO 80634 Subject: VI -2050 Zoning Violation on a parcel of land described as Lot 7, Block 3, Arrowhead, Weld County, Colorado. Dear Mr. and Mrs. Pief: The prcperty referenced above remains in violation of the Weld County Zoning Ordinance. I have scheduled a meeting with the Board of County Commissioners on Tuesday, May 10, 1994 at 10:03 a.m. to consider the Zoning violation occurring on your property. This meeting will take place in the County Commissioners' Hearing Room, first floor, Weld County Centennial Center, 915 Tenth Street, Greeley, Colorado. It is recommended that you or a representative be in attendance to answer any questions the Board of County Commissioners might have about the violation. The Department of Planning Services' staff will be recommending that the Board of County Commissioners authorize the County Attorney to proceed with legal action to remedy the violation. Our records indicate that you were made aware of the nature of the violation, the action necessary to correct the violation, and that you were given sufficient ties to remedy the violation. If you have any questions concerning this tatter, please call me. Respectfully, Barry Kramer Building Inspection Technician Inspected property to determine compliance. The property is not in compliance at this time. There are still three pickups without plates. Mr. Piet was outside cleaning up the property at the time of the inspection. Be told me that he had license tags for two of the pickups and that he was going to take the third one down to his shop in order to sell it. COLORADO DEPARTMENT OF PLANNING SERVICES PHONE (303) 353-38x5, EXT. 3540 WELD COUNTY ADMINISTRATIVE OFFICES 1400 N. 17TH AVENUE GREELEY, COLORADO 80631 WELD COUNTY ZONING VIOLATION NOTICE Date: March 18. 1994 Violation Number: VI -2050 Name: Albert and Anne Fief Address: 5053 Pawnee Drive Greeley, CO 80634 Legal Description: Lot 7, Block 3, Arrowhead, First Filing, veld County, Colorado. The uses on the above described property are being considered as zoning violations of Sections 31.2 and 31.3.9 of the Weld County Zoning Ordinance. A noncommercial junkyard (derelict vehicles) located on the property without proper screening. To correct the violation the noncommercial junkyard would need to be removed, a screening plan would need to be submitted to the Planning Department prior to installation, or the derelict vehicles could be brought up to a status where they would not be considered derelict under the 1993 Zoning Ordinance. IC is the Intention of this office to assist and cooperate with you without imposing undue hardships; however, we have no discretion in this matter if you fail to correct this violation. You have until April 18, 1994, to correct this zoning violation. Failure to do so will result in this office referring the violation to the County Attorney's office for legal action. Any information you have that may help to resolve this matter will be helpful. This office is ready to be of any assistance in clarifying or answering questions concerning this matter. Please call or write the Department of Planning Services' office. JJ_t / .zeMt,61 rry d nor Buil i Inspection Ba g Technician ill stz Wine COLORADO February 11, 1994 DEPARTMENT OF PLANNING SERVICES PHONE (303) 3534845. EXT. 3540 WELD COUNTY ADMINISTRATIVE OFFICES 1400 N.17TH AVENUE GREELEY, COLORADO 80831 Albert and Anne Peif 5053 Pawnee Drive Greeley, CO 80634 Subject: C-94-19, Property located on Lot 7, Block 3, Arrowhead. 1st Filing, Weld County, Colorado. Dear Mr. and Mrs. Peif: It has come to the attention of the Department of Planning Services' staff that the uses on your property may not be in compliance with the Weld County Zoning Ordinance. The potential noncompliance with the zoning ordinance is the storage or keeping of (derelict vehicles) on the property. These aro not uses allowed by right in the R-1 (Residential) zone district. Please call ma within five working days of the date of this letter to review the concern with me. Sincerely. Barry Kramer Building Inspection Technician DATE: May 10, 1994 VIOLATION NUMBER: VI -2060 NAME: William and Marita Mitchell ADDRESS: 15462 Morris Avenue Fort Lupton, CO 80621 /e44,4 /42/9V LEGAL DESCRIPTION: Lot 3, Block 9, Aristocrat Ranchettes, Weld County, Colorado. CASE SUMMARY November 10, 1993 March 25, 1993 April 25, 1994 April 27, 1994 Five-day compliance encouragement letter issued. Violation letter issued. Property inspected. Property still in violation. Letter sent to property owner indicating that the violation care was scheduled before the Board of County Commissioners. The noncommercial junkyard is a violation of Section(s) 31.2 and 31.3.9 of the Weld County Zoning Ordinance. To correct the violation a screening plan must be submitted and approved or the noncommercial junkyard must be removed from the property. The Department of Planning also recommends that the County Attorney be authorized to proceed with legal action against any other persons occupying the properties, any person claiming an interest in the properties, and any persons acting in active concert with the identified parties. c /34R,ey /</zAneR cc,N Jet s.F r.jw s Zatir /CAP';did l /itMKeq “esiist /71.a 61-1/ .9 cd 1,14 44°42D er eo il miss iaN cies c / o — 9 1/1",Atei � c"1-1 /P9y 7`4";:g yep d .9 -re . i-e. ,lam)2 44-4-7?rscX414-ea.Y srp0,v,,.e ad -A o ca -n. 4m-4 y, 4 // �:7(c. X e. r'17-„„...s."Av. F,,L7- G k/o T Cho &d 6 a (Co4.3 /oc4 S 42,5.zec.t'gf 8s7_ a o // II1Bc. COLORADO April 2:', 1994 DEPARTMENT OF PLANNING SERVICES PHONE (303) 353.3.!45. EXT. 3540 WELD COUNTY ADMINISTRATIVE OFFICES 1400 N. 17TH AVENUE GREELEY. COLORADO 80631 William and Marita Mitchell 15462 Morris Avenue Fort Lupton, CO 80621 Subject: V1-2060oning tion on a Weld Ccu.ty, described as Lot 3, rcel of land Colorado. Dear Mr. and Mrs. Mitchell: The property referenced above remains in violation of the Weld County Zoning Ordinance. I have scheduled a meeting with the Board of County Commissioners on Tuesday, May 10, 1994 at 10:00 a.m. to consider the Zoning Violation occurring on your property. This meeting will take place in the County Commissioners' Hearing Room, first floor: Weld County Centennial Center, 91S Tenth Street, Greeley, Colorado- It is recommended the oa edthat you or a representative be in attendance to answer any questions County Commissioners might have about the violation. The Department of Planning Services' staff will be recommending that the Board of County Commissioners authorize the County Attorney to proceed with legal action to remedy the violation- Our records indicate that you were made aware of the nature of the violation, the action necessary to correct the violation, and that you were given sufficient time to remedy the violation. If you have any questions concerning this tatter, please call me. Respectfully, Barry Kramer Building Inspection Technician , INSPECTION REPORT NAME: William and Marita Mitchell MAILING ADDRESS: 15462 Morris Avenue, Fort Lupton, CO 80621 A 3 6 ' 2n:.--. ..a.r-" DATE: April 25, 1994 CASE NUMBER: VI -2060 Inspected property to determine compliance. The property is not in compliance at this time. There are several derelict vehicles next to the road, a large pile of tires and miscellaneous junk located on the property without proper screening. Barry Kramer Building Inspection Technician fen; Wi�'Pc COLORADO DEPARTMENT OF PLANNING SERVICES PHONE (303) 353.3845. EXT. 3540 WELD COUNTY ADMINISTRATIVE OFFICES 1400 N.1 rni AVENUE GREELEY, COLORADO 80831 WELD COUNTY ZONING VIOLATION NOTICE Date: March 25. 1994 Violation Number: VI -2060 Name: William and Marita Mitchell Address: 15462 Morris Avenue Fort Lupton, CO 80621 Legal Description: Lot 3, Block 9, Aristocrat tanchettes, Weld County, Colorado. The uses on the above described property are being considered as zoning violations of Sections 31.2 and 31.3.9 of the Weld County Zoning Ordinance. A noncommercial junkyard (junk and used appliances) located on the property without proper screening. To correct the violation the noncommercial junkyard would need to be removed or a screening plan would need to be submitted prior to installation. It is the intention of this office to assist and cooperate with you without imposing undue hardships; however, we have no discretion in this matter if you fail to correct this violation. You have until April 24, 1994, to correct this zoning violation. Failure to do so will result in this office referring the violation to the County Attorney's office for legal action. Any information you have chat may help to resolve this matter will be helpful. This office is ready to be of any assistance in clarifying or answering questions concerning this matter. Please call or write the Department of Planning Services' office. Barry Ksiner Building inspection Technician COLORADO DEPARTMENT OF PLANNING SERVICES PHONE (303) 353-3845, EXT. 3540 WELD COUNTY AOMINISTRATIVE OFFICES 1400 N. 17TH AVENUE GREELE`f, COLORADO 80631 November 10, 1993 William and Marisa B. Mitchell 15462 Morris Avenue Ft. Lupton, CO 80621 Subject: C-93-131, Property located on Lot 3, Block 9, Aristocrat Ranchettes, Weld County, Colorado (130927208004). Dear Mr. and Mrs. Mitchell: It has come to the attention of the Department of Planning Services' staff that the uses on your property (15462 Morris Avenue) may not be in compliance with the Weld County Zoning Ordinance. The potential noncompliance with the zoning ordinance is a noncommercial junkyard not properly screened from adjacent properties and road rights -of -way. Please call me within five working days of the date of this letter to review the concern with me. Sincerely, aeir- urrent Planner KAS/sfr 1 HEARING CERTIFICATION DOCKET NO. 94-37 RE: CHANGE OF ZONE FROM A (AGRICULTURAL) TO E (ESTATE) - TOM AND MARGARET RUSSELL A public hearing was conducted on May 11, 1994. at 10:00 a.m., with the following present: Commissioner W. H. Webster, Chairman Commissioner Dale K. Hall, Pro-Tem Commissioner George E. Baxter Commissioner Constance L. Harbert Commissioner Barbara J. Kirkmeyer - EXCUSED Also present: Acting Clerk to the Board, Shelly Miller County Attorney. Bruce Barker Planning Department representative. Greg Thompson The following business was transacted: I hereby certify that pursuant to a notice dated April 20, 1994, and duly published April 21, 1994, in the Windsor Beacon, a public hearing was conducted to consider the request of Tom and Margaret Russell for a Change of Zone from A (Agricultural) to E (Estate). Bruce Barker, County Attorney, made this a matter of record and indicated that the applicants have requested a continuance since there were only three Board members scheduled to be present at today's hearing. A notice was published, posted, and mailed for a continuance hearing on May 18, 1994, at 10:00 a.m.; however, Commissioner Kirkmeyer will not be present on May 18. Therefore, the applicants have again requested a continuance to allow the presence of all Board members. Another notice was also published, posted, and mailed for the second continuance hearing on May 25, 1994, at 10:00 a.m. Greg Thompson, Planning Department representative, concurred with Mr. Barker. The applicants were not present, and no public testimony was offered concerning the continuance of this matter. Mr. Barker suggested said matter be called on May 18, 1994, and then be continued to May 25. 1994, since an interim notice was published, posted, and mailed. Commissioner Hall moved to continue the request of Tom and Margaret Russell for a Change of Zone from A (Agricultural) to E (Estate) to May 18. 1994, at 10:00 a.m., based on the applicants' request. The motion was seconded by Commissioner Harbert, and it carried unanimously. This Certification was approved on the 16th day of May, 1994. APPROVED: ATTEST: Weld County unClerk pto the Board g By: ,(4tN0+. Ohl 2 Deputy Gil/1k to the Board TAPE (/94-23 DOCKET #94-37 PL09S0 BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO 'A H. Webster, hai Dal a I Tem Geo E. Baxter Constance L. Harbert EXCUSED Barbara J. Kirkmeyer 940410 cc : PC RECORD OF PROCEEDINGS MINUTES BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO MAY 16, 1994 TAPE #94-23 The Board of County Commissioners of Weld County, Colorado, met in regular session in full conformity with the laws of the State of Colorado at the regular place of meeting in the Weld County Centennial Center, Greeley, Colorado. May 16, 1994, at the hour of 9:00 a.m. ROLL CALL: MINUTES: CERTIFICATIONS OF HEARINGS: ADDITIONS: The meeting was called to order by the Chairman and on roll call the following members were present, constituting a quorum of the members thereof: Commissioner W. H. Webster, Chairman Commissioner Dale K. Hall, Pro-Tem Commissioner George E. Baxter Commissioner Constance L. Harbert Commissioner Barbara J. Kirkmeyer Also present: County Attorney, Bruce T. Barker Acting Clerk to the Board, Shelly Miller Finance and Administration Director, Don Warden Commissioner Baxter moved to approve the minutes of the Board of County Commissioners meeting of May 11, 1994, as printed. Commissioner Hall seconded the motion, and it carried unanimously. Commissioner Hall moved to approve the hearings conducted on May 10. 1994: 1) Violation Hearings; and the hearing conducted on May 11, 1994: 1) Change of Zone from A (Agricultural) to E (Estate), Tom and Margaret Russell. Commissioner Baxter seconded the motion, and it carried unanimously. Chairman Webster added the following as Item #5 under New Business: Consider Purchase of Services Agreement between the Health Department and Monfort, Inc. and authorize Chairman to sign. CONSENT AGENDA: Commissioner Hall moved to approve the consent agenda as printed. Commissioner Baxter seconded the motion, and it carried unanimously. PRESENTATIONS: RECOGNITION OF SERVICES - LEONA MARTENS, PLACEMENT ALTERNATIVES COMMISSION: Chairman Webster read the certificate recognizing Leona Martens for her three years of service. Ms. Martens was not present to accept her award. COMMISSIONER COORDINATOR REPORTS: RECOGNITION OF SERVICES - JON EASTIN, PLACEMENT ALTERNATIVES COMMISSION: Chairman Webster read the certificate recognizing Jon Eastin for his three years of service. Mr. Eastin was not present to accept his award. RECOGNITION OF SERVICES - LINDA TALLMAN, PLACEMENT ALTERNATIVES COMMISSION: Chairman Webster read the certificate recognizing Linda Tallman for her five years of service. Ms. Tallman was not present to accept her award. No reports were given today. PUBLIC INPUT: No public input was offered. WARRANTS: BUSINESS: NEW: Don Warden. Director of Finance and Administration, presented the following warrants for approval by the Board: General Fund $ 609,172.22 Commissioner Harbert moved to approve the warrants as presented by Mr. Warden. Commissioner Kirkmeyer seconded the motion, which carried unanimously. CONSIDER TAX ABATEMENT PETITION FROM VESSELS OIL AND GAS COMPANY AND AUTHORIZE CHAIRMAN TO SIGN: Warren Lasell, County Assessor, explained the Pin Number was double -reported as explained on the petition; therefore, the Assessor's Office is recommending approval of the abatement. Commissioner Hall moved to approve said petition and authorize the Chairman to sign. The motion, seconded by Commissioner Kirkmeyer, carried unanimously. CONSIDER TAX ABATEMENT PETITION FROM BANC ONE COLORADO CORPORATION AND AUTHORIZE CHAIRMAN TO SIGN: Mr. Lasell explained this petition is for 1991 and 1992 for property located at 1212 9th Street. The property was recently sold for $557,300 and the Assessor's Office has it valued at $465,000. Mr. Lasell said he is comfortable with that value and the petitioner has not presented anything showing the value should be less; therefore, he is recommending denial. He indicated the abatement of taxes for 1993 for this same property will be heard by the State Board of Assessment Appeals during the first week of June. Chairman Webster stated he would abstain from this matter since he sits on the board for the bank. Let the record reflect that Pro-tem Hall is now acting as Chairman. In response to questions from the Board, Mr. Lasell indicated Banc One is requesting a value of $300,000. and there is not a representative present. Commissioner Baxter moved to deny said petition and authorize the Chairman to sign. The motion was seconded by Commissioner Kirkmeyer and carried unanimously. CONSIDER CONTRACT BETWEEN COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT AND EMPLOYMENT SERVICES AND AUTHORIZE CHAIRMAN TO SIGN: Walt Speckman, Human Resources Director, explained this contract is the Job Services Contract for the period of July 1, 1994, through June 30, 1995, for the amount of $196,907.00. He indicated this contract has continued for thirteen or fourteen years and the amount is about the same as last year. Commissioner Harbert moved to approve said contract and authorize the Chairman to sign. The motion, seconded by Commissioner Kirkmeyer, carried unanimously. CONSIDER REQUEST FROM VEGETATION MANAGEMENT SPECIALIST TO ENTER UPON CERTAIN LANDS: Ron Broda, Public Works Department representative, explained that, under the Pest Control District Law and the Colorado Weed Management Act, he must seek approval from the Board to enter on private land to carry out weed control measures. He explained the land owners' cooperation is sought first and recommendations are usually complied with; however, this approval allows Mr. Broda the ability to enter on lands if necessary. Commissioner Harbert moved to approve said request, and Commissioner Baxter seconded the motion which carried unanimously. CONSIDER PURCHASE OF SERVICES AGREEMENT BETWEEN THE HEALTH DEPARTMENT AND MONFORT, INC. AND AUTHORIZE CHAIRMAN TO SIGN: John Pickle, Health Department Director, explained there were some last minute changes to this agreement. Glenda Schneider, Director of Nursing, indicated the content was not changed, but the funding amounts were changed to account for the increase in Minutes - May 16, 1994 Page 2 the nurse practitioners' salaries. She explained operating supplies will be billed monthly and were not included on the Budget Page. Ms. Schneider indicated the annual amount of $168,742 will be billed on a one -twelfth basis. Cyndy Giauque, Assistant County Attorney, referred to the Budget Page and explained the monthly amount of $14,062 per month for 11 months totals $154,682, plus the rest of the figures total $238,542. She answered questions from the Board and stated Monfort has agreed with the changes as long as the bottom line amount does not change. Commissioner Harbert moved to approve said agreement and authorize the Chairman to sign. Commissioner Kirkmeyer seconded the motion, which carried unanimously. PLANNING: PLANNING: CONSIDER REMOVING CONDITION OF APPROVAL #5C FOR RE #1561 - RIDER: Greg Thompson, Planning Department representative, read staff's memo recommending approval of this request into the record. He explained Weld County Road 26 divides Lot B of RE #531 and RE #1561. Amended RE #531 which was approved by staff amended Lot B of RE #531 to include only the property south of Road 26. Condition of Approval #5c must be removed from RE #1561 to include only the property north of Road 26. which is what the original application intended. The applicant was not present or represented. Deed Exception A for RE #531 separated Lot B into two separate parcels; however, Amended RE #531 corrected the boundary lines so Lot B is no longer split by Road 26. Lot B of RE #1561 was approved by the Board as 141 acres. After discussion, Commissioner Harbert moved to continue this matter. Mr. Thompson indicated the applicants are closing today on Lot A of RE #1561 and this matter must be processed today if possible. Commissioner Harbert amended her motion to continue said matter to the end of today's meeting to allow Mr. warden time to acquire the minutes from the day RE #1561 was approved. Commissioner Kirkmeyer seconded the motion, which carried unanimously. CONSIDER VACATION OF RE #724 - HOWARD, ET AL: Chuck Cunliffe, Planning Department Director, read staff's memo recommending approval of the vacation including three Conditions of Approval. He indicated the mobile home addressed in Condition of Approval #2 had been removed. Tom Collins, Loveland Realty, explained the property was recently sold; however. the owners were unaware of RE #724 until they applied for a building permit on the 80 - acre parcel. He indicated RE #724 must be vacated and confirmed that the mobile home was removed on Saturday. Mr. Collins explained Quit Claim Deeds were obtained; however, they included the entire legal description; therefore, the Planning Department has requested RE #724 be vacated. Commissioner Kirkmeyer confirmed that the property would then return to one parcel, and she moved to approve said request. Commissioner Hall seconded the motion, and it carried unanimously. CONSIDER REMOVING CONDITION OF APPROVAL #5C FOR RE #1561 - RIDER: This item was continued from earlier in the meeting. Mr. Thompson explained the plat showing two different Lot Bs, one south and one north of Road 26. was not accepted by staff. Lot A of RE #1561 will be closed on today and the plat must be recorded; however, Condition of Approval #Sc as written prohibits the plat from being recorded. Mr. Barker reiterated Lot B of RE #1561 included parcels on both the north and south sides of Road 26; however, the position has now been reconsidered. Mr. Thompson explained Lot A of RE #531 has not been built on, and staff made a mistake when the application was reviewed by not determining the Deed Exception. If the Deed Exception had been considered, the applicants would have been required to amend RE #531 rather than RE #1561. Mr. Thompson reiterated Lot A cannot be sold with Condition of Approval #5c on it because the Condition is to be met prior to recording. He also clarified that staff already approved Amended RE #531. Minutes - May 16, 1994 Page 3 which changed the boundaries to bring RE #531 south of Road 26 and RE #1561 north of Road 26. Mr. Barker explained Mr. Thompson produced two deeds for fee -simple conveyance, which allow the roadway to go back to the owner if Road 26 ceases as a public road. Commissioner Hall confirmed the road is maintained on the Weld County system and suggested Amended RE 0531 removes Lot A by default leaving only 70 acres north of Road 26. Commissioner Harbert confirmed it was the same family that bought Lot A, but different members; thus, the majority of the property is owned by the Rider Family Investment. After further discussion, Commissioner Hall moved to remove Condition of Approval 05c from RE 01561, and Commissioner Harbert seconded the motion since the property is still in the same family. The motion carried unanimously. RESOLUTIONS AND ORDINANCES: The resolutions were presented and signed as listed on the consent agenda. There were no ordinances. Let the minutes reflect that the above and foregoing actions were attested to and respectfully submitted by the Acting Clerk to the Board. There being no further business, this meeting was adjourned at 9:45 a.m. APPROVED: ATTEST: Weld County Clerk to the Board By: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, LORADO Dale /C,. Hall George Baxter I AM w._. rlfi`J onstance L. Har ert EXCUSED DATE OF APPROVAL Barbara J. Xirkmeyer Minutes - May 16, 1994 Page 4 RECORD OF PROCEEDINGS MINUTES BOARD OF SOCIAL SERVICES WELD COUNTY, COLORADO MAY 16. 1994 TAPE #94-23 The Board of County Commissioners of Weld County, Colorado, met in regular session as the Board of Social Services in full conformity with the laws of the State of Colorado at the regular place of meeting in the Weld County Centennial Center. Greeley, Colorado, May 16, 1994, at the hour of 9:00 a.m. ROLL CALL: MINUTES: WARRANTS: The meeting was called to order by the Chairman and on roll call the following members were present, constituting a quorum of the members thereof: Commissioner W. H. Webster, Chairman Commissioner Dale K. Hall, Pro-Tem Commissioner George E. Baxter Commissioner Constance L. Harbert Commissioner Barbara J. Kirkmeyer Also present: County Attorney, Bruce T. Barker Acting Clerk to the Board, Shelly Miller Director of Finance and Administration, Donald Warden Commissioner Kirkmeyer moved to approve the minutes of the Board of Social Services meeting of May 11, 1994, as printed. Commissioner Hall seconded the motion, and it carried unanimously. Don Warden, Director of Finance and Administration, presented the warrants for approval by the Board in the amount of $274,987.82. Commissioner Hall moved to approve the warrants as presented by Mr. Warden. Commissioner Baxter seconded the motion, which carried unanimously. Let the minutes reflect that the above and foregoing actions were attested to and respectfully submitted by the Acting Clerk to the Board. There being no further business, this meeting was adjourned at 9:50 a.m. ATTEST: Le a Weld County Clerk to the Board By: Deputy Clerk to th APPROVED: BOARD OF COUNTY COMMISSIONERS WELD�CQOUN Y, /C LORADO D b JJ`B . Webster, Ch.irma Dale, eo g rte( Baxter EXCUSED DATE OF APPROVAL Barbara J. Kirkmeyer onstance L. Harber RECORD OF PROCEEDINGS AGENDA Wednesday, May 18, 1994 TAPE #94-23 ROLL CALL: MINUTES: ADDITIONS TO AGENDA: APPROVAL OF CONSENT AGENDA: PROCLAMATIONS: PUBLIC INPUT: COUNTY FINANCE OFFICER: BIDS: BUSINESS: NEW: W. H. Webster, Chairman Dale K. Hall, Pro-Tem George E. Baxter Constance L. Harbert Barbara J. Kirkmeyer - EXCUSED Approval of minutes of May 16, 1994 1) Household Hazardous Waste Awareness Day - May 21, 1994 (Each individual is allowed a three -minute period of time in which to address the Board of County Commissioners on topics which are not on the Board's agenda. Please be aware that the Board may not be able to address your topic today. If the Board is unable to do so, the matter will either be referred to staff or scheduled for a work session. If you wish to speak regarding issues which are likely to be heard by the Board in a public hearing, such as a land use or violation hearing, you will be asked to give your testimony at that hearing, either in person or in writing. Public input on any topic shall be limited to 15 minutes.) 1) Warrants 1) Present re -roofing for Walton Building - General Services Department 2) Approve annual business machines maintenance contract - all departments 1) Consider Intergovernmental Agreement for Permissive Use of Property with City of Greeley and authorize Chairman to sign 2) Consider East 168th Avenue Paving Intergovernmental Agreement with City of Broomfield and authorize Chairman to sign 3) Consider Resolution re: Return of Interest for Lot 17, Johnson Subdivision First Addition, Weld County Johnson Subdivision Local Improvement District No. 1993-2 4) Consider temporary closure of Weld County 74 between Weld County Road 39 and Highway 85 SOCIAL SERVICES BOARD: ROLL CALL: W. H. Webster, Chairman Dale K. Hall, Pro-Tem George E. Baxter Constance L. Harbert Barbara J. Kirkmeyer - EXCUSED MINUTES: Approval of minutes of May 16, 1994 WARRANTS: Don Warden, County Finance Officer NEW BUSINESS: 1) Consider 1994 Community Food and Nutrition Program Application with Colorado Department of Local Affairs and authorize Chairman to sign CONSENT AGENDA APPOINTMENTS: May 18 - EDAP May 18 - Homeless Housing Task Force May 19 - Placement Alternatives Commission May 19 - Undesirable Plant Management Board May 23 - North Colorado Medical Center Board May 24 - Human Resources Council May 24 - Public Health Board May 24 - Communications Board May 25 - Local Energy Impact Review Team May 26 - Community Corrections Board May 26 - Airport Authority May 27 - Centennial Developmental Services Board May 27 - Local Juvenile Services Planning Committee HEARINGS: PLANNING STAFF APPROVALS: May 18 - Change of Zone from A (Agricultural) to E (Estate), Tom and Margaret Russell (cont. from 05/11/94) May 18 - Special Review Permit for a single family dwelling on a lot less than the minimum lot size in the A (Agricultural) Zone District, Hubert and Alexandra Hayworth May 18 Amended Special Review Permit for expansion of an open pit gravel mine to include an additional 40 acres, including a concrete batch plant and portable asphalt plant, in the A (Agricultural) Zone District, Andesite Rock Company May 23 - Amendments to Weld County Zoning Ordinance, Ordinance No. 89 -AA Jun 1 - Special Review Permit for an accessory structure over 1500 square feet in an Agricultural Subdivision and a horse training facility, Donald L. and Joanne K. Harmon Jun 1 - Special Review Permit for storage and maintenance of delivery trucks for an air freight business with limited storage, transfer loading, or unloading of freight on site, Gregory B. and Kristie Kay Bement Jun 14 - Violation Hearings 1) SE #497 - Abrams 2) Amended RE (1531 - Rider 3) RE 111608 - Abrams 4) RE #1609 - Grommon Farms 5) RE #1611 - Phelps 6) MHZP 11157 - Golden Technologies, Inc. 7) MHZP #159 - Brenner 8) MHZP #160 - Haithcoat 7:00 AM 7:00 AM 12:00 PM 7:00 PM 12:00 PM 8:00 AM 9:00 AM 2:00 PM 7:00 PM 12:00 PM 3:00 PM 8:00 AM 12:00 PM 10:00 AM 10:00 AM 9:00 AM 10:00 AM 10:00 AM 10:00 AM COMMUNICATIONS: 1) Jon Scherschligt, Colorado Department of Health, Water Quality Control Division, re: Section 401 Water Quality Certification 2) Rachel Kolokoff, Aims Emergency Medical Services Department Chair, re: Resignation from the Weld EMS Council 3) Timothy T. Carey, Department of the Army Corps of Engineers, re: Emergency Streambank Protection 4) County Council Press Release re: June 1, 1994 Continued on Page 2 of Consent Agenda Wednesday, May 18, 1994 Page 2 of Consent Agenda RESOLUTIONS: * 1) Approve Tax Abatement Petition from Vessels Oil and Gas Company * 2) Deny Tax Abatement Petition from Banc One Colorado Corporation * 3) Approve Contract between Colorado Department of Labor and Employment and Employment Services * 4) Approve request from Vegetation Management Specialist to enter upon certain lands * 5) Approve Purchase of Services Agreement between the Health Department and Monfort, Inc. * 6) Approve Tavern Liquor License, with extended hours, for Henry L. Walker, dba Bears Sports Saloon * 7) Approve removal of Condition of Approval 05c for RE 01561 - Rider * 8) Approve vacation of RE 0724 - Howard, et al PROCLAMATIONS: * 1) Household Hazardous Waste Awareness Day - May 21, 1994 * Signed this date Wednesday, May 18, 1994 IL FORM 920 (N43) • ws PETITION Med FOR p loeABATandENT all questions Off u TAXI* 6,r 7`� c- v / 3 Must a RNId In duplicate and all must be anwnrad. i Petitioners: Complete this side only. Denver ,Colorado, March 25 , so 94 Ott album 'lb The Honorable Board of Commissioners of Weld County Gentlemen: The petition of Vessels Oil & Gas Company whose mailing address is: 1050 17th Street #2000, Denver, Colorado 80265 Glyn Us Sew Dn Fan, SCHEDULE NUMBER DESCRIPTION OF PROPERTY AS LISTED ON TAX ROLL 0083990 Arens #1 (Oil and Gas Lease) Nw' NW34 23 4 65 respectfully requests that the taxes assessed against the above property for the years A.D. 19_ , 1921_, are erroneous, illegal, or due to error in valuation for the following reasons: Describe specifically the circumstances surrounding the incorrect value or tax, including owner's estimate of value. (Attach additional sheet if necessary) Property was double assessed on oil and gas production for the 1992 year.Twelve months of production was reported by Logan & Firmine, a Colorado Tax Consulting firm, in error. This production was to be reported on the Arens 33-15 lease and should be corrected accordingly, to reflect on the 1993 tax roll. At the same time that the formerly mentioned firm had erroneously reported revenue and production to the subject property. the petitioner's agent had also reported twelve months of production and revenue correctly for the subject property ( See attached ). We respect- fully request a correction on Schedule number 0083990 to the below listed value, and approximate or appropriate tax. 19 93 Value Orlg. 162,720 Abate. 137,320 25,400 $al. Mix $ 11,782,40 9,943.21 $ 1,839.19 19 Value: Tax corrected 9,943.21 Therefore the petitioner requests that the taxes may be abated or refunded in the sum of $ I declare, under penalty of perjury in the second degree that this petition, together with any accompanying exhibits or statement, has been examined by me and to the best of my knowledge, information and belief is true, correct and complete. as Co. Address 1Q50 17th St. Denver Co 80265 By aytime phone number (303) 825-35Q0 Every petition for abatement or refund filed pursuant to section 39-10-114 shall be acted upon pursuant to the provisions of this section by the board of county conunissioners or the assessor, as appropriate, within six months of the date of filing such petition. 39-1-113(1.7), C.B.S. 940447 ee : 4S; P,C77 leA/Cc a1• Corm Complete Either Section I or Section II RESOLUTION OF COUNTY COMMISSIONERS Section 1: In accordance with 394-113(1.5) C.R.S., the commissioners of County authorize the assessor to review petitions for abatement or refund and to settle by written mutual agreement any such petition for abatement or refund in an amount of one thousand dollars or less per tract, parcel, or lot of land or per schedule of personal property. County Commission Resolution # The assessor and petitioner mutually agree to an assessed value of $ for $ total tax for the year(s) 19_ and an abatement/refund of $ Petmoner'e Signature Date asaseeW, Signature Date • c •. If Section I is not complete and/or if petition is for more than $1,000, Section II must be completed. on II: Assessors's recommendation: approved; Q approved in part $ ❑ denied for the following reason(s) da4c4./ By: Deg. At.eeeor WHEREAS, The County Commissioners of WELD County, State of Colorado, at a duly and lawfully called regular meeting held on the 16TH day of MAY • A.D. 19 94 . at which meeting there were present the following members: �ATR. AN W_ H. .BST .R AND GOMM SSIONERS DAT.F, NAT, CEORC AXT .R £ON$TBN_CE L. }W1 3ERT- MD BARBARA J. KIRKMEYRR notice of such meeting and an opportunity to be present having been given to the taxpayer and the Assessor of said County and said Assessor WARREN LASELL, PRESENT, and taxpayer VESSELS OIL AND GAS COMPANY ("1""4 NOT being present; and fro.+) WHEREAS, The said County Commissioners have carefully considered the within application, and are fully advised in relation thereto, NOW BE IT RESOLVED, That the Board CONCURS with the recommendation of (mnauf• or don roe concur) the assessor and the petition be APPROVED , and an abatement refund BE ALLOWED (.o toad ar anw) (be allowed or not a.wa) on an assessed valuation of $137,320.00 for $9.943.21 total tax for the year(s) 199_x. STATE OF COLORADO, County of WELD I, DONALD D. WARDEN Clerk of the Board of County Commissioners in and for the County of WELD State of Colorado, do hereby certify that the above and foregoing order is truly copied from the records of the proceedings of the Board of County Commissioners for said WELD County, now in my office. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said County. at QREELBY. CO. , this 18TH day of }Lc- Chnfran rV(Board of &un Commissioners W. H.WEBSTER cony oink° BOARD By 4-A-4flas. ACTION OF THE PROPERTY TAX ADMINISTRATOR Denver, Colorado, 6— 7 19 The action of the Board of County Commissioners, relative to the within petition, is hereby apptrediD approved in part $ O denied for the following reason(s) <-"etticry?-tier4 1"1"*"' 940447 COLORADO CLERK TO THE BOARD P.O. BOX MB GREELEY, COLORADO 60671 W00► 7664000 EXT. 4716 April 26, 1994 Vessels 011 and Gas Company 1050 17th Street #2000 Denver, Colorado 80265 RE: SCHEDULE NUMBER 0083990 Dear Property Owner: This is to advise you that the Weld County Board of Commissioners will hear your petition for abatement or refund of taxes on the property described as: Arens ill (Oil and Gas Lease) NW! NMI 23 4 65. The meeting is scheduled for Monday, May 16, 1994, at 9:00 a.m., at which time you may be heard. You are required to submit any supporting documentation regarding this petition to the Office of the Clerk to the Board and to the Weld County Assessor's Office at least seven calendar days prior to the meeting date in order for it to be considered at said meeting. The Assessor is recommending that the Board approve your petition. The meeting will be held in the First Floor Meeting Room,Weld County Centennial Center, 915 10th Street, Greeley, Colorado, at the above specified time. If you have any questions concerning this matter, please do not hesitate to contact this office. Sincerely, Lag? Donald D. Warden, Clerk to the Board By: /42.46t-09 Deputy Clerk to the B rd cc: Assessor - W. Lasell County Attorney 940447 r r 15•DPT FORM PRESCRIBED BY THE PROPERTY. TAX ADMINISTRATOR FORM 920 11664/90 PETITION FOR ABATEMENT OR REFUND OF TAXES -c F HOECKEL Co, OENVER 38312 Petitioners: Use this side only. GREELEY Colorado DECEMBER in 28 19 93 City or Town To The Honorable Board of County Commissioners of WELD County Gentlemen: The petition of BANC ONE COLORADO CORP . whose mailing address is. 1125 17th Street. Denver Colorado 80202 City or Town State Zip Code SCHEDULE NUMBER DESCRIPTION OF PROPERTY AS LISTED ON TAX ROLL 0961-06-2-26-020 Situs 1212 9th Street. Greeley, CO 80631 respectfully res uests that the taxes assessed against the above property for the years A. D. 19 91 19 9.4 , are erroneous, illegal, or due to error in valuation for the following reasons: (Completely describe the circumstances surrounding the incorrect value or tax.) RECOGNITION OF REDUCED VALUE DUE TO FUNCTIONAL UTILITY LOSS DUE TO BRANCH BANKING. CONSIDERATION OF BUILDING OBSOLESCENCE. 194.1.. 19..92. Value Tax Value ' Tax Orig. 134,610 11,970.32 134,610 12,095.24 Abate. 47.,.6.1.0- 4.,.2$3.7.6 4.7.,.6.1.04.277.94 Bal. 87,000 7,736.56 87,000 7,817.30 The taxes (have) (have not) been paid. Wherefore your petitioner prays that the taxes may be abated or refunded in the sum of $...85.1.1....2.Q + Interest I declare, under penalty of perjury in the second degree that this petition, together with any accompanying exhibits or statements, has been examined by me and to the best of my knowledge. information and belief is true, correct and complete. ...Banc..One...Co latado...Corp Petitioner M. Monroe Agent Denver8 ola8t04EM Suite G-100 Address 940448 RESOLUTION OF COUNTY COMMISSIONERS WHEREAS, The County Commissioners of WELD County, State of Colorado, at a duly and lawfully called regular meeting held on the 16TB day of MAX A D 19 94 at which meeting there�w��ere present the following members:, CHAIRMAN W. H. WEBSTER AND COMMISSIONERS DALE K. HALL, GEORGE E. BAXTER, V CO1`ISTANC£..Ja.._HARB.ERT, AND BARBARA J. KIRK1•1EYER notice of such meeting and an opportunity to be present having been given to the taxpayer and the Assessor of said County and said Assessor WARREN LASELL� PRESENT, and taxpayer BANC...ONE...C.OLORADO CORP. NOT being present; and ("ame) (name) WHEREAS, The said County Commissioners have carefully considered the within applica- tion, and are fully advised in relation thereto, STATE OF COLORADO, , NOW BE IT RESOLVED, That the Board . CONCURS with the recommendation of (concur& or does not concur) the assessor and the petition be...AENIEe�A...A..__..., and an abatement/refund NOT ...BE._ALLOWED $47 gpri I L nled) $4233.76 (1991) on an assessed valuation of $4/, Q............for $.42.7.7..94..(199.2)).. total tax for the year(s) 19.41.. 6, 1992. STATE OF COLORADO, County of WEkD I, DONAX,U..DA..WARD£N XIdUiRWIellEliallZ34101SHOCCIerk of the Board of County Commissioners in and for the County of WELD State of Colorado, do hereby certify that the above and foregoing order is truly copied from the records of the proceedings of the Board of County Commissioners for said (be allowed or not be allowed) }s& 7 .c .. Chairman of oard of County Comm ssioners. W. H.WEBSTER WELD County, now in my office. IN WITNESS WHEREOF, I have hereunto set my hand and affixed ttte seal of said County, at CREEL ....COLORAD.O this 18TH da4of By../....1�� jeac .., A. D. 19.94 County Clerk. TO BOARD De uty. ACTION OF THE PROPERTY TAX ADMINISTRATOR Denver, Colorado, 19 The action of the Board of County Commissioners, relative to the within petition, is hereby 0 approved; ❑ approved in part $ 0 denied for the following reason(s) ATTEST: Petition No 16 4, 0 oo Secretary. Property Tax Administrator. crs c O s- 0 c • a) cd > C - V•C fo . G a, o ac) > a) to d a) J r mi. •.0 C N W tJ •oCa)3r— a tn In J + , Coo • (1) L (11.0 CJ O).C N C O.• ft1 2 • C V L W O O ▪ o" 0 C •6 C es O sn roi. l O .C W .C N tO (11 4-1.O N C -E C. O+) an CCe a' en c C C ) C roCU 'O a a) U•r r— iro in a) • V r a) a) L 0 C .C J 00% ro)— Cr aO 940445 STATEMENT OF AGENCY Property Owner, Banc One Colorado Corporation, hereby appoints Tax Profile Services, Inc.(hereinafter 'TPS"), as Property Owner's representative in connection with the valuations for assessment of Property Owner's real and/or personal property which is contained in Addendum A attached hereto, for the years 1990 through 1994, for taxes payable the following year (hereinafter "Subject Property"). TPS shall have full authority to review all applicable records relating to the valuation for assessment of the Subject Property; to negotiate the valuation for assessment of the Subject Property with the County Assessor, with any representative of the Assessor's office, or with the County, at an amount which TPS deems appropriate in the circumstances; and to pursue any statutory remedies which Property Owner may possess before the County Assessor, County Board of Equalization, County Board of Commissioners, Board of Assessment Appeals, District Court, Appellate Courts, or in binding arbitration in the Property Owner's name and in Property Owner's behalf. This agreement shall remain in effect until revoked in writing by Property Owner. Banc One Corrado Corporation �v1.G State of 6410040 of ) ss The foregoing agreement was acknowledged before me this1day of njMc4 , l9iL, by cowl/ /Nmsde// • (if a natural person or persons, insert name(s); if by a person acting in a representative or official capacity or as attorney -in -fact, insert the name and identify the capacity in which it is executed; if by an officer of a corporation, insert the name of such officer and identify the office.) Witness my hand and official seal. lemeet County 1O Notary Public. My commission S / expires: f • 94 a COLORADO CLERK TO THE BOARD P.O. BOX 766 GREELEY. COLORADO 30e32 003) 355.000 EXT. CS April 29, 1994 Banc One Colorado Corporation 1125 17th Street Denver, Colorado 80202 RE: SCHEDULE NUMBER 0961-06-4-26-020 Dear Property Owner: Please be advised the above listed petition before the Weld County Board of Commissioners for abatement or refund of taxes on the property described as: Situs, 1212 9th Street, Greeley, CO 80631, has been rescheduled for Monday, May 16, 1994, at 9:00 a.m. You are required to submit any supporting documentation regarding this petition to the Office of the Clerk to the Board and to the Weld County Assessor's Office at least seven calendar days prior to the meeting date in order for it to be considered at said meeting. The Assessor is recommending that the Board deny your petition. The meeting will be held in the First Floor Meeting Room, Weld County Centennial Center, 915 10th Street, Greeley. Colorado, at the above specified time. If you have any questions concerning this matter, please do not hesitate to contact this office. Sincerely. Donald D. Warden, Clerk to the Board 7.-4y - By: Deputy Clerk to the Board cc: Assessor - W. Lasell County Attorney Jeffrey Monroe, Tax Profile Services 940448 44frog 1111111e. COLORADO April 25, 1994 Banc One Colorado Corporation 1125 17th Street Denver, Colorado 80202 RE: SCHEDULE NUMBER 0961-06-4-26-020 Dear Property Owner: CLERK TO THE BOARD R.O. BOX lee GREELEY, COLORADO 00632 003) 3564000 Oa. 4225 This is to advise you that the Weld County Board of Commissioners will hear your petition for abatement or refund of taxes on the property described as: Situs, 1212 9th Street, Creeley, CO 80631. The meeting is scheduled for Monday, May 9, 1994, at 9:00 a.m., at which time you may be heard. You are required to submit any supporting documentation regarding this petition to the Office of the Clerk to the Board and to the Weld County Assessor's Office at least seven calendar days prior to the meeting date in order for it to be considered at said meeting. The Assessor is recommending that the Board deny your petition. The meeting will be held in the First Floor Meeting Room, Weld County Centennial Center. 915 10th Street, Greeley. Colorado, at the above specified time. If you have any questions concerning this matter, please do not hesitate to contact this office. Sincerely, Li/ .2 Donald D. Warden, Clerk to the Board By: dfis2�'i21/ d91 Deputy Clerk to the B d cc: Assessor - W. Lasell County Attorney Jeffrey M. Monroe, Tax Profile Services 940449 RESOLUTION RE: APPROVE 1994 JOB SERVICE CONTRACT BETWEEN COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT AND EMPLOYMENT SERVICES 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 the 1994 Job Service Contract between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of Employment Services of Weld County, and the Colorado Department of Labor and Employment, commencing July 1, 1994, and ending June 30. 1995, with further terms and conditions being as stated in said contract, and WHEREAS, after review, the Board deems it advisable to approve said contract, 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 1994 Job Service Contract between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of Employment Services of Weld County, and the Colorado Department of Labor and Employment be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is, authorized to sign said contract. The above and foregoing Resolution was, on motion duly made and seconded. adopted by the following vote on the 16th day of May, A.D., 1994. ATTEST: /4/ Weld County Clerk to the Board BY: Deputy Cle k to the V AS TO FORM: • County Attorney BOARD OF COUNTY COMMISSIONERS WELD COUNTY, LORADO c, E. Baxter Ti _ % r alt4441Iret'' Constance L. Harbert EXCUSED DATE OF SIGNING (AYE) Barbara J. Kirkmeyer 940446 h�R D043 CC:+1-12; Sr Department or Agency No. KCT Contract Routing No. 95-019: Employment Service and Labor Exchange Activity to Weld County This is a legal document, legal counsel should be consulted before signing. CONTRACT THIS CONTRACT is made this 4th day of April 1994, by: The Board of County Commissioners of Weld County 1151 North 17th Avenue P.O. Box 180S Greeley, CO 80632 (Contractor) and THE STATE OF COLORADO Department of Labor and Employment 600 Grant Street, Suite 800 Denver, CO 80203-3528 (State) WHEREAS, authority exists in the Law and Funds have been budgeted, appropriated and otherwise made available and a sufficient encumbered balance for payment in Fund Code 100, ORGN Code 7414, APPR Code 306, Func Code 7500, GBL Code 2054, Contract Encumbrance No. C gcOOJ i ; and WHEREAS, pursuant to Section 24-101-105 C.R.S., contracts between the State and one of its political subdivisions are exempt from the State procurement code and the selection and bidding requirements therein; and WHEREAS, it is the intent of the parties in entering into this Contract to provide training and employment opportunities to the unemployed, underemployed, economically disadvantaged adults and youth, and other individuals facing serious barriers to employment, those seeking work, and to increase the earned income of the economically disadvantaged under a single delivery system; and WHEREAS, it is the intent of the parties in entering into this Contract to maintain the name "State of Colorado, Greeley Job Service Center, and the Employment Services of Weld County" as the program name of the single delivery system; and WHEREAS, the parties acknowledge that this is a contract for a one-year term. the approval of this Contract shall not be considered as the approval for any subsequent contract, nor as the expressed or implied intention of the parties to renew this Contract; and WHEREAS, the parties expressly acknowledge that this Contract is not an exclusive contract for the delivery of services in Weld County - specifically, the State may place out -stationed employees in Weld County when Federal requirements will not permit the Contractor to meet the said requirements; and WHEREAS, the State has in place an out -stationed employee to service Weld County veterans. The Contractor shall cooperate fully (i.e., provide unrestricted and immediate access to any program information) with this State employee; and WHEREAS, it is the parties' intention that the functions of the State's out —stationed employees will be reasonably coordinated with the County's performance pursuant to this Contract; and 4950E Page 1 of 21 Pages 940446.1 Department or Agency No. KCT Contract Routing No. 95-019: Employment Service and Labor Exchange Activity to Weld County This is a legal document, legal counsel should be consulted before signing. WHEREAS, required approval, clearance and coordination has been accomplished from and with appropriate agencies. NOW THEREFORE, the parties hereto agree to the following promises, mutual covenants and obligations herein contained. 1. Definitions. "Applicant" means any individual applying for or receiving benefits under programs covered by this Contract. 2. Term. This Contract shall begin on July 1, 1994, through June 30, 1995. 3. General. In performance of its duties and obligations pursuant to this Contract, the Contractor shall comply with the Wagner-Peyser Act, its applicable rules and regulations, as amended (including completing all necessary forms, and maintaining sufficient records). The Contractor acknowledges that it shall, at its cost, implement changes or methods of operation recommended by the State in order to maintain its services pursuant to this Contract in conformance with the Wagner-Peyser Act, its rules and regulations, as amended. 3.1 The Contractor shall incur additional costs only to the extent that State's local Job Service Centers incur like costs in implementing the said changes or methods of operation. 3.2 Where appropriate and applicable, as determined by the State, the State will provide programmatic training or technical assistance to the Contractor on the same basis such programmatic training or technical assistance is made available to the State's local Job Service Centers. 3.3 Additional training or technical assistance, or both, may be made available to the Contractor, at the Contractor's cost, by the State, upon the Contractor's request if such request is deemed to be reasonable by the State and the State has the available resources to provide the additional training. 4. Job Service Center Functions. The Contractor shall, during the hours from 8:00 a.m. through 5:00 p.m., Monday through Friday (State holidays excepted), provide the following services: 4.1 Placement Services. Manage and provide job placement services to applicants and employers including, but not limited to the following functions. A. Receive, classify, and record job order information from employers; including name and address of employer, employer contact, classifying and recording information on employer job requirements, job content and conditions of employment. B. Inform employers of the availability of applicants. C. Receive, classify and record work registration information such as applicants skills and abilities in accordance with State policies and procedures. Input of this information will be periodically monitored to assure that quality application information is being gathered and input. D. Evaluate the qualifications of applicants selected from the application files and refer those applicants who most nearly meet the specifications on the employer's job order. Prior to releasing a job order to non -veteran applicants, or referring non -veteran 4950F Page 2 of 22 Pages 940446 Department or Agency No. KCT Contract Routing No. 95-019: Employment Service and Labor Exchange Activity to Weld County This is a legal document. legal counsel should be consulted before signing. applicants to an employer, the Contractor's Local Veteran Employment Representative or the delegate appointed pursuant to the provisions of Provision 7.1, as hereinafter set forth, shall: I. Search the files of the applications of all veteran applicants and refer the eligible veteran applicants to the employer; and 2. Approve, in writing, the release of the job order to non —veteran applicants because either there were no eligible veterans for referral or all eligible veterans had been contacted and referred to the employer. E. Provide follow—up to employers listing job orders in accordance with departmental timeframes for all such activity. F. Job Development Activities. 1. CLeneral. The Contractor shall conduct ongoing public relations activities to inform the Weld County employer community of the. Contractor's services. Acceptable activities include mass mailing, mass advertising campaigns, telephone canvassing or conducting seminars directed at the employer community. 2. Service to Individual Applicants. Whenever an applicant cannot in good faith be referred to a job order because of either the applicant's qualifications or personal needs, the Contractor shall appropriately contact all appropriate employers, via telephone or in person, to inform them of an applicant's availability, and their qualifications. The Contractor shall consolidate, where appropriate, all contacts to an employer (or person) to limit the number of contacts to a single employer. G. Provide, upon request, local and state labor market information to applicants and employers. H. Performance C'nalc. 1. General. The overall minimum performance standard for the Job Service Program shall be established in the planning process between the Area Director and the Office Manager. Of the number of veteran applicants, the Contractor shall place the percentages mandated by Federal Veteran Placement Standards. 4.2 SpeciaL Seryices to Unemployment Insurance Recipients (UI Claimantsi. The Contractor shall: A. Notify all employers who place a job order with the Contractor of the benefits and opportunities of hiring UI claimants. B. Refer questions regarding unemployment insurance claims procedures and processing to the centralized UI Unit in Denver via the toll free 800 telephone number. 1. Schedule and register UI claimants for work in accordance with departmental procedures via CUBS data entry A9 and E9 screens (limited input profile and inquiry for regular business purposes). 2. Conduct follow—up activities as appropriate. 4950F Page 3 of 22 Pages 940446 Department or Agency No. KCT Contract Routing No. 95-019: Employment Service and Labor Exchange Activity to Weld County This is a legal document, legal cotmsel should be consulted before signing. 4.3 Counseling,Se ces. The Contractor shall provide (via a State -approved counselor) counseling services to assist all applicants with problems in vocational choice, change, or adjustment. The Contractor's services shall include the development and maintenance of individualized Employability Development Plans. 4.4 Testing Services. The Contractor shall provide testing services to applicants to obtain information on aptitudes and skills, as an aid in counseling, and in the selection of applicants for jobs. The Contractor shall comply with 41 CFR, 60-2 29 CFR 1627, and CFR 32 in conducting Employment Testing services. 4.5 No,_ Job Orde eferral Servicei. The Contractor shall refer applicants, where appropriate, to other agencies for vocational rehabilitation, health care, financial aid, child care and other supportive services, or other employment and training services. A. In the event the Contractor refers an applicant to an agency providing any of the above services, the Contractor shall conduct follow-up activities after the referral to determine if the applicant received the needed services and whether the Contractor can provide additional services to the applicant. B. The Contractor shall give priority to eligible veteran applicants over non -veteran applicants in making the above referrals. 4.6 Soecial Services to the Handicapped. The Contractor shall designate at least one person whose duties shall include providing the services and activities described within this Contract for handicapped persons. 4.7 Othet;Services• The Contractor shall provide intrastate and interstate clearance of job orders, and complaint resolution and employer assistance with equal employment opportunity regulations to applicants and employers. S. Input into the State compuser system. In addition to maintaining records and completing the required forms: A. The Contractor shall track and input all transactional information and other information necessary to update the State's ENDS/ODDS files via direct input into the State of Colorado, Department of Labor and Employment computer system on a daily basis; or B. The Contractor may input this data into other automated JTPA systems on a daily basis with the approval of the Colorado Department of Labor and Employment. C. More specifically, but without exclusion, the Contract shall input, on a daily basis, the following information: 1. All application information received from applicants; 2. Services provided to applicants (referrals to job orders, referrals to other organizations, job placements, workshops, etc.); and 3. Job orders received from employers with specification of whether the employer is a Federal contractor. 4950F Page 4 of 21 Pages :;a 940446 Department or Agency No. KCT -, Contract Routing No. 95-019: Employment Service and Labor Exchange Activity to Weld County This is a legal document, legal counsel should be consulted before signing. 6. A. The Participating Agency shall adhere to Section 8-72-107 C.R.S. (1986 Repl. Vol. 3B), as amended, of the Colorado Employment Security Act and shall not release any State information to any other person or entity other than the individual wage earner, benefit recipient, or employing unit. 1. Except for releasing information for the purpose of conducting normal placement and counseling activities, all other requests must be cleared through the Contract Coordinator. 2. Section 8-72-107 C.R.S., (1986 Repl. Vol. 3B) as amended, states in part that information obtained from any individual pursuant to the administration of the department shall be held confidential. The restriction states that the information shall not be given "in any manner revealing the individual's or employing unit's identity". This section provides fines and imprisonment for violation of its provision. B. The Participating Agency shall only use and access the State information to the extent necessary as specified in provision 2. Only the Participating Agency's employees who are directly responsible for the usage specified in provision 2 shall have access to or use of the State information. Prior to allowing any employee to access or use any State information or participate in any State job placement activity, the Participating Agency shall require such person to review and agree to (by signing a copy of Notice of Personal Compliance Form, incorporate herein by reference and attached hereto as "Exhibit A") abide by the terms of this Agreement. Also, if the Participating Agency requests transaction level access rather than just inquiry capability, the Participating Agency shall require each person to obtain an acceptable security clearance. The elements of an acceptable security clearance are: 1) criminal record check must be arranged through a legitimate law enforcement agency, 2) the criminal record check must fully identify the issuing law enforcement agency and must bear the signature of the issuing law enforcement official, 3) the criminal record check must reveal that the Non-CDLE user has no job -related felony conviction arising from an offense(s) occurring in the five-year period preceeding the request for new or additional transaction level access to security sensitive applications, 4) the Non -GALE user or contracting agency must be responsible for all costs of the criminal record check. If an acceptable security clearance is not submitted, transaction level access will be denied. The Participating Agency shall also provide all completed compliance forms to the Contract Coordinator. The determination of an acceptable security clearance is solely within the discretion of the State. C. Take all necessary precautions (including but not limited to: safeguarding the storage of State information, restricting which employees or agency are given access to State information) to protect the State information from unauthorized access, usage, or release. D. Permit employees or authorized agents of the State to make onsite inspections, during normal business hours, to ensure that the requirements of the Colorado Employment Security Act and the Federal statutes and regulations are being met. E. Comply with all security and access procedures established by the State and submit the names of employees or agents authorized to access State information to the State's Contract Coordinator. As these personnel change, updates shall be provided to enable access to be limited to authorized personnel at authorized terminals. 4950F Pages of 21 Pages 940446 Department or Agency No. KCT Contract Routing No. 95-019: Employment Service and Labor Exchange Activity to Weld County This is a legal document, legal counsel should be consulted before signing. F. Abide by and agree to by signature where appropriate the Code of Ethics and Reporting included and incorporated by reference and attached hereto as "Exhibit B:, Gratuities and Credit for Placement Policy Statement attached hereto as "Exhibit C", Memorandum for Certification of Compliance with State of Colorado Employment Policies attached hereto as "Exhibit D", and the Code of Ethics and Reporting regarding the Access and Use of State Information and Job Placement attached hereto as "Exhibit E". 7. $ervices to Veterans. In addition to its Job Service Center functions, the Contractor shall: 7.1 Provide, at the Contractor's own expense, a full-time Local Veterans Employment Representative ("LVER"), or an individual designated by the Contractor to perform the duties of an LVER in the event of the full-time LVER's absence, who shall be fully devoted to discharging the following duties: A. Functionally supervise all of the Contractor's services to eligible veterans; B. Maintain regular, but not less frequently than on a monthly basis, contact with community leaders, employers, labor unions, training programs, and veterans organizations and eligible veterans; C. Personally provide, or functionally supervise the delivery of job service center services to eligible veterans, including intake, assessment, counseling, job -search assistance, referral and placement; D. Monitor the listing of jobs and subsequent referrals of qualified veterans with employers who have Federal government contracts in excess of Ten Thousand and No/100 Dollars ($10,000.00). E. Report, in writing, all complaints filed under USC, Title 38, Chapter 42, Section 2003 to the Department of Labor and Employment, Employment Services Branch, Attn: State Veterans Coordinator, 600 Grant St., Suite 900, Denver, CO 80203-3528. The Contractor shall take special precautions to report those complaints regarding failures by Federal agencies to list vacant positions with the Contractor; complaints regarding failures to implement veterans preference laws; and complaints against employers who should comply with the Mandatory Job Listing Program. F. Resolve complaints filed under USC, Title 38, Chapter 42, Section 2003. Any complaints not resolved within ten (10) days of their receipt shall be referred to: Department of Labor and Employment, Employment Services Branch, Attn: State Veterans Coordinator, the State Veterans Representative (Alan Folkestad), 600 Grant St., Suite 900, Denver, CO 80203-3528. 7.2 Notify all employers, labor unions, and training programs that place a job order with the Contractor of the benefits and opportunities in conducting on—the—job training and apprenticeship programs for veterans. 7.3 Assist employers in identifying and acquiring prosthetic and sensory aids and devices to enhance the employment of disabled veterans. 8. Cooperate with the State's efforts to service Weld County veterans. The Contractor shall provide unrestricted and immediate access to and copies of all .employers, employers' contacts, job listings, and any applicant information to the State upon request. The Contractor shall not take any action to hinder, interfere, or delay the 49501; n' Page 6 of 21 Pages 940446 Department or Agency No. KCT Contract Routing No. 95-019: Employment Service and Labor Exchange Activity to Weld County This is a legal document, legal counsel should be consulted before signing. State's efforts, whether those efforts are in conjunction with or independent of the Contractor's, to improve service to the citizens of Weld County. 8.1 The Contractor acknowledges the State's Disabled Veteran Outreach Program (DVOP) and its needs to conduct job development and referral within Weld County, and shall cooperate fully and release information in accordance to the above provision to this program. 8.2 The State shall advise the Contractor of its DVOP representative's plan of action for job development on a monthly basis. 9. Targeted Jobs.'ax Credit. The Contractor shall inform employers of the benefits of Targeted Jobs Tax Credit program and refer all other activity regarding this program to the TJTC Coordinator, in Denver. 10. l$Qusine Inspections. Contractor shall provide six (6) housing inspections pursuant to 20 CFR Part 654 and Occupational Safety and Health (OSHA) Regulation 1910.142. 11. Migrant and Seasonal Farm Workers. The Contractor shall meet all current Migrant and Seasonal Farm Workers' Equity and Minimum Service Level indicators and comply with 20 CFR, Parts 651, 652 and 653. 12. Men Immigration. The Contractor shall forward all inquiries related to Non —Agricultural Alien Labor Certifications to: State Immigration Program Coordination, 600 Grant St., Suite 900, Denver, CO 80203-3528. 13. Forms. 13.1 The State shall provide to Contractor all forms necessary for the Contractor to provide Job Service Center functions under the Wagner-Peyser Act of 1933. 14. Program Funding. In return for the services of the Contractor as described in this Contract, the State shall compensate the Contractor as follows: All services except for Veterans and Housing Inspection $196,907.00 Housing Inspection (6 inspections at $230.00 each) 1,380.00 The Contractor shall submit monthly expenditure statements itemizing costs incurred by type, amount, and individual on forms prescribed by the State. In no event shall the Contractor's total compensation under this Contract exceed One Hundred Ninety —Eight Thousand, Two Hundred Eighty —Seven and No/I00 Dollars ($I98,287.00). 14.1 The Contractor acknowledges that it shall be solely responsible for any and all costs associated in providing the Local Veterans Employment Representative. Under no circumstances shall any of the above funding be used to pay for such expenses. 15. Property Management. The State agrees to loan all State computer equipment 4950F Page 7 of 21 Pages 940446 Department or Agency No. KCT Contract Routing No. 95-019: Employment Service and Labor Exchange Activity to Weld County This is a legal document, legal counsel should be consulted before signing. presently in possession of the Contractor for the term of this Contract. Title to all such property shall remain with the State. 15.1 The Contractor shall continue to maintain during the term of this Contract a complete inventory of the equipment which is covered by this Contract. A signed document listing the inventory and receipt of such equipment shall be retained by the State and the Contractor. The Contractor shall be responsible for any loss of State property, and damage beyond ordinary wear and tear. 15.2 The Contractor shall not loan or otherwise permit the use of the equipment to parties outside of the Contractor's program. 15.3 The Contractor shall maintain sufficient insurance on all of the State's equipment in the possession of the Contractor. Such insurance shall reimburse the State for replacement value costs in the case of loss or damage due to theft or casualty. 15.4 The Contractor shall provide sufficient proof of the above insurance coverage to the State upon receipt of the State's request. 16. Acknowledgement of the State's Contribution in Publications. The Contractor shall acknowledge in all its correspondence, publications, or materials distributed to the public, that all employment services by the Contractor are provided in cooperation with the State of Colorado, Department of Labor and Employment. Such acknowledgement shall be made conspicuously and in plain language. 17. Single Audit Compliance. The Contractor agrees to permit an independent auditor of DOLE to have access to Contractor's records and financial statements as necessary to comply with the Single Audit Act as implemented in OMB Circular A-128; to arrange for an annual financial and compliance audit in accordance with OMB Circular A-128; and to deliver a copy of the audit report within thirty (30) days of its issuance, to DOLE. 18. $pecigl Provisions. A. L • al Authority. The Contractor warrants that it possesses the legal authority to enter into this Contract. The person or persons signing this Contract or any attachments hereto on behalf of the Contractor also warrants that they have full authorization to execute this Contract and any attachments hereto. B. Federal Funding. Payment pursuant to this Contract is in Federal funds and is subject to and contingent upon the continuing availability of the Federal funds for the purposes hereof. In the event that said funds, or any part thereof, become unavailable as determined by the State, the State may immediately terminate this Contract. C. Parties' Relationship. The Contractor shall perform its duties hereunder as an independent contractor and not as an employee. Neither the Contractor nor any agent or employee of the Contractor shall be or shall be deemed to be an agent or employee of the state. Contractor shall pay when due all required employment taxes and income tax 4950F Page 8 of 21 Pages 940446 Department or Agency No. KCT Contract Routing No. 95-019: Employment Service and Labor Exchange Activity to Weld County This is a legal document, legal counsel should be consulted before signing. withholding, including all federal and state income tax and local head tax or any monies paid pursuant to this Contract. Contractor acknowledges that the Contractor and its employees are not entitled to unemployment insurance benefits unless the Contractor or a third party provides such coverage and that the state does not pay for or otherwise provide such coverage. Contractor shall have no authorization, express or implied, to bind the state to any agreements, liability, or understanding except as expressly set forth herein. Contractor shall provide and keep in force worker's compensation (and show proof of such insurance) and unemployment compensation insurance in the amounts required by law, and shall be solely responsible for the acts of the Contractor, its employees and agents. D. Compensation. 1. The State shall establish billing procedures and reimburse the Contractor for actual, reasonable and necessary expenses incurred in providing services pursuant to this Contract, based on the submission of monthly itemized expenditure statements. 2. Payments pursuant to this Contract shall be made as earned, in whole or in part, from available State funds encumbered for the purchase of the described services. The liability of the State, at any time, for such payments shall be limited to the amount of such encumbered funds remaining. 3. In the event this Contract is terminated, final payment to the Contractor may be withheld at the discretion of the State until the State tenders final acceptance of the Contractor's performance or completion of a final audit by the State. 4. Incorrect payments to the Contractor due to omission, error, fraud, or defalcation shall be recovered from the Contractor either by the Contractor reimbursing the State or by deduction from subsequent payments under this Contract or other contracts between the State and the Contractor, or by the State as a debt due to the State. E. Federal Certification on Debarment and Suvension. The Contractor agrees to comply with all applicable regulations pursuant to Executive Order 12549, including, Debarment and Suspension: Participants' Responsibilities, 29 CFR 98.510 (1990), and further agrees to complete the required "Certification Exclusion — Lower Tiered Covered Transactions,"attached hereto, made a part hereof, and marked Exhibit F. A signed, original completed certificate shall be provided to the State. F. Federal Certification on Lobbvinz Activities. The Contractor agrees to comply with all applicable regulations pursuant to Section 319 of Public Law 101-121, Guidance for New Restrictions on Lobbying, including, Certification and Disclosure, 29 C.F.R. 93.110 (1990), and further agrees to complete the required "Certification Regarding Lobbying," attached hereto, made a part hereof, and marked as Exhibit G. A signed, original completed Certificate shall be provided to the State. G. Confidentiality of Recptds• I. In the event the Contractor shall obtain access to any records or files of the State in connection with, or during the performance of, this Contract, the Contractor 4950F Page 9 of 21 Pages • 940446 Department or Agency No. KCT Contract Routing No. 95-019: Employment Service and Labor Exchange Activity to Weld County This is a legal document, legal counsel should be consulted before signing. shall keep such records and information confidential and shall comply with all laws and regulations concerning the confidentiality of such records to the same extent as such laws and regulations apply to the State. 2. If the contract is subject to the Colorado Employment Security Act, Articles 70 to 82 of Title 8, C.R.S., (CESA), then the Contractor shall be considered an agent of the State only for the purposes of the confidentiality requirements of CESA, and agrees to be bound by all confidentiality requirements of CESA. 3. Contractor agrees to notify and advise in writing, all employees, agents, consultants, licensees, or sub -contractors of the said requirements of confidentiality and of possible penalties and fines imposed for violation thereof, and secure from each an acknowledgment of such advisement and agreement to be bound by the terms of this agreement as an employee, agent, consultant, licensee or sub -contractor of the Contractor, as the case may be. 4. Any breach of confidentiality by the Contractor or third party agents of the Contractor shall constitute good cause for the State to cancel this Contract, without liability; any and all information delivered to the Contractor shall be returned to the State. S. Any State waiver of an alleged breach of confidentiality by the Contractor or third party agents of the Contractor is not to imply a waiver of any subsequent breach. H. Ownership of Materials and Information. Unless otherwise agreed to in a written amendment executed and approved pursuant to State Fiscal Rules, the parties agree that all material, information, data, computer software, documentation, studies, and evaluations produced in the performance of this Contract is the sole property of the State. I. Reporting. The Contractor shall submit a written program report specifying progress made for each activity identified in the Contractor's duties and obligations, regarding the performance of the Contract. Such written analysis shall be in accordance with the procedures developed and prescribed by the State. The preparation of reports in a timely manner shall be the responsibility of the Contractor and failure to comply may result in delay of payment of funds or termination of the Contract. The Contractor shall provide the State at least the following reports on a monthly basis unless otherwise specified: Report on Veteran's Activity; Job Service Center Self Appraisals (quarterly); Interstate Job Bank Listing; Form 145 — Rural Manpower Bulletin Report; ETA -223 — In -Season Farm Labor Report; ETA 5148 D, Part One — Services to Migrant and Seasonal Farm Workers; Part Two — Agricultural Clearance Order Activity and Field Check Report (quarterly); Summary of Outreach Activity for Migrant and Seasonal Farm Workers; ETA 338 — Housing Inspection; a copy of the Contractor's report to the Weld County Private Industry Council; and, the Contractor's compilation of placements per staff year worked and placement transactions per staff year worked (annually). J. Re.cors's- 1. The Contractor shall maintain a complete file of all records, documents, communications, and other materials which pertain to the operation of programs or the delivery of services under this Contract. Such materials shall be sufficient to properly reflect all direct and indirect costs of labor, materials, equipment, supplies, and services, 4950F Page 10 of 21 Pages 4 114 0 940446 41 Department or Agency No. KCT Contract Routing No. 95-019: Employment Service and Labor Exchange Activity to Weld County This is a legal document, legal counsel should be consulted before signing. and other costs of whatever nature for which a contract payment was made. These records shall be maintained according to generally accepted accounting principles and shall be easily separable from other Contractor records. 2. All such records, documents, communications, and other materials shall be the property of the Stateand shall be maintained by the Contractor, in a central location and custodian, on behalf of the State, for a period of three (3) years from the date of final payment under this Contract, or for such further period as may be necessary to resolve any matters pending (including audits performed by the federal government). K. Performance Mo 5 oring. I. Contractor shall permit the State. the U.S. Department of Labor, or any other duly authorized agent or governmental agency, to monitor all activities conducted by the Contractor pursuant to the terms of this Contract. Such monitoring may consist of internal evaluation procedures, examination of program data, special analyses, on -site checking, formal audit examinations, or any other reasonable procedures. All such monitoring shall be performed in a manner that shall not unduly interfere with contract work. 2. The Contractor authorizes the State to perform audits or inspections of its records at any reasonable time during the term of this Contract and for a period of three (3) years following the termination of this Contract. L. Remedies. In addition to other specified remedial actions, the Executive Director of the State or his designee may exercise the following remedial actions should he find the Contractor substantially failed to satisfy or perform the duties and obligations in this Contract. Substantial failure to satisfy the duties and obligations shall be defined to mean insufficient, incorrect, improper activities or inaction by Contractor. These remedial actions are as follows: 1. Withhold payment to Contractor until the necessary services or corrections in performance are satisfactorily completed; 2. Request the removal from work on the Contract of any employee of Contractor whom the Executive Director or designee justifies as being incompetent, careless, insubordinate, unsuitable, or otherwise unacceptable, or whose continued employment on the Contract he deems to be contrary to the public interest or not in the best interest of the State; 3. Deny payment for those services or obligations which have not been performed and which due to circumstances caused by Contractor cannot be performed or if performed would be of no value to the State. Denial of the amount of payment must be reasonably related to the amount of work or performance lost to the State; or 4. Terminate the Contract if after a thirty (30) day corrective action period substantial improvement in performance is not documented, without the required notice and without compensation for termination costs. M. Non Assignability. The duties and obligations of the Contractor cannot be assigned, delegated, nor subcontracted except with the express written consent of the State. This Contract shall inure to the benefit of and be binding upon the parties hereto and their respective successors and assigns. 4950F Page 11 of 21 Pages 940446 Department or Agency No. KCT Contract Routing No. 95-019: Employment Service and Labor Exchange Activity to Weld County This is a legal document. legal counsel should be consulted before signing. N. Litigation. Unless otherwise provided, the Contractor shall notify the State, within five. (5) days after being served with a summons, complaint, or other pleading in a case which involves services provided under this Contract and which has been filed in any Federal or State court or administrative agency, and shall deliver copies of such document to the State. O. Termination. Either party may terminate this Contract by giving the other party thirty (30) days notice by certified or registered mail, return receipt requested. If notice is so given, this Contract shall terminate on the expiration of the thirty days, and the liability of the parties hereunder for further performance of the terms of this Contract shall thereupon cease, but the parties shall not be released from the duty to perform their obligations up to the date of termination. P. Severability. To the extent that this Contract may be executed and performance of the obligations of the parties may be accomplished within the intent of the Contract, the terms of this Contract are severable, and should any term or provision hereof be declared invalid or become inoperative for any reason, such invalidity or failure shall not affect the validity of any other term or provision hereof. The waiver of any breach of a term hereof shall not be construed as a waiver of any other term, or the same term upon subsequent breach. Q. Entire Understanding. This Contract is intended as the complete integration of all understandings between the parties. No prior or contemporaneous addition, deletion, or other amendment hereto shall have any force or effect whatsoever, unless embodied herein in writing. No subsequent novation, renewal, addition, deletion, or other amendment hereto shall have any force or effect unless embodied in a written contract executed and approved pursuant to the State Fiscal Rules. R. Notice Procedure. All notices required and permitted pursuant to this Contract shall be in writing and shall be deemed given when personally served or three (3) days after deposit in the United States Mail, postage prepaid, registered or certified, return receipt requested, and addressed to the following parties or to such other address as has been designated by a notice complying with the foregoing requirements. CONTRACTOR: Ms. Linda Perez, JSC Director Employment Services of Weld County P.O. Box 758 Greeley, CO 80632 (303) 353-3815 and Executive Director Division of Human Resources P.O. Box 1805 Greeley, CO 80632 STATE: Mr. Melvin Madden, CFO Department of Labor and Employment 600 Grant Street, Suite 800 Denver, CO 80203-3528 (303) 837-3861 and Mr. Thomas E. Ivory, Northern Area Director Department of Labor and Employment 600 Grant Street, Suite 900 Denver, CO 80203-3528 (303) 837-3927 S. CONTROLLER'S APPROVAL. This Contract shall not be deemed valid until it shall have been approved by the Controller of the State of Colorado or such assistant as he may designate. 4950F Page 12 of 21 Pages 940446 ' Department or Agency No. KCT Contract Routing No. 95-019: • 'Employment Service and Labor Exchange Activity to Weld County This is a legal document, legal counsel should be consulted before signing. 1. If the date of the State Controller's approval is subsequent to the effective date specified in 4 1, all provisions relating to time of performance and payment shall be reduced proportionately to account for the reduction of work and services. 2. The parties expressly acknowledge that the State shall not be liable for payment of work or services, nor for costs or expenses incurred by the Contractor, prior to the proper execution and approval of this Contract. T. Fund Availability. Financial obligations of the State payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted, and otherwise made available. U. Bond Requirement. If this Contract involves the payment of more than fifty thousand dollars for the construction, erection, repair, maintenance, or improvement of any building, road, bridge, viaduct, tunnel, excavation or other public work for this State, the Contractor shall, before entering the performance of any such work included in this Contract, duly execute and deliver to and file with the official whose signature appears below for the State, a good and sufficient bond or other acceptable surety to be approved by said official in a penal sum not less than one-half of the total amount payable by the terms of this Contract. Such bond shall be duly executed by a qualified corporate surety, conditioned upon the due and faithful performance of the Contract, and in addition, shall provide that if the Contractor or his subcontractors fail to duly pay for any labor, materials, team hire, sustenance, provisions, provender or other supplies used or consumed by such Contractor or his subcontractor in performance of the work contracted to be done, the surety will pay the same in an amount not exceeding the sum specified in the bond, together with interest at the rate of eight per cent per annum. Unless such bond, when so required, is executed, delivered and filed, no claim in favor of the Contractor arising under this Contract shall be audited, allowed or paid. A certified or cashier's check or a bank money order payable to the Treasurer of the State of Colorado may be accepted in lieu of a bond. This provision is in compliance with 38-26-106 CRS, as amended. V. Indemnification. To the extent authorized by law, the Contractor shall indemnify, save, and hold harmless the State, its employees and agents, against any and all claims, damages, liability, and court awards including costs, expenses, and attorney fees incurred as a result of any act or omission by the Contractor, or its employees, agents, subcontractors, or assignees pursuant to the terms of this Contract. W. Discrimination andLAffirmative Action. The Contractor agrees to comply with the letter and spirit of the Colorado Antidiscrimination Act of 1957, as amended, and other applicable law respecting discrimination and unfair employment practices, Section 24-34-402, C.R.S. (1988 Repl. Vol. 10A), as amended, and as required by Executive Order, Equal Opportunity and Affirmative Action, dated April 16, 1975. Pursuant thereto, during the performance of this Contract, the Contractor agrees as follows: 1. The Contractor will not discriminate against any employee or applicant for employment because of race, creed, color, national origin, sex, marital status, religion, ancestry, mental or physical handicap, or age. The Contractor will take affirmative action to insure that applicants are employed, and that employees are treated during employment, without regard to the above mentioned characteristics. Such action shall include, but not be limited to the following: employment, upgrading, demotion, or transfer, recruitment or recruitment advertising; lay-offs or terminations; rates of pay or l 4950F Page 13 of 21 Pages 940446 Department or Agency No. KCT Contract Routing No. 95-019: Employment . Service and Labor Exchange Activity to Weld County This is a legal document, legal counsel should be consulted before signing. other forms of compensation: and selection for training, including apprenticeship. The Contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided by the contracting officer setting forth provisions of this non-discrimination clause. 2. The Contractor will, in all solicitations or advertisements for employees placed by or on behalf of the Contractor, state that all qualified applicants will receive consideration for employment without regard to race, creed, color, national origin, sex, marital status, religion, ancestry, mental or physical handicap, or age. 3. The Contractor will send to each labor union or representative of workers with which he has collective bargaining agreement or other contract or understanding, notice to be provided by the contracting officer, advising the labor union or workers' representative of the Contractor's commitment under the Executive Order, Equal Opportunity and Affirmative Action, dated April 16, 1975, and of the rules, regulations, and relevant Orders of the Governor. 4, The Contractor and labor unions will furnish all information and reports required by Executive Order, Equal Opportunity and Affirmative Action, dated April 16, 1975, and by the rules, regulations and Orders of the Governor, or pursuant thereto, and will permit access to his books, records, and accounts by the contracting agency and the office of the Governor or his designee for purposes of investigation to ascertain compliance with such rules, regulations and orders. 5. A labor organization will not exclude any individual otherwise qualified from full membership rights in such labor organization, or expel any such individual from membership in such labor organization or discriminate against any of its members in the full enjoyment of work opportunity, because of race, creed, color, sex, national origin, or ancestry. 6. A labor organization, or the employees or members thereof will not aid, abet, incite, compel or coerce the doing of any act defined in this Contract to be discriminatory or obstruct or prevent any person from complying with the provisions of this Contract or any order issued thereunder; or attempt, either directly or indirectly, to commit any act defined in this Contract to be discriminatory. 7. In the event of the Contractor's non-compliance with the non-discrimination clauses of this Contract or with any of such rules, regulations, or orders, this Contract may be cancelled, terminated or suspended in whole or in part and the Contractor may be declared ineligible for further State contracts in accordance with procedures, authorized in Executive Order, Equal Opportunity and Affirmative Action, dated April 16, 1975, and the rules, regulations, or orders promulgated in accordance therewith, and such other sanctions as may be imposed and remedies as may be invoked as provided in Executive Order, Equal Opportunity and Affirmative Action, dated April 16, 1975, or by rules, regulations, or orders promulgated in accordance therewith, or as otherwise provided by law. 8. The Contractor will include the provisions, Subsections (A) through (G) of Section W of this Contract, in every subcontract and subcontractor purchase order unless exempted by rules, regulations, or orders issued pursuant to Executive Order, Equal Opportunity and Affirmative Action, dated April 16, 1975, so that such provisions will be binding upon each subcontractor or vendor. The Contractor will take such action with respect to any sub -contracting or purchase order as the contracting agency may direct, as 4950F Page 14 of 21 Pages 940446 Department or Agency No. KCT Contract Routing No. 95-019: Employment Service and Labor Frchange: Activity to Weld County This is a legal document, legal counsel should be consulted before signing. a means of enforcing such provisions, including sanctions for non-compliance; provided, however, that in the event the Contractor becomes involved in, or is threatened with litigation, with the subcontractor or vendor as a result of such direction by the contracting agency, the Contractor may request the State of Colorado to enter into such litigation to protect the interest of the State of Colorado. X. Colorado Labor Preference. 1. Provisions of 8-17-101 & 102, C.R.S. (1986 Repl. Vol 3B) for preference of Colorado labor are applicable to this Contract if public works within the State are undertaken hereunder and are financed in whole or in part by State funds. 2. When a construction contract for a public project is to be awarded to a bidder, a resident bidder shall be allowed a preference against a non-resident bidder from a state or foreign country equal to the preference given or required by the state or foreign country in which the non-resident bidder is a resident. If it is determined by the officer responsible for awarding the bid that compliance with this subsection may cause denial of federal funds which would otherwise be available or would otherwise be inconsistent with requirements of federal law, this subsection shall be suspended, but only to the extent necessary to prevent denial of the moneys or to eliminate the inconsistency with federal requirements, Sections 8-19-101 and 102 C.R.S. (1986 Repl. Vol. 3B). as amended. Y. General. 1. The laws of the State of Colorado and rules and regulations issued pursuant thereto shall be applied in the interpretation, execution, and enforcement of this Contract. Any provision of this Contract whether or not incorporated herein by reference which provides for arbitration by any extra judicial body or person or which is otherwise in conflict with said laws, rules, and regulations shall be considered null and void. Nothing contained in any provision incorporated herein by reference which purports to negate this or any other special provision in whole or in part shall be valid or enforceable or available in any action at law whether by way of complaint, defense, or otherwise. Any provision rendered null and void by the operation of this provision will not invalidate the remainder of this Contract to the extent that the contract is capable of execution. 2. At all times during the performance of this Contract, the Contractor shall strictly adhere to all applicable federal and state laws, rules and regulations that have been or may hereafter be established. 3. The signatories hereto aver that they are familiar with Sections 18-8-301. I. See., (Bribery and Corrupt Influences), and 184-401, et. geg., (Abuse of Public Office), C.R.S.(1986 Repl. Vol. 813), as amended, and that no violation of such provisions is present. 4. The signatories aver that to their knowledge, no state employee has a personal or beneficial interest whatsoever in the service or property described herein. 4950F Page 15 of 21 Pages 940446 Department or Agency No. KCT Contract Routing No. 95—019: Employment Service and Labor Exchange Activity to Weld County This is a legal document, legal counsel should be consulted before signing. 114 WITNESS WHEREOF, the parties hereto have executed this Contract on the day first above written. THE COMMISSIONERS OF WELD COUNTY STATE OF COLORADO Roy Romer Cove By: /1 /. .7/�„ �r &ecutive'Director :Department of Labor and Employment By: Title: Chairman Federal Tax ID: 84-6000813 attest (Seal) '1 By: 7141 r✓*.,i, Corporate Secretary or Equivalent APPROVALS: ATTORNEY GENERAL DIVISION OF ACCOUNTS AND CONTROL Clifford W. Hall, State Controller By: By: Melvin Madden Date State Controller Designee 4950F Page 16 of 21 Pages 940446 Department or Agency No. KCT Contract Routing No. 95-019: Employment Service and Labor Exchange ACtivlty t� Weld County This s a legal document, legal coal should be ccesuitedbeimag, - NOTICE OF PERSONAL COMPLIANCE I. Connie Arellano certify that I have reviewed and agree -to abide by the terms of the Contract, and its exhibits, between the State of Colorado and. myemployer or principal Weld County Board of CQrnnijsjoners concerning the disclosure and use of State information and participation in job placement activities I UNDERSTAND THAT ANY ACT OR OMISSION TO ACT ON MY BEHALF WHICS VIOLATES ANY TERM OF THE ABOVE MENTIO CONTRACT, especially the terms concerning the disclosure of; information under Se orv8-72-107 of the Colorado Revised Statures (as amended) And the Code ^r ELZ j Y SUBJECT ME TO CRIMINAL PROSECUTION OR C )'LIABILITY- / Signed: /V AA, . ,1, 11(1r Date: �— 7-23—/9-47 Signed before me this /3 day of nC11-/ 192..3 -C, Notary MX COMMISSION EXPIRES: 7.12.1997 Commission Expires Exhibit A 4950F Page 17 of 21 Pages 940446 Deportment or Agency No. ICCT Contract. Routing No. 95-419: Employment Service and Labor Exchange Activity -or Weld County This is a legal document. legal counsel should be molted beforsigning— NOTICE OF PERSONAL COMPLIANCE I, Barbara Foster certify that I have reviewed and agree -to abide by the terms of the Coatratt, and its exhibits, between the State of Colorado and my employer or principal Weld County Board of Commissioners concerning the disclosure and use of State information and participation in job placement activities.. I UNDERSTAND THAT ANY ACT OR OMISSION TO ACT ON MY BEHALF WHICH VIOLATES ANY TERM OF THE ABOVE MENTIONED CONTRACT, especially the terms concerning the disclosure of information under Section 8-72-107 of the Colorado Revised Statutes (as amended) and the Code of Ethics, MAY SUBJECT ME TO CRIMINAL - PROSECUTION OR CIVIL LIABILITY. Signed: Date: - /3- 94/ 7 -ft /ffi L _L.?Signed before me this day of _ / 19�. Notary Commission Expires MY. COMMISSION D(PIRES: 7.12-1997 Exhibit .A 4950F Page 17 of 21 Pages Z {^ 940446 Department or Agency No. KCT Contract Routing No.. 95-019: Employment Service and LaborExchange Weld Activity to County This is a legal document, legal counsel *book be milted before signing — NOTICE OF PARSON AL COMpi.i@13ry 1, uplpn I;arrja certify that I have reviewed and agree -to abide by the terms of the Contract, and its exhibits, between the State of Colorado and, my employer or principal Weld County Board of Commissioners concerning the disclosure and use of State information and participation in job placement activities - I UNDERSTAND THAT ANY ACT OR OMISSION TO ACT ON MY BEHALF MOCK VIOLATES ANY TERM OF THE ABOVE MENTIONED CONTRACT, especially the terms - concerning the disclosure of information under Section 8-72-107 of the Colorado Revised.. Statutes (as amended) and the Code of Ethics, MAY SUBJECT ME TO CRIMINAL - PROSECUTION OR CIVIL LIABILITY. Signed: Date: Signed before me this 1 day of Notary Commission Expires A f� ' nib e.t �7 MY COMMISSION EXPIRES: 7.12.1997 Exhibit A 4950F Page 17 of 21 Pages 940446 Notary Commission Expires Department or Agency Contsaa Routing No. KCT outing No. 95-019: _ Employment Service and Labor Exchange Activity to Weld County This is a legal document, legal counsel should be consulted before sigrdag. NOTICE O F PERSONAT COMP ANC I. Annette Gutierrez certify that I have reviewed and agree to abide by the terms of the Contract, and its exhibits, between the State of Colorado and my employer or principal Weld County Board of Carjasioners concerning the disclosure and use of State information and participation in job placement activities. I UNDERSTAND THAT ANY ACT OR OMISSION TO ACT ON MY BEHALF WHICH VIOLATES ANY TERM OF THE ABOVE MENTIONED CONTRACT. especially the terms concerning the disclosure of information under Section 8-72-107 of the Colorado Revised Statutes (as amended) and the Code of Ethics, MAY SUBJECT ME TO CRIMINAL PROSECUTION OR CIVIL LIABILITY. Signed: Date: (nnd4.0 I; inn Signed before me this a A/}T ��(P�L 4 14i MY COMMISSION EXPIRES; 7.12.1997 Exhibit A 4950F Page 17 of 21 Pages •n_ 940446 : Department or Agency No. ICCT Contract Routing No. 95-019: Employment Service and Labor EJCChangis Weld County At. a+ley Notary Commission Expires This is a legal document legal counsel should be coomltad Ware signing. NOTICE OF PERSONAL COMPLIANCE I, Jim Harrington certify that I have reviewed and agree to abide by the terms of the Contract, and its exhibits, between the State of Colorado an& my employer or principal Weld County Board of Commissioners tormenting the disclosure and use of State information and participation in job placement activities. I UNDERSTAND THAT ANY ACT OR OMISSION TO ACT ON MY BEHALF WHICH VIOLATES ANY TERM OF TEE ABOVE MENTIONED CONTRACT, especially the terms concerning the disclosure of information under Section 8-72-107 of the Colorado Revised Statutes (as amended) and the Code of Ethics, MAY SUBJECT ME TO CRIMINAL PROSECUTION OR CIVIL LIABILITY. Signed: Date: Signed before me this / 5 « day of 191 M. COMMISSION EXPIRES: 7-12.1997 / Exhibit A 4950F . Page 17 of 2I Pages 940445 Department or Agency No. KCT Contract Routing No. 95-019: Employment Service and Labor Exchange Activltj to Weld County Tbl% is a legal docament. legal counsel should be eoomfted before signing — NOTICE OF PPRSONALSOMPLIANCE I, Harry Hull certify that I have reviewed and agree- to abide by the terms of the Contract, and its exhibits, between the State of Colorado and_ my employer or principal Weld County Board of Commissioners concerning the disclosure and use of State information and participation in job placement activities. I UNDERSTAND THAT ANY ACT OR OMISSION TO ACT ON MY BEHALF WHICH VIOLATES ANY TERM OF THE ABOVE MENTIONED CONTRACT, especially the terms - concerning the disclosure of information under Section 8-72-107 of the Colorado Revised Statuses (as amended) and the Code of Ethics. MAY SUBJECT ME TO cameral. PROSECUTION OR CIVIL LIABILITY, Signed_ Date: `/215 , ✓�� V' Signed before me this day of Notary Commission Expires /:3-9/ MY COMMISSION EXPIRES: 7-12.1997 ,191`7( Exhibit A 4950F Page 17 of 21 Pages ,1,"r. 940446 Department or Agency No. 'cc? Contract Routing No. 95-019: Employment Service and Lebec ErrdtaagrAdhttTlo•- Weld County This is a legal document, legal coursed should be consdted before signing— NDILCESILEERSINALSORLIANCE I, Dora bra certify that I have reviewed and agree -to abide by the terms of the Contract, and its exhibits. between the State of Colorado and_ my employer or principal Weld County Board pf Commissioners concerning- the disclosure and use of State information and participation in job placement activities_ I UNDERSTAND THAT ANY ACT OR OMISSION TO ACT ON MY BEHALF WHICH VIOLATES ANY TERM OF THE ABOVE MENTIONED CONTRACT, especially the terms concerning the disclosure of information under Section 8-72-107 of the Colorado Revised Statutes (as amended) and the ' •. - of EthiMAYSUBJECT ME TO CRIMINAL_ PROSECUTION OR CM -- Signed: Date: Signed before me this _ day of p i Notary Commission Expires MY COMMISSION EXPIRES: 7.12.1997 Exhibit A 192il 4950F Page 17 of 21 Pages • 940446 Department or Agency No. KCS Contract Routing No. 95—019: Employment Service and Labor Exchange Activity to Weld County This is a legal document, legal counsel should be oam ntedbeefar tying. NOTICE OF P RSONA . OMPL ANCE I, nrptta Mamas certify that I have reviewed and agree to abide by the terms of the Contract, and its exhibits, between the State of Colorado and my employer or principal Weld County Board of Cowl ssionerc concerning the disclosure and use of State information and participation in job placement activities. I UNDERSTAND THAT ANY ACT OR OMISSION TO ACT ON MY BEHALF WHICH VIOLATES ANY TERM OF THE ABOVE MENTIONED CONTRACT, especially the terms concerning the disclosure of information under Section 8-72-107 of the Colorado Revised Statutes (as amended) and the Code of Ethics, MAY SUBJECT ME TO CRIMINAL PROSECUTION OR CIVIL LIABILITY. Signed: 14rt i116 • 4 r Date: Signed before me this Notary Commission Expires �3 day of te I9.2 / %t MY COMMISSION EXPIRES; 7.124997 Exhibit A 49SOF Page 17 of 2I Pages 940446. Notary Department or Agency No. KCT Contract Routing No. 95-019: Employment Service and Labor Exams Activttt to Weld County This is a legal document, legal comma should be consulted beforeSs. s. NOTICE OF PERSONAL COMPLI4NC$ I Berta Lopez certify that I have reviewed and agree to abide by the terms of the Contract, and its exhibits, between the State of Colorado and my employer or principal Weld County Board of Commissioners concerting the disclosure and use of State information and participation in job placement activities. I UNDERSTAND THAT ANY ACT OR OMISSION TO ACT ON MY BEHALF WHICH VIOLATES ANY TERM OF THE ABOVE MENTIONED CONTRACT, especially the terms concerning the disclosure of information under Section 8-72-107 of the Colorado Revised Statutes (as amended) and the Code of Ethics. MAY SUBJECT ME TO CRIMINAL PROSECUTION OR CIVIL LIABILITY. Signed: I- Ph Date: J % - /3 -7,c/ Signed before me this 1..day of /l74\l " GIV2 MY COMMISSION EXPIRES: 712-1997 Commission Expires Exhibit A 19t 49S0F Page 17 of 21 Pages 94044E Department or Agency No. KCT Contract Routing No. 95-019: Employment Service and Labor Exchange Activttf to Weld County This is a legal doaumeac. legal cotmsel should be consulted before signing. NQUCE OF PER.S,MaL COMpj,IANCr I. Alga I npe7 certify that I have reviewed and agree to abide by the terms of the Contract, and its exhibits, between the State of Colorado and my employer or principal Weld County Board of Commissioners concerning the disclosure and use of State information and participation in job placement activities. I UNDERSTAND TIIAT ANY ACT OR OMISSION TO ACT ON MY BEHALF WHICH VIOLATES ANY TERM OF THE ABOVE MENTIONED CONTRACT, especially the terms concerning the disclosure of information under Section 8-72-107 of the Colorado Revised Statutes (as amended) and the Code of Ethic, MAY SUBJECT ME TO CRIMINAL PROSECUTION OR CIVIL LIAR**'" Signed: Date: Signed before me this (.3 day of Notary Commission Expires MY COMMISSION EXPIRES: 7.12.1997 Exhibit A 4950F Page 17 of 21 Pages 9 0 Department or Agency No. KCT Contract Routing No. 95-019: - Employment Service and Labor Exchange A >lo Weld County This is a legal documnent, legal counsel should be consulted before signing - NOTICE OF PEfSONAL COSPLIANCE I, ti t p 1 i a N i ra certify that I have reviewed and agree- to abide by the terms of the Contract, and its exhibits, between the State of Colorado and. my employer or principal Weld County Board of Commissionpra concerning - the disclosure and use of State information and participation in job placement activities.. I UNDERSTAND THAT ANY ACT OR OMISSION TO ACT ON MY BEHALF WHICH VIOLATES ANY TERM OF THE ABOVE MENTIONED CONTRACT, especially the terms concerning the disclosure of information under Section 8-72-107 of the Colorado Revised Statutes (as amended) and the Code of Ethics, MAY, SUBJECT ME TO CRACNAL_ PROSECUTION OR CIVIL LIADILITY,/ Signet: C. (1 (i 4 Date: Signed before me this day of Notary Commission Expires P MY COMMISSION EXPIRES: 7-12.1997 Exhibit A 4950F Page 17 of 21 Pages 4. ., 4 '\1? rJ.�.� ..�.•' 4... 940446 Department or Agency No. KCT Contract Routing No. 95-019: Employment Service and Labor Exchange Activity to Weld County This is a legal document, legal counsel should be consulted Wane sign NOTICE OF PERSONAL COMPLIANCE i Bob Paulson certify that I have reviewed and agree to abide by the tents of the Contract, and its exhibits, between the State of Colorado and my employer or principal Weld County Board of Commissioners concerning the disclosure and use of State information and participation in job placement activities. I UNDERSTAND THAT ANY ACT OR OMISSION TO ACT ON MY BEHALF WHICH VIOLATES ANY TERM OF THE ABOVE MENTIONED CONTRACT, especially the terms concerning the disclosure of information under Section 8-72-107 of the Colorado Revised Statutes (as amended) and the Code of Ethics, MAY SUBJECT ME TO CRIMINAL PROSECUTION OR CIVIL LIABILITY. --� Signed: Date: Signed before me this I� day of iiraq 19G`i. 1 Notary Commission Expires MY COMMISSION EXPIRES: 742.1991 Exhibit A 4950F Page 17 of 21 Pages 940446 Signed: 7 X Date: Signed before me this Department or Agency No. KC!'' Contract Routing No. 9S-019: Employment Service and Labe' Exchange As.d.ii7 tr Weld County This is a legal document, legal counsel should be consulted before - NOTICE OF PERSONAL COMPLIANCE I, Linda Pere z certify that I have reviewed and agree -to abide by the terms of the Contract and its exhibits. between the State of Colorado. and - my employer or principal Weld County Board of Corral ssioners concerting. the disclosure and use of State information and participation in job placement activities - I UNDERSTAND THAT ANY ACT OR OMISSION TO ACT ON MY BEHALF WHICEI VIOLATES ANY TERM OF THE ABOVE MENTIONED CONTRACT, especially the terms - concerning the disclosure of information under Section 8-72-107 of the Colorado Revised Statutes (as amended) and the Code of Ethics, MAY SUBJECT ME TO CRIMINAL_. PROSECUTION OR CIVIL,,LL4BILITY. /7 • r, 72 -CV day of F//1 Notary Commission Expires MY COMMISSION EXPIRES: 1-12.199 Exhibit A 4950F Page 17 of 21 Pages 940446 Department or Agency No. KCT Contract Routing No. 95-019: Employment Service and Labor Exchange-Acllwltrto Weld County This is a legal docmment, legal counsel should be commired ben e signing. - NOME OFJERSONAL COMPLIATSC I, PafILIP1 RanirP7 , certify that I have reviewed and agree -to abide by the terms of the Contract, and its exhibits, between the State of Colorado and.. my employer or principal Weld County Board of Commi,Ssionera concern the disclosure and use of State information and participation in job placement activities. I UNDERSTAND THAT ANY ACT OR OMISSION TO ACT ON MY BEHALF WHICH VIOLATES ANY TERM OF THE ABOVE MENTIONED CONTRACT, especially the terms concerning the disclosure of information under Section 8-72-107 of the Colorado Revised Statutes (as amended) and the Code of Ethics, MAY SUBJECT ME TO CRIMINAL PROSECUTION OR tI L•LIAB Signed: Date: 19d Signed before me this 13 day of I97nt/ Notary Commission Expires MY COMMISSION EXPIRES: 7424997 Exhibit A 4950F Page 17 of 21 Pages Department or Agency No. KCT Contract Routing No. 95—019: Employment Service and Labor FT L..r Amity Orr Weld County This is a legal document, legal cot el should be consulted e NQTICE OFJERSONAL COMPLIANCE I, Christine Rodriguez certify that I have reviewed and *gore to abide by the terms of the Contract, and its exhibits, between the State of Colorado an_ myemployer or principal Weld County Board of Cor'iissionprs concerning - the disclosure and use of State information and participation in job placement activities. I UNDERSTAND THAT ANY ACT OR OMISSION TO ACT ON MY BEHALF WHICH VIOLATES ANY TERM OF THE ABOVE MENTIONED CONTRACT, especially the terms concerning the disclosure of information under Section 8-72-107 of the Colorado Revised Statutes (as amended) and the Code of Ethics, MAY SUBJECT ME TO CRTMIIVAL_ PROSECUTION OR CIVIL LIABILITY. Signed: Date: Signed before me this Notary 131,• day of /77 aY Commission Expires MY COMMIos1ud urudkS; 7.12.1997 Exhibit A 192 4950F Page 17 of 21 Pages 940449 Department or Agency No. KCT Contract Routing No. 95-019: Employment Service and Labor Exchange Activity to Weld County. This is a legal document, legal counsel should be consulted before signing. GRATUITIES ND C EDIT FORJ'LACEMENT POLICY STATEMENT The purpose of this statement is to reiterate the written policy of the Division of Employment and Training with respect to accurate reporting of placement and the prohibition against accepting any gratuity or favor for making a placement. An accurate tabulation must be made of placement. Any misrepresentation as to the number of placements — either a failure to properly take credit or to take credit for a placement not made — is not acceptable. People will make honest mistakes, but a mistake cannot be condoned with regard to the proper recording of placements. It has always been the policy of the Division of Employment and Training to immediately terminate any employee who takes credit for placements not actually made. There are no exceptions to this policy. Under no condition is any employee, volunteer in employment or agent of the Colorado Division of Employment and Training to accept a payment, a gratuity, or favor for making a placement. Any violation of this policy will also result in the termination of services of ' the employee violating the policy. If anyone, at any time, suggests that you in any manner make other than an accurate record of placements, this fact should be immediately reported by you to the Personnel Unit. Division Director Colorado Division of Employment and Training Exhibit C 4950F Page 19 of 21 Pages 940446 Department or Agency No. KCT Contract Routing No. 95-019: Employment Service and Labor Weld Activity to County Notary Commission Expires This is a legal document. legal counsel should be aommnitedbdmerigoioogr NOTICE OF PERSONAL f OMPLT$'j F I, Victoria Sdnchez certify that I have reviewed and agree to abide by the terms of the Contract, and its exhibits, between the State of Colorado and my employer or principal Weld County Board of Commissioners concerning the disclosure and use of State information and participation in job placement activities I UNDERSTAND THAT ANY ACT OR OMISSION TO ACT ON MY BEHALF WHICH VIOLATES ANY TERM OF THE ABOVE MENTIONED CONTRACT, especially the terms concerning the disclosure of information under Section 8-72-107 of the Colorado Revised Statutes (as amended) and the Code of Ethjps, MAY SUBJECT ME TO CRIMINAL PROSECUTION OR CIVIL L :.: r Y. Signed: Date: Signed before me this l3 day of Mc V 199 • MY COMMISSION EXPIRES: 7-12-1997 Exhibit A 4950F Page 17 of 2I Pages 940446 Department or Agency No. KCT Contract Routing No. 95-019: Employment Service and Labor Exchange Activity to Weld County This is a legal document, legal counsel should be consulted before smog.. NOTICE OF PERSON6L, COMPLIANCE I. Sharon Thorp certify that I have reviewed and agree to abide by the terms of the Contract, and its exhibits, between the State of Colorado and my employer or principal Weld County Board of Commissioners concerning the disclosure and use of State information and participation in job placement activities. I UNDERSTAND THAT ANY ACT OR OMISSION TO ACT ON MY BEHALF WHICH VIOLATES ANY TERM OF THE ABOVE MENTIONED CONTRACT, especially the terms concerning the disclosure of information under Section 8-72-107 of the Colorado Revised Statutes (as amended) and the Code of Ethics, MAY SUBJECT ME TO CRIMINAL PROSECUTION OR CIVIL LIABILITY. Signed: Date: Signed before me this -/3- 94/ day of, /i%.' 19 `id. Notary Commission Expires MY COMMISSION EXPiRES: 7.12.1997 Exhibit A 4950F Page 17 of 21 Pages 940446 Department or Agency No. KCT Contract Routing No. 95-019: Employment Service and Labor Exchange Weld Activity to County This is a legal document. legal cotmael should be c ca ratted be[Qe aeis... NOQCE OF PEgSONAL_COMPLIANCE 1, Evangeline Sandoval certify that I have reviewed and agree to abide by the terms of the Contract, and its exhibits, between the State of Colorado and my employer or principal Weld County Board of Commissioners cog the disclosure and use of State information and participation in job placement activities. I UNDERSTAND THAT ANY ACT OR OMISSION TO ACT ON MY BEHALF WITCH VIOLATES ANY TERM OF THE ABOVE MENTIONED CONTRACT, especially the terms concerning the disclosure of information under Section 8-72-107 of the Colorado Revised Statutes (as. amended) and the Code of Ethics. MAY SUBJECT ME TO CRIMINAL PROSECUTION OR CIVIL /awl L IABII.ITy, Signed: l � < �i \ �e ,. Date: Signed before me this rgtL day of 014 Notary Commission Expires liCte-e7 MY COMMISSION EXPIRES: 7.12.1997 Exhibit A 4950F Page 17 of 21 Pages 940446 Department, or Agency No. KCT Contract Routing No. 95-019: Employment Service and Labor Exchange Activity to Weld County This is a legal document, legal counsel should be consulted before signing. CQPE OF ETHICS FOR COLORADO STATE GOVERNMENT SERVICE The purpose of this code is to establish a clear standard of ethics for officers and employees in the Executive Branch of government in order to assure public confidence in the integrity of the government of the State of Colorado. EACH PERSON IN THE EXECUTIVE BRANCH OF GOVERNMENT SHALL: 1) Maintain independence and impartiality and refuse to accept any compensation or gift which might result in the preferential treatment of persons, businesses, or organizations. 2) Avoid any private business relationship or ownership that might conflict with public duties. 3) Be conscious of his influence in state government and avoid any personal interest in business transactions in that area. 4) Be careful not to use state time, property, equipment or supplies for private interests. 5) Never disclose, use or allow others to use confidential information acquired by virtue of state employment for private interest. 6) Seek to find and employ the most efficient and economical ways of performing his duties for the State of Colorado. 7) Carry out his duty as a public servant by exposing corruption in government where discovered. 8) Be conscious that his personal conduct reflects on the integrity of state government and take care not to betray that confidence by any conduct which might have an adverse effect on it. " ,,:Y 4950F 41 4-^ ISSUED AS AN EXECUTIVE ORDER OF THE TWENTY-EIGHTH DAY OF MARC A.D., 1980. ROY ROMER, GOVERNOR Exhibit B Page 18 of 21 Pages 940446 Department or Agency No. KC? Contract Routing No. 9S-019: Employment Service and Labor Exchange Activity to Weld County This is a legal document, legal counsel should be consulted before signing. COLORADO DIVISION OF EMPLOYMENT AND TRAINING MEMORANDUM FOR CERTIFICATION OF COMPLIANCE WITH STATE OF C9LORAD9 EMPLOYMENT POLICIES Attached hereto are the following materials related to standards, rules and guidelines for those persons who are employees, volunteers in employment or agents of the Colorado Division of Employment and Training. I. Code of Ethics 2. Gratuity and Credit for Placement Policy 3. Confidentiality of Records Policy Please make yourself thoroughly familiar with the contents of each document prior to certifying your understanding of each non-compliance. Your signature constitutes Signed Date portion. }te'1intent and the penalties for Exhibit D 4950F Page 20 of 21 Pages Department or Agency No. KCT Contract Routing No. 95-019: Employment Service and Labor Exchange Activity to Weld County This is a legal document, legal counsel should be consulted before sign COLORADO DIVISION OF EMPLOYMENT AND TRAINING MEMORANDUM FOR CERTIFICATION OF COMPLIANCE WITH STATE OF COLORADO EXELQIMENT POLICIES Attached hereto are the following materials related to standards, rules and guidelines for those persons who are employees, volunteers in employment or agents of the Colorado Division of Employment and Training. 1. Code of Ethics 2. Gratuity and Credit for Placement Policy 3. Confidentiality of Records Policy Please make yourself thoroughly familiar with the contents of each document prior to certifying your understanding of each portion, its intent and the penalties for non-compliance. Your signature constitutes an understanding and agreement to abide by the stated policies - Signed. Date Exhibit D 4950F Page 20 of 21 Pages 940446 Department or Agency No. KCT Contract Routing No. 95-019: Employment Service and Labor Exchange Activity to Weld County This is a legal document, legal counsel should be consulted before signing. COLORADO DIVISION OF EMPLOYMENT AND TRAINING MEMORANDUM FOR CERTIFICATION OF COMPLIANCE WITH STATE OF COLORADQ EMPLOYM£NT POLICIES Attached hereto are the following materials related to standards, rules and guidelines for those persons who are employees, volunteers in employment or agents of the Colorado Division of Employment and Training. 1. Code of Ethics 2. Gratuity and Credit for Placement Policy 3. Confidentiality of Records Policy Please make yourself thoroughly familiar with the contents of each document prior to certifying your understanding of each portion, its intent and the penalties for non-compliance. Your signature constitutes an understanding and agreement to abide by the stated policies. Signed " O�i..T. N. p. ��- '3 -9V Date Exhibit D 4950F Page 20 of 21 Pages I Department or Agency No. KCT Contract Routing No. 95-019: Employment Service and Labor Exchange Acttvtty to weld County This is a legal doctmpent, legal coimsel should be consulted before signing: COLORADO DIVISION OF EMPLOYMENT AND TRAINING MEMORANDUM FOR CERTIFICATION OF COMPLIANCE WITH STATF OF O ORADO MP OYMET T PO I rES Attached hereto are the following materials related to standards, rules and guidelines for those persons who are employees, volunteers in employment or agents of the Colorado Division of Employment and Training. 1. Code of Ethics 2. Gratuity and Credit for Placement Policy 3. Confidentiality of Records Policy Please make yourself thoroughly familiar with the contents of each document prior to certifying your understanding of each portion, its intent and the penalties for non-compliance. Your signature constitutes an understanding and agreement to abide by the stated policies. Signed dnao4AC 11 Th-A n Date r5- / 3- 9G/ Exhibit D 4950F Page 20 of 2I Pages 940446 Department or Agency No. KCT Contract Routing No. 95-019: Employment Service and Labor Exchange Activity to Weld County This is a legal document, legal counsel should be consulted before signing - COLORADO DIVISION OF EMPLOYMENT AND TRAINING MEMORANDUM FOR CERTIFICATION OF COMPLIANCE WITH STATE_OF COLORADO EMPLOYMENT POt I _IES Attached hereto are the following materials related to standards, rules and guidelines for those persons who are employees, volunteers in employment or agents of the Colorado Division of Employment and Training. 1. Code of Ethics 2. Gratuity and Credit for Placement Policy 3. Confidentiality of Records Policy Please make yourself thoroughly familiar with the contents of each document prior to certifying your understanding of each portion, its intent and the penalties for non-compliance. Your signature constitutes an Signed Date ing and agreement to abide by the stated policies. Exhibit D 4950F Page 20 of 21 Pages l 940446 Department or Agency No. KCT Contract Routing No. 95—019: • Employment Service and Labor Exchange Acthty to Weld County This is a legal document, legal counsel should be consulted before signing, COLORADO DIVISION OF EMPLOYMENT AND TRAINING MEMORANDUM FOR CERTIFICATION OF COMPLIANCE WITH Attached hereto are the following materials related to standards, rules and guidelines for those persons who are employees, volunteers in employment or agents of the Colorado Division of Employment and Training. 1. Code of Ethics 2. Gratuity and Credit for Placement Policy 3. Confidentiality of Records Policy Please make yourself thoroughly familiar with the contents of each document prior to certifying your understanding of each portion, its intent and the penalties for non-compliance. Your signature constitutes an understanding and agreement to abide by the stated policies. ai • Signed Date t5 -i3 -9y Exhibit D 4950F Page 20 of 21 Pages 940446 Department or Agency No. KCT Contract Routing No. 95-019: Employment Service and Labor Exchange Activity to Weld County This is a legal document, legal counsel should be consulted before signing-. COLORADO DIVISION OF EMPLOYMENT AND TRAINING MEMORANDUM FOR CERTIFICATION OF COMPLIANCE WITH STATE OFSCOjORADO EMPLOYMENT POLICIES Attached hereto are the following materials related to standards, rules and guidelines for those persons who are employees, volunteers in employment or agents of the Colorado Division of Employment and Training. 1. Code of Ethics 2. Gratuity and Credit for Placement Policy 3. Confidentiality of Records Policy Please make yourself thoroughly familiar with the contents of each document prior to certifying your understanding of each portion, its intent and the penalties for non-compliance. Your signature Constitutes Signed Date nd;igrnt to ide by the stated policies. s-13-9' Exhibit D 4950F Page 20 of 21 Pages 940446 Department or Agency No. KCT Contract Routing No. 95-019:, Employment Service and Labor Exchange Activity to Weld County This is a legal document, legal counsel should be consulted before signing. COLORADO DIVISION OF EMPLOYMENT AND TRAINING MEMORANDUM FOR CERTIFICATION OF COMPLIANCE WITH STATE OF CQJ.QRADO EMPLOYMENT POLICIES Attached hereto are the following materials related to standards, rules and guidelines for those persons who are employees, volunteers in employment or agents of the Colorado Division of Employment and Training. 1. Code of Ethics 2. Gratuity and Credit for Placement Policy 3. Confidentiality of Records Policy Please make yourself thoroughly familiar with the contents of each document prior to certifying your understanding of each portion, its intent and the penalties for non-compliance. Your signature constitutes an understanding and agreement to abide by the stated policies. /7cHsi J( ,� it A ) -i3-9c/ Signed Date Exhibit D 49SOF Page 20 of 21 Pages 940446 Department or Agency No. ICCT Contract Routing No. 95-019: Employment Service and Labor Exchange Activity to Weld County This is a legal document, legal counsel should be consulted before signing. COLORADO DIVISION OF EMPLOYMENT AND TRAINING MEMORANDUM FOR CERTIFICATION OF COMPLIANCE WITH STATE OF CQLORMDO EMPLOYMENT POLICIES Attached hereto are the following materials related to standards, rules and guidelines for those persons who are employees, volunteers in employment or agents of the Colorado Division of Employment and Training. 1. Code of Ethics 2. Gratuity and Credit for Placement Policy 3. Confidentiality of Records Policy Please make yourself thoroughly familiar with the contents of each document prior to certifying your understanding of each portion, its intent and the penalties for non-compliance. Your signature constitutes an understanding and agreement to abide by the stated policies Signed Ap2i nom" Date "/3- 9 Exhibit D 4950F Page 20 of 21 Pages 940446 Department or Agency No. ICCT Contract Routing No. 95-019: Employment Service and Labor Exchange Activity' to Weld County This is a legal document, legal counsel should be consulted before signing. COLORADO DIVISION OF EMPLOYMENT AND TRAINING MEMORANDUM FOR CERTIFICATION OF COMPLIANCE WITH S.TAIE OF COLO26,DO EMPLOYMENT POLICIES Attached hereto are the following materials related to standards, rules and guidelines for those persons who are employees, volunteers in employment or agents of the Colorado Division of Employment and Training. 1. Code of Ethics 2. Gratuity and Credit for Placement Policy 3. Confidentiality of Records Policy Please make yourself thoroughly familiar with the contents of each document prior to certifying your understanding of each portion, its intent and the penalties for non-compliance. Your signature constitutes an understanding and a ement to abide by the stated policies. Signed Date Exhibit D 4950F Page 20 of 21 Pages 940416 Department or Agency No. KCT Contract Routing No. 95-019: Employment Service and Labor Exchange Activity to Weld County This is a legal document, legal counsel should be consulted before signing. COLORADO DIVISION OF EMPLOYMENT AND TRAINING MEMORANDUM FOR CERTIFICATION OF COMPLIANCE WITH STATE OF COLORADO EMPLOYMENT POLICIES Attached hereto are the following materials related to standards, rules and guidelines for those persons who are employees, volunteers in employment or agents of the Colorado Division of Employment and Training. 1. Code of Ethics 2. Gratuity and Credit for Placement Policy 3. Confidentiality of Records Policy Please make yourself thoroughly familiar with the contents of each document prior to certifying your understanding of each portion, its intent and the penalties for non—compliance. Your signature constitutes an . ' erstanding . • agre ment to abide by the stated policies. Sign Date .2L Exhibit D 4950F Page 20 of 21 Pages 940446 Department or Agency No. KCT Contract Routing No. 95-019: Employment Service and Labor Exchange Activity to Weld County This is a legal document, legal counsel should be consulted before signing, COLORADO DIVISION OF EMPLOYMENT AND TRAINING MEMORANDUM FOR CERTIFICATION OF COMPLIANCE WITH STATES)? cokozenoilmaaniugnaxim Attached hereto are the following materials related to standards, rules and guidelines for those persons who are employees, volunteers in employment or agents of the Colorado Division of Employment and Training. I. Code of Ethics 2. Gratuity and Credit for Placement Policy 3. Confidentiality of Records Policy Please make yourself thoroughly familiar with the certifying your understanding of each portion, non-compliance. Your signature constitutes an understanding and agre contents of each document prior to its intent and the penalties for mien abide by the stated policies. Sign Gr_ A Date 9e7 Exhibit D 4950F Page 20 of 21 Pages 940446 Department or Agency No. KCT Contract Routing No. 95-019: Employment Service and Labor Exchange Activity to Weld County This is a legal document, legal ootmsel should be consulted before S¼.. ng. COLORADO DIVISION OF EMPLOYMENT AND TRAINING MEMORANDUM FOR CERTIFICATION OF COMPLIANCE WITH ST4T$ OF COWRADO EMPLOYMENT POLICIES Attached hereto are the following materials related to standards, rules and guidelines for those persons who are employees, volunteers in employment or agents of the Colorado Division of Employment and Training. 1. Code of Ethics 2. Gratuity and Credit for Placement Policy 3. Confidentiality of Records Policy Please make yourself thoroughly familiar with the contents of each document prior to certifying your understanding of each portion, its intent and the penalties for non—compliance. Your signature constitute cement to abide by the stated policies. Signed Date Exhibit D 4950F Page 20 of 21 Pages Department or Agency No. KCT Contract Routing No. 95-019: Employment Service and Labor Fvclnng• Activity to Weld County This is a legal document, legal counsel should be consulted before signing. COLORADO DIVISION OF EMPLOYMENT AND TRAINING MEMORANDUM FOR CERTIFICATION OF COMPLIANCE WITH STATE O)_GQLOR6DO EMPLOYMENT toucrEs Attached hereto are the following materials related to standards, rules and guidelines for those persons who are employees, volunteers in employment or agents of the Colorado Division of Employment and Training. 1. Code of Ethics 2. Gratuity and Credit for Placement Policy 3. Confidentiality of Records Policy Please make yourself thoroughly familiar with the contents of each document prior to certifying your understanding of each portion, its intent and the penalties for non-compliance. Your signature constitut an underCaatjiing and agreement to abide by the stated policies. Sign Date Exhibit D 4950E • • Page 20 of 21 Pages 940446 Department or Agency No. KCT Contract Routing No. 95-019: Employment Service and Labor Exchange Activity to Weld County This is a legal document, legal counsel should be consulted before signing. COLORADO DIVISION OF EMPLOYMENT AND TRAINING MEMORANDUM FOR CERTIFICATION OF COMPLIANCE WITH STATE OF COLORADO EMPLOYMEN ' POLICiFS Attached hereto are the following materials related to standards, rules and guidelines for those persons who are employees, volunteers in employment or agents of the Colorado Division of Employment and Training. I. Code of Ethics 2. Gratuity and Credit for Placement Policy 3. Confidentiality of Records Policy Please make yourself thoroughly familiar with the contents of each certifying your understanding of each portion, its intent and non—compliance. Your signature constitutes an understanding and agreement to abide by Signed Date Exhibit D document prior to the penalties for the stated policies. 4950F Page 20 of 21 Pages 940446 Cif .',?t, Department or Agency No. KCT Contract Routing No. 95-019: Employment Service and Labor Exchange Activity to Weld County This is a legal document, legal counsel should be consulted before signing COLORADO DIVISION OF EMPLOYMENT AND TRAINING MEMORANDUM FOR CERTIFICATION OF COMPLIANCE WITH STATE OF COLORADO Ebel-OW/FM' POLIC175 Attached hereto are the following materials related to standards, rules and guidelines for chose persons who are employees, volunteers in employment or agents of the Colorado Division of Employment and Training. 1. Code of Ethics 2. Gratuity and Credit for Placement Policy 3. Confidentiality of Records Policy Please make yourself thoroughly famiLar with the contents of each document prior to certifying your understanding of each portion, its intent and the penalties for non-compliance. Your signature constitutes tuaderstanding and agreement to ab' e by the stated policies. Signed./,'_�; Date r-5- / .3- 9c/ Exhibit D 4950F Page 20 of 21 Pages t- 940446 Department or Agency No. XCT Contract Routing No. 95-019:. Employment Service and Labor Exchange Activity to Weld County This is a legal document, legal counsel should be consulted before signing. COLORADO DIVISION OF EMPLOYMENT AND TRAINING MEMORANDUM FOR CERTIFICATION OF COMPLIANCE WITH STATE OF COLORADO EMELQXMENT POLICIES Attached hereto are the following materials related to standards, rules and guidelines for those persons who are employees, volunteers in employment or agents of the Colorado Division of Employment and Training. 1. Code of Ethics 2. Gratuity and Credit for Placement Policy 3. Confidentiality of Records Policy Please make yourself thoroughly familiar with the contents of each certifying your understanding of each portion, its intent and non-compliance. Your signature constitutes an�understanding and agreementto abide bs Signed _C/L/�,, Date — /3 — gci Exhibit D document prior to the penalties for the stated policies. 49SOF Page 20 of 21 Pages 940446 Department or Agency No. KCT Contract Routing No. 95-019: Employment Service and Labor Exchange Activity to Weld County This is a legal document, legal comsel should be consulted before signing. COLORADO DIVISION OF EMPLOYMENT AND TRAINING MEMORANDUM FOR CERTIFICATION OF COMPLIANCE WITH STATE_OF COLORADO EMPJ.OYMEj,T POLICIES Attached hereto are the following materials related to standards, rules and guidelines for those persons who are employees, volunteers in employment or agents of the Colorado Division of Employment and Training. I. Code of Ethics 2. Gratuity and Credit for Placement Policy 3. Confidentiality of Records Policy Please make yourself thoroughly familiar with the contents of each document prior to certifying your understanding of each portion, its intent and the penalties for non-compliance. Your signature constitutes an understandin iegreement to abide by the stated policies. Signed �s J Date ` /S `9/ Exhibit D 4950F Page 20 of 21 Pages wry 940446 Department or Agency No. KCT Contract Routing No. 95-019: Employment Service and Labor Exchange Activity to Weld County This is a legal document, legal counsel should be consulted before signing. CODE OF ETHICS AND REPORTING REGARDING THE ACCESS AND USE OF STATE INFORMATION AND JOB PLACEMENT IN PERFORMANCE OF ITS CONTRACT WITH THE STATE, THE CONTRACTOR, ITS EMPLOYEES AND AGENTS, SHALL: 1. Serve the public with respect, concern, courtesy, and responsiveness: 2. Demonstrate the highest standards of personal integrity, truthfulness and honesty and shall through personal conduct inspire public confidence and trust in the State: 3. Maintain independence and impartiality and refuse to accept any compensation or gift which might result in preferential treatment of persons, businesses, or organizations: 4. Avoid any business relationship that might conflict with contractual duties to the State: 5. Not use State property, equipment, or information for any private interest: 6. Never disclose, use, or allow others to use confidential information, acquired by virtue of its contractual relationship with the State, for private interests: 7. Not betray its contractual relationship with the State by conducting itself in any manner which might adversely effect the integrity of the State: 8. Maintain an accurate tabulation of any placements made. Any misrepresentation as to the number of placements is grounds for the State to immediately terminate the Contract. Exhibit E 4950F e • ,�, P•'v Page 21 of 21 Pages 940446 EXHIBIT F Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion Lower Tier Covered Transactions This certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension, 29 CFR Part 98, Section 98.510, Participants' responsibilities. The regulations were published as Part VIZ of the May 26 1988 Federal Register (pages 19160-19211). (BEFORE CCID?LETIHG CERTIFICATION, READ ATzsCHFD INSSTROCTIOHS WBICB ARE AN INTEGRAL PART OF TBE CERTIFICATION) (1) The prospective recipient of Federal assistance funds certifies, by submission of this proposal, that neither it nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency. (2) Where the prospective recipient of Federal assistance funds is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this proposal. W.H..Webster, Chairman of Weld County Board of Commissioners Name And Title Of Authorized Representative .//441 /✓.C1 1r ern Signature D5// S/q5L Date Page 1 of 2 940446 EXHIBIT G CERTZFLC6YjON REOARDZNQ LOB$YINQ AND C_QOPEATIvj AGRFFMFNTk 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 an 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 far 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, subgranta and contracts under grants, loans, and cooperative agreements) and that all' subrecipiente 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 5100,000 for each such failure. f Grantee/Contractor Organization W. H. Webster, Chairman Weld Count Boar Name of Certifying Official Sipndture bate *Note: In these instances, "All," in the Final Rule is expected to be clarified to show that it applies to covered contract/grant transactions over 5100,000 (per CMG). 940446 COLORADO 1EmORAnDU Weld County Board of Commissioners ro W.H. Webster, Chairman Monday From Walter J. Speckman, Executive Director Subiecr: Job Service Contract for 1994 Enclosed for Board review and approval is the Job Service Contract with the Colorado Department of Labor and Employment. The term is for Fiscal Year 1994, which begins July 1, 1994, through June 30, 1995. The contract amount is $196,907.00. If you should have any questions or concerns regarding the attached Contract, please telephone me at 353-3916. 940446 RESOLUTION RE: APPROVE ENTRY BY WELD COUNTY VEGETATION MANAGEMENT SPECIALIST UPON VARIOUS LANDS 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, on either April 26 and 27, or May 4 and 5, 1994, the Weld County Vegetation Management Specialist mailed notices to various landowners within Weld County advising them that lands owned or occupied by them contain Canada thistle, musk thistle, and/o' leafy spurge, noxious weeds, and WHEREAS, said notices stated that said noxious weeds must be controlled or eradicated within ten days from the date of said notices and gave recommendations as to what methods are to be used for such control or eradication, and WHEREAS, a copy of said list, containing the legal descriptions of the lands and the names of those landowners who have failed to comply with said recommendations, is attached hereto and incorporated herein by reference, and WHEREAS, the County Vegetation Management Specialist has requested that the Board approve his entry upon lands, as set forth in the abovementioned list, to affect the control or eradication of noxious weeds, and WHEREAS, at its meeting of May 16, 1994, the Board did Find as follows: 1. That those landowners mentioned on the list are the owners of said land within a pest control district. 2. That Canada thistle, musk thistle, and/or leafy spurge, noxious weeds, are found upon said lands. 3. That said landowners received appropriate notice and such notice specified the best available means for control or eradication of said noxious weeds. 4. That said landowners have not complied with the requirements as stated by the County Vegetation Management Specialist. WHEREAS, pursuant to said Findings, the Board deems it advisable to approve the entry by the Weld County Vegetation Management Specialist upon said lands described in the list attached hereto, to affect the control or eradication of the abovementioned noxious weeds. 940445 ExoO/S acEX ENTRY UPON LANDS PAGE 2 NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Board does hereby approve the entry by the Weld County Vegetation Management Specialist upon various lands as set forth in the list attached hereto to affect the control or eradication of Canada thistle, musk thistle, and/or leafy spurge, noxious weeds. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 16th day of May, A.D., 1994. ATTEST: , 14 /j//�� Weld County Clerk to the Board BY: Deputy Cldrk to theJoar APPROYEl AS TO FORM: ouhfy Attorney BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO H. Webster, Da a Ha EXCUSED DATE OF SIGNING Barbara J. Kirkmeyer (AYE) 2- 940445 04'4) COLORADO May 11, 1994 Dear Weld County Commissioner: WELD COUNTY PEST AND WEED DEPARTMENT 425 Nom).15n+Avetax Exmemos Btiw i a, ISLAND GROVE PAPA( GREELEY, COLORADO 80631 PHONE Mumma (303) 356-4000, EXT. 4470 Under the Pest Control District Law, CRS, 35-5-108, and the Colorado Management Act, CRS, 35-5.,5-109, 1 must seek approval or a right of entry the Board of County Commissioners to enter on private land to carry out control measures. Weed from weed Below is a list of landowners, and the legal description of their land, that we may have to enforce on. 1 am seeking your approval to enter upon these lands. Name B B Draw Farms LTD Boulder Creek Estate Al Challenger Rine Duran Fred Gettman Alfred & Matilda Herman Cary & Joyce Herman Edward & Myra Lutz Larry & Ruby Simpson Kenneth Whiting c/o Whiting Petroleum Corp. T6N R67W SEC Phillip Yastrow & Randy T6N R67W SEC Hocking The weed notices were mailed on either Aprir. 26, 27 and May 4 and 5, 1994, requesting control of one or more of the following weed species: Canada thistle (Cirsium arvense), musk thistle (Carduus nutans) and/or leafy spurge (Euphorbia esula). Enclosed are copies of the notices sent on the different dates. Legal T3N R65W SEC 5 NW1/4 T2N R68W SEC 9 E1/2SE1/4 T5N R67W SEC N1(2SW1/4 T6N R66W SEC T3N R68W SEC T3N R66W SEC T3N R66W SEC Parcel 121305000016 131309000071 131309000002 131309000069 29 NW1/4, 095729000035 T1N R65W SEC T6N R67W SEC Thank you for your assistance. 33 SE1/4NW1/4 080533300025 16 NE1/4 120716000055 32 SW1/4 121132000014 31 & 32 121131000042 121132000015 31 PT E1/2 147331300006 15 E1/2NE1/4 080715000024 29 NW1/4NW1/4 080729000016 29 PT N1/2 080729000049 Sincerel onald Bros Weld County Vegetation Management Specialist Enclosures 940448 NOTICE OF THE NEED FOR CONTROL OR ERADICATION OF NOXIOUS WEEDS Rine Duran 23981 Warren Road San Jacinto, CA 92383 Be advised that I, Ken Hesse, Weld County Weed Control Field Technician, hereby give you notice in accordance with Section 35-5.5-109, CRS (Colorado Weed Management Act), of the presence of noxious weeds, specifically MUSK THISTLE (Carduus nutans), and LEAFY SPURGE (£uphorbia esula) a parcel of land which is owned, leased, and/or occupied by you, and is described as follows: Legal: T6N R66W SEC 33 SE4NW4 & NE4SW4 South of River Parcel: 080533300025 Because these weeds are near bloom stage and will produce viable seeds, they must be controlled and kept from going to seed. The best methods of control now are to: 1) mow 3-5 times (if necessary) throughout the year keeping the weeds from going to seed and then spray with herbicides in the fall, 2) mow strictly throughout the season keeping the plants from going to seed or 3) spray with herbicides up to the early flower stage. If you need help in developing a management plan for controlling the noxious weeds on your property or if you need help with herbicide rate and timing, please feel free to call me at 356-4000, ext. 4483. If you do not comply with the aforementioned required by May 6, 1994, to keep the plants from producing viable seed, I will ask the Weld County Board of County Commissioners to approve my entry upon such parcel to control such noxious weeds, pursuant to Section 35-5.5-109(5a), CRS, at your expense, as provided in Section 35-5.5-109(5a), CRS. Ken Hesse weld County Weed Control Field Techinican April 26, 1994 940445 • • • Larry D. & Ruby M. Simpson 5420 Lone Tree Drive Loveland, CO 80537 Be advised that I, Ken Hesse, Weed Control Field Technician, hereby give you notice in accordance with Section 35-5.5-109. CRS (Colorado Weed Management Act), of the presence of noxious weeds, specifically MUSK THISTLE (Carduus nutans) and CANADA THISTLE (Cirsium arvense) on a parcel of land which is owned, leased, and/or occupied by you, and is described as follows: Legal: T6N R67W SEC 15 (E2NE4) Parcel: 080715000024 When musk thistle is in the rosette stage it is the optimum time to control with herbicides. The best methods of control are to use herbicides that are labelled for the specific weed and site, or by mechanical methods, such as mowing two or three times during the summer. The plants must be kept from going to seed. If you need help with herbicide reocnmendation and rates, please call at 356-4000, ext. 4483. If you do not comply with the aforementioned required by May 6, 1994, to keep the plants from producing viable seed, I will ask the Weld County Board of County Commissioners to approve my entry upon such parcel to control such noxious weeds, pursuant to Section 35-5.5-109(5a), CRS, at your expense, as provided in Section 35-5.5-109(5a), CRS. April 27, 1994 Ken Hesse Weed Control Field Technician 940445 NOTICE OF THE NEED FOR CONTRaL OR ERADICATION OF NOXIOUS' WEEDS Boulder Creek Estate, LTD Liability Co. 3715 Brighton Blvd. Denver, CO 80216 Be advised that I. Gus Martin, Weld County Weed Field Technician, hereby give you notice in accordance with Section 35-5- 108(1), CRS, of the presence of noxious weeds, specifically MUSK THISTLE (Carduus nutans), LEAFY SPURGE (Euphorbia esula), aniL`ANADA 'THISTLE Cirsium arvense) on a parcel of land which is owned, leased. and/or occupied by you, and is described as follows: Legal: Parcels: District: T2N R68W SEC 9 131309000071, 72 and 69 St Vrain When Musk Thistle is in the rosette stage, it is optimum time for control. The best method of control or eradication is to use herbicides that are labeled for the specific weed and site, or y mechanical means such as mowing two to three times -auring the summer. The plants must be kit from going to seed. TI you need help with herbcide rates please feel free to calI me at 356-, Ext. 64$3. Pursuant to Section I00 35 -5-1b8(1), CRS, you are required to use one of these methods to control or eradicate these weeds. If you do not comply with the aforementioned required by May 15, 1994 or call me about establishing a mechanical control program, I will ask the Weld County Board of County Commissioners to approve my entry upon such parcel to control or eradicate such noxious weeds, pursuant to Section 35-5-108(2), CRS, at your expense. as provided in Section 35-5-108(3), CRS. Gus Martin Weld County Weed Field Technician May 5, 1994 940445 RESOLUTION RE: APPROVE PURCHASE OF SERVICES AGREEMENT BETWEEN THE HEALTH DEPARTMENT AND MONFORT, INC. AND AUTHORIZE CHAIRMAN TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with a Purchase of Services Agreement between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the weld County Health Department, and Monfort, Inc., commencing April 1, 1994, and ending March 31, 1995, with further terms and conditions being as stated in said agreement, and WHEREAS, after review, the Board deems it advisable to approve said agreement, 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 Purchase of Services Agreement between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Health Department, and Monfort, Inc., be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is, authorized to sign said agreement. The above and foregoing Resolution was, on motion duly made and seconded. adopted by the following vote on the 16th day of May. A.D., 1994, nunc pro tunc April 1, 1994. ATTEST: Weld County Clerk to the Board BY: Crk to the Boar APPROVED AS TO FORM: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Dale JCS Hall, Pro -T C -t /George T✓. Baxter onstance L. Harbert EXCUSED DATE OF SIGNING (AYE) Barbara J. Kirkmeyer 940444 Nkoozo ee: bit; /woNFoZr- PURCHASE OF SERVICES AGREEMENT THIS AGREEMENT, made and entered into this/44" day of , 1994, by and between the County of Weld, State of Colorado, by and throuW► the Board of County Commissioners of Weld County, hereinafter referred to as "Weld County" on behalf of the Weld County Health Department, hereinafter referred to as "Health Department", and Monfort, Inc. hereinafter referred to as "Contractor". WITNESSETH WHEREAS, Contractor desires to offer Prenatal and Family Planning services to Monfort, Inc. employees and dependents covered under Monforts comprehensive health plan; and WHEREAS, the Contractor desires to purchase this service from Health Department; and WHEREAS, Health Department desires to provide such service; and WHEREAS, the parties desire to reduce the terms of their agreement to writing; NOW THEREFORE, for and in consideration of the covenants, conditions, agreements, and stipulations hereinafter expressed the parties do hereby agree as follows: 1. Term of Agreement This agreement shall be effective from the date of its signing, nunc pro tunc April 1, 1994 through March 31, 1995, and may be renewed each year thereafter, by written agreement between the parties, subject to the provisions of Paragraph 9 of this Agreement. 2. Compensation In consideration of the services to be provided by the Heal Contractor agree t a Health Department an annual amount of $ able at the rate of stay per month for the first eleven months and $ / or the twelfth month. Said payments will be made to cover the costs of administering the program including but not limited to personnel and operating costs. Expenses incurred for supplies and services such as birth control, in house lab, and medical consultation, the total of which is expected to be approximately $5R,000SDt" e during the term of this contract, will be billed monthly . (see attachment A) If it becomes apparent to the Health Department that costs for said services may exceed the agreed upon amount, Health Department will notify Monfort pursuant to paragraph 14. Health Department will submit an invoice, on a form as set forth in attachment B, to Contractor at the end of each month services are provided. The invoice will clearly itemize the services provided and the expenses incurred. Contractor agrees to reimburse Health Department within 30 days after submission of this 940444 invoice. 3. Services A. Staff Qualifications The nurses and nurse practitioner provided by the Health Department shall meet or exceed all of the qualifications and requirements of Colorado law. The health care services will be provided pursuant to this contract by a nurse practitioner in consultation with a physician. Health Department will compensate the consultant physician as outlined in attachment A. Contractor will then reimburse Health Department, upon receipt of a billing statement pursuant to the provisions of paragraph 2 of this agreement. B. Services To Be Provided During the term of this contract, Health Department agrees to provide prenatal and postpartum care to no more than 100 women and Family Planning services to no more than 500 women including education and counseling, in accordance with the "Prenatal Care Guidelines" provided by the Colorado Department of Health. This program does not include the cost of the following: off site laboratory testing; non -stress tests; ultrasounds; or other evaluation or testing done .by an agency other than the Health Department; emergency room visits; hospitalization; delivery costs; referral for consultation or complications; home visits; abnormal pap follow-up; well or sick child care to the newborn; or IUD insertions. These items as well as any other care provided to the client outside the Health Department will be billed by that agency to the client's insurance. The Health Department will coordinate care between medical providers and the local health agency including assistance in securing delivery services and referrals and assistance in seeking continuous infant and child health care. Health Department will provide appropriate equipment and materials in order to adequately provide the above set forth services. Health Department will make some services available in the evening hours to be set at the convenience of Health Department, and will provide Spanish speaking staff during normal clinic hours. 4. To Whom Services Are to be Provided The Health Department and the Contractor assure compliance with Title VI of the Civil Rights Act of 1964, that no person shall, on the grounds of race, color, sex, religion, age, national origin, or individual handicap, be excluded from participation in, be denied the benefits of, or be subject to discrimination under any provision of this Agreement. The Health Department will not charge a fee to the qualified program participants for any of the covered services. The Health Department agrees to provide services to all program participants and employees in a smoke -free environment. Smoking may not be permitted in waiting 940444 areas, examination room, formal education sessions, therapy, or similar services. Designated smoking areas may be established for staff, program participants, family members, and visitors. 5. Parties Relationship The parties to this Agreement intend that the relationship between them contemplated by this Agreement is that of independent entities working in mutual cooperation. No employee, agent, or servant of one party shall be or shall be deemed to be an employee, agent, or servant of another party to this Agreement. 6. Limitations - Liabilities - indemnification Each party shall not be responsible or liable for acts or omissions or failure to act by the other party. Accordingly, Health Department agrees to indemnify and hold Contractor harmless from any and all liability incurred by acts or omissions or failures to act by Health Department and, likewise, Contractor agrees to indemnify and hold Health Department harmless from any and all liability incurred by acts or omissions or failures to act by Contractor. Because Health Department is a department of the Weld County government, contractor acknowledges that its agreement to indemnify and hold harmless Health Department extends to Weld county, its employees, agents, subcontractors and assignees. The term "Liability" includes, but is not limited to, any and all claims, damages, and Court awards including costs, expenses, and attorney fees incurred as a result of any act or omission by the applicable party who acted or failed to act. 7. Non -Assignment This Agreement shall not be assignable without prior written consent of Health Department or Contractor, whichever is the non -assigning party. 8. Termination Either party may terminate this Agreement for cause, upon ten (10) days written notice, and for any reason, so long as thirty (30) days written notice of its intent to so terminate is given to the other party. If this Agreement is so terminated, Health Department shall receive that compensation which duly reflects the actual number of hours not previously reimbursed during which the Health Department provided services pursuant to this Agreement. 9. Notices Any notice provided for in this Agreement shall be in writing and shall be served by personal delivery or by certified mail, return receipt requested, postage prepaid, at the addresses set forth in this Agreement, until such time as written notice of a change is received from the party wishing to make a change of address. Any notice so mailed and any notice served by personal delivery shall be deemed delivered and effective upon receipt or upon attempted delivery. This method of notification will be used in all instances, except for emergency situations when immediate notification to the parties is required. 940444 HEALTH DEPARTMENT: Weld County Department of Health c/o Judy Nero 1517 16th Avenue Court Greeley, Co 80631 MONFORT, INC. Monfort, Inc. Department of Risk Management Lucille Gallagher, Vice President PO Box G Greeley, Co 80632 10. Modification and Breach This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter or this transaction, whether oral or written. No modification, amendment, novation, renewal, or other alteration of or to this Agreement and the attached exhibits shall be deemed valid or of any force or effect whatsoever, unless mutually agreed upon in writing by the undersigned parties. No breach of any term, provision, or clause of this Agreement shall be deemed waived or excused, unless such waiver or consent shall be in writing and signed by the party claimed to have wiaved or consented. Any consent by any party hereto, or waiver of, a breach by any other party, whether express or implied, shall not constitute a consent to, waiver of, or excuse for any other different or subsequent breach. 11. Other Laws and Regulations Incorporated This Contract is expressly made subject to all laws and regulations of the United States and the State of Colorado. Contractual provisions required by such laws and regulations, but not having been set out herein, are hereby incorporated by this reference as though expressly set out in full. All parties to this Contract are hereby put on notice, and charged with the responsibility of compliance with such contract provisions as required by law. 12. Severability If any term or condition of this Agreement shall be held to be invalid, illegal, or unenforceable, this Agreement shall be construed and enforced without such a provision, to the extent this Agreement is then capable of execution within the original intent of the parties. 13. Funding No portion of this Agreement shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, or Health Department to expend funds not otherwise appropriated during the term of this Agreement. No portion of this Agreement shall be deemed to create an obligation on Contractor to expend funds not otherwise appropriated during the term of this Agreement. 940444 Dollar amounts and numbers of program participants for the contract year are subject to change based on differences between estimated and actual amounts. When a modification of the dollar amount or the number of program participants or both is necessary, The Health Department will so notify contractor. Contractor will confirm the modification in accordance with the form attached hereto as Attachment C. 14. Records Each party agrees to keep any and all records and information confidential, in compliance with all laws and regulations concerning the confidentiality of such records. The Weld County Health Department shall be responsible for maintaining program participant records. Information concerning eligibility and participation for any program participant who may be participating under this Agreement shall be released to contractor only after a signed release has been obtained from the participant and presented to Health Department. Information regarding care received will be released only on a need to know basis and only after a signed release from the relevant participant has been presented to the Health Department. 15. Inurement This Agreement shall inure to the benefit of the heirs, assigns, and successors in interest of the parties hereto. 16. No Third Party Beneficiary Enforcement It is expressly understood and agreed that enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and any entity other than the undersigned parties receiving services or benefits, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties, receiving services or benefits under this Agreement, shall be deemed an incidental beneficiary only. 940444 ANY IN WITNESS WHEREOF, the parties have hereunto set their hand and seals this day o£ ishrrchl 1994, nunc pro tunc March 1, 1994. WELD COUNTY HEALTH DEPARTMENT MONFORT, INC. ickle, M.S.E.H. Lucille Gallagher Di ctor Vice President Date BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ea -W. H. We ster, Chaimmui 0� o5 r8 � 051140194 Date ATTEST: Weld County Clerk to the Board By: J2_0.0" 4 - Matt-) Deputy perk to the Board Date 940444 Nurse Practitioner 12hrs/week (0.3FTE) to see 100 prenatal clients per year 8hrs/week (0.2FTE) to see 500 birth control clients per year 4hrs/week desk time Community Health Nurse client contact, client follow-up, referrels, chart reviews Office Technician clinic receptionist/health aide, translations, data entry, word processing, filing, scheduling appointments Supervisor program review and evaluation 940444 Attachment C Date Weld County Health Department 1517 16 Ave Ct Greeley, Co 80632 Dear Monfort, Inc. notifies Weld County Health Department that the contract amount will be revised for the period through and shall be applied as follows; $ shall be used to provide basic services to patients; $ shall be used to provide in house lab services; $ shall be used for birth control supplies; and $ shall be used for reimbursement of the medical consultant. This notification shall not be deemed valid until it is approved by the Health Department. Please sign and return all copies of this notification to Monfort, Inc. A fully executed copy will be returned to you. Sincerely, Monfort, Inc. Weld County Board of Commissioners Title Date 940444 REVISED 05/12/94 Attachment A BUDGET Personnel & Administration Nurse Practitioner (0.6FTE) Community Health Nurse (1.0fte) Office Technician III (1.0FTE) Office Technician III (0.5FTE) Supervisor (1.0FTE) 17% benefits Total Personnel Admin/Indirect (18.37%) Total $ 25,600 30,500 22,700 11,300 32,500 $122,600 20,842 $143,442 $ 25,300 Other Services (Estimated to be billed as used) 11 payments of $14,062 $154,682 1 payment of 14,060 Medical Consultant $65/hr, 4 hrs/wk 13,000 Birth Control Supplies 31,800 In-house lab Services 9,000 Operating Supplies (to be billed at a rate 16,000 of 1/12 per month) Other Total TOTAL $168,742 $ 69,800 $238,542 (est. cost) 940444 Attachment B CONTRACT REIMBURSEMENT STATEMENT MONFORT, INC To: Monfort, Inc. PO Box G Greeley, Co 80632 From: Weld County Health Department 1517 16th Avenue Court Greeley, Co 80631 Expenditures from to Administrative Fee Number of Services Type Date: Rate of Service Total GC culture $5.00 Chiamydia $7.50 Urine culture $10.50 Urine micro $4.50 MD Consult $65/hour BCP $6.00/each Norplant ins $400 Depo Provers $40 injection Diaphragm $10 Gel/cream $6 Foam $6 Condoms $3 10/pkg Vitamins $3.50 Iron $2.00 Other Total for services Total charges This is to certify that the above expenses were incurred per contract and we are requesting reimbursement for same. SIGNATURE DATE 940444 Employees Served for the Month of Employee Name SS # Date of Service Dept. Name 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. -940444 RESOLUTION RE: APPROVAL OF RENEWAL REQUEST FOR TAVERN LIQUOR LICENSE, WITH EXTENDED HOURS, ISSUED TO HENRY L. WALKER, DBA BEARS SPORTS SALOON - EXPIRES MAY 18, 1995 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, Henry L. Walker, dba Bears Sports Saloon, presented to the Board of County Commissioners of Weld County, Colorado. an application for the renewal of a Tavern Liquor License, with extended hours, for the sale of malt, vinous and spirituous liquors for consumption by the drink on the premises only, and WHEREAS, pursuant to Weld County Ordinance No. 6, Section II, C., said applicant has paid the sum of $128.75 to the County of Weld for the renewal of the existing license, and WHEREAS, said applicant has exhibited a State Liquor License for the sale of malt. vinous and spirituous liquors for consumption by the drink on the premises only, outside the corporate limits of any town or city in the County of Weld at the location described as follows: 2519 8th Avenue, Greeley, Colorado 80631 NOW, THEREFORE, BE IT RESOLVED that the Board of County Commissioners of Weld County, Colorado, having examined said application and the other qualifications of the applicant, does hereby grant License Number 94-08 to said applicant to sell malt, vinous and spirituous liquors for consumption by the drink on the premises only, only at retail at said location; and the Board does hereby authorize and direct the issuance of said license by the Chairman of the Board of County Commissioners, attested to by the Clerk to the Board, of Weld County, Colorado, which license shall be in effect until May 18, 1995, providing that said place where the licensee is authorized to sell malt, vinous, and spirituous liquors for consumption by the drink on the premises only, shall be conducted in strict conformity to all of the laws of the State of Colorado and the rules and regulations relating thereto, heretofore passed by the Board of County Commissioners of Weld County, Colorado, and any violations thereof shall be cause for revocation of the license. 940451 /Z0009 at: .So/. ecc.cs ATTEST: RENEW LIQUOR LICENSE - BEARS SPORTS SALOON PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by_the fol/loowwiinngggvote on the 18th day of April, A.D., 1994. Weld County Clerk to the Board BY: Deputy Cle to theoard APPROVED AS TO FORM: A Coun ' Atto •ey BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Web' airman `Dale $,, Hall, ro-T Ceo p.L. Baxter Constance L. Harber EXCUSED DATE OF SIGNING (AYE) Barbara J. Kirkmeyer 940451 Liquor, EnfocementD rivision.:. _ 13.75 Sherman Street .. "'` ,Derrver'Cblorado 8028:1' : WALKERHENRY L` BEARS SPORTS SAEOON 2519 8TH AVE GREELEY ca 80631-8409' Account Number 'Mobility Information LICENSE EXPIRES AT MIDNIGHT County City Indust. Types Liability Data 14-27003-0002 03 206 5813 I 051989 MAY 18, 1995 Typa Noma and Oascription of Libra Fes 2010 TAVERN LIQUOR LICENSE - I S 50.00 MALT, VINOUS, AND SPIRITUOUS 2190 COUNTY 65 PERCENT DAP FEE I $ 276.25 This license is issued subject to the laws of the State of Colorado and especially under the provision of Title 12, Articles 46 or 47. CRS 1973, as amended. This license is nontransferable and shall be conspicuously posted in the place above described. This license is only valid through the expiration date shown above. Questions concerning this license should be addressed to the Department of Revenue, Liquor Enforcement Division, 1375 Sherman Street, Denver. CO 80261. Ifs coo P.; i Y , • A:• I FY K(NWS OF LIQUORS KERT DBA BEARS S VI o. o a El H -; U 04 c I I' aN ti ul OW r a w > z� •1 x W z 0 y C''• M EM • O a c a .4 8 M •› M v oz .0 .+ en O a „ - ri a - c E. N 3 v g U o n C `] ..'C+ R. > a a Z F. O S a CO L a W w W ~ . ' O _ 0 C f o _ U r •% - go. el 0 es per S. c ' C' a1-1 do W M O .-. C> C ^ w rj CO Op N O N v 4•••Vi Vo• z Cc. CO y�Jowe'i�Jft* CO re' C): a cis a .14 0 0 o :.. t7 avtC ti E..Y..r� moos JQq aW Vim,.. V W •� r. a t a O m 40 O x a ' a Ca O r' U 6 --r In: cg 0 i0 O+. rl 'CJ ¢s r' O .JLA rr..�l••[�� {.4• r y rte: QL. N a.crv, t« C C n.... Cr•.�.- n x o o > •_ DATE: r5-7zg/?e/ {44 !'r ral eta DEPUTY CLERK To TFEE B4�4RD :'ter '44451 DR WOO (area) • an Gala. Depttossmot Division 1a s.Mmw' Sttael. D.rnM, Cola.s0 Waal $04741 Liquu or 3.2 Beer License Renewal Application aLKEf�,,rNE>:tY L ?EAnr, PL TS SAL2CN 1220 11 TS AVE 200 G'EELEY CC SC631-3c5' Upon* Number -.. ". .... . - 14-27003—Oa2 .Llano Types 2010' Liability Information: $ 01) 206 581' I 0`.4.9$2 Button taxation: 2519 Si» Ayr C. c�(.Y 41 Currant Lianas E>mkw: MAY 13r 1994 YOUR PROMPT ATTENTION IS REQUIRED, FAILURE TO COMPLETE THIS FORM ACCURATELY AND PROMPTLY NAY RESULT IN YOUR LICENSE NOT BEING RENEWED. • FILL OUT THIS FORM COMPLETELY AND CHECK APPROPRIATE BOX BELOW. K This renewal reflects no changes from last applicaion. 0 There are changes from last application. (Report changes on form DR 8176 -'Report of Changes • Liquor and 3.2 Beer Licenses' and attach that form to this renewal application.) • SIGN DEFORM - ENCLOSE TOTAL AMOUNT DUE • sal FORM TO LOCAL(GIYCOWfl) UCENssto AUTNDWTY FOR APPNovAL • CHECK W M LOCAL =ROOM FON AMDIR T OF LOCAL FEES. OATHOr ArOUOAPIT, In the second degrse that this applludo and all attachment are rue, correct, andoomplebas fe to the t of my knot* e. Mothoe gA Signature: - . RR" f DMw� . / BullMbf Phone: TIM of Slaver (If corporation): Sales Tax No. %iy/\ Arnow DR 8401 Must BE COMPLETED (ALL 3 Cons) ' SUBMIT THE STATE COPY AND LOCAL (CITYICOUNTY) AUTHORITY COPY TO YOUR LOCAL (CITYICOUNTY) LICENSING AUTHO NO LATER THAN 45 DAYS BEFORE YOUR LICENSE EXPIRES. EXCEPT/ON: Wholesaler, manufacturer, importer, and public transportation system license renewals do not need Local Licensing Authority approval and must be returned directly to the Colorado Department of Revenue no tater than 30 days prior to license expiration, REPORT AND APPROVAL OF LOCAL LICENSING AUT•HORITY ` The foregoing application has beerreaamined and the premises, business conducted and character of the applicant are satistac• tory, and we do hereby report that such -license, It granted, will comply with the provisions of Title 12, Articles 46 and 47. C,R.S. THEREFORE TEAS APPLICATION IS APPROVED. - - Local Licensing Authority for: - .Cc'. Wald Ceun`tr, N Cl I.or:ido ,(f" C TOWN/CITY a COUNTY Stratum: r i83 i; - •. x �-. 1 1V 7�• Title C 1 .. irr I -,td t r4 e, I ou J'n tl1. r cr' AttW .• • `'Y: _I.S.KXc1 t I.J ` �LCOP ✓Mau. . I' Data 21/18191/ On O N A • D1 NOT DETACH • Co NOT DETACH • DO NOT DETACH' Dr, NOT DETACH • Do NOT DETACH • Do NOT DETACH NAME: USE LICENSE NUMBER FOR ALL REFERENCE LIA�LITY INFORMATION RENEWED LICENSE EXPIRES AFTER , it COUNTY CITY INDUST. TYPE LIAO OATS :Ca SP`. "S ,LC:'N 14-27CC3—O(1 03 2CG Set. : 3519d9 35-1e-95 TYPE OF LICENSE ISSUED CASH FUND STATE FEE CrTYes%OAP CO85%OAP —$4ON 414 (9) 454 (9) 374 (a) 40.1 (9) N4LT, v: Les, AN:T 4., 2'..:.C b 25.Ct - 1 :76.75 Make check payable to: Colo o Ammuir asT TOTAL AMOUNT DUE. Y 326.24) EXTENDED HOURS - Apollo only to Hotel and Restaurant. Beer and Wine. Club. Tavern, hours? and Arts Ocenses.,if dashed, check yea' and enclose Total Amount Due PLUS 6170.00. Yee 0 No teCOQ09 940294 A[.t 940451 oa MOr ONO) Attachment to $uo13.2 License ReneaAppftation This page must be completed and attached to your signed renewal application form. Failure to Include this page with the applWagon may result in yaw license not bs1n renewed. Trade Name of Establishment State License Number IV Ai 1z _DX 1. Do you have legal posession of the Ise, for which fNs applkabonfor license Is made? YESX] NOD Are the premises owned or rented? (� If rented, effective and expiration date of lease: 2. (a) Has the applicant, or any of the partners, or officers, stockholders or drectors of said applicant (if a corporation) ever been YES❑ ND� convicted of a crime? If answer is 'yes; explain in detail and attach. (b) Have Persons lending assistance or financial support to the applcant, or manager, or employees, tee, been convicted of a crime? YES❑ NOR If answer Is yes; exdako in detail and attach 3, Has the applicant, or any of the partners, or offices, directors or stockholders of said applicant (if a corporation) or manager, ever: (a) been denied an alcoholic beverage tense? YES (b) had an akohofc beverage license suspended or revoked? _, . YES (e) had interest in any entity that Wan alcoholic beverage license suspemkdor7avORlO} --: .,-..-- �,,. — _. 1£5 If answer is yes' toany of the above questions. explain in detail and attach. ❑ ■ NO ND NO .4.—DanS.pLd"ldamica!t,A,fanYAt?kepelgiets QioffcEs,.dimCtgrSorstocklok1et.S,Ot.Aaidappllca9tilLd Soro!a6o71lbve.a Erect—YES.O_t9Dcr or indirect interest In any other Colorado liquor license (Include bans to or from any licensee, or interest in a loan to any licensee)? If answer is yes; explain In detail and attach. 5. Identify the persons, firms or corporations who now or will have a financial interest evidenced either by a loan to, or equity ownership in, the business for which this license is requested, State the names and addresses and the amount and source of such financial interest (i.e.. bank, realities, hiernds, previous owners, .), expressed in dollars or other items of value, such as inventory. furrimre or equipment. Use separate sheet if necessary. Name (II wZC. Address Interest T Type and Amount 6. List on a separate sheet the names and addresses of al liquor businesses in which any of the persons in question No. 5 are matenaly interested. 7. 000f°ling Manager (Address/, ✓ n .VX I. alit (fie, // 1 l d (Date L3 1 V // l..C . / ofBeth "-� Sn 8. M leant 14/t partnership (except husband and wife), list all general partners. Use separate sheet if necessary. Name 'Address ( Date of Birth Name Address I Date of Birth I 9. If the applicant is a corporation, answer the following: (a) Corporation is organized under the laws of the iv, State of:` Date Incorporated: (b) Principal place of business is: (c) Date of fling last annual corporate report to the Colo. Secretary of State: (d) Name of each officer listed below: 11Pret&it ?Horne Address ' - . ,.. _� . ....._... .. Dat€ mitt --1 Wee Pres, Home Address Date of Birth • Treasurer Home Address Date of Birth Secretary Home Address Date of Birth (e) List all stoekholders,5% or over, !d a public corporation) Inducing actual owner or.pksdgee. (Use separate sheet If necessary Name Address r Percent of Stock Date of Birth Name Address 1 , Percent of Stock Date of Beth Name Address Percent of Stock Date of Birth (U Name of all Directors'/Trustees of Corporation Name Address Date of Birth Name Address _ ... Date of Birth .• Date r� mEmoRAnuum W To JOYCE/LIQUOR ENFORCEMENT Prom Subject' on MAY 4, 1994 LIN/WELD COUNTY CLERK TO THE BOARD'S OFFICE LIQUOR LICENSE RENEWAL FOR BEAR'S SPORTS SALOON ATTACHED PLEASE FIND CHECK #3963, BEARS SPORTS SALOON, ACCOUNT #14-27-003-002. PER OUR CONVERSATION, YOU HAVE ALREADY RECEIVED THE RENEWAL APPLICATION. THANKS FOR YOUR HELP AND COOPERATION! BEARS SPORTS SALOON 2519 STH AVE. 355.2882 GREELEY, CO 80531 PAY TORDE O THE 211; - - DOLLARS 1 9.0039631• C:1O7OOO356C 1040515079• ,BANK -'ONE. Bank O,1.. G,..by. NA SOON Oi+a., Banking Corm (301 3560234 Ordway. Colorado [063, FOR 3963 i 940451 P 387 472 526 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE 11IOVIOEO NOT TOR INTERNATIONAL MAIL (See Reverse) COLORADO DEPT OF REVENUE LIQUOR ENFORCEMENT DIVISION STATE CAPITOL ANNEX 1375 SHERMAN ST DENVER CO 80203 FCertiNe0 Fee Special Delivery Fee Restricted DeAvery Fen Return Receipt Slowing to whom and Dale Delivere0 Return Receipt snowing to whom, Date, and Address Cl Onavory TOTAL Postage aria Fees Postmark or Dale S 940451 • • DATE: MARCH 8, 1994 T0: ROSEMARY LOPER. RECORDS FROM: OFFICE OF WELD COUNTY CLERK TO THE BOARD SUBJECT: LIQUOR LICENSE CHECKS Please run a records check on the following establishment. This information will be used by the Board of County Commissioners in considering renewal of liquor license. Please respond no later than NOON ON FRIDAY. MARCH 11, 1994. Thank you. ESTABLISHMENT: HENRY L. WALKER, dba BEARS SPORTS SALOON &51el S 0-404-• GREELEY, CO 80631-3859 INCLUSIVE DATES: 04/01/93 through 03/08/94 BY: Shelly K. Miller, Deputy Call 356-4000, ext. 4226 WHEN COMPLETED, OR IF QUESTIONS. • r v r + No violations on record. BY: VIOLATIONS: (PLEASE LIST ) vlw a.fiss,tt- ..n.gx. BY:` e101,A J 940451 P 387 471 993 RECEIPT FOR CERTIFIED MAIL No iNsuNfracc COVERAGE PROVIDED NOT colt MltR%A ZONAL MAIL COLORADO DEPT OF REVENUE LIQUOR ENFORCEMENT DIVISION STATE CAPITOL ANNEX 1375 SHERMAN ST DENVER CO 80203 ? Postage r Centred Fee Spacial Delivery Fee Restricted Delivery Fee Return Receipt stowing to 'Morn and Date Delivered Return Receipt showing to whom. Date. and A00ress Ot Delivery TOTAL Postage and Fees S Postmark or Date lilailyV u 940451 TO: Office of Weld County Clerk to the Board FROM: Rosemary Loper, Records Supervisor DATE: March 8, 1994 SUBJECT: Liquor License Check Bears Sports Saloon 2519 S. 8th Avenue, Greeley Dates: April 1. 1993 thru March 8. 1994 The following is a list of police responses to the above location during the listed time period: Dale Case Number Incident type 071293 930713081 Theft from Auto 080393 930803009 Assault (2 persons cited) 080393 930803111 Harassment (victim declined prosecution/counter charge report from 930803009) 092993 930929001 Employee assaulted during disturbance (victim declined prosecution) 102693 93-11336 Victim assaulted by employee (employee cited) 120193 93-11891 Disturbance (no disposition) 121193 93-11896 Patron assaulted by employee (employee cited) 123093 93-12126 Patron assaulted by employee (report unfounded) 010594 94-48 Patron and employee assaulted (victim declined prosecution. Please contact me by telephoning 3504630 if you have any questions regarding this information. str. Wipe COLORADO mEmORAnDUM To Board o£ County Commissioners Day March 8, 1994 FromKeith A. Schuett, Current Planner II p Liquor license renewal Subs?: Henry L. Walker, dba, Bears Sports Saloon, 2519 8th Avenue, Greeley, Colorado 80631-8409. The property is described as Lot 5, Block 11, 1st Arlington Park Subdivision, Weld County, Colorado, is a legal use in the C-3 (Commercial) zone District of Weld County. O' 940451 RESOLUTION RE: APPROVE REMOVING CONDITION OF APPROVAL #SC FOR RE #1561 - RIDER 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, by Resolution dated December 15, 1994, the Board did approve RE #1361 for James and Sandy Rider for property which is located in part of the NW; of Section 6, Township 2 North, Range 68 west of the 6th P.M., Weld County. Colorado, and WHEREAS, on May 16, 1994, the Board was presented with a request from the applicant to remove Condition of Approval #5c by a letter dated May 9. 1994, and WHEREAS, James and Sandy Rider, applicants, were not present at said meeting, and WHEREAS, the Board of County Commissioners heard all of the testimony and statements of those present, studied the request of the applicants and the recommendation of the Weld County Planning staff concerning this matter and, having been fully informed, finds that this request shall be approved and Condition of Approval #Sc shall be removed from RE #1561. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the request from James and Sandy Rider to remove Condition of Approval #5c for RE #1561 be, and hereby is, approved. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 16th day of May, A.D., 1994. ATTEST: Weld County Clerk to the Board BY: APP Deputy C14 o'nty Att BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Dale Hall, PYo-e fl George Et Baxter dirac 4$71 Constance L. Harbert EXCUSED DATE OF SIGNING (AYE) Barbara J. Kirkmeyer 940449 CC,: PL, £ Id er 40S; 1111k fl1EfflORAflDUm Board of County Commissioners May 13, 1994 To Dee Greg Thompson, Current Planner From RE -1561, James and Sandy Rider SubiNct: Condition of Approval #5.c.of RE -1561 stipulated, "The application shall be amended to indicate the larger parcel (proposed Lot 8) is located north of and south of Weld County Road 26 and is 141 acres, more or less, in size." This condition was included because Lot B of RE -531 was recorded a north of and south of Weld County Road 26. However, Deed Exception A for RE -1531 indicates this larger parcel (Lot B) is split in two by two strips of land. Because Lot B is split, three parcels are created - Lot A, Lot B north of Weld County Road 26, and Lot B south of Weld County Road 26. Therefore, a condition of approval for RE - 1561 which is not in accord with Section 11.2.1 of the Weld County Subdivision Ordinance was approved. The applicants, in their letter dated May 9, 1994, requested that this condition of approval be changed. Department of Planning Services' staff recommends Condition of Approval 4t5.c. be removed. Amended recorded exemption #531 has been applied for by Mr. and Mrs. Dudley Rider and approved by the Department of Planning Services. Lot B of RE -531 has been amended to include only the applicants property south of Weld County Road 26. The original application for RE -1561, with Lot B approximately 80 acres and Lot A approximately one acre, all north of Weld County Road 26, can be approved as submitted. Department of Planning Services' staff recommends the resolution of approval for RE -1561 from the Board of County Commissioners should reflect the acreage change from 141 acres, more or less, to 80 acres, more or less, as well as the removal of Condition of Approval 05.c. However, all other conditions of approval should be retained. 940449 RESOLUTION RE: APPROVAL OF RECORDED EXEMPTION NO. 1561 - RIDER Weld County Pluming 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 of County Commissioners, pursuant to its authority under Section 30-28-101(10)(d), CRS, as amended, did determine at a public meeting held in the Chambers of the Board, that a certain parcel of land, to be divided into two parcels, as shown on the plat known as Recorded Exemption No. 1561, does not come within the purview of the definition of the terms, "subdivision" and "subdivided land", and WHEREAS, the request for Recorded Exemption No. 1561 was submitted by James and Sandy Rider for property which is located in part of the NW} of Section 6. Township 2 North, Range 68 West of the 6th P.M., Weld County, Colorado. being more particularly described in the plat which shall be provided by the applicant and known as Exhibit "A", said plat to be recorded, and WHEREAS, this request is to divide the property into parcels estimated to be approximately 141 acres and 3 acres, more or less. NOW, THEREFORE. BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the hereinabove described parcel of land be, and hereby is, exempt from the definition of the terms. "subdivision" and "subdivided land". BE IT FURTHER RESOLVED by the Board that this approval is conditional upon the following: 1. A Weld County septic permit is required for any proposed home. The septic system shall be installed according to the Weld County Individual Sewage Disposal System (ISDS) regulations. 2. Any existing septic system which is not currently permitted through the Weld County Health Department will require an ISDS evaluation prior to issuing the required septic permit. 3. An ISDS shall be located at least 100 feet from any well. 4. The plat shall be amended to include a reservation for a 60 -foot right-of-way east from the centerline of Weld County Road 1. 5. Prior to recording the plat: A. The smaller parcel (proposed Lot A) shall have its east property line contiguous with the east property line of the existing Lot B and the south property line of said smaller parcel contiguous with Weld County Road 26. 931275 ,qe 1541 d.� ; Pt; e,flr-g- 940449 : RE #1561 RIDER PAGE 2 B. The applicant shall submit evidence that an ISDS evaluation has been completed by the Weld County Health Department on all existing septic systems. _ C. The application shall be amended to indicate the larger parcel (proposed Lot B) is located north and south of Weld County Road 26 and is 141 acres, more or less, in size. 6. ISDS permits shall be finalized and approved by an Environmental Protection Specialist within one (1) year of the application date. BE IT FURTHER RESOLVED by the Board that the applicant shall submit a mylar plat to the Department of Planning Services to be recorded in the office of the Weld County Clerk and Recorder. The plat shall be prepared in accordance with the requirements of Section 11.7 of the Weld County Subdivision Ordinance. The plat shall be submitted within sixty days from the date of approval by the Board of County Commissioners. The applicant shall be responsible for paying the recording fees. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 15th day of December. A.D., 1993. ATTEST: Weld County Clerk to the Board BY: Deputy Crk to the Board APPROVED AS TO FORM: ounty Attorney BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Constance L. Herbert, Chairman 2%4? e A. Hall /Barbara J. Kirkmetter ✓ rvaonDED ExtinIOR no. .t3t3-6-2'RE•53I A PoRr'ICK OP.Tne-Notof'SEC. 6, T al of :the 0.19 .P,M.. VPL$. COMM, COLORADO. 7,„7:5::,`,2771 00,922 hi [J R( Co. PDGf9( CCpS:p 4 LOT COVIITY ROAO nC•ZG zoo 30'IMG1S9; Bet MESS . a, (a- y ESMMT. _ 5,,.ros 144 ACRES . *me 9, e7.22•➢. -W. - LOCATIOI IMP 5cole- 1'• 2000'. LOT A «0 i,00 A�3E °^ ,A. ,. m. 2. n.. 0, Z COL 4 M C +" Cw 0 ▪ 0. m� . VI N n r J m ma n m n0 co, ow. • O` no+ _ ow b c• .tkh 0 van n _ $ • 0.5,0.00K{ E: "•o • iir.9r lxrr[6 20O2f.ee.i TOTAL AREA 1.45 Acro. ._ Set 4. ;to L cop. A to E- Dead exeoptto... A- Book 155, pep 395 tad Book 163 r. ➢•8e hk0.. (,_". �Y •- B- Hook 200, page 370• ?t.;•'•: C Doak 200, oleo 372. D- Book 218, D•D• 6k. L- Book 2k1, pAg.•397. PURPORTED COPY MAIL 5, 1992 fl et 1 of 3 49 ncconoFir.xcrrxoar no"':1313 8-2,RE531` t(" j• n Yozrzcir'ortz,a rrlf`oC.S€C 6 me.,. 12121; ft'6G:ofaEe:6tD:Y.H:'.. YFLD. cam"; no.: a^• • • JUN 3O 0.82 I; el (10 as (a. ?tag cC'6' Unriarm ReMOIANAI Leg* {M N/ LCCA:IO5 MP Scale- 1"' 2000'. TOTAL AREA 145 Acres uyw_I-. L00' . s- set. j' ply & cap. A Co E- Deed e+cepttaoe. )0o. 155, vice 395 •^a Bata 263 page 440. - . . ^;‘"."74./.3.. . Book 200. MV 770. `SCh>is;ti Sock 260, vice 372- . D. Molt AQ. :rats 614- 1- Book 2141, Dope 397. PURPORTED COPY APRIL 5. 1982" nett O S a) CO. RD. 1 aoti.vey LINE ROAD) Cn Q 20 CD m � Q -67 avo& A1ngo7 N G tacit >m N ^ B `N r am o• y 7,3 Tn - y O �. ' Z N °� 01♦ 9. ^Q v / 3NV 1 Sws nV2 • 0449 MAY- 9.-9A MON N 9 :21 P-02 May 9, 1994 Weld County Planning IX:partmcnt Weld County Commissioners Ru: Recorded Excampden for lames & Sandy Rider in December of 1993, Janes attended a meeting of the commissioners with regard to obtainhc an exemption to bwld a house on ground that he farms. At the time it was decided that an excrnp6cm would be granted and wo were given some criteria that had to bo met. In the months that followed we have worked to got all of these things done. We Sully were able to get everything put together and took it up to Greg Thompson of the planning department Auer reviewing the mylar, it was discovered that the exemption given to Dudley Rider in 1982 had been done incomeetly. As a result of that discovery, our exemption could not he processed. As best as we Can understand it, Dudley's exemption was made off of a lot of 141 4 \- acres. however, that 141 +\- acres Is 2 separate fields of approximately 70 44. acres with Weld County toad 26 dividing them We would lice to receive ow exemption to build on the 70 +\- acres on the north side of WCR 26. Dudley's exemption is on the south side of WCR 26. Dudley has filled out an application for an amended exemption. During the time that wo haw been working on this exemption, we also have drawn up a contract to purchase the Uwe arc exempting. Ed KCancrnoto, broker of Prudential L1M Realtors of Longmont has worked with us in paying this contract together. Ed felt that one month would be plenty of time for to to finish the exemption process, as we had everything that we needed according to what had been discussed at the December meeting. We are scheduled to close on the lot on May 16th. If we do not have our exemption processed before that time, our contract will expire and be void. This will mqurc starting all over again and we would prefer to not have to go through that process again. Throughout this whole process we have tried to do evcrytlticg exactly as we haw been requested to do and now we would ask that this problem with the lot be resolved as quickly as possible in order that we may be able to close on May 16th as planned. We sincerely thank you for your time and understanding in this matter. L4la James & Sandy Rider MAY 9 '94 0822 PAGE. 002 940449 DEPARTMENT OF PLANNING SERVICES( RECORDED EXEMPTION ADMINISTRATIVE REVIEW Applicant: Dudley and Janet Rider Case No: AM RE -531 Legal Description: Part of the NW4 of Section 6, T2N, R68W of the 6th P.M., Weld County, Colorado. Larger Lot Size: 70 acres, more or less Smaller Lot Size: 1 acre, more or less Criteria Check List Meets Criteria Yes No X 1. Conformance with the Weld County Comprehensive Plan and any adopted municipal plan. X 2. Compatible with the existing surrounding land uses. X 3. Consistent with the intent of the zone district. X X 4. Consistent with efficient and orderly development. 5. Complies with Recorded Exemption standards in Section 11.8 of the Weld County Subdivision Ordinance. APPROVED WITH CONDITIONS The Department of Planning Services has determined through the review that the standards of Sections 11.5.1 through 11.5.6 of the Weld County Subdivision Ordinance have been met. This Recorded Exemption is approved with the following conditions in accordance with information submitted in the application and the policies of the County, A Weld County septic permit is required for any proposed home. The septic system shall be installed according to the Weld County Individual Sewage Disposal System (ISDS) regulations. The applicant shall submit a mylar plat to the Department of Planning Services to be recorded in the office of the Weld County Clerk and Recorder. The plat shall be prepared in accordance with the requirements of Section 11.7 of the Weld County Subdivision Ordinance. The plat shall be submitted within sixty (6O) days from the date of approval by the Department of Planning Services. The applicant shall be responsible for paying the recording fees. By Greg ompson/, Current Planner Date My 12, 1994 940449 'RR4.NTY DEED: IMAM Or OOLODADO,tla 1 f C.mdr of : :.W _._ ._ ..e ,vier. e cd..i 4.' ? . This Ww+.m+y Deed s.. I lYJ7xd8Baf S/.st A. 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Pew. •Na.wsna Wt raaaw+r.a.a of wawvs'M S..yw.AL.Jwenw.I 1.__...._..._.....L...__...1;1 ..- mad W .how &rankled ➢neatesn tn_.'CLw._. qW^t awl p.n.:gt t- i.a ade• Nth. odd P eW.-el U.. neat )wt. .. hew. k _ swam. oamlaM of and awry anon w wows :.w/slit, ddw0.l the to ,Jobe Ow Ado r ay Par Men' -.....___..JS rY the, lima m Pan dwelt sal wilt WeaM and Teener Or/e.d .. y(�mmd__ IX lyl7xa88 WDllttOYdel M..pari#_.of Ms fins part M,.hwtsaMad` 'em . roeY�(LNIA-1'- X NOPln 854 MO AND .laCYle ill Paint. 'W .. V -.. TATE OF COLORADO. ..'. Sta a and fwa.d.- ••fw+ Clamps bn ti}y 8rM afaoa kh fie. hereby minify .. I.RInM...G{/._Pa..._—e karma. i• w._.! f..4/Dte✓ V luAt, — sawn.: ... _.. sees_... _......_.. Dad. Mparnt an MI ta4 r pores* ad awn -'-"j d N.$ T lll *I Oa. (wdr.. S4SS4*dr, ya/ftwad aWantryeMfs!tbpaswJ$'Pa. Ma by as adn .n.i wrO.M and WS. .t.l./ a/Me Wb had t and aairaretr fh.ary.d ' w as Me Amt. edda.r e.myWdas MI% /&. *4.44,S. Ck 4684 Maid ft Ciank ireedepper4i. ITEMsurs, net as old pay- .9 *. - I l $ r w,� I. ..�w.w.s ea!~ V (are lly7'°` �.. . •n�'5 r 'x: I. A. arat ywatre— L. Med pang Ada /er1 ow ee..i Pan. W p-+�s t Oise M.A.dr .~fear 8404 A•A'_&a4 Ss* slit agar 1..d gran(tJfnicw s by d ado raa6.r/nuusaSIN" laalle'.ndQ Nab w aidl.+i.K she e.ad set ;G 4" ......Ms end daps eYe. . 44W ea d.U. ens a.Y VA.�r+ led +ra=a ..s w a.r is r..or, JJAdel ��!!��..,, ,—rWd/y 4604 at 404 IMP Oak 0 rola ail ads el Ofgende, bath TO HIVE IND IV HOLD rile IJ.YK 7YJ.Nw .0 all and .4(e7.e Ms appeases and within Mamas klajf►j ar bay... ad. Lhasa .A.4W.J, and all wsake ri/L. Mk Wend sad /V4 r'- r-, q. Ma rid part ifwata pet Ias b l.D w . Num'. a. LL+ ..tr eel. .rry h_cu ad bW E Ai .Y . d the ..ad .raaRaeM.d and a.d(s. Ames ix inaa arauuor.measwit_Wia-r.Nia...+%Arai. at 4 area.. ea Spa, Ewald d Deland raTrees if SleArnaanal: W use elScrim Meek NfrY. RESOLUTION RE: APPROVE VACATION OF RE #724 - HOWARD, ET AL 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, by Resolution dated November 28, 1984, the Board did approve Recorded Exemption No. 724 for Roderick and Onea Miller for property which is located in part of Section 34, Township 6 North, Range 64 West of the 6th P.M., Weld County, Colorado, and WHEREAS, the present owners of the property, Fern A. Howard and George T. Ashen, have requested said recorded exemption be vacated by letter dated May 6, 1994, and WHEREAS, said request was considered by the Board at a meeting on May 16, 1994, at which time Tom Collins, Loveland Realty, was present to represent the property owners, and WHEREAS, the Board of County Commissioners heard all of the testimony and statements of those present, studied the request of the property owners and the recommendations of the Planning staff and, having been fully informed, deems it advisable to approve the vacation of Recorded Exemption No. 724. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the request of Fern A. Howard and George T. Ashen to vacate Recorded Exemption No. 724, granted by Resolution dated November 28, 1984, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that Recorded Exemption No. 724 be, and hereby is, vacated subject to the following conditions: 1. The County recognizes the 40 -acre parcel described as the SW} NW} of Section 34, Township 6 North, Range 64 West and the 80 -acre parcel described as the W} SW} of Section 34, Township 6 North, Range 64 West as legal lots. 2. The mobile home located on the 40 -acre parcel described as the SW} NW} of Section 34, Township 6 North. Range 64 West shall be permitted as a principal dwelling or removed by July 1, 1994. 3. The property owners of the remaining 360 acres of the original recorded exemption property in Section 34, Township 6 North, Range 64 West combine the legal description into one parcel and record a Quit Claim Deed or other legal instrument on the parcel. B 1442 REC 02389496 05/20/94 11:38 $0.00 1/002 F 1891 MARY ANN FEUERSTEIN CLERK & RECORDER WELD CO, CO 940450 eee, ; A/ou,etrd } PL j ASNEN RE: VACATE RE #724 - HOWARD. ET AL PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 16th day of May, A.D., 1994. ATTEST: Weld County Clerk to the Board , B} c /Q IsID IY eca., uty Cler to the Board APPRQJf S 4t FOtt EXCUSED DATE OF SIGNING (AYE) Barbara J. Kirkmeyer BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO --4646_2761,10., County Atto C jf l ,Constance L. Harbert 940450 B 1442 REC 02389496 05/20/94 11:38 $0.00 2/002 F 1892 MARY ANN FEUERSTEIN CLERK & RECORDER WELD CO, CO f find; mEMORAnDUM To Board of County Commissioners COLORADO From Department of Planning Services Dot* May 16, 1994 Supj�or Varatinn of RF-72& m m Nnwari at Al The Department of Planning Services recommends that the Board vacate RE -724 with the following conditions: 1. That the County recognize the 40 acre parcel described as the SW4 NW4 of Section 34, T6N. R64W and the 80 acre parcel described as the W2 SW4 of Section 34, T6N, R64W, as legal lots. 2. That the mobile home located on the 40 acre parcel described as the SW4 NW4 of Section 34, T6N, R64W shall be permitted as a principal dwelling or removed by July 1, 1994. 3. That the property owners of the remaining 360 acres of the original recorded exemption property in Section 34, T6N, R64W combine the legal description into one parcel and record a Quit Claim Deed or other legal instrument on the parcel. 940450 ASHEN FIRM TEL No.303-629-9066 May 6.94 9:53 No.001 P.02 M. PAULA AYCN JAMES E. FREEMYEA EWwt COMtY 11M01MY C. HICKS ASHEN & ASSOCIATES, P.C. ATTORNEYS M LAW 1220 BANNOCK $TAFFY DENVER. COLORADO 1102W GEORGE T. AB*N. Oh Comets Nay 6, 1994 Rao3) en -eve FAX (303)6294000 Board of Weld County Commissioners 915 10th Street Greeley, Colorado 80631 Attention: Chuck Cunnilife Weld County Planning and Boning Dept. RR: Request to vacate recorded exemption Number C801-34-3-RB-724 Property owners: Fern A. Howard and George T. Ashen Property situated: Weld County, Colorado Dear Sir/Madam: For and on behalf of the coowners of the real property effected by the recorded exemption above numbered, we hereby request that the recorded exemption on the properties whose legal description is contained in the recorded exemption as above numbered be vacated on the property as soon as possible. The legal description of the property effeoted.is set forth in the recorded exemption above, numbered. A copy of said recorded exemption is attached hereto and made a part and parcel hereof. This letter is being faxed to Mr. Chuck Cunnilife via fax number 1-303-351-0978. Mailing of this letter and the attachments to follow. Thank you for you courtesy. merely, George TT Ashen GTAsab Encls. Fern A. Howard and George T. Ashen vsbifa mP MAY 0 6 1994 MAY 6 '94 09:51 303 629 9066 P43E. 032 940450 a y d O V) U C ro t y d N C p W C • 7 CO • ro q — N y V N o O L O L d C .C d N y O Q ro 4 ro y L W O O O fn O U m L d 4-1 C h' O ro F O N ▪ 015 •4 O E m O o c Cal a) o N (.4 M u ( L.: a h •./ y x d ro O d V z .C y •O C •O O w+ •^ ro . ;:99iall'_ '. •a�Yid:Jl1!;!;;1h�;11a�_� RECORDED EXEMPT/ON N°. O8O1-34-3-RE 724 244% 2Srrn• N T R9'.T6:3S'.F. X69lJ9� �"� --I--N. B9'.t/'40"F J o vi- • or -a. Gcue.!' LXa Ti. N. /9'ZS •O477 'rrr `7.. Xio.7E .7.?/'.T6s1')7:' /a •ac' /✓. 76 fern-YY 97.Jo d: ,SJ / /9'fr ,e, Seto-sr/4r/ t o' of p •' IA Gm 1 Ia.ta ei• Z S. 89o9904're 11 /le•el. JwG.wer 1YCA'L.Z B 1054 REC 01993961 01/03/85 13:18 $9.00 1/003 F 0682 MARY ANN FEUERSTEIN CLERK & RECORDER WELD CO, CO Drino. Zn. *OP t \ O whrrs : iffskaAlefeir 9 been./ A.,r7 eenhlf 7020 /I/rn:"!<<..r S/ar:+/sue AnJ00 r zNl Zs /E'./ el'.) PURPORTEDCOP_Y Jones•►Vininger & Associates Profenlonal Surveyor) Yee/An/to Stye, 12179th Avenue toads ; /'• Jaya' Greeky, Colorado $0531 303.3524700 PROJECT NUMBER: 1984-227 DATE: DEC. 1984 _.•._Shoef_I_of.. The above .and foregoing' Resolution vas. OD *oticr , as and seconded, .adopted by' the .following vote aletba - dy November, A.D., l! 4, THIS IS TO CERTIFY THAT ALL ACCOUNTING AND BUDGETING PROCEDURES HAVE BEEN COMPLETED ON THE ATTACHED LISTED CLAIMS AS SHOWN ON PAGE 1 THROUGH 1 , AND , AND THAT PAYMENTS SHOULD BE TO THE RESPECTIVE DATED MAY 18. 1994 T OPPOSITE THEIR NAMES, WITH THE TOTAL AMOUNT DIRE t .p h�9TRATION SERVICES SUBSCRIBED AND SWORN TO BEFORE ME THIS 18th DAY OF MAY MI COMMISSION EXPIRES JAN. 1.19% MY COMMISSION EXPIRES: NO 1994 . WE THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO HEREBY APPROVE THE CLAIMS AS SET FORTH ABOVE; AND WARRANTS IN PAYMENT THEREFORE ARE HEREBY ORDERED DRAWN UPON THE PAYROLL FUND - TOTALING $ 2,658.96 DATE I THIS 1 : h AY OF MAY 19.4L siTh7. .4 WARRANT NUMBER 017713 PAGE__I__ OF SEMI-MONTHLY PAYROLL HANDWRITE APPROVAL FORM PAYEE ANNA MARTINEZ 24 - SEMI-MONTHLY PAYROLL WARRANTS NUMBER OF WARRANTS 25 WARRANT AMOUNT 55.63 2.603,33 TOTAL 2%658.96 THE AMOUNT OF THESE HANDWRITES WILL BE INCLUDED IN THE SEMI MONTHLY PAYROLL TOTAL ON MAY 18th 19 94 THIS IS TO CERTIFY THAT ALL ACCOUNTING AND BUDGETING PROCEDURES HAVE BEEN COMPLETED ON THE ATTACHED LISTED CLAIMS AS SHOWN ON PAGE 1 THROUGH 1 , AND DATED MAY 18, 1994 , AND THAT PAYMENTS SHOULD BE TO THE RESPECTIVE VENDORS IN THE AMOUNTS SET OPPOSITE THEIR NAMES, WITH THE TOTAL AMOUNT $ 32,607.00 DIRECTOR �0!'IP C)! AND ADMINSTRATION SERVICES SUBSCRIBED AND SWORN TO BEFORE ME THIS 18th DAY OF MAY MY COMMISSION EXPIRES: D MY COMMISSION EXPIRES an. 1.19s4 No lc 1994 WE THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO HEREBY APPROVE THE CLAIMS AS SET FORTH ABOVE; AND WARRANTS IN PAYMENT THEREFORE ARE HEREBY ORDERED DRAWN UPON THE GENERAL FUND - TOTALING $ 32,607.00 l; LCJtipa7 c>falder -t/ E PAGE 1 OF 1 WELD COUNTY GENERAL FUND CLAIMS WARRANT NUMBER PAYEE DATE SIGNED AMOUNT 902683 CITY OF GREELEY 32.607.Q0 THE FOLLOWING ARE THE TOTAL WARRANTS ISSUED THAT WILL BE DISTIBUTED ON MAY 18. 1994 01 GENERAL FUND $ 188,894.05 2,603.33 71 PAYROLL FUND $ 10,548.72 12 SOCIAL SERVICES FUND $ PREPARED BY: 03-01-88 CM THE FOLLOWING HANDWRITTEN WARRANTS WILL BE APPROVED ON MAY 18, 1994 NUMBER OF WARRANTS NUMBER OF WARRANTS NUMBER OF WARRANTS PREPARED BY: 1 1 01 GENERAL FUND 71 PAYROLL FUND $ 32,607.00 $ 55.63 12 SOCIAL SERVICE FUND $ CM 011262.009 AMOUNTS SET OPPOSITE THEIR NAMES. WITH THE TOTAL AMOUNT DATED THIS 19 �,J•Y I" • DIRECTO. OF FI ANCE AND ADMINISTRATION SERVICES SUBSCRIBED AND SWORN TO BEFORE ME THIS DAY OF MY COMMISSION EXPIRES; Mt COMMISSION EXPIRES JAM. 1.1996 NOTARY PUBLIC WE• THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY. COLORADO. HEREBY (APPROVE) (DISAPPROVE) THE CLAIMS AS SET FORTH ABOVE: AND WARRANTS IN PAYMENT THEREFORE ARE HEREBY ORDERED DRAWN UPON WAP200P WELD COUNTY WARRANT REGISTER AS OF : 05/16/94 DATE : 05/16/94 PAGE : 5 THIS IS TO CERTIFY THAT ALL ACCOUNTING AND BUDGETING PRODECURES HAVE BEEN COMPLETED ON THE ABOVE LISTED CLAIMS AS SHOWN ON PAGE 1 THROUGH 4 p AND DATED 05/16/94 AND THAT PAYMENTS SHOULD BE TO THE RESPECTIVE VENDORS IN THE sa:l�'.��• mQW 19 e THE C �^l1Stal FUND - TOTALING >, 3p. UVJv5.2 DATED THIS .1, pAY OF _ \aLe�„• 19C1G/ • ELD COUNTY CL K TO THE BOARD at," / a . ieiL EPUTY - S41 - MEMBER A-"ri MEMBER bid CHAIRMAN MEMBER Serocathfileigsfete MEMBER WAP200P WARRANT PAYEE NUMBER MELD COUNTY WARRANT REGISTER AS OF : 05/16/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT 08J PROJ DATE : 05/16/94 PAGE : 1 WARRANT AMOUNT A220634 CABLE EXPRESS CORPORATION 64054 64094 A220635 COLO COUNTIES INC. REOS13 A220636 CORPORATE SOFTWARE INC. 7255570 A220637 DENVER ZOO NAY2TDRI A220638 DIRECTOR OF FINANCE 103955 2120 2684MAY 41442 417 A220639 FRANK, PAULA L A220640 GREELEY GAS CO 0513M 17607 01-1191-6948-&OCC 01-1191-6398-00CC 01-1011-6335-AL1 01-1011-6335-AL2 01-1011-6335-01 01-1011-6335-02 01-1011-6335-03 24.-9033-6210-4190 21-6600-6390-DR1 01-1061-6342-CCJA 01-1061-6342-CMA4 01 -1061 -6342 -CH 01 -1061 -6342 -CM 01-1061-6342-CHA3 01-1041-6370 01-1061-6344-CCJA 186.52 1,714.17 1,900.69 tassasssssssss= 140.00 I40.00 140.00 140.00 140.00 700.00 =inns= Z1L siiss 678.44 678.44 ==as=s==asassas 132.00 132.00 s==ass===,= 2,376.90 169.31 28.40 503.14 50.7♦ 31200.49 ==s=ssssas 61.75 ==_ass=S= 61.75 6,627.33 WAP200P WARRANT PAYEE NUMBER MELD COUNTY WARRANT REGISTER A5 OF : 05/16/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROD DATE : 05/16/94 PAGE : 2 WARRANT AMOUNT A220640 GREELEY GAS CO A220641 HOYT, JUDITH K A220642 JONES, DONALD E 34515 01-1061-6344-BGMQ 631.92 45433 01 -1061 -6344 -LID 473.69 0512M1 0513141 A220643 MICRO COMPUTER WORLD INC 32041 A220644 MORGAN COUNTY REA A220645 PERSON, LAWRENCE C A220646 POTATO BRUNBAUGM'S 18180 24140 0513AI 8833 A220647 POUDRE VALLEY REA INC 1441 01-1041-6370 01-1041-6370 01 -1191 -6398 —DA 01-1061-6340aROAD 01 -1061 -6340 —ROAD 01-1041-6370 21-6950-6379 01 -1061 -6340 —ROAD 7,732.94 ...... 107.75 107.75 xaaaaa 100.00 100.00 ===fl==z :aax=ax aNnIM 30.00 ====aa=s 30.00 =3==a= 56.08 43.83 99,91 91.00 91.00 sxxx=== ssaxaax 50.00 50.00 ======xxsxaaasa 37.07 WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS or : 05/16/94 INVOICE ACCOUNT NUMBER NUMBER PD DEPT OBJ PROD A220647 POUDRE VALLEY REA INC A220648 PUBLIC SERVICE CO OF COLO 032230 15879 1850 22000 29023 A220649 ROCKY MTN NATURAL GAS 3246 7501 9344 A220650 ROMANSIK. GLORIA 050494 A220651 SERVICE AMERICA CORP 073093 A220652 SHEPARD'S MC GRAM HILL 50094 A220653 US WEST COMMUNICATIONS 4E3560636 4E3561212 4E3563850 01 -1061 -6340 -ROAD 01-1061-6341-CCJA 01 -1061 -6341 -VETS 01 -1061 -6340 -ROAD 01 -1061 -6340 -ROAD 01-1061-6344-HSF2 01 -1061 -6344 -LIEF 01-1061-6344-HSF1 63-9020-6740^DENT 01-1061-6370-JANT 01-1123-6229 67-1192-6345-LD 67 -1192 -6345 -LOLL 67 -1192 -6345 -LOLL 67-1192-6345-LD 67 -1192 -6345 -LOLL DATE : 05/16/94 PAGE : 3 WARRANT AMOUNT 37.07 mass=s==a 2.93 18,021.72 89.95 377.57 25.01 18,517.18 33.06 50.72 39.34 123.12 68.00 68.00 320.75 320.75 ____=====------ 632.80 =a= 632.80 1.49 89.10 168.66 13.20 158.43 s WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/16/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROD DATE t 05/16/94 PAGE : 4 WARRANT AMOUNT A220653 US WEST COMMUNICATIONS 4E3563975 67-1192-6345-LD 67-1192-6345-LOCL 4(3564356 67-1192^6345-LD 67 -1192 -6345 -LOCI. 4E3564525 67-1192-6345-LD 67-1192-6345-LOCL 4(3564766 6711926345-LD 67-1192-6345-LOCL 4E3564966 67^1192-6345-LD 67-1192-6345-LOCL 4E3567408 67-1192-6345-LD 67 -1192 -6345 -LO CL 463568016 67 -1192 -6345 -LOGE 4E3569919 67-1192-6345-LOCL A220654 WELD COUNTY REVOLVING FUND 8005 112.71 43.59 25.43 44.0$ 231.75 169.22 59.54 44.55 38.01 44.55 1.60 51.50 43.59 28.66 1,389.63 ========: 01-1014-6599-REC 60.00 FINAL TOTAL : 60.00 36,041.52 =aasasms WAP200P WELD COUNTY WARRANT REGISTER AS OF : 05/17/94 DATE S 05/17/04 PAGE S 21 THIS IS TO CERTIFY THAT ALL ACCOUNTING AND BUDGETING PRODECURES HAVE SEEN COMPLETED ON THE ABOVE LISTED CLAIMS AS SHOWN ON PAGE 1 THROUGH 20 p AND DATED 05/11/94, ANO THAT PAYMENTS SHOULD BE TO TOE RESPECTIVE VENDORS INTHE AMOUNTS SET OPPOSITE THEIR NAMES, WITH THE TOTAL AMOUNT 315043 P ND5 R, J.3r DATED THIS 19 DIRECTOR OF PINANCE"AND ADMINISTRATION SERVICES SUBSCRIBED AND SWORN TO BEFORE ME THIS DAY OF XL COMMISSION EXPIRES JAN. 1. lam. NY COMMISSION EXPIRES: • NOTARY PUBLIC WE, THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO• HEREBY (APPROVE) (DISAPPROVE) THE CLAIMS AS SET FORTH ABOVE: AND WARRANTS IN PAYMENT THEREFORE ARE HEREBY ORDERED DRAWN UPON 19• THE DATE In t�b1?l \ C - FUND TOTALING ii5eR ?S X53 DAY OF WELD COUNTY CLERK TO THE BOARD HAIRNAN MEMBER MEMBER MEMBER a NAP200P MARRANT PAYEE NUMBER MELD COUNTY MARRANT REGISTER AS OF : 05/17/94 INVOICE ACCOUNT NUMBER NUMBER FD DEPT OBJ PROJ DATE 1 00/17/04 PAGE : 1 MARRANT AMOUNT A220655 ABSOLUTE EMPLOYMENT SERVICES 11973 12130 4220656 ACCONNODATION SANITATION 940627 4220657 ACTION PAGE A220658 AEROGRAPHIC5 A220659 *GLAND INC A220660 AIM'S FLIGHT CENTER 5194 5194 13179 55619 66511 4220661 AMERICAN BANKRUPTCY LAM JOURNAL 5805139♦ A220662 AMERICAN RED CROSS 612 60-2160-,6350 196.80 60-2160-,6350 320.00 77-5300-6533 77-5300.-6345 77-5300-6599 77-5300+6365 77 -5300 -6250 -AUTO 77--5300-6599 01-1012-6229 01--2910.-6212-MMTU 524.80 ss:ssssassassss 61.00 61.00 163.30 163.60 335.50 335.50 700.00 319.21 1.019.21 ns:asssssssssss 695.40 695.40 50.00 50.00 537.91 MAP200P WARRANT PAYEE NURSER MELD COUNTY WARRANT REGISTER AS OF 1 OS/17/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT 0BJ PROJ DATE 1 06j17/94 PAGE : 2 WARRANT AMOUNT A220662 AMERICAN RED CROSS 537.91 a azzsaassa sass A220663 AT&T 43094 77-5300-6345 49.22 A220664 AVIATION COMMUNICATIONS 9434 A22066S BACHMANN GORDON R A220666 BAUER, RICHARD N A220667 BFI WASTE SYSTEMS 042694 05139♦ 178916 674620 49.22 77 -5300 -6260 -PICT 571.77 79-1041-6143 79-1041-6143 79-1041-6143 79-1041-6143 671.77 s7C33s3szzizssss 5.00 5.00 32.00 10.00 52.00 sazsassi{ssizzas 940511 01-2111-6220 10.62 10.62 42594 77-5300-6366 09.51 A220668 SIG R MANUF & D1ST INC 00013976 11-3132-6250-SCUL 00016017 11-3132-,6250-BCUL 00016137 11.3132-6260-$CUL 00016196 11-3132-6250-SCUL 00016216 113132-6250-6RIa 59.51 016.40 96.00 367.64 514.92 1,077.30 2.864.46 ma= iisizza#sasz MAP20,0P MELD COUNTY NRRRANT REGISTER AS OF : 05/17/94 WARRANT PAYEE INVOICE NUMBER NUMBER w -w 7-w 7w ww7- ----w A220669 BIG R OF GREELEY A220670 BIG R OF GREELEY 341694 385958 386276 386738 387151 387466 387498 387697 388685 388696 389076 389535 389762 389920 389942 390402 390486 39110.8 392036 392228 392307 392830 392938 393024 393056 393225 393276 393395 393466 395059 6220671 SOWERS, BURMELL C ELENA 31063 36390 ACCOUNT NUMBER FD DEPT OBJ PROD DATE 2 05/17/94 PAGE : 3 DARRANT AMOUNT 77-5300-6366 77-5300-6220 77-5300-6362 7775300-6220 77-5300-6220 77-5300-6220 77-5300-6220 77-5300-6220 7775300-6366 77-5300-6220 77-5300-6220 77-530076220 777530076220 77-530076362 7775300-6366 77-5300-6362 77-530016362 77-5300-6362 77-5300-6366 7775300-6362 77-5300-_6362 77-5300!6362 77-530076220 77-530076366 77-5300-6366 77-5300-6220 77-530076241 77-530076366 77-X530076366 77-530076367 01-2420-6599 01-2420-6599 12.29 33.40 16.22 10.90 48.66 10.80 8.26 9.00 25.13 10.95 19.77 3.90 4.38 2.76 9.58 31.26 257.34 *ate=-----aasta. 7.74 90.07 24.32 5.26 7.80 5.58 9.79 25.59 43.79 24.17 18.67 5.39 7.15 2.97 278.29 277.00 25.00 302.00 MUSS= . a as annfl WAP200P WARRANT PAYEE NUMBER A220672 BRATTON'SD INC A220673 BRAUN, ELISABETH B A220674 BROWNELL'S INC A22067S CAMERA CORNER A220676 CAMERON SERVICES WELD COUNTY WARRANT REGISTER AS Of : 06/17/94 DATE S 05/17/94 PAGE : • INVOICE ACCOUNT NUMBER WARRANT NUMBER PD DEPT OBJ PROD AMOUNT —..----..--- 'Ia•-- — — CS8442 01-2910-6210 33.43 9400438202 177354 3238 4866 A220677 CENTENNIAL AG SUPPLY CO 98527 A220678 CENTRAL VALLEY PROF SERV FREIGHT 932466 A220679 CHAMPS 79•-4410-6143 01.2110-6226-TRNG 01-2110-6220 77+S300-6250-PILT 33.43 *flans &&&&&& 66.20 alliMINIIINEMOMOOMP.MIAMIN.PadESIM.MI 66.20 Lam saaaasasa !.711•72 -------r—++rI.- 178.72 ssasssssasssass 60.93 60.93 =us aaaa aaUna 169.75 169.75 77-5300-6365 367.50 60-2160-6360 60-2160-6360 367.50 5.62 70.00 83.62 ssasasssassssss 043094 66+9020-6380 250.00 940406 01-2110-6350 66.00 NAP2OOP *ARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF a 05/17/94 INVOICE NUMBER ACCOUNT NUMBER FO DEPT -05J PROD DATE Z 05/17/94 PAGE z s • WARRANT AMOUNT A220679 CHAMPS 316.00 ssa3lassasssass A220680 CHASE, PATRICIA N A220681 COGSWELL, LESLIE N 004890 379325 4220682 COLE t CROSIER, P.C. 44694 A220683 COLO DEPT OF REVENUE 43094 A220684 COLO PILOTS ASSN 51194 A22068S COLO SPRINGS HOUSING AUTH A0945 W36515 A220686 COLORADOAN (FT COLLINS) 185159 63-9020-674040VISN 01 -2110 -,6370 -JAIL 77-5300-6354 77-5300-6599 77-5300-6330 24-9033-6495-4590 24-9034-6397-4715 70.98 70.98 =mamma azaaasma 30.02 30.02 ssas 1,027.50 1027.50 721.21 -a----- 721.21 =a=Sawaaaasaasa 20.00 20.00 x 30.66 348.00 378.66 194110-6350 54.92 54.92 WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/17/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT 08J PROJ DATE 05/11/94 PAGE : 6 WARRANT *MOUNT eSIVnnEwa--s--n+.---elan—...+rr wr••app--arer- -- yw—r--..+•=4—r••—ry——IMSrany.S- A220687 CONTINENTAL SUPPLY INC 68179 69065 69722 69723 69725 A220688 COOPER AVIATION SUPPLY CO 588778 588978 589771 591123 A220689 COREN PRINTING A220690 COUNTRY GENERAL 13707 13705 77-5300-6362 77-5300-6362 77-5300-6362 77-5300-6362 777530076362 77-5300-6250-PILT 77-5300-6250-PILT 77-5300-6250-PILT 77-5300-6250-PILT 64-4155-6320 0171014-6328 01-2420-6328 21117 77-5300-6220 7775300-6362 A220691 CUNLIFFEs JR.s CHAS A 051194 79-1014-6143 051694 79-1014-6143 9401436304 79-1014-6143 A220692 D.C. BAR COMMUNICATIONS orrice L0M051694 54.88 80.65 83.58 91.38 65.88 376.37 =sac= ZZZZZZ inns 31.82 42.95 49.04 20.55 144.36 8.00 15.00 15.00 38.00 28.50 9.98 38.48 6.54 5.00 8.40 ewereerlaee..ee 19.94 aaaat:zaszztas: 01-1012-6229 20.00 20.00 WAP200P MELO COUNTY NARRANT REGISTER AS OF : 0.5/17/94 DATE : 05/17/94 PAGE : 7 WARRANT PAYEE INVOICE ACCOUNT NUMBER WARRANT NUMBER NUMBER PO DEPT OBJ PROD AMOUNT -Ma - - A220693 EMPIRE LABORATORIES 2140075 2140083 A220694 FEDERAL EXPRESS CORP 22292 A220695 FLEISCNLI OIL CO A220696 FLYING REVIEW A220697 FORTIS BENEFITS A220698 FRITO LAY INC. A220699 GARCIA, MARCELLA D 6895 S94 51594 28181♦ 004891 A220700 GFOA EDUCATIONAL SERVICES HANDLING 90658 11-3190-6397 223.90 11-3190-6397--1425 90.00 77-5300-6311 77 -5300 -6250 -OIL 77-5300-6337 77-5300-6140 86-2311-6250—COMM 63 -9020 -6740 —DENT 01-9020-6322 01-9020-6322 313.90 s=asassaasasaas 13.00 13.00 aasaxaasaxaasaa 204.30 204.30 150.00 140.00 a ====== .asasssa 916.80 916.80 216.71 aaeeaaaeeaameama 216•7I 3142 =asasax asasa 62.50 62.50 224=44 =saaxaaaa 4.00 25.00 WAP200P WARRANT PAYEE NUMBER HELD COUNTY WARRANT REGISTER AS OF = 05/17/94 INVOICE NUMBER DATE 106/17/94 PAGE : 8 ACCOUNT NUMBER FD DEPT O8J PROD Imp MS MM. WARRANT AMOUNT A220700 GFOA EDUCATIONAL SERVICES 29.00 s saa a a asa asssaa A220701 DNA INC 10561 A220702 GOVERNMENT TECH SUS. INC. 142540101 A220703 GREELEY AREA CHAMBER OF COMMERCE GRE73 5496 A220704 GREELEY DAILY TRIBUNE (THE) 51194 A220705 GREELEY GAS CO A220706 GREELEY LOCK i KEY 00494 01494 03494 04494 50A494 508494 SOC494 500494 50E49♦ 50G494 5014494 11-3190+6397-392 19-4110-,6398-HLTH 77-5300-6337 77-3300-6330 1.812.00 ------- ----�� 1.012.00 sa:tm:sasassauM 45.00 --------------- 45.00 289.00 214,00 503.00 77-3300-6333 102.00 77-5300-6344 77-6300-6344 77-5300-634♦ 77-5300-634♦ 77-5300-6344 77-330076344 77-5300-634♦ 77-5300-6344 7775300-6344 77-5300-6344 7745300-6344 IMP la 102.00 74.59 56.83 86.71 46.68 15.55 16.69 46.57 120.32 33.33 32.36 34.08 565.71 =floss sassasass 47500 77-5300-6220 3.75 MAP200P MARRANT PAYEE NUMBER MELD COUNTY MARRANT REGISTER AS OR : 05/17/94 INVOICE NUMBER ACCOUNT NUMBER PD DEPT 08J PAOJ DATE : 05/17/94 PAGE : 9 MARRANT AMOUNT A220706 GREELEY LOCK t KEY A220707 GREELEY PATHOLOGIST 47838 77-5300-6367 66.00 49837 77-5300-6220 69.00 138.75 050694 A220708 GREELEY MELD COUNTY AIRPORT 561 558 559 560 561 562 563 564 565 A220709 GUEUREMONT, MODESTA 050294 957011 A220710 HARTS TERRY A A220711 HERRERA, KELLY C 01-2180-6350 77753(d076345 77-5300-6599 77-5300-6599 77-5300-6533 77-5300-6311 77-5300-6345 77-5300-6950 77-5300-6379 77-5300-6379 77-5300-6362 aaSSCasaaaafa 32600.00 30600.00 10.70 479.62 18.64 8.21 ♦.58 10.50 290.00 50.00 23.10 154.00 SS 1,049.35 01 -2110 -6370 -JAIL 238.31 01-2110-63707SVGS 111.14 L0N051694 01-101276370 N945913 esmemm.ImimmimwmAlimiowilmmme 349.45 maasasasaa asap 190.00 190.00 am= saaaaaaasa 79-4170-6147 100.00 100.00 MAP200P WARRANT PAYEE NUMBER MELD COUNTY WARRANT REGISTER AS OF : 05/17/94 INVOICE ACCOUNT NUMBER NUMBER FD DEPT 08J PROJ A220712 HUGH M. HOODS A220713 J C PENNEY INC A220714 JACK, CHARLES C. A220715 JEPPESEN SANDERSON A220716 JEROME CO 4220717 KIBUR2. STEVEN L A220718 KINKOOS 085846 085865 80306 81048 81908 82125 83053 83308 83324 005590 0512MI 37165 1121420 004892 68820 DATE : 05/17/94 PAGE : 10 ---- ---- --- -- 01 -1061 -6360 -CC 01 -1061 -6360 -CC 77-5300-6366 77-6300-6366 77-5300-6366 77-5300-6366 77-5300-6220 77-5300-6950 77-5300-6950 01-1123-6599 01-1041-6370 77-5300-6250-PILT 86-2311-6250-COMM 63-9020-6740-VISM 77-5300-6337 WARRANT AMOUNT 26.80 41.28 28.57 97.80 56.20 32.97 9.99 99.62 399.99 792.22 23.00 23.00 51.25 51.25 451.56 a--- 451.56 105.51 10$.51 =ZS ----- Wai4SOUS 110.00 110.00 33.00 MAP200P WARRANT PAYEE NUMBER MELD COUNTY WARRANT REGISTER AS OF : 05/17/9♦ INVOICE NUMBER ACCOUNT NUMBER FD DEPT 08J PROJ DATE : 05/17/94 PAGE : 11 WARRANT AMOUNT A220718 KINKO'S A220719 LAMICA. PAT R 69168 004893 A220720 LAZNICKA. SUZANNE L 003361 940510 A220721 LLEWWLLYN. AMY L A220722 LOMATO. VICKI R 05119♦ 004894 A220723 MCKEE MEDICAL CENTER 042694 A220724 MILLER. SMELLY K 051694 A220725 MOONLIGHTER PUBLISHING CO 1197 77-5300-6220 63 -9320 -6740 -DENT 01 -2110 -6370 -SVGS 01-2110-6372-TRNG 01-2180-6350 63-9020-6740+DENT 01-2180-6350 79-1015-6143 77-5300-6337 17.96 50.98 2,======i; ====== 269.00 a...._n_----..-... 269.00 SS3S lSZZSSSasn 2.36 22.00 24.36 csssessaasaaa 755.00 Sal 755.00 TO.00 70.00 1.799.20 1.799.20 a2 49.46 49.66 60.00 WAP200P WELD COUNTY WARRANT REGISTER AS OF 05/17/94 WARRANT PAYEE INVOICE NUMBER NUMBER ACCOUNT NUMBER PD DEPT WSJ PROJ DATE : 05/17/94 PACE : 12 WARRANT AMOUNT A220726 MOUNTAIN FLYING ENTERPRISES 1717 A220727 NAIL GRAPHICS COMPANY 336331 A220728 NATL LAW JOURNAL 878061394 A220729 NELSON OFFICE SUPPLY 013314 10625 11095 11785 A220730 NEWCO INC 146340 146420 A220731 NORTH COLORADO MEDICAL CENTER 043094 A220732 NORTH WELD COUNTY WATER DISTRICT 520494 849494 923494 932494 976494 77-5300-6250-PILT 01-1041-6320 01-1012-6229 64-1155-6250-0FSU 77-5300-6210 77-5300-621.0 77-5300-6220 77-5300-6362 77-5300-6366 01-.2160•.-6350 77-5300-6342 77-5300-6342 77-5300!6342 77-5300-6342 77-5300-6342 aa 4411 54.00 54.00 502.63 502.63 88.00 88.00 :xzsastssssssaa 120.16 3.73 26.90 5.00 155.79 ssaasaasasaasas 32.23 23.10 $5.33 zaasaaaasaaasa 861.28 861.26 saasasasa sassas 18.10 19.20 17.00 17.00 22.50 MAP200P MELD COUNTY MARRANT REGISTER AS OF Z 05/17/94 DATE i 05/17/94 PAGE Z 13 WARRANT PAYEE INVOICE ACCOUNT NUMBER WARRANT NUMBER FO DEPT OBJ PROJ AMOUNT NUMBER A220732 NORTH MELO COUNTY HATER DISTRICT 985494 A220733 NORTHERN ARMORED SERVICE 050294 43094 A220734 NORTHERN CO GRAPHICS, INC 10896 10976 11095 A220735 NORTHERN COLO DISPOSAL 5594 A220736 NORTHERN COLO PAPER CO 296143 298775 77-5300-4342 17.55 111.3$ a saa ;flaws *Mass 01-9020-6330 49.35 77-5300-6358 61.95 77-5300-6210 77-5300-6210 77-5300-6210 ---e--- 111.30 125.00 61.60 36.85 223.45 asas2saaasasaas 77-5300-6365 23.00 77-5300-6220 7775300-6220 A220737 ORKIN EXTERMINATING INC 41594 77-5300-6366 A220738 ORTGIESEN, REX 28 25-9081-6398-93 23.00 17.49 36.77 54.26 40.00 40.00 man aaaaasassa 1,436.77 es anMialli•IMPS•gleMpolla 1,036.77 sass assaasaaaaM WAP20GP WARRANT PAYEE NUMBER y w 1 WELD COUNTY WARRANT REGISTER A9 OF : 05/17/94 INVOICE NUMBER A220739 PENNINGTON, ANNE E DATE : 05/17/94 PAGE s 14 ACCOUNT NUMBER WARRANT FD DEPT 08J PROJ AMOUNT -w- -- ...... ww- .. 004895 63 -9020 -6740 —DENT 74.00 79-1192-6143 3.00 A220740 PENNY SAVER MEDICAL SPEY 10868879 4220741 PETTY CASH BLDG s 77.00 19-4140-6220—N 100.12 G GRADS 0000214 01-1061-6360 0198»287376 01-1061-6360 051194 01-1061-6360 05139♦ 01-1061-6360 103020 01-1061-6360 141757 01-1061-6360 163972 01-1061-6360 217 01-1061-6360 222419 01-1061-6360 222428 01-1061-6360 222429 01-1061-6360 222431 01-1061-6360 222433 01-1061,0380 222435 01-1061-6360 30 011061-6360 848637 01-10616360 A220742 PETTY CASH BLDG C GANDS 885234 95692 95833 95948 4220743 PNILLIPS 66 COMPANY 166384 183289 01-1061-6360. 01-1061-6360 01-1061-6360 01-1061-6360 77-5300-6250-JETA 77-5300;6250-JETA 100.12 2.14 11.98 2.87 8.46 16.00 .59 3.14 16.80 1.74 3.98 10.73 3.21 6.118 1.32 3.45 17.17 h. --.w....--- 109.86 5.09 2.46 14.96 11.52 34.03 =ZS 6,729.13 6503.21 HAP200P WARRANT PAYEE NURSER HELD COUNTY WARRANT REGISTER AS OF : 05/17/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT 08J PROD DATE ; 05/17/94 PAGE : 15 WARRANT AMOUNT ----^--^- ----- _--------- ------..f- A220743 PHILLIPS 66 COMPANY 440019 447015 531017 77 -5300 -6599 -PHIL 2,276.86- 77-5300-6599-PMIL 1,208.12- 77 -5300 -6599 -PHIL 1p63E.82- 7,911.54 A22074♦ PREFERRED CORRECTIONAL MEDICAL COMPANIES 051394 01-2310-.6350-MDNC A220745 RAY'S OFFICE EQUIP INC 6616 A220746 ROCKY MTN SUPPLY,INC 123801 124602 124825 A220747 ROLM 218552 A220748 SADUSKY, JR, STANLEY J 0511MI A220749 SCNUETT1 KEITH A 3851 32,626.26 •sr-r_se----mPie 32,626.26 ozzszzsfssszss 77-5300-6210 116.95 77-5300-6366 77-5300-6366 77-5300-6366 67-1192-6945 01^1041-6370 79-1014-6147 116.95 75.57 39.09 38.40 --- 153.04 sass zsszssssss 3.729.25 3,729•25 33.00 ---- w.. 33.00 szzzszzsszszsss eMIS 130.00 13000 sas WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/17/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT 08J PROJ PATE 1 05/17/94 PAGE 1 16 WARRANT AMOUNT A220750 SCHWARTZ. MARY H A220751 SEILER. KATHRYN A220752 SIGNS FIRST 2169031 MAY 94 1422 1465 A220753 SKY -WAY PUBLICATIONS. INC 6359 A220754 SPECKMAN1 WALTER J 01-2111-6315-INCS 01-1025-6370 77-5300-6220 77-5300^6220 12.60 12.60 a sasaa======= MA 26.00 aaaaaaa .- 26.00 :swan ======= SA 44.00 14.50 60.50 Maasaa 77-5300-6337 350.00 004896 63-90206740+VISN 79-6950-6143 A220755 STEFFEN'S SUPER MARKET 005591 A220756 TMISSEN CONST CORP 05019♦ A220757 TOTAL ENGINEERING SERVICE 0510081 01-1123-6599 34-4944-6920-ILGR 25'9071-63984E 350.00 50.00 50.00 100.00 29.22 29.22 45,013.00 45,013.00 mass aaaaaaaas 280.00 WAP200P WARRANT PAYEE NURSER WELD COUNTY WARRANT REGISTER AS OF s 05/17/94 INVOICE ACCOUNT MUSSER NURSER PD DEPT 08J PROJ DATE z 05/17/94 PAGE 2 17 WARRANT AMOUNT A220757 TOTAL ENGINEERING SERVICE 280.00 A220758 TOWN OF FREDERICK A220759 UNC 11958 01-1061-6341-LIBF 151.32 30♦ 01-1061-6341-NSF1 330,3 A220760 UNITED PARCEL SERVICE S C 645 A220761 UNITED STATES WELDING INC R056463 A220762 UNITOG RENTAL SERVICES 407 414 421 428 A220763 UNIWEST EQUIPMENT A220764 US DEPT OF COMMERCE 37.02 188.34 21-6850-6222-UNC 17,843.72 17,843.72 zizszsaaasaaaaa 01-1025-6310 5.00 01-1025-6310 6.41 11.41 a assssaaaass an 01-2118-6220 2.65 77-5300-6226 77-5300-6225 77-5300-6225 77-530076225 2.65 40.07 40.67 40.07 40.07 23♦ 77-5300-6599 6,583.92 ss 6,583.92 192439 77 -5300 -6250 -PICT 214.65- wMENNEMEML. NAP200P WARRANT PAYEE NUMBER MELD COUNTY WARRANT REGISTER AS OF OS/17/94 INVOICE NURSER ACCOUNT NUMBER PD DEPT OBJ PROJ DATE : 05/17/94 PAGE : 18 ..... aaa -« aaa aa a • 4220764 US DEPT OF COMMERCE 88203 992338 994834 997542 A220765 US WEST COMMUNICATIONS 141594 601494 646594 4220766 VALLEY FIRE EXT 37957 4220767 VAN WATERS S ROGERS DELIVERY 0V-278679 A220768 VILLAGE RESORT A220769 VISA 5T8051694 42494 42594 4594 4694 4894 77-5300-62$0-PILT 77-5300-6250-PILT 77-5300-6250-PILT 77-5300+6250-PILT 77-5300-6345 77-5300-6345 77-5300-6345 77-5300-6362 012990-6360 01-2990-6360 01-1012-6370 77-5300-6220 7775300-6374 77-5300-6250-PILT 77-5300-6374 77-5300-6220 WARRANT AMOUNT 8.40 110.40 100.71 140.34 145.20 aaaaaana=aaata 442.63 49.46 58.32 ---y------� -� 550.41 t assaaaa-a arias a 26.65 26.65 12.00 55.00 ----- —� 97.00 540.00 —a=-a--IMIMPaal aMnbial 540.00 asas=s....... 67.00 350.02 579.50 66.14 7.92 1,070.58 a naafi WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF I 05/17/94 INVOICE NUMBER ACCOUNT NUMBER PD DEPT OSJ PROJ DATE 105/17/94 PAGE 2 19 WARRANT AMOUNT A220770 SAL -MART DISCOUNT CITIES 2380308 A220771 WARD TRANSPORT, INC. 3987 A220772 WEDSTER. WILLIAM N 051494 A220773 WEINMEISTER. CHERYL L 004897 A220774 WELD COUNTY REVOLVING FUND 7992 7993 8006 8007 *220775 MESTVIEW PRINTING 110294 110295 110296 110297 110326 11,0377 110437 110438 110439 110440 01 -1061 -6360 -CC 77-5300-6250-JETA 79-1011-6143 63 -9020 -6740 -DENT 88-2112-6220-AUXL 88-2112-6220-AUXL 88 -2112 -6220 -POSE 88-21126220POSE 64-1155-6320 64-1,155-6320 64-1155-6320. 64--1155-6320 64-1155-;6320 64-1155-.6320 64-1155-632.0 64.'1155-6320 64-1155-6320 64-1155-6320 59.84 59.84 192.29 192.29 aass-aaaa*asasa die 10.00 10.00 382.50 382.50 =MISSES 22222222 90.00 414.00 135.00 50.00 . 689.00 ♦5.00 28.05 36.50 61.50 58.00 162.00 58.00 118.00 118.00 21.65 706.70 WAPaGDP WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF S 05/17/94 INVOICE NUMBER A220776 WIENERS, LESLIE W ACCOUNT NUMBER FD DEPT O8J PROD DATE : 05/17/94 PAGE : 20 WARRANT AMOUNT 004898 63-9020-6740-UISN 81.00 A220777 WINOGRADS STEEL 6 SUPPLY 030583 030872 030938 031008 032163 A220778 WORDPERFECT MAGAZINE 05179♦ A220779 ZAHOURECK, CAROL 11 -3132 -6250 -GRID 11-3132-6250-BRID 11 -3132 -6250 -BRIO 11 -3132 -6250 -BRIO 11-3132-6250-BRID 81.00 sasssazEaaaaasa 1,109.64 146.39 30.00 318.45 477.83 2,002.31 xaaaaaazsaasa:: 01-1151-6320 24.00 1042;D 01-1012-6350 24.00 134.28 134.28 --._eam-r- FINAL TOTAL : 182.852.53 WAP200P WELD COUNTY WARRANT REGISTER AS OF : 05/17/94 DATE 1 05/17/94 PAGE : THIS IS TO CERTIFY THAT ALL ACCOUNTING AND BUDGETING PRODECURES HAVE BEEN COMPLETED ON THE ABOVE LISTED CLAIMS AS SHOWN ON PAGE 1 THROUGH 4 p AND DATED 05/17/94, AND THAT PAYMENTS SHOULD BE TO THE RESPECTIVE VENDORS IN THE 1;54e•12 . AMOUNTS SET OPPOSITE THEIR NAMES WITH THE TOTAL AMOUNT DATED THIS /%fh AY • � : 19 . DIRECTOR OF IN NCE AND ADM NISTRATION SERVICES SUBSCRIBED AND SWORN TO BEFORE ME THIS /❑4 DAY OF MY COMMISSION EXPIRES: �(x COh1�11$5ION EXR12E$ JAN. 1, 1990 • 7%L< e _ NOTARY PUBLIC rnAe 1994' . WE, THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO, HEREBY (APPROVE) (DISAPPROVE) THE CLAIMS AS SET FORTH ABOVE; AND WARRANTS IN PAYMENT THEREFORE ARE HEREBY ORDERED DRANN UPON THEERVIGC FUND - TOTALING DATED_ THIS 18+ DAY OF MRY WELD COUNTY CLER TO THE BOARD B /015481L 19'7' . 11)41 bid CHAIRMAN `hb��dz� //['/�// MEMBER MEMBER NEARER WAP200P WARRANT PAYEE VELD COUNTY WARRANT RESISTER AS OF 05/17/94 INVOICE ACCOUNT NUMBER NUMBER NUMBER FD DEPT 08J PROJ DATA : 05/17/94 PAGE : 1 -- ----------------------_______a__-------- 5861020 GARZA. MARCOS JR 5861021 NORMAN, RICHARD $861022 CLARK, DARIA S861023 MCCOY, LAURA 5861024 PETERSON, MARY S861025 FAMILY SUPPORT REGISTRY S861026 FAMILY SUPPORT REGISTRY 5861027 AULT CLINIC THE 12-0001-2040 12-0001-2040 12-0001-2045 12-0001-2045 12-0001-2045 12-0001-2045 12-0001-2045 12-0001-2045 WARRANT AMOUNT 84.26 54.26 .73 . 73 20.00 20.00 400.00 400.00 mass=msaxsssssa 300.00 im.V.W.P.M.T.IIIMTWOWOMSwatiMeiMe 300.00 Sat flsa*f!-ass 813.72 1.729.45 2.374.42 e=IMIMPIMPW=LIMMEMIIIMIIIMEdie =nig 4,917.59 12-0001-2045 3.374.89 3,374.89 12-4447-6710-REG 22.50 MAP200P WARRANT PAYEE NUMBER MELD COUNTY WARRANT REGISTER AS OF : 05/17/94 INVOICE NUMBER 5861027 AULT CLINIC THE $861028 BAGLEY. DAVID L. MD 5861029 DONNER1 E JEFFREY S861030 GREELEY MEDICAL CLINIC PC S861031 GREELEY PSYCHIATRIC CLINIC 5861032 KEENE MEDICAL CLINIC - - - ACCOUNT NUMBER FD DEPT OBJ PROD DATE : 05/17/94 PAGE : a WARRANT AMOUNT 22.50• sssasssssssasas 12-4447-6710-REG 22.50 12-4447-6710-REG 12-4447-t6710-REC 12-4447-671,0-REG 12-4447-6710-REG 12-4447-6710-REG 12-4447-6710-REG 12-4447-4710-REG 12-4447-6710-REG 12-4447-6710-REG 12-4447-6710-REC 12-,447-671,0-REG 12-4447-4710-REC 12-4447-6710-REG 12-4447-6710-REG 12-4447-6710-REG 12-4447-6710-'REC 12-4447-6710-REG 22.50 22.50 --T 22.50 flaaasassassass 45,00 30.00 40.00 30.00 30.00 30.00 40.00 45.00 40.00 40.00 30.00 40.00 40.00 40.00 45.00 30.00 600.00 12-4447-6710-REG 22.50 ellIMEMOIS 22.50 12-4447-6710-REG 22.50 ------•••«--« 22.50 Max aa:slasas MAP200P WARRANT PAYEE NUMBER MELD COUNTY MARRANT REGISTER AS OF : 05/17/94 INVOICE ACCOUNT NUMBER NURSER ED DEPT OBJ PROJ DATE S 05/17/94 PAGE : 3 WARRANT AMOUNT 5861,033 LONGMONT ORTHOPEDIC ASSN S861034 NORTH COLORADO MEDICAL CENTER 5861035 NORTH COLO NEUROSURGERY $861036 SNORE, ROY H. M.D. 58610.37 SUNRISE CORN 1LTH CNTR SO61038 VOLE, JOHN M.. RD 5861039 CRABBE. WILLIAM S861040 DAVIS. WINDOM H. 124447-6710-REG 12-4447-6710-REG 12-4447-6710-REG 12-4447-6710-REG 12-4447-6710-REG 12-4447-6710-REG 124447-6710-REG 1.2-4447-671 0-REG 12-44476710-REG 22.50 22.50 slaa:aaa3asasas 20.25 20.25 ass aria asnasss 22.50 22.50 :44**: XXXXXXX 22.50 22.50 22.50 22.50 45.00 22.50 22.50 aas 22.50 22,50 22.50 "22 50 NAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF z 05/17/94 INVOICE NUMBER ACCOUNT NUMBER FO DEPT OBJ PROJ DATE : 05/17/94 PAGE : WARRANT AMOUNT 5861041 SCNNEERS, DAVID N. 58610.42 FUENTES) JOSE ALFREDO 5861043 GUTIERREZ) DENISE MICHELL $861044 RODARTE, REBECCA £861045 WILKIE) KIMBERLY ANNE 12-4447-4710-REG 12-0001-2040 12-0001-2045 12-0001?2045 22.50 —..--—ee—.e-.. 22.50 150.00 ---..--a-----.» 150.00 t:smsasssisssss. 116.00 11'.00 sssszssssssssas 140.00 eeeed.S.WWOMSIMMIIIMIIIMMO 12-0001-2045 110.00 FINAL TOTAL : 110.00 sasssssssssssss 10,548.72 WAP2OOP WELD COUNTY WARRANT REGISTER AS OF : 05/17/94 DATE : 08/17/94 PAGE : 5 THIS IS TO CERTIFY THAT ALL ACCOUNTING AND BUDGETING PRODECURES NAVE BEEN COMPLETED ON THE ABOVE LISTED CLAIMS AS SHOWN ON PAGE 1 THROUGH 4 • AND DATED 0.5/1,7/94, AND THAT PAYMENTS SHOULD BE TO THE RESPECTIVE VENDORS IN THE $ 14548.12, AMOUNTS SET OPPOSITE THEIR NAMES, WITH THE TOTAL AMOUNT DATED THIS DIRECT DAY OF I'Y)At/ 19 a• 4 CE AND MINISTRATION SERVICES • SUBSCRIBED AND SWORN TO BEFORE ME THIS IBfh DAY OF tY)At' 19 (1 • MI COMMISSION WIRES MK 1. 1996 MY COMMISSION EXPIRES: • NOTARY PUBLIC WE, THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO, HERESY (APPROVE) (DISAPPROVE) THE CLAIMS AS SET FORTH ABOVE: AND WARRANTS IN PAYMENT THEREFORE ARE HERESY ORDERED DRAWN UPON THE � lf�r . 5&R FUND r TOTALING 4 I Q546 72 DATED THIS ifl�h PAY OF MAY WELD COUNTY CLERK TO THE BOARD 141.4 At-, 2.k.� UTY (1.1/±..creaaat.-- MEMBER • fir W AP200P W ARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/17/94 INVOICE ACCOUNT NUMBER NUMBER FD DEPT 08J PROJ DATE : 05/17/94 PAGE : 1 WARRANT AMOUNT 5861,020 GARZA, MARCOS JR S861021 NORMAN, RICHARD S861022 CLARK, DARIA S861023 MCCOY, LAURA $8610,2♦ PETERSON, MARY S861025 FAMILY SUPPORT REGISTRY 5861026 FAMILY SUPPORT REGISTRY 5861027 AULT CLINIC THE 12-0001-2040 12-0001-2040 12-0001-2045 12-0001-2045 12-00012045 12-0001-2045 12-0001-2045 12-0001.2045 84.26 84.26 sassmas ........ sss •73 .73 20.00 20.00 asasasssssasssa 400.00 esee- 400.00 300.00 300.00 813.72 1,729.45 2,374.42 4.917.89 asssssassess asa 12-0001-2045 3,374.89 3,374.89 sasses ssss flea 12-4447«6710-REG 22.50 NAP2GOP WARRANT PAYEE NUMBER S861027 AULT CLINIC THE 58610;28 BAGLEY, DAVID L. MD S061029 DONNER, E JEFFREY WELD COUNTY WARRANT REGISTER AS OF : 05/17/44 INVOICE NUMBER ACCOUNT NUMBER PD DEPT OBJ PROJ DATE : 02/17/44 PACE : 2 WARRANT AMOUNT SiseSPIMSSSSMSSIOSSSSPr---SswIS--rs+rr- 3561030 GREELEY MEDICAL CLINIC PC 5861031 GREELEY PSYCHIATRIC CLINIC 5561,032 KEENE MEDICAL CLINIC 22.50 sass ========= is 12-4447-6710-REG 22.50 22.50 12-4447-6710-REG 22.50 12-4447-6710-REG 12-4447-6710-REG 12-4447-6710-REG 12-4447+4710-REG 12-4447-6710-REG 12-4447-6710-REG 124447-6710-REG 12 -4447 -6710 -AEG 12-4447+6710-RLG 12-4447-6710-REG 12-4447-6710-REG 12x4447-6710-REG 12,4447-6710-REC 12--4447-6710-REG 12-4447-6710-REG 12-4447-6710-REG ---NO-en-- 22.$0 a sassssaassssaa 45.00 30.00 40.00 30.00 30.00' 30.00 40.00 45.00 40.00 40.00 30.00 40.00 45.00 40.00 45.00 30.00 ySesessseSSSeSS 600.00 12-4447-6710-REG 22.50 ssasa. 22.50 12-4447+6710—REG 22.50 22450 mass WAP200P WARRANT PAYEE NUMBER MELD COUNTY WARRANT REGISTER AS OP : 05/11/94 INVOICE NUMBER v eat —„— ..— — --.. —.—ems+ - S ACCOUNT NUMBER PO DEPT OBJ PROJ DATE z 05/17/94 PAGE a 3 WARRANT AMOUNT 5861033 LONGMONT ORTHOPEDIC ASSN 5861034 NORTH COLORADO MEDICAL CENTER 5861,035 NORTH COLO NEUROSURGERY 5861036 SNORED ROY H. M.D. 5861037 SUNRISE C0MM NLTN CNTR $861038 VOLK. JOHN W. ND S861039 GRASSED WILLIAM S861040 DAVIS. WINDOW H. 124447-6710-REG 12-4447-6710-REG 12-4447-6710-REG 12-4447-6710-REG 12-4447-6710-REG 12-4447-6710-REC 12-4447-6710-REG 12-4447-6710-REG 12-4447-6710-REG 22.50 22.50 Sr 20.25 20.25 22.50 22.50 22.50 22.50 tam assssassss 22.50 22.50 45.00 22•50 22.50 22.50 asasaaszassssAi 22.50 22.50 22.50 22.50 ass=xisasiSasaf WAP200P MELD COUNTY WARRANT REGISTER AS OF 2 05/17/94 WARRANT PAYEE INVOICE ACCOUNT NUMBER NUMBER NUMBER FD DEPT 05J PROJ ---- ------- .... -------- S861041041 SCNWEERS2 DAVID H. 5861042 FUENTES, JOSE ALFREDO $861043 GUTIERREZ2 DENISE MICNELL 5861044 RODARTE2 REBECCA 5861045 WILKIE2 KIMBERLY ANNE DATE $ 05/17/94 PAGE 5 4 WARRANT AMOUNT 12-4447-6710-REG 22.50 22.50 am=aasaaasasaaa 12-0001-2040 150.00 150.00 as=as=saasaaasa 12-0001-2045 116.00 116.00 12-0001-2045 140.00 sariossimilenhimPoselineemese 140.00 aasa 12-0001-2045 110.00 -----_M..r In 110.00 FINAL TOTAL 2 102548.72 STATE OF COLORADO COLORADO DEPARTMENT OF HEALTH Dedicated to protecting and improving the health and environment of the people of Colorado 4300 Cherry Creek Dr. S. Laboratory Building Denver. Colorado 80222.1530 4210 E.11th Avenue Phone (303) 692.2000 Denver, Colorado 80220-3716 (303)691.4700 Roy Purer Co ever April 26, 1994 Patricia A. Nola,, MO, MPH Exert. Diecw Weld County P. O. Box 758 0, — Greeley, CO 80632 —I `? "� O • -.mot Re: Section 401 Water Quality Certification z — : , n Permit No. 199480112 rn rn '' Colo. Cart. No. 2389 a = D O t7 9 -C n IV The Water Quality Control Division has reviewed the federal license or permit application, public notice, or other Information submitted related to certification for the activity described below. Provided the plans of operation included in the submitted information are followed and the attached General Conditions are complied with, the Division Is reasonably assured that Sections 301, 302, 303, 306, and 307 of the Clean Water Act and applicable sections of the Colorado Water Quality Control Act will not be violated by this activity. Description: Place fill material in conjunction with the construction/replacement of Weld County Bridge Location: Sections 19 & 30, T2N, R66W, Weld County, Colorado Watercourse: South Platte River Dear Sir: This certification does not constitute a relinquishment of the Water Quality Control Division's authority as delineated in the "Colorado Water Quality Control Act' or any subsequent alterations or additions thereto, nor does it fulfill or waive any other local, state or federal regulations. nc�,s Scherschligh Ch Groundwater and Standards Section WATER QUALITY CONTROL DIVISION JS:cm/401 Cert. Attachment cc: COE, Omaha District Victor Salnz, District Engineer File r eis y et: /!L; a GENERAL CONDITIONS 1. Before a federal licensee or permittee commences any project in a watercourse, which project may adversely affect water quality. it shall notify, at least fifteen days prior to commencing work, the following: A. Applicable local health department; B. Owners or operators of municipal and domestic water supply intakes which are located within twenty miles downstream from the site of the project; and C. Owners or operators of other intakes or diversions which are located within five miles downstream from the site of the project. 2. Construction operations in watercourses and water bodies shall be restricted to areas specified in the application for the federal license or permit. 3. Permanent erosion and sediment control measures shall be installed at the earliest practicable time consistent with good construction practices and shall be maintained as necessary throughout the operation of the project. One of the first construction activities shall be the placement of permanent and temporary erosion and sediment control measures around the perimeter of the project of the initial work areas to protect the project water resources. 4. Temporary erosion and sediment control measures shall be coordinated with permanent measures to assure economical, effective, and continuous control throughout the construction phase and during the operation of the project. 5. Work should be carded out diligently and completed as soon as possible. 6. The use of chemicals such as soil stabilizers, dust palliatives, sterilants, growth inhibitors, fertilizers, deicing salts, etc., during construction and operation should be limited to the best estimate of optimum application rates. All reasonable measures shall be taken to avoid excess application and introduction of chemicals Into the waters. 7. Measures shall be taken to prevent spilled fuels, lubricants, or other toxic materials from entering the watercourse. 8. Whenever practicable, discharges of dredged or fill materials shall be conducted during low flow periods, during periods when spawning is not occurring and during periods when recreational use is relatively low. If such discharges will occur when water temperatures are near freezing and where a domestic water supply diversion is located within twenty miles downstream, the permittee shall coordinate with the water purveyor in order to minimize impacts on treated water quality. (over) . - .... -' 9. Solids, sludges, dredged, stockpiled or other materials which are potential sources of toxic pollutants, shall be controlled in a manner so as to prevent such materials from entering water courses. Materials which we not a potential source of toxic pollutants shall be disposed or controlled in a manner reasonably designed to prevent them from entering water courses. 10. Upon discovery of solids, sludges, dredged or stockpiled materials, or other potential sources of pollutants entering a watercourse, the licensee or permittee shall immediately make every reasonable effort to notify: A. Applicable local health departments and the Colorado Department of Health; B. Owners or operators of municipal and domestic water supply intakes which are located within twenty miles downstream from the site of the project; and C. Owners or operators of other intakes or diversions which are located within five miles downstream from the site of the project. 11. Measures shall be taken to prevent the entrance of wet concrete into the watercourse when placed In forms and/or from washing of trucks. 12. Fill materials shall be clean as practicable. 13. Structural fill or bank protection shall consist of materials, which are placed and maintained so as to withstand predictable high flows in the watercourse. Hazardous areas should be dearly marked or made inaccessible to the public. 14. Concrete slabs which may be unstable are not authorized for use as riprap. Broken concrete chunks are authorized but shall be free of protruding reinforcing materials. 15. Areas disturbed by a project and which are suitable for vegetation shall be seeded or revegetated to prevent subsequent soil erosion. 16. Discharges of dredged or fill materials in excess of that necessary to complete the project shall not be permitted. 17. Discharges to waters of the State not included in the application and not certified in accordance therewith are not included within the terms of this 401 certification. 18. To the extent reasonable and cost-effective, the activity submitted for certification shall be designed to minimize subsequent maintenance. 19. Frequent fording of a channel is not permitted. Temporary bridges or other structures shall be built if frequent crossings are necessary. 20. The discharge of materials which cause floating debris, surface scum or film, or color or odor which impair classified uses is not permitted. May 10, 1994 Weld County Commissioners 915 Tenth Street Greeley, CO 80631 Dear Commissioners: WELD COUNTY 0TC:it's:Tr_RS (99L{ r,AY 16 All 9: 44 CLERK TO THE BOARD Effective immediately, I am resigning my position on the Weld EMS Council. It has been a privilege to serve on the council over the last several months and to work within the EMS system in our community for the last 15 years. Sincerely, ck )&0164 Rachel Kolokoff Department Chair Emergency Medical Services rh .�cc-Rim 1401 'N 201h Stroet • P.O. Box 69 • Greeley:Co :rado 80632 ■ (303) 330-8008 a FAX (K3)330-5705 REPLY TO ATTENTION OF DEPARTMENT OF THE ARMWELD C0U TY CORPS OF ENGINEERS. OMAHA D15TitiCi`! TRI-LAKES PROJECT OFFICE. 9307 STATE i-Mv { 21 - LITTLETON. COLORADO 80123-6201YR I'M I b 11 9= 43 May 12, 1994 CLERK TO THE BOAFD Weld County Board of Commissioners P.O. Box 758 Greeley, Colorado 80632-0758 RE: Emergency Streambank Protection for County Bridges #28/23A, #61/548, and #87/42.5 Gentlemen: An inspection of the Emergency Streambank Protection Project constructed to protect these County bridges was recently conducted. The projects were found to be in good condition. If you have any questions, please feel free to contact Mr. Roy Ranisate of this office at 303-979-4120. Sincerely, iiPtcy Pcu REPLY TO ATTENTION OP DEPARTMENT OF THE ARMY CORPS OF ENGINEERS, OMAHA DISTRICT TRI-LAKES PROJECT OFFICE. 9307 STATE HWY 121 LITTLETON. COLORADO 60123-6901 May 12, 1994 Weld County Board of Commissioners P.O. Box 758 Greeley, Colorado 80632-0758 RE: Emergency Streambank Protection near Windsor, Colorado Gentlemen: An inspection of the Emergency Streambank Protection Project constructed to protect County Road 27 and Bridge 27-62b on the Cache la Poudre River was recently completed. Overall, the project was in good condition. It was noted that the trees mentioned in the last inspection have grown back. It is recommended that these trees be removed and the stumps be treated against regrowth. If you have any questions, please feel free to contact Mr. Roy Ranisate of this office at 303-9794120. Sincerely, DEPARTMENT OF THE ARMY CORPS OF ENGINEERS. OMAHA DISTRICT TRI-LAKES PROJECT OFFICE. 9307 STATE HWY 121 LITTLETON. COLORADO 60123.6901 REPLY TO ATTENTION OI Weld County Board of Commissioners P.O. Box 758 Greeley, Colorado 80632-0758 May 12, 1994 RE: Emergency Streambank Protection near Johnstown, Colorado Gentlemen: An inspection of the Emergency Streambank Protection Project constructed to protect County Road 17 where it crosses the Big Thompson River was recently conducted. The project was found to be in good condition. There is still one tree growing in the rip rap, which we recommend be removed to maintain the structural integrity of the project. If you have any questions, please feel free to contact Mr. Roy Ranisate of this office at 303-979-4120. Sincerely, ,,tri v TO ATTENTION Of DEPARTMENT OF THE ARMY CORPS OF ENGINEERS, OMAHA DISTRICT TRI-LAKES PROJECT OFFICE. 9307 STATE HWY 121 LITTLETON. COLORADO 60123.6LO1 May 12, 1994 Weld County Board of Commissioners P.O. Box 758 Greeley, Colorado 80632-0758 RE: Emergency Streambank Protection near Platteville, Colorado Gentlemen: An inspection of the Emergency Streambank Protection Project constructed to protect County Road 32-1/2 and Bridge 31-1/2-21b was recently conducted. The project was found to be in good condition. There is debris on the rip rap that should be removed. If you have any questions, please feel free to contact Mr. Roy Ranisate of this office at 303-9794120. Sincerely, WELD COUNTY COUNCIL P.O. BOX 758 GREELEY, CO 80632 356-4000 EXT. 4780 WELD COUNTY CO`!" 1 `r!O"ERS 19911 H Y 16 al II: 50 CLERK TO THE BOARD PRESS RELEASE May 16, 1994 In accordance with the Weld County Home Rule Charter, the Weld County Council will hold its next regular meeting on Wednesday, June 1, 1994, at 7:30 p.m. in the First Floor Assembly Room of the Centennial Center, 915 Tenth Street, Greeley. The Council will continue discussion regarding salary setting for the position of Coroner. Also, consideration will be given about hosting an open house for Weld County residents. The public is invited to attend the Council meeting and provide input on these or any other issues they may have pertaining to County government. -30- V DEPARTMENT OF PLANNING SERVICES Cases Approved by Administrative Review 5/6/94 through 5/13/94 CASE NUMBER SE -497 AM RE -531 RE -1608 RE -1609 RE -1611 MHZP-157 MHZP-159 MHZP-160 V NAME Abrams Rider Abrams Grommon Farms Phelps Golden Technologies, Inc. Brenner Haithcoat Chuck Cunliffe, Cr- 6\kator RECORD OF PROCEEDINGS MINUTES BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO MAY 18, 1994 TAPE #94-23 The Board of County Commissioners of Weld County, Colorado, met in regular session in full conformity with the laws of the State of Colorado at the regular place of meeting in the Weld County Centennial Center, Greeley, Colorado. May 18, 1994, at the hour of 9:00 a.m. ROLL CALL: MINUTES: ADDITIONS: CONSENT AGENDA: PROCLAMATIONS: PUBLIC INPUT: WARRANTS: The meeting was called to order by the Chairman and on roll call the following members were present, constituting a quorum of the members thereof: Commissioner W. H. Webster. Chairman Commissioner Dale K. Hall, Pro-Tem Commissioner George E. Baxter Commissioner Constance L. Harbert Commissioner Barbara J. Kirkmeyer - EXCUSED Also present: Assistant County Attorney, Lee Morrison Acting Clerk to the Board, Carol Harding Finance and Administration Director, Don Warden Commissioner Harbert moved to approve the minutes of the Board of County Commissioners meeting of May 16, 1994, as printed. Commissioner Baxter seconded the motion, and it carried unanimously. There were no additions to the agenda. Commissioner Hall moved to approve the consent agenda as printed. Commissioner Baxter seconded the motion, and it carried unanimously. HOUSEHOLD HAZARDOUS WASTE AWARENESS DAY - MAY 21, 1994: Chairman Webster presented said proclamation to Robin Newbrey, Environmental Health representative. There was no public input offered. Don Warden, Director of Finance and Administration, presented the following warrants for approval by the Board: General Fund Payroll Fund Handwritten Warrants: General Fund Payroll Fund $ 188,894.05 $ 2,603.33 $ 32,607.00 $ 55.63 Commissioner Baxter moved to approve the warrants as presented by Mr. Warden. Commissioner Hall seconded the motion, which carried unanimously. BIDS: BUSINESS: NEW: RESOLUTIONS AND ORDINANCES: PRESENT RE -ROOFING FOR WALTON BUILDING - GENERAL SERVICES DEPARTMENT: Mr. Warden read the bids received from four vendors. Said bid will be considered for approval on June 1. 1994. APPROVE ANNUAL BUSINESS MACHINES MAINTENANCE CONTRACT - ALL DEPARTMENTS: Commissioner Hall moved to accept the low bid from Mike Arnold Office Machine Repair. Seconded by Commissioner Harbert, the motion carried unanimously. CONSIDER INTERGOVERNMENTAL AGREEMENT FOR PERMISSIVE USE OF PROPERTY WITH CITY OF GREELEY AND AUTHORIZE CHAIRMAN TO SIGN: Drew Scheltinga, County Engineer, explained the City of Greeley owns property adjacent to Weld County property near Island Grove Park, which is currently loaned to the Greeley Saddle Club. The City is constructing a storage building and this agreement will permit the City and County to continue the present use of the property. Commissioner Baxter moved to approve said agreement and authorize the chairman to sign. Seconded by Commissioner Hall, the motion carried unanimously. CONSIDER EAST 168TH AVENUE PAVING INTERGOVERNMENTAL AGREEMENT WITH CITY OF BROOMFIELD AND AUTHORIZE CHAIRMAN TO SIGN: Mr. Scheltinga stated the Public Works Department is preparing to overlay Weld County Road 2 just east of I-25. The City of Broomfield has annexed to the center of said road and this paving agreement allows for the reimbursement of half the cost of that portion annexed by Broomfield. Commissioner Harbert moved to approve said agreement and authorize the Chairman to sign. Seconded by Commissioner Harbert. the motion carried unanimously. CONSIDER RESOLUTION RE: RETURN OF INTEREST FOR LOT 17, JOHNSON SUBDIVISION FIRST ADDITION, WELD COUNTY JOHNSON SUBDIVISION LOCAL IMPROVEMENT DISTRICT NO. 1993-2: Lee Morrison, Assistant County Attorney, explained William Menke purchased Lot 17, Johnson Subdivision, prior to the assessment hearing being held. Since he was not the owner at the time, notice was not given to him; however, had he been given a choice he would have paid the full amount prior to the December deadline rather than having a full year's interest added. Because of a pending closing on his construction loan, he paid the full amount due last week and is now asking relief from the Board concerning the first year's interest. Commissioner Ha.'.1 moved to approve the draft resolution to authorize the return of interest to Mr. Menke. Seconded by Commissioner Harbert, the motion carried unanimously. CONSIDER TEMPORARY CLOSURE OF WELD COUNTY 74 BETWEEN WELD COUNTY ROAD 39 AND HIGHWAY 85: Commissioner Hall moved to approve said closure. Seconded by Commissioner Baxter, the motion carried unanimously. The resolutions consent agenda. Let the minutes were attested to to the Board. were presented and signed as listed on the There were no ordinances. reflect that the above and foregoing actions and respectfully submitted by the Acting Clerk Minutes - May 18, 1994 Page 2 There being no further business, this meeting was adjourned at 9:10 a.m. ATTEST: Weld County Clerk to the Board By: rk to the Board APPROVED: BOARD OF COUNTY COMMISSIONERS WELDi oUNTY, COLORADO H. Webstet, 17C. Hall ! George' E. Baxter onstance L. Harbert EXCUSED Barbara J. Kirkmeyer Minutes - May 18, 1994 Page 3 RECORD OF PROCEEDINGS MINUTES BOARD OF SOCIAL SERVICES WELD COUNTY, COLORADO MAY 18, 1994 TAPE #94-23 The Board of County Commissioners of Weld County, Colorado, met in regular session as the Board of Social Services in full conformity with the laws of the State of Colorado at the regular place of meeting in the Weld County Centennial Center, Greeley, Colorado, May 18, 1994, at the hour of 9:00 a.m. ROLL CALL: MINUTES: WARRANTS: NEW BUSINESS: The meeting was called to order by the Chairman and on roll call the following members were present, constituting a quorum of the members thereof: Commissioner W. H. Webster, Chairman Commissioner Dale K. Hall, Pro-Tem Commissioner George E. Baxter Commissioner Constance L. Harbert Commissioner Barbara J. Kirkmeyer - EXCUSED Also present: Assistant County Attorney, Lee Morrison Acting Clerk to the Board, Carol Harding Director of Finance and Administration, Donald Warden Commissioner Harbert moved to approve the minutes of the Board of Social Services meeting of May 16, 1994, as printed. Commissioner Hall seconded the motion, and it carried unanimously. Don Warden, Director of Finance and Administration, presented the warrants for approval by the Board in the amount of $10,548.72. Commissioner Baxter moved to approve the warrants as presented by Mr. Warden. Commissioner Hall seconded the motion, which carried unanimously. CONSIDER 1994 COMMUNITY FOOD AND NUTRITION PROGRAM APPLICATION WITH COLORADO DEPARTMENT OF LOCAL AFFAIRS AND AUTHORIZE CHAIRMAN TO SIGN: Commissioner Harbert moved to approve said application and authorize the Chairman to sign. Seconded by Commissioner Hall, the motion carried unanimously. Let the minutes reflect that the above and foregoing actions were attested to and respectfully submitted by the Acting Clerk to the Board. There being no further business, this meeting was adjourned at 9:15 a.m. ATTEST: LI/40144h Weld County Clerk to the Board By: CX@rk to the Board APPROVED: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Constance L. Harbert EXCUSED Barbara J. Kirkmeyer RECORD OF PROCEEDINGS AGENDA Monday. May 23, 1994 ROLL CALL: MINUTES: CERTIFICATION OF HEARINGS: ADDITIONS TO AGENDA: APPROVAL OF CONSENT AGENDA: COMMISSIONER COORDINATOR REPORTS: PUBLIC INPUT: COUNTY FINANCE OFFICER: BIDS: BUSINESS: NEW: TAPE 094-24 W. H. Webster, Chairman Dale K. Hall, Pro-Tem George E. Baxter Constance L. Harbert Barbara J. Kirkmeyer Approval of minutes of May 18, 1994 Hearings conducted on May 18, 1994: 1) Change of Zone from A (Agricultural) to E (Estate), Tom and Margaret Russell: 2) Special Review Permit for a single family dwelling on a lot less than the minimum lot size in the A (Agricultural) Zone District, Hubert and Alexandra Hayworth; and 3) Amended Special Review Permit for expansion of an open pit gravel mine to include an additional 40 acres, including a concrete batch plant and portable asphalt plant, in the A (Agricultural) Zone District, Andesite Rock Company (Each individual is allowed a three -minute period of time in which to address the Board of County Commissioners on topics which arc not on the Board's agenda. Please be aware that the Board may not be able to address your topic today. If the Board is unable to do so, the matter will either be referred to staff or scheduled for a work session. If you wish to speak regarding issues which are likely to be heard by the Board in a public hearing. such as a land use or violation hearing, you will be asked to give your testimony at that hearing, either in person or in writing. Public input on any topic shall be limited to 15 minutes.) 1) Warrants 1) Approve Renovation for Centennial Plaza - Finance Department 1) Consider two Purchase of Services Agreements between Human Resources and Larimer County Department of Human Development Weatherization Program and authorize Chairman to sign 2) Consider Purchase of Services Agreement between Human Resources' Employment Services and Computer Systems Design Company and authorize Chairman to sign 3) Consider Single Entry Point Agency Contract between Human Resources' Area Agency on Aging and Colorado Department of Social Services and authorize Chairman to Sign Continued on Page 2 of Agenda Page 2 of Agenda NEW BUSINESS: (CONT.) 4) Consider Food Distribution Agreement between Human Resources and Colorado Department of Human Services and authorize Chairman to sign 5) Consider form of Intergovernmental Agreement for Use of Communications, Records and Criminal Justice Information Systems and authorize Chairman to sign 6) Consider cancellation of payroll warrants in the amount of $2,712.70 for April 1994 SOCIAL SERVICES BOARD: ROLL CALL: W. H. Webster, Chairman Dale K. Hall, Pro-Tem George E. Baxter Constance L. Harbert Barbara J. Kirkmeyer MINUTES: Approval of minutes of May 18, 1994 WARRANTS: Don Warden, County Finance Officer NEW BUSINESS: 1) Consider New Directions/Job Opportunities and Basic Skills Program Intragovernmental Agreement with Division of Human Resources and authorize Chairman to sign 2) Consider Notification of Financial Assistance Award for Placement Alternatives Commission Funds for North Colorado Psychcare and authorize Chairman to sign 3) Consider Notification of Financial Assistance Award for Placement Alternatives Commission Funds for Child Advocacy Resource and Education and authorize Chairman to sign 4) Consider Notification of Financial Assistance Award for Placement Alternatives Commission Funds for Partners and authorize Chairman to sign 5) Consider Revision to Notification of Financial Assistance Award for Placement Alternatives Commission Funds for Partners and authorize Chairman to sign 6) Consider Revision of Notification of Financial Assistance Award for Placement Alternatives Commission Funds for North Colorado Psychcare and authorize Chairman to sign 7) Consider Notification of Financial Assistance Award for Placement Alternatives Commission Funds for Weld Mental Health Center, Home Based Option A, and authorize Chairman to sign 8) Consider Notification of Financial Assistance Award for Placement Alternatives Commission Funds foc Weld Mental Health Center, Home Based Option B, and authorize Chairman to sign 9) Consider Notification of Financial Assistance Award for Placement Alternatives Commission Funds for Weld Mental Health Center, Family Therapy, and authorize Chairman to sign 10) Consider Notification of Financial Assistance Award for Placement Alternatives Commission Funds for Weld Mental Health Center, Sexual Abuse Treatment, and authorize Chairman to sign HOUSING AUTHORITY BOARD: ROLL CALL: W. H. Webster, Chairman Dale K. Hall, Pro-Tem George E. Baxter Constance L. Harbert Barbara J. Kirkmeyer MINUTES: Approval of minutes of April 25, 1994 Monday, May 23, 1994 CONSENT AGENDA APPOINTMENTS: HEARINGS: COMMUNICATIONS: PUBLIC REVIEW: RESOLUTIONS: May 23 - North Colorado Medical Center Board 12:00 PM May 24 - Human Resources Council 8'00 AM May 24 - Public Health Board 9:00 AM May 24 - Communications Board 2:00 PM May 25 - Local Energy Impact Review Team 7:00 PM May 26 - Community Corrections Board 12:00 PM May 26 - Airport Authority 3:00 PM May 27 - Centennial Developmental Services Board 8:00 AM May 27 - Local Juvenile Services Planning Committee 12:00 PM May 30 - HOLIDAY May 31 - Town/County Meeting - Frederick Town Hall 7:00 PM Jun 1 - County Council 7:30 PM Jun 2 - Convention and Visitors Bureau Board 7:00 AM Jun 2 - Island Grove Park Board 3:30 PM May 23 - Amendments to Weld County Zoning Ordinance, Ordinance No. 89 -AA May 25 - Change of Zone from A (Agricultural) to E (Estate), Tom and Margaret Russell (cont. from 05/18/94) Jun 1 - Special Review Permit for an accessory structure over 1500 square feet in an Agricultural Subdivision and a horse training facility, Donald L. and Joanne K. Harmon Jun 1 - Special Review Permit for storage and maintenance of delivery trucks for an air freight business with limited storage, transfer loading, or unloading of freight on site, Gregory B. and Kristie Kay Bement Jun 14 - Violation Hearings 9:00 AM 10:00 AM 10:00 AM 10:00 AM 10:00 AM 1) Marc Simon, Laidlaw Environmental Services, re: Protest Bid 400076-94 award 2) Gary West, Circuit Rider City Manager for Town of Mead, re: Notice of Public Hearing, Resolution, and Impact Report -R & M Land Company, Annexation No. 1 and No. 2 3) County Council agenda for June 1, 1994 4) Janine and Ted L. Cox re: Cooley, Shell, and C & M Companies mining operations 1) Notice of Filing Application for Colorado Mined Land Reclamation Permit for Regular (112) Operation - River Valley Rock, Inc. 2) Notice of Filing Application for Colorado Mined Land Reclamation Permit for Regular (112) Operation - Twin Peaks Excavating. Inc. 3) Notice of Filing Application for Amendment to Colorado Mined Land Reclamation Permit for Regular (112) Operation - C & M Companies * 1) Approve Intergovernmental Agreement for Permissive Use of Property with City of Greeley * 2) Approve East 168th Avenue Paving Intergovernmental Agreement with City of Broomfield * 3) Approve Return of Interest for Lot 17, Johnson Subdivision First Addition, Weld County Johnson Subdivision Local Improvement District No. 1993-2 * 4) Approve temporary closure of Weld County 74 between Weld County Road 39 and Highway 85 * 5) Approve Community Food and Nutrition Program Application with Colorado Department of Local Affairs * 6) Action of the Board concerning Change of Zone - Russell * 7) Approve Special Review Permit - Hayworth * 8) Approve Amended Special Review Permit - Andesite Rock Company ORDINANCE: 1) First Reading of Ordinance No. 89 -AA, Amendments to Zoning Ordinance Signed this date Monday, May 23, 1994 RESOLUTION RE: APPROVE INTERGOVERNMENTAL AGREEMENT FOR PERMISSIVE USE OF PROPERTY WITH CITY OF GREELEY 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 Intergovernmental Agreement for Permissive Use of Property between the County of Weld, State of Colorado. by and through the Board of County Commissioners of Weld County. on behalf of the Weld County Public Works Department, and the City of Greeley, with terms and conditions being as stated in said agreement, and WHEREAS, after review, the Board deems it advisable to approve said agreement, 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 Intergovernmental Agreement for Permissive Use of Property between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Public Works Department, and the City of Greeley be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is, authorized to sign said agreement. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 18th day of May. A.D., 1994. ATTEST: Weld County Clerk to the Board BY: >jceJP.Sryy C7}7,0(4.1-1."-) Deputy c erk to the Board Dale/ K. Hall, Pr BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO /.2 )/i,�� . Webster, Cjcaircian APPRO S TO FORM: c Geor2e.E Baxter EXCUSED Barbara J. Kirkmeyer ounty Attorney • tance L. Harbert 940458 £0033 cc: Pic; 6t..Eccey INTERGOVERNMENTAL AGREEMENT FOR PERMISSIVE USE OP PROPERTY THIS AGREEMENT is made by and between the Weld County, Colorado, by and through its Board of County Commissioners, (County), and the City of Greeley, Colorado, by and through its Council, (City), for the purpose of exchanging permissive uses of certain property owned by the City and the County. WHEREAS, the City owns property on which the Greeley Saddle Club, a non-profit organization is located, and the County owns property immediately adjacent to the City property; and WHEREAS, the city is in need of additional storage area for its equipment; and WHEREAS, the County utilizes a road upon the City's property where the Saddle Club is located; and WHEREAS, the City contemplated constructing storage improvements on the area where the County now utilizes the City property as a road; and WHEREAS, the County recognizes that the City owns the property on which it now utilizes as a road, as a permissive use granted by the City of Greeley to the County, and the County recognizes the City may revoke said permissive easement at any time; and WHEREAS, the County agrees to provide County property for storage of equipment of the City in exchange for continuation of the permissive easement for road purposes. NOW THEREFORE, IN CONSIDERATION OF THE COVENANTS, CONDITIONS, AND TERMS, HEREINAFTER EXPRESSED, THE PARTIES AGREE AS FOLLOWS: 1. The Ctv agrees to allow the existing roadway, and allow its present use by the County under permissive easement to forego construction of storage facilities for the City wholly or partially on the area used by the County for roadway purposes. 2. The County agrees to allow the City to construct, operate, and maintain a storage facility enclosed by fence, wholly or partially upon land owned by the County. Said construction, operation and maintenance of the storage facility shall be solely the responsibility of the City. 3. This Agreement shall continue until the occurrence of either revocation of the permissive easement for road purposes granted the County, or revocation of permissive use of the storage site granted the City. 4. This Agreement is interpreted according to the laws of the State of Colorado and venue shall be Weld County, Colorado. 1 940459 5. Notice of Breach of any .of the provisions contained herein shall be given in writing to the other party within thirty (30) days of discovery of said breach, after which time the party shall have thirty (30) days in which to cure any and all defaults. 6. All amendments to this Agreement shall be in writing. p ''/t DATED this �'5 day of Greeley, Weld County, Colorado. , 1994, at ATTEST: THE CITY OF GREELEY, COLORADO By: City Clerk Mayor Approved as to Legal Form: Approved as to Substance: City Attorney City Manager Availability of Funds: Director of Finance /I 4 "-_U -:GA7D BY: / ' -. - DEPUTY CLERK TG i H h E3CARQ 2 COUNTY OF WELD, STATE OF COLORADO, BY AND THROUGH THE BOARD OF COMMISSrONERS OF WELD • COUNTY W.H. Webster, Chairman wuIP3/1 Approved as to Legal Form: Wa County Attorey 1. 91..10453 6 fst 111k COLORADO MEfil©RAfiDUfn To Bruce Barker County Attorney De. From George Ciceff, Director of Public Works Ot 7994 sob.ct:It'tergovernmental Agreement - City of Greeley Attached is the latest version of the intergovernmental agreement for the exchange of uses of property adjacent to the saddle club. If the form as amended by the Greeley City Attorney is acceptable to you, please forward it on to the board for their consideration. peg\memo\mbruce3 cc: Commissioner Kirimeyer File 940459 RESOLUTION RE: APPROVE EAST 168TH AVENUE PAVING INTERGOVERNMENTAL AGREEMENT WITH CITY OF BROOMFIELD 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 the East 168th Avenue Paving Intergovernmental Agreement between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Public Works Department, and the City of Broomfield, with terms and conditions being as stated in said agreement, and WHEREAS, after review, the Board deems it advisable to approve said agreement, 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 East 168th Avenue Paving Intergovernmental Agreement between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County. on behalf of the Weld County Public Works Department, and the City of Broomfield be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chairman be. and hereby is, authorized to sign said agreement. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 18th day of May, A.D., 1994. ATTEST: Weld County Clerk to the Board BY: Q1u de-717,a;tit) lr Deputy Clrk to the Board APPROVED -AS TO FORM: County Attorny BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO iI W. H. We v Constance L. Harbert Hall, Pro Tern Baxter EXCUSED Barbara J. Kirkmeyer 940457 EGaa33 LC: • &J ,a €oomr?ab East 168th Avenue Paving Intergovernmental Agreement THIS INTERGOVERNMENTAL AGREEMENT, dated this pL___- day of /ape .P ,1994, between the COUNTY OF WELD, STATE OF COLORADb a body politic and corporate, hereinafter, "Weld County" and the CITY OF BROOMFIELD, a municipal corporation, hereinafter "Broomfield." WITNESSETH WHEREAS, a section of East 168th Avenue as shown on Exhibit A contains commonly shared borders between Adams County and Broomfield; and WHEREAS, the north half of the roadway is in Broomfield and the south half of the roadway is in Adams County; and WHEREAS, Weld County maintains the south half of this roadway under a maintenance agreement with Adams County; and WHEREAS. Broomfield and Weld County desire to have an asphalt overlay placed on this section of roadway. NOW, THEREFORE, in consideration of the covenants and promises set forth and for the good and valuable consideration, the sufficiency of which is hereby acknowledge, the parties agree as follows: 1. Work. During the 1994 construction season, Weld County will cause an asphalt overlay to be placed on the section of East 168th Avenue shown on Exhibit A. The Work includes preparatory asphalt patching, a two -inch -thick asphalt overlay graveling the finished shoulder area/raffle control, and restriping the street section. 2. Payment. Broomfield agrees to pay Weld County for actual quantities completed on the Broomfield street section. Exhibit S is a letter from Weld County which shows the estimated unit costs. The total amount paid will riot exceed $9,000 unless this agreement is amended. Payment will be made within sixty (60) days of completion of work. 3. Budget Limitations. The obligations of the parties hereunder are subject to funds having been budgeted and otherwise made available pursuant to constitutional and charter requirements. 4_ Authorized Representatives. Weld County hereby designates Dean Dreher of the Weld County Public Works Department as its Authorized Representative. Broomfield hereby designates Dorian Brown of the Broomfield Public Works Department as its Authorized Representative. Each party shall be notified of any change by the other in its Authorized Representative. Task implementation and scheduling shall bo the 940457 responsibility of such Authorized Representative. 5. Notice. Any notice required to be given by this Agreement shall be considered delivered upon mailing, postage prepaid, to the part as appropriate, unless provided herein, addressed as follows: To Weld County: County Engineer Weld County PO Box 758 Greeley, CO 80632 To Broomfield: Director of Public Works City of Broomfield PO Box 1415 Broomfield, CO 80020 6. Term. This agreement terminates when Broomfield pays for the work. 7. Entirety. This Agreement represents the complete understanding of the parties and may be modified only in writing and only by mutual consent. IN WITNESS WHEREOF, the parties have executed this Intergovernmental Agreement. ATTEST: WELD COUNTY CL:Ri( T BY: % DEPUTY CLERK ATTEST: ugh• ,7 VED AS TO FORM: County Attorney COUNTY OF WELD STATE OF COLORADO By: ft Chair, Board of County Commissioners W.A. WEBSTER 05/23/94 CITY OF BROOMFIELD STATE OF COLORADO By: 01-�c�`.rti Mayor l3to T APPROVED AS TO FORM: ty Attorney, ..ka 940457 .EXHIBIT A Section 35 TIN R68W \P I tJLL CAN • 7 , Attachment 11 CO VICINITY MAP I MARCH 18, 1994 Ui SECTION TO BE 0VERLAYED 6- ELD CITY L!lVIITS----- BROOMFI 35 WELD GOUT ROO2 WELD COUNTY TIN w, MT /WE ADAMS COUNTY TIS 940457 EXHIBIT B (t1:4t IDc. COLORADO January 27, 1994 City of Broomfield No. 6 Carden Center P. 0. Box 1415 Broomfield, CO 80038-1415 DEPARTMENT OF ENGINEERING PHONE (303) 156.4000, Ext. 47$ P.O. Box 75B GREELEY. CoLocum 80632 ATTENTION: City Council and Dorian Brown, Deputy Director of Public Works To Whom It May Concern: Weld County would like to place a maintenance overlay on their portion of Weld County Road (WCR) 2 during the 1994 work season. This section is over -due for maintenance and is in need of attention. Because of the complexities of overlaying half of a roadway, we would like to overlay both sides of the road and then bill the City of Broomfield for their share of the costs. The area to pave is approximately 1,920 feet in length. The costs that would be incurred include patching, a two inch overlay including the CSS - 1H Emulsion to insure a bond to the underlying asphalt surface, and the gravel for the finished shoulder area. The approximate cost would be $8,700 to $9,000. The unit prices used are approximately $21/ton for asphalt, $8/ton for the finish shoulder gravel and patching at $2/per square foot. ' If you have any questions, please contact me or Dave Becker, Assistant Road and Bridge Director. Sincerer .C.r� Dean Dreher Civil Tech II DD\pds:lbroom 6,4 cc: Commissioner Kirkmeyer File WCR 2 Raer yEr JAN ? 1 1,994 940457 ostr, MEmORAfDUM 11111 Fo Bruce Barker County Attorney Oau 73y 6.1994 COLORADO From eOro ri a Dir ctor of pub] r [ O k` sobiacr.Intergovernmontal Agreement - City of Broomfield Attached is the intergovernmental agreement for the paving of E. 163th Avenue. These agreements were executed by the City of Broomfield. Since this was initiated earlier this year, you may want to verify that there were no changes made in the executed document we had received. The originals are attached. If the documents are in order, please place it on the board's agenda. peg\memo\mbruce4 cc: Commissioner Kirkmeyer File 940457 tt City of Broomfield NUMBER SIX GARDEN OFFICE CENTER P.Q. BOX 1415 May 2, 1994 Dean Dreher Weld County Engineering Department P.O. Box 758 Greeley, CO 80632 Dear Dean: BROOMFIELD, CO 80038.1415 (303) 469-3301 .RECEIVED NAY Q 3 sit! Please find enclosed two executed originals of the agreement between the City of Broomfield and Weld County for the paving of East 168th Avenue. Please return a signed original once your board approves the agreement. The other one is for your records. Please call me at 438-6362 if you have any questions. Sincerely, Dorian Brown Deputy Director of Public Works Enclosures 940457 RESOLUTION RE: RETURN OF INTEREST FOR LOT 17 JOHNSON SUBDIVISION FIRST ADDITION, WELD COUNTY JOHNSON SUBDIVISION LOCAL IMPROVEMENT DISTRICT NO. 1993-2 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 Weld County Johnson Subdivision Local Improvement District was created May 19, 1993. per Resolution of this Board and assessment on the individual property owners was accomplished by Resolution of this Board dated November 3, 1993, and WHEREAS, William Menke purchased Parcel No. 095902102005, which is Lot 17 Johnson Subdivision First Addition, on September 30, 1993, and as a result was not mailed notice of the hearing of the assessment because notices of the hearing were mailed September 29, 1993, and the notices of assessment were mailed to the prior owners, and WHEREAS, William Menke has tendered the entire principal owing to the Weld County Treasurer plus one year's interest of $96.47, and WHEREAS, Mr. Menke has indicated that he would have paid the entire amount due prior to December 3, 1993, in order to avoid paying interest had he been aware of the terms of the assessment which required payment in full of the principal on or before December 3, 1993, in order to avoid the first year's interest becoming due, and WHEREAS, the Board has determined that it is just and equitable that the interest for the first year for Lot 17 Johnson Subdivision First Addition be returned to Mr. Menke in the amount of $96.47. under the particular circumstances of this situation given the timing of the Resolution of Assessment and Notice of Hearing. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado. that the sum of $96.47, which constitutes the first year's interest with respect to Lot 17 Johnson Subdivision First Addition, Weld County Johnson Subdivision Local Improvement District. No. 1993-2, be refunded to Mr. William Menke, and that this payment come from the fund established for Weld County Johnson Subdivision Local Improvement District No. 1993-2. 940452 &Z T-CjCAS/%C/✓! RE: RETURN OF INTEREST FOR LOT 17, JOHNSON SUED PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded. adopted by the following vote on the 18th day of May. A.D., 1994. ATTEST: Weld County Clerk to the Board BY: Deputy C](4rk to the Board APPROVED AS TO FORM: el&L County Attortey 7,1 BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO �/ f/i 24/797/ H. Webster, ain + Daltx. Hall, PrQ-Tem iGeorge,L'. Baxter Constance L. Harbert EXCUSED Barbara J. Kirkmeyer 940452 ARe3B4V31 RELEASE OF LIEN THIS RELEASE OF LIEN is signed this 7441 day of May, 1994, Weld County, Colorado, by and through the Board of County Commissioners of Weld County. WITNESSETH; WHEREAS, on November 3, 1993, the Board of County Commissioners of Weld County, Colorado, by Resolution made an assessment of costs of improvements for Weld County Johnson Subdivision Local Improvement District No. 1993-2, against property described as Lot 17, Johnson Subdivision, First Addition, Weld County, Colorado 80634, Parcel No. 095902102005, and WHEREAS, said assessment was in the sum of $1,302.37, and WHEREAS, the owners of said parcel, William Menke, has paid the entire assessment of $1,302.37. NOW, THEREFORE, Weld County, Colorado, by and through the Board of County Commissioners of Weld County, hereby declares that the lien created by the above described Resolution against the above described property is satisfied in full and is hereby released from said property. B 1441 REC 02388431 05/13/94 14:03 $0.00 1/002 F 1702 MARY ANN FEUERSTEIN CLERK & RECORDER WELD CO, CO 940452 ATTEST: CLERK COUNTY BY: rmenke. db Deputy Clerk to the&Board WELD COUNTY, COLORADO, BY AND THROUGH THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY /L 7Jt tQ 4JMWilliam H. Webst r, irman B 1441 REC 02388431 05/13/94 14:03 $0.00 2/002 F 1703 MARY ANN FEUERSTEIN CLERK & RECORDER WELD CO, CO 940452 NPUT DOCUMENT WELD COUNTY oo co oo VOUCHER NUMB VENDOR NUMBER: U w U E w E z 0 iN ` N W a 0 A DETAILS OF DISBURSEMENT Original Encumbrance Account Code T P.O. Number H- Expense Account Code I I Net Amount 1 EXPLANATION C a O I V b Q ilia c r. w G " O ` Q ((�� V O i u ` o �1 O U�yI N ATTACH COPY IF APPLICABLE APPROVED BY: (Finance Department) APPROVED BY: O t 940452 fstr, COLORADO mEmoRAMum Beard of County Commissioners Data May 10, 1994 Ice D. Morrison, Assistant Weld County Attorney iiej.ctLot 17, Johnson Subdivision, First Addition, Purchased by William Menke Mr. Menke purchased Lot 17 of Johnson Subdivision, First Addition, Parcel No. 095902102005 September 30, 1993. This was purchased from Raymond and Kathleen Larson. Mr. Menke recently proposed to pay his local improvement assessment but felt that he should not have to pay the first years interest in the amount of $96.47 because he did not have notice that the payment was due prior to December 3, 1993. He contends that he would have paid the entire principal owed prior to that date had he known that he could avoid interest by doing so. Mr. Menke has paid everything including the first years interest under dispute, and on the understanding I would provide you this information regarding the disputed amount. The argument of Mr. Menke is basically that the property changed hands between the time the district was created and the time of assessment. In fact, the owners on September 29, 1993, when the notice of the hearing on the assessment was mailed were the Larsons. The notice following the hearing when the assessment was created was still mailed to the Larsons who apparently did not pass on to the Menke's. The contrary argument is that the Menke's had notice that there was a local improvement district being created and had a duty to inquire further to determine the terms. However, I can find no indication that the creation resolution was recorded and therefore Mr. Menke's argument is supported by the argument that the first time he was bound to have notice was when the resolution of assessment was recorded which was after the time he had closed and taken possession of the property. From a legal standpoint, it could be argued that Mr. Menke had sufficient knowledge that he could have determined what the terms of the payment were. From an equitable standpoint, Weld County did not mail notice to him even though he was the land owner of record on the date of the hearing. The Board could let matters stand or could order by resolution a return of the interest of $96.47 to Mr. Menke. Return Interest Bill Webster George Baxter Barbara Kirkmeyer Dale Hall Connie Harbert pc: Don Warden Bruce Barker Mike Loustalet r Don't Return Interest Work session w 940452 i RESOLUTION RE: REGULATING, WARNING AND GUIDING TRAFFIC DURING THE TEMPORARY CLOSURE OF WELD COUNTY ROAD 74 BETWEEN WELD COUNTY ROAD 39 AND HIGHWAY 85 FOR 10 WORKING DAYS, FOR BRIDGE REPLACEMENT 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, pursuant to Section 42-4-410(6)(a). CRS: ..local authorities, with their respective jurisdiction may. for the purpose of road construction and maintenance, temporarily close to through traffic or to all vehicular traffic any highway or portion thereof for a period not to exceed a specified number of work days for project completion and shall, in conjunction with any such road closure establish appropriate detours or provide for an alternative routing of the traffic affected...", and WHEREAS, the Board, pursuant to said statute and upon the basis of traffic and personal investigations, has determined that conditions exist which make it necessary to temporarily close to through traffic and to regulate, warn and guide vehicular traffic on said County roads by posting signs thereon. NOW, THEREFORE, BE IT RESOLVED that the Board of County Commissioners of Weld County, Colorado, deems it necessary to regulate, warn and guide vehicular traffic on County roads and any intersections thereof, and it hereby authorizes and orders the posting of such traffic control devices as shall be reasonably necessary to regulate, warn and/or guide traffic thereon for the safety of the general public and that said traffic control devices shall conform to the Federal Manual on Uniform Traffic Control Devices. BE IT FURTHER RESOLVED that the Board of County Commissioners of Weld County, Colorado. does declare and establish that Weld County Road 74 between Weld County Road 39 and Highway 85 be temporarily closed, with said closure being effective May 16, 1994. for approximately 10 working days, and further, that standard official traffic control devices shall be erected at said closure giving notice of the restrictions. 940459 EQ pD.ZV CC : C SF; Ed-; so; C/`4 BOARD OF COUNTY COMMISSIONERS WELD COUNTY. COLORADO r PM C�1a Webster, Cairman. ROAD CLOSURE - WCR 74 PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 18th day of May. A.D., 1994, nunc pro tune May 16, 1994. ATTEST: Weld County Clerk to the Board BY: /1,QP C/ EXCUSED Deputy C/'erk to the Board AP $ OVDD AS TO County Attorn y Constance L. Harbert Barbara J. Kirkmeyer 940459 wCR 7 gas f bacNd' closed 058 a.cR 76 Th40ur Wet? 7q wcK -751- o cd PC:r 54°,� Pet ur 1 `1 Y C- Pe4eur for wc8 7rf / a {our vvicade j bl saer ,.,� ,yht F Qoad etosed- 4?+ou✓ Ji✓✓O"°i Creed f +sec F+G ore r x `I Delour Type .T1 hove; dad, Q- r,./(Night F/ocher rood Closed n WCK 7(1 rastboc,sd Q . Otos4 d s€ (NCR 76 Closed s//6/cYror ,bb;clye rep lac, w.fN fro Oy /0 'woe t; Kq days of tie}our 54op �- (79177A) • � ^'erg ��„�-• TITLE gold &kajvve (met 1q/ al #y TS iwc,e 37 SURVEY BYyt �G DATE ` DRAWN BY /a DATE CHECKED BY DATE APPROVED BY COUNTY ENGINEER I COUNTY ROAD NO. 74 WELD COUNTY DEPARTMENT OF ENGINEERING FORM i6 2 75 • ti 940459 DPSBIB20 DESCRIPTION OF MESSAGE IN IN -BASKET Message : THE FOLLOWING ROAD WAS CLOSED MAY 16, 1994 FOR A BRIDGE : REPLACEMENT. IT WILL BE CLOSED APPROXIMATELY 10 WORKING DAYS: : WCR 74 BETWEEN HWY 85 AND WCR 39 : MONA Received from : PENOTC02-MAIN Received • 05/16/94 10:36 Sent : 05/16/94 10:36 Select an option and type it below; then press ENTER. 3 Send 8 Reply 9 File 10 Delete PF1=Help 2= 3= 4=Main Menu 5= 6=Fast Path PF7- 8- 9= 10.. 11s 12..Quit DMDE103I Sign -on to DISOSS successful M 940459 twcR Fast- bout' nosed Usg wcR 76. 04.40 tor 470'- w Ce 7y (peg 76 ova -'f s4°f / Pelo wr {e' Pe4eur For wcfl 7q /4:4 Our oc �K Qd Closed- Oefo" Avvo.d (ecaI-frcFAcav De*ota ,(irk Delovr //?0 4d erased 5/Afire., .br-clye rep/Oc.fl er. TOr G ro)Jw.o4P Y /0 woe L; pi. days 4 TITLE Pond vicWit 1'! 4/ floy ss 'ftvcle 39 T yre ID Lao r r; era& wfN,g1t F/arArr Cool Closed facie 74/ ros¢bocsd OfoSV ct QSE wcit 76 SURVEY BY ilia DATE �[ DRAWN BY C!✓� DATE f %9T CHECKED BY DATE APPROVED BY COUNTY ENGINEER COUNTY ROAD NO. 7 WELD COUNTY DEPARTMENT CF ENGINEERING FORM 16 7 /73 Deto ur 4• ( 7v /nA) �1w`yY Mr • yy t. .LLB' •- 9404'59 DPSBIB20 DESCRIPTION CF MESSAGE IN IN -BASKET Message : THE FOLLOWING ROAD WAS CLOSED MAY 16, 1994 FOR A BRIDGE : REPLACEMENT. IT WILL BE CLOSED APPROXIMATELY 10 WORKING DAYS: : WCR 74 BETWEEN HWY 85 AND WCR 39 : MONA Received from : PENOTC02-MAIN Received : 05/16/94 10:36 Sent : 05/16/94 10:36 Select an option and type it below; then press ENTER. 3 Send 8 Reply 9 File 10 Delete PF1=Help 2= 3= 4=Main Menu 5= 6=Fast Path PF7- 8., 9» 10= Ile 12 -Quit DMDE103I Sign -on to DISOSS successful M 940459 RESOLUTION RE: APPROVE 1994 COMMUNITY FOOD AND NUTRITION PROGRAM APPLICATION WITH COLORADO DEPARTMENT OF LOCAL AFFAIRS 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 the 1994 Community Food and Nutrition Program Application between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Social Services, and the Colorado Department of Local Affairs, with 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, ex -officio Board of Social Services, that the 1994 Community Food and Nutrition Program Application between the County of Weld. State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Social Services, and the Colorado Department of Local Affairs 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 18th day of May. A.D., 1994. ATTEST: Weld County Clerk to the Board BY: Deputy (Jerk to the Daie ,K. Hall, BOARD OF COUNTY COMMISSIONERS WELD COUNTY. COLORADO Tr,/ / I/. //xL, . H. Weoster, Chairman ns APPRO]Zli,B-AS TO FORM: George Baxter County A� rilcy X11 Constance L. Harbert EXCUSED Barbara J. Rirkmeyer 940460 55&&/8 dc: SS 7• - COMMUNITY FOOD & NUTRITION PROGRAM 1994 APPLICATION Agency: Weld County Address: P.O. Box A Greeley, CO 80632 Gant Amount $3,942 ContactPcrsen: Judy A. Griego, Director Telephone#: 352-1551 ext. 6200 Weld County Department of Social Services Federal Objective/5 Grant Complies With: X To coordinate existing private and public food assistance resources, whenever such coordination is determined to be inadequate, to better serve low-income communities; b: To assist low-income communities to identify potential sponsors of child nutrition programs and initiate new programs in underserved and unsaved areas; and c: To develop innovative approaches at State and local levels to meet the nutrition needs of low-income people. Applicant Program Description: Weld County has utilized the Weld Food Bank, a not -for-profit agency, as the delivery vehicle for Community Food and Nutrition funds to Weld County, for the past three years Weld Food Bank accepts food donations from various local producers and suppliers. Other sources of food are food drives, Second Harvest Food Bank Network, USDA and through the direct purchase of food. In operating an emergency food box program for over seven years, Weld Food Bank has learned that some low income,who have nutritional needs, do not receive adequate assistance through established nutritional programs. By working with the Coordinated Food Box Committee, which is comprised of twenty-five local agency representatives, a Supplemental Mini Box was designed. This concept has worked quite well during the past years. During 1993, 20,761 pounds of food was distributed to clients. With the amount requested, 1300 persons will be served. The average cost per client per month is approximately $3.00 per month. Included in the Supplemental Mini Box would always be a protein item, a dairy product, soup, and a macaroni and cheese dinner. Weld Food Bank will also attempt to obtain extra food box items such as fresh eggs, vegetables, bread, sweets, etc. to be ' added to the boxes. Referrals for the Supplemental Mini Boxes come from Weld Information and Referral Service (WIRS), Salvation Army and the Red Cross. The goal of the program is to serve hungry, homeless persons in the County and to prevent the waste of some sporadic large perishable donations. Signature of Authorized Representative: yt W.H.WEBSTER CHAIRMAN, BOARD OF COUNTY COMMISSIONERS 05/23/94 940469 7 Wilk COLORADO `,,r. n cc: !7y WELD COUNTY HOUSING AUTHORITY PHONE (303) 352.1551 \:) (( P.O. Box A RA 6 7.1 `L-- 5 V GREELEY� COLORADO 80632 vLER:( TOT .-: BOARD TO: W.H. Webster, Chairman, Board of County Commissioners FROM: Judy Griego, Director, Department of Social Services SUBJECT: Community Food and Nutrition Application for 1994 DATE: May 16, 1994 The State Department of Local Affairs has invited Weld County to submit an application for the Community Food and Nutrition Program. For the past three years the County has been awarded funds through this program and has contracted with Weld Food Bank for implementation of the program. This arrangement has proved to be quite workable and is being recommended once again this year. The amount available through the Community Food and Nutrition program this year is $3,942. We are therefore recommending that the County approve the application as prepared. Upon Board approval, the application will be forwarded to the Department of Local Affairs for processing. If you have any questions, please telephone me at 352-1551, Extension 6200. "EQUAL HOUSING OPPORTUNITY" 940460 RESOLUTION RE: ACTION OF BOARD CONCERNINC CHANGE OF ZONE FROM A (AGRICULTURAL) TO E (ESTATE) -.TOM AND MARGARET RUSSELL 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, a public hearing was held on the 11th day of May, 1994, at 10:00 a•m. for the purpose of hearing the application of Tom and Margaret Russell. 1710 Lashley Street, Longmont, Colorado 80501, requesting a Change of Zone from A (Agricultural) to E (Estate) for a parcel of land located on the following described real estate, to -wit: Part of the El of Section 5, Township 1 North, Range 68 West of the 6th P.M., Weld County, Colorado WHEREAS, at said hearing on May 11, 1994, the Board deemed it advisable to continue said matter to May 18, 1994, to allow all Board members to be present, and WHEREAS, at said hearing on May 18, 1994, the applicant was not present or represented, and WHEREAS, the Planning staff informed the Board that the applicants had requested a second continuance to allow all Board members to be present, and WHEREAS, the Board of County Commissioners heard all the testimony and statements of those present and reviewed the request of the applicant and, having been fully informed, finds that this request for a second continuance shall be approved and the matter shall be continued to May 25, 1994, at 10:00 a.m. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the application of Tom and Margaret Russell requesting a Change of Zone from A (Agricultural) to E (Estate) on the above referenced parcel of land be, and hereby is, continued to May 25, 1994, at 10:00 a.m. A?) 93-o %CL. /9L; a5X24 fife 940454 CHANGE OF ZONE - RUSSELL PAGE 2 The above and foregoing Resolution was. on motion duly made and seconded. adopted by the following vote on the 18th day of May, A.D., 1994. ATTEST; Weld County Clerk to the Board BY: At 1 Deputy Cerk to the Board APPROVER AS TO FORM: County Attorn BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO NJ` Lh1 W Web§ter, Dale/ Hall, Pro- em George/. Baxter 6 onstance L. Harbert EXCUSED Barbara J. Kirkmeyer 940454 RESOLUTION RE: APPROVE SITE SPECIFIC DEVELOPMENT PLAN AND SPECIAL REVIEW PERMIT #1042 FOR A SINGLE FAMILY DWELLING ON A LOT LESS THAN THE MINIMUM LOT SIZE IN THE A (AGRICULTURAL) ZONE DISTRICT - HUBERT AND ALEXANDRA HAYWORTH 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 of County Commissioners held a public hearing on the 18th day of May. 1994. at the hour of 10:00 a.m. in the Chambers of the Board for the purpose of hearing the application of Hubert and Alexandra Hayworth, P.O. Box 270828, Fort Collins, Colorado 80527. for a Site Specific Development Plan and Special Review Permit 01042 for a single family dwelling on a lot less than the minimum lot size in the A (Agricultural) Zone District on the following described real estate, to -wit: Part of the NIS;NW; of Section 14, Township 1 North, Range 67 West of the 6th P.M., Weld County, Colorado WHEREAS, Hubert Hayworth, applicant, was present, and WHEREAS, Section 24.4.2 of the Weld County Zoning Ordinance provides standards for review of said Special Review Permit, and WHEREAS, the Board of County Commissioners heard all of the testimony and statements of those present, studied the request of the applicant and the recommendations of the Weld County Planning Commission and all of the exhibits and evidence presented in this matter and, having been fully informed, finds that this request shall be approved for the following reasons: 1. The submitted materials are in compliance with the application requirements of Section 24.7 of the Weld County Zoning Ordinance. 2. It is the opinion of the Board of County Commissioners that the applicant has shown compliance with Section 24.4.2 of the Weld County Zoning Ordinance as follows: 940456 Oz: ay As• 11Ayi4%erm SPECIAL REVIEW PERMIT #1042 - HAYWORTH PAGE 2 a. The proposal is consistent with the Weld County Comprehensive Plan's Residential and Urban Growth Boundary goals and policies. The proposal is located within the urban growth boundary area of the City of Fort Lupton and presented no conflict with its interest. b. The proposal is consistent with the Weld County Comprehensive Plan's Agricultural goals and policies. The applicant has demonstrated a diligent effort has been made to conserve productive agricultural land in the locational decision for the proposed use. c. The proposal is consistent with the intent of the A (Agricultural) Zone District and is provided for as a Use by Special Review. d. The uses permitted will be compatible with the existing surrounding land uses which include rural residences, agricultural production, oil and gas production, and with future development of the surrounding area as permitted by the A (Agricultural) Zone District. e. No overlay districts affect the site. f. Special Review Permit Development Standards will provide adequate protection of the health, safety, and welfare of the neighborhood and County. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the application of Hubert and Alexandra Hayworth for a Site Specific Development Plan and Special Review Permit #1042 for a single family dwelling on a lot less than the minimum lot size in the A (Agricultural) Zone District on the hereinabove described parcel of land be, and hereby is, granted subject to the following conditions: 1. The attached Development Standards for the Special Review Permit shall be adopted and placed on the Special Review plat prior to recording the plat. The plat shall be delivered to the Department of Planning Services and be ready for recording in the Weld County Clerk and Recorder's Office within 15 days of approval by the Board of County Commissioners. 2. The Special Review activity shall not occur nor shall any building or electrical permits be issued on the property until the Special Review plat is ready to be recorded in the office of the Weld County Clerk and Recorder. 940456 SPECIAL REVIEW PERMIT 01042 - HAYWORTH PAGE 3 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 18th day of May, A.D., 1994. ATTEST: Weld County Clerk to the Board BY: APP k to the Board TO FORM: County Attori4ey BOARD OF COUNTY COMMISSIONERS WELD COUNTY, C LORADO / iti H. Webster, CL)airm- - DaleK., Hall, Pfo-Te /Ge orge/t. Baxter j C 'O4�s,• j {2 onstance L. Harbert EXCUSED Barbara J. Kirkmeyer 940456 SITE SPECIFIC DEVELOPMENT PLAN SPECIAL REVIEW PERMIT DEVELOPMENT STANDARDS HUBERT AND ALEXANDRA HAYWORTH USR #1042 1. The Site Specific Development Plan and Special Review Permit is for a single family dwelling on a lot less than the minimum lot size in the A (Agricultural) Zone District as submitted in the application materials on file and subject to the Development Standards stated herein. 2. Approval of this plan may create a vested property right pursuant to Section 90 of the Weld County Zoning Ordinance. 3. The applicant shall consult with the Brighton Soil Conservation District regarding tree and shrub plantings suitable for this site. 4. All construction on the property shall be in accordance with the requirements of the Weld County Building Code Ordinance. 5. The property owner or operator shall be responsible for complying with the Design Standards of Section 24.5 of the Weld County Zoning Ordinance. 6. The property owner or operator shall be responsible for complying with the Operation Standards of Section 24.6 of the Weld County Zoning Ordinance. 7. Personnel from the Weld County Health Department and Weld County Department of Planning Services shall be granted access onto the property at any reasonable time in order to ensure the activities carried out on the property comply with the Development Standards stated herein and all applicable Weld County Regulations. 8. The Special Review area shall be limited to the plans shown herein and governed by the foregoing Standards and all applicable Weld County Regulations. Major changes from the plans or Development Standards as shown or stated shall require the approval of an amendment of the Permit by the Weld County Planning Commission and the Board of County Commissioners before such changes from the plans or Development Standards are permitted. Any other changes shall be filed in the office of the Department of Planning Services. 9. The property owner or operator shall be responsible for complying with all of the foregoing Development Standards. Noncompliance with any of the foregoing Development Standards may be reason for revocation of the Permit by the Board o£ County Commissioners. 940456 NOTICE The Board of County Commissioners of Weld County, Colorado, on May 18, 1994, conditionally approved a Site Specific Development Plan and Special Review Permit for the property and purpose described below. Conditional approval of this plan creates a vested property right pursuant to Article 68 of Title 24, C.R.S., as amended, for a period of three years. APPLICANT: Hubert and Alexandra Hayworth P.O. Box 270828 Fort Collins, Colorado 80527 LEGAL DESCRIPTION: Part of the N;S$NW! of Section 14, Township 1 North, Range 67 West of the 6th P.M., Weld County, Colorado TYPE AND INTENSITY OF APPROVED USE: A single family dwelling on a lot less than the minimum lot size in the A (Agricultural) Zone District SIZE OF PARCEL: 40 acres, more or less Failure to abide by the terms and conditions of approval will result in a forfeiture of the vested property right. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO BY: DONALD D. WARDEN CLERK TO THE BOARD BY: SHELLY K. MILLER DEPUTY CLERK TO THE BOARD PUBLISHED: May 26, 1994, in the Windsor Beacon 940456 AFFIDAVIT OF PUBLICATION STATE OF COLORADO as - OOONTY OF WELD salsa Th. tits* W County. Comelslenets of Wald County. Colorado. on May taS4, conditionally sweets a Ss SO*0ilio O.relopmeni Plan and SSW Rwiew Penne tot tM property and purpss described below. ceaalo wi amoral or this plan creates - a rested property right pursuant to Antge at 711* 24, CRS., as amended, bra period of See Seta. APPLICANT: Hubert and Asses massy ►.O.Os 270120 Port Collins. Colored* SOW USN. DESCRIPTION' Pee of me NI/251/2NW1/a e! Dilation 11. Township 1 Nos Range el West 0 M 6th P.M., Weld County. Calotede TYPE AND eITENBPM OP APPROVED USE:A single family dwelling en . fat W IS dt. mslbnvn d eke Mt IM A (Ap s Wag Zane DIPS SIZE OF PARCEL' 40 epee, more or Rea Peassb abide by Se lens end 0000110041 of apprOrtl wW .welt In a /o/Inure of to wad inooMYdat BOARD OF. COUNTY coseWILD COUNTY, MONp WELD ' COLORADO eY: DONALD D. WMDEN Ct5N( TV NE BOARD VC IIEILY K MILLER .pNH11TCI4 JC.T4,Mg PieBe$ed In iM Wind lesser weylt lac, .JI I. ROGER A. LIPICER. of said County of Weld, being duly :mom, say that I am pobfisher of WINDSOR BEACON a weekly newspaper having a general circulation in said County and State, published in the town of WINDSOR, in said County and State; and that the notice, of which the annexed is a true copy, has been published in said weekly . for f successive weeks, that the notice was published in the regular and entire issue of every number of the paper during the period and tine of pubWadior4 and in the newspaper proper and not in a supplement, and that the fit publication of said notice was in said paper bearing the date of the k#5 day of C A.D.. 19th and the last publication tearing the date of the _day of A.D., 19 and that the said WINDSOR BEACON has been published continuously and uninterruptedly for the period of 5 consecutive weeks, in said County and State, prior to the date at first publication of said notice, and the seine is a newspaper within the meaning of an Act to regulate printing of legal notices and advertisements, approved May 18, 1931. and all prior acts so far as in fora. HER Subsea:ad and sworn to before me this '1'°t day of iinn/ 19 99''11 -( !� /lArrxil.vr NOTr PUBLIC My commission expires 9.1-e7 a . I %e _ 940453 • i co'dTATE OF COLOMBO OFFICE OF THE STATE ENGINEER Division of Natural Resources Department of Natural Resources 1313 Sherman Street, Room 818 Denver, Colorado 80203 Phone (303) 866-3581 FM (303) 866-3589 1" V -5 y 2: 38 7iti �ir.' CLERK TO THE BOARD April 20, 1994 Ms. Gloria Dunn, Current Planner Weld County Department of Planning Services 1400 N. 17Th Ave. Greeley, CO 30631 Dear Ms. Dunn: Roy Romer Governor lames 5. tochhead [accoutre Director Hal D. Simpson State Engineer Re: Hayworth Site Specific Development, USR-1042 NW1/4 Sec. 14, T1N, R67W, 6THPM W. Division 1, W. District 1 We have reviewed the above referenced proposal to allow a single family residence on a 39.725 acre lot which is under the minimum lot si2.ein the Agricultural zone district. The water supply is to be from an individual on lot well. There is a well permit No. 175416, issued for this property in 1993 for domestic use. We have no objection to the proposal and recommend approvaL If you have any questions in this matter, please contact me. JS/hayworth cc: Alan Berryman, Division Engineer Water Supply Branch lub�t g Sincerely, John Schurer, P.E. Senior Water Resource Engineer ee : hit; Socc (s) "0 APR 2 2 1994 ; weld Cow q,p 941©45S Mir NOTICE Pursuant to the zoning laws of the State of Colorado and the Weld County Zoning Ordinance, a public hearing will be held in the Chambers of the Board of County Commissioners of Weld County, Colorado, Weld County Centennial Center. 915 10th Street. First Floor. Greeley, Colorado, at the time specified. All persons in any manner interested in the Site Specific Development Plan and Special Review Permit are requested to attend and may be heard. Should the applicant or any interested party desire the presence of a court reporter to make a record of the proceedings, in addition to the taped record which will be kept during the hearing, the Clerk to the Board shall be advised in writing of such action at least five days prior to the hearing. The cost of engaging a court reporter shall be borne by the requesting party. BE IT ALSO KNOWN that the text and maps so certified by the Weld County Planning Commission may be examined in the office of the Clerk to the Board of County Commissioners, located in the Weld County Centennial Center, 915 10th Street, Third Floor, Greeley. Colorado. DOCKET NO: 94-40 DATE: May 18, 1994 TIME: 10:00 a.m. APPLICANT Hubert and Alexandra Hayworth P.O. Box 270828 Fort Collins, Colorado 80527 REQUEST: A Site Specific Development Plan and Special Review Permit for a single family dwelling on a lot less than the minimum lot size in the A (Agricultural) Zone District LEGAL DESCRIPTION: Part of the N;S;NW} of Section 14, Township 1 North, Range 67 West of the Gth P.M.. Weld County, Colorado LOCATION: Approximately 2.25 miles southwest of Fort Lupton, east of and adjacent to Weld County Road 21 and .75 mile north of Weld County Road 8 BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO BY: DONALD D. WARDEN WELD COUNTY CLERK TO THE BOARD BY: SHELLY K. MILLER DEPUTY CLERK TO THE BOARD DATED: May 2, 1994 PUBLISHED: May 5, 1994, in the Windsor Beacon Etlithdeb 94045S sf14' ryas awn. s Ina asssassassa eat „mawss es," 2oMn9 Olerrwe. a vitae bnMI wew b ld t M erratic* 04 the Soho of Comely QtAmyelonan of Wald County, Catered*, WeldI County CwtpnSI CenIM.I re Ian'9ner. Flnt now. Oreelp,-Colorado. el eta Mme gmdrd w Pemale e, my manner Inflated WI the She Snatb - Oeuempmenl Plan -••• aPpiy RwrW Pons SS feeMets in sari ante* be NOW, Shaun V. aa$lnn f a any IMareaMt paty deem am monn'd • an maw to mattetit reoord or the! popeerp•, M settee b yt. H ed ripcord wrlldt eN be tot dtaea dm here!. M Clown to the Beard al be oars m wdm0 d aS tow m *son ay. pox or M haring- the COP d en9a0u19 • court Mehra{ tMll be borne by IM r.awrm9pry. ..,,..1 BE IT ALSO KNOWN that 1M test and maim 60 mow W Ow Weld Ceer4 Plenty!* Co nmuelon nmy be eetmms in the otlmt fife Clerk in ono Saud of seehiy Cemml•.toner•. ' meow m Ow W.m COLON Ce+wnid Confer, 916 ter greet, lake Flop. Oren*. ohm®. DOCKET NO:0440 main end AIexendta K%aorm ►.O. Box 2708211 Pon Gonna, Colorado 60527 OATS: may 16, 1tdm THE:10,00 ion REOUE6'T: A SteOevelo5pe0Kt.. lan end nodal pyM4W PWnnk mra SO O fain* ewm•n9 On • tl tame than to mtmeen lot we wow A (AamWtVM Zone WWI i;SOAL oSBCRIP ION PWt of the Nt/'28112NW IM al ueatlon 14, Town•Np meth, Seer al wend nth P.Y., Weld Cou•,I, . Comrade •_ ,yy LocATION:Aperommel•.. 2.25 mope aarmMmt Of Lupton, OM of and aaiw to WeW. County QOad and 15 rile npm d 1� Co„ip POW 6 BOARD OF coud comwesioies y wasOdatis 00.111 TO By:8K9LL7K. ;SON OEPUTN CLERK TO THE'. BOARD DATrsld+aa iW6 pebllaMt Kt na now beocanen lay s.:t99a AFFIDAVIT OF PUBLICATION STATE OF COLORADO COUNTY OF WELD as I. ROGER A. L1PKER. d said County of Weld, being duly sworn, say that I am publisher of WINDSOR BEACON a weekly newspaper hating a general C rculation in said County and State. published in the town of WINDSOR. in said County and State, and that the notice, of which the annexed is a true copy. has been published in said weekly . for successive weeks, that the notice was published in the regular and entire issue of every number s the paper during the period and time of pubicCian, and h the newspaper proper and not in a aupplemerd, and that the first publication of said notice was in said paper bearing the date of thed day of �'!�, A.D., 19 IL and the last publication bearing the date of the _ _day of , A.D.. 10 and that the said WINDSOR BEACON has been published continuously and uninterruptedly for the period of 5 Consecutive weeks, in said County and State, prior to the date of first publication of said notice, and the same is a newspaper within the meaning of an Ad to regulate printing of legal notices and advertisements, approved May 18, 1931, and alt prior acts so far as in form /g(43,t/1/4- Subscribed and sworn to before me this 11/" day of /97 / 19� & JBCISHER At/Qt- NOTARY PUBLIC My commission expires 94'0456 SiMMAR'•" OF T'iL WELD'TY F'.ANNING COMMISSION MEETIN" April ?.99'. Pale 3 The Chairperson asked the secretary to poll the members of the Planning Commission _ot their decision. £;:irlcy Camenisch - yes; Juliette Kroekel - yes: Bud Clemons - yes; Marie Koolstre - yes; Ron Sommer - yes; Tom Rulon - yes; Judy Yamaguc;:i y s. Motion carried unanimously. CASE NUM3 R: 1SR-1042 APPLICAC: nuLart and Alexandra Hayworth REQUEST: A Site Specific Development Plan and a Special Review permit for a r:ngle family residence on a lot under the minimum lot size in the A (Agricultural) zone district. LEGAL c2:71'ICN; N2 S2 r'd'. of Section 14, TIN. R67W of the 6th P.M., Weld County, Colorado. LOCATlv3.t Al:;roximately 2 l,4 miles southwest of Fort Lupton. east of and adjacent to Weld County Road 21 and 3/4 mile north of Weld County Road 8. Hubert Hayworth, applicant explained they want to build a single family residence on property net currettly cultivated to minimize the impact on agricultural use. This a,>;licacion is similar to ether uses in the area. Planning Commission members discussed uses on surrounding properties and the availaoi_ity o: utilities to the area. The Chairpersa•t asked if there was anyone. in the audience who wished to speak for or against this application. No one wished to speak. Juliette. Krcael moved Case .Jumper USR-1042. Hubert and Alexandra Hayworth be forward to ::,e Board of County Commissioners with the Planning Commission's recommer.dacion for approval. Shirley Camenisch seconded the motion. The Chairperson asked the secretary to poll the members of the Planning Commission for their decision. Shirley Camenisch - yes; Juliette Kroekel - yes; Bud Clcxons - ;es; Marie Koolstra - yes: Rcn Sommer - yes: Tom Rulon - yes; Judy Yamaguc:i - ye;. Motion carried unanimously. CASE NUrBEA; AM USR 615-2 APPLIC..NT: Andesite Rock Company REQUEST: A Site Specific Development Plan and an amended Special Review permit to expand an open pit gravel mine. LEGAL 1 SCRIPfiON: Part of the 52 of Section 3, T2N, R68W of the 6th P.M., Wei‘ County, Colorado. LOCATION: A_t.troximately 2 1/2 miles east of Longmont. east of and adjacent to Weld County Road 7 and approximately 480 feet north of State Highway 119. Gary Tettie, Tuttle Applegate, ;nc., representative for Andesite Rock Company gave a brief overview of the expansion. He stated the applicant bad concerns about certain conditions oZ approval and development standards. Extensive discussion followed regarding amending Development Standard #5. Condition of Approval P3, and adding new Conditions of Approval 04a and 4b. Concerns exprese d were vehicle traffic counts, setbacks requirements, and planting plans. 940456 • WELD ZLD COU:::j Y BEFORE THE WELD COUNTY, COLORADO. PLANNING COMMIS3IOtpp3'``SS!^1 c;Rs gq RESOLUTION OF RECOMMENDATION TO THE BOARD OF COUNTY �d 453IZiEJI 08 inv Moved by Juliette Kroekel that the following resolution be introf) ,..f&&passage by the Weld County Planning Commission. Be it resolved by Aeira4'. Runty Planning Commission that the application for: CASE NUMBER: USR-1042 NAME: Hubert and Alexandra Hayworth ADDRESS: P.O. Box 270828, Fort Collins, CO 80527 REQUEST: A Site Specific Development plan and a Special Review permit for a single family dwelling on a lot less than the minimum lot size in the A (Agricultural) zone district. LEGAL DESCRIPTION: N2 S2 NW4 of Section 14. TIN, R67W of the 6th P.M., Weld County, Colorado. LOCATION: Approximately 2.25 miles southwest of Fort Lupton, east of and adjacent to Weld County Road 21 and .75 mile north of Weld County Road 8. be recommended favorably to the Board of County Commissioners for the following reasons: 1. The submitted materials are in compliance with the application requirements of Section 24.7 of the Weld County Zoning Ordinance. 2. It is the opinion of the Planning Commission that the applicant has shown compliance with Section 24.3 of the Weld County Zoning Ordinance as follows: The proposal is consistent with the weld County Comprehensive Plan's Residential and Urban Growth Boundary goals and policies. The proposal is located within the urban growth boundary area of the City of Fort Lupton and presented no conflict with its interest. - The proposal is consistent with the Weld County Comprehensive Plan's Agricultural goals and policies. The applicant has demonstrated a diligent effort has been made to conserve productive agricultural land in the locational decision for the proposed use. - The proposal is consistent with the intent of the A (Agricultural) zone district and is provided for as a Use by Special Review. 940456 RESOLUTION, USR-1042 Hubert and Alexandra Hayworth Page 2 - The uses permitted will be compatible with the existing surrounding land Lses which include rural residences, agricultural production, oil and gas production, and with future development of the surrounding area as permitted by the A (Agricultural) zone district. - No overlay districts affect the site. Special Review Permit Development Standards will provide adequate protection of the health, safety, and welfare of the neighborhood and County. This recommendation is based, in part, upon a review of the application materials submitted by the applicant, other relevant information regarding the request, and responses from referral entities. The Planning Commission recommendation for approval is conditional upon the following: 1. The attached Development Standards for the Special Review permit shall be adopted and placed on the Special Review plat prior to recording the plat. The plat shall be delivered to the Department of Planning Services and be ready for recording in the Weld County Clerk and Recorder's office within 15 days of approval by the Board of County Commissioners. 2. The Special Review activity shall not occur nor shall any building or electrical permits be issued on the property until the Special Review plat is ready to be recorded in the office of the Weld County Clerk and Recorder. Motion seconded by Shirley Camenisch. VOTE: For Passage Against Passage Shirley Camenisch Juliette Kroekel Bud Clemons Marie Koolstra Ron Sommer Tom Rulon Judy Yamaguchi 940456 RESOLUTION, USR-1042 Hubert and Alexandra Hayworth Page 2 The Chairperson declared the resolution passed and ordered that a certified copy be forwarded with the file of this case to the Board of County Commissioners for further proceedings. CERTIFICATION OF COPY I. Sharyn Ruff, Recording Secretary for the Weld County Planning Commission, do hereby certify that the above and foregoing resolution, is a true copy of the resolution of the Planning Commission of Weld County, Colorado, adopted on April 19, 1994. ted the 19 h of April, 19.4. Sharyn F. u£f Secretary 940456 • • SITE SPECIFIC DEVELOPMENT PLAN SPECIAL REVIEW PERMIT DEVELOPMENT STANDARDS Hubert and Alexandra Hayworth USR-1042 1. The Site Specific Development Plan and Special Review permit is for a single family dwelling on a lot less than the minimum lot size in the A (Agricultural) zone district as submitted in the application materials on file in the Department of Planning Services and subject to the Development Standards stated hereon. 2. Approval of this plan may create a vested property right pursuant to Section 90 of the Weld County Zoning Ordinance. 3. The applicant shall consult with the Brighton Soil Conservation District regarding tree and shrub plantings suitable for this site. 4. All construction on the property shall be in accordance with the requirements of the Weld County Building Code Ordinance. 5. The property owner or operator shall be responsible for complying with the Design Standards of Section 24.5 of the Weld County Zoning Ordinance. 6. The property owner or operator shall be responsible for complying with the Operation Standards of Section 24.6 of the weld County Zoning Ordinance. 7. Personnel from the Weld County Health Department and Weld County Department of Planning Services shall be granted access onto the property at any reasonable time in order to ensure the activities carried out on the property comply with the Development Standards stated hereon and all applicable Weld County Regulations. 3. The Special Review area shall be limited to the plans shown hereon and governed by the foregoing Standards and all applicable Weld County Regulations. Major changes from the plans or Development Standards as shown or stated shall require the approval of an amendment of the Permit by the Weld County Planning Commission and the Board of County Commissioners before such changes from the plans or Development Standards are permitted. Any other changes shall be filed in the office of the Department of Planning Services. 9. The property owner or operator shall be responsible for complying with all of the foregoing Development Standards. Noncompliance with any of the foregoing Development Standards may be reason for revocation of the Permit by the Board of County Commissioners. 940456 • • CERTIFICATE OF MAILING The undersigned hereby certifies that a true and correct copy of the foregoing Notice of Hearing, Docket #94-40. was placed in the United States mail, first class mail, postage prepaid, addressed to the following property owners. DATED this p! "/ day of HUBERT AND ALEXANDRA HAYWORTH P.O. BOX 270828 FORT COLLINS, CO 80527 BADDING ESTATES 3871 WELD COUNTY ROAD 21 FORT LUPTON, CO 80621 JIMMIE M. AND PAULINE T. CAVANAUGH BETTY ANN CAVANAUGH WILLIAMS 1441 EAST 105 PLACE NORTHGLENN, CO 80621 EUGENE A. AND ERNA N. DOVERSBERCER 3695 WELD COUNTY ROAD 23 FORT LUPTON, CO 80621 MARGARET F. BUCK 3615 WELD COUNTY ROAD 13 ERIE, CO 80516 WENDY PALYO 3872 WELD COUNTY ROAD 21 FORT LUPTON, CO 80621 ap-ce DUANE E. GORDON AND SUSAN A. GORDON 310 7TH STREET FORT LUPTON, CO 80621 AMOCO OIL COMPANY P.O. BOX 187 FORT LUPTON, CO 80621 (a Deputy Clero the Board , 1994. 940456 ® • INVENTORY OF ITEMS SUBMITTED FOR CONSIDERATION Applicant: Hubert and Alexandra Hayworth Case Number: USR-1042 Submitted or Prepared Prior to Hearing At Hearing 1. Application 47 pages X 2. Application plat 1 pages X 3. DPS referral summary sheet and letter X 4. DPS letter to applicant X 5. DPS Recommendation X 6. DPS Surrounding Property Owner/Mineral Owner Mailing list, letter and certificate. X 7. 3 DPS Maps Prepared by Planning Technician X 8. DPS Notice of Hearing X 9. DPS Case File Summary Shoot X 10. DPS Field Check X 11. April 1, 1994 referral from Brighton Soil Conservation District X 12. March 28, 1994 referral from Weld County Health Department X 13. March 28, 1994 referral from Fort Lupton Fire Protection District X 14. March 24, 1994 referral from Weld County Engineering Department X I hereby certify that the 14 items identified herein were submitted to the Department of Planning Services at or prior to the scheduled Planning Commission hearing. I further certify that these items were forwarded to the Clerk to the Board's office on April 22, 1994. Gloria Dn, Current Planner STATE OF COLORADO COUNTY OF WELD ) ) 948G4I$ED AND SWORN TO BEFORE ME THIS a y of 1904 44 :SEW A SI •t• rr CL\C.'0 �wfn�A�� ! n/� wMy (commtd ion Expiros 1 rg ttk+ `a` I C)(4g• &A bL+ A 943456 Case (4S,C /O4'<O— Exhibit Submitted By AG5A. 465B. �la7C. D- 5/6 E. F. G. H. I. a. x. L. H. N. 0. P. Q. R. S. T. U. V. N. X. Y. Z. EXHIBIT INVENTORY CONTROL SHEET sUidittt4 Exhibit Description Pkivz;di Comfy, :wile?) efiA4.iiu jitahn Pizuneutt. Aohtntnnyg thin) na t l'.l l ul tht,at • Warut anL Win letif-nuf de. / 75 4/1, `�/1a/gs) 940456 • • DATE: April 19, 1994 CASE NUMBER: USR-1042 NAME: Hubert and Alexandra Hayworth ADDRESS: P.O. Box 270828, Fort Collins, CO 80527 REQUEST: A Site Specific Development plan and a Special Review permit for a single family dwelling on a lot less than the minimum lot size in the A (Agricultural) zone district. LEGAL DESCRIPTION: N2 52 NW4 of Section 14, TIN, R67W of the 6th P.M., Weld County, Colorado. LOCATION: Approximately 2.25 miles southwest of Fort Lupton. east of and adjacent to Weld County Road 21 and .75 mile north of Weld County Road 8. THE DEPARTMENT OF PLANNING SERVICES' STAFF RECOMMENDS THAT THIS REQUEST BE APPROVED FOR THE FOLLOWING REASONS: 1. The submitted materials are in compliance with the application requirements of Section 24.7 of the Weld County Zoning Ordinance. 2. It is the opinion of the Department of Planning Services' staff that the applicant has shown compliance with Section 24.3 of the Weld County Zoning Ordinance as follows: The proposal is consistent with the Weld County Comprehensive Plan's Residential and Urban Growth Boundary goals and policies. The proposal is located within the urban growth boundary area of the City of Fort Lupton and presented no conflict with its interest. The proposal is consistent with the Weld County Comprehensive Plan's Agricultural goals and policies. The applicant has demonstrated a diligent effort has been made to conserve productive agricultural land in the locational decision for the proposed use. - The proposal is consistent with the intent of the A (Agricultural) zone district and is provided for as a Use by Special Review. - The uses permitted will be compatible with the existing surrounding land uses which include rural residences, agricultural production, oil and gas production, and with future development of the surrounding area as permitted by the A (Agricultural) zone district. - No overlay districts affect the site. 94.0455 RECOMMENDATION, USR-1042 Hubert and Alexandra Hayworth Page 2 Special Review Permit Development Standards will provide adequate protection of the health, safety, and welfare of the neighborhood and County. This recommendation is based, in part, upon a review of the application materials submitted by the applicant, other relevant information regarding the request, and responses from referral entities. The Department of Planning Services' staff recommendation for approval is conditional upon the following: 1. The attached Development Standards for the Special Review permit shall be adopted and placed on the Special Review plat prior to recording the plat. The plat shall be delivered to the Department of Planning Services and be ready for recording in the Weld County Clerk and Recorder's office within 15 days of approval by the Board of County Commissioners. 2. The Special Review activity shall not occur nor shall any building or electrical permits be issued on the property until the Special Review plat is ready to be recorded in the office of the Weld County Clerk and Recorder. 9CCL4J6 SITE SPECIFIC DEVELOPMENT PLAN SPECIAL REVIEW PERMIT DEVELOPMENT STANDARDS Hubert and Alexandra Hayworth USR-1042 1. The Site Specific Development Plan and Special Review permit is for a single family dwelling on a lot less than the minimum lot size in the A (Agricultural) zone district as submitted in the application materials on file in the Department of Planning Services and subject to the Development Standards stated hereon. 2. Approval of this plan may create a vested property right pursuant to Section 90 of the Weld County Zoning Ordinance. 3. The applicant shall consult with the Brighton Soil Conservation District regarding tree and shrub plantings suitable for this site. 4. All construction on the property shall be in accordance with the requirements of the Weld County Building Code Ordinance. 5. The property owner or operator shall be responsible for complying with the Design Standards of Section 24.5 of the Weld County Zoning Ordinance. 6. The property owner or operator shall be responsible for complying with the Operation Standards of Section 24.6 of the Weld County Zoning Ordinance. 7. Personnel from the Weld County Health Department and Weld County Department of Planning Services shall be granted access onto the property at any reasonable time in order to ensure the activities carried out on the property comply with the Development Standards stated hereon and all applicable Weld County Regulations. 8. The Special Review area shall be limited to the plans shown hereon and governed by the foregoing Standards and all applicable Weld County Regulations. Major changes from the plans or Development Standards as shown or stated shall require the approval of an amendment of the Permit by the Weld County Planning Commission and the Board of County Commissioners before such changes from the plans or Development Standards are permitted. Any other changes shall be filed in the office of the Department of Planning Services. 9. The property owner or operator shall be responsible for complying with all of the foregoing Development Standards. Noncompliance with any of the foregoing Development Standards may be reason for revocation of the Permit by the Board of County Commissioners. i LAND -USE APPLICATION SUMMARY SHEET Date: April 12, 1994 CASE NUMBER: USR-1042 NAME: Hubert and Alexandra Hayworth ADDRESS: P,O, Box 270828, Fort Collins, CO 80527 REQUEST: A Site Specific Development Plan and a Special Review permit for a single family residence on a lot under the minimum lot size in the A (Agricultural) zone district. LEGAL DESCRIPTION: N2 S2 NW4 of Section 14, TIN. R67W of the 6th P.M., Weld County, Colorado, LOCATION: Approximately 2 1/4 miles southwest of Fort Lupton, east of and adjacent to Weld County Road 21 and 3/4 mile north of Weld County Road 8. SIZE OF PARCEL: 40 acres, more or less. POSSIBLE ISSUES SUMMARIZED FROM APPLICATION MATERIALS: The criteria for review of this Special Review permit is listed in Section 24,3 of the Weld County Zoning Ordinance. The Department of Planning Services' staff has received responses from the following agencies: 1. Weld County Health Department 2. Weld County Engineering Department 3. Fort Lupton Fire Protection District 4. Brighton Soil Conservation District The Department of Planning Services' staff has not received any inquires or objections from surrounding property owners. I 94045S ESTAIA ,• N w n G • „ I : m•— K —t;, t • /, __,-N -rest M , . ,•' „ i. w „ - . 7 dIY ig.:_77..,:cs. 1S'., - _ ..-<—� ;...m/• •. • .{.po '• • y•Y'w �" • ip .• /• 'NrP I / t`-` .P A, •tl: • / g L,0•C.• • . • p J G • C •Y'';Alit ti- K.• ..-.,3:..:::f"'� h-.,..,., 1 .1-••;40•11,m _�••• ,. Vat.c • 4• .ix • •'r..:. C • I _•-•1 . : /(F f N ' • KS I II., . Y . 7. C' .0 .G.`t- • .P •P . •Y:...Fatilt, N " [: sdkon L r.^Kee ,� ^ • riII:, Y• ow; • .•, ^•'• __ r „.. • C/ I. • f ti .• 'Fra • ▪ •c • P. I i Y: • A�.•1 r.,�r.0 i g o ( L' .4F rt.Y o,r,Q o•y o.. tl , • i .• • r IC • .• (• erk „ 44`44 w+:•w I. o*. -•. ••• ;!. t n „ ' Y4_ • �rt� nCNMR+j • • • HILLS K :0 ••C n, 4;Y K i [/�••N. • J • • rr C 1• :C • .G.. • • r - It Only •o C ..ter • •• „ \• F • • .1` I.:' • e\ 4. h-w,..,.•n.., ., 4444 .. CASA 7 N 4i Y G•. •F A / .• /1 • 10 •. 51 • ,`tS R68WV' L 674.545• 6 C 6 �C• I' i• I 1 • 4, .7" • • F • y� N C 4 ` / Y •o I `c • / ` / F•i, ,i r', oz '''' -et �/ C oi/'71 r C F '1 Ni G ,/ 'C I P I : a N C N• Y •.2•"9 . \ K IS l: .. I n 5 A p• 11 ':. d16A$E ••N• , Y • .I'C C • • • •.K'. w' L•L: % .• •. • I .15 A• . r , � • v'`. -. I ` lY 4A ▪ it• 7. 1 11 ii t I- •. i f cry= .1. N c ori "w J 41 / P A I • NNsat-pm .aimilme P I • -I •. •1 i 7. • •.., '. 1-..• • ▪ / •I f N 9,(3./.t59 FA • ors J ® �► FIELD CHECK FILING NUMBER: USR-1042 DATE OF INSPECTION: April 1, 1994 APPLICANT'S NAME: Hubert and Alexandra Hayworth REQUEST: A Site Specific Development Plan and a Special Review permit for a single family dwelling on a lot under the minimum lot size in the A (Agricultural) zone district. LEGAL DESCRIPTION: The N2 S2 NW4 of Section 14, T1N, R67W of the 6th P.M., Weld County, Colorado. LOCATION: Approximately 2-1/4 miles southwest of Ft. Lupton, east of and adjacent to Weld County Road 21 and 3/4 mile north of Weld County Road 8. LAND USE: N Agricultural production, oil well. E Agricultural production, oil well, residence. S Agricultural production, residence. W Weld County Road 2:+., agricultural ground, 2 oil wells, residence. ZONING: N A (Agricultural) E A (Agricultural) S A (Agricultural) W A (Agricultural) COMMENTS: Access to the site is from Weld County Road 21, a graveled County local road. Existing structures on the property are two oil wells, as shown on the plat. Current land use is a mix of wheat on the west and grass on the east. Five rural residences exist within 1/4 mile of the parcel. Gloria n, Current Planner 940456 fett 111k. COLORADO DEPARTMENT OF PLANNING SERVICES PHONE (303) 353,9845, EXT. 3540 WELD COUNTY ADMINISTRATIVE OFFICES 1400 N. 17TH AVENUE GREELEY, COLORADO 80631 NOTICE OF PUBLIC HEARING The Weld County Planning Commission will hold a public hearing on Tuesday, April 19, 1994, at 1:30 p.m. for the purpose of considering a Site Specific Development Plan and a Special Review permit for the property described below. Approval of the request may create a vested property right pursuant to Colorado Law. APPLICANT: Hubert and Alexandra Hayworth LEGAL DESCRIPTION: N2 S2 NW4 of Section 14, TIN, R67W of the 6th P.M., Weld County, Colorado. TYPE AND INTENSITY OF PROPOSED USE: A single family residence on a lot under the minimum lot size in the A (Agricultural) zone district. LOCATION: Approximately 2 1/4 miles southwest of Fort Lupton, east of and adjacent to Weld County Road 21 and 3/4 mile north of Weld County Road 8. SIZE: 40 acres, more or less The public hearing will be held in the Weld County Commissioners' Hearing Room, First Floor, Weld County Centennial Center, 915 Tenth Street, Greeley, Colorado. Comments or objections related to the above request should be submitted in writing to the Weld County Department of Planning Services, 1400 N. 17th Avenue, Greeley, Colorado 80631, before the above date or presented at the public hearing on April 19, 1994. Copies of the application are available for public inspection in the Department of Planning Services, 1400 N. 17th Avenue, Greeley, Colorado 80631 - Phone - 353-3845, Extension 3540. Judy Yamaguchi, Chairperson Weld County Planning Commission To be published in the Windsor Beacon To be published (lime by March 24, 1994 Received by: Date: 5/2ZJ4 ..(/ S� .Th-Pt n tY:`�'..:J S. 111k. COLORADO DEPARTMENT OF PLANNING SERVICES PHONE (303) 35333&45, EXT. 3540 WELD COUNTY ADMINISTRATIVE OFFICES 1400 N. 17TH AVENUE GREELEY, COLORADO 80631 March 17, 1994 CASE NUMBER: USR-1042 TO WHOM IT MAY CONCERN: Enclosed is an application from Hubert and Alexandra Hayworth for a Site Specific Development permit and Use by Special Review permit for a single family residence on a lot under the minimum lot size in the A (Agricultural) zone district. The parcel of land is described as N2 S2 NW4 of Section 14, T1N, R67W of the 6th P.M., Weld County, Colorado. The location of the parcel of land for which this application has been submitted is approximately 2 1/4 miles southwest of Fort Lupton, east of and adjacent to Weld County Road 21 and 3/4 mile north of Wsld County Road S. This application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Your prompt reply will help to facilitate the processing of the application and will ensure prompt consideration of your recommendation. Please reply by 4pr11 4, 1994, so that we may give full consideration to your recommendation. Please call Gloria Dunn, Current Planner, if you have any questions about the application. Check the appropriate boxes below and return to our address listed above. 1. We have reviewed this request and find that it does/does not) comply with our Comprehensive Plan for the following reasons. 2. We do not have a Comprehensive Plan, but we feel this request (is/is not) compatible with the interests of our town for the following reasons: 3. We have reviewed the request and find no conflicts with our interests. 4. A formal recommendation is under consideration and will be submitted to you prior to: 5. Please refer to the enclosed letter. Signed: Date: Agency: M 4140 REFERRAL LIST ORD NAME: Hubert and Alexandra Hayworth CASE NUMBER: USR-1042 REFERRALS SENT: March 17, 1994 REFERRALS TO BE RECEIVED BY: April 4, 1994 COUNTY TOWNS and CITIES Attorney Ault JL_Health Department ^Brighton Extension Service —Broomfield ---- Emergency Management Office Dacono Sheriff's Office `Eaton J(Engineering Erie Housing Authority Evans Airport Authority _Firestone _Building Inspection ,$_Fort Lupton Frederick STATE Garden City X Division of Water Resources—�Gilcrest ,Geological Survey Greeley _Department of Health Grover Department of Transportation ^Hudson _Historical Society iJohnstown —___ Water Conservation Board Keenesburg —Oil and Gas Conservation Commission Kersey ---- La Salle ____ FIRE_DISTRICTS Lochbuie _Ault F-1 Longmont Berthoud F-2 Mead -_ �Briggsdalc F-24 Milliken Brighton F-3 New Raymer Eaton F-4 Northglenn ,X„_Fort Lupton F-5 Nunn Galeton F-6 Pierce Hudson F-7 Platteville Johnstown F -S Severance �La Salle F-9 Thornton Mountain View F-10 Windsor Milliken F-11 ~Nunn F-12 COUNTIES _Pawnee F-22 Adams Platteville F-13 _Boulder Platte Valley F-14 Lorimer ~Poudre Valley F-15 ___Raymer F-2 F DE.136J OVERM1MENT A ENCYES _Southeast Weld F-16 _US Army Corps of Engineers Windsor/Severance F-17 _USDA -APHIS Veterinary Service Wiggins F-18 _Federal Aviation Administration Western Hills F-20 _Federal Communication Commission OTHEE SOIL CONSERVATION DISTRICTS Central Colo. Water Conservancy Dist. _y_Brighton Panhandle Eastern Pipe Line Co. Fort Collins �Tri-Area Planning Commission Greeley ~Longmont �— West Adams COMMISSION/BOARD MEMBER X Juliette Kroekel 940456 PLATTE VALLEY SOIL CONSERVATION DISTRICT April 1, 1995 Gloria Dunn Current Planner Weld County Department of Planning Services Weld County Administrative Offices 1400 N. 17th Ave. Greeley, Co. 80631 RE: Case Number USR-1024 Dear Ms. Dunn: 60 S. 27TH AVE. BRIGHTON, CO. 80601 (303)-659-7004 We are in agreement with the proposed homesite, and feel that the soils in this area posses only slight limitations in constructing the septic system. Tree and Shrub Species ********************** Possible tree species for this site are Rocky Mountain juniper, eastern redcedar, ponderosa pine, Siberian elm, Russian -olive, and hackberry. Possible shrub species are skunkbrush sumac, lilac, Siberian peashrub, and American plum. For a full recommendation on planning and planting a windbreak, please consult the Brighton Soil Conservation Service. If you have further questions, please contact us at the above phone number. Thank -you. Plate Valley Soi Conservation district tritgigMA L!!!1 1994 j 940456 COLORADO '`` M+`• `'�,�� 21-19-94 PIRA WELD CO. HEALTH DEPT. March 17, 1994 TO WHOM IT MAY CONCERN: • DEPARTMENT OF PLANNING SERVICES PHONE (303) 353.3945, EXT. 3540 WELD COUNTY ADMINISTRATIVE OFFICES 1400 N. 17TH AVENUE GREELEY, COLORADO 80631 CASE NUMBER: USR-1042 Enclosed is an application from Hubert and Alexandra Hayworth for a Site Specific Development permit and Use by Special Review permit for a single family residence on a lot under the minimum lot size in the A (Agricultural) zone district. The parcel of land is described as N2 S2 NW4 of Section 14, T1N, R67W of the 6th P.M., Weld County, Colorado. The location of the parcel of land for which this application has been submitted it approximately 2 1/4 miles southwest of Fort Lupton, east of and adjacent to Weld County Road 21 and 3/4 mile north of Weld County Road 8. This application is submitted to you for review and recommendation, Any comments or recommendation you consider relevant to this request would be appreciated. Your prompt reply will help to facilitate the processing of the application and will ensure prompt consideration of your recommendation. Please reply by April 4, 1994, so that we may give full consideration to your recommendation. Please call Gloria Dunn, Current Planner, if you have any questions about the application. Check the appropriate boxes below and return to our address listed above. 1. We have reviewed this request and find that it does/does not) comply with our Comprehensive Plan for the following reasons. 2. We do not have a Comprehensive Plan, but we feel this request (is/is not) compatible with the interests of our town for the following reasons: 3. We have reviewed the request and find no conflicts with our interests. 4. A formal recommendation is under consideration and will be submitted to you prior to: 5. Please refer to the enclosed letter. L Ditned��!J' Agency: C Date: `2� nalin 940455 COLORADO March 17, 1994 • DEPARTMENT OF PLANNING SERVICES PHONE (333) 353-3645, EXT. 3540 WELD COUNTY ADMINISTRATIVE OFFICES 1400 N. 17TH AVENUE GREELEY, COLORADO 80631 CASE NUMBER: USA -1042 TO WHOM IT MAY CONCERN: Enclosed is an application from Hubert and Alexandra Hayworth for a Site Specific Development permit and Use by Special Review permit for a single family residence on a lot under the minimum lot size in the A (Agricultural) zone district. The parcel of land is described as N2 S2 5514 of Section 14, TIN, R67W of the 6th P.M., Weld County, Colorado. The location of the parcel of land for which this application has been submitted is approximately 2 1/4 miles southwest of Fort Lupton, east of and adjacent to Weld County Road 21 and 3/4 mile north of Weld County Road S. This application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Your prompt reply will help to facilitate the processing of the application and will ensure prompt consideration of your recommendation. Please reply by April 4, 1994, so that we may give full consideration to your recommendation. Please call Gloria Dunn, Current Planner, if you have any questions about the application. Check the appropriate boxes below and return to our address listed above. 1. We have reviewed this request and find that it does/does not) comply with our Comprehensive Plan for the following reasons. 2. We do not have a Comprehensive Plan, but we feel this request (is/is not) compatible with the interests of our town for the following reasons: 3. 17 We have reviewed the request and find no conflicts with our interests. 4. A formal recommendation is under consideration and will be submitted to you prior to: 5. _;Please refer to the enclosed letter. Signed. Date: Agency: _r f 19,7-� C. COLORADO March 17, 1994 Ica.. a ig 1;ECEIVED MAk 2 j 1994 • DEPARTMENT OF PLANNING SERVICES PHONE (303) 353-x845, EXT. 3540 WELD COUNTY ADMINISTRATIVE OFFICES 1400 N. 17TH AVENUE GREELEY, COLORADO 80631 CASE NUMBER: USR-1042 TO WHOM IT MAX CONCERN: Enclosed is an application from Hubert and Alexandra Hayworth for a Site Specific Development permit and Use by Special Review permit for a single family residence on a lot under the minimum lot size in the A (Agricultural) zone district, The parcel of land is described as N2 $2 NW4 of Section 14, TlN, R67W of the 6th P.M., Weld County, Colorado. The location of the parcel of land for which this application has been submitted is approximately 2 1/4 miles southwest of Fort Lupton, east of and adjacent to Weld County Road 21 and 3/4 mile north of Weld County Road 8. This application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Your prompt reply will help to facilitate the processing of the application and will ensure prompt consideration of your recommendation. Please reply by April 4, 1994, so that we may give full consideration to your recommendation. Please call Gloria Dunn, Current Planner, if you have any questions about the application. Check the appropriate boxes below and return to our address listed above. 1. We have reviewed this request and find that it does/does not) comply with our Comprehensive Plan for the following reasons, 2. We do not have a Comprehensive Plan, but we feel this request (is/is not) compatible with the interests of our town for the following reasons: 3. 4- We have reviewed the request and find no conflicts with our interests. Ace Es.cPsrwr 4pPRovEA PIES 7Z !444 4. A formal recommendation is under consideration and will be submitted to you prior to: 5. Please refer to the enclosed letter. Signed: / L7y Agency: Date: 1?_' l 9 3/NL.4.F RAet.!/L.Y kES/Desvice G/NOEe. 80 4C, 940d5s tt 1 C. COLORADO ses DATE: March 17, 1994 TO: SURROUNDING PROPERTY/MINERAL OWNERS CASE NUMBER: USR-1042 N DEPARTMENT OF PLANNING SERVICES PHONE (303)353-3W, EXT. 3540 WELD COUNTY ADMINISTRATIVE OFFICES 1400 N. 17TH AVENUE GREELEY, COLORADO 80631 There will be a Public Hearing before the Weld County Planning Commission on Tuesday, April 19. 1994, at 1:30 p.m., in the County Commissioners' Hearing Room, First Floor, Weld County Centennial Center, 915 10th Street, Greeley, Colorado concerning the request of: NAME: Hubert and Alexandra Hayworth FOR: Site Specific Development permit and Use by Special Review permit for a single family residence on a lot under the minimum lot size in the A (Agricultural) zone district. LEGAL DESCRIPTION: N2 S2 NW4 of Section 14, TIN, R67W of the 6th P.M., Weld County, Colorado. LOCATION: Approximately 2 1/4 miles southwest of Fort Lupton, east of and adjacent to Weld County Road 21 and 3/4 mile north of Weld County Road 8. Your property is within five -hundred (500) feet of the property on which this request has been made or you may have an interest in the minerals located under the property under consideration. For additional information write or telephone Gloria Dunn, Current Planner. Comments or objections related to the above request should be submitted in writing to the Weld County Department of Planning Services, 1400 N. 17th Avenue, Greeley, Colorado 80631, on or before the date of public hearing. SIOArs fe-FRTIFICATE OF RAILING I hereby certify that I have placed a true and correct copy of the surrounding property owners and owners and lessees of minerals in accordance with the notification requirements of Weld County in Case Number usr-1042 for Hubert and Alexandra Hayworth in the United States Mail, postage prepaid First Class Mail by letter as addressed on the attached list. this 21st day of March, 1994. 940456 SURROUNDING PROPERTY OWNERS AND/0R SUBSURFACE ESTATE/MINERAL OWNERS Hubert and Alexandra Hayworth USR-1042 Badding Estates 3871 Weld County Road 21 Fort Lupton, CO 80621 Jimmie M. and Pauline T. Cavanaugh 1441 E. 105 Place Northglenn, CO 80233 Eugnene A. and Erna N. Doversberger 3695 Weld County Road 23 Fort Lupton, CO 80621 Margaret F. Buck 3615 Weld County Road 13 Erie, CO 80516 Wendy Palyo 3872 Weld County Road 21 Fort Lupton, CO 80621 Jimmie M. Cavanaugh and Betty Ann Cavanaugh Williams 1441 E. 105 Place Northglenn, CO 80233 Duane E. Gordon and Susan A. Gordon 310 7th Street Fort Lupton, CO 80621 Amoco Oil Company P.O. Box 187 Fort Lupton, CO 80621 946456 I. M SURFACE E TATE Application No, Subject Property N 1(Z of VA. cc Ptt MjJ tL , Sferwa (4 , Totoask e ± Kot' L , RAga (o? IA) d 4k eon; pelt STATE OF COLORADO ) SS. COUNTY OF WELD THE UNDERSIGNED, being first duly sworn, states that to the best of his or her knowledge the attached list is a true and accurate list of the names, addresses, and the corresponding Parcel Identification Number assigned by the Weld County Assessor of the owners' of property (the surface estate) within five hundred feet of the property under consideration This list was compiled from the records of the Weld County Assessor, or an ownership update from a title or abstract company or attorney, derived from such records, or from the records of the Weld County Clerk and Recorder. The list compiled from the records of the Weld County Assessor shall have been assembled within thirty days of the application's submission date. The foregoing instrument was subscribed and sworn to before me this 7 day Hai lei G,nr'+'h .17 yj , 19 5( by /L4.%e-44 °Scar - WITNESS my b.'.nd and official seal. MY Commitsio oxpi es: f7/a7/9 ry Public My Commission Expires: Or M AFFIDAVIT OF INTEREST OWNERS MIMERoLS AND/OR SUPSURF,ICE 1,5W Application No. Subject Property Mitt tiC *k S T/2 D. `ENZ NIA) 0') Sic L t owe, INt? 1- NoQ+t, Rartjc 47 kaZ5r a{ 4Lt eew P M . STATE OF COLORADO ss COUNTY OF WELD THE UNDERSIGNED, being first duly sworn, states that to the best of his or her knowledge the attached list is a true and accurate list of the names and addresses of all mineral owners and lessees of mineral owners on or under the parcel of land under as their names appear upon the records in the Weld County Clerk and Recorder's Office or from an ownership update from a title or abstract company or an attorney. The foregoing instrument was 7 day of /?Q/4JC,i2 seal, /I My Comnib3 o74 pires: and swo subscribed 19 n to before me this WITNESS my hand and official 940450 f&C\Iir:A Oleo CO1.91:i 4D194 a DEPARTMENT OF PLANNING SERVICES PHONE (303) 353.3845, EXT. 3540 WELD COUNTY ADMINISTRATIVE OFFICES 1400 N. 17TH AVENUE GREELEY, COLORADO 80631 Hubert and Alexandra Hayworth P.O. Box 270823 Fort Collins, CO 80527 Subject: USR-1042 - Request for a Site Specific Development permit and Use by Special Review permit for a single family residence on a lot under the minimum lot size in the A (Agricultural) zone district. on a parcel of land described as N2 S2 NW4 of Section 14, T1N, R67W of the 6th P.M., Weld County, Colorado. Dear Mr. and Mrs. Hayworth: Your application and related materials for the request described above are complete and in order at the present time. I have scheduled a meeting with the Weld County Planning Commission for April 19, 1994, at 1:30 p.m. This meeting will take place in the County Commissioners' Hearing Room, first floor, Weld County Centennial Center, 915 10th Street, Greeley, Colorado. It is recommended that you and/or a representative be in attendance to answer any questions the Planning Commission members might have with respect to your application. It is the policy of Weld County to refer an application of this nature to any town or municipality lying within three miles of the property in question or if the property under consideration is located within the comprehensive planning area of a town or municipality. Therefore, our office has forwarded a copy of the submitted materials to the Fort Lupton Planning Commission for its review and comments. Please call Dave Yamada at 356-9225 for further details regarding the date, time, and place of this meeting. It is recommended that you and/or a representative be in attendance at the Fort Lupton Planning Commission Meeting to answer any questions the Commission members may have with respect to your application. It is the responsibility of an applicant to see that a sign is posted on the property under consideration at least 10 days preceding the hearing date. Sometime prior to April 1, 1994, you or a representative should call me to obtain a sign to be posted on the site no laterthanApril 8, 1994, The sign shall be posted adjacent to and visible from a publicly maintained road right-of-way. In the event the property under consideration is not adjacent to a publicly maintained road right-of-way, the applicant shall post one sign in the most prominent place on the property and post a second sign at the point at which the driveway (access drive) intersects a publicly maintained road right-of-way. Your sign posting certificate must bo returned to the Department of Planning Services' office on or before the date of the hearing. 94045f; Hubert and AleAllOllHayworth USR-1042 Page 2 S The Department of Planning Services' staff will make a recommendation concerning this application to the Weld County Planning Commission. This recommendation will be available twenty-four (24) hours before the scheduled hearing. It is the responsibility of the applicant to call the Department of Planning Services' office before the Planning Commission hearing to make arrangements to obtain the recommendation. If you have any questions concerning this matter, please feel free to call me. Respectfully, Gio'fia Dunn Current Planner 94,0456 es :v2.p6,- /8= V 4 USE BY SPECIAL REVIEW APPLICATION Department of Planning Services, 1400 N. 17th Avenue, Greeley, Colorado 80631 Phone- 353-3845 -Ext. 3540 Case Number 1A S R 10 4). Date Received Application Checkel B�GO Mylar Plat Submitted Application Fee J--- Receipt Number /4 fig Recording Fee Receipt Number 3- 10 -ail xQ $E COMZIZIVII0 AX APPLICANT: (please print or type, except for necessary signature) I (we), the undersigned, hereby request a hearing before the Weld County Planning Commission and Weld County Board of County Commissioners concerning the proposed Use by Special Review Permit on the following described unincorporated area of Weld County, Colorado: LEGAL DESCRIPTION OF SPECIAL REVIEW PERMIT AREA: N4 S q.' .vAZSection I� T t N, R LEGAL DESCRIPTION of contiguous property owned which Special Review Permit is proposed: Section T N, R W Property Address (if available) PRESENT ZONE MF,RIGalru2hL- TOTAL ACREAGE PROPOSED LAND USE 2e ll( wrt R151bEACf. EXISTING LAND USE MAW- I OVERLAY ZONES A6klat ciao, SURFACE, ZEE (PROPERTY OWNERS) a AREA PROPOSED £QR IHE USE EX SPECIAL REVIEW PERMIT. Name: L� A4JD ALInt• M I4AYOO Address: PO FOX .1.7-0&2$ City: FT ccu-/A)5 Ch Zip: W527 - Home Telephone: (a,5 - 37-53 Business Telephone: 225 - 1400 Name: Address: City: Zip: Home Telephone: Business Telephone: APPLICANT QR =t MEIZED AGENT (if different than above): Name: Address: City: Home Telephone: Business Telephone: 3isain0 List the owner(s) and/or lessees of mineral rights on or under the subject properties of record. Name: SiAMI'i A. ('4VI4rAUGN Zzini AAu 0,wa A H L3QuArks Address: 144.1 L Ins- Pt. City: AbeDKIIAs(N Co Zip: %0Z33 Name: DLLAat 6.014tn + SUVA 4. 60aziorJ Address: 1/0 ;To ST City: Pi LUPToa CO Zip: 80(oal I hereby depose and state under the penalties of perjury that all statements, proposals and/or plans submitted with or contained within the application are true and correct to the best of my knowledge. COUNTY OF Weld ) STATE OF COLORADO ) Subscribed and sworn to before me this c-G4- vBignatu . 7 i `day of 7/)7/16 �tdo My commission expires ARY PUBLIC Owner or Authorized Agent 940456 4 Detailed descriptions of the proposed use for which we are submitting this aplication, as requested under Section 2 of Application Requirements, are listed below. explain proposed use. The use we propose for the land is to add one single family home (of about 2000 square feet) to the parcel, to be occupied by the applicants, while causing minimal impact on the current use of the land. The NW 1/4 of section 14, T1N, R67W was formerly owned by Gladys S. Cavanaugh. Upon her death this land was divided into 4 40 acre parcels and divided among her heirs. One of those parcels (the S 1/2 of the N 1/2) is occupied by heirs of G. S. Cavanaugh. It consists of a single family home and some outbuildings, the rest of the land being devoted to dryland farming and dry pasture. The N 1/2 of the N 1/2 contains another single family home, for which a use by special review was granted by the county. The remainder of its land is used similarly. The S 1/2 of the S 1/2 has been granted a use by special review for a single family home, but construction has not yet begun. Our parcel is the last to request a use by special review. The proposed use is in keeping with that previously found to be acceptable by the county, and is exactly the same as our neighbors use for their property. The subject property is currently half planted in winter wheat, half fallow. There is an area in the NE corner (please refer to the map) that has not been under recent cultivation: this is our proposed building site. This will allow us to build with a minimum of disturbace to the existing agricultural use. No land would have to be removed from farming in order to build a house. The wheat is being grown by a neighbor who has leased the land from the previous owners; we are honoring that lease and plan to continue to do so. As all of the surrounding properties are used for dryland farming, dry pasture, oil and gas production with widely dispersed single family homes, our proposed use is in keeping with established and existing uses in the area. gxplain need for use. We have purchased this land with the hope of being able to build a home on it. We understood at the time of purchase that a use by special review would have to be applied for and granted in order to do this, and that a unfavorable decision could be a possiblity. If this were to occur, it would cause some financial hardship as we have already made a large investment in the land just by its purchase price. 940456 __ e ty es of ex istina uses on surrounding properties. The surrounding properties are all used for single family homes, dryland farming, pasture, and oil and gas production. Sizes of these properties range from 40 acres up. The distanc9 of the proposed use to residential structures in each direction. From our proposed residence to other residences: North - greater than 1/2 mile. South - Approximately 1/4 mile. East - Slightly greater than 1/2 mile. West - Slightly less than 1/2 mile. The maximum number of users, patrons, members, and buyers. The only users will be the applicants, who will occupy the proposed single family home. The number of e plgvees, number of shifts, and hours of operation. Should not apply. No business use is intended The tvoe of water source for the proposed use. A permit for a domestic well has been granted by the state (permit no. 175416 issued 12/22/93, attached) and will have to be dug after approval of this application. $xplain the access route to In utilized for the proposed use. A single lane gravel driveway would be constructed along the northern edge of the property (Please see map). This will cause only minimal disturbance to the existing agricultural use. An access permit for this has been granted by the county. Explain the type. sze, weight. and frequency of vehicular traffic associated with the proposed use This will be no more thanwhat is normally associated with a single family home. We will not be operating a business from the property, will not have employees, etc. The type of sewage facilities for the proposed use. A permit for an individual sewage disposal system (septic tank and leach field) has been granted by the county (permit no. G-930433, attached) and will have to be constructed after approval of this application. 94C456 description of the propgped fire Protection m surer assgcj.,ted with the proposed use. This will be what is normally associated with a single family home occupied by two people. The property is located within the Ft. Lupton fire protection area. Building codes will be observed, smoke detectors and fire extinguishers will be placed throughout the residence. In addition, the applicants pledge to try to use common sense in their daily use of the residence. The tvnes and maximum numlzer of animals to be concentrated on Vie ,t v special review area at any one time. No commercial stock raising will be carried out. The only animals anticipated on the property are a small number of the usual domestic pets (dogs and cats) and enough chickens to supply us and our friends with fresh eggs. The type and size of any waste, stockpile or storage areas associated with the Proposed use._ No waste or stockpile would be anticipated. A detached garage of about 20 x 30 feet for storage and a private workshop may be constructed at some future date, but this will not be part of our immediate building plans (see map). Type of storm water retention facilities associated with the proposed use. None should be required. No large buildings or paved areas creating runoff problems will be built. The time schedule and method of removal and disposal of debrjs, funk and other wastes associated with the _Proposed use. We consider it to be a part of responsible citizenship to reuse and recycle domestic household waste whenever possible. That which would go to the landfill would be no more than is normally associated with a residence occupied by two people: weekly service by a commercial trash pick-up company that currently serves the area would be contracted. explain proposed landsct.Pina Plans and erosion control measures associate with the Proposed use. Landscaping and erosion control wil consist mainly of trees and shrubs distributed so as to provide a windbreak and to attract wildlife. The native grasses that currently occupy the building site area will be repaired and encouraged to grow in order to repair damage from construction. Should the lease of our land for its current use of growing winter wheat ever be cancelled by the lessee, we would attempt to return the land to native prarie grasses. 940456 Replamation procedures to be employed upon cessatiQp of the use by special review activity. It is the hope of the applicants that cessation of use will be many years away, and will occur of natural causes after many years of enjoying the use peaceably, quietly, in a beautiful place. Thus no reclamation procedures are currently planned. A Sime table showinq the periods of time required for construction and start-up of the Rroposed use. In order to proceed with construction as quickly as possible in the event of a favorable recommendation, we have already begun the process of getting bids on the construction of the residence. we would then be able to begin almost as soon as a use by special review was approved. As a typical residential construction loan is for a period of 6 months, this would govern the time table for our construction. 94:045s The following written materials and supporting documents are requested under Section 3 of the application requirements. A fete ent exiling hQw the proposal is consistent wjl the Welt County Comprehensive Plan. The Weld County Comprehensive Plan addresses a large number of concerns regarding future development. There are mainly two of these that would pertain to our proposed residence: 1) That development should conserve productive agricultural land in an agricultural district, and 2) that development should not place a financial burden on the county by way of services required. We are fortunate that on our property there is one corner that has not been recently cultivated. We have purposely selected this corner (please see map) as our proposed building site so that our construction can take place with almost no impact to the present agricultural use. A driveway will have to be constructed from the main road to the residence, this is placed on the northern most line of the property so as to minimize its interference with the cultivation of the land. The land has previously been leased for the growing of winter wheat, we are honoring that lease and have met with the lessee to assure him that we will continue to do so in future years. The construction of our house will remove almost no land (the exception being the narrow strip for the driveway) from agricultural production. Our residence will not require the county to provide any utility services, as we will be providing our own water and sewage disposal systems. We have been residents of Weld County for over 4 years, thus we are not adding new burdens to such county services as landfill space, police, and fire protection. We are merely changing their location slightly. It is, of course, our hope that our requirments for police and fire service will be minimal. A statement explaining how the proposal is consistent with the intent of the district in whichthe use is located. The use is located in an agricultural district, containing widely dispersed residences. The building of a residence while making every effort to cause the minimum of impact to the current agricultural use of the land is consistent with all nearby land use in the district. Our use should not have any effect on the agricultural zoning of our land or that of our neighbors, nor would we wish this. 9C04&s A statement expla n�ng what efcoxts have been make. in the location decisjon for the proposed use, to conserve productive agricultural land in the agricultural zone district. our land has for the past few years been used for the growing of winter wheat. Half now has a crop planted, half is fallow, with the exception of the northeast corner. This corner has seen no recent cultivation, and is currently covered with wild native grass. We have purposely selected this corner (please see map) as our proposed building site so that our construction can take place with almost no impact to the present agricultural use. A driveway will have to be constructed from the main road to the residence, this is placed on the northern most line of the property so as to minimize its interference with the cultivation of the land. The land has previously been leased for the growing of winter wheat, we are honoring that lease and have met with the lessee to assure him that we will continue to do so in future years. The construction of our house will remove almost no land (the exception being the narrow strip for the driveway) from agricultural production. A statement explaining there is adequate provision for the protection of the health, safety and welfare of the inhabitants of the neighborhood and thg count. We would not expect our residence to have any negative impact on the health, safety, and welfare of the neighbors. The property is located within the Ft. Lupton fire protection area should their services be required. ses permit__ ill be compatible with the existing surrounding land uses (include a description of existing land uses of all properties adiacent to the property). The requested use is to place a single family home on a section of the property not currently used for agricultural production, while maintaining the present agricultural use for the rest of the property. As all of the surrounding properties are used for dryland farming, dry pasture, oil and gas production with widely dispersed single family homes, our proposed use is in keeping with established and existing uses in the area. A stateme t explaining the uses permitted will be compatible wish the future development of the surrounding area as permit_ ted by the existing_zone and with future development as projected by the comprehensive plan of the county or the adopted master plans of affected municipalities. The surrounding area of our property is zoned agricultural, and our proposed use is in keeping with this. The type of future development projected by the Weld County Comprehensive Plan for areas such as ours is mainly that of additional residential construction, which is also compatible with our intended use. 94.104 :56 A statement explaining the use by special review area_As not located in a_flood plain. geologic hazard and Weld Cou ty Airpoxt overlay district area. The use by special review area is not located in any of the above mentioned areas. Please find attached a map of the S. Platte flood plain area with the property location marked. Proof that a water supply will be available which is adequate in terms of gyantity, aunty, and dependabi.lity• A permit for a domestic well has been granted by the state (permit no. 175416 issued 12/22/93, attached) and will have to be dug after approval of this application. A copy of the deed or leaal_instrument identifying the applicant interest in the property nder consideration. Please find a copy of the warranty deed identifying our ownership of the property, attached. &.•noise report, unless waiyea lw the Department of Planning Services. documenting the methods to be utilized to meet the a$Blicable noise standards. We should cause no more noise (and can promise that we will cause less than most) than is typically generated by a single family residence. A soil report of the site prepared by the Soil Conservation Service or by a soils engineer. A copy of a soil report prepared by Empire Labs of Longmont, Co. is attached. This report details the existance of moderately expansive soils on the building site and makes recommendations for dealing with this. Engineering work for the basement and foundation of the proposed residence has also been prepared by the same company. Basement/foundation walls will be supported on cassions, with a floating concrete floor. A certified last of the names, addresses and the corresponding pa c.� el identification number of the owners of property withing 500 feet of the property subiect to the application. This list was prepared from the records of the Weld County Assessor. Please find it attached. A certified list_of the names land addresses of mineral owners and lessees of minerals on or undethe parcel pJ eland being considezesl z This list was prepared from an ownership update prepared by Transamerica Title Company, Greely, Co. Please find it attached. 41d nAc: Weld County Road & Bridge P.O. Box 758 Greeley, CO 80632 356-4000 Ex. 4750 Date r68. 2t1 Ki9I WELD COUNTY ROAD ACCESS APPLICATION € a Sevier (4:t.; ty� 4 1. Applicant Name Fi 41 "me - T# $14 1/41 wOeT F4 Phone Carr 3753 Address P.O,PM°X L7OO9LE, City F+C.ou sMS State Ca Zip 6�z'1 2. Address or location of access L1/4•Nc2tJ Subdivision Block Lot — Weld County Road /f 2.1 Side of road e .'r N S(25or W Distance from & number of intersecting road ?./c) /?'z yJo2r4 Wct$ 3. Is there an existing access to the property Yes No k Reason for access 1-�hMFS Estimated Daily Traffic Cars / Trucks yo Tractor Trailer 4. Site Sketch _51-t Gt'1 P oft aeshAL CJG.Q. t -t 00 5. Weld County Recommendations Culvert ye, Size JS" Length tO' Other Comments 11t4 to Ke e P ste aceaS5 C AstooRLi t-05 Loc.) PS PaVS, IN_ ID,t 4 Ago 94at+0 KG') To Tike' Gw'1rsNv C.RADGE Verb 6. Weld County Access Installation And Maintenance Policy It shall be the policy of Weld County that whenever the installation of any culvert is made nessary by the creation of a new access from private property to a County Road by the owner or occupier of such property, such owner or occupier shall pay for the new culvert and the cost of installation. The culvert shall be installed according to the specifications for the Department of Engineering. After installation, such owner or. occupier shall be responsible for the maintenance and repair of said culvert. This policy shall apply to all new and existing culverts of the type described above. :fraa 940456 'PL...SE4ASE .. COUNTY ... .. LD I 1 TON 1 S2 2 ,. Fs...11(.,X TYPE::: 6zL....:.I:DENT: r'd!... WOOD LiC:Us1::: 1. '... .. I''! RS fIC, 2 I:cA Ir hr.J!^'. '`....i :) LOT .,.1-.... 40.0u !'' ./1.1!11 "!E. .a BASEMENT 1EL!'T' I. 1. IIY T' 11 1.R cI I :;ON ti:!': L .IQ ":tll ) (:.H 1 -,C' _.S I. )"I! S It PERCENT C!.NY CRr A:LOPE: rf,! Etl(.JII.I . ENGINEER DESIGN i'1 MQ .II 100 YEAR F.. J.) PATN ^ "•'1': 'ROM OM THE APPLICATION INE(.0wWTICthr SUPPLIED l.-.::) AND i;) THE (:il ,; I:'T!> SOIL i 1 O (\;-2 .-III:. '''il!..I..OI.J•I:.(' MINIMUM INSTALLATION SPECIEICATIONs ARE � i7 F:.:i):: SEPTIC TANK ��7 (.I'IL i'Iti:3, IIL f:h:F''Y: _I:, ,,III r_I V.0Q :al.. ,:il 1 AB;SORf TION. I='1 I) ) 1WW/I ...(t _., I I TERMS I IiA):c'c':EOI�!.. I ! > PERMIT :I S IrxlE: T I O THE r l l! I,.QW:I'N! r AD'):I TIONA:,,, AND(,,,T� �� { I C);,:,; , (IA(,�,tru.� .029J- Illicit- ... D '!A 'HIS PERMIT i IS GRANTED TEMPORARILY TO ALLOW CONSTRUCTION 'IC) COMM::'.:. THIS PERMIT 1AY 531:: REVOKED OR SUSPENDED ENDI'I) 1'Y Ttll•, WELD COUNTY HEALTH DEPARTMENT ff:I T FOP REASONS SET URTH IN THE WELD COUNTY INDIVIDUAL (n.i<„ I 1 I - - !.,,.L ' rl.lc- x SEWAGE I/,;..:.I _ _ :1._ SYSTEM _ r _... �;t.;L. r; T c . L.. ,..> 1.1" AI!...tJI'Ii: T(:1 MEET ANY Trr;M OR CONDITION IMPOSED THEREON DURING 'rrrI:'c! ".Y OR FINA_. 1VAL.. THE .I.nsl.:i Nc,. (: F' :I.!.::: ;,,r: DOES !\I I. t.: , :.. L I -. .v. tP'I-'RC, PERMIT i .. �.. ... NOT iL � .. I _ I;,.`. ��l r!I I ;L.I, iSf THE )I_F'(-)WtYIEhI'T' OR f.l,:, EMPLOYEES OF L...Lf;B.CL...lT'Y FOR^THE ^i.f....UG;I::. OR T'! :EWACE DISPOSAL SYSTEM. HIS .q..,Y,... IS TRANSFERABLE AND SHALL .zET...,hh VOID IF `:?Y(. ;-_K . )..,..F .,C'' .(.Urt HAS _.N .... ) . L. I \ ITS ISSUANCE. -,,._? .,::._, ISS, c, FINAL APPROVAL f CM CCMI*II::..IC,1::.T. W7:"i"11.1.11 ONE YEAR OF .L I:.1 oc..-C.I\�_ �.::,:>J):hl�: '- :.: F'd_ (-If'I-'F�17Vf^iL. Jr 'HIS PERMIT THE : k'r.. D COUNTY HEALTH DEPARTMENT RESERVES THE RIGHT TO IMPOST: ADDI— rr AND CONDITIONS r. -.E ••) ('v ,..__O ,. N N .,NG '2pNAl_ TERMS 1"1;,,.. ,.,u,d).1. , ..(:ihla> 1-,I::.1: LJ:i:Ei!.'.f.) 1 f:) MEET CUR r<I_.,l.Jl"-t Li.11�!.., (_!�I A CGI,T'i,,.i.:r,�, '?A• - IS. FINAL PERMIT (6'!'RO'•.'Al... is CONTINGENT UPON THE FINAL INSPECTION OF THE CUM— ' ...D SYSTEM .:> I THE WELD COUNTY H1 1 DEPARTMENT. 946456 ' Form No. OFFICE OF FW9-25. " " COLORADO STATE ENGINEER N OF WATER RESOURCES ' APPLICANT 818 Centennial Bldg., 1313 Sherman St, Donvor, Colorado 80203 (303) 8663581 VERNITA M ZUBIA 505 W GENESEO APT C LAFAYETTE CO 80026 (303) 661-0480 PERMIT TO CONSTRUCT A WEu. UC WELL PERMIT NUMBER 175416 DIV. 1 CNTY. 62 WD "2 DES. BASIN MD Lot Bloc* ;filing! Subdiv: APPROVED WELL LOCATION WELD COUNTY SE 1/4 NW 1/4 Section 14 Twp 1 N RANGE 67 W 6th P.M. DISTANCES FROM SECTION UINEE 1502 FL from North Section Line 2640 Ft. from West Section Line ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDflONS OF APPROVAL. 1) This well shall bo used in such a way as to cause no material Injury to existing water rights. The issuance of the permit does not assure the applicant that no injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief In a civil court action. 2) The construction of this well shall be in compliance with the Water Weil Construction and Pump Installation Rules 2 CCR 402-2, unless approval of a variance has boon granted by the State Board of Examiners of Water Well Construction and Pump installation Contractors in accordance with Rule 17. 3) Approved pursuant to CRS 37-92.602(3)(b)(II)(A) as the only well on a tract of land of 40 acres described as the N1/2 of the S1/2 of the NWt/4 of Section 14, Township 1 North, Range 67 Wost of the 6th P.M., Weld County. 4) The use of ground water from this well Ls limited to ordinary household purposes inside one single family dwelling, fire protection, the watering of poultry, domestic animals, and livestock on farms and ranches, and the irrigation of not over one acre of home gardens and lawns. 5) Production from this well is restricted to the Laramie -Fox Hills aquifer which corresponds to the interval between 535 foot and 820 foot below ground surface. Pain casing shall be Installed and sealed to prevent production from other zones. 6) The maximum pumping rate shall not exceed 15 GPM, 7) The return flow from the use of the well must be through an individual waste water disposal system of the non -evaporative type where the water Is returned to the same stream system in which the well is located. 8) This well shall be constructed not more than 200 feet from the location specified on this permit Note: To Insure a maximum productive life of this well, perforated casing should be set through the entire producing Interval of the approved zone or aquifer indicated above. Note: Permit No. 156317 (expired) was previously issued on January 26, 1990, for this lot --72 is/.�o/ss OWNER'S COPY APPROVED DWR ea caps., Receipt No. n163113 DATE ISSUED DEC 22 1993 RATION DATE G 2 1995 90456 .0 a, 'IC 1. „A. oVelOOM,,, AR23724 3 S 142a`�� C 02372493 02/04/94 16 $5.00 1/001 F 1866 ANN FEUERSTEIN CLERK & •RDER WELD CO, CO WARRANTY DEED ee THIS DEED, Made this 28th day of January, 1994 between Vernita M. Zubia of the County of Weld and State of Colorado, grantor, and Hubert 0. Hayworth and Alexandre R. Hayworth whose legal address is Vacant Land, Port Lupton, Colorado of the County of Weld and State of Colorado, grantees: WITNESS that the grantor for and in consideration of the sum of FIFTY SEVEN THOt1SAND FIVE HUNDRED AND 00/100, ($57,500.00) Dollars, the receipt and sufficiency of which is hereby acknowledged, has granted, bargained, sold and conveyed, and by these presents does grant, bargain, sell, convey and confirm unto the grantees, their heirs and assigns forever, not in tenancy in common but in joint tenancy, all real property, together with improvements, if any, situate, lying and being in the County of Weld and State of Colorado, described as follows: The N1/2 of the S1/2 of the NW1/4 of Section 14, Township 1 North, Range 67 West of the 6th P.M., County of Weld, State of Colorado STATE DOCUMENTARY FEE, Date c2 ci-f 5, 75" also known by street and number as Vacant Land, Fort Lupton, Colorado TOGETHER with all and singular the hereditaments and appurtenances thereunto ly belonging, or in anywise appertaining and the reversion and reversions, remainder and 2 remainders, rents, issues and profits thereof, and all the estate, right, title, interest, claim and demand whatsoever of the grantor, either in law or equity, of, in and to the above bargained premises, with the hereditaments and appurtenances. TO HAVE AND TO HOLD the said premises above bargained and described, with the appurtenances, unto the grantees, their heirs and assigns forever. And the grantor, for himself, his heirs and personal representatives, does covenant, grant, bargain, and agree to and with the grantees, their heirs and assigns, that at the time of the ensealing and delivery of these presents, be is well seized of the premises above Conveyed, has good, sure, perfect, absolute and indefeasible estate of inheritance, in law, in fee simple, and has good right, full power and lawful authority to grant, bargain, sell and convey the same in manner and form aforesaid, and that the same are free and clear from all former and other grants, bargains, sales, liens, taxes, assessments, encumbrances and restrictions of whatever kind or nature soever, except general taxes for 1994 and subsequent years; except easements, restrictions, covenants, conditions, reservations and rights of way of record, if any; The grantor shall and will WARRANT AND FOREVER DEFEND the above -bargained premises in the quiet and peaceable possession of the grantees, their heirs and assigns, against all and every person or persons lawfully claiming the whole or any part thed theereof. use of as The singular number shall include the plural, the plural the singular, y gender shall be applicable to all genders. IN WITNESS WHEREOF the grantor has executed this deed on the date set forth above. STATE OF COLORADO. County of Weld by Vernita M. Zubia No. 921A. Rev. 3-85 Vernita M. Zubia • } so. The foregoing instrument was acknowledged before me } this 28th day of January, 1994 Witness my hand and official seal. My commission expires f30- 77 NOTARY PUBLIC 1113 Tenth Avenue Greeley, COLORADO 80631 940456 I 1 I i 1 1 I I 1 1 GEOTECHNICAL ENGINEERING REPORT HUBERT HAYWORTH RESIDENCE WELD COUNTY ROAD 21 WELD COUNTY, COLORADO ELI PROJECT NO. 22935161 Prepared for: HUBERT HAYWORTH 11829 WELD COUNTY ROAD 15 LONGMONT CO 80504 Terracon Empire Laboratories, Inc. A Division of The Terracon Companies. k 4:S6 S 1 1 1 1 i 1 1 1 1 1 1 1 1 1 1 January 4, 1994 Mr. Hubert Hayworth 11829 Weld County Road 15 Longmont, CO 80504 Empire Laboratories, Inc. A Division of The Terracon Companies, Inc. P.G. Box 1135 • 1242 8ramwood Place Longmont, Colorado 80502 Phone (303) 776-5921 Fax No. (303) 776-4041 PO. Box 503 • 301 No. Howes Fort Coffins, Colorado 80522 (303) 484-0359 FAX No. (303) 484-0454 Re: Gootechnical Engineering Report, Proposed Residence on Weld County Road 21 Weld County, Colorado ELI Project No. 22935161 Empire Laboratories, Inc. (ELI) has completed geotechnical engineering exploration for the proposed single-family residence to be located on the east side of Weld County Road No. 21. The results of our engineering study, including the boring location diagram, laboratory test results, test boring records, and the geotechnical recommendations needed to aid in the design and construction of foundations and other earth connected phases of this project are attached. The subsurface exploration indicated soil conditions which are typical of soils commonly found in the Dacono area. The subsurface soils at the site consisted predominately of stiff to very stiff calcareous clays overlying sedimentary bedrock. The information obtained by geologic survey and, the results of field exploration and laboratory testing completed for this study, indicate that the soils and bedrock at the site have low to moderate expansion potential. Based on the geotechnical engineering analyses, subsurface exploration and laboratory test results, we recommend that the proposed residence be supported on a grade beam and straight shaft pier foundation system. Slab -on -grade may be utilized for the inter: or floor system provided that care is taken in the placement and compaction of the subgrade soils and that potential differential slab movements can be accounted for in the design or can be tolerated. Given the engineering characteristics of near surface clay soils and portions of the bedrock strata, consideration should be given to the use of structural floor systems if no differential movement can be tolerated. Other design and construction details, based upon geotechnical conditions, are presented in the report. Offices of The Temacea Companies, Inc. Oeoteohnlcal, Environmental and Materials Engineers Arizona: Tucson ■ Colorado. Colorado Spring„ Denver, Ft. Collins, Greeley. Longmont U Idaho: Boise Illinois: Bloomington, Chicago, Rock Island ■ Iowa: Cedar Falls, Cedar Rapids, Davenport, Des Moines, Storm Like Kansas: Lenexa, Topeka. Wichita \ Minnesota: St. Paul ■ Missouri: Kansas City to Nebraska: Lincoln. Omaha Oklahoma: Oklahoma City, Tulsa ■ Texas: Dallas ■ Utah: Salt Lake City . Wyoming: Cheyenne QUALITY ENGINEERING SINCE 196$ 9C0 56 I 1 I I 1 e I 1 1 I 1 1 1 Mr. Hubert Hayworth ELI Project No. 22935161 Terracon Wo have appreciated being of service to you in the geotechnical engineering phase of this project, and are prepared to assist you during the construction phases as well. If you have any questions concerning this report or any of our testing, inspection, design and consulting services, please do not hesitate to contact us. Sincerely, ��aavo RFrr"(;k�/ 6/ � EMPIRE LABORAT+RIE�, INC, . &,. S. (jr �c` o: G '`C :9r., A Division of Th erra on Companies, Inca y� e ce .0 lieu: 27741 N j ; o: .;�, 4 Eric S. Willis, P.E. Geotechnical Engineer Reviewed by: V Edward J. Peas, P.E. Longmont Office Manager fpjk Copies to: Addressee (3) �\\\\` oREG(g'16 t C , SS10NP\- 940456 a e • Mr. Hubert Hayworth ELI Project No. 22935161 Terracon TABLE OF CONTENTS I 1 1 1 ' SUBSURFACE CONDITIONS 3 Geology 3 Soil and Bedrock Conditions 4 Laboratory Test Results 4 Groundwater Conditions 4 1 1 I 1 I 1 I 1 Page No. Letter of Transmittal INTRODUCTION 1 PROPOSED CONSTRUCTION 1 SITE EXPLORATION 2 Field Exploration 2 Laboratory Testing 2 SITE CONDITIONS 3 CONCLUSIONS AND RECOMMENDATIONS 5 General Considerations 5 Foundation Systems 5 Basement Construction 6 Lateral Earth Pressures 7 Floor Slab Design and Construction 7 Earthwork 8 General Considerations 8 Site Clearing 8 Excavation 8 Slab Subgrade Preparation 9 Fill Materials 9 Placement and Compaction 10 Compliance 10 Drainage 10 Surface Drainage 10 Additional Design and Construction Considerations 11 Exterior Slab Design and Construction 11 Underground Utility Systems 12 Corrosion Protection 12 GENERAL COMMENTS 12 940456 Mr. Hubert Hayworth ELI Project No. 22935161 Torracon I TABLE OF CONTENTS (CONTINUED) IFigure No, SITE PLAN 1 IAPPENDIX A Logs of Borings Al thru A3 IAPPENDIX B Laboratory Test Data: I Swell -Consolidation Tests 81 62 thru Soil Properties 63 I APPENDIX C: GENERAL NOTES Drilling & Exploration Cl Unified Soil Classification C2 Bedrock Classification, Sedimentary Bedrock C3 ILaboratory Testing, Significance and Purpose C4 Report Terminology C5 I I I I I I I I I I 94043o I I 1 r 1 1 1 1 1 1 1 1 GEOTECHNICAL ENGINEERING REPORT Torracon HUBERT HAYWORTH RESIDENCE WELD COUNTY ROAD 21 WELD COUNTY, COLORADO ELI PROJECT NO. 22935161 INTRODUCTION This report contains the results of our geotechnical engineering exploration for the proposed single- family -residence to be located on the east side of Weld County Road No. 21, southeast of the town of Dacono, Colorado. The site is located in the Northwest 1/4 of Section 14, Township 1 North, Range 67 West of the 6th Principal Meridian, Weld County, Colorado. The purpose of these services is to provide information and geotechnical engineering recommendations relative to: • subsurface soil and bedrock conditions • groundwater conditions • foundation design and construction • basement construction • floor slab design and construction • earthwork • drainage The conclusions and recommendations contained in this report are based upon the results of field and laboratory testing, engineering analyses, and experience with similar soil and structural conditions. PROPOSED CONSTRUCTION Based on information provided concerning construction, the proposed residence will be a single to two-story structure, and will include a wood -framed superstructure, supported on a reinforced concrete foundation system. As presently planned, the residence will be constructed with a full - depth basement pending evaluation of the soil and groundwater conditions. Maximum exterior wall loads are anticipated to be on the order of 1 to 3 kips per lineal foot; column loads are expected to range up to 30 kips. S 0456 • Mr. Hubert Hayworth ELI Project No. 22935161 Torracon SITE EXPLORATION The scope of the services performed for this project included site reconnaissance by a geotechnical engineer, a subsurface exploration program, laboratory testing and engineering analyses. Field Exploration: A total of 9 test borings were drilled to depths of 2% to 15 feet at the locations shown on the Site Plan, Figure 1. Two borings were drilled within the footprint of the proposed building, and 7 borings were drilled in the area of proposed septic system construction. All borings were advanced with a truck -mounted drilling rig, utilizing 4 and 6 -inch diameter solid stem auger. Field percolation testing and evaluation for septic system construction on the site will be conducted by others. The location of borings were positioned in the field by the client. Elevations were taken of the ground surface at each boring location by measurements with an engineer's level from a bench mark (BM) shown on the Site Plan. The accuracy of boring locations and elevations should only be assumed to the level implied by the methods used to determine each. Continuous lithologic logs of each boring were recorded by the geotechnical engineer during the drilling operations. At selected intervals, samples of the subsurface materials were taken by moans of pushing thin -walled Shelby tubes, or by driving split -spoon samplers. Penetration resistance measurements were taken with each sampling with the split -spoon sampler by driving the sampler with a 140 pound hammer falling 30 inches. When properly interpreted, the penetration resistance is a useful index to the consistency, relative density or hardness of the materials encountered. Groundwater conditions were evaluated in each boring at the time of site exploration, and 7 days after drilling. Labora22ry Testing: All samples retrieved during the field exploration were returned to the laboratory for evaluation by the project geotechnical engineer, and were classified in accordance with the Unified Soil Classification system described in Appendix C. Samples of bedrock were classified in accordance with the general notes for Bedrock Classification. At that time, the field descriptions were confirmed or modified as necessary, final boring logs prepared, and an applicable laboratory testing program was formulate' to determine engineering properties of the subsurface materials. Boring Logs for the project are presented in Appendix A. Selected soil and bedrock samples were tested for the following engineering properties: ' 9C04 7'" • • Mr. Hubert Hayworth ELI Project No. 22935161 • Water content • Dry density • Compression • Expansion • Soluble sulfate content Tcrracon The significance and purpose of each laboratory test is described in Appendix C. Laboratory test results are presented in Appendix B. and were used for the geotechnical engineering analyses, and the development of foundation and earthwork recommendations. All laboratory tests were performed in general accordance with applicable ASTM, local or other accepted standards. SITE CONDITIONS The site is currently vacant, and appears to have been used for agricultural purposes in the recent past. No evidence of extensive fills or underground facilities were observed at the time of our site reconnaissance. In general, open agricultural areas and scattered residential structures occupy the area surrounding the project site. The ground surface in the area of the construction slopes very gently to the southeast; review of the test boring elevations indicates 1 to 1 % feet of topographic relief across the location of the borings. Site drainage was generally directed to the southeast by apparent sheetflow, although shallow depressions existed. At the time of the field exploration, the site was densely vegetated with a combination of native weeds and grasses. Other site features included a dry drainage/irrigation ditch near the northeastern corner of the property and scattered oil and/or gas pumping facilities adjacent to the property. SUBSURFACE CONDITIONS Geoloav: The proposed area is located within the Colorado Piedmont section of the Great Plains physiographic province. The Colorado Piedmont, formed during Late Tertiary and Early quaternary time (approximately two million (2,000,000) years ago), is a broad, erosional trench which separates the Southern Rocky Mountains from the High Plains. Structurally, the site lies along the western flank of the Denver Basin. During the Late Mesozoic and Early Cenozoic Periods (approximately seventy million (70,000,000) years ago), intense tectonic activity occurred, causing the uplifting of the Front Range and the associated downwarping of the Denver Basin to the east. Relatively flat uplands and broad valleys characterize the present-day topography of the Colorado Piedmont in this region. 9404456 1 1 1 1 1 1 I i 1 1 1 Mr. Hubert Hayworth ELI Project No. 22935161 Terracon Mapping completed by the Colorado Geological Survey ('Hart, 1972), indicates the site in an area of "High Swell Potential". Potentially expansive materials mapped in this area include bedrock, weathered bedrock and colluvium (surficial units). Soil and Bedrpck Conditions: As presented on Logs of Borings, topsoil was encountered at the surface in all boring locations. The materials underlying the topsoil and extending to the bedrock below consisted of sandy, calcareous clays of low to moderate plasticity. Sandstone-siltstone bedrock with claystone interbeds was encountered beneath the overburden materials at depths of 6 to 7 feet and extended to the maximum depth of exploration, 15 feet. As indicated by field penetration measurements, the sandy clays are typically stiff to very stiff in consistency. Slightly weathered bedrock was encountered in the upper portions of the strata; however, the underlying bedrock is medium hard, with hardness generally increasing with depth. Laboratory Test Result*: Laboratory test results indicate that the near surface clays have low to moderate expansion potential and are capable of supporting moderate foundation loads. The siltstone-sandstone portions of the bedrock strata are considered to have low expansion characteristics; however, the claystone portions generally exhibit moderate expansion potential. Groundwater Conditions: Groundwater was not encountered in any test boring at the time of field exploration. However, when checked 7 days after drilling, groundwater was measured at depths of 13 to 13'/: feet, in the test borings. These observations represent only current groundwater conditions, and may not be indicative of other times, or at other locations. Groundwater levels can be expected to fluctuate with varying seasonal and weather conditions. Based upon review of U.S. Geological Survey maps (Hillier, et al, 19831, regional groundwater beneath the project area predominates in colluvial, landslide or windblown materials, or in fractured weathered consolidated sedimentary bedrock located at a depth near ground surface. Seasonal variations in groundwater conditions are expected since the aquifer materials may not be perennially saturated. Groundwater is generally encountered at depths ranging from 5 to 20 feet below ground surface; depth to seasonal groundwater is generally 10 feet or less. Zones of perched and/or trapped groundwater may also occur at times in the subsurface soils overlying bedrock, or within permeable fractures in the bedrock materials. The location and 'Hart, Stephen 5., 1972, Potentially Swelling Soil and Rock In the Front Range Urban Corridor, Colorado, Colorado Geological Survey. Environmental Geology No, 7. 'Hillier, Donald E.; Schneider, Pau' A., Jr.; and Hutchinson, E. Carter, 1981, Depth to Water Table /1976-19771 In the Greater Denver Area, Front Range Urban Corridor. Colorado,Unitod States Geological Survey, Map 1-858-K 940455 1 I 1 1 1 I I I 1 1 1 Mr. Hubert Hayworth ELI Project No. 22935161 Torracon amount of perched water is dependent upon several factors, including hydrologic conditions, type of site development, seasonal and weather conditions. Fluctuations in groundwater levels can best be determined by implementation of a groundwater monitoring plan. Such a plan would include installation of groundwater monitoring wells, and periodic measurement of groundwater levels over a sufficient period of time. CONCLUSIONS AND RECOMMENDATIONS General Considerations: The site appears suitable for the proposed construction. Potentially expansive soils and bedrock, will require particular attention in the design and construction. Slab -on -grade construction, for basement or garage areas, may be utilized provided that potential differential slab movements can be tolerated or accounted for in the design. Given the engineering characteristics of the sandy clays and portions of the bedrock, consideration should be given to use of structural floor systems in basement areas where these materials will be encountered. Foundation Systems: Due to the presence of moderately expansive clays and bedrock on the site, a grade beam and drilled pier foundation system is recommended for support of the proposed structure. Straight shaft piers, drilled a minimum of 5 feet into firm or harder bedrock, with a minimum shaft length of 12 feet are recommended. For axial compression loads, piers may be designed for a maximum end -bearing pressure of 15,000 pounds per square foot (psf), and skin friction of 1,500 psf for the portion of the pier in firm or harder bedrock. Required pier penetration should be balanced against potential uplift forces due to expansion of the subsoils and bedrock on the site. For design purposes, the uplift force on each pier can be determined on the basis of the following equation: Up= 25xD Where: U = the uplift force in kips, and D = the pier diameter in feet This uplift force should be resisted by a combination of actual dead load on each pier plus the resistance in side shear for the portion of the pier in bedrock. Only that portion of the pier below a depth of 7 feet, and in the bedrock strata should be considered to resist the potential uplift force. 94 ,0452 • • Mr. Hubert Hayworth EL! Project No. 22935161 Terracon All piers should be reinforced full depth for the applied axial, lateral and uplift stresses imposed. The amount of reinforcing steel for expansion should be determined by the tensile force created by the uplift force on each pier. To minimize potential uplift forces on piers, use of long grade beam spans to increase individual pier loading, and small diameter piers are ,recommended. For this project, use of a minimum pier diameter of 10 inches is recommended. A minimum 4 -inch or greater void space should be provided beneath grade beams between piers. The void material should be of suitable strength to support the weight of fresh concrete used in grade beam construction, and to avoid collapse when foundation backfill is placed. Drilling to design depths should be possible with conventional rotary or single flight power augers. Shafts will probably remain open without stabilizing measures. However, pier concrete should be on -site at the onset of pier construction and placed immediately after completion of drilling and cleaning. Due to potential sloughing and raveling, foundation concrete quantities may exceed calculated geometric volumes. Pier concrete with slump in the range of 4 to 6 inches is recommended. To provide increased resistance to potential uplift forces, the sides of each pier should be mechanically roughened in the bearing strata for the required depth of penetration. Pier bearing surfaces must be cleaned prior to concrete placement. A representative of the geotechnical engineer should inspect the bearing surface and pier configuration. All foundation walls and masonry walls should bo reinforced to reduce the potential for distress caused by differential foundation movements. The use of joints at openings or other discontinuities in masonry walls is recommended. Foundation excavations should be observed by the geotechnical engineer. If the soil conditions encountered differ significantly from those presented in this report, supplemental recommendations will be required. Basement_Construction: Groundwater was encountered on the site, 7 days after drilling, at depths of 13 to 13% feet. Therefore full -depth basement construction is considered acceptable on the site. Perched groundwater may occur at times since the subsurface soils are relatively impermeable and tend to trap water. Completion of site development, including installation of landscaping and irrigation systems, will likely lead to perched groundwater development. 3e 0 q r,. • • ' Mr. Hubert Hayworth ELI Project No. 22935161 Torracon To reduce the potential for perched groundwater to impact foundation bearing soils and enter the basement of the structure, installation of a perimeter drainage system is recommended. The drainage system should be constructed around the exterior perimeter of the basement foundation, and sloped at a minimum 1/8 inch per foot to a suitable outlet, such as a sump and pump system or daylighted well beyond the foundation limits. The drainage system should consist of a properly sized perforated pipe, embedded in free -draining gravel, placed in a trench at least 12 -inches in width. Gravel should extend a minimum of 3 - inches beneath the bottom of the pipe, and at least 2 feet above the bottom of the foundation ' wall. The system should be underlain with a polyethylene moisture barrier, sealed to the foundation walls, and extending at least to the outer edge of the backfill zone. The gravel should be covered with drainage fabric prior to placement of foundation backfill. ' Lateral Earth Pressures: Fill against grade beams and retaining walls should be compacted to densities specified in "Earthwork." Compaction of each lift adjacent to walls should be accomplished with hand -operated tampers or other lightweight compactors. Overcompaction may cause excessive lateral earth pressures which could result in wall movements. ' Floor Slab 'Lesion and Construction: The variability of the existing soils and/or bedrock at approximate slab subgrade elevation could result in differential movement of floor slab -on -grade ' should expansive soils become elevated in moisture content. Differential slab movement on the order of 1 to 2 inches or more is possible. Use of structural floor systems, supported independent of the subgrade soils, is a positive means of eliminating the potentially detrimental effects of floor movement. ' If slab -on -grade is utilized, the subgrade soil should be prepared as outlined in the earthwork section of this report. Additional floor slab design and construction recommendations are as follows: • Positive separations and/or isolation joints should be provided between slabs and all foundations, columns or utility lines to allow independent movement. • Contraction joints should be provided in slabs to control the location and extent of Cracking. Maximum joint spacing of 15 to 20 feet in each direction is recommended. • A minimum 2 -inch void space should be constructed above, or below non-bearing partition walls placed on the floor slab. Special framing details should be provided at door jambs and frames within partition walls to avoid potential distortion. Partition walls should be isolated from suspended ceilings. 94045g • • I I I I I I I I I I I I I I I I I Mr. Hubert Hayworth ELI Project No. 22935161 Torracon • Interior trench backfill placed beneath slabs should be compacted in accordance with recommended specifications outlined below. • The subgrade soils should be periodically pre -wetted prior to concrete placement. • Floor slabs should not be constructed on frozen subgrade. • Other design and construction considerations, as outlined in the ACl Design Manual, Section 302.1R are recommended. Earthwork: • General Considerations: The conclusions contained in this report for the proposed construction are contingent upon compliance with recommendations presented in this section. Although fills or underground facilities such as septic tanks, cesspools, basements, utilities were not observed during site reconnaissance, such features might be encountered during construction. • Site Clearing: 1. Strip and remove existing vegetation, debris, topsoil and other deleterious materials from proposed building and pavement areas. All exposed surfaces should be free of mounds and depressions which could prevent uniform compaction. 2. If unexpected fills or underground facilities are encountered during site clearing, such features should be removed, the excavation thoroughly cleaned and backfilled. All excavations should be observed by the geotechnical engineer prior to backfill placement. 3. Stripped materials consisting of organic materials should be wasted from the site, or used to revegetate landscape areas after completion of grading operations. 4. All exposed areas which will receive fill, once properly cleared, should be scarified to a minimum depth of twelve inches, conditioned to near optimum moisture content, and compacted. • Excavation: 940436 Mr. Hubert Hayworth ELI Project No. 22935161 • • Terracon 1. It is anticipated that excavations for the proposed construction can be accomplished with conventional earthmoving equipment. 2. As a safety measure, it is recommended that all vehicles and soil piles be kept to a minimum lateral distance from the crest of the slope/excavation equal to no less than the slope/excavation height. The exposed slope face should be protected against the elements. All excavations should be sloped or shored in the interest of safety following local, and federal regulations, including current OSHA excavation and trench safety standards. 3. Excavations penetrating the bedrock may require the use of specialized heavy-duty equipment. Drilling and blasting to facilitate rock break-up and removal is not anticipated. 4. Depending upon depth of excavation and seasonal conditions, groundwater may bo encountered in excavations on the site. Pumping from sumps may be utilized to control water within excavations. 5. On -site clay soils may pump or become unstable or unworkable at high water contents. Workability may be improved by scarifying and drying. Overexcavation of wet zones and replacement with granular materials may be necessary. Lightweight excavation equipment may be required to reduce subgrade pumping. Slab Subarado PreDaration:Where existing soils will support floor slab, the soils should be scarified, moisture conditioned to optimum or above and compacted to a minimum depth of 12 inches. Fill Materials: 1. Clean on -site soils or imported materials may be used as fill material for the following: • general site grading • foundation areas • interior floor slab areas 2. Frozen soils should not be used as fill or backfill. • exterior slab areas • foundation backfill 94(143s Mr. Hubert Hayworth ELI Project No. 22935161 Terracon 3. Imported soils (if required) should consist of non -expansive granular materials approved by the geotechnical engineer. • Placement and Compaction: 1. Place and compact fill in horizontal lifts, using equipment and procedures that will produce recommended moisture contents and densities throughout the lift. 2. Uncompacted fill lifts should not exceed 10 inches loose thickness. 3. No fill should be placed over frozen ground. 4. Materials should be compacted to the following: Minimum Percent Material Compaction (6STM D698) On -site soils: Beneath foundations 95 Beneath slabs 90 Foundation backfill 90 Imported fill: Beneath foundations 95 Beneath slabs 95 Foundation backfill 90 On -site soils should be compacted within a moisture content range of 1 percent below, to 3 percent above optimum. Non -expansive, imported soils should be compacted within a moisture range of 3 percent below to 3 percent above optimum. • Compliance: Recommendations for slabs -on -grade, foundations and pavement elements supported on compacted fills or prepared subgrade depend upon compliance with "Earthwork" recommendations. To assess compliance, observation and testing should be performed under the direction of the geotechnical engineer. Drainage: • Surfage Drainage: 940456 Mr. Hubert Hayworth ELI Project No. 22935161 Torracon 1. Positive drainage should be provided during construction and maintained throughout e the life of the proposed facility. Infiltration of water into utility or foundation excavations must be prevented during construction. Planters and other surface features which could retain water in areas adjacent to the building or pavements should be sealed or eliminated. 2. In areas where sidewalks or paving do not immediately adjoin the structure, we recommend that protective slopes be provided with a minimum grade of approximately 10 percent for at least 10 feet from perimeter walls. Sackfill against footings, exterior walls, and in utility and sprinkler lino trenches should be well compacted and free of all construction debris to reduce the possibility of moisture infiltration. 3. Downspouts, roof drains or scuppers should discharge into splash blocks or extensions when the ground surface beneath such features is not protected by exterior slabs or 'paving. 4. Sprinkler systems should not be installed within 5 feet of foundation walls. Landscape irrigation adjacent to the foundation system should be minimized or eliminated. AdsliSional Desian and Construction Considerations: ' • Exterior Slab Desian and Constructon; Compacted subgrade or existing clay soils will expand with increasing moisture content; therefore, exterior concrete grade slabs may ' heave, resulting in cracking or vertical offsets. The potential for damage would be greatest where exterior slabs aro constructed adjacent to the building or other structural elements. To reduce the potential for damage, we recommend: • exterior slabs be supported on fill with no, or very low expansion potential ' • strict moisture -density control during placement of subgrade fills • placement of effective control joints on relatively close centers and isolation joints between slabs and other structural elements • provision for adequate drainage in areas adjoining the slabs • use of designs which allow vertical movement between the exterior slabs and adjoining structural elements ' • exterior slabs should not be dowelled into the foundation wall In those locations where movement of exterior slabs cannot be tolerated or must be held to an absolute minimum, consideration should be given to: 940456 Mr. Hubert Hayworth ELI Project No. 22935161 Torracon • constructing slabs with a stem or key -edge, a minimum of 6 inches in width ' and at least 12 inches below grade; • supporting keys or stems on drilled piers; or • providing structural exterior slabs supported on foundations similar to the building. • Underground Utility Systems: Ail underground piping within or near the proposed structure ' should be designed with flexible couplings, so minor deviations in alignment do not result in breakage or distress. Utility knockouts in grade beams should be oversized to accommodate differential movements. • Corrosion Protection: Results of soluble sulfate testing indicate that ASTM Type II Portland cement should be specified for all project concrete on and below grade. Foundation concrete should be designed in accordance with the provisions of the ACI Design Manual, Section 318-121. GENERAL COMMENTS It is recommended that the Geotechnicai Engineer be retained to provide a general review of final ' design plans and specifications in order that grading and foundation recommendations may be interpreted and implemented. In the event that any changes of the proposed project are planned, the conclusions and recommendations contained in this report should be reviewed and the report modified or supplemented as necessary. The Geotechnical Engineer should also be retained to provide services during excavation, grading, foundation and construction phases of the work. Observation of pier excavations should be performed prior to placement of reinforcing and concrete to confirm that satisfactory bearing materials are present and is considered a necessary part of continuing geotechnical engineering services for the project. Construction testing including field and laboratory evaluation of concrete and steel should be performed to determine whether applicable requirements have been met. It ' would be logical for Empire Laboratories, Inc. to provide these services since we are most qualified to determine consistency of field conditions with those data used in our analyses. The analyses and recommendations in this report are based in part upon data obtained from the field exploration. The nature and extent of variations beyond the location of test borings may not become evident until construction. If variations then appear evident, it may be necessary to reevaluate the recommendations of this report. ' Se10 56 • • Mr. Hubert Hayworth ELI Project No. 22935161 Terracon Our professional services were performed using that degree of care and skill ordinarily exercised, ' under similar circumstances, by reputable gootechnical engineers practicing in this or similar localities. No warranty, express or implied, is made. We prepared the report as an aid in design of the proposed project. This report is not a bidding document. Any contractor reviewing this report must draw his own conclusions regarding site conditions and specific construction techniques to be used on this project. This report is for the exclusive purpose of providing gootechnical engineering and/or testing information and recommendations. The scope of services for this project does not include, either specifically or by implication, any environmental assessment of the site or identification of contaminated or hazardous materials or conditions. If the owner is concerned about the potential for such contamination, other studies should be undertaken. We are available to discuss the scope of such studios with you. 1 1 1 1 1 1 1 1 1 e 900456 • • SIONOMPIPImMinainillIP LOG OF BORING NO. TB -1 Page loll OWNER Hubert Hayworth ARCHITECT/ENGINEER SITE Weld County Road 21 Weld County, Colorado PROJECT Hayworth Residence GRAPHIC LOG DESCRIPTION Approx. Surface Elev.: 100.1 ft. rDEPTH (Fr.) USCS SYMBOL SAMPLES TESTS w w W RECOVERY SPT-N BLOWS/Fr. De PCF DENS UNCONFINED STRENGTH '• C• 0.5 99.6 TOPSOII — CL SS 10 21.1 / %j r ,. 7; ST AY, with sand, slightly silty, brows, dry, medium stiff to stiff, tow plasticity, slightly porous soil structure, calcareous. 7.0 93.1 S1 12. 100 11260 _ s SS 13 14.7 — 5.4 -- T T' : T•, ` Wa — s. $IT.TStONPJSANOS'lQNE BEDROCK, — SS 40 5.8 — 10— — — — — with gray claystone interbeda, gray to tan, weathered for upper region, hard. g 15.0 85.1 _15 SS 50 16.9 THE STRATIFICATION LINES REPRESENT THE APPROXIMATE BOUNDARY LINES QLbmcd }toad I'mWfCm,me BETWEEN SOIL AND ROCK TYPES: IN -SITU. TIR! TRANS[RON MAY BE GRADUAL. WATER LEVEL OBSERVATIONS Empire Laboratories Incorporated Division of Tarter -on BORING STARTED 12-14-93 BORINGCOMPLFrED 12-14-93 WI. $ Dry 0ltrs. Z 13's" 70;37 RIG CME-55 FORTCAN TDIC WL APPROVED ESW JOB I 22935161 WL 456 1 • I A 1 i r 1 1 1 1 e 1 LOG OF BORING NO. TB -2 Page 1 of 1 OWNER Hubert Hayworth ARCHITECT/ENGINEER SITE Weld County Road 21 Weld County, Colorado PROJECT Hayworth Residence i GRAPHIC LOG DESCRIPTION Approx. Surface Elev.: 99.3 ft. DEPTH (FTC.) USES SYMBOL SAMPLES TESTS a m X E.', I- RECOVERY SPT-N BLOWS / FT. at o DRY I DENSIT Per UNCONFINED; STRENGTH SP NGTH N• • 0.5 TOPSOII. 98.8 CL SS 12 20.8 �- l,r CLAY, with sand, slightly silty, brown, dry, medium, stiff to stiff, low plasticity. slightly porous soil structure, calcareous. 6.0 93.3 ` — ST 11.1 95 7800 — 5 SS 12 13.1 _ . • : SJLTSTONE(,S8NDSTONR BEDROCK,• — ST 3.2 — SS I 46 2.2 10— — — _ with gray claystona interbeds, gray to tan, weathered for upper region, bard. 15.0 34.3 1$ - ss sa/10 18.01 BOi TOM OF BORING THE STRATIFICATION LINES REPRESENT THE APPRO?DAATE BOUNDARY LINES CWLnte1 Hand Pa n aan" BETWEEN SOIL AND ROCK TYPES: IN -SITU, THE TRANSITION MAY BE GRADUAL. WATER LEVEL OBSERVATIONS Empire Laboratories Incorporated Division of Tortacoa BORING STARTED 12-1493 BORING COMPLETE) 12.1493 WI. g pry oars. T 13'3e 7Days RIG CMl<55 FOREMAN TDK WL APPROVED Fsr 'JOB 1 22935161 WL LOG OF BORING NO. TB -3 rage 1 of 1 OWNER Hubert Hayworth ARCRITECr/ENGINEEk SITE Weld County Road 21 Weld County, Colorado PROJECT Hayworth Residence U DESCRIPTION Approx. Surface Elev.: 99.3 ft. a USCS SYMBOL, A. NUMBER TYPE RECOVERY z- y 3 NS MOISTURE, % PCP DENSITY UNCONFINED STF STRENGTH .A, r� 0.5 98.E jmedium �OPSOTT ^ a- CLAY, with sand, slightly silty, brown, dry, stiff to stiff, low plasticity, slightly porous soil structure. calcareous. 63 92.8 — SS 10 2.4 ter• SILTSTONE/SAISDSTONE BEDROCK. — — s'o with claystone interbeds, for upper region, 91.3 to gray tan, weathered gray j hard. 1 BOTTOM OF BORING THE STRATIFICATION LINES REPRBSFNT THE APPROXIMATE BOUNDARY LINES BErWEIN SOIL AND ROCK rfPPS: IN,SIIU. THE TRANSITION MAY BE ORADUAL. CAL -kited Hand 14aurometer' WATER LEVEL OBSERVATIONS Empire Laboratories Incorporated Diviaiou of Tarrson BORING STARTED 17r1493 WL 4 Dry opts. T Dry 7Days BORING COMPLETED 12-1493 WL RIG CME-55 FOREMAN TDK WL APPROVED ESW J08 A �y 4 -a 1 1 1 1 1 1 1 1 1 1 i 1 i 1 1 1 1 1 1 • _ • IMAM.p AON 'SCALE PROPoseP QEsi TS -1 TB -IS ENGC m SITE PLAN SCALE In = frOr- 0` Empire Laboratories Incorporated DiVL ion of Tcrr con Ftbulst 1 P a P -t • • B • P 3 • ?-Co. •?-5 7 7 P J I TESTt • NAIL 3ET /tN N. siDa of renCE post i 94045$ LL L �• N -1 S O L 1 D A T 1 O N 4 0 1 1 I0 APPLIED PRESSURE - KIPS PDt SQUARE PT Specimen Identification Classification DD MC% • TB -1 3.0 Clay, silty and sandy, stiff, Sli, male., orange -bra 102 21 PROJECT Hayworth Residence - Weld County Road 21 JOB NO. 22935161 DATE 12/29/93 1-D CONSOLIDATION -SWELL TEST Empire Laboratories, Inc. Longmont, Colorado _______.1 SOIL PROPERTIES WELD COUNTY ROAD 21 RESIDENCE ELI Project No. 22935161 tO IF tO tO in lb Mr a Note: Initial Dry Density and Initial Water Content are in -situ values unless otherwise noted. j.eaen-4 2KEMARKS Shear Strength Test Method 1. Compacted density (approximately 95% of ASTM 0698 maximum density at moisture content DS - Direct Shear slightly below optimum). Q$ • Direct Shear (Saturated) 2. Compacted density (approximately 95% of ASTM D1557 maximum density at moisture content UC • Unconfined Compression slightly below optimum). tU - Unconsolidated Undrained 3. Submerged to approximate saturation. c__Q • Consolidated Undrained w/pore pressure 4. Dry density determined from one ring of a CU - Consolidated Undrained multi -ring sample. Empire Laboratories, Inc. CD - Consolidated Drained _ 5. Visual Classificat.on. _ A r1;v;<inn of Thw Twrrxnn Pmmnaniws. Inc_ lita 'Jr 3i s 03 o to to E> 3¢ 0 w s g VY e 3 W k a? a ; .. aa an Ni e M� W M yr.y Ct r a P ii z-i ( S J J F a e d $ V • g5 .- M " - I ge d u co id a, 10 Intttd Dry Density (DO) o 8 O 3 J 4o a o )- U V d o l7 V n Wit z I 3 940456 I' 1 1 1 1 1 I 1 I r 1 1 0 1 SOIL PROPERTIES WELD COUNTY ROAD 21 RESIDENCE ELI Project No. 22935161 1 d W w In In In In In In IP la Note: Initial Dry Density and Initial Water Content are in -situ values unless otherwise noted. Legend REMAR(CKS Shear Strength Test Method 1. Compacted density (approximately 95% of ASTM D698 maximum density at moisture content DS - Direct Shear slightly below optimum). - Direct Shear (Saturated) 2. Compacted density (approximately 95% of ASTM D1557 maximum density at moisture content UC - Unconfined Compression slightly below optimum). �l - Unconsolidated Undrained 3. Submerged to approximate saturation. real - Consolidated Undrained wfpore pressure 4. Dry density determined from one ring of a CU - Consolidated Undrained multi -ring sample. Empire Laboratories, Inc. CD - Consolidated Drained 5. Visual Classification. A flivicinn of Th. Tarrirnn Cmmnanise. Inc. tit 9 ; is 13 > 3°h 4S n5 a p �d VY o ce tW Y WE - a =a N 5 W LL Die d e fi L-• 4 s at Sol Property lotto' Water Content 1%) OD N r e-' +.. N c0 N N C CO V N {lad) Aytu.a La PPM V 'a o) O $ _J o R O U U U $ dL a- 0 el a n CO 4' 0 co 0 I ea N CO 940456 Ir 1 1 1 1 1 1 1 1 1 I 1 DRILLING AND EXPLORATI DRILLING & SAMPLING SYMBOLS: SS : Split Spoon - 1.0„ 2' O.D., unless otherwise noted ST : Thin -Walled Tube - 2' 0.D., unless otherwise noted R ; Ring Barrel Sampler - 2.42' I.0., 3' 0.0. unless otherwise noted. PA : Power Auger HA : Hand Auger 06 Diamond Sit - 4', N, B AS : Auger Sample HS : Hollow Stem Auger PS : Piston Sample WS : Wash Sample FT : Fish Tail Bit RS : Rock Bit BS : Sulk Sample PM : Pressure Meter DC : Dutch Cone WB : Wash Bore Penetration Test: Blows per foot of a 140 pound hammer falling 30 inches on a 2 -inch O.D. split spoon, except where noted. WATER LEVEL MEASUREMENT SYMBOLS: WL : Water Level WCI : Wet Cave in DCI : Dry Cave in AS : After Boring WS : While Sampling WD : While Drilling SCR : Before Casing Removal ACR : After Casting Removal Water levels indicated on the boring togs are the levels measured in the borings at the time indicated. In pervious soils, the indicated levels may reflect the location of groundwater. In low permeability soils, the accurate determination of groundwater levels is not possible with only short term observations. DESCRIPTIVE SOIL CLASSIFICATION Soil Classification is based on the Unified Soil Classification system and the ASTM Designations 0-2487 and D-2488. Coarse Grained Soils have more than SO% of their dry weight retained on a #200 sieve; they are described as: boulders, cobbles, gravel or sand. Fine Grained Soils have less than 50% of their dry weight retained on a :200 sieve; they are described as: clays, if they are plastic, and silts if they are slightly plastic or non -plastic, Major constituents may be added as modifiers and minor constituents may be added according to the relative proportions based on grain size. In addition to gradation, coarse grained soils are defined on the basis of their relative in -place density and fine grained soils on the basis of their consistency. Example: Lean clay with sand, trace gravel, stiff (CL); silty sand, trace gravel, medium dense (SM). CONSISTENCY OF FINE-GRAINED SOILS Unconfined Compressive -Strength, Cu, psf < 500 500 - 1,000 1,001 - 2,000 2,001 - 4,000 4,001 - 8,000 8,001 - 16,000 RELATIVE DENSITY OF N-Blows/ft 0.3 4-9 10-29 30-49 50-80 80 + Consistency Very Soft Soft Medium Stiff Very Stiff Very Hard COARSE -GRAINED SOILS: Relative Density Very Loose Loose Medium Dense Dense Very Dense Extremely Dense PHYSICAL PROPERTIES OF BEDROCK DEGREE OF WEATHERING: Slight Slight decomposition of parent material on joints. May be color change. Moderate Some decomposition and color change throughout. High Rock highly decomposed, may be extremely broken. HARDNESS AND DEGREE OF C&VIENTATION: Limestone and OolQmlte: Herd Difficult to scratch with knife. Moderately Hard Soft Can be scratched easily with knife, Cannot be scratched with fingernail. Can be scratched with fingernail. Shale, Siltstone end Cteystone: Hard Can be scratched easily with knife, cannot be scratched with fingernail. Moderately Can be scratched with fingernail. Hard Soft Can be easily dented but not molded with fingers. Sandsione end Conglomerate; Well Capable of scratching a knife blade. Cemented Cemented Can be scratched with knife. Poorly Cemented Can be broken apart easily with fingers. Empire Laboratories, Inc. A Division of The Terracon Companies, Inc. 90456 1 1 1 1 1 1 1 1 1 1 1 1 1 e 1 1 1 1 OIFIED SOIL CLASSIFICATION *STEM Critarie for Assigning Group Symbols and Group Names Using Laboratory Teate Soa Clesel5ermen Group Symbol Group Name• Coarse -Grained Soils more than 50% retained on No. 200 sieve Gravels more than 50% of coarse fraction retained on No. 4 sieve Sands 50% or more of coarse fraction passes No. 4 sieve Clean Gravels Less than 5% finest Cu > 4 and 1 S. Cc Sat GW Wee -graded graver Cu < 4 and/or 1 > Cc > 3s GP Pooh graded graver Gravels with Pines ° Fir' classify as ML Or MH more than 12% fines Clean Sande Less than 5% finest GM Silty gravel,G,H Fries classify as CL or CH GC Gayety graver" Cu > e and 1 < Co <34 SW Well -graded sand' Cu < 0 and/or 1 > Cc > 34 SP Poorly graded sand' Sands with Fines Fines classify as ML or MH more than 12% fines° SM Silty sand" Fines Classify as CL or CH SC Clayey sand°"' Fine -Grained $oils 50% or more passes the No. 200 slave Silts and Clays Liquid limit less than 50 inorganic organic PI > 7 and➢lots on or above 'A line' CL Lean clays -La Pt < 4 or plots below "A" Ilne' ML Silea Liquid limit -oven dried Organic cla/"a" < 0.75 OL Liquid limit - not dried Organic set"'° Silts and Clays Uquid limit 50 Or more Inorganic PI plots on or above 'A" line CH Fat clot'''. PI Iota below 'A' Pine MH Elastic Si1&' Organic Liquid limit • oven dried Organic clay"" < 0.75 OH Liquid limit - not dried Organic sites""° Highly organic soils Primarily organic matter, dark in color, and organic odor Alleged on the material passing the 3•In. (75 -mm) sieve sir field sample contained cobbles or boulders, of both, add "with cobbles or boulders, or both' to group name. °Grovels with 5 to 12% fines require dual symbols: GW-GM well -graded gravel with silt GW-CC well -graded gravel with clay GP -GM poorly graded gravel with silt GP -GC poorly graded gravel with clay °Sends with S to 12% fines require dual symbols: SW-SM well -graded sand with silt SW -SC well -graded sand with clay SP-SM poorly graded sand with silt SP -SC poorly graded sand with clay ell so 0... '0 (nano, al Y - o "- Vann AU. 2 r20 0. M I0 r 0 fiCu-D,JDZ Cc (D3, Daz Dr °If soil contains? 15% sand. add 'with sand' to group name. °1f fines classify as CL -NIL, use dual symbol GC -GM. or SC-SM. Mt fines are organic, add "with organic fines' to group name, ht soil contains≥ 15% gravel, add 'with gravel' to group name. 'If Attefberg limits plot in shaded area, soil is a CL -ML. silty clay. PT Peat 9t soil contains 15 to 29% plus No. ZOO. add "with sand- or "with gravel", whichever Is predominant. 'If soil contains > 30% plus No. 200 predominantly sand, add "sandy" to group name. "If soil contains≥ 30% plus No. 200, predominantly gravel, add 'gravelly' to group name. "Pt > 4 and plots on or above -A- line. °PI < 4 or plots below -A- line, FPl plots on or above "A- line, °PI plots below "A' line. 1 7 1 got .I.si s-. M rr-4WM tons at einem- Onnn jn n- • le (U. 'on -A) J 34 in Ow # MH OR 014 ML oR OL o l0 1° TO TO .° SO 50 L-QUm LIMIT (Li.) w JO W IlG Empire Laboratories, Inc. A Division of Tne Terracon Comvanp64456 1 I 1 1 1 1 1 1 1 1 1 1 ROCK CLASSIFICATION (Based on ASTM C-294) Sedimentary Rocks Sedimentary rocks are stratified materials laid down by water or wind. The sediments may be composed of particles of pre-existing rocks derived by mechanical weathering, evaporation or by chemical or organic origin. The sediments are usually indurated by cementation or compaction. Cheri Very fine-grained siliceous rock composed of micro -crystalline or crypto- crystalline quartz, chalcedony or opal. Cheri is various colored, porous to dense, hard and has a conchoidal to splintery fracture. Claystone Fine-grained rock corn posed of or derived by erosion of silts and clays or any rock containing clay. Soft massive; gray, black, brown, reddish or green and may contain carbonate minerals. Conglomerate Rock consisting of a considerable amount of rounded gravel, sand and cobbles with or without interstitial or cementing material. The cementing or interstitial material may be quartz, opal, calcite, dolomite, clay, iron oxides or other materials. Dolomite A fine-grained carbonate rock consisting of the mineral dolomite [CaMg (CO3)21. May contain noncarbonate impurities such as quartz, chert, clay minerals, organic matter, gypsum and sulfides. Reacts with hydrochloric acid (HCL). Limestone A fine-grained carbonate rock consisting of the mineral calcite (CaCo3). May contain noncarbonate impurities such as quartz, chert, clay minerals, organic matter, gypsum and sulfides. Reacts with hydrochloric acid (HCL). Sandstone Rock consisting of particles of sand with or without interstitial and cementing materials. The cementing or interstitial material may be quartz, opal, calcite, dolomite, clay, iron oxides or other material. Shale Fine-grained rock composed of, or derived by erosion of silts and clays or any rock containing clay. Shale is hard, platy, or fissile may be gray, black, reddish or green and may contain some carbonate minerals (calcareous shale). Siltstone Fine grained rock composed of, or derived by erosion of silts or rock containing silt. Siltstones consist predominantly of silt sized particles (0.0625 to 0.002 mm in diameter) and are intermediate rocks between claystones and sandstones, may be gray, black, brown, reddish or green and may contain carbonate minerals. Empire Laboratories, Inc. A Division of The Terracon Companies, Inc. 940456 1 e 1 1 I 1 1 1 I 1 1 1 1 I • i 9 LABORATORY TESTS SIGNIFICANCE AND PURPOSE TEST SIGNIFICANCE PURPOSE California Rearing Ratio Used to evaluate the potential strength of subgrade soil, subbase, and base course material, including recycled materials for use in road and airfield pavements. Pavement Thickness Design Consolidation Used to develop an estimate of both the rate and amount of both differential and total settlement of a structure. Foundation Design Direct Shear Used to determine the consolidated drained shear strength of soil or rock. Bearing Capacity, Foundation Design & Slope Stability Dry Density Used to determine the in -place density of natural, inorganic, fine-grained soils. Index Property Soil Behavior Expansion Used to measure the expansive potential of fine-grained soil and to provide a basis for swell potential classification. Foundation & Slab Design Gradation Used for the quantitative determination of the distribution of particle sizes in soil. Soil Classification Liquid & Plastic Limit, Plasticity Index Used as an integral part of engineering classification systems to characterize the fine-grained fraction of soils, and to Soil specify the fine-grained fraction of construction materials. Classification Permeability Used to determine the capacity of soil or rock to conduct a Groundwater liquid or gas. Flow Analysis pH Used to determine the degree of acidity or alkalinity of a soil. Corrosion Potential Resistivity Used to indicate the relative ability of a soil medium to carry electrical currents. Corrosion Potential R -Value Used to evaluate the potential strength of subgrade soil, subbase, and base course material, including recycled materials for use in road and airfield pavements. Pavement Thickness Design Soluble Sulphate Used to determine the quanf,'tative amount of soluble sulfates within a soil mass. Corrosion Potential Unconfined Compression To obtain the approximate compressive strength of soils that possess sufficient cohesion to permit testing in the unconfined state. Bearing Capacity Analysis for Foundations Water Content Used to determine the quantitative amount of water in a soil Index Property mass. Soil Behavior Empire Laboratories, Inc. A Division of The Terracon Comoawiea,..bec. S 1 I 1 1 1 1 1 r I 1 1 1 1 Allowable Soil Bearing Capacity Alluvium Aggregate Base Course Baekfill Bedrock Bench Caisson (Drilled pier or Shaft) Coefficient of Friction Colluvium Compaction Concrete Slab -on - Grade Differential Movement Earth Pressure ESAL Engineered Fill Equivalent Fluid Existing Fill (or man-made fill) Existing Grade REPORT TERMINOLOGY (Based on ASTM D653) The recommended maximum contact stress developed at the interface of the foundation element and the supporting material. - Soil, the constituents of which have been transported in suspension by flowing water and subsequently deposited by sedimentation. A layer of specified material placed on a subgrade or subbase usually beneath slabs or pavements. A specified material placed and compacted in a confined area. A natural aggregate of mineral grains connected by strong and permanent cohesive forces. Usually requires drilling, wedging, blasting or other methods of extraordinary force for excavation. A horizontal surface in a sloped deposit. A concrete foundation element cast in a circular excavation which may have an enlarged base. Sometimes referred to as a cast -in -place pier or drilled shaft. A constant proportionality factor relating normal stress and the corresponding shear stress at which sliding starts between the two surfaces. Soil, the constituents of which have been deposited chiefly by gravity such as at the foot of a slope or cliff, The densification of a soil by means of mechanical manipulation. A concrete surface layer cast directly upon a base, subbase or subgrade, and typically used as a floor system. Unequal settlement or heave between, or within foundation elements of a structure. The pressure or force exerted by soil on any boundary such as a foundation wall. Equivalent Single Axle Load, a criteria used to convert traffic to a uniform standard, (18,000 pound axle loads). Specified material placed and compacted to specified density and/or moisture conditions under observations of a representative of a geotechnical engineer. A hypothetical fluid having a unit weight such that it will produce a pressure against a lateral support presumed to be equivalent to that produced by the actual soil. This simplified approach is valid only when deformation conditions are such that the pressure increases linearly with depth and the wall friction is neglected. Materials deposited through the action of man prior to exploration of the site. The ground surface at the time of field exploration. Empire Laboratories, Inc. A Division of The Terracon Companlg jo 4s6 REPORT TERMINOLOGY •(Based on ASTM D653) Expansive Potential Finished Grade Footing Foundation Frost Depth Grade Beam Groundwater Heave Lithologic Native Grade Native Soil Optimum Moisture Content Perched Water Scarify Settlement Skin Friction (Side Shear) Soil /earth) Strain Stress Strip Subbase Subgrede The potential of a soil to expand (increase in volume) due to absorption of moisture. The final grade created as a part of the project. A portion of the foundation of a structure that transmits loads directly to the soil. The lower part of a structure that transmits the loads to the soil or bedrock. The depth of which the ground becomes frozen during the winter season. A foundation element or wall, typically constructed of reinforced concrete, used to span between other foundation elements such as drilled piers. Subsurface water found in the zone of saturation of soils, or within fractures in bedrock. Upward movement. The characteristics which describe the composition and texture of soil and rock by observation. The naturally occuring ground surface. Naturally occurring on -site soil, sometimes referred to as natural soil. The water content at which a soil can be compacted to a maximum dry unit weight by a given ccmpactive effort. Groundwater, usually of limited area maintained above a normal water elevation by the presence of an intervening relatively impervious continuing stratum. To mechanically loosen soil or break down existing soil structure. Downward movement. The frictional resistance developed between soil and an element of structure such as a drilled pier or shaft. Sediments or other unconsolidated accumulations of solid particles produced by the physical and chemical disintegration of rocks, and which may or may not contain organic matter. The change in length per unit of length in a given direction. The force per unit area acting within a soil mass. To remove from present location. A layer of specified material in a pavement system between the subgrade and base course. The soil prepared and compacted to support a structure, slab or pavement system. Empire Laboratories, Inc. A Division of The Ten'acon Companle®449 NAMES OF OWNERS OF FROPERTY WITHIN 500 FEE; Please print or type NkME ADDRESS, TOWN/CITY, ASSESSOR'S PARCEL STATE AND ZIP CODE IDENTIFICATION li ddlh� Es1aktS 3271 LOcV at 1,40 tS 0000roo IT Ipp+ok Co CcD621 51MMIf /� t Paullm T 144 i E. LOS PL. 14014cce 01440=4-5 CAW isc&vral l ka )L•3a Co c233 Ett A t 23 tfabar. F2 Lczp}oA % ' %2J f4(M14000b3S JLAktc &td F 3uci 3(atS wcz F f 4[0914 c 4S' t -t-L, Co 8ostip WIabtt kJ?o 3s-7 c��c.R a, t4G61Icl0000Sa (NA tn�t_A 1 9 N Pr te., 6) Co ScO2 i 94045o ,1/ Z s Z /Ai. s- . /9 -774/ 76.116, 61S PH. tiAMES of OWNERS OF PRQPERTY WITHIN 500 FEFT Please print or type MIORALS /02. SuBSURPAct iSTkTL ADDRESS, TOWN/CITY, ASSESSOR'S PARCEL STATE AND ZIP CODE IDENTIFICATION fl 5,r\ C4JA0 Ati, l44l .. /OS PG• ago �trr� 4t CAVAw4u6I4 Witt. s ►k)oma a , C) & 233 heat C. &oRDo4 3/b Q7-" S t MD Sask.) 4. &oRooN. Pr: Lu Proro, Co &o‘21 (tsn- Amoco OIL Co. 91104,56 RESOLUTION RE: APPROVE SITE SPECIFIC DEVELOPMENT PLAN AND AMENDED SPECIAL REVIEW PERMIT #615-2 FOR EXPANSION OF AN OPEN PIT GRAVEL MINE TO INCLUDE AN ADDITIONAL 40 ACRES, INCLUDING A CONCRETE BATCH PLANT AND PORTABLE ASPHALT PLANT, IN THE A (AGRICULTURAL) ZONE DISTRICT - ANDESITE ROCK COMPANY 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 of County Commissioners held a public hearing on the 18th day of May, 1994, at the hour of 10:00 a.m. in the Chambers of the Board for the purpose of hearing the application of Andesite Rock Company, 9065 Quince, Henderson. Colorado 80640, for a Site Specific Development Plan and Amended Special Review Permit #615-2 for expansion of an open pit gravel mine to include an additional 40 acres. including a concrete batch plant and portable asphalt plant, in the A (Agricultural) Zone District on the following described real estate, to -wit: Part of the S; of Section 3, Township 2 North, Range 68 West of the 6th P.M., Weld County, Colorado WHEREAS, said applicant was represented by Gary Tuttle, Tuttle Applegate, Inc., and WHEREAS, Section 24.4.2 of the Weld County Zoning Ordinance provides standards for review of said Special Review Permit, and WHEREAS, the Board of County Commissioners heard all of the testimony and statements of those present, studied the request of the applicant and the recommendations of the Weld County Planning Commission and all of the exhibits and evidence presented in this matter and, having been fully informed, finds that this request shall be approved for the following reasons: 1. The submitted materials are in compliance with the application requirements of Section 24.7 of the Weld County Zoning Ordinance. 2. It is the opinion of the Board of County Commissioners that the applicant has shown compliance with Section 2.4.4.2 of the Weld County Zoning Ordinance as follows: a. This proposal is consistent with the Weld County Comprehensive Plan's Mineral Resources Goals and Policies, the I-25 Mixed - Use Development Area Goals and Policies, and the Transportation Goals and Policies. The Conditions of Approval and Development Standards will ensure that these goals and policies are met. The Comprehensive Plan encourages the extraction of mineral resources when the mining plan promotes reasonable and orderly development of mineral resources. de.„; Pt; NC) ebv0. suiE 940455 AMENDED SPECIAL REVIEW PERMIT //61.5-2 - ANDESITE ROCK COMPANY PACE 2 b. The uses permitted will be compatible with the existing surrounding land uses and with the future development of the surrounding area as permitted by the Weld County Comprehensive Plan. Surrounding land uses include gravel mining, crop production, commercial uses, residences, and a recreation area. c. The proposal is consistent with the intent of the Agricultural Zone District and is provided for as a Use by Special Review. Contiguous property previously permitted under this Special Review Permit is currently being mined for gravel and is not prime farm ground. d. The subject site is in a Flood Hazard Overlay District area. Use by Special Review Development Standards address this issue. No other overlay districts affect this site. e. Amended Special Review Permit Development Standards will provide adequate protection of the health, safety, and welfare of the neighborhood and County. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the application of Andesite Rock Company for a Site Specific Development Plan and Amended Special Review Permit #615-2 for expansion of an open pit gravel mine to include an additional 40 acres, including a concrete batch plant and portable asphalt plant, in the A (Agricultural) Zone District on the hereinabove described parcel of land be, and hereby is, granted subject to the following conditions: 1. The attached Development Standards for the Amended Special Review Permit shall be adopted and placed on the Amended Special Review plat prior to recording the plat. The plat shall be delivered to the Department of Planning Services and be ready for recording in the Weld County Clerk and Recorder's Office within 15 days of approval by the Board of County Commissioners. 2. The Amended Special Review activity shall not occur nor shall any building or electrical permits be issued on the property until the Amended Special Review plat is ready to be recorded in the office of the Weld County Clerk and Recorder. Prior to the Amended Special Review Permit activity occurring on the additional 40.7 -acre site, evidence shall be submitted to the Department of Planning Services that: a. All permits required by the Army Corps of Engineers have been obtained. b. All permits required by the Mountain View Fire Protection District have been obtained. c. A Flood Hazard Development Permit has been obtained by the applicant for the amended 40± -acre site. 940455 AMENDED SPECIAL REVIEW PERMIT #615-2 - ANDESITE ROCK COMPANY PAGE 3 3. Prior to recording the Amended Special Review plat: a. The following note shall be placed on the plat: NOTE: The Mined Land Reclamation Board has the authority to issue0 permits for mining and reclamation activities. Activities related to mining and reclamation are, therefore, under the jurisdiction of the Mined Land Reclamation Board: however, Weld County has jurisdiction of those matters outlined in the Development Standards. b. The setback from proposed mining activity to Weld County Read 7 right-of-way shall be consistent with the plan prior to amendment. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 18th day of May, A.D., 1994. BOARD OF COUNTY COMMISSIONERS WELD UCOLORADO 1/1 ATTEST: Weld County Clerk to the Board BY: Deputy C! rk to the Board APPROV AS TO FORM: County Atto nstance L. Harbert EXCUSED Barbara J. Kirkmeyer 940455 I SITE SPECIFIC DEVELOPMENT PLAN AMENDED SPECIAL REVIEW PERMIT DEVELOPMENT STANDARDS ANDESITE ROCK COMPANY AMENDED USR 1/615-2 1. The Site Specific Development Plan and Amended Special Review Permit is for expansion of an open pit gravel mine to include an additional 40 acres, including a concrete batch plant, in the A (Agricultural) Zone District as submitted in the application materials on file and subject to the Development Standards stated herein. The amended mining area shall be limited to the additional 40.7 acres, as shown on the plat. 2. Approval of this plan may create a vested property right pursuant to Section 90 of the Weld County Zoning Ordinance. 3. The open cut gravel operation shall comply with Sections 44.4, 44.5, and 44.6 of the Weld County Zoning Ordinance. 4. Hours of operation shall be limited to daylight hours only, or not to exceed 6:30 a.m. to 6:00 p.m., six days per week, Monday through Saturday. Routine maintenance of equipment shall be allowed after the hour of 6:00 p.m. 5. Vehicular traffic associated with the Use by Special Review activity consists of 85 trips per day. Traffic shall ingress from and egress to State Highway 119, with approximately 20% traveling west toward Longmont and 80% traveling east toward I-25. Approximately 50% of the trucks traveling on I-25 shall travel north and 50% south. 6. The property shall be maintained in compliance with the requirements of the Weld County Flood Hazard Overlay District requirements, including: a. No fill, berms or stockpiles shall be placed in the one hundred (100) year flood plain of Idaho Creek which would obstruct passage of flood flows, and b. All fuel tanks, septic tanks, temporary buildings, and any other hazardous items that might wash away during flooding shall be securely anchored and adequately flood -proofed to avoid creation of a health hazard. Following completion of mining, all temporary buildings shall be removed. 7. The applicant shall use a low -noise vibrator in the operation of the concrete batch plant. 8. Tanks for flammable or combustible liquid storage or dispensing, either temporary or permanent, shall be installed in accordance with the requirements of the Uniform Fire Code. 9. All liquid and solid wastes shall be stored and removed for final disposal in a manner that protects against surface and groundwater contamination. 10. The existing Emission Permit shall be modified for the increased operation if the Colorado Department of Health determines that such a modification represents a significant change in emissions or production. 940455 DEVELOPMENT STANDARDS - ANDESITE ROCK COMPANY PAGE 2 11. No permanent disposal of wastes shall be permitted at this site. 12. Waste materials shall be handled, stored, and disposed of in a manner that controls fugitive dust, blowing debris, and other potential nuisance conditions. 13. Fugitive dust shall be controlled on this site. 14. The maximum permissible noise level shall not exceed the industrial limit of 80 dB(A) as measured according to 25-12-102, Colorado Revised Statutes. 15. The applicant shall remove, handle, and stockpile overburden, soil, sand and gravel from the facility area in a manner that will prevent nuisance conditions. 16. All phases of the sand and gravel operation shall comply with all County and State Health Standards and regulations pertaining to air quality, water quality, noise emission and sanitary disposal systems. 17. All construction on the property shall be in accordance with the requirements of the Weld County Building Code Ordinance. 18. The property owner or operator shall be responsible for complying with the Design Standards of Section 24.5 of the Weld County Zoning Ordinance. 19. The property owner or operator shall be responsible for complying with the Operation Standards of Section 24.6 of the Weld County Zoning Ordinance. 20. Personnel from the Weld County Health Department and Weld County Department of. Planning Services shall be granted access onto the property at any reasonable time in order to ensure the activities carried out on the property comply with the Development Standards stated herein and all applicable Weld County Regulations. 21. The Amended Special Review area shall be limited to the plans shown herein and governed by the foregoing Standards and all applicable Weld County Regulations. Major changes from the plans or Development Standards as shown or stated shall require the approval of an amendment of the Permit by the Weld County Planning Commission and the Board of County Commissioners before such changes from the plans or Development Standards arc permitted. Any other changes shall be filed in the office of the Department of Planning Services. 22. The property owner or operator shall be responsible for complying with all of the foregoing Development Standards. Noncompliance with any of the foregoing Development Standards may be reason for revocation of the Permit by the Board of County Commissioners. 940455 NOTICE The Board of County Commissioners of Weld County, Colorado, on May 18, 1994, conditionally approved a Site Specific Development Plan and Amended Special Review Permit for the property and purpose described below. Conditional approval of this plan creates a vested property right pursuant to Article 68 of Title 24, C.R.S., as amended, for a period of three years. APPLICANT: Andesite Rock Company 9065 Quince Henderson, Colorado 80640 LEGAL DESCRIPTION: Part of the Si of Section 3, Township 2 North. Range 68 West of the 6th P.M., Weld County. Colorado TYPE AND INTENSITY OF APPROVED USE: Approximately 2; miles east of Longmont, east of and adjacent to Weld County Road 7 and approximately 480 feet north of State Highway 119 SIZE OF PARCEL: 40.7 acres, more or less Failure to abide by the terms and conditions of approval will result in a forfeiture of the vested property right. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO BY: DONALD D. WARDEN CLERK TO THE BOARD BY: SHELLY K. MILLER DEPUTY CLERK TO THE BOARD PUBLISHED: May 26, 1994, in the Windsor Beacon 940455 AFFIDAVIT OF PUBUCAT7ON ,.. A. Fan a iMa *. Mm. and 000sl y a approval wig taint 4n a'eodafa. of m.WNW -pre act Ma. BOARD OF COUNTY COMMISSIONERS WELD COUNTY. COLORADO aedruif tent, Wald Comwhtlowa of County. Colorado, on May Ta, 1904. oondltionally aPProuad a'SIM Spoon" Do7NOPROM Plan d Asn and S Hl Peylow MM 1a Purron dadonbad Naas. Conslbnl ant rora Of Pd. plan memos a vaster, property (min pursuant to lade tad TM. Pk CRS., as atwwa, b.a. woad d Neal Non' PPPUCANT:Andailla Rank OVIRONW aasnece. Nendar.on, Colorado IOW LEGAL DESCRIPTION: PM Of as 61/2 of S.glan 3, twwere2 Naq. Ranges MOM d mg Of, PM„ weld TYPE AND iNTENSITY APPROVED OF APPROVED USS:k ,Green nt ✓t S AREA and d tonent Weld w and adl.o.ad to wad County Road 7 and WOWIRS da4* mattSRNpries q uxa oP PMoeL:ao.T JIYyOONAiD D. WARDEN CLERK TO THE BOARD MP SHELLY K MILLER DEPUTY CLERK TO pap.Tlde a we Mier ease- ISSN Ss STATE OF COLORADO COUNTY OF WELD as I ROGER A. LIPNER. Sr said County of Weld, being duly sworn, say that I am publisher of WINDSOR BEACON a weekly newspaper having a gaming circulation in said County and Stato, published in the town of WBmSOR, in said County and State: and that tho notice, of whims, the annexed is a t us copy. has been published in said weekly for / successive weeks. that the notice was published in the regular and entire issue of entry number of the paper during the period and time of publication, and kt the newspaper proper and not in a supplement, and that the first publication of said notice was in said paper bearing the date of the 74day of !1z AD., 197. and the last publication bearing t e date of the _day of A.D., 19 and that the said WINDSOR BEACON has been published continuously and uninterruptedly for the period of 5 consecutive weeks, in said County and State, prior to the date of first publication of said notice, and the same is a newspaper within the moaning of an Alto regulate printing of legal notices and advertisements, approved May 18, 1931, and all prior acts so far as in force. U G OM HER HFJi Su Ibed and sworn to befor o this 5bfr day of c% 19'TJ`_ /tat / ifeira'h9n NOTARY PUBLIC My commission expires , /r74. 940455 April 25. 1994 Ms. Gloria Dunn Current Planner Weld County Department of Planning 1400 North 17th Avenue Greeley, CO 80631 M aMISM 7tsttleApplegate,lnc. Consultants for Land, Mineral and Water Development WELD COUNTY COY.Y S.S'o" vRS 199, AP? 29 PM I.05 CLERK TO THE BOARD "4440 ems pianoin RE: Andesite Rock Co; Del Camino Pit; Case #AM USR-615-2 Dear Ms. Dunn: Enclosed you will find amended mining and reclamation plans, Exhibit C & F respectively. These plans reflect the agreements made during the Planning Commission hearing on April 19, 1994. These amended plans show a consistent setback from Weld County Road 7 for the amendment area, which matches the original area. They also show suggested locations for tree and shrub clusters along Weld County Roads 7 and 24 1/2. Attached is a copy of a letter from the West Greeley SCD Office for another sand and gravel operation near Greeley. This letter gives suggested tree and shrub species for reclamation. We suggest adding to the list some evergreens; Scotch Pine, Ponderosa Pine and Pfitzer Junipers. The operator will use plants from this list to place along the perimeter roads. Plants will be grouped in clusters of two trees and three shrubs each. We believe these changes should address the concerns of the Planning Commission in sufficient detail to allow scheduling of this case before the Board of County Commissioners. If you require any more information, or have any questions, please give us a call. Cordially. TUTTLE APPLEGATE, INC. Gary J. uttle GJT/sjr cc: File #93-180 M.A. Babler, District Wildlife Manager Longmont N. District a141780Wmiir 11990 Grant Street; Suite 410- Denver, Colorado 80233 • (303) 452_.6611 • Fax (303) 452-2759 9404, an; hi* E • • SIPIPEIMIIIMMIM ThttleApplegate,lne. Consultants for lard, Mineral and Water Development April 25, 1994 Ms. Teresa G. Jones Colorado Department of Transportation Region 4 P.O. Box 850 Greeley, CO 80632-0850 RE: Weld County; SH 119; Andesite Rock Co; Del Camino Pit Dear Ms. Jones: We are applying for an amendment to add more land to our existing sand and gravel operation. You have already seen a referral on this. At the Weld County Planning Commission hearing there was some confusion over the current traffic in and out of the mine onto State Highway 119. This letter is to help clarify the amount of vehicle traffic currently occurring at the above mentioned sand and gravel operation. The proposed amendment to the existing Use by Special Review permit does not request an increase in vehicle traffic to and from the site over what now exists. Currently we average 25 loads per day and have 12 employees. The following daily trips result: Trucks Employees Miscellaneous TOTAL 50 24 J0 84 Andesite Rock Company understands that an increase of 20% or more in truck traffic volume over what currently exists could result in a re-evaluation of access needs by your Department Cordially, TUTTLE APPLEGATE, INC. Gary J. Tattle GJT/sjr cc: File 93-180 Gloria Dunn, Weld County Planning .193reoVat 11990 Grant Street, Suite 410 • Denver, Colorado 80233 • (303) 452-6611 • Fax (303) 452_-2759 940455 • • NOTICE Pursuant to the zoning laws of the State of Colorado and the Weld County Zoning Ordinance, a public hearing will be held in the Chambers of the Board of County Commissioners of Weld County, Colorado, Weld County Centennial Center, 915 10th Street, First Floor, Greeley, Colorado, at the time specified. All persons in any manner interested in the Site Specific Development Plan and Amended Special Review Permit are requested to attend and may be heard. Should the applicant or any interested party desire the presence of a court reporter to make a record of the proceedings, in addition to the taped record which will be kept during the hearing, the Clerk to the Board shall be advised in writing of such action at least five days prior to the hearing. The cost of engaging a court reporter shall be borne by the requesting party. BE IT ALSO KNOWN that the text andmaps so certified by the Weld County Planning Commission may be examined in the office of the Clerk to the Board of County Commissioners, located in the Weld County Centennial Center, 915 10th Street, Third Floor, Greeley, Colorado. DOCKET NO: 94-41 DATE: May 18, 1994 TIME: 10:00 a.m. APPLICANT Andesite Rock Company 9065 Quince Henderson, Colorado 80640 REQUEST: A Site Specific Development Plan and Amended Special Review Permit for expansion of an open pit gravel mine to include an additional 40 acres, including a concrete batch plant and portable asphalt plant, in the A (Agricultural) Zone District LEGAL DESCRIPTION: Part of the S; of Section 3, Township 2 North, Range 68 West of the 6th P.M., Weld County, Colorado LOCATION: Approximately 21 miles east of Longmont, east of and adjacent to Weld County Road 7 and approximately 480 feet north of State Highway 119 BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO BY: DONALD D. WARDEN WELD COUNTY CLERK TO THE BOARD BY: SHELLY K. MILLER DEPUTY CLERK TO THE BOARD DATED: May 2, 1994 PUBLISHED: May 5, 1994, in the Windsor Beacon 940455 Paige* 10 len zeta law t Ma Site of Oresado end S. WS Canty Zoning Onknane , a eWaa Weems to be held W the Ormbn el the Beard of County Cammtnlon.ye of Weld County. Colorado, Weld County Centennial Over. he 1QM Meat, Peat Mgr, Greeley. Colorado, at the eras apnea All Penn a arry manner intense M the Site Speatrle Development Plan *ad Amended &poorer RtMew Permit am. nou.et.o m wand end maybe twat Should Mreppl rant w one interested Polk den die nova at• oourl rwSat IO MOM* a record et Mt meeee bqa, In addition to ar awl word etSS. rte be kept done IS tea.. M QM1eM /eadaeas Medved mwriting o1 seta e#Mr a bet INe *Abner I W.M. Mora The Matt mimosa Morn taps, men w - borne by.tM aa+eeq faro. SE tT ALSO KNOWN dot the MR' end map IC 0a4Sd by is weed Carnet Manna COw oSe onmay be area In 9* tote t the Clerk to the Stank of County Oommleslonera. bead In the Weld WOW oemenWt Center. MO V* etma Third roar. OS Colorado. DOCKET - ND:aS-r1 APPLnAIT Ar UNN Remy Conprry an n, eIendenen� Colorado aeMo GAIT: lt JJ%L...., TM: 1040 aw. REQUEST: A SS SI MMSM Development Plan end Amended Spoil Rpoler Mend 1N soeeibn A en open plug t mw to Ineldde en additional M are, *army r Moline betel. plant end poaoele asphalt plant, in Kr A Oicnt Mua92en. DOS LEGAL DESCRIPTOR Part of tea 81/2 01 *Mir 3, walla 2 Nat', RataN '.. was of the earP,tA. WE Corny, Cawado LDCATION:AOf'nsmttAS Y 21/g ^ mites- oat 0t Lertpmont, east el end Nptoent to Warn County teed T and epptoxW ear en loft nosh of Slate alma I1e WARD OP COUNTY ODMbMSStONERS WILD - COUNTY. COLORADO IYib0NALDO. WAIN WSW COUNTY CLERK TO THE ROAM Ey: SHELLY MILLER DEPUTY CLERK TO THE 10AtD MwetMAg7,,'INN .. r Siam MOWe.MIL r AFFIDAVIT OF PUB LJCATION STATE OF COLORADO as COUNTY OF WELD L ROGER A LIPIES{ d said County of Weld, being duly sworn, say that I am publisher of WINDSOR BEACON a weekly newspaper having a general circulation in said County and State. pubfhed hit the town of WINDSOR, in said County and State; and that the notice, of which the annexed is a true copy, has boon published in said week* for / successive weeks, that this notice was published in the regular and entire issue of every number d the paper during the perked and time of pubktlon, and b the newspaper proper and not in a supplement, and that the first publication of said notice was in said paper bearing the_date of the b day of enay A.D., 19 TV and the last publication be rdig the date of the _ day of AD_ 19 and that the said WINDSOR BEACON has been published continuously and uninterruptedly for the period of S consecutive weeks, in said County and State. prior to the date of first publication of said notice, and the same is a newspaper within the meaning of an A420 regulate printing of legal notices and advertisements, approved May 18, 1931, and all prior acs so far as In force. 1-, i Subscred and sworn to before me this . 1d day of 191"/"/ NOTARY PUBLIC My commission expires 93,17 '_, /194, 940455 CERTIFICATE OF MAILING The undersigned hereby certifies that a true and correct copy of the foregoing Notice of Hearing, Docket #94-41. was placed in the United States mail, first class mail, postage prepaid, addressed to the following property owners. DATED this Can day of ANDESITE ROCK COMPANY 9065 QUINCE HENDERSON, CO 80640 GARY TUTTLE TUTTLE APPLEGATE, INC. 11990 GRANT STREET, SUITE DENVER, CO 80233 NICK N. BACRIA 11488 WELD COUNTY ROAD 7 LONGMONT, CO 80501 . 1994. MOUNTAIN EMPIRE DAIRYMEN ASSOCIATION C/O WESTERN DAIRYMEN COMPANY P.O. BOX 26427 SALT LAKE CITY, UT 84126-0427 STATE OF COLORADO DEPARTMENT OF HIGHWAYS 410 4201 EAST ARKANSAS AVENUE DENVER, CO 80222 RANDALL S. AND ALICIA LOFQUIST 1115 PRINCETON DRIVE LONGMONT, CO 80501 ISAURO AND HELEN CHAVEZ 3101 HIGHWAY 119 LONGMONT, CO 80504 STATE OF COLORADO DEPARTMENT OF FISH AND GAME 6060 BROADWAY DENVER, CO 80216 THE RADEMACHER FAMILY PARTNERSHIP, LTD. 3525 HIGHWAY 119 LONGMONT, CO 80504 GERALD L. AND SHERYL LYNN OLANDER BACON AND KATHLEEN E. AND JOAN I. BACON 11994 WELD COUNTY ROAD 7 LONGMONT, CO 80504 JCK GRAVEL, INC. C.0 KATHERINE OLIVER 4465 PIONEER DRIVE GREELEY, CO 80634 GEORGE C. ADAM JR. 11684 WELD COUNTY ROAD 5.5 LONGMONT, CO 80501 CONSTRUCTION AGGREGATES. INC. 3311 WEST 96TH AVENUE WESTMINSTER, CO 80030 Deputy Clto the Board 940455 SUMMAR': OF T,.i.; WELD CQTY P.ANN_NG COMMISSION MEETING April lc, lel!. Page 3 The Chairperson asked the secretary to poll the members of the Planning Commis:=:on fo:r their decision. S::irley Camenisch - yes: Juliette Kroekel - yes; Bud Clcc;ans - yes; Marie Koolst:r. - yes; Ron Sommer - yes; Torn Rulon - yes: Judy Yamaguchi - yes. Motion carried unanimously. CASE NU'xs n: •JSR-1352 APPLIC:.ST: 6uLort and Alexandra Hayworth REQUEST: A Site Specific Development Plan and a Special Review permit for a _Lngle family residence on a lot under the minimum lot size in the A (Agricultural) zon^_ district. LEGAL DGSC^IFTICN: N2 S2 NW of Section 14, T1N. R67W of the 6th P.M., Weld Cocrty, Zolocado. LOCATIOY ;:proximately 2 li 4 miles southwest of Fort Lupton, east of and adjacent to Weld County Road 21 and 3/4 mile north of Weld County Road 8. Hubert Hayworth, applicant explained they want to build a single family residence on property net currently cultivated to minimize the impact on agricultural use. This a• ,1ica.{on is similar to ether uses in the area. Planning Commission member discussed uses on surrounding properties and the availaci.ity c.f utilities to the area. The Chairpersons asked if there was anyone in the audience who wished to speak for or against this application. No one wished to speak. Juliette. Krc...Kel moved Case aumhar USR-1042, Hubert and Alexandra Hayworth be forwariod to the Board of County Commissioners with the Planning Commission's recommendation for approval. Shirley Camenisch seconded the motion. The Chairperson asked the secretary to poll the members of the Planning Commission fc77 their decision. Shirley Camenisch - yes; Juliette Kroekel - yes; Bud Cle::on_ - ;es; Marie Koolstra - yes; Ron Sommer - yes; Tom Rulon - yes; Judy Yamaguc:i - ye;. Motion carried unanimously. CASE NU,'JB 4: AM USR 615-2 APPLIC.'.?{T: Andesite Rock Company REQUEST: A Site Specific Development Plan and an amended Special Review permit to expand an open pit gravel mine. LEGAL DESCRIPILON: ?art of the 52 of Section 3, T2N, R68W of the 6th P.M.. Wel._ County, Colorado. LOCATIUi': A+» roximately 2 1/2 miles east of Longmont, east of and adjacent to Weld County Road 7 and approximately 480 feet north of State Highway 1t9. Gary 'P.ttle, Tuttle Applegate, Inc., representative for Andesite Rock Company gave a ,rief overview of the expansion. He stated the applicant had concerns about certain conditions oz approval and development standards. Extensive discussion followed regarding amending Development Standard #5, Condition of Approval #3, and adding new Conditions of Approval #4a and 4b. Concerns expres.d we_c•vehicle traffic counts, setbacks requirements, and planting plans. 940455 SUMMARY Or er7 WELD ATV PLANNING COMMISSION MEETINt April : , ));, Page 4 Extens:.•.a di;n shim followed w_cn Don Carroll, Public Works. expressing concerns about ::s.e se:Jacks from and the condition of Weld County Road 7. Gary Tuttle said numerouz other gravel pits throughout Weld County existed with 25 foot setback?. A c..:mpronise was finally reached with the applicant agreeing to move the se':_:_ck •:..the expansion to -.;yet the exact setbacks of the original gravel pi:. Judy Y:magucf left the meetin+; at 2:40 p.m. Tom Rulon (Acting Chairman) continued the meeting and as'.ced if there was anyone in the audience who wished to spc•::a: for against this application. No one wished to speak. Bud Cier,.:ns :rloved Case Number AM USR-615-2, be forwarded to the Board of County Con isioner:., as er._ndcd, wit: the Planning Commission's recommendation for approv::! _ .The Acting Chairman asked the secretary to poll the members of the Planning CommisCer, :.• their decision. Shirley Camenisch - yes; Juliette Kroekel - yes; Bud Clemens ••vas; Marie Koolac:a - yes; Ron Scmmer - yes; Tom Rulon - yes; Judy Yamagu.::.i •• .. :fiction carried ua..namously. Meeting ac_• a:tY) p.m. Sharyn ..' Uuf f Secret.:_? f,C..°v'y • • VELD MINT?' BEFORE THE WELD COUNTY, COLORADO. PLANNING COMMISSIO >tJ nn 25 in 08 RESOLUTION OF RECOMMENDATION TO THE BOARD OF COUNTY COMMISSIONERS CLERK TO THE BC,RD Moved by Bud Clemons that the following resolution, with the amendment to Condition of Approval #3 and the addition of Condition of Approval #4.a., and 4.b, be introduced for passage by the Weld County Planning Commission. Be it resolved by the Weld County Planning Commission that the application for: CASE NUMBER: Amended USR-615-2 NAME: Andesite Rock Company ADDRESS: 9065 Quince, Henderson, CO 80640 REQUEST: A Site Specific Development Plan and an Amended Special Review permit for expansion of an open pit gravel mine to include an additional 40 acres, including a concrete batch plant and portable asphalt plant, in the A (Agricultural) zone district. LEGAL DESCRIPTION: Part of the S2 of Section 3, T2N, R68W of the 6th P.M., Weld County. Colorado. LOCATION: Approximately 2-1/2 miles east of Longmont; east of adjacent to Weld County Road 7 and approximately 480 feet north of State Highway 119. be recommended favorably to the Board of County Commissioners for the following reasons: 1. The submitted materials are in compliance with the application requirements of Section 24.7, 44.1, 44.2, and 44.3 of the Weld County Zoning Ordinance. 2. It is the opinion of the Planning Commission that the applicant has shown compliance with Section 24.4.2 of the Weld County Zoning Ordinance as follows: This proposal is consistent with the Weld County Comprehensive Plan's Mineral Resources Goals and Policies, the 1-25 Mixed -Use Development Area Goals and Policies, and the Transportation Goals and Policies. The Conditions of Approval and Development Standards will ensure that these goals and policies are met. The Comprehensive Plan encourages the extraction of mineral resources when the mining plan promotes reasonable and orderly development of mineral resources. ExhAb'+ 8 940455 RESOLUTION, Amended USR-615-2 Andesite Rock Company Page 2 The uses permitted will be compatible with the existing surrounding land uses and with the future development of the surrounding area as permitted by the Weld County Comprehensive Plan. Surrounding land uses include gravel mining, crop production, commercial uses, residences, and a recreation area. The proposal is consistent with the intent of the Agricultural zone district and is provided for as a Use by Special Review. Contiguous property previously permitted under this Special Review permit is currently being mined for gravel and is not prime farm ground. The subject site is in a Flood Hazard Overlay District area. Use by Special Review Development Standards address this issue. No other overlay districts affect this site. - Special Review Permit Development Standards will provide adequate protection of the health, safety, and welfare of the neighborhood and County. This recommendation is based, in part, upon a review of the application materials submitted by the applicant, other relevant information regarding the request, and responses from referral entities. The Planning Commission's recommendation for approval is conditional upon the following: 1. The attached Development Standards for the Special Review permit shall be adopted and placed on the Special Review plat prior to recording the plat. The plat shall be delivered to the Department of Planning Services and be ready for recording in the Weld County Clerk and Recorder's office within 15 days of approval by the Board of County Commissioners. 2. The Amended Special Review activity shall not occur nor shall any building or electrical permits be issued on the property until the Special Review plat is ready to be recorded in the office of the Weld County Clerk and Recorder. Prior to the Special Review permit activity occurring on the additional 40.7 acre site, evidence shall be submitted to the Department of Planning Services that: a. All permits required by the Army Corps of Engineers have been obtained. b. All permits required by the Mountain View Fire Protection District have been obtained. 940455 • • RESOLUTION, Amended USR-615-2 Andesite Rock Company Page 3 c. A Flood Hazard Development permit has been obtained by the applicant for the amended 40 t acre site. 3. Prior to recording the Special Review plat: a. The following note shall be placed on the plat: NOTE: The Mined Land Reclamation Board has the authority to issue permits for mining and reclamation activities. Activities related to mining and reclamation are, therefore under the jurisdiction of the Mined Land Reclamation Board; however, Weld County has jurisdiction of those matters outlined in the Development Standards. b. The setback from proposed mining activity to Weld County Road 7 right-of-way shall be consistent with the plan prior to amendment. 4. Prior to the Board of County Commissioners hearing: a. Documentation shall be provided by the applicant to the Department of Planning Services and the Department of Transportation with existing traffic numbers for truck loads and passenger vehicles entering and exiting the site. b. The applicant shall develop a planting plan including recommendations from the Division of wildlife regarding planting. The information shall appear on revised Exhibit E, reclamation plan. Motion seconded by Shirley Camenisch. VOTE: For Passage Against Passage Shirley Camenisch Juliette Kroekel Bud Clemons Marie Koolstra Ron Sommer Tom Rulon 9404'55 RESOLUTION. Amended USR-615-2 Andesite Rock Company Page 4 The Acting Chairman (Tom Rulon) declared the resolution passed and ordered that a certified copy be forwarded with the file of this case to the Board of County Commissioners for further proceedings. CERTIFICATION OF COPY I, Sharyn Ruff, Recording Secretary for the weld County Planning Commission, do hereby certify that the above and foregoing resolution, is a true copy of the resolution of the Planning Commission of Weld County, Colorado, adopted on April 19, 1994. Dated the 1• h of Apr 1994. J501114:::9 Sharyn F. Ruff Secretary 940456 • • SITE SPECIFIC DEVELOPMENT PLAN SPECIAL REVIEW PERMIT DEVELOPMENT STANDARDS Andesite Rock Company Amended USR-615-2 1. The Site Specific Development Plan and Amended Special Review permit is for expansion of an open pit gravel mine to include an additional 40 acres, including a concrete batch plant, in the A (Agricultural) zone district as submitted in the application materials on file in the Department of Planning Services and subject to the Development Standards stated hereon. The amended mining area shall be limited to the additional 40.7 acres, as shown on the plat. 2. Approval of this plan may create a vested property right pursuant to Section 90 of the Weld County Zoning Ordinance. 3. The open -cut gravel operation shall comply with Sections 44.4, 44.5, and 44.6 of the Weld County Zoning Ordinance. 4. Hours of operation shall be limited to daylight hours only, or not to exceed 6:30 a.m. to 6:00 p.m.. six days per week, Monday through Saturday. Routine maintenance of equipment shall be allowed after the hour of 6 p.m. 5. Vehicular traffic associated with the Use by Special Review activity consists of 85 trips per day. Traffic shall ingress from and egress to State Highway 119, approximately 20Z travelling west toward Longmont and 80% travelling east toward 1-25. Approximately 50Z of the trucks travelling on 1-25 shall travel north and 50Z south. 6. The property shall be maintained in compliance with the requirements of the Weld County Flood Hazard Overlay District requirements, including: - No fill. berms or stockpiles shall be placed in the one hundred (100) year flood plain of Idaho Creek which would obstruct passage of flood flows, and All fuel tanks, septic tanks, temporary buildings, and any other hazardous items that might wash away during flooding shall be securely anchored and adequately flood -proofed to avoid creation o£ a health hazard. Following completion of mining, all temporary buildings shall be removed. 7. The applicant shall use a low -noise vibrator in the operation of the concrete batch plant. 940455 • • DEVELOPMENT STANDARDS, Amended USR•-615-2 Andesite Rock Company Page 2 8. Tanks for flammable or combustible liquid storage or dispensing, either temporary or permanent, shall be installed in accordance with the requirements of the Uniform Fire Code. 9. All liquid and solid wastes shall be stored and removed for final disposal in a manner that protects against surface and groundwater contamination. 10. The existing Emission Permit shall be modified for the increased operation if the Colorado Department of Health determines that such a modification represents a significant change in emissions or production. 11. No permanent disposal of wastes shall be permitted at this site. 12. Waste materials shall be handled, stored, and disposed of in a manner that controls fugitive dust, blowing debris, and other potential nuisance conditions. 13. Fugitive dust shall be controlled on this site. 14. The maximum permissible noise level shall not exceed the industrial limit of 80 dB(A) as measured according to 25-12-102, Colorado Revised Statutes. 15. The applicant shall remove, handle, and stockpile overburden, soil, sand and gravel from the facility area in a manner that will prevent nuisance conditions. 16. All phases of the sand and gravel operation shall comply with all County and State Health Standards and regulations pertaining to air quality. water quality, noise emission and sanitary disposal systems. 17. All construction on the property shall be in accordance with the requirements of the Weld County Building Code Ordinance. 18. The property owner or operator shall be responsible for complying with the Design Standards of Section 24.5 of the Weld County Zoning Ordinance. 19. The property owner or operator shall be responsible for complying with the Operation Standards of Section 24.6 of the Weld County Zoning Ordinance. 20. Personnel from the Weld County Health Department and Weld County Department of Planning Services shall be granted access onto the property at any reasonable time in order to ensure the activities carried out on the property comply with the Development Standards stated hereon and all applicable Weld County Regulations. 940455 DEVELOPMENT STANDARDS, Amended USR-615-2 Andesite Rock Company Page 3 21. The Special Review area shall be limited to the plans shown hereon and governed by the foregoing Standards and all applicable Weld County Regulations. Major changes from the plans or Development Standards as shown or stated shall require the approval of an amendment of the Permit by the Weld County Planning Commission and the Board of County Commissioners before such changes from the plans or Development Standards are permitted. Any other changes shall be filed in the office of the Department of Planning Services. 22. The property owner or operator shall be responsible for complying with all of the foregoing Development Standards. Noncompliance with any of the foregoing Development Standards may be reason for revocation of the Permit by the Board of County Commissioners. 940455 • • ADDITIONAL COMMENTS Andesite Rock Company Amended USR-615-2 Teresa Jones, Colorado Department of Transportation has commented, in a letter dated April 4, 1994, that no changes or improvements to the property access on Highway 119 will be required at this time. The applicant has indicated that truck traffic volume is not expected to change, if this expansion is approved. Ms. Jones has indicated that the addition of auxiliary lanes will be required at this location if a 20Z increase in truck traffic does occur in the future. 940455 ® • INVENTORY OF ITEMS SUBMITTED FOR CONSIDERATION Applicant; Andesite Rock Company Case Number: AM USR-615-2 Submitted or Prepared Prior to Hearing At Hearing 1. Application 73 pages X 2. Application plat 3 pages X 3. DPS referral summary sheet and letter X 4. DPS letter to applicant X 5. DPS Recommendation X 6. DPS Surrounding Property Owner/Mineral Owner Mailing list, letter and certificate. X 7. 3 DPS Maps Prepared by Planning Technician X 8. DPS Notice of Hearing X 9. DPS Case File Summary Sheet X 10. DPS Field Check X 11. April 8, 1994 referral from Division of Wildlife X 12. April 13, 1994 referral from Colorado State Division of Water Resources X 13. April 4, 1994 referral from State Department of Transportation X 14. March 28, 1994 referral from Mountain View Fire Protection District X 15. March 18, 1994 referral from Department of Army Corps of Engineers X 16. March 29, 1994 referral from Weld County Engineering Department X 17. April 5, 1994 referral from weld County Health Department X 18. April 6, 1994 referral from the City of Longmont X 19. April 5, 1994 referral from Tri-Area Planning Commission X 20. March 17, 1994 referral from Weld County Office of Emergency Management X 21. March 28, 1994 referral from Colorado Oil and Gas Conservation Commission X 22. March 17, 1994 field check from Judith Yamaguchi X 23. April 18, 1994 memo from Gary Tuttle X c A; b; -t A 940455 Andesits Rock Comp AM USR-615-2 Page 2 • I hereby certify that the 23 items identified herein were submitted to the Department of Planning Services at or prior to the scheduled Planning Commission hearing. I further certify that these items were forwarded to the Clerk to the Board's office on April 22, 1994 Gloria D3inn, current Planner STATE OF COLORADO COUNTY OF WELD gSCRIBED AND SWORN TO BEFORE ME THIS OV,/► day of i - Q,,,, NOTAR PUBLIC ''..MX.COLmsion Expires f P&xd ty . j 1` q4• 940455 /1 EXHIBIT - INVENTORY CONTROL SHEET case 4TtOe6/5 cZ� (14.46AV .f7 474e Exhibit 14/a5 A. `1/a5 B. P..,44!U X 42270. 5ia D. F. G. H. I. J. K. L. M. N. 0. P. Q. R. S. T. V. V. W. X. Y. Submitted By & 710 .62 I Exhibit Description Lena t 77OA!2B'! de-gJ1tdv /ithA (}4/7/€15g1t ni d,L to /mina 9 AjtIAs o' cho Z. 940455 I • • DATE: April 19, 1994 CASE NUMBER: Amended USR-615-2 NAME: Andesite Rock Company ADDRESS: 9065 Quince, Henderson, CO 80640 REQUEST: A Site Specific Development Plan and an Amended Special Review permit for expansion of an open pit gravel mine to include an additional 40 acres, including a concrete batch plant and portable asphalt plant, in the A (Agricultural) zone district. LEGAL DESCRIPTION: Part of the S2 of Section 3, T2N, R68W Of the 6th P.M., Weld County, Colorado. LOCATION: Approximately 2-1/2 miles east of Longmont; east of adjacent to Weld County Road 7 and approximately 480 feet north of State Highway 119. THE DEPARTMENT OF PLANNING SERVICES' STAFF RECOMMENDS THAT THIS REQUEST BE APPROVED FOR THE FOLLOWING REASONS: 1. The submitted materials are in compliance with the application requirements of Section 24.7, 44.1, 44.2, and 44.3 of the Weld County Zoning Ordinance. 2. It is the opinion of the Department of Planning Services' staff that the applicant has shown compliance with Section 24.4.2 of the Weld County Zoning Ordinance as follows: - This proposal is consistent with the Weld County Comprehensive Plan's Mineral Resources Goals and Policies, the 1-25 Mixed -Use Development Area Goals and Policies, and the Transportation Goals and Policies. The Conditions of Approval and Development Standards will ensure that these goals and policies are met. The Comprehensive Plan encourages the extraction of mineral resources when the mining plan promotes reasonable and orderly development of mineral resources. - The uses permitted will be compatible with the existing surrounding land uses and with the future development of the surrounding area as permitted by the Weld County Comprehensive Plan. Surrounding land uses include gravel mining, crop production, commercial uses, residences, and a recreation area. - The proposal is consistent with the intent of the Agricultural zone district and is provided for as a Use by Special Review. Contiguous property previously permitted under this Special Review permit is currently being mined for gravel and is not prime farm ground. 940455 ® to RECOMMENDATION, Amended USR-615-2 Andesite Rock Company Page 2 - The subject site is in a Flood Hazard Overlay District area. Use by Special Review Development Standards address this issue. No other overlay districts affect this site. - Special Review Permit Development Standards will provide adequate protection of the health, safety, and welfare of the neighborhood and County. This recommendation is based, in part, upon a review of the application materials submitted by the applicant, other relevant information regarding the request, and responses from referral entities. The Department of Planning Services' staff recommendation for approval is conditional upon the following: 1. The attached Development Standards for the Special Review permit shall be adopted and placed on the Special Review plat prior to recording the plat. The plat shall be delivered to the Department of Planning Services and be ready for recording in the Weld County Clerk and Recorder's office within 15 days of approval by the Board of County Commissioners. 2. The Amended Special Review activity shall not occur nor shall any building or electrical permits be issued on the property until the Special Review plat is ready to be recorded in the office of the Weld County Clerk and Recorder. Prior to the Special Review permit activity occurring on the additional 40.7 acre site, evidence shall be submitted to the Department of Planning Services that: a. All permits required by the Army Corps of Engineers have been obtained. b. All permits required by the Mountain View Fire Protection District have been obtained. c. A Flood Hazard Development permit has been obtained by the applicant for the amended 40 t acre site. 940455 • • RECOMMENDATION, Amended USR-615-2 Andeeite Rock Company Page 3 3. Prior to recording the Special Review plat: a. The following note shall be placed on the plat: NOTE: The Mined Land Reclamation Board has the authority to issue permits for mining and reclamation activities. Activities related to mining and reclamation are, therefore under the jurisdiction of the Mined Land Reclamation Board; however, Weld County has jurisdiction of those matters outlined in the Development Standards. b. The plat shall be amended to show a 200 foot setback from the proposed mining activity to Weld County Road 7 right-of-way. c. The applicant shall incorporate recommendations of the State Division of Wildlife as stated in a letter dated April 8, 1994, into Exhibit E. Reclamation Plan. The revised Reclamation Plan shall be submitted to the Division of Wildlife and the Department of Planning Services. 940455 • SITE SPECIFIC DEVELOPMENT PLAN SPECIAL REVIEW PERMIT DEVELOPMENT STANDARDS Andesite Rock Company Amended USR-615-2 1. The Site Specific Development Plan and Amended Special Review permit in for expansion of an open pit gravel mine to include an additional 40 acres, including a concrete batch plant, in the A (Agricultural) zone district as submitted in the application materials on file in the Department of Planning Services and subject to the Development Standards stated hereon. The amended mining c..rea shall be limited to the additional 40.7 acres, as shown on the plat. 2. Approval of this plan may create a vested property right pursuant to Section 90 of the Weld County Zoning Ordinance. 3. The open -cut gravel operation shall comply with Sections 44.4, 44.5, and 44.6 of the Weld County Zoning Ordinance. 4. Hours of operation shall be limited to daylight hours only, or not to exceed 6:30 a.m. to 6:00 p.m., six days per week, Monday through Saturday. Routine maintenance of equipment shall be allowed after the hour of 6 p.m. 5. Vehicular traffic associated with the Use by Special Review activity consists of 25 trips per day. Traffic shall ingress from and egress to State Highway 119, approximately 20% travelling west toward Longmont and 80% travelling east toward 1-25. Approximately 50% of the trucks travelling on 1-25 shall travel north and 50% south. 6. The property shall be maintained in compliance with the requirements of the Weld County Flood Hazard Overlay District requirements, including: - No fill, berms or stockpiles shall be placed in the one hundred (100) year flood plain of Idaho Creek which would obstruct passage of flood flows, and - All fuel tanks, septic tanks, temporary buildings, and any other hazardous items that might wash away during flooding shall be securely anchored and adequately flood -proofed to avoid creation of a health hazard. Following completion of mining, all temporary buildings shall be removed. 7. The applicant shall use a low -noise vibrator in the operation of the concrete batch plant. 940455 F DEVELOPMENT STANDARDS, Amended USR-615-2 Andesite Rock Company Page 2 8. Tanks for flammable or combustible liquid storage or dispensing, either temporary or permanent, shall be installed in accordance with the requirements of the Uniform Fire Code. 9. All liquid and solid wastes shall be stored and removed for final disposal in a manner that protects against surface and groundwater contamination. 10. The existing Emission Permit shall be modified for the increased operation if the Colorado Department of Health determines that such a modification represents a significant change in emissions or production. 11. No permanent disposal of wastes shall be permitted at this site. 12. Waste materials shall be handled, stored, and disposed of in a manner that controls fugitive dust, blowing debris, and other potential nuisance conditions. 13. Fugitive dust shall be controlled on this site. 14. The maximum permissible noise level shall not exceed the industrial limit of 80 d8(A) as measured according to 25-12-102, Colorado Revised Statutes. 15. The applicant shall remove, handle, and stockpile overburden, soil, sand and gravel from the facility area in a manner that will prevent nuisance conditions. 16. All phases of the sand and gravel operation shall comply with all County and State Health Standards and regulations pertaining to air quality, water quality, noise emission and sanitary disposal systems. 17. All construction on the property shall be in accordance with the requirements of the Weld County Building Code Ordinance. 18. The property owner or operator shall be responsible for complying with the Design Standards of Section 24.5 of the Weld County Zoning Ordinance. 19. The property owner or operator shall be responsible for complying with the Operation Standards of Section 24.6 of the Weld County Zoning Ordinance. 20. Personnel from the Weld County Health Department and Weld County Department of Planning Services shall be granted access onto the property at any reasonable time in order to ensure the activities carried out on the property comply with the Development Standards stated hereon and all applicable Weld County Regulations. 940455 • • DEVELOPMENT STANDARDS, Amended USR-615-2 Andesite Rock Company Page 3 21. The Special Review area shall be limited to the plans shown hereon and governed by the foregoing Standards and all applicable Weld County Regulations. Major changes from the plane or Development Standards as shown or stated shall require the approval of an amendment of the Permit by the Weld County Planning Commission and the Board of County Commissioners before such changes from the plans or Development Standards are permitted. Any other changes shall be filed in the office of the Department of Planning Services. 22. The property owner or operator shall be responsible for complying with all of the foregoing Development Standards. Noncompliance with any of the foregoing Development Standards may be reason for revocation of the Permit by the Board of County Commissioners. 940455 ADDITIONAL COMMENTS Andesite Rock Company Amended USR-615-2 Teresa Jones, Colorado Department of Transportation has commented, in a letter dated April 4, 1994, that no changes or improvements to the property access on Highway 119 will be required at thin time. The applicant has indicated that truck traffic volume is not expected to change, it this expansion is approved. Ms. Jones has indicated that the addition of auxiliary lanes will be required at thin location if a 20% increase in truck traffic does occur in the future. 940455 LAND -USE APPLICATION SUMMARY SHEET Date: April 12, 1994 CASE NUMBER: AM USR-615-2 NAME: Andesite Rock Co. ADDRESS: 9065 Quince, Henderson, CO 80640 REQUEST: A Site Specific Development Plan and an Amended Special Review permit for an open pit gravel mine in the A (Agricultural) zone district. LEGAL DESCRIPTION: Part of the S2 of Section 3, T2N, R68W of the 6th ?.M., Weld County, Colorado. LOCATION: Approximately 2 1/2 miles east of Longmont, east of and adjacent to Weld County Road 7 and north of State Highway 119. SIZE OF PARCEL: 40,7 acres, more or less. POSSIBLE ISSUES SUMMARIZED FROM APPLICATION MATERIALS: The criteria for review of this Special Review permit is listed in Section 24.3 of the Weld County Zoning Ordinance, The Department of Planning Services' staff has received responses from the following agencies: 1. Colorado Department of Transportation 2. Mountain View Fire Protection. District 3. Weld County Engineering Company 4. Department of Army Corps of Engineers 5. Colorado Oil and Gas Commission 6. Tri-Area Planning Commission 7. Weld County Office of Emergency Management 8, City of Longmont Planning Department 9. Weld County Health Department The Department of Planning Services' staff has received one inquiry from a surrounding property owner. 940455 a .' n0 S c G RC !Pc li r/ G "•.c; . , G.. ., ,w?. ..:K. • L ei,,./` W r. G r.�::�4:1. r' L GLi L ICLL . 0 • F4'- •• r r, "�... 14 l• 3 (A ,� M l • •.L 'S G • M Pc • 1 I6 •r C Y n I 1. ti . L' F . • - • •F. c. \,.1,— ', +i—• R R..66tiV Hr tNTO•I L/ % <` I \‘ v` \ ngp,• �S r \> c- �r lum.9 1 V t N/ ill r _ r `, 34645 9WOUNTAIN VIEW FIRE PRO*°TON DISTRICT Administrative Office: 9119 County Line Road • Longmont, CO 80501 (303) 772-0710 Metro (303) G66 4404 FAX (303) 651.7702 March 28, 1994 Ms. Gloria Dunn, Current Planner. Weld County Department of Planning Services 1400 N. 17th Avenue Greeley. CO 80631 RE: Case Number AM USR-615-2 Andesite Rock Company Dear Ms. Dunn: I have reviewed the proposal of the Andesite Rock Company for a gravel mining facility in the Del Camino area. The Fire District has no objections to the proposed operation. I have the following comments: 1. The Fire District has adopted the 1991 Edition of the Uniform Fire Code and the activities in the mine will be covered by this Code. The principle applications of the Code to a gravel mine will be for tank installations for flammable or combustible liquid, fueling operations, vehicle repair, including welding, and any use of hazardous materials. Tanks for flammable or combustible liquid storage or dispensing, either temporary or permanent, need to be installed in accordance with the requirements of the Code. The installation and use does require a permit from the Fire District. If you have any questions, please contact me. Sincerely, Charles E. Boyes Fire Prevention Specialist CC: Jerry Ward, Chief of the District William N. Bailey, Deputy Chief, Support Services Mark A. Lawley, Assistant Chief, Fire Prevention Station I 9119 Cary Line R6. t.oa0mOnt, CO 00501 Stela' 2 10971 MICR 13 1.060.5001, CO 00504 Station 3 P.O. Box 575 21/9 P1MW Me. Mad, C000642 Stetson P.O. Box 11 0500 NN.p Rom N1•S, CO BOSH Station5 10911 Oo60a Run W1M•1M CO 80026 rifaff'r.rtFPlagain Siren 0 P.O. Box 666 600 5029e [is, CO 60516 5468. P.O. Woks 10090. Fos, 51 Canon% CO 10614 940455 ® s Ms. Gloria Dunn April 4, 1994 Page 2 of 2 have any questions. TGJ xc: D. Yost M. Fanning file Sincerely, Andesite Rock Company Rispo Terms # G. Jones Region Developnt/Access Coordinator 940455 STATE OF COLORADO DEPARTMENT OF TRANSPORTATION Region 4 1420 2nd Street P.O. Box 850 Greeley, Colorado 80632-0850 (303)353.1232 Weld Co., SH 119 Andesite Rock Company Site Specific Development Plan and Amended Special Review NE Corner SH 119/WCR JJ�ry``/ West of Del Camino April 4, 1994 Ms. Gloria Dunn - Current Planner Department of Planning Weld County Administrative Offices 1400 N. 17th Ave. Greeley CO 80631 Dear Gloria, APR 0 7 1994 w...+‘r.nanninQ I have reviewed the Andesite Rock Company Site Specific Development Plan and amended Special Review. I have discussed this with Mr. Dave Jones of Tuttle Applegate, Inc., as I received a submittal directly from the consultants. The application states in the Traffic Statement that the amendment is to continue the existing operation, and further states that the estimates of truck traffic are based upon existing traffic, and may vary somewhat. In conversation with Mr. Jones, he stated that the volume is not expected to change, and the direction of trips should remain the same. The County may wish to monitor this volume of traffic. We have visited the site, and observed that no auxiliary lanes currently exist along WE SH 119 to facilite ingress and egress at the access. The State Highway Access Code provides a warrant to re-evaluate access and possibly to require improvements to access under certain conditions related to traffic volumes, or whenever accident history indicates a substantial safety issue. It would be in the interest of the County and the Department to require the addition of auxiliary lanes if the volume of traffic increases by more than 20% at any time in the future. At such time as a 20% increase would be documented or proposed, we should be contacted to re-evaluate access. Any changes to the access would require a State Highway Access Permit be obtained from this office. My comments are based upon the submittal as received March 16, 1994, and upon information provided by Mr. Dave Jones. Thank you for the opportunity to review the Andesite Rock Company submittal. Please contact me at # 303 350-2163 if you 940455 Ole REFERRAL LIST NAME: Andesite Rock Co. CASE NUMBER: AM L'SR-615-2 REFERRALS SENT: March 15, 1994 REFERRALS TO BE RECEIVED BY: April 4, 1994 COUNTY TOWNS and CITIES _Attorney _Ault _XHealth Department Brighton Extension Service Broomfield L_ Emergency Management Office Dacono Sheriff's Office _Eaton _X Engineering Erie Housing Authority Evans Airport Authority _~Firestone _Building Inspection Fort Lupton _Frederick ,STATE, Garden City _X_Division of Water Resources Gilcrest _Geological Survey _Greeley Department of Health Grover _X _Department of Transportation Hudson Historical Society Johnstown Water ~Water Conservation Board ----Xeenesburg XOil and Gas Conservation Commission Kersey La Salle FIRE DISTRICTS _Lochbuie Ault F-1 _X_Longmont Berthoud F-2 Mead �Briggsdale F-24 _Milliken _ Brighton F-3 New Raynor —Eaton F-4 �Northglenn _Fort Lupton F-5 Nunn _Galeton F-6 Pierce Hudson F-7 _ Platteville _Johnstown F-8 _Severance _La Salle F-9 Thornton X Mountain View F-10 Windsor _Milliken F-ll _Nunn F-12 COUN'ES Pawnee F-22 Adams Platteville F-13 Boulder Platte Valley F-14 ,Larimer Poudre Valley F-15 Raymer F-2 FEDERAL GOVERNMENT AGENCIES _Southeast Weld F-16 _X__US Army Corps of Engineers Windsor/Severance F-17 USDA -APHIS Veterinary Service _Wiggins F-18 _Federal Aviation Administration Western Hills F-20 Federal Communication Commission QT E$ Central Colo. Water Conservancy Dist. Panhandle Eastern Pipe Line Co. _X Tri-Area Planning Commission k D,v. of ��Idl�e b sMCt $03L CONSERVATION DISTRICTS Brighton 'Fort Collins _Greeley X Longmont West Adams COMMISSION/BOARD MEMBER __Judith Yamaguchi 940455 ittr. COLORADO DEPARTMENT OF PLANNING SERVICES PHONE (303) 3533845, EXT. 3540 WELD COUNTY ADMINISTRATIVE OFFICES 1400 N, 17TH AVENUE GREELEY, COLORADO 80631 March 15, 1994 CASE NUMBER: AM USR-615-2 TO WHOM IT MAY CONCERN: Enclosed is an application from Andesite Rock Company for a Site Specific Development Plan and an amended Special Review permit to expand an open pit gravel mine. The parcel of land is described as part of the S2 of Section 3, T2N, R68W of the 6th P.M., Weld County, Colorado. The location of the parcel of land for which this application has. been submitted is approximately 2 1/2 miles east of Longmont, east of and adjacent to Weld County Road 7 and approximately 480 feet north of State Highway 119. This application is submitted to you for review and recommendation. Any comments or recommendation youconsider relevant to this request would be appreciated. Your prompt reply will help to facilitate the processing of the application and will ensure prompt consideration of your recommendation. Please reply by April 4, 1994, so that we may give full consideration to your recommendation. Please call Gloria Dunn, Current Planner, if you have any questions about the application. Check the appropriate boxes below and return to our address listed above. 1. 2. We have reviewed this request and find that it does/does not) comply with our Comprehensive Plan for the following reasons. We do not have a Comprehensive Plan, but we feel this request (is/is not) compatible with the interests of our town for the following reasons: 3. We have reviewed the request and find no conflicts with our interests. 4. A formal recommendation is under consideration and will be submitted to you prior to: 5. Please refer to the enclosed letter. Signed: Agency: Date: 940455 44> 11111DG. COLORADO DEPARTMENT OF PLANNING SERVICES NOTICE OF PUBLIC HEARING PHONE (303) 3533845, EXT. 3540 WELD COUNTY ADMINISTRATIVE OFFICES 1400 N. 17TH AVENUE GREELEY, COLORADO 80631 The Weld County Planning Commission will hold a public hearing on Tuesday. April 19, 1994, at 1:30 p.m. for the purpose of considering a Site Specific Development Plan and an amended Special Review permit for the property described below. Approval of the request may create a vested property right pursuant to Colorado Law. APPLICANT: Andesitc Rock Co. LEGAL DESCRIPTION: Part of the S2 of Section 3, T2N, R68W of the 6th P.M., Weld County, Colorado. TYPE AND INTENSITY OF PROPOSED USE: Open pit gravel mine. LOCATION: Approximately 2 1/2 miles east of Longmont, cast of and adjacent to Weld County Road 7 and approximately 480 feet north of State Highway 119. SIZE: 40.7 acres, more or less The public hearing will be held in the Weld County Commissioners' Hearing Room, First Floor, Weld County Centennial Center, 915 Tenth Street, Greeley, Colorado. Comments or objections related to the above request should be submitted in writing to the Weld County Department of Planning Services, 1400 N. 17th Avenue, Greeley, Colorado 80631, before the above date or presented at the public hearing on April 19, 1994. Copies of the application are available for public inspection in the Department of Planning Services, 1400 N. 17th Avenue, Greeley, Colorado 80631 - Phone - 353-3845, Extension 3540. Judy Yamaguchi, Chairperson Weld County Planning Commission To be published in the Windsor Beacon ?( To be published ope (1) time byj March '24, 1994 Received by: Cif Date: J/7C7/f`l 940455 FIELD CHECK FILING NUMBER: Amended USE -615-2 DATE OF INSPECTION: April 1, 1994 APPLICANT'S NAME: Andesite Rock Company REQUEST: A Site Specific Development Plan and an Amended Use by Special Review permit to expand an open pit gravel mine in the A (Agricultural) zone district. LEGAL DESCRIPTION: Part of the S2 of Section 3, T2N. R6SW of the 6th P.M., Weld County, Colorado. LOCATION: Approximately 2-1/2 miles east of Longmont; east of adjacent to Weld County Road 7 and north of State Highway 119, LAND USE: ZONING: COMMENTS: N Two residences, t'eld County Road 24-1/2, vacant ground, Barbour Ponds Recreation Area. E Small ponds, vacant ground, agricultural production, 3 residences. S Fencing supply store, restaurant and bar, State Highway 119, vacant ground. W Weld County Road 7, Hamm sand and gravel operation, pond. N A (Agricultural) E A (Agricultural), C-3 (Commercial), PUD (Planned Unit Development) S C-3 (Commercial) C-4 (Commercial), A (Agricultural) W A (Agricultural) Access to the property is from State Highway 119 along the east boundary of the site. The proposed 40 acres is vacant ground with the exception of a gas well (shown on plat). The portion of the parcel already permitted for the proposed use is being actively mined. d,1" GlOri• Dunn, Current Planner 940455 FIELD CHECK FILING NUMBER: AM USR-615.2 DATE OF INSPECTION: -4.17/91- APPLICANT'S NAME: Andesite Rock Co. CURRENT PLANNER: Gloria Dunn REQUEST: A Site Specific Development Plan and an amended Special Review permit to expand an open pit gravel mine. LEGAL DESCRIPTION: Part of the S2 of Section 3, T2N, R68W of the 6th P.Y., Weld County, Colorado. LOCATION: Approximately 2 1/2 miles east of Longmont, east of and adjacent to Weld County Road 7 and approximately 480 feet north of State Highway 119. air )11 T' LAND USE: N O pci / I, M/AM. Lt) — fiec,t+ ilRixd /4-1;(9 41Z: K ,.,w h it 1,e pdYl5Int fi4 Vut Ae. 5 1J S% ire.4.A � A tw.,,t irh ten 1xs15u)fisC /`$vim SiX6 kV t wf t v Rrw;nass4s ZONING: f�o� 4u4Hn W R7�fKsr-` W. frit6A stivAc Ch4A N A (Agricultural) E A (Agricultural) S A (Agricultural) W A (Agricultural) crrorTstsect Xed,,Ac 0Y1 �JSri? -ce m 4 c go ( im"I aJ n cit ' PQfs'TLS t 1414 the p/¢aC ardi'mm. (�Q4 14�� u�X o,Kra Azidetib adv., \K v 4 cgt Nnatti itkock, cyrk, $626- }-VY/(51, -gram eerily Raw 940455 r' o® S. SURROUNDING PROPERTY OWNERS AND/OR SUBSURFACE ESTATE/MINERAL OWNERS Andesite Rock Company AM USR-615-2 State of Colorado Department of Highways 4201 E. Arkansas Avenue Denver, CO 80222 The Rademacher Family Partnership Ltd. 3525 Highway 119 Longmont, CO 80504 Construction Aggregates, Inc. 3311 W. 96th Avenue Westminster, CO 80030 940455 SURROUNDING PROPERTY OWNERS AND/OR SUBSURFACE ESTATE/MINERAL OWNERS Andesite Rock Company AM USR-615-2 Nick N. Bacria 11488 Weld County Road 7 Longmont, CO 80501 Randall S. and Alicia Lofquist 1115 Princeton Drive Longmont, CO 80501 Isauro and Helen Chavez 3101 Highway 119 Longmont, CO 80504 State of Colorado Department of Fish and Game 6060 Broadway Denver, CO 80216 The Rademacher Family Partnership Ltd. 3525 Highway 119 Longmont, CO 80504 Gerald L. and Sheryl Lynn Olander Bacon and Kathleen E. and Joan I. Bacon 11994 Weld County Road 7 Longmont, CO 80504 JCK Gravel, Inc. c/o Katherine Oliver 4465 Pioneer Drive Greeley, CO 80634 George C. Adam Jr. 11684 Weld County Road 5 1/2 Longmont, CO 80501 Mountain Empire Dairymen Association c/o Western Dairymen Co. P.O. Box 26427 Salt Lake City, UT 84126-0427 940455 CERTIXICATE OF hLAILINC I hereby certify that I have placed a true and correct copy of the surrounding property owners and owners and lessees of minerals in accordance with the notification requirements of Weld County in Case Number AM USR-615.2 for Andesite Rock Company in the United States Mail, postage prepaid First Class Mail by letter as addressed on the attached list. this 16th day of March, 1994. 9ilot 41-0 940455 COLORADO a DEPARTMENT OF PLANNING SERVICES PHONE (303)353-3845, EXT. 3540 WELD COUNTY ADMINISTRATIVE OFFICES 1400 N. 17TH AVENUE GREELEY, COLORADO 80631 DATE: March 15, 1994 TO: SURROUNDING PROPERTY/MINERAL OWNERS CASE NUMBER: AM USR-615-2 There will be a Public Hearing before the Weld County Planning Commission on Tuesday, April 19, 1994, at 1:30 p.m., in the County Commissioners' Hearing Room, First Floor, Weld County Centennial Center, 915 10th Street, Greeley, Colorado concerning the request of: NAME: Andesite Rock Company FOR: A Site Specific Development Plan and an amended Special Review permit to expand an open pit gravel mine. LEGAL DESCRIPTION: Part of the S2 of Section 3, T2N, R68W of the 6th P.M., Weld County, Colorado. LOCATION: Approximately 2 1/2 miles east of Longmont, east of and adjacent to Weld County Road 7 and approximately 480 feet north of State Highway 119. Your property is within five -hundred (500) feet of the property on which this request has been made or you may have an interest in the minerals located under the property under consideration. For additional information write or telephone Gloria Dunn, Current Planner. Comments or objections related to the above request should be submitted in writing to the Weld County Department of Planning Services, 1400 N. 17th Avenue, Greeley, Colorado 80631, on or before the date of public hearing. 940455 COLORADO �.� 1 n C. cj March 15, 1994 CASE NUMBER: AM USA -615-2 TO WHOM IT MAY CONCERN: DEPARTMENT OF PLANNING SERVICES PHONE (303) 353.3845, EXT. 3540 WELD COUNTY ADMINISTRATIVE OFFICES 1400 N.17TH AVENUE GREELEY, COLORADO 80631 Enclosed is an application from Andesite Rock Company for a Site Specific Development Plan and an amended Special Review permit to expand an open pit gravel mine. The parcel of land is described as part of the S2 of Section 3, T2N, R68W of the 6th P.M., Weld County, Colorado. The location of the parcel of land for which this application has been submitted is approximately 2 1/2 miles cast of Longmont, east of and adjacent to Weld County Road 7 and approximately 480 feet north of State Highway 119. This application is submitted toyou for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Your prompt reply will help to facilitate the processing of the application and will ensure prompt consideration of your recommendation. Please reply by April 4, 1994, so that we may give full consideration to your recommendation. Please call Gloria Dunn, Current Planner, if you have any questions about the application. Check the appropriate boxes below and return to our address listed above. 1. We have reviewed this request and find that it does/does not) comply with our Comprehensive Plan for the following reasons. 2. We do not have a Comprehensive Plan, but we feel this request (is/is not) compatible with the interests of our town for the following reasons: 3.X)' We have reviewed the request and find no conflicts with our interests, 4. A formal recommendation is under consideration and will be submitted to you prior to: 5. Please refer to the enclosed letter. Signed:jJ A.ti �L.G��- Agency: Cweenbo OIL d roA5 Co•yc, Co,.+.M. Date: 940455 f'$,,n,..,,pp M ottAvel VIIllie COLORADO Wald Corti Planning March 15, 1994 CASE NUMBER: AM USR-615-2 TO WHOM IT MAY CONCERN: DEPARTMENT OF PLANNING SERVICES PHONE (303) 353.3845, EXT. 3540 WELD COUNTY ADMINISTRATIVE OFFICES 1400 N. 17TH AVENUE GREELEY, COLORADO 30631 Enclosed is an application from Andesite Rock Company for a Site Specific Development Plan and an amended Special Review permit to expand an open pit gravel mine. The parcel of land is described as part of the S2 of Section 3, T2N, R68W of the 6th P.M., Weld County, Colorado. The location of the parcel of land for which this application has been submitted is approximately 2 1/2 miles east of Longmont, east of and adjacent to Weld County Road 7 and approximately 480 feet north of State Highway 119, This application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Your prompt reply will help to facilitate the processing of the application and will ensure prompt consideration of your recommendation. Please reply by April 4, 1994, so that we may give full consideration to your recommendation. Please call Gloria Dunn, Current Planner, if you have any questions about the application. Check the appropriate boxes below and return to our address listed above. 1. We have reviewed this request and find that it does/does not) comply with our Comprehensive Plan for the following reasons, 2. We do not have a Comprehensive Plan, but we feel this request (is/is not) compatible with the interests of our town for the following reasons: 3. We have reviewed the request and find no conflicts with our interests, 4. A formal recommendation is under consideration and will be submitted to you prior to: 5. Please refer to the enclosed letter. Signed: of/' Agency: I.e.-le Date: 03/79 940455 • • ode, _ COLORADO DEPARTMENT OF PLANNING SERVICES PHONE (303) 353.3845, EXT. 3540 WELD COUNTY ADMINISTRATIVE OFFICES 1400 N. 17TH AVENUE GREELEY, COLORADO 80631 March 15, 1994 CASE NUMBER: AM USR-615-2 TO WHOM IT MAY CONCERN: Enclosed is an application from Andesite Rock Company for a Site Specific Development Plan and an amended Special Review permit to expand an open pit gravel mine. The parcel of land is described as part of the S2 of Section 3, T2N, R68W of the 6th P.M., Weld County, Colorado. The location of the parcel of land for which this application has been submitted is approximately 2 1/2 miles east of Longmont, east of and adjacent to Weld County Road 7 and approximately 480 feet north of State Highway 119. This application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Your prompt reply will help to facilitate the processing of the application and will ensure prompt consideration of your recommendation. Please reply by April 4, 1994, so that we may give full consideration to your recommendation. Please call Gloria Dunn, Current Planner, if you have any questions about the application. Check the appropriate boxes below and return to our address listed above. 1. We have reviewed this request and find that it does/does not) comply with our Comprehensive Plan for the following reasons. 2. We do not have a Comprehensive Plan, but we feel this request (is/is net) compatible with the interests of our town for the following reasons: gv We have reviewed the request and find no conflicts with our interests. 4. A formal recommendation is under consideration and will be submitted to you prior to: 5. Signed: Date P�a refe to the enclosed letter, dirwean Agency: #y-'Di4 v .Fyr?..rro nrr /7f/ 94()455 APR 11 '94 9:51 PAGE.002 04/11/!4 e1:4! Qa+ll SOSO CD fro & ‘4et !Me .1101 t D ode S a, DEPARTMENT OF PLANNING SERVICES • PHONE Or 361.'164e, tOcr.,519 WELD COUNTY ADMlN19TRATWVe Odic!' 1400 N.17Til AVENUI 3REEL&Y. COLORADO 80831 Mara 15, 1994 CASE Man: All 7091[-615-2 TO YRC( IT MAY COPCRRR: Enclosed in An appl oation from Anda+itr Zack CORpiiq for a Site Specific Development Plan and an amended Special Lein permit to =pad an open pit grovel nine: The parcel of laud is described as part of the S2 of Section 3, T2P, MW of the 6th P.n., veld County, Colorado. The looatloniof the parcel of land for 'which this application lies been submitted is approsiastely 2 1/2 miles cast of Longmont. east of and adjacent to Vold County Road 7 and appraaimatuly 480 feet north of State Highway 119. This application is aubsitted to you for reviw and recommendation. any comments or recommendation you aonaider relevant to this tsgw■t could be apprsciatsd. Tote: prompt reply mill help to facilitate the praaasaimg of the application and will ensure prompt consicsratlOn of your recommendation. Plsase reply by April. 4. 1994, so that wa may give full consideration to your retami4ndition: Please ai11 Cleric Donn, Current Mannar.. if you, haws any goeatines about the app13oatiau. Chock the appropriate boxes below and return to our address listed above. 1._ Vs have reviewed this request and find that it does/doss not) comply with our Comprehensive Plan tar the following reasons. 2. Ve do not have a Comprehensive Plan, but we feel this request (i■/ia not) compatible with the inter■ata of Our town for the following reasons: 3. ✓ watt 4C�.trete v De have reviewed the regnant and '+i'th-cowl -4meer wee. 4. A formal reaoaoendation is odder consideration and will ba subsisted to you prior to: 5. Please refer to the enclosed letter. :igaad: r`y4 4-1Ze if Dam= 4 fs d' • APR 11 '94 t;38 A vney: ag1F' [n arktcnrt APR 1 : 1994 14' 303 531 0000 .... ^....a.. o1,,Rnine 0E.002 ** TOTAL PAGE.002 ** 940455 I pro,4,„ Wine COLORADO fEMORMIDUM Gloria Dunn Weld County Planning April 5, 1994 To Data Jeff Stoll, M.P.H., Director, Environmental Protection Svs. From Case Number: AM USR-615-2 Name: Andesite Rock Co. Subject: PT S2 of Section 03, Township 02 North, Range 68 West Environmental Protection Services has reviewed this proposal; the following conditions are recommended to be part of any approval: 1. All liquid and solid wastes shall be stored and removed for final disposal in a manner that protects against surface and groundwater contamination. 2. The existing Emission Permit must be modified for the increased operation if the Colorado Department of Health determines that such a modification represents a significant change in emissions or production. 3. No permanent disposal of wastes shall be permitted at this site. 4. Waste materials shall be handled, stored, and disposed in a manner that controls fugitive dust, blowing debris, and other potential nuisance conditions. 5. Fugitive dust shall be controlled on this site. 6. The maximum permissible noise level shall not exceed the industrial limit of 80 dB(A) as measured according to 25-12-102, Colorado Revised Statutes. 7. The applicant shall remove, handle, and stockpile overburden, soil, sand and gravel from the facility area in a manner that will prevent nuisance conditions. JLS/523 APR t 1 1994 I 940455 Ott Wine COLORADO mEMORAnDUM Gloria Dunn To Planning From Donald Carroll Oats March 29. 1994 suboct AndesiteJRock Company AM USR-615 The location is WCR 7, approximately 480' north of State Highway 119. I have reviewed the amended mining application and have the following comments: On the Weld County Use By Special Review Application For Mining Permit, Item #7(E) is indicating that this particular facility is a dry pit operation. I believe this is a wet pit operation, On the plans they are showing a de -watering pump. In the plans, Exhibit D, under Mining Plans, the operator intends to maintain a 200' setback from all man-made structures surrounding the perimeter of the mining operation, unless an agreement allowing the operator to mine closer to the structure is obtained. In the 'lining Rules and Regulations From The Q}vision of Minerals and Ge41oRv, on page 25, Exhibit C Pre -mine and Mining Planned, 112:4:E, Item B is the 200' rule. This states no mining may occur within 200' of any man-made structure unless an agreement allowing the operator to mine closer to the structure is obtained. The applicant is indicating on Exhibit C on the west side next to WCR 7 a distance of 25' to a gas line and an additional 25' setback from the gas line beginning the mining operation. We consider WCR 7 a man-made structure. The existing access road is in place. The amended facility will use the same haul route which will enter onto State Highway 119 to 1-25 and then proceed north or south. :mCloria3 cc: Commissioner Kirkmeyer File USR-615.2 Slk., MAR 3 1 1994 a il • %PtA rout Phagial 940455 • I DEPARTMENT OF THE ARMY CORPS OF ENGINEERS, OMAHA DISTRICT TRI-LAKES PROJECT OFFICE, 9307 STATE HWY 121 LITTLETON, COLORADO 30123-6901 REPLY TO ATTENTION or Gloria Dunn Weld County Administrative Offices 1400 North 17th Avenue Greeley, Colorado 80631 Dear Ms. Dunn: March 18, 1994 Reference is made to File No.199480123 Case Number AM USK-615-2, which is an application from Andesite Rock Company. This project is located in Section 3, Township -2 - North, Range -68 -West, Weld County, Colorado. This office is aware of this activity. Mr. Staebell,via Carl Mount of Division of Minerals,has been informed of the need for a Department of the Army permit for this project and is acting accordingly. If there are any questions concerning this matter, please feel free to contact Mr. Terry McKee of this office at 303-979-4120. Sincerely, 940455 STATE OF COLORADO Roy Romer, Governor DEPARTMENT OF NATURAL RESOURCES DIVISION OF WILDLIFE AN EQUAL OPPORTUNITY EMPLOYER Perry D. Olson, Director 6060 Broadway Denver, Colorado 80215 Telephone: (701) 297-1192 Lon Hagler SWA 4207 Cty.Rd. 16E Loveland, Colorado 80537 (303) 663-0157 April 8, 1994 Weld County Colorado Dept. of Planning Services Weld County Administrative Offices 1400 N. 17th Avenue Greeley, CO 80631 Re: Andesite Rock Co., Del Camino Pit Case #AM USR-615-2 Dear Gloria Dunn: REFER TO: For Wildlife. For People I have reviewed this mining plan and I have found the following deficiencies relating to wildlife considerations and interests. gxhibi t E - Reclamatj.ozl plan Although the proposed rehabilitation for this site is a water storage reservoir, I am surprised that there is no proposal to create or improve any wildlife habitat. The finished form of the proposed reservoir is almost square shaped. The shorelines should be more irregular in contour to maximize the potential for wildlife diversity and to be more aesthetically appealing. Several islands could be also created which would be very useful wildlife habitat for nesting birds, etc. Revegetation should not be limited to only grasses as proposed, but also include trees to again improve bio-diversity and an over all pleasant landscape as a finished product. Without the above listed modifications, I cannot give a favorable approval to thin project. Furthermore, the Division of Wildlife would be interested in obtaining fishing recreation rights for the public on this proposed reservoir after mining and reclamation is completed. Thank you for the opportunity CC: R. Moss D. Bogart C. Leonard L. Rogetad to comment. Sincerely, mai6%-- M. A. Babler District Wildlife Manager Longmont N. District APR i 2 1994± DEPARTMENT OF NATURAL RESOURCES, Kenneth Salazar, Executive Director WILDLIFE COMMISSION. Eldon W. Cooper, Chairmen • Louis F. Swift, Secretary • Felix Chavez, Member Thomas M, Eve, Member • Rebecca L. Prank, Member • William R. Hegberg. Member • George VanDenBerg, Member 940455 • STATE OF COLORADO OFFICE OF THE STATE ENGINEER Division of Natural Resources Department of Natural Resources 1313 Sherman Street, Room 818 Denver, Colorado 80203 Phone (303) 866-3581 FAX (303) 866-3589 April 13, 1994 Ms. Gloria Dunn, Planner Weld County Dept. of Planning Services 1400 N. 17TH Ave. Greeley, CO 80631 Dear Ms. Dunn: Roy Romer Gremor James S. Lxhhead Cxecume Director Hal D. Simpson State Engineer Re: Andesite Rock CO./Del Camino Pit, AM USR-615-2 M -79-083-R, P#s 13134AD & 10427AD SW1/4 Sec. 3, T2N, R68W, 6TH PM W. Division 1, W. District 5 We have reviewed the above referenced application to expand an open pit gravel mining operation by adding 40.7 acres to make the total area 105.7 acres. Annual water use during mining operations is estimated at 11.4 acre feet. Water is to be supplied under a substitute supply plan approved by the State Engineer, which uses shares in the Rural Ditch to replace stream depletions. The plan is currently under review for renewal and is expected to be approved. We have no objection to the proposal. If you have any questions in this matter, please contact me. Sincerely, JOjM)cCLCkAJ John Schurer, P.E. Senior Water Resource Engineer JS/andesite cc: Alan Berryman, Division Engineer Water Supply Branch APR 15 1994 Wald Count, naming 940455 T00'3Etd 6;t: ?Se • GE:0T 96. 8: MEMORANDUM TO: GLORIA DUNN FAX 1-303-351-0978 From: Gary Tuttle Date: April 19, 1994 Subject: Del Camino USR 615 2 Setbacke "Setback 50 feet from WCR 7." 'NeidCauntiP AQR 18 1994 Generally we like to setback 25 feet from structures. We will be relocating an underground gas line along WCR 7 and it will be setback 25 feet from the right-of-way. Our mining will be an additional 25 feet from the gas line so the mining will be 50 feet from the right-of-way. We are not aware that a properly reclaimed mining slope (3:1 and vegetated) at a 25 foot setback has ever damaged a road through slope failure or saturation of the road base. Fact) iS ifs "Include a portable asphalt batch plant." So we can better bid on upcoming State and County road work, we need to move an asphalt plant onto the site for a particular job. This plant will not be a permanent facility on the site. Hours ofOperation "Hours of operation for mining, processing, and hauling shall be limited to daylight hours, and not to exceed 6:30 am to 6:00 pm six days per week, Monday through Saturday. Maintenance of equipment only may be performed from 6:00 pm to 10:00 pm five days per week, Monday through Friday." From our records we cannot find any hours of operations restrictions on the Del Camino Pit. Also the operation to the west has no specific restrictions. Generally both companies have worked to fill orders and no longer than dawn to dusk. This situation has worked well here and we are not aware of complaints from neighbors. The above wording clarifies the staff report wording and matches hours of operation given to mines near the Greeley area. LoAds "Vehicular traffic associated with the Use by Special Review activity consists of 25 loads per day." We wish to clarify that we have averaged 25 loads per day out of the mine. 93180wc.cnd 9£;0T 96. 8T 8de Sod Ego DNS 316 flSd* 31111'!1 svnct' 940455 ASrMllIMY N (S MMUOMY' WEST GREELEY SOIL CONSERVATION DISTRICT 4302 WEST 9TH STREET ROAD GRE.ELEY, COLORADO 80634 (303) 356-6506 oar--w-o-=r=s-��asorr-�ri March 18, 1992 Be Pamela Acre Tuttle Applegate, Inc. 12990 Grant Street, #410 Denver, CO 80233 SUBJECT: Site Review of Proposed Gravel Pit Dear Ms. Acre, RECEIVED MAR 191992 Z have made a visit to the site and discussed my observations with USDA Soil Conservation Service staff. We have the following recommendations about the proposed expansion: Before mining begins the top 8-12 inches of soil should be removed and stockpiled for use in reclaiming the area. If the stockpile is to exist for more than one year it should be seeded to a cover crop to reduce wind erosion and prevent weed infestation. During reclamation all contours should be reshaped to maintain existing drainage patterns as much as possible. Slopes should be 4/1 or less. After reseeding, the area should be mulched with 3000-4000 lbs/acre of weed free native grass hay. This mulch should be crimped into place to a depth of 3-4'. Seeding and crimping should be done on the contour. That practices will help reduce erosion while the grass is germinating. Finally, a thorough site review for cultural resources should be completed before mining begins. Enclosed you will find a site specific seeding recommendation which complies with USDA SCS standards and specifications for critical area treatments. Shrub and tree species appropriate for the site might be; winterfat, Snowberry, Native Plum, Sandcherry,/Willow, Cottonwood, Heckberry and Honey Locust. If I can be of any further assistance please contact me at 356-6506. Sincerely, W /(}i Dwayne Newman Resource Conservationist EncliCO-ECS-5 cosSCD File 940455 4522759 TITTLE APPLEGATE INC 905 P02 MAR 08 '94 10:18 • • • YirttleAppiegate,lnc. Comukanta to Land. Mineral end water 9welopmont MEMORANDUM TO: Gloria Dunn, Weld County Planning FROM: Pam Acre, Tuttle Applegate, In DATE: March 8, 1994 SUBJECT: Andesite Rock Company, Del Camino Pit The mining and processing operations generally work a normal construction workday from 6:30 a.m. to 5:30 p.m. on weekdays, approximately 230 days per year. The summer and early fall are traditionally busier seasons for the paving industry and require longer working hours. Hours of operation during this time could be from 6:00 am. to 9:00 p.m. (daylight hours) seven days a week. These hours vary due to daylight hours, and demand for materials. Mahatma= of vehicles and equipment occurs before and after regular working hours. These hours and days are the current operating times for this facility. No changes are anticipated or requested with this permit amendment. x: File M-180 Dennis Staebell, Andcsite Rock Comfy .tvteoaLensardue 11990 Grant Street, Sulte 410 • Denver. Colorado 50233 - (303) 452-6611 • Fax (303) 452-2759 MAR 8 '94 10:22 4522759 PAM. 002 _944455 AFFIDAVIT OF INTEREST OWNERS MINERALS AND/OR SUBSURFACE Application No. Subject Property See Attached Exhi)i.t A STATE OF COLORADO COUNTY OF WELD )) ss. THE UNDERSIGNED, being first duly sworn, states that to the best of his or her knowledge the attached list is a true and accurate list of the names and addresses of all mineral owners and lessees of mineral owners on or under the parcel of land which is the subject of the application as their names appear upon the records in the Weld County Clerk and Recorder's Office, or from an ownership update from a title or abstract company or an, attorney. The foregoing instrument was subscribed and sworn too bQfoce this "1 day of o o , 1921 By •—\, Cr•••-+- • WITNESS my hand and official -seal. My Commission expires: Q9 -o9-9. Mot Pu jic 940455 55. AFFIDAVIT FIDAV'IT OF INTEREST OWNERS SURFACE ESTATE Application No. Subject Property act- Attnrhrd Fyhihit A STATE OF COLORADO ) ) COUNTY OF WELD ) THE UNDERSIGNED, being first duly sworn, states that to the best of his or her knowledge the attached list is a true and accurate list of the names, addresses and the corresponding Parcel Identification Number assigned by the Weld County Assessor of the owners of property (the surface estate) within five hundred (500) feet of the property subject to the application. This list was compiled from the records of the Weld County Assessor, or an ownership update from a title or abstract company or attorney, derived from such records, or from the records of the Weld County Clerk and Recorder. The list compiled from the records of the Weld County Assessor shall have been assembled within thirty (30) days of the application submission date. The foregoing instrument was subscribed and sworn to before me this day � � �� r 19 by WITNESS my hand and official seal. \ My Commission expires: G, "c), ow c 940455 410, WELD COUNTY, COLORADO OD USE BY SPECIAL REVIEW APPLICATION for MINING PERMIT Weld County Department of Planning Services. 915 10th St Colorado. Phone 356-4000, Extension 4400 IGz MAR 1 8 I L!&d tc t'i Plar'v p For Department of Planning Services Use Only Case Number: Date Application Received: 5-S-94 PC Bearing Date: Section: , Township: Zoning District: North, Range: West Recording Fee: Permit Fee: t&n o0 Recording Fee Receipt I: Receipt Number: I _i i l0 Application Reviewed By: To be completed by APPLICANT in accordance Requirements: with procedural guide 1. I (we), the undersigned, hereby request a hearing before the Weld County Planning Commission concerning a proposed sand and gravel (gravel, coal. borrowpit, etc.) mining operation for the following described unincorporated area of Weld County: LEGAL DESCRIPTION Sec attached Exhibit "A" TOTAL ACREAGE: 40.7 2. Surface owner(s) of area of land described Name:Rademacher Family Address:3. 5 i hwny 119 Phone:4gp,)776-1179 Name:Partnership Ltd. Address:Longmotlt. CO 821404 Phone: 3. Owner(s) of mineral rights to substance to be mined Name:Rademacher Family Address: 3525 Highway 714 Phone:ci0 )776-1179 Name:Partnership Ltd. Address: Longmont. W 805.94 Phone: 4. Source of applicants' legal right to enter and to mine on the land described: See attached Exhibit "0" (Attached certified copy of any document noted to the back of this form) 5. Address of applicant and general office Applicants address: 906S Quince General Office address: fcnacrson, CO 80640 Phone:(303;2S7-4656 Phone: 6. Identify any prior permits for mining held by applicant or affiliated person: USR - 840 Carr Gravel Resource Carr, rnlorado 940455 7. Description of Operation a. Types and number of operating employed: 2 - Frontend Loaders. 2 1 - Backhoe. Clishinn Plant. Wash plant,Scale house NOTE: numbers may vary so done: an processing equipment to be - Scrapers 1 - lk rer 1 - C,rarler, Plant, Concrete Batch Plant,P rtable Asphalt b. Maximum number of employees: 12 , and number of shifts:1-10(6 days/week) and periods of time c. Number of stages to be worked: each is to be worked: 2 years 4 d. Thickness of mineral deposit: 14 feet, and thickness of the overburden: 2 e. This will be a wet pit operation. f. Site entrance/exit points and county roads and bridges to be utilized between site and delivery point(s) (must be coordinated with County Engineer): See traffic pattern attachment contained in application. 8. Description of Rehabilitation a. Proposed rehabilitation land use(a): water storage reservoir b. Source of technical advice for reclamation: CROW, Tuttle Applegate c. Explanation of Reclamation Process: Creation of a 87 acre reservoir lined Wlih_T( laiwrl horedines �c rvpininC 4n thn Ctntn Anp14ration (ExhihitF) I all statements, this application hereby depose and state under the penalties of perjury that proposals and/or plans submitted with or contained within are true and correct to the best of my knowledge. COUNTY OP Weld STATE OF Colorado Subscribed and Sworn to before me this SEAL My Commission expires C:11- ©q a//;111.;.>?-4- CJ/G e".54e? t Signature: Owner/Authorized Agent dayof}o\ t rl 940455 C. COLORADO March 15, 1994 Andesite Rock Company c/o Tuttle Applegate 11990 Grant Street, Suite 410 Denver, CO 80233 DEPARTMENT OF PLANNING SERVICES PHONE (303) 353.3845, EXT. 3540 WELD COUNTY ADMINISTRATIVE OFFICES 1400 N. 17TH AVENUE GREELEY, COLORADO 80631 Subject: AM USR-615-2 - Request for a Site Specific Development Plan and an amended Special Review permit to expand an open pit gravel mine on a parcel of land described as part of the S2 of Section 3, T2N, R68W of the 6th P.M., Weld County, Colorado. Dear Sirs: Your application and related materials for the request described above are complete and in order at the present time. I have scheduled a meeting with the Weld County Planning Commission for April 19, 1994, at 1:30 p.m. This meeting will take place in the County Commissioners' Hearing Room, first floor, Weld County Centennial Center, 915 10th Street, Greeley, Colorado. It is recommended that you and/or a representative be in attendance to answer any questions the Planning Commission members might have with respect to your application. It is the policy of Weld County to refer an application of this nature to any town or municipality lying within three miles of the property in question or if the property under consideration is located within the comprehensive planning area of a town or municipality. Therefore, our office has forwarded a copy of the submitted materials to the Longmont and Tri-Area Planning Commissions for their review and comments. Please call Brad Schol (Longmont) at 651-8330 and Jay Curtis (Tri-Area) at 833-3819 for further details regarding the dates, times, and places of these meetings. It is recommended that you and/or a representative be in attendance at the Longmont and Tri-Area Planning Commission Meetings to answer any questions the Commission members may have with respect to your application. It is the responsibility of an applicant to see that a sign is posted on the property under consideration at least 10 days preceding the hearing date. Sometime prior to April 1, 1994, you or a representative should call me to obtain a sign to be posted on the site no later than April 3, 1994. The sign shall be posted adjacent to and visible from a publicly maintained road right-of-way, In the event the property under consideration is not adjacent to a publicly maintained road right-of-way, the applicant shall post one sign in the most prominent place on the property and post a second sign at the point at which the driveway (access drive) intersects a publicly maintained road right-of-way. Your sign posting certificate must be returned to the Department of Planning Services' office on or before the date of the hearing. 940455 Andesite Rock AM USR-615-2 Page 2 Co The Department of Planning Services' staff will make a recommendation concerning this application to the Weld County Planning Commission. This recommendation will be available twenty-four (24) hours before the scheduled hearing. It is the responsibility of the applicant to call the Department of Planning Services' office before the Planning Commission hearing to make arrangements to obtain the recommendation. If you have any questions concerning this matter, please feel free to call me. Respectfully, a Dunn Current Planner 940455 AFFIDAVIT OF INTEREST OWNERS MINERALS AND/OR SUBSURFACE Application No. Subject Property See Attached Exhibit A STATE OF COLORADO ) ) COUNTY OF WELD ) Ss. THE UNDERSIGNED, being first duly sworn, states that to the best of his or her knowledge the attached list is a true and accurate list of the names and addresses of all mineral owners and lessees of mineral owners on or under the parcel of land which is the subject of the application as their names appear upon the records in the Weld County Clerk and Recorder's Office, or from an ownership update from a title or abstract company or an, attorney. The foregoing instrument was subscribed and sworn to before MP this %14' day of 191' By —L Cry • e WITNESS my hand and official seal. My Commission expires: 05'°41-Gy 940455 AFFIDAVIT OF INTEREST OWNERS SURFACE ESTATE Application No. Subject Property See Attarhrd Pxhihit A STATE OF COLORADO COUNTY OF WELD ) SS, THE UNDERSIGNED, being first duly sworn. states that to the best of his her knowledge the attached list is a true and accurate list of the names, addresses and the corresponding Parcel Identification Number assigned by the Weld County Assessor of the owners of property (the surface estate) within five hundred (500) feet of the property subject to the application. This list was compiled from the records of the Weld County Assessor, or an ownership update from a title or abstract company or attorney, derived from such records, or from the records of the Weld County Clerk and Recorder. The list compiled from the records of the Weld County Assessor shall have been assembled within thirty (30) days of the application submission date. The foregoing instrument was subscribed and sworn to before me this day or , 1914 by Qa. E. OVA. WITNESS my hand and official seal. My Commission expires: O, -C1) Nd'G3r�PuAi 940455 ANDESITE ROCK COMPANY DEL CAMINO PIT APPLICATION FOR A MINING USE BY SPECIAL REVIEW PERMIT AMENDMENT TO M -79-083R WELD COUNTY, COLORADO JANUARY, 1994 ThttleApplegate,lnc. 940455 DEL CAMINO PIT WELD COUNTY, COLORADO Prepared For: ANDESHt ROCK COMPANY 9065 Quince Henderson, CO 80640 (303) 287-4656 Prepared By: TUTTLE APPLEGATE, INC. 11990 Grant Street, Suite 410 Denver, Colorado 80233 (303) 452-6611 TA #93-180 January, 1 0455 NMI imoitklm Thttle,Applegate,lnc. Consultants for Land, Mineral and Water Development February 7. 1994 Mr. Chuck Cunliffe Weld County Department of Planning Services 1400 North 17th Avenue Greeley, CO 80631 RE: Del Camino Pit Amendment: Use By Special Review for a Mining Operation Amendment Dear Mr. Cunliffe: With this letter and accompanying documents we are requesting a Use By Special Review for an amended mining operation within the agricultural zone. We are including for your use the complete Regular Operations application (amendment to M -79-083-R) as administered by the Division of Minerals and Geology. This application will fully describe our proposed use of mining and final reclamation. Any additional information as requested by the Weld County Procedural Guide will be addressed in this letter. Enclosed is a complete application and application fee. The proposed mining operation is consistent with the Weld County Comprehensive Plan. This arca is designated as a Resource Conservation Area where the extraction of the sand and gravel is encouraged to occur over other activities. The pit will be supplying aggregate to various users in Weld County. The proposed site is a valuable resource and will be restored to a beneficial use. This operation will not adversely impact the agricultural economy of the County. The water rights of others in the area will be protected. The water storage reservoir as the reclamation scheme for the mine pit is consistent with existing land uses as well as anticipated land uses in the area. The lake will have a surface arca of approximately 87 acres and will be filled by junior water storage rights acquired by the applicant and property owner. We will need to augment water due to the evaporative losses on the mining operation only. These plans are explained in detail in Exhibit G of the Regular Operation Amendment application. Sand and gravel mining, agriculture, residential, light commercial, and passive recreation uses presently surround the property• 11990 Grant Street, Suite 410 • Denver, Colorado 80233 - (303) 452-6611 • Fax (303) 452-2759 940455 Mr. Chuck Cunliffc Weld County Department of Planning Services February 7, 1994 Page 2 The application complies with the County Flood Hazard Overlay District Regulations. The reclamation of the pit is proposed as a lake for water storage. The creation of ponds and lakes is encouraged by the County in floodplain areas. We will be submitting a Flood Hazard Development Permit application under separate cover. The proposed use is not located in a geologic hazard area or the Weld County Airport overlay district. The mine pit expansion is proposed to be located in the "A" District. The applicant has made a diligent effort to avoid productive agricultural land. The Weld County General Soil Map showing Agricultural Land Capability Classes shows this area as being Class IV and VI - Irrigated. These areas are described as having severe limitations that generally make them unsuited to cultivation and limit their uses to mostly pasture land. Currently the Amendment area is used for pasture. The use will not adversely affect agricultural ditches, wells, or senior water rights. The applicant will comply with all conditions of State and local permits thus insuring the protection of the health, safety, and welfare of the inhabitants of the neighborhood and the County. Specific conditions will apply to air quality, water quality, noise, on -site mine safety, and reclamation according to applicable State permits. Noise from the processing site equipment at the property line will be within accepted standards. The closest processing site will be a minimum of 1800 feet from Colorado Highway 119 (Weld County Road 24). The nearest residence is approximately 700 feet away from the processing area, which will be located down in the mining pit. At this distance, all noise at the property line will be less than the agricultural noise standards developed by the State Department of Health. Noise from the existing mining at the site has not been a problem to neighboring properties. Compatibility with surrounding land uses is insured by location and setbacks. To the north is the existing permitted mine area, to the east are reclaimed gravel pits. To the south is pastureland with two commercial areas at the southwestern corner. To the west across Weld County Road 7 is an existing sand and gravel pit operated by Western Mobile Inc. This area has been mined since the mid 1970s, thus the area is accustomed to the truck traffic. The mining and processing operations will generally work one, eight to ten hour shift, approximately 250 days per year. Maintenance of vehicles may need to occur after hours. It is expected the operation will continue to employ 10-12 workers on site. There will be no animals allowed near the mining activities at the site. Vehicular traffic and access routes arc discussed in the accompanying "Traffic Pattern" statement. (The statement has been provided separately for ease of reference by County Engineering personnel.) 940455 Mr. Chuck Cunliffe Weld County Department of Planning Services February 7, 1994 Page 3 There will be no permanent structures proposed with this use. The equipment used is delineated on the Use By Special Review application. In order to minimize the visual impact of the operation, the mining is divided into phases of about eight acres each. The phases will limit the amount of disturbed ground at any one time. In addition, the reclamation will proceed concurrently with the mining. Immediately after the mining is completed in a particular phase the reclamation will begin. Detailed reclamation plans are discussed in the attached Exhibit E and shown on Exhibit F. The pit is located in the floodplain as defined by the Federal Emergency Management Agency (FEMA) and shown on the Flood Insurance Rate Map (FIRM). The site is shown to be in Zone A and is described as "Areas of 100 -year flood; base flood elevations and flood hazard factors not determined". The operator will comply with Sections 53 and 26 of the Weld County Zoning Ordinance by applying for a Flood Hazard Development permit. Topsoil and overburden will be stockpiled at various points along the perimeter of the amendment site for reclamation purposes, or placed directly on previously mined areas. Since reclamation will be occurring concurrently with mining, the topsoil and overburden stockpiles will be moving with the mining. Therefore, there will be a limited amount of stockpiles potentially subject to erosion and floodplain obstruction. Product stockpiles will be placed adjacent to the processing plants. Product stockpile may also be located at the concrete batch plant. Both the stockpiles and the processing plant may change locations to accommodate the mining, but will be located in the bottom of the mining pit. This will greatly reduce the chances of any of this material leaving the site should flooding occur. The vehicular equipment at the site will be equipped with fire extinguishers per MSHA regulations. There will be no permanent structures proposed with this use. The site lies within the Mountain View Fire Protection District The Regular Operations application Exhibit G discusses the availability of water for dust control, moisture loss, and evaporation loss. Drinking water on -site will be provided by the operator in the form of bottled water. A no -discharge septic tank is provided for sanitary facilities on site. 940455 Mr. Chuck Cunli£fe Weld County Department of Planning Services February 7, 1994 Page 4 The property lease agreement is included in the attached Exhibit 0, to demonstrate the applicant's interest in the property. Soils information is included in the attached Exhibit I. The soil does not pose any limitations to the proposed mining use. Should there be any additional questions or concerns, or if you desire a site tour, please do not hesitate to contact us. Cordially, T LITTLE APPLEGATE, INC. 4#11Se— Mike Applegate, P.E. MA/sjr Encs. cc: File #93-180 Denny Staebell, Andesitc Rock o,\931 RO\weldcoJu 940455 TRAFFIC STATEMENT Andesite currently has one 15 ton Belly Dump, two 25 ton End Dump, and one 25 ton Tandem for hauling materials. An average of 25 trips are made from the site per day with about half being trucks owned by Andesite and the remaining half being customer trucks. This amendment will allow Andesite Rock to continue their existing operation. As is customary in the construction industry, the activity at this operation will vary seasonally. The general market area for the pit will consist of the greater Metro Denver area, Longmont, and various other areas north of the site. The proposed haul route will enter Colorado Highway 119 at the access road and bifurcate. Longmont traffic will proceed west on State Highway 119 towards the Longmont area. Traffic heading for the Denver Metro area and north areas will travel east on State Highway 119 to Interstate 25 and proceed south or north. The location map for truck haul routes shows the estimated distribution of traffic. Approximately 20% will go west toward Longmont, with the remaining 80% going east to the greater Metro Denver area and north on 1-25. Of the 80% truck traffic going east approximately 50% goes south to Denver and 50% goes to various destinations to the north. Some aggregate material may be imported to the site for processing and mixing with on -site materials. This importing will be accomplished with the same truck fleet indicated. To increase efficiency and minimize traffic and road impacts, the import aggregate will be hauled on return trips of fleet trucks delivering product materials. Because of this routing, overall truck trips would not be affected. The estimates made for truck traffic are based on current conditions and they may vary as needs for aggregate change in the service area. 940455 '' a"'°/ BARBOUR PONDS!, s,,0\\'1 �•%ff 1V th.. — PERMITTED AREA 9/ AMENDED AREA W ' ' STATE HIGHWAY 119 _ °I9' ,1 v 00% �, ..J = = _ I=MO A= -., I 209t,�}•?// •g''. Z 1, ' ° At/ ', -;f- O v 4. • Pirk ' i /' 1, / / 16 , • y, a !74 if r // TRUCK HAUL ROUTE a N QCE@IT41 QOOU€ gOU PCS.MW D Ed OlQGu�7�R © EDT 'I! TuttleA le ate.lnc DATE: 12/20/93 SCALE: I'-2000' pP 9 c...u.ar.ter I., 1..r.r�.rrD.•.Iw...r JOB NO.: 93-it30 awo0..,nr..6wd.aa BRAWN BY: KAH o...«.cr.....IOU) SHEET: OF: q 1305) ..T•.0 PhiPO3NaSm5r NECKED BY: PEA 1 ANDESITE ROCK COMPANY DEL CAMINO PIT APPLICATION FOR A REGULAR OPERATION (112) MINED LAND RECLAMATION PERMIT AMENDMENT TO M -79-083R WELD COUNTY, COLORADO JANUARY, 1994 mttleApplegate,inc. 940455 DEL CAMINO PIT WELD COUNTY, COLORADO Prepared For: ANDESITE ROCK COMPANY 9065 Quince Henderson, CO 80640 (303) 287-4656 Prepared By: TUTTLE APPLEGATE, INC. 11990 Grant Street, Suite 410 Denver, Colorado 80233 (303) 452-6611 TA #93-180 January, 1994 940455 REGULAR OPERATION (112) RECLAMATION PERMIT APPLICATION FORM CHECK ONE: New Application (Rule 2) XXX Amendment Application (Rule 1.8) Conversion Application (Rule 1.10) The application for a Regular Operation Reclamation Permit contains three major parts: (1) the application form; (2) Exhibits A -S; and, (3) the application fee. When you submit your application, be sure to include one (1) signed original and four (4) signed copies of the application form, five (5) copies of Exhibits A —S, and a check for the application fee described under Section (14) on Page 3. To expedite processing, please provide the information in the format and order described in this form. GENERAL OPERATION INFORMATION Type or print clearly, in the space provided, all information described below. 1. 1A,p11cant/operator name: Andesite Rock Company 1.1 Type of organization (corporation, partnership, etc.): Corporation 2. Operation name (pit, mine or site name): Del Camino Pit 2.1 I.R.S. Tax ID No. or Social Security No.: .3/44059/-s/477 3. Permitted Acres: 40.7 Permitted acres Please indicate acreage to the nearest tenth (1Oth) acre. 3.1 Application fee (see Section 14): $1.550.00 4. Substance(s) to be mined (e.g., gravel/gold/borrow): 5. Name of owner of surface of affected land: 6. Name of owner of subsurface rights of affected land: If 2 or more owners, refer to Exhibit P. 7. Type of mining operation: Application fee Sand & Gravel Rademacher Family Rademacher Family xx Surface - Underground 8. Location Information: the center of the area where, the majority of mining will occur lies in: COUNTY: Weld PRINCIPAL MERIDIAN (check one): KX. 6th (Colorado) 10th (New Mexico) Ute TOWNSHIP (write number and check direction): T 2 a North Llouth RANGE (write number and check direction): R 6R East x . West SECTION (write number): S QUARTER SECTION (check one): NE NW SE XL SW QUARTER/QUARTER SECTION (check one): _ NE ` NW ` SE XL SW GENERAL DESCRIPTION: (miles and direction Vicinity of I-25 and Colorado Highway 119; 5miles from nearest town and approximate elevation) east of Longmont, Colorado Elevation 4840 feet 940455 -2- 9. Correspondence Information: APPLICANT/OPERATOR (name, address, and phone of name to be used on permit) Individual's Name: npnnic Staebell Company Name: Antlasite Rork Company Street: 9065 0ujnre City: Henderson State: Colorado Zip Code: 80640 Area Code: 303 Telephone: 287-4656 PERMITTING CONTACT (if different from applicant/operator above) Individual's Name: Gary Tuttle Company Name: Tuttle Applegate, Inc. Street: 11990 Grant Street, Suite 410 City: Denver State: rnlnradn Zip Code: am?3 Area Code: 101 Telephone: 452-6611 INSPECTION CONTACT Individual's Name: Dennis Staebell Company Name: Andesite Rock Company Street: 9065 Quince City: Henderson State: Colorado Zip Code: 80640 Area Code: 303 Telephone: 287-4656 CC: STATE OR FEDERAL LANDOWNER (if any) Agency: Street: City: State: Area Code: Zip Code: Telephone: CC: STATE OR FEDERAL LANDOWNER (if any) Agency: Street: City: State: Area Code: Zip Code: Telephone: 940455 10. Primary future (Post —mining) land use (check one): 11. Primary re esent land use (check one): 12. Method of Mining: Cropland(CR) Pastureland(PL) _ Rangeland(RL) —_ Forestry(FR) Residential(RS) Recreation(RC) a Developed Rater Resources(NR) Cropland(CR) _ Pastureland(PL) Rangeland(RL) Forestry(FR) Residentlal(RS) — Recreation(RC) Developed Water Resources(WR) _ General Agriculture(GA) Wildlife Habitat(WL) Industrial/Commercial(IC) Solid Waste Disposal(WD) _ General Agriculture(GA) Wildlife Habitat(WL) _ Industrial/Commercial(IC) _ Quarry (OR) — Solution (S0) 12a. Other: Briefly explain mining method (e.g. Placer, truck/shovel). Extraction by Front-end loaders and scrapers. On -site crushing and screening. 13. On Site Processing: Solution (SO) Chemical (CH) — Thermal (TH) _ Heap Leach (HL) _ Vat Leach (VL) 14. Application Fee: The application fee for Quarry mining is $2,325. The application fee for Solution mining or any Chemical or Thermal Processing is $3,100. If none of these methods or processes are to be included in the operation then the application fee is $1,875. The application fee for conversion to a 112 permit is $1,500. 112 Amendment application fee is $1,550. An applicant will not be issued a reclamation permit until notified by the Division that this application and the required performance and financial warranties have been approved. Alternatively; an automatic approval will occur where the Division fails to notify the applicant/operator that the application has been denied. The final agency action must be made within 120 calendar days from the date the application was submitted. However, the performance and financial warranties must be approved by the Division or Board before a permit will be issued even if you receive an automatic approval. NO MINING OPERATIONS SHALL BEGIN UNTIL A PERMIT IS ISSUED (Rule 7.2(2)). It shall be a provision of this permit that the accordance with the terms and conditions listed provisions of the Act and the Mineral. Rules and permit is issued. operations will be conducted in In your application, as well as with the Regulations in effect at the time the 940455 Notice Requirements Immediately after the first publication of your notice in a newspaper of general circulation in the locality of your proposed mining operation, you must mail a copy of the notice to all owners of record of surface rights to the affected land and all owners of record of lands that are within 200 feet of the boundary of the affected land. Notice requirements are specified in Rule 2.2. A copy of a form which includes all required information for the notice has been attached for your use. You will need to provide the Division proof of notice prior to the decision date, which may be by submitting return receipts of a certified mailing or by proof of personal service (Rule 2.2.2(6)). NOTE TO COMMENTORS/OBJECTORS: It is likely there will be additions, changes, and deletions to this document prior to final decision by the Mined Land Reclamation Board or Division. Therefore, if you have any comments or concerns, you should contact the applicant or the Division prior to the decision date so that you will know what changes may have been made to the application document. The Division is not allowed to consider comments, unless they are written, and received prior to the end of the public comment period. You should contact the applicant for the final date of the public comment period. If you have questions about the Mined Land Reclamation Board and Division's review and decision or hearing process, you should contact the Division at (303> 866-3567. As an authorized representative of the applicant, I hereby certify that the operation described herein has met the minimum requirements of the following terms and conditions: 1. This mining operation will not adversely affect the stability of any significant, valuable and permanent man-made structure(s) located within two hundred (200> fee of the affected lands. However, where there is an agreement that damage to the structure is be be compensated for by the applicant/operator (C.R.S. 34-32-115(4)(d)), then mining may occur within 200 feet. Proof of an agreement must be submitted to the Division prior to the decision date. 2. No mining operation will be located on lands where such operations are prohibited by law (C.R.S. 34-32-115(4)(f)); 3. As the applicant/operator. I do not have any mining/prospecting operations in the State of Colorado currently in violation of the provisions of the Mined Land Reclamation Act (C.R.S. 34-32-120) as determined through a Board finding. 94045 -5- 4. I.understand that statements in the application are being made under penalty of perjury and that false statements made herein are punishable as a Class 1 misdemeanor pursuant to Section 18-8-503. C.R.S. d this day of Applicant/Operator By: � �, //� By: Title: (/�Ge acs State of p � ()rack ) ) ss. County of • If Corporation Attest (Seal) Corporate Secretary or Equivalent Town/City/County Clerk The foregoing instrument was acknowledged before me this` — day of ,`'o-nuart* . 194?1/ by S4 -4e1 11 as \30A): t-4tsccla. of 4. ,-cam Co. . (04/92) 2823F ary Public 3 My Commission Expires;, c4-oq 940455 EXHIBIT A LEGAL DESCRIPTION The Amendment Area for the Andesite Rock Company's Del Camino Pit is located in the south half of the SW 1/4 of Section 3, T2N, R6SW, and laying west of the existing mine access road less a strip of land along the southerly line of Section 3, 540 feet wide. The Amendment Area contains 40.74 acres, more or less. A-1 940455 i i y,,'' r ! II BARBOUR PONDS' j ' • A •� 1 R \� ED, EA-- .� J / e3PERM4TTED AREA, $_J' AMENDED AREA Y:. STATE HIGHWAY 119 J Py' "IV TuttlSApplegate,lne. Canll.nr. 1N L.n., MMrr .0 tam o.r.N.w,nr XOtO dna area, Mr.110 Dear, Colo.,. 10233 (605) 462.6a FAX (606)452-tl19 PROPERTY OWNERS WITHIN 200 FEET 1. Bacria, Nick N. 11488 Weld County Road 7 Longmont, CO 80501 2. Lofquist, Randall S. & Alicia 1115 Princeton Drive Longmont, CO 80501 3. Chavez, Isauro & Helen 3101 Highway 119 Longmont, CO 80504 4. State of Colorado Department of Fish & Game 6060 Broadway Denver, CO 80216 5. The Rademacher Family Partnership Ltd. 3525 Highway 119 Longmont, CO 80504 6. Bacon, Gerald L. & Sheryl Lynn Olander & Bacon, E Kathleen & Joan I. 11994 Weld County Road 7 Longmont, CO 80504 7. JCK Gravel Inc. do Katherine Oliver 4465 Pioneer Dr. Greeley, CO 80634 8. Mountain Empire Dairymen Assoc. c/o Western Dairymen Co. P.O. Box 26427 Salt Lake City, UT 84126-0427 9. Weld County Commissioners 915 10th Street Greeley, CO 80631 10. State of Colorado Department of Highways 4201 E. Arkansas Ave. Denver, CO 80222 1313.03-000-009 1313-03-000-010 1313-03-000-011 1313-03.000-038 1313-03-000-046 1313-03-000-050 1313-04-000-041 1313-10-000-063 1313-10-100-001 of\931 no',20 ft.doc 940455 EXHIBIT D MINING PLAN This amendment proposes to add an additional 40.7 acres to the permitted acreage, raising the total to 105.7 acres. The area to be added is on the south side of the current permit boundary. This area will also be mined using dry mining techniques. Mining will begin at the west end and progress towards the east. Existing topsoil will be stockpiled at various points around the perimeter of the site for reclamation purposes, or placed directly on previously mined areas. This site will be lined and turned into a water storage reservoir following mining. Lining will be accomplished using the overburden available from the site. Scrapers will remove overburden from an area being prepared for mining, and transport it to an area being backfillcd and compacted for the liner. The scrapers will place the material against the excavated edge and compact the material by driving over it. An existing gas line in the western portion of the new area will be relocated at the operators expense, and with the permission of K N Front Range Gathering Company a subsidiary of K N Energy, from its current location. The new gas line will be routed around the south side of the site to allow for the extraction of more sand and gravel resource. The new location is shown on Exhibit C. Correspondence regarding relocating the line is attached as Exhibit D-1. The agreement will be executed after the mining amendment has been permitted. The mining will maintain a minimum 25 foot setback from the new line and existing gas well. The operator intends to maintain a 200 foot setback from all manmade structures around the perimeter of the mining operation, unless an agreement allowing the operator to mine closer to the structure is obtained. Mining of this area is expected to last for approximately 10 years, and final reclamation should be accomplished by 2006. Mining of the current concrete plant site and resource stockpile area next to Idaho Creek would occur last if this area is mined. Pit run will be transported to the crushing plant by loader and is then transported to the wash plant by conveyors. The wetlands areas next to the existing access/haul road will not be mined, therefore no Section 404 permit will be required. The following Table of Disturbance lists the maximum area affected by the mining operation at any given time in the life of the operation. D-1 940455 TABLE OF DISTURBANCE MAJOR DISTURBANCE Active Mining Topsoil/ Overburden Stockpiles Stripped Prior to Mining MODERATE DISTURBANCE Concrete Batch Plant Site Settling Ponds/Equipment Storage (will be under water when mining is done) Access Road Scale/Office Area MINOR DISTURBANCE Reclaimed and Seeded Areas Reseeding Year Two (Non-germination)(25%) 8.0 acres 0.2 acres 4.0 acres 0.8 acres 11.4 acres 0.9 acres 0.2 acres 3.7 acres 1.0 acres TOTAL DISTURBED AREA 30.2 ACRES All other aspects of the mining operation will remain the same as previously permitted. D-2 EXHIBIT D-1 IK •hN FRONT RANGE • LATHERING COMPANY October 26, 1993 Andesite Rock Company 3457 Hwy 119 Longmont, CO 80504 K N Front Range Gathering Company 635 N. 7th Ave. Brighton. CO 80601 (303) 659.5922 Re: 16-10-075-211-4" pipeline located in SW4 Sec. 3-T2N-R68W, Weld County, Colorado Dear Mr. Servold: With respect, to your recent request for the relocation of the referenced 4" natural gas pipeline K N Front Range Gathering Company (KNFRGC) as owner and operator of the line proposes the following terms and conditions: 1) It is agreed and understood that all costs will be paid by Andesite Rock Co as landowner or lessee. The estimated project cost is $10,500.00. This is a good faith estimate and as such is not offered or guaranteed to be the final price. It should be noted that additional.costs. may occur. 2) Further, Mrs. Eva Rademacher agrees to execute KNFRGC's standard right-of-way document(s) with the specific intention of providing right-of-way for the relocated line in its new location. KNFRGC will release existing right-of-way for the relocated line in its previous location. KNFRGC will not incur nor will Mrs. Eva Rademacher assess costs for surface damages or right-of-way acquisition. 3) It is agreed and understood that Andesite Rock Co will pay one-half of the estimated project coat mentioned above to KNFRGC prior to commencement of the work. It is further agreed and understood that the remainder of the actual costs is due and payable within 10 days of project completion. KNFRGC agrees to provide Mr. ,Roger Servold .with an itemized accounting of all costs,incurred.; 940455.;:. Page 2 If this is an accurate representation of the agreement between Andesite Rock Co and KNFRGC please sign in the appropriate space below, keeping one copy for your record and returning the signed original copy to KNFRGC in the envelope provided. Should there be further questions please contact Mr. Darrel Gentry of this office at (303) 659-5922 Ext. 307. I, Mr. Roger Servold, of the Andesite Rock Company by my signature below do hereby agree to the above terms and conditions. DATE I, Mrs. Eva Rademacher, surface owner by my signature below do hereby agree to the terms and conditions. DATE Sincerely, N FRONT RANGE GATRERXNG COMPANY Jim Kennedy Group Leader, Constion and Administration 940455 an,,h to January 7, 1994 Mr. Jim Kennedy KN Front Range Gathering Company 635 N. 7th Avenue Brighton, Colorado 80601 CORPORATE OFFICE 313 s. PHILLIPS AVENUE P.O. BOX 5829 SIOUX FALLS, SOUTH DAKOTA 57117 ( (053) °0° FAX 605 3656 MOUNTAIN DIVISION 9065 QUINCE STREET HENDERSON, COLORADO 80640 (303) 287-9606 FAX (303) 289-1348 RE: Your letter dated October 26, 1993. Dear Mr. Kennedy, We agree with and understand the conditions us outlined in the above -referenced letter. Before we sign the agreement, we first must amend our permit with the Division of Mines and Geology in order for us to mine in this area. I have enclosed a letter along with our map which shows the gas line moved and the set backs in relation to the mining area. Please contact me if you should have any questions. Since e Dennis E. Staebell Vice President Enclosures 940455 EXHIBIT E RECLAMATION PLAN The final reclaimed use of this property is being changed from a groundwater lake to a lined water storage reservoir. The additional property will increase the reservoir area from 60 acres to approximately 87 acres. The proposed post mining land use is compatible with surrounding land uses. To the north of the site is Barbour Ponds State Recreation Area and to the west is another mining operation conducted by Western Mobile, Inc. To the east of the pit arc older, reclaimed gravel pit lakes and Interstate 25. To the south are small commercial areas and Colorado Highway 119. While the property is being mined out, concurrent reclamation is occurring. As the perimeter slopes are backfilled with the overburden from on -site, they will be compacted to create an impervious core area to seal off the reservoir from the groundwater aquifer. The pit floor is a hard sandstone, and will complete the impervious lining of the pit. A cross-section of the backfilled shorelines is included as Exhibit E-1. The reclamation sequence will remain the same for the entire property. Topsoil and overburden will be stripped separately and replaced in phases as mining progresses. This will minimize handling and disturbance of the materials. The reclamation of the scale house/office arca will be delayed until the final phase of mining is completed. At that time the ground will be scarified, leveled, and seeded with grass. The site access road will be left following reclamation to allow access to the reservoir. The reclamation of the plant site will be accomplished after all active mining is completed. This area will be scraped of any usable materials and left with the native sandstone base exposed. The final reclamation of the processing site will occur when the pit is flooded with water and the area inundated. No structures will be left at this site following reclamation. The proposed reclamation plan meets the requirements of Rule 6 in the MLRD regulations as follows: Qnd u£ Grading will be done to provide stabilized shorelines around the lake. All backfilling will be done using native overburden and topsoil. There arc no known toxic materials in the proposed backfill material and as such will not cause groundwater contamination. E-1 940455 All grading will be done to prevent erosion. Final grading and reseeding will be done immediately after grading and topsoiling have been done. All backfilling will be completed in phases after mining is completed. No acid forming materials, refuse, or toxic producing materials are known to exist in the area and will not be used for reclamation. Any materials of this nature found during the mining operation will be disposed of according to applicable laws and regulations. There are no drill or auger holes associated with this mining operation. All slopes left by the mining operation will be no greater than 3h:lv from 5 feet above to 10 feet below the expected water surface elevation. All other slopes will be no greater than 2h:lv. Wildlife The proposed reclamation plan does not propose to create wildlife habitat. All activities will be planned considering the safety and protection of wildlife on the property. The mining plan does call for the preservation of a small wetlands on the east edge of the property. Some species may be temporarily displaced by the mining activities. They are expected to re-establish with no difficulty after mining and reclamation have been completed. Topsoilinp The existing topsoil on the property consists mainly of a sandy loam approximately 4 to 24 inches deep. All available topsoil will be stripped prior to mining and stockpiled, or placed on areas that are currently undergoing reclamation activities. Stockpiles which remain in place longer than one growing season will be seeded with a fast growing cover to minimize wind and water erosion. Handling of topsoil will be minimized by efficient sequencing of mining and reclamation through phases. After mining has passed through an area, non -marketable material will be replaced at an even depth and the liner installed along shorelines and graded. Soil amendments arc not proposed at this time. However, if they are determined necessary by the SCS, They will be used to enhance plant growth. Re.vegetation The reclamation plan will revegetate all disturbed areas with the previously approved grass seed mix to minimize erosion, re-establish natural terrain and create stabilized shorelines. The grass seed mix is unchanged from the original permit. Reseeding of the property will be done after topsoil is replaced in accordance with accepted planting practices. All grass seeds will be planted with a grass drill equipped with depth bands and press wheels. Seed will be planted approximately one-half inch deep and will be drilled between November 1 and April 1. The grass seed mix includes drought tolerant varieties and will be planted either in early spring or fall to insure germination. If a significant invasion of noxious weeds occurs, the area will be mowed periodically for control. Weeds will be mowed when they reach a height of 6 to 12 inches throughout the first growing season. Mechanical control will be used as a first priority. Chemical methods will only be used if no other alternative produces acceptable results. The property is not forested and will not require fire lanes. A minimum 25 foot setback will be maintained around the permit boundary which will allow access. There are no trees or shrubs planned in this reclamation scheme. Water Disturbance of the area will be done to minimize the affect on the prevailing hydrologic balance as follows: a) The operator shall comply with all applicable Colorado water laws. b) The operator shall comply with all applicable Federal and State water quality laws and regulations. c) The operator shall comply with all Federal and State requirements for dredge and fill. There are no anticipated requirements for this type of activity. d) The operator will regrade all sediment and siltation structures after mining is completed. E..3 940455 z m b C) 111.1.0 roil! if7 et, t ilk rEil E I A Y+'1 z m Co O CO O O yr AP x m 'Ti 0 m Co z O m w O 0 D —4 m O v A CD 0 r m 0 C m m 940455 EXHIBIT G WATER INFORMATION The reclamation plan for the site will be a water storage reservoir. The reservoir will be created by placing a compacted overburden/clay liner along the shorelines of the excavated pits (see Figure El). Placement of the compacted liner along the shoreline will eliminate groundwater inflow into the pit. The pit will be mined down to bedrock and, therefore, there will be no infiltration of water through the bottom of the pit. The reservoir will be exempt from the regulations of Senate Bill 120 since there will be no groundwater depletions. The original reclamation plan consisted of a groundwater lake approximately 60 acres in size. The only change to the reclamation plan for the existing permit area is the creation of a water storage reservoir by lining the pit slopes rather than a groundwater lake. With the addition of the acreage added by this amendment the reclamation plan will now entail creating a reservoir approximately 87 acres in size. The entire amendment area is within the St. Vrain Creek 100 year floodplain as shown by the FEMA map (see Exhibit G-1). Where possible the topsoil and overburden stockpiles will be aligned with the general direction of flow, to limit obstruction of the floodplain and limit potential for erosion. There will be no stockpiling done within the floodway. All work within the floodplain will conform to Weld County Flood Hazard Regulations. Due to the removal of material from the site the net floodplain cross sectional area will increase and therefore provide more flood storage than what currently exists. Water Use Water use at the site will include evaporation from exposed groundwater, water retained in the material removed from the site, water used for dust control of haul roads and stockpiles, and water used for concrete batching. Quantities of water use for the amendment area are expected to remain the same as the current water use quantities. Therefore, the consumptive use presented below for the amendment area is based on current water use. Mining in the amendment area will intercept the water table. In order to enable dry mining of the amendment site. dewatering trenches will be constructed around the perimeter of the pit. The trenches will route water to the existing discharge point as shown on EXHIBIT C and water will be pumped to an adjacent pond in the same way that it is currently being done. The only evaporation from the site during mining will include water exposed due to the dewatering operation and water pumped from the pit to settling ponds which will be used for the washing operation. Approximately 2.3 acres of water will be exposed in the dewatering trenches and the wash ponds. G-1 940455 1 The annual evaporation is 39 inches at the subject location. The precipitation at the mine site is estimated to be the same as that found at the nearest weather station which is located in Longmont. The annual mean precipitation is 13.00 inches/year. Effective precipitation was determined in order to compute the net lake evaporation. Effective precipitation was computed as 70% of the total precipitation. Effective precipitation was then subtracted from the gross evaporation to obtain the net evaporation. An adjustment is also made for the months of January and February when the water surface is typically frozen. The net annual evaporation from a lake surface at the subject site is 2.34 ft (28.1 inches). Consequently the net annual evaporation during mining from 2.3 acres of water surface will be 5.4 acre-feet. There will be excavation and sale of material from the amendment property. Approximately 150,000 tons of material will be mined and washed from the amendment area. Assuming a 4% moisture content by weight this would equate to 4.8 acre-feet per year. Water use also includes water applied for dust control. The quantity of water needed for dust control during mining of the amendment area should be about 0.8 acre-feet annually. A concrete batch plant is located in the existing permit area. The batch plant has been used very sparingly. When it is used about 5,000 cubic yards will be batched per year requiring approximately 28 gallons per cubic yard for a total of 0.4 acre-feet. The total annual consumptive use for the amendment operation during mining is projected as follows: Evaporation 5.4 acre-feet Moisture Retained in Material 4.8 acre-feet Dust Control 0.8 acre-feet Concrete Production 0.4 acre-feet Total 11.4 acre-feet Augmentation In order to prevent injury of senior water rights along the St. Vrain Creek and South Platte River, augmentation of the out of priority depletions at the site is required. During mining of the amendment area it is estimated that approximately 11.4 acre-feet of groundwater will be consumed each year. A State Engineer approved substitute supply plan is in place for the existing operation. The plan will be renewed each year and will include the water use in the amendment area. The source of replacement water for the plan is 0.2 shams of the Rural Ditch which the landowner, the Rademacher Family, has leased to Andesite for the purpose of augmentation. O-2 940455 The Rademacher Family owns a total of 3.31 shares of the Rural Ditch. The average annual headgate yield per share is approximately 130 acre-feet. The historic consumptive use of the 3.31 shares is approximately 212 acre-feet per year and, therefore, the historic consumptive use for the 0.2 shares is 12.8 acre-feet. The 12.8 acre-feet if sufficient to cover the anticipated annual water losses of 11.4 acre-feet due to the mining operation in the amendment area. As stated earlier the final reclamation plan for the site is a water storage reservoir. The reservoir will be sealed off from the surrounding alluvial aquifer to prevent groundwater infiltration. Consequently there will be no long term augmentation responsibilities. Water Storage The source of water for filling of the reservoir will be a junior water storage right. This new water right will be acquired through water court and will permit the diversion of water to storage during periods of no call on the river. During most winter months and during the peak of the spring runoff there is generally no call on the river. During these periods water will be diverted to storage. Andesite is in the process of preparing these water right filings and will provide copies to the DMG when they are completed. Surrounding Water Rights Attached with this exhibit is a map, Exhibit G-2, showing permitted and/or adjudicated water rights within approximately one half mile of the site. Well data from the State Engineers's Office was used to locate the surrounding wells and water rights. The State Engineer's Tabulation of the wells and water rights is also attached. As shown by the well map there are some wells within the vicinity of the amendment area which could potentially be impacted by the dewatering. As required by the State Engineer's Office, waiver agreements will be acquired from well owners with wells within 600 feet of the amendment area. Once mining and dewatering in the amendment area has started, groundwater levels in the immediate vicinity are expected to drop. If the water levels arc dropping in adjacent wells such that well owners may be injured, the operator will begin to implement one or more of the following measures. a. Construct recharge ponds at strategic locations within the permit boundary to begin aquifer recharge. b. Modify existing wells to operate under lower groundwater conditions. This would include re -drilling existing wells to deeper depths or lowering the pumps. All work would be done at the operator's expense with the exception of replacing equipment that was non-functional prior to mining. c. If existing wells cannot be repaired, then the operator will drill a new well for the owner to replace the damaged well. The new well will produce water of the same quantity and quality. G-3 940455 If a well has not been put to beneficial use prior to mining, the operator should have no responsibility to provide mitigation. Discharge Permit A permit from the Colorado Health Department to dewater the mine site is already in place for the existing operation. The current point of discharge will remain unchanged. 404 Dredge and Fill Permit A wetlands survey was conducted on the amendment property. The location of the wetlands is delineated on the mining plan map. No mining activity will take place within the wetlands boundary and therefore no 404 permit is required. Stormwater Management Plan A Stormwater Management Plan is in place for the existing operation. The plan will be updated to include the amendment arca. G-4 940455 1V KIRKLAND \\ \\ ERMITTED AREA AMENDED ATE HIGHWAY 119 EXHIBIT G-1 BARBOUR PONDS COUNTY ROAD 24.5 tte AREA ��• FLOOD HAZARD MAP , ,ROMEETTCE G2OIC -7 DD CAL g&Mti aIRJO Pfl4 TuttlsApplegate.Inc. DATE: C.nSt.nt. 1- Lend, Mors .n w.t.r p..a.M..n JOB NO.: O.n . CM .1. 90233 mr.n oo Or Owlet, 1st. 410 DRAWN BY: O05)ror 1112--4111 FAX 13031452-2 99 HECKED BY: 12/20/93 93-I80 ZONE C SHEET: I OF: II 940455 EXHIBIT G-2 T s N _ / • /55.57 PERMITTED AREA 4e5/ - .. ,, ,.13 \AMENDED AREA 58. �J STATE HIGHWAY 119.•+ 11: • :17i y/; ---- �� -.7. e12-48 = - N. �� 114:-:]. O1O r47 50 4f r � I 7 J AM ( 3' 48:7 - BARBOUR PONDS .1. DM 9 X17 O •59 _49 _ sass r Ho f lI l• i_/J I I i. LO iRinn •' 'hrea3,y.�- MI M X52 COUNTY ROAD 24.5 4039. 2 .8\ 3ti `4-7 es 11- . xl pp.= •18-39 tra,,e, . Pa'M •46 407° 1 • ., 4874 WELL LOCATION MAP V 0 / �f048.76 -7. (; I JJ ' ilYRM R68W Z: IDGga�D LQDDC3 gOREDz WW DEL gaMOR POT TuttleApplegotedne. Dr4.nw11. toe Load. Mawr -f Water DEYy... . AC; 6140 Orw1 .Ir..1. 6J1. 4)0 Darner, Crrw 60233 (305) 462-6611 SAX (303)452-276• DATE: JOB NO.: DRAWN Y: CHECKED BY: -/5/94 93-180 SCALE: I'-2000 PEA SHEET: 1] OF: f] 940455 1 4z REPORT DATE 12/01/93 PERMIT D CO OWNER INFORMATION ACTIVITY STATUS COLORADO WELLS, APPLICATIONS, AND PERMITS PAGE 1 COLORADO DIVISION OF WATER RESOURCES 1ST USED ANNUAL ACRES CEOL WELL WELL WATER SEC LOCAT'N TOWN P CD DATE CD DATE WD MD DB USE DATE APROP IRA AQPR YIELD 55389 1 62 MEUSER CRAIG W RT #4 BOX 150 C LONGMONTC, CO 80501 NP 01/23/72 EP 05/09/74 5 09 1139 1 62 NATTERS DEAN RT 4 LONGMONT, CO 80501 • 9 04/15/58 14150R 1 62 ADOLPH COORS CO 101 DENVER AV GOLDEN, CO 80401 AB 1'/11/91 5 1 06/01(40 1 62 LONGMONT CENTE LONGMONT, CO 80501 AP 10/04/92 AR 2,0/13/82 5 0 139228 1 62 CO DIV PARKS LOVELAND, CO 80537 EX 10/26/84 EX 5 3 GW DEPTH LEVEL COORDINATES QTRS SC SHIP RANGE M 20,00 71 5 NENE 2 2 N 49 W S SESE 7 2 N 68 N 5 200.09 40 20 SESE 2 2 N 69 W 0 SE 3 2 N 64 W OW SENT, 3 2 N 68 W S 15229MH 1 7 TOTAL PETROLEUM C/O 1801 BROADWAY STE 700 DENVER, CO 00202 MR 07(:5/99 5 0 Gw SESE 3 2 N 6a N S 55375 1 62 FISHER D M 1301 CASTLE ROCK DR PT COLLINS, CO 80521 NP 03/23/72 5 9 02/17/72 OW 931OS.10Q5E SESE 3 2 J1 68 W 9829AD 1 62 LONGMONT CENTENNIAL INN INC LONGMONT, CO 80501 AD • l 9830AD 1 62 LONGMONT CENTENNIAL INN INC LONGMONT, CO 80501 AD 5 7 35608M 35609M 1 62 LONGMONT CENTS LONGMONT, CO 80501 AP 10/04/02 AR 10/11/07 5 0 1 62 TOTAL PETROLEUM NP Q"/14/99 1 62 TOTAL PETROLEUM NP 999 18TH ST STE 2201 5 Q M 999 18TH ST STE 2201 89 5 DENVER, CO 80201-0500 OW DENVER, CO 80201-0500 tow SESE 1 2 N 59 W S SESE 1 2 N 68 W 5 SESE 3 7 N 50 w 03055.0100E SESE 3 2 N 60 W S S, O?OOE SESE 1 2 N 68 W 5 4 35610M 1 62 TOTAL PETROLEUM 999 10TH ST STE 2201 DENVER, CO 00201.0500 NP 08/14/99 Q M QW 35611m 1 62 TOTAL PETROLEUM 999 18TH ST STE 2201 DENVER, CO 80201-0500 7 NP 09/)4/99 5 {LM OW 856698 1 62 HOLMES JAMES P 190 S MAIN LONGMONT, CO 80501 5 9 05/09/77 02000.02110E SESE 1 2 N 64 W 5 040915.0129ESESE 3 2 N 69 WS 15,99 12 5 08005,0470E SESE 3 2 N 40 W S 13134AD 1 67 ANDESITE ROCK CO 1746 COLE BLVD BLDO21 225 GOLDEN, CO 80401 AD 09/20/91 AO 10/02/9.' Q Q Ow N SW 3 2 N 68 W 5 10427AD 1 62 ANDESITE ROCX CO GOLDEN, CO 80403. AO • 4 NESW 1 2 N 64 W S t 37223 1 62 COSNELL IVAN WAND 6 MARLYS L 11488 WELD COUNTY RD 7 LONGMONT, CO 80504 NP 92/25/69 FC 10/30/92 5 P 03/31/69 W 20 no 21 5 NNSW 3 2 N 60 W 65259 1 62 GOSNELL IVAN W 6 MARLYS L 11488 WELD COUNT! RD 7 LONGMONT, CO 80504 ID _EL 9n2122221_, /72 RC 10/30/92 5 N 02/29/73 OW 1,00 191 1 24505.0^BQN�wsw 3 7 N 6B W S 3544AD 1 62 ARGANDRICHT DORIS M, WYOMING, 61491 AD 3474AD 1 62 ARGANDRIGHT DON D. WYOMING, 61491 AD 0 160788 1 62 CUSTOM FENCE A SUPPLY INC 3031 HWY 119 LONGMONT, CO 80504 11 NP 03/00/9•, AR 07/10/91 5 3 _Ow 15 00 29 ! 17739 1 62 DISTRIBUTION HOLDINGS INC CENTL NAIL BM flL0 DES MOINES, IA 50309 I� NP 05/87/69 AB 97129/91 S 8 95/12/69 Ow 14,40 12139AD 1 62 ADAM GEORGE C 11684 WELD CNTY RD 5 1/2 LONGMONT, CO 80501 AC, 03/14/90 AR_Q5/04/90 5 9 g -SW 3 7N 59 W 5 SESW 3 2 N 90 W 5 7 0179S,0126W SWSW 3 2 N 68 W S 9 SWUM 3 2 N 6a w SS OW 1100N.19BQF, NWNE 4 2 N (9 N 940455 REPORT DATE 12/01/93 PERMIT D CO OWNER INFORMATION ACTIVITY STATUS CD DATE CD DATE COLORADO WELLS, APPLICATIONS, AND PERMITS COLORADO DIVISION OP WATER RESOURCES PAGE 2 1ST USED ANNUAL ACRES OEOL WELL WELL WATER SEC LOCAT'N TOWN P WD MD DR USE DATE APROP IRR NUR YIELD DEPTH LEVEL COORDINATES QTRS SC SHIP RANGE K 37683F 1 62 FRONTIER/RAFA1 PIT P 0 BOX 17130 BOULDER, CO 00308 GRAVEL PIT NP 07/16/90 SA 09/10/92 5 0 G 09/76/90 OW 3724 1 62 MARION P W RT 1 BROOMFIELD, CO 80020 5 8 06/76/c9 172498 1 62 RIDER JIM 12215 ST VRAIN RD LONGMONT, CO A0501 N9 06/09/93 P L 4,QO 500 750 SE 4 2N 58 W$ NESW 4 7 N 58 W 5 OW 47QQ5.37QQE NENW 6 2 N 68 W S 940455 REPORT DATE 12/01/93 COLORADO WELLS, APPLICATIONS, AND PERMITS PAGE 1 COLORADO DIVISION OF WATER RESOURCES PERMIT D CO OWNER INFORMATIQN ACTIVITY STATUS 1ST USED ANNUAL ACRES GEOL WELL WELL WATER SEC LOCAT'N TOWN P CD DATE CD DATE WD MD Ds USE DATE APROP IRR AQFR YIELD DEPTH LEVEL COORDINATES OTRS SC SHIP RANGE M 42746F 1 62 Chm COMPANIES P 0 BOX 490 NIWOT, CO 80544 GRAVEL PIT NP 02/07/91 AR 04/12/92 5 Q G OW 2ESw 8 2 N 59 8$ 90530VE 1 62 HODGES EDWARD 10759 WCR 7 LONGMONT, CO 80501 14 AV 11/26/90 S 89 OW n6Q0N,08QQE_NENE 9 2 N 60 159089 1 62 HODGES EDWARD E 10795 WCR 7 LONGMONT, CO 80501-2079 NNP 11/26/99 In 02/00/91 3 Q OW 5 00 15 0604N,Q80O N NE . 2 N 68 W_9 159089 A 1 62 HODGES EDWARD E 10795 WCR 7 LONGMONT, CO 80501 AtNP 11/26/90 S 4 QW 15.09 25 5 060QN.0800E NENE 0 2 N 68 W z 17939 1 62 HEATON ANTHONY AT 4 LONGMONT, CO 80501 6 8 11/01!63 30 99 30 4 NWYE 9 2 N 37631F 1 62 BOULDER CREEK ESTATES LTD 3715 BRIGHTON BLVD DENVER, CO 00216 GRAVEL PIT NP 07/13/90 RS 04/07/93 5 0 G 09/06/90 9_ 2 N 58 W 4495 A 1 62 ENGELHARD LONGMONT. CO 00501 NP 06/19/75 c 9 NESS 9 2 N 69 w@ 1 62 PALERMO TIMOTHY F 1380 E 64TH AVE DENVER, CO 80229 AP 0.1/27/93 AU 09/92/93 5 H OW I600s.0609E NEST 9 2 N 64 W S 4495 1 62 ENGELHARD WILLIAM, L 10477 WELD CNTRY R 7 LONGMONT, CO 80501 5 9 09/71/59 10,40 20 5 249n5.175QF_wsn 9 2 N 68 Wy 1 62 PALERMO TIMOTHY F 1380 E 64TH AVE DENVER, CO 00229 AP ¢3/22/93 AU 09/02/9? 5 8 GW 1200S.1200E $ESE 9 2 N 69 W $ 34027 1 62 TEMPERATURE PROCESSING CO 6 ENGELHA WE 4 BOX 59 LONGMONT, CO 80501 5 8 96/12/08 20,00 10 4 SWSE 9 2 N 68 W 1155102E 1 62 DEL CAMINO CORP. LONGMONT, CO 80501 hg NP 04/11/70 EP 07/91/71 2 NFU^ In 2 N 56 8 5 147260 1 62 PRAMS HOWARD LONGMONT, CO 00501 I4 N' 02/11/87 5 H GW _AVINF. 10 2N 69 WS 36732M 1 62 HIATT RONALD 10763 TURNER AVE LONGMONT, CO 00504 to NP 04/09/90 5 0 M GW 114)N,05Q6E NENE 10 _2 N 60 W S 36733M 1 62 HIATT RONALD 10763 TURNER AVE LONGMONT, CO 80504 21 NP 04/09/94 5 0 M Qw 1141N.n40RT NENE 12 2 N 60 W$ 36734M 1 62 HIATT RONALD x.01$3 TURNER AVE LONGMONT, CO 80504 2Z NP 04/09/90 1 5 Q M GW 1170N,0596E NENE 10 7 N 50 w s �36735M 1 62 HIATT RONALD 10763 TURNER AVE LONGMONT, CO 60504 air NP 04/09/99 S 9 M Ow 1172N,0498E NENE 10 2 N 68 W S 366736M 1 62 HIATT RONALD 10763 TURNER AVE LONGMONT, CO 80504 .24 NP 04/09/90 5 Q M OW 1064N.0504E NENE 10 2 N 60 W $ 36737M 1 62 HIATT RONALD 10763 TURNER AVE LONGMONT, CO 80504 26 NP 04/09/90 5 0 M UN 1120N.0479E NENE 9 2 N 58 W S 7736738M 1 62 HIATT RONALD 10763 TURNER AVE LONGMONT, CO 60504 (n& NP 04/09/90 5 9 M GW 1140N,9_.Q5E NENE 20 2 N 68 w S 36739M 1 62 HIATT RONALD 10768 TURNER AVE LONGMONT, CO 80504 27 NP 04/09(90 5 0 M 9W 2Q7QN.Q5RQ.E NENB in 2 N 68 W S 36740M 1 62 HIATT RONALD 10763 TURNER AVE LONGMONT, CO 00504 29 NP 04/09/90 5 0 M LH 1008N.Q460E NINE 10 2 N 68 W S 36741W 1 62 HIATT RONALD 10763 TURNER AVE LONGMONT, CO 60504 lel NP 05/09/90 c 9 M GW 2124N.4420E NENE 1) 7 N 58 W c 16742M 1 62 HIATT RONALD 10763 TURNER AVE LONGMONT, CO 60504 3Q NP 64/99/90 5 0 M SW 1319No4enE NENF. 10 J N 60 W $ 940455 REPORT DATE 12/01/93 PERMIT D CO OWNER INFORMATION ACTIVITY STATUS COLORADO WELLS, APPLICATIONS, AND PERMITS COLORADO DIVISION OF WATER RESOURCES 1ST USED ANNUAL ACRES CEOL CD DATE CD DATE WO MD DB USE DATE APROP IRR AOFR 36743M 1 62 HIATT RONALD 10763 TURNER AVE LONGMONT, CO 80504 ,3[ NP 94/99/90 5 0 M PACE 2 WELL WELL WATER SEC LOC"T'N TOWN P YIELD DEPTH LEVEL COORDINATES QTRS SC SHIP RANGE M 38903M 1 62 LONGMONT PARTNERSHIP/SUPER 8 MOTEL 10005 TURNER BLVD LONGMONT, CO 80401 7G NP 03/09/91 5 0 M OW 38904M 1 62 GHGI INC A COLO CORPORATION 6825 E TENNESSEE AVE DENVER, CO 80224 33 NP 03/08/91 5 0 M 173723 1 62 DELTA ENVIRONMENTAL CONSULTANTS 34 NP 06/16/93 AR 10/12/93 5 Q M 024 1 62 DELTA ENVIRONMENTAL CONSULTANTS NP 06/16/91 AR 10/}2/93 5 O M 173725 1 62 DELTA ENVIRONMENTAL CONSULTANTS M 12000 PECOS SR STE 300 GW 12000 PECOS SR STE 300 DENVER, CO 80234 CW 12000 PECOS SR STE 300 DENVER, CO 80234 OW DENVER, CO 80234 1,19N,0650E NENF: 1Q 2N 5,WS S 494019.0500E NENE 10 2 N 58 W 5 1200N, 052_QE NEWE 1Q n' N 69 W S 1401,0150E NENE '0 2 N 58 W 5 09QON,0254E NENE 10 2 N 68 W 5 0901,0250£ NfNF 10 2 N 90 W S 173726 47 1 62 DELTA ENVIRONMENTAL CONSULTANTS 12000 PECOS SR STE 300 DENVER, CO 80234 NP 06/15/93 AR 10/12/91 5 0 M 173727 1 62 DELTA ENVIRONMENTAL CONSULTANTS TO NP 06/16/93 AR 10/12/91 5 0 M 171728 1 62 DELTA ENVIRONMENTAL CONSULTANTS /1 7 l NP 066/93 AR 10/,;,./9, 0 M �29 1 62 DELTA ENVIRONMENTAL CONSULTANTS NP n6/15/91 AR 10/12/93 5 Q M 173730 1 62 DELTA ENVIRONMENTAL CONSULTANTS 4/ NP 06/16/93 AR 19/12/93 5 0 M 173731 1 62 DELTA ENVIRONMENTAL CONSULTANTS 4Z NP 06/16/91 AR 1,4/12/93 5 O M 12000 PECOS SR STE 300 DENVER, CO 00234 12000 PECOS SR STE 300 DENVER, CO 80234 GW 12000 PECOS SR STE 300 DENVER, CO 80234 OW 12000 PECOS SR STE. 300 DENVER, CO 80234 GW 12000 PECOS SR STE 300 DENVER, CO 80234 OW 732 1 62 DELTA ENVIRONMENTAL CONSULTANTS 12000 PECOS SR STE 300 NP 06/16/91 AR 20/12/23 5 0 M 173733 1 62 DELTA ENVIRONMENTAL CONSULTANTS 12000 PECOS SR STE 300 44 NP 06/16/93 AR 10/17/g 5 0 M 173734 1 62 DELTA ENVIRONMENTAL CONSULTANTS 12000 PECOS SR STE 300 45 40595 406 NP 06/;6/93 AP, 14/22/93 5 0 M 1 62 MESSENGER CECIL RT 4 BOX 156J LONGMONT, CO 80501 5 9 01/10/7Q DENVER, CO 80234 GW DENVER, CO 80234 Ow DENVER, CO 80234 OW � M66744E 1 62 CAMENISCH PHILLIP E 10504 WELD CNTY RD 7 LONGMONT, CO 80504 I/ 4682 RC 04/16/91 5 1 02/20/61 1 6.2.. WOLFKILL L C RT 1 HR 118 DENVER 16, CO 80216 9 08/28/57 107118 1 62 LARSON DOROTHY 10608 WCR 7 LONGMONT, CO 80501 IT NP QP29/79 AR 05/31/79 5 H 107118 A 1 62 LARSON DOROTHY 10706 WELD CO RD 7 LONGMONT, CO 80501 NP 03/29/95 5P 91/27/66 5 H 37712 1 62 COWLING LEROY 804 MOUNTAIN VIEW LONGMONT, CO 80501 5 P 05/0$/69 91035VE 1 7 CAMENISCH PHIL 123010 123010 A 1 62 CAMENISCH PHIL 10504 WCR 7 LONGMONT, CO 80504 NP 02/14/91 AR 03/19/71 5 H AV 9 10504 WELD CO RD 7 LONGMONT, CO 00000 Q85QN,925JE NENE 74 7 N 68 W S OW N 2 N 9 M 000021.000E NENE 19 2 N $9 w 5 0AQQN.02QQS NENE '0 2 N 6B w a 0900N.Q25QE NENF. 10 2 N 68 W S 0801.41448 NENE 10 2 N 58 w 5 059011.4294E NENE 10 2 N 68 W 0500N, 01.50E NENE 10 2 N 69 W S 0544N.41QOE NENE 10 2 N 69 W S 20.00 72 sEN77 10 2 N 68 W S 3200.47 in 5 WNW '4 2 N 69 W S 20,00 740 500 75, nn NWNW 14 2 N 69 w Ti, 27 1751.n300W SwNw In 2 N 68 w Q' 8.90 100 9 1770N,020QW SWNW 10 2 N 68 W 5 10.00 22 7 SESE 19 2 N GB W 5 2 N 58 W A 1 62 CAMENISCH P LONGMONT, CO 80501 Ny_22(e'5/81 5 R GW NW`W In 2 N 68 WAG 2300 4200w NWSW '0 2 N 69 w s 940455 aNIPP R£.'ORT DATE 12/01/93 PERMIT 0 CO OWNER INFORMATION ACTIVITY STATUS COLORADO WELLS, APPLICATIONS, AND PERMITS PAGE 3 COLORADO DIVISION OF WATER RESOURCES 1ST USED ANNUAL ACRES GEOL WELL WELL WATER SEC LOCAT'N TOWN P CD DATE CD DATE WD MD DD USE DATE APROP IRR AQFR YIELD DEPTH LEVEL COORDINATES QTPS SC SHIP RANGE M 37537 1 62 POWELL VERNON RT 4 BOX 106 C LONGMONT, CO) 80501 5 P 05/27/69 48363 1 62 HARRIS JOFW J 9047 OGALLALA LONGMONT, CO 80501 9 47/31/71 82985 1 62 HURT W R RT 1 BOX 252 LONGMONT, CO 80501 09 09/10/69 9,00 20 SECE1 2 N 68 W ESE 11 2 N 68 W 1,00 15.00 65 Q109S.0520E SESE 11 2 N 68 W $ 145846 1 62 FATHERTON MARTHA E. J. 11523W 61ST PLACE ARVADA, CO 00004 5 8 et/31/41 1084 1 62 HILL JACK LONGMONT, CO 00501 5 9 05/16/58 6379F 1 62 DROWN DOB RFD 4 LONGMONT. CO 80501 3 J1/10/64 6,00 50 0034S.0430? SESE 11 2 N 68 NS 2,90 155 19 500.00 55 "7 SESw 11 2 N 68 w g NENE 12 2 N 6e W S 940455 53,50,57 --gyp N P M N P N N N N N N N N N N N N N N N N N P y. w V� N P U N C` W P P N P N r Li 1N/• U W" w m %� N ✓r i W x W N N x W VNi x W W W x x w � VW. 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A a W U V d N N N N w RG"GG\GGGG"""GG\G\\G MVVVv VvVVV vvvv VVVvvvvvv V✓ W vvvVVV r W, r, b , r r .. .. . u u. r W b w h~W b N V000000000.000000A 0 Of 0 m W W b W W 2G222222220 LWwWLi pi 222222 Wo i-,,»--w22&mb^sgs WW Y N W x i A A x VVWN 0 0 O v .I W A W J J J J J J 5r4.' ;€0 Jn m 0v V S In JJ 'It y� W Y T Y J J b Y F g Yom.` RUC WN aw V W •4 •O W W W• W yi J J J w [J u ... W O Oq O A $X8888888 JRR�� o(�QQ�(}}jj �jQ(5 }T?QYj'. �{ 4xjz� jQjQ55 W O O W W W J W la W j b 8 zs x N 5 YX 2i 0 m m P b P P P m m m P 0 m P WP � V+ b u� `^, Vv 5 J n J y r .Ni .yNi N N» v V� I.' U 4 N u .Y//.�. r V• N n N 5• V 5 N .t y 1+ W W 0 J P N P N x i N TN J P P V P N J b x WPxWxsx 6 5 dp • 'C • r 940455 O 000000000000 V w a 00 J N W P P N N fG G N N N Y V AL 4 re in,44ge- ti 0 VD M 0 v 0 0 0 0 0 O 0 0 K K K N N N N wN. NNNW m b u V Yr aHIMMIrM W N N N N N N a u N J a N N a ;1HH l N N Y Y Y✓ Y, Y Y 4 0 m WNNNNWNNNUMWWWN z t 2 Z Z Z Z x Z 2 z z z Z z a W m m m u �°. m n O m u V P 0 ✓ CXXVWCXXV ..... O 0 0 0 0 0 1/ 0 0 0 0 0 0 0 0 O 9 e N P J W N N M N ui N a v O✓ O X8 8&Sd68888,1a& Y • q N yN y P e d V Y• YY HH4 p p \ \ \ \ N \ \ \ \` a 5 a 2: 'C. O C O on n I H u O Az m 2 iq a z m J J iN6 ��IO J :474 Mifflin c4 }j (m$ � m m} K K K • d ✓� ¢ i i S J p N u� a W W U 0 N W .0 w W W mi V a 0 W 0 O NN v N N N N urwa a p pm . m 11yy m a N Y o W m V 0' •••0 m zx "q 9 0 9 A 0 H 940455 ' WILDLIFE INFORMATION No change to this exhibit. EXHIBIT H H-1 940455 EXHIBIT I LaREDIE OTIE G;3D0€ gOIREDiRJV DEL Dt arlA13MD POT TuttlfApplegate,lne. DATE: 12-22-93 2...••• Con6Almt. t., Latta. Sorel and w.ta o,..lston.n1 JOB NO.: 93-180 SCALE: 1"-2000' ray MnoOtani Stmt. WwW..w [SRAWN BY: KAN Om.-. Comrade 60233 Mar SHEET: 1 OF: f nos1aaz-sa not (30314112-2789 HECKED BY: PEA 9404bb 3—Aquolls and Aquepts, gravelly substratum. This nearly level map unit is on bottom lands and flood plains of all the major streams in the survey area. Aquolls, which have a dark colored surface layer, make up about 60 percent of the unit. Aquents, which have a lighter colored surface layer, make up about 35 percent. About 5 percent is Aquepts and Bankard sandy loam. These are deep, poorly drained soils that formed in recent alluvium. No one pedon is typical. Commonly the soils have a mottled, mildly alkaline to moderately al- kaline loamy or clayey surface layer and underlying material and are underlain by sand or sand and gravel within 48 inches. In places they have a gleyed layer in the underlying material. Most of the acreage is subject to flooding. The water table is at or near the surface early in spring and recedes to as deep as 48 inches late in fall in some years. These soils are used for rangeland and wildlife habitat. Some small areas have been reclaimed by major drainage and leveling and are used for irrigated crops. The potential native vegetation is dominated by alkali sacaton, switchgraas, and western wheatgrass. Saltgrass, sedge, rush, and alkali bluegrass are also prominent. Potential production ranges from 3,000 pounds per acre in favorable years to 2,000 pounds in unfavorable years. As range condition deteriorates, the awitchgrass, alkali aacaton, and western wheatgrass decrease and saltgrass, sedge, and rush increase. Management of vegetation should be based on taking half and leaving half of the total annual production. Seed- ing is difficult and costly because numerous tillage prac- tices are required to eliminate the saltgrass sod. Switchgrass, western wheatgrass, alkali sacaton, tall wheatgrass, and tall fescue are suitable for seeding. They can be seeded into a clean, firm seedbed. Seedbed preparation usually requires more than 1 year to eliminate the saltgrass sod. A grass drill should be used. Seeding early in spring has proven most successful. Wetland wildlife, especially waterfowl, utilize this unit The wetland plants provide nesting and protective cover, as well as some food. The nearby irrigated cropland, where wildlife obtain much of their food and fmd protec- tive cover, makes this unit valuable to both wetland and openland wildlife. Openland wildlife, especially pheasant, use this unit for cover and nesting. Deer find excellent cover in some areas. These valuable wildlife areas should be protected from fire and fenced to prevent encroachment and overuse by livestock. They should not be drained. These soils have good potential as a source of sand and gravel. Capability subclass VIw; Salt Meadow range site. 4—Aquolls and Aquepts, flooded. This nearly level map unit is in depressions in smooth plains and along the bottoms of natural dravnageways throughout the survey area. Aquolls, which have a dark colored surface layer, make up about 55 percent of the unit. Aquepts, which have a lighter colored surface layer, make up about 25 percent. About 20 percent is soils that are well drained and soils that have sandstone or shale within 48 inches of the surface. These are deep, poorly drained soils that formed in recent alluvium. No one pedon is typical. Commonly the soils have a mottled, mildly to moderately alkaline loamy or clayey surface layer and underlying material that ex- tends to a depth of 60 inches or more. In places they have a gleyed layer in the underlying material. Most of the acreage is subject to excessive runoff. The water table is at or near the surface in spring and during the peak of the irrigation season. These soils are used for rangeland and wildlife habitat Some small areas are irrigated pasture. The potential native vegetation is dominated by switchgrass, prairie cordgrass, saltgrass, alkali sacaton, big bluestem, indiangrass, western wheatgrass, slender wheatgrass, sedge, and rush. Cattails and bullrush grow in the swampy spots associated with these range sites. Potential production ranges from 4,000 pounds per acre in favorable years to 3,000 pounds in unfavorable years. As range condition deteriorates, the tall and mid grasses decrease, production drops, and saltgrass, sedge, and rush increase. The fanning and irrigation in adjacent areas has increased the amount of salts on much of the acreage. Management of vegetation on this soil should be based on taking half and leaving half of the total annual produc- tion. Switchgrass, big bluestem, indiangrass, western wheatgrass, pubescent wheatgrass, intermediate wheat - grass, tall wheatgrass, and tall fescue are suitable for seeding. The plants selected should met the seasonal requirements of livestock. For successful seeding, a firm prepared seedbed is needed. A grass drill should be used. Seeding early in spring has proven most successful. Til- lage is needed to eliminate the undesirable vegetation. Wetland wildlife, especially waterfowl, utilize this unit The wetland plants provide nesting and protective cover as well as some food. The nearby irrigated cropland, where wildlife obtain much of their food and find protec- tive cover, makes this unit valuable to both wetland and openland wildlife. Openland wildlife, especially pheasant, use this unit for cover and nesting. Deer £md excellent cover in some areas. These valuable wildlife areas should be protected from fire and fenced to prevent encroachment and overuse by livestock. They should not be drained. Capa- bility subclass VIw; Aquolls in Salt Meadow range site, Aquepts in Wet Meadow range site. 940455 10-itankard sandy loam, 0 to 3 percent slopes. This is a deep, somewhat excessively drained soil on flood plains at elevations of 4,450 to 5,000 feet. It formed in stratified recent alluvium along streams and rivers. In- cluded in mapping are numerous sand and gravel bars and small areas of noncalcareous soils. Typically the surface layer of this Bankard soil is brown sandy loam about 4 inches thick. The underlying material to a depth of 60 inches is pale brown calcareous sand stratified with thin lenses of sandy loam, loam, and fine gravel. Permeability is moderately rapid. Available water capacity is low. The effective rooting depth is 60 inches or more. Surface runoff is slow, and the erosion hazard is low. This soil is suited to limited cropping. It is sandy and subject to flooding. Pasture is the best use. Tall wheat - grass, tall fescue, and annual sweetclover are some of the most suitable crops. Light, frequent irrigation by furrows and flooding is best. Commercial fertilizer improves the amount and value of forage produced. The potential native vegetation is dominated by switchgrass, indiangrass, sand bluestem, sand reedgrass, sideoats grams, needleandthread, and blue grams. Much of this range site includes other soils and vegetation in such a complex pattern that it is difficult to map them separately. Potential production ranges from 2,500 pounds per acre in favorable years to 1,500 pounds in unfavorable years. As range condition deteriorates, the tall and mid grasses decrease; blue grams, sand dropseed, and forbs increase; and forage production drops. Undesirable weeds and annuals invade the site as range condition becomes poorer. Management of vegetation should be based on taking half and leaving half of the total annual production. Seed- ing is desirable only in areas large enough to interseed or to prepare a seedbed. Switchgrass, sand bluestem, sand reedgrass, sideoats grama, little bluestem, blue grams, pu- bescent wheatgrass, and intermediate wheatgrass are suitable for seeding. This soil can be seeded by using an interseeder or a firm, clean sorghum stubble. A grass drill is required. Seeding early in spring has proven most suc- cessful. This soil is generally not suited to the establishment and growth of trees and shrubs. Onsite investigation is needed to determine feasibility and possible tree and shrub species. Wildlife is an important secondary use of this soil. The cropland areas provide favorable habitat for ring-necked pheasant and mourning dove. Many nongame species can be attracted by establishing areas for nesting and escape cover. For pheasants, undisturbed nesting cover is essen- tial and should be included in plans for habitat develop- ment, especially in areas of intensive agriculture. Range- land wildlife, for example, deer and antelope, can be at- tracted by managing livestock grazing and reseeding where needed. This soil ia not suited to urban or recreational develop- ment because of the flood hazard. Capability subclass IVw irrigated, VIw nonirrigated; Sandy Bottom land range site. 940453 • EXHIBIT J VEGETATION INFORMATION No change to this exhibit. 3-1 940455 • EXHIBIT K No change to this exhibit. K-1 940455 EXHIBIT L RECLAMATION COSTS Andesite Rock Company Del Camino Pit Weld County, Colorado MAJOR DISTURBANCE RECLAMATION COSTS ITEM NO. ITEM UNIT TOTAL UNIT QUANTITY PRICE PRICE 1 Create Compacted Liner 2 Backfill Shoreline Overburden 3 Backfill Shoreline Topsoil 4 Redistribute Topsoil to Strip 5 Scarify Compacted Areas 6 Seed, Fertilize, Mulch C.Y 6,222 $ 1.75 $10,888.50 C.Y. 11,852 $ 1.25 $14,815.00 C.Y. 1,370 $ 1.25 $ 1,712.50 C.Y. 6,453 $ 1.25 $ 8,066.25 ACRE 0.2 5725.00 $ 145.00 ACRE 6.1 $500.00 $ 3,050.00 TOTAL $38,677.25 NOTES/DESCRIPTIONS: Create Compacted Liner Backfill Shoreline Overburden Backfill Shoreline Topsoil Redistribute Topsoil to Strip Scarify Compacted Areas Seed, Fertilize, Mulch Max 1000' unlined slope 12' average width x 14' deep. Placed and compacted by scraper or dozer Of the 8.0 Acres Active, 1.1 Acres = 48.0 slope distance x 1,000 feet proposed shoreline w/ 16 feet ave. pit depth @ 3:1 side slope (320 sf cross-section area) Of the 5.0 Acres active, 0.8 Acres = 37 slope distance x 1,000 feet proposed shoreline w/12" topsoil depth @ 3:1 side slope (37 sf cross-section area) 4.0 Acres Stripped @ 12" depth 0.2 Acre Topsoil/Overburden Stockpiles 1.9 Acres Mining, 4.0 Acres Stripped, and 0.2 Acre Topsoil Stockpiles L-1 940455 Andcsite Rock Company Del Camino Pit Weld County. Colorado MODERATE DISTURBANCE RECLAMATION COSTS ITEM NO. ITEM UNIT TOTAL UNIT QUANTITY PRICE PRICE 1 Backfill Shoreline Overburden 2 Backfill Shoreline Topsoil 3 Redistribute Topsoil to Strip 4 Scarify Compacted Areas 5 Seed. Fertilize, Mulch NOTES/DESCRIPTIONS: C.Y. 0 $1.25 $ 0.00 C.Y. 0 $1.25 $ 0.00 C.Y. 20,005 $1.25 $25,006.25 ACRE 12.4 $725.00 $ 8,990.00 ACRE 12.4 $500.00 $ 6,200.00 TOTAL $40,196.25 Redistribute Topsoil to Strip Scarify Compacted Areas Secd. Fertilize, Mulch 11.4 acres Settling Ponds/Equipment Storage, 0.8 acres Plant Site, and 0.2 acres Office and Scale House @ 12" depth 11.4 acres Settling Ponds/Equipment Storage, 0.8 acres Plant Site, and 0.2 acres Office and Scale House 11.4 acres Settling Ponds/Equipment Storage, 0.8 acres Plant Site, and 0.2 acres Office and Scale House L-2 940455 Andesite Rock Company Del Camino Pit Weld County. Colorado MINOR DISTURBANCE RECLAMATION COSTS ITEM UNIT TOTAL NO. ITEM UNIT QUANTITY PRICE PRICE 1 Backfill Shoreline Overburden C.Y. 0 $1.25 $0.00 2 Backfill Shoreline Topsoil C.Y. 0 $1.25 $0.00 3 Redistribute Topsoil to Strip C.Y. 0 $1.25 $0.00 4 Scarify Compacted Areas ACRE 0.0 $725.00 $0.00 5 Seed, Fertilize, Mulch ACRE 1.0 $500.00 $500.00 TOTAL $500.00 NOTES/DESCRIPTIONS: Seed, Fertilize, Mulch Reseed 1.0 Acre SUMMARY OF RECLAMATION COSTS Major Disturbance Moderate Disturbance Minor Disturbance Contractor Mob/Demob Cost Administrative Cost (20.8%) Total Reclamation Cost Proposed Reclamation Bond Bonded Cost Per Acre (30.2ac) $38,677.25 $40,192.25 $ 500.00 $79,369.50 $ 2.000.00 $81,369.50 $16,924.86 $98,294.36 $98,350.00 $ 3,256.62 L-3 940455 I EXHIBIT N OTHER PERMITS AND LICENSES The following is a list of permits currently held by Andesite Rock for this operation which are also in the process of being updated or amended. Weld County Use by Special Review Substitute Water Supply Plan Air Pollution Emission Notice (APEN) CDPS Discharge Permit (includes Stormwatcr Discharge) N -I 940455 EXHIBIT 0 SOURCE OF LEGAL RIGHT TO ENTER Proof of property ownership is attached as Exhibit 0-1. Mineral lease between property owner and Construction Aggregate, Inc. is attached as Exhibit 0-2. Agreement between Construction Aggregate, Inc. and Andesite Rock Company, allowing Andesite Rock Company to mine the property, is attached as Exhibit 0-3. 0-1 940455 EXHIBIT O-1 ABSTRACT OF TITLE to The S1/2 of'Section 3, in Township 2 North, of Range 68 West of the 6th P.M., Weld County, Colorado. Except parcels of land as conveyed by instruments recorded in Book 12, Page 82; Book 1200, Page 55; Book 1392, Page 516; Book 1408, Page 333; Book 1500, Page 553; Book 537 under Reception No. 1459173; Book 572, Reception No. 1493893; Book 584, Reception No. 1505840; Book 605, Reception NO. 1526535 corrected by Book 609, Reception No. 1531360; Book, 605, Reception No. 1527013; Book 611; Reception No. 1532649; Book 638, Reception No. 1559975;\and Book 666, Reception No. 1588488;}Weld County Records. Except rights of way as granted by instruments recorded in Book 1024, Page 146; Book 1024, Page 101; and Book 1354, Page 564, Weld County Records. Except right of -access as contained in Deeds recorded in Book 1500, Page 557; and Book 638, under Reception No. 1559974, Weld County Records. Except easements as described it. instruments recorded in Book 1354, Page 565; Book 1354, Page 566, Book 594, Reception No. 1515674; Book 606, Reception No. 1528370; Book 608, Reception No. 1529538; Book 622, Reception No. 1544033; Book 625, Reception No. 1546578; Book 637, Reception No. 1558507; and Book 1578178, Weld County Records. Subsequent to April 21, 1964 at 7:45 A.M. Prepared By THE SECURITY ABSTRACT COMPANY OF WELD COUNTY, COLORADO SHEET NO. I 940455 1 51.0 .IW 2 - L°$4 (/.7� tr roue east Is ,—w•1 Vn • :e a 1L. a ♦ .., iii: 14. r �.__... ... ._....11r.OU11LIl n.-rP.n Ne... 11. ti wr. .a_ t�. v,...bw KNOB' Att LIEN -BT TIitSr PatESINTS. Viet, Whereto. Abort Rademaphnr et the - - County of Meld , in the State of Colorado, by I 1' DEED OF TRUST detest the 7th day of January A D.19 $} .ed July recorded in the Wire of the County Clerk and Recorder of the , ht tbo State \of Coloreds, on the 21st day of January sty of Weld tp 53 , in book 1348 C t ,.e Trustee in raid at page 308 of the records, in said oltee, conveyed to the County of Weld certain real estate in Paid Deed of Trust described, :n trust to secure the payment of the indebtedness mentioned therein. AND, WHEREAS, timid indebtedness has been paid and the purposes of said trust have been fully satisfied; (Cancelled note. Nahlb3.ted) NOW, Tllli1:4;7`(1Ii12, .V the request of Lfitr/ jai holder of the indebtedness strutted by said Deed of Trost. end in r•,milrrntien of the pneensesnnd in further consideration of the sum of Two Dollars. to Inc in hard pail. the receipt whereof fi hereby acknowledged, 1, -as the Public Trustee in said Weld , da I1cn•Ip• remise. release and quit .rlu:m Wen the Trager} owner or owner. M. said real estate and unto the heirs, successors and assitns of neid owner nr owners forever. all the right, title and interest which I have under and by virtue of said aced i4 'trust in and to the said real estate in said Deed of Trust particularly described, reference to wni•-h is hereby made for greater certainty. TO liat'1': ANI. TO I(Oidl '77l1; S.UfE. Together with all and singular the privileges and appur' ten:owes 'heren»to lrelnnewg forever. AND TGTTII Elf, that the said Trent Deed is, by these presents, to be cnn.idere•.1 as fully awl nhsoiutcly relensed, eunrelled mud forever discharged. WITNESS my I 1 mnl seal, this 2 L day of Jana , .1. D.75 olt . '3.11. �.,. :+, new Tn.n. 4.eS _. Carnet .r Weld 't: p!.%a'. \'tI',7', .4 r Y- • Weld tedc'• The i'lili;ic Trustee in said County of CMurada• ��"<<r•4: IetY Please crenate this release, the indebtedness seemed by the above mentioned Deed of Trost Navin_ been fully paid. - e Joe Rademacher, Sr. TY k4411•414.4 .r am iWK.M... wend i.e.. J PY.4 Trv.. STATE Oh' COLORADO, County of Weld • The foregoing instrument was aeknowle,lgell before me this 2nd day of Juno JAMES H. SHELTON as the Public Trustee in said Weld ,Colorado. .:.opf'y fey.e . A J r I_rC7:V '. arC • r,• „,•tee .A. D.la 64 ,ter County of Witness sty hand and Official Seal. ��fy�,,eommin/o�a�aspires QSeptember S, 712 l ul�tr 4.., ra• 1i rOrtM Its Irtt.a.n4C Or MO of 'MOT SY The piste Twualc —T.C. r. nwaw ears 11J.111.u. lea. C..••k 1146306 S/ 3-2-68 ?•.c - l EXHIBIT O-2 December 28, 1993 Ms. Eva Rademacher Rademacher Family Partnership, LTD 3525 Highway 119 Longmont, Colorado 80501 RE: Lease - Construction Aggregates/Rademacher Dated June 27, 1988 Dear Eva, The purpose of this letter is to give you 90 days written notice of our intention to exercise our option to renew the above - referenced lease for an additional five-year period as outlined in Article 1, Term of Lease. Enclosed is a check for 525.00. It will be necessary to amend the lease to include the area to the south, and I should have this amendment ready the first part of January. Best wishes for the New Year. Dennis E. Staebell Construction Aggregates, Inc. 3311 W. 96th Avenue Westminster, Colorado 80030 Enclosure P 885 828 199 940455 MINING LEASE - SAND AND GRAVEL This ease made and entered into this 3, day of ,1988. by and between Rademacher Family Partnership LTD, 3525 Highway No. 119. Longmont. Colorado 80501, hereinafter called "LESSOR", and Construction Aggregates Inc., a Colorado Corporation 782 Lodgepole Drive, Evergreen. Colorado 80439. hereinafter called "ussrs". LESSOR, in consideration of the agreements set forth herein to be kept and performed by LESSEE and of the payment of $25.00 receipt of which is acknowledged by LESSOR and of the payment of the royalties by LESSEE as provided herein, and subject to the terms. conditions, and provisions contained herein, leases to LESSEE that certain tracts of land situated in Weld County, Colorado and State of Colorado, to wit: Parcels of land all located in the South one half of Section'3," Township 2, North. Range 68 West, of the Sixth Principle Meridian, County of Weld, State of Colorado more particularly described as follows: Parcel 1 The Northeast one quarter, of the Southwest one quarter, and the West 600 feet, of the Northwest one quarter, of the Southeast one quarter. except the right-of-way of the Weld County Road. Parcel 2 The Northwest one quarter of the Southwest one quarter, except the East 483.75 feet, of the North 480 feet, and except the right-of- way of Weld County Road. The purpose of this lease is to grant to LESSEE the exclusive right and privilege to mine, remove and market from said premises only sand and gravel, and overburden which is hereinafter referred to as materials. together with the right to use so much of the surface as may be necessary or convenient in the construction of hoppers, bins, stockpiles, ponds, and the right to install, erect, operate, maintain, and remove crushing. and screening machinery, concrete batch plant and other construction ,related equipment and machinery. 1. TERM OF LEASE This lease shall be in effect for a period of five years from the lst day of April, 1989, to the 1st day of April, 1994. LESSEE shall have the right and option to renew this lease for an additional five year period commencing on the 2nd day of April, 1994 and terminating on the 2nd day of April, 1999. If LESSEE desires to exercise its option to renew this lease for the period and provided for above, it shall pay to LESSOR the sum of $25.00 and give LESSOR at least 90 days written notice of its intention to do so prior to the expiration of this Lease. The renewed lease shall be on the same terms and conditions as this lease, except for payments and except that LESSEE shall have no further option to renew. -1- 940455 14. AMENDMENTS This Lease shall be amended only in writing. IN WITNESS WHEREOF the parties have executed this Lease on the date and year first above written. "' General Partner Rademacher Family Partnership LTD Construction Aggregates Inc. truction Aggregates Inc. 340455 A IEG0NE e IX> NOMMR3 =as= — amain a GIGIG.404 This addendum entered into this. a s day of . In 1994 by and batsmen Rademacher Family Partnership. LTD here after called 'LPS9Ofi" and Construction lgregates. Inc-, a Colorado Corporation, hereinafter called `t F=n —v' A. That the I2DMSCJR and * on or about the 27th day of June. 196E entered into a Certain Mining Lease - Sand r< Gravel wherein LL'SBCR leased parcels of land ell located in the South one half of Section 3. Township 2 North. Range 68 Nest of Sixth Principle Meriden. County of Weld. State of Colorado. S. That the S s3'= and t E"'M"` are desirous to amend the legal description Page 1 end to and Section 1. Term of less.: sad section 2. Royalties: and Section 5. Reclamation, and Section 9, Azsigneent and Transfer: and Section 13, Notices. Now therefore, in consideration of the mutual covenants hereinafter contained the MESS= and MISSES agree as follows: i. That all terms and conditions of that piecing Lease dated Jane 27, 1988 shall regain in full force except for those amendments hereinafter specifically sat forth. 2. That the following pareoraph be added to Page *1 - r era r. MIESCRIPTICIPT Parcel 7 The south half of the SW 1/4 of Section 3, T2N, R68N and laying west of the eicisting acne access road less a strip of land along the southerly line of Section #3, 540 feet wide. The amendment area contains 40.74 acres more or less. 3. That the following renteaes shall be added in Section 1 - Term of Lease A7DD: I, Snstin shall have the right and option to renew this lease for an additional five year period commencing on the 2nd day of April, 1999 and terminating on the 2nd day of April, 2004. if t desires to exercise its option to renew this lease for the period and provided for above, it shall pay to LESSOR the Such of S25.00 and give raft at least 90 days written notice of Its intention to do so prior to the expiration of thin Lease. The renewed lease shall be on the same texas and conditions as this lease, except for payments and except that fanSSMS shall have no farther option to renew. 4. That the following sentence shall be substituted in Section 2. Royalties. 9e0455 5. That the following sentence shall be added in Section 5, Reclamation. As part of the reclamation. the parties are wor)1ng on a program to provide for long-term storage of water in a reservoir or reservoirs created by the gravel mining operation. The purpose of this prograom is to reduce or eliminate the water augmentation requirements that otherwise would arise. and to provide for the beneficial storage and use of rater is and from the reservoirCs)- IA SS 8R and T xSSMME agree to cooperate with each other and any third parties to accomplish this reservoir storage program. inrli'ding Talfla providing a perpetual easement or right-of-way for such reservoir storage and operations. 6. That the following sentence shall be added in Section 9. Assignment and transfer. SOEt and 7-.m; agree to allow Andesite Rock Company to mine and remove rock, sand. and gravel according to the terms and conditions of this agreement. 7. that the following address for Y grs'sba2l be changed under section 13, Notices. Construction Aggregates, Inc. 3311 K. 96th Avenue Westminster, Colorado 80030 940455 1/01/94 14:19 $602 991 8916 02/x_'94 14:04 $50$ 289 1848 It EVERIST Q1004/00$ 004 SAT IfITNEEM IffEMRECEr the parties have executed this addendum on the date and year first above written. ALT 40°.1ei.//r Eva Rademacher Rademacher Family Partnership LTD 471 1 chulte t - ion AwQ,reQates, Inc. nr Dennis E. Btaebell construction Aggregates, Inc. 940455 02/01/94 14:19 ?PE02 991 391E 02/01/94 14:04 ea03 289 131,40 LC LtERIST 2005/003 on AORELNExT TO MINE EXHIBIT O-3 Construction Aggregates. Inc. agrees to allow uidesite Rock Company to mine and remove rock, sand, and gravel according to the terms and conditions of a `fining Lease - Sand and Gravel dated the 27th day of June, 1988 and en Addendum to the Lease dated the 25th day of January. Royalties will be paid directly to Construction Aggregates, Inc. I J. Schulte nstruction Aggregates. Inc. Date Dennis E. Steebell Connssruc on Aggregates. Inc. /04.1,1 Date • 940455 EXHIBIT P OWNER(s) OF RECORD OF AFFECTED LAND (SURFACE AREA) AND OWNER(s) OF SUBSTANCE TO BE MUTED Surface Owner The Rademacher Family Partnership Ltd. 3525 Highway 119 Longmont, CO 80504 Mined Substance Owner The Rademacher Family Partnership Ltd. 3525 Highway 119 Longmont, CO 80504 P-1 940455 ' EXHIBIT Q MUNICIPALITIES WITHIN TWO MILES Town of Firestone 150 Buchanan Avenue Box 100 Firestone, CO 80520 (303)833-3291 The City of Longrnont 350 Kimbark Street Longmont, CO 80501 (303)776-6050 Q-1 940455 • EXHIBIT R PROOF OF MAILING OF NOTICES TO COUNTY COMMISSIONERS AND SOIL CONSERVATION DISTRICT ENDER: y • Compete arm I end/or 2 lot additWrl services. I also wish to receive the e • Compete items 3, end 4a & b. following services (for en extra y 2 • Print your name and address on the reveres of this form w feet we can feel: t e return this card to you. m Attach citeh s term to the front of the melipiece, or on the boa if .Pace 1. 0 Addressee's Address Z aces not permit. g• Write "Return Receipt Repeated" On 'Chi msilpdece below the emcee mints 2. 0 Aesthetes) Delivery m e >'r • The Ritvm Receipt will show to whom the stole wee delivered end the dedeftO delivered, Consult , •smaster for fee. O v3. Article Addressed to: 4a. Article Number a o C n Ni 4Cj .t�\�r1 -1 W O 0 Q z I — W C.:(,'etitAt-L ftLc3i b. Service Type tc e1 s Registered O Insured 0 ertitied ,0 COO S 0 Express Mail ' zj Return Receipt for el 7. Date of Delivery, 5. Signature (Addressee) 6. Signal ant) PS Fu s S 8. Addressee '• Address (Only if requested at and fee is paid) o 1. December 1991 a u.s.d.P.o.,tsbsao1.6.10 DOMESTIC RETURN RECEIPT SENDER' 31 • Compere iters t snelise 2 foe eddit eneh services. i also wish to receive the w • Complete items 3, and w & b. following services (for an extra e Point your name end address on the reverse of this form so net we con fee): return the Mato you. o • Attach dee form to the front of the mailpiece, or on the beck if space 1. O Addressee's Address P dose not perrrat. • Wnp"RetufReoeptRearleted"oattlerrreepleClbeiewtMM{Clenwseer, 2. 0 Restricted Delivery • Tee Return Receipt will show to whom the article wee delivered end the date Consult postmaster for fee. 3, ssed to: M5. ear\ 1\od N\ Pl`L°,'V ds \ CQr's4r6 a,':1c3Sc5 4\1-t\ N , scat t 2 1.3-‘\cel-..ikrituAll-S•11:: t.t -Ittr-3:3\ 5. Signature (Addy 6I 6. Signature (Agent) 2 PS Form 381 , December 1991 a USAIR.° Article PC?�4c`i-rTh 40. Service Type 0 Registered O Insured edified 0 COO o Express Meg 0 MReturn s/shandi or 7. Date of Dsliwny 8. Addressee's Address (One/ it requested end Is is paid) �3- 14.6 hlt31a4 tae2ao7.530 DOMESTIC RETURN RECEIPT I R-1 940455 EXHIBIT S PROOF OF FILING WITK COUNTY CLERK AND RECORDER JOB NO: 43-150 tittICApplegatar,c. t-7 -7 r; 7 co onatia lad, WNW and WS' o.wk0awe CLE^vS LETTER OF TRANSMITTAL DATE& 2/7149 To: LJILL.o Lou>Jyy Lc.ctc.* -} 2er oQaea. PRIMICT: 1.L LArti NO 117 AMCNONCSIT ¶0 P1-74-0834 fl PRISONS: )(Attached Under Separate Covet Information Below TEE FOLLOl:Nat Prints Originals Copy of Letter x Application.Lopy Specifications Other FOR TO01t: )(Use Approval Information Review i Cement Material Returned Signature i Return Number of Copies Dated Sheet No. Description DMZ! ?ar+lr AMC-NnrWI Af)..es+i+oK • Rsarrks: -Ft..t46 te- NA146 AVAitafx.c. Fog. Zeus-- eE.V'c4i A's- 19'mr• I+1ANK 1oJJ, Copy tot ` 13-030 Signeds-y H�1 7A 19 GRG s-i 940455 4 COIORADO HISTORICAL SOCIETY The Colorado History Museum 1300 Broadway Denver. Colorado 80203-2137 December 22, 1993 Pamela E. Acre Landscape Architect Tuttle Applegate, Inc. 11990 Grant Street, Suite 410 Denver, Colorado 80233 Re: Andesite Rock Company's Del Camino Pit Dear Ms. Acre; This is to acknowledge receipt of your December 21, 1993 correspondence concerning the above proposed project. A search of the Colorado Cultural Resource Inventory indicated that there are no known cultural resources within the project area. Based on the information supplied, we believe the present nature of the proposed project area is such that no (further) impact upon cultural resources will occur. Therefore, the proposed undertaking may proceed upon approval of the appropriate agency. Pettis viz° However, if previously unidentified archaeological resources are DEC 2 9 0 3 discovered in the course of the project, work must be interrupted until j`' the resources are properly evaluated in terms of the National Register of Historic Places eligibility criteria (36 CPR 60.4) in consultation with this office. Thank you for the opportunity to comment. If we may be of further assistance, please contact Jim Green at 866-4674, Sincerely, James E. Hartmann �/ State Historic Preservation Officer JEH/WJG 940455 ORDINANCE NO. 89 -AA $/a3 b IN THE MATTER OF THE REPEAL AND RE-ENACTMENT, WITH AMENDMENTS OF CERTAIN SECTIONS, AND THE ADDITION OF CERTAIN SECTIONS TO ORDINANCE NO. 89, WELD COUNTY ZONING ORDINANCE, AS CURRENTLY AMENDED, REVISING AND ADDING CERTAIN PROCEDURES, TERMS, AND REQUIREMENTS. BE IT ORDAINED BY THE BOARD OF COUNTY COMMISSIONERS OF THE COUNTY OF WELD, STATE OF COLORADO: WHEREAS, the Board of County Commissioners of the County of Weld, State of 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 of County Commissioners have the power and authority under the Weld County Home Rule Charter and State statute, including Article 28 of Title 30, CRS, to adopt zoning regulations for the unincorporated areas of the County of Weld, and WHEREAS, the Board of County Commissioners of Weld County, Colorado. has previously adopted Ordinance No. 89, weld County Zoning Ordinance, establishing a comprehensive revision of the zoning regulations and zoning maps for unincorporated areas of the County of Weld, and has adopted amendments in Ordinances No. 89-A through 89-Z. and WHEREAS, said Ordinance No. 89, as amended, is in need of revision and clarification with regard to procedures, terms, and requirements therein. NOW, THEREFORE, BE IT ORDAINED, by the Board of County Commissioners of the County of Weld, State of Colorado, that certain existing sections of said Ordinance No. 89, as amended, are repealed and re-enacted, with amendments, and the various sections are revised to read as follows: Amend the definition of ANIMAL UNIT to read: ANIMAL UNIT: A term and number used to establish an equivalency for various species of LIVESTOCK. The number of LIVESTOCK allowed by right is dependant upon bulk requirements of the Agricultural. Estate, or R-1 (Low -Density Residential) Zone Districts. LIVESTOCK in excess of the bulk .requirements for the Agricultural Zone District shall require a Use by, Special Review Permit for a LIVESTOCK CONFINEMENT OPERATION. All LIVESTOCK shall have the following ANIMAL UNIT equivalents and bulk requirements: ORD89AA RE: ORDINANCE 089 -AA PACE 2 Cattle Bison Mule Burro Llama Ostrich Elk Horse Swine Sheep Goat Poultry Rabbit Cattle Horse Swine Llama Mule Burro Sheep Goat Poultry Rabbit TN THE (A) AGRICULTURAL ZONE DISTRICT 1 1 1 1 1 1 1 1 .2 .1 .I .02 .02 1 1 1 1 1 1 1 1 5 10 10 50 50 IN THE E (ESTATE) DISTRICT Maximum Animal Unit Number of Number Equivalents Animals Per Acre 4 4 4 4 4 4 4 4 20 40 40 200 200 Maximum Animal Unit Number of Number Equivalents Animals Per Acre 1 1 1 1 1 1 1 1 1 1 1 1 1 . 1 1 1 1 1 .5 2 2 .5 2 2 .04 25 25 .04 25 25 ORD89M RE: ORDINANCE 4/89 -AA PAGE 3 Cattle Horse Swine Sheep Coat Poultry Rabbit IN THE R-1 (LOW -DENSITY RESIDENTIAL) ZONE DISTRICT Animal Unit Equivalents 1 .5 .2 .2 .02 .02 Maximum Number of Number Animals Per Lot 1 2 1 2 2 4 5 10 5 10 50 100 50 100 Any combination of the above LIVESTOCK and their equivalents as a use by right shall not exceed the maximum of four (4) ANIMAL UNITS per acre in the Agricultural Zone District; one per acre, not to exceed eight (8) ANIMAL UNITS per LOT in the Estate Zone District; or two (2) ANIMAL UNITS per LOT in the R-1 (Low Density Residential) Zone District. Amend the definition of LIVESTOCK to read: LIVESTOCK: Cattle, bison, mules, burros, llamas. ostriches, elk, horses, swine, sheep, goats, poultry, rabbits. Amend Section 28.15.5 by changing the text of the first sentence from "one (1) year" to "three (3) years" with no other changes to the text. Amend Sections 31.5.2.1, 31.5.3.1, and 32.7.5.1 by deleting "over six feet in height" from the text with no other changes to the text. BE IT FURTHER ORDAINED by the Board, if any section, subsection, paragraph, sentence, clause, or phrase of this Ordinance is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions hereof. The Board of County Commissioners hereby declares that it would have enacted this Ordinance in each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid. ORD89AA RE: ORDINANCE 089-M PAGE 4 The above and foregoing Ordinance Number 89-AAwas, on motion duly made and seconded, adopted by the following vote on the 20th day of June, A.D., 1994. ATTEST: Weld County Clerk to the Board BY: Deputy Clerk to the Board APPROVED AS TO FORM: County Attorney First Reading: Publication: Second Reading: Publication: Final Reading: Publication: Effective: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO W. H. Webster, Chairman Dale K. Hall, Pro-Tem George E. Baxter Constance L. Harbert Barbara J. Kirkmeyer May 23, 1994 May 26, 1994, in the Windsor Beacon June 6. 1994 June 9, 1994, in the Windsor Beacon June 20. 1994 June 23. 1994. in the Windsor Beacon June 28, 1994 e5r, 6)• ORD89AA w�' OraST WOW .. The Board of County Cpnmtaalonara of Web County. Colorado. WO amuer a public hexing at MOO am., on Mondry, Mal Be tg$4. In rob em ail:ma 01 the Board County Commlealone of Weld County, Cmxbo, Word Cathy C.MennMlCmler. stn 10th Saran, Meet Float, ereab. CdGladq for In. propene Of oon.bering nano me Weld Cowry Zoning Ordinance a. team Mreedbg the Anm.l Unr all Unstuck deanit one to n.alde .a w prwtotk and Mohave •ooe m'fl'. Amending Seas, 2a.1CS lo wend age eee•Fxcd to subMK -a: IRarM4. Ut.it O.nIFFmeS PS 'after .oe.M ales rlwd..un. _.: D.weemottlAWAS from on. yrr••••••1eeL Anwar. atesut,, 31.6.3,1, 1041 111.141 $ r maillaugsbe feet er ewe flaunt bats :toning *Mod* end oINeN. Ap pxmn. M any manner IMxaaMd m roowwed to .Mme aid hearing and men be heard. 9..e the spa mt or any interested parry dike the ,g'en'e or . nett MOOS.' 10 make S t.Cad of the ortitmeginge. M Web. to Mr $5.4 read eb*r.. wB Mkept dekp the hearts we Ow** the 1100id shell imp Steed in wrWC of ram salon et *..tine Jaye plot 10 eM hewing. The fee el engaging a court eponet IMP be borne by the epnning beM. Ed IT ALSO KNOWN that copN* of the proposed amendment. may be menb1.d Ft Me office al the Celtic Me Dosed of Canary CS,l.ale,.e, *dated in he WSJ aunty Cannot Geer, N! 10th Street, Thief Floor, Colorado, Monday thresh FrMey. 6:00 a.m. le WOO Afif SOAK OF .COUNTY COMSSSONERS WILD COUNTY, vta 4Aw O, WARDEN CLERK TO OEMITTCIS IMAM ORTID May:. lgIM heaaet to eb.I S.. AFFIDAVIT OF PUBLICATION STATE OF COLORADO ffi COUNTY OF WELD I, ROGER A. LONGER, of said County of Wald, being duly sworn. say that I am publisher of WINDSOR BEACON a weekly newspaper having a general citeulation in said County and State, published In the town of WINDSOR, in said County and State; and that the notion, of which the annexed is a true copy. has been published in said weepy. for r successor weeks. that the notion wa. published in the regular and entire issue of every number of the paper during the period and time of publication.ion, and in the newspaper proper and not in a suppbmert. and that the first publication of said notion was in said paper bearing tht date of the , day of ^A f AD.. 199i and the last publication bearing th6 date of the day of A.D., 15 and that the said WINDSOR BEACON has been published continuously and uninterruptedly for the period of 5 conseeutSve weeks, in said County and State, prior to the date of first publiicalion of said notice, and the same is a newspaper within the meaning of an Act to regulate printing of legal notices and advertisements, approved May 16, 1931, end all prior acts so tar as in force. Subscribed and sworn to before me this ' /�day of Pi 4.7 ,102 NOTARY PUBLIC My commission expires SLay ,- i/ 9 P THIS IS TO CERTIFY THAT ALL ACCOUNTING AND BUDGETING PROCEDURES HAVE BEEN COMPLETED ON THE ATTACHED LISTED CLAIMS AS SHOWN ON PAGE 1 THROUGH 1 AND DATED MAY 23, 1994 , AND THAT PAYMENTS SHOULD BE TO THE RESPECTIVE VENDORS IN THE/AMOUNTS SET OPPOSITE THEIR NAMES, WITH THE TOTAL AMOUNT $ 534.08 D ll TIOR SERVICES SUBSCRIBED AND SWORN TO BEFORE ME THIS 23rd DAY OF MY COMMISSION XPIRES: NOTAVY-PUllt MAY 1994 My Commiraion Expire; January 10,1995 \ \ WE THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO HEREBY APPROVE THE CLAIMS AS SET FORTH ABOVE; AND WARRANTS IN PAYMENT THEREFORE ARE HEREBY ORDERED DRAWN UPON THE PAYROLL FUND - TOTALING $ 534.08 DATHIS ,23Ad rbAY 9F MAY 19 94 WELD COUNTY CLERK TO THE BOARD Nar PA WELD COUNTY PAYROLL FUND CLAIMS WARRANT NUMBER PAYEE DATE SIGNED AMOUNT 017715 BANK ONE GREELEY, NA 459.51 017716 WELD COUNTY REVOLVING FUND 74.57 WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTL•R AS OF : 05/18/94 INVOICE NUMBER ACCOUNT NUMBER ED DEPT ODJ PROD DATE : 05/18/94 PAGE : 1 WARRANT AMOUNT A220780 AGLAND INC A220781 GALICIA. RAMONA A220782 GUTIERREZ, CECELIA A2.20783 MCPEEK, ROBERT L P120634 P120691 V15183 W47496 W48211 448356 W48621 W48670 W48764 W48801 W48825 448826 W48890 X37681 MI0494 MI0494 W45135 A220784 NORTH WELD COUNTY WATER DISTRICT 030-1 A220785 PEREZ. LINDA L MI0494 11-3146-6371 11-3146-6371 11+3141-6371 11-3141-6371 11-3141-6371 11-3141-6371 11+3141-6371 11-3141-6371 11-3141-6371 11-3141-6371 11-3141-6371 11-3141.6371 11-3141-6371 11-3141-6371 21-6650-6372 21-6600-6375 24-9034-6397-4715 25-9058-6398 21-6310-6372 21-6430-6372-95 459.27 199.68 29.58 9.62- 12.65 15.54 13.29 12.71 13.30 21.70 4.43- 2.72- 17.49 28.82 807.26 11.50 11.50 18.50 18.50 10.00 10.00 4.309.89 4.309.89 sss 56.25 69.75 WAP206P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/18/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT 08J PROD DATE : 05/18/94 PAGE : 2 WARRANT AMOUNT A220785 PERE2. LINDA L M10494 A22G786 PUBLIC TRUSTEE OF WELD COUNTY HA 05016-2 HA 0501601 A220787 RANGERS SARAN MI049♦ A220788 RUNA HOME CARE SERVICES RVNA 0494 A220789 SCHIPPER. BETTY W48964 148965 A220790 VILLAGE GREEN APARTMENTS 142515 A220791 WELD COUNTY REVOLVING FUND 7994 21-6430-6377-95 21-6440-6372-95 21-6440-6377-95 21-6450-6372-95 21-6450-6377 25-9071-6398-L 25-9071-6398-L 2I-6650-6372 21-6810-6358 24-9C34-6397-4715 24-9034-6397-4715 5.30 40.75 5.29 65.50 5.00 247.84 13.00 13.00 26.00 a 22.90 22.90 xn 1.558.25 1,558.25 109.00 326.00 435.00 24-9034-6397-4715 526.00 526.00 01 -2110 -6370 -JAIL 74.00 74.00 rAP20OP WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/18/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROD DATE : 05/18/94 PAGE : WARRANT AMOUNT FINAL TOTAL : 8,047.14 sac==s WAP200P WELD COUNTY WARRANT REGISTER AS OF : 05/18/94 DATE : 05/18/94 PAGE : 4 THIS IS TO CERTIFY THAT ALL ACCOUNTING AND BUDGETING PRODECURES HAVE SEEN COMPLETED ON THE ABOVE LISTED CLAIMS AS SHOWN ON PAGE 1 THROUGH $ p AND DATED 05/18/94, AND THAT PAYMENTS SHOULD BE TO THE RESPECTIVE VENDORS IN THE AMOUNTS SET OPPOSITE THEIR NAMES, WITH THE TOTAL AMOUNT $ 7 DATED THIS DIRECT +k 0 AY 19 L7� ADMINISTRATION SERVICES SUBSCRIDED AND SWORN TO BEFORE ME THIS ;)231e1`/ DAY OF My Commission Expires January 10, 595 MY COMMISSION EXPIRES: __J. LLCl—___ 19927 e WE, THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO, HEREBY (APPROVE) (DISAPPROVE) THE CLAIMS AS SET PAYMENT THEREFORE AkE HEREBY ORDERED DRAWN UPON THE L- - FyU�N�D�- TOTALING `/-J� 19_1_- DATED THW ODAY, OF ___..� _ _ WELD COUNTY CLERK TO Inc BOARD _ a DEPUTY I MEMBER dR-;a4fr`3.' nenDER FORTH ABOVE; AND WARRANTS IN sguy2 Z—_ MEMBER MEMBER WAP2OOP WELD COUNTY WARRANT REGISTER AS OF : 35/18/94 DATE : 05/18/94 PAGE : 2 THIS IS TO CERTIFY THAT ALL ACCOUNTING AND BUDGETING PRODECURES HAVE BEEN COMPLETED ON THE ABOVE LISTED CLAIMS AS SHOWN ON PAGE 1 THROUGH 1 , AND DATED 05/18/94' AND THAT PAYMENTS SHOULD BE TO THE RESPECTIVE VENDORS IN THE 40011,51c_. AMOUNTS SET OPPOSITE THEIR NAMES, WITH THE TOTAL AMOUNT DATED THIS .... �°D• •F �, -�,r� 19 DIRECT OR•F F NAN" AND ADMINISTRATION SERVICES SUBSCRIBED AND SWORN TO BEFORE ME THIS MyCo MY COMMISSION _EXPIRES: m�ris�fonExp,resJamuzy10,1995 WE, THE DAY OF __ NOTARY PUBLIC BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO, HEREBY (APPROVE) (DISAPPROVE) THE CLAIMS AS SET FORTH ABOVE; AND WARRANTS IN PAYMENT THEREFORE ARE HEREBY ORDERED DRAWN UPON THE�dc�-1LZ�..-�.LL FUND - DATED TMS : DAYS OF n1 WELD COUNTY CLERK TO THE BOARD DEPUTY 2LMEMBER TOTALING CHAIRMAN MEMBER WWPBSIP SOCIAL SERVICES WARRANT REGISTER PAGE 1 STATE COIN PAYROLL DATE OF MAILING WARRANTS 05/05/94 WARRANT i.0. PROVIDER NAME ACCOUNT NUMBER NUMBER 000851325 6207049292 GARCIA. MADORA 12443367105UP 000851320 6206279992 HAMAKER. CAROLYN M 1244336710SUP 000851327 6207093292 HUDSPETH. CYNTHIA L 12443307105UP 000851328 6207151292 MERRELL. EDNA 12443367105UP 000851329 6205460792 MILLER. NICOLE KA 12443367105UP 000851330 6205242592 PATTY, GINA ANN 12443367105UP 000851331 6206306392 VALDEZ. PAULINE A 12443367105UP 000851332 6203791502 SIFUENTEZ. CARMEN 1244406732RET 000851333 6200757202 VELA, LUCY 1244406732RET 000851334 6204519292 AGUILAR, CINDI S 1244336732RET 000851335 6204064992 AGUILAR. MARGARET C 1244336732RET 000851336 6206800392 AGUILAR* MARIA 8 1244336732RET 000851337 6205226492 AHLSCHWEDE, CINDY K 1244336732RET 000851338 6204662692 ALVARADO. APOLONIA R 1244336732RET 000851339 6206977692 BENAVIDES, GREG 1244336732RET 00085/340 6203959192 BtNZOR. SUSANA 1Z44336732RET 000851341 6206545792 BUCKNER. JANENE 1244336732RET 000851342 6206979392 CARR. LORI 1244336732RET 000851343 6207108292 CHAVEZ, BEATRICE 1244336732RET 000851344 6204750792 COLLINS. LORI A 1244336732RET 000851345 6206546392 CONTRERAS* MARIA 1244336732RE-T 000851346 6206245792 CRAVEN, CARLA 1244336732RET 05 18 94 18:42:57 WARRANT AMOUNT $118.00 $546.00 $438.00 $622.00 3567.00 $864.00 $454.00 $65.00 83.00 $164.00 $181.00 $100.00 $284.00 $432.00 8671.00 $121.00 $219.00 $61.00 176.00 $108.00 $99.00 3334.00 WWP851P SOCIAL SERVICES WARRANT REGISTER PAGE 2 STATE COIN PAYROLL DATE OF MAILING WARRANTS 05/05/94 WARRANT I.D. NUMBER PROVIDER NAME ACCOUNT NUMBER 05 18 94 18:42:57 WARRANT AMOUNT *44444444444**44**4*******4*44*44444444444444*44*******4**4*4***444444********4444 000851347 6201065392 DEFRECE, TONI 000851348 6206474292 ENRIQUEZ, ROCHELLE 000851349 6204322292 ESPARSEN. SHARON 000851350 6205286692 EURESTIs ANDREA L 000851351 6206573892 EVERS, MONICA 000851352 6207099492 GADLEY. DONNA R 000851353 6202488692 GAONA, RITA J 000851354 6206991592 GARZA. RONNIE J 000851355 6205853492 GRAFFIAp ANTONIA 000851356 6206668792 GRIEGO. SALINA 000851357 6204779692 HERNANDEZ, CHRISTINE 000851358 6205827792 HOLDCROFT. VICKI S 000851359 6205290592 HUBBARD' PATRICIA A 000851360 6205195692 JONES, SUSIE A 000851361 6203388092 KUNZ. ROBERTA J 000851362 6205671192 LATHROP, BARBARA J 000851363 6204060392 LAUSON, NAOMI 000851364 6206261592 LOPEZ, GUADALJPE 000851365 6205365392 LOPEZ* JILL M 000851366 6205926892 LUCIANO, CELERINA 000851367 6203510092 MAES, LAURA 000851368 6204243092 MARTINEZ, MARY A 1244336732RET 1244336732RET 1244336732RET 1244336732RZT 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732REY 1244336732RET 1244336732RET 1244336732RET 1244336732RET $219.00 $356.00 $322.00 $391.00 $356.00 3432.00 $587.00 $207.00 $280.00 $280.00 $97.00 $4.00 $432.00 $356.00 $212.00 $223.00 $590.00 $280.00 $280.00 $361.00 S21.00 $356.00 MIOMIMMMMMMMMMMMMMMaiia 'ipsocIALsauZCEs WARRANT REGISTER PAGE 3 STATE COIN PAYROLL DATE OF MAILING WARRANTS 05/05/94 WARRANT NUMBER I.D. PROVIDER NAME ACCOUNT NUMBER 05 18 94 18:42:57 WARRANT AMOUNT ********************************************************************************** 000851369 6206718792 MENDEZ, FLORENCIA 000851370 6206465592 NUNEZ, SHARON 000851371 6206288692 PELICAN DELORES 000851372 6203754092 PING. ANITA G 000851373 6206631792 REED, AMANDA J 000851374 6205534792 REYES, ELVIA C 000851375 6203659992 REYES. EVELYN 000851376 6205982592 REYES, PEDRO 000851377 6206963092 RODRIGUEZ. ELIZABETH 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 000851378 6205740892 RODRIQUEZ, RENE 1244336732RET 000851379 6206853692 RODRIQUEZ, VERONICA 1244336732RET 000851380 6204535792 SANDOVAL, RENEE- M 1244336732RET 000851381 6206391692 SCHWARTZ, TARA L 1244336732RET 000851382 6206951592 STILE. BRENDA 1244336732RET 000851383 6207027892 TORRES, DAVID 1244336732RET 000851384 6205706692 VARGO1 JODY M 1244336732RET 000851385 6206460192 VEGA, NANCY 124433673ZRET 000851386 6205369692 NARDLOW, AMY 1244336732RET 000851387 6203912101 MARFITANO' MICHAEL 1244346732RET 000851388 6204915302 REEDER, RENA R 1244346732RET 000851389 6206068502 YOUNG, DIANA 1244346732RET NUMBER OF WARRANTS z 65 TOTAL = $92.00 $99.00 $280.00 $473.00 *298.00 $99.00 $356.00 *455.00 $280.00 *5.00 $280.00 $338.00 $109.00 $61.00 31.212.00 5171.00 $397.00 $73.00 *1.00 $53.00 $229.00 $18.560.00 WWP&S1P SOCIAL SERVICES WARRANT REGISTER PAGE 4 STATE COIN PAYROLL DATE OF MAILING WARRANTS 05/05/94 WARRANT I.D. PROVIDER NAME ACCOUNT NUMBER NUMBER NUMBER OF WARRANTS = 65 05 18 94 18:42:57 WARRANT AMOUNT TOTAL = $18,560.00 THIS IS TO CERTIFY THAT ALL ACCOUNTING AND BUDGETING PROCEDURES HAVE BEEN COMPLETED ON THE ABOVE LISTED CLAIMS AS SHOWN ON PAGE 1 THROUGH 3 , AND DATED 05 18 94, AND THAT PAYMENTS SHOULD BE TC THE RESPECTIVE VENDORS IN THE AMOUNTS SET OPPOSITE THEIR NAMES, WITH THE TOTAL AMOUNT DATED THIS O v 19 q4/ • DIRECTOR OF FINANCE AND ADMINISTRATXON SERVICES SUBSCRIDEn AND SWORN TO BEFORE ME THIS c 3 'D DAY OF MY COMMISSION tXPIRES: Ys CCmfltt NOTARY PUBLIC WE, THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO, HEREBY (APPROVE) (DISAPPROVE) THE CLAIMS AS SET FORTH ABOVt; AND WARRANTS IN PAYMENT THEREFORE ARE HEREBY ORDERED DRAWN UPON THE.d.e.r \L. _ jaZCco FUND - TOTALING $ _a511.__ 19_9S. DATED HISAYOF 19 __[_• MIS WELD COUNTY CLERK TO THE BOARD DEPUTY 4r MENDER MENDER MEMBER CHAIRMAN MEMBER WWP851P SOCIAL SERVICES WARRANT REGISTER PAGE 1 STATE COIN PAYROLL DATE OF MAILING WARRANTS 05/13/94 WARRANT NUMBER 000851579 000851580 000851581 000851582 000851583 000851584 000851585 000851586 000851587 000851588 000851589 000851590 000851591 000851592 000851593 000851594 000851595 000851596 000851597 000851598 000851599 000851600 I.D. 6205355292 6205066592 6206622492 6205314092 6204932592 6204476192 6205589292 6204496192 6205831792 6205273892 6202411492 6205261992 PROVIDER NAME ABREO1 CONNIE N ACOSTA, MARIE A ADAMS* BONNIE ALANIZ, ANDREA S ALFARO, CHRISTINA ANDRADE, JUANITA ANTUNA, DIANA ARAGON, BEATRICE ARCHIDEQUE, CASANDRA ARCHULETA* MARGARET J AGM -LANG, ALICE M AYALA, JUANA 6205213192 BARCELONA* TERRIE S 6206589292 BASSETT, BONITA J 6206593792 6205562892 6206126392 6207050492 6206723592 6205539692 6205432092 6205356592 BENNETTS, REBECCA 0 BERG VICKY L BJORKLUND, CHARLOTTE SLACKER, NENA K BLACKSTON, KAREN R SLACKSTON, SUZANNE M BLAIR. ALICE BLANCO, LUCY ACCOUNT NUMBER 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732R£T 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RE7 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 05 18 94 18:48:31 WARRANT AMOUNT $50.00 050.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 *50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $200.00 WWP851P SOCIAL SERVICES WARRANT REGISTER PAGE 2 STATE COIN PAYROLL DATE OF MAILING WARRANTS 05/13/94 WARRANT I.D. PROVIDER NAME ACCOUNT NUMBER NUMBER 000851601 6206662692 BLEDSOE* GLENDA J 1244336732RET 000851602 6204407292 BONILLA* LINDA 1244336732RET 000851603 6205368092 BRACG* 8ALYNDA E 1244336732RET 12443367J2RET 1244336732RET 1244336732RE7 1244336732RET 1244336732RET 1244336732RET 1244336732RET 12443)6732RET 000851612 6203512092 CARRIZALCS, AMADA 12443J6732RET 000851613 6205303892 CASTLE. DANNY P 1244336732RET 000851614 6203092192 CATTI CAROL S 1244336732RET 000851615 6202196392 CERVANTES* MANUELA 1244336732RET 000851616 6206879992 CERVANTES* MICHELLE R 1244336732RE7 000851617 6205463192 CHAUVEAUp VERONIQUE H 1244336732RET 000851618 6202113492 CHAVEZ. DOMITILIA 1244336732RE7 000851619 6203121292 CHAVEZ, NANCY J 1244336732RE7 000851620 6204947992 CHERAMY, DONNA J 1244336732RCT 000851621 6206482892 CLARKE* KRISTIN K 1244336732RET 000851622 6205489092 CLASEN* GINGER M 1244336732RET 000851604 6205927392 BRICENO, TINA 000851605 6205539492 BROCK* CYNTHIA 000851606 6204603692 DRUM, SHERYL L 000851607 6205162092 BURCHI, DEBRA 000851608 6203485392 DURHAM* GERALDINE 000851609 6204900292 CARDONA* MELISSA 000651610 6204837192 CARLSON, TRINEE S 000851611 6205147992 CARRILLO, PAULINE 05 18 94 18:48:31 WARRANT AMOUNT $50.00 $50.00 850.00 350.00 $50.00 $50.00 350.00 $50.00 $50.00 $50.00 $50.00 650.00 $50.00 $50.00 $17.31 $50.00 850.00 $50.00 $50.00 $50.00 350.00 150.60 WWP851P SOCIAL SERVICES WARRANT REGISTER PAGE 3 STATE COIN PAYROLL DATE OF MAILING WARRANTS 05/13/94 WARRANT I.D. PROVIDER NAME ACCOUNT NUMBER NUMBER 000851623 6206581392 CLASEN, KAREN R 1244336732RE7 000851624 6205701092 CLINESMITH, HOLLY 0 1244336732RET 000851625 6205651992 COLE, VICKY 1244336732RET 000851626 6204750792 COLLINS, LORI A 1244336732RET 000851627 6205880092 COLLOP, KRISTIE L 1244336732RE7 000851628 6205761792 CORRAL, MONICA 1244336732RET 000851629 6205322492 CRCS, JANET L 1244336732RET 000851630 6203863192 CRUZ, LIDIA 1244336732RET 000851631 6205841292 CRUZ, PAMELA 1244336732RE7 000851632 6205019492 DE8R0CK, CHARLOTTE A 1244336732RET 000851633 6205576592 DELACRUZ, CAROLINE 1244336732RET 000851634 6202303392 DEVARGAS, RUTH 1244336732RET 000851635 6203760592 DORMAN, SARA C 1244336732RET 000851636 6205399292 DOUGHERTY, THERESA C 1244336732RET 000851637 6205061892 DUGGER, SHIRLEY 1244336732RET 000851638 6203224892 ESPARZA, VICTORIA 1244336732RET 000851639 6203821892 FAUDOA, DEBRA S 1244336732RET 000851640 6202302692 FOX, SHIRLEY P 1244336732RZT 000851641 6206113792 FREDERICK, DIANA R 1244336732RET 000851642 6203407692 FUENTES, DEHITA D 1244336732RET 000851643 6207099492 GADLEY, DONNA R 1244336732RET 000851644 6206126692 GALLEGOS, JENNIFER 1244336732RET 05 18 94 18:48.31 WARRANT AMOUNT 350.00 350.00 350.30 550.00 350.00 350.00 550.00 350.00 s50.00 350.00 $30.00 $50.00 *50.30 $50.00 $50.00 S50.00 $50.00 350.00 *50.00 350.00 *50.00 $50.00 WMP851P PAGE 4 DATE OF MAILING WARRANTS WARRANT NUMBER 000851645 000851646 000851647 000051648 0008 51649 000851650 000851651 000851652 000851653 000851654 000651655 000851656 000851657 000851658 000851659 000851660 000851661 000851662 000851663 000851664 000851665 I.D. 6205619392 6204399992 6206284992 6205550292 6205362792 6206170692 6204109292 6204823592 6204459392 6202954692 6205853492 6204491592 6206620192 6205245392 6206851992 6204493892 6205976092 6205052592 6201640292 6205011192 6206820392 SOCIAL SERVICES WARRANT REGISTER STATE COIN PAYROLL 05/13/94 PROVIDER NAME GARCIA, ANNA GARCIA, JOANNE GARCIA, MARIA D GERARDY, PATRICIA S GERDES, LISA GOMEZ, JEANETTE GONZALES, CARMEN G GONZALES, DEBRA L GONZALES, SANDRA K GONZALES, THERESA GRAFFIA. ANTONIA GUTIERREZ) ESMERALDA GUTIERREZ, JODY GUTIERREZ# REGINA M HACKETT, JANET K HAMMER) ROSEMARY HARDY, BELINDA G HARP, WEND' HELZER, SUSAN M MEMORY, ANGELINA HENDERSON, LYNETTE M 000851666 6204491792 HERNANDEZ, DIANE ACCOUNT NUMBER 1244336132RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 12443367329ET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RCT 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336132RET 12443367329LT 1244336732RET 05 18 94 18:48:31 WARRANT AMOUNT 350.00 $50.00 $50.00 350.00 350.00 $50.00 $50.00 350.00 $46.16 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 350.00 sso.o0 $50.00 $50.00 $50.00 MWP851P SOCIAL SERVICES PAGE 5 STATE COIN DATE OF MAILING WARRANTS 05/13/94 WARRANT NUMBER I.D. PROVIDER NAME WARRANT REGISTER PAYROLL ACCOUNT NUMBER 05 18 94 18:46:31 WARRANT AMOUNT ********************************************************************************** 000851667 000851668 000851669 000851670 000851671 000051672 000851673 000851674 000851675 000851676 000851677 000851678 000851679 000851680 000651681 000851682 000851683 000851684 000851685 000851686 000851687 000851688 6206046892 6203950692 6206567292 6205519992 6205620992 6205065492 6206097592 6205290592 6203256692 6206298092 6206321992 6206345492 6205125892 6205193992 6206944392 6204030592 6206041692 6206322092 6205354992 6206503492 6204161592 6206516392 HERNANDEZ, DONNA HERNANDEZ, JOSEFINA H HERNANDEZ, JUANITA HERNANDEZ, MELISSA HINSHAW, PATRICIA N MOLDER, RITA F MOLDERNESS, REBECCA HUBBARD, PATRICIA A HUFF, PATRICIA S INGRAM, LORI JARAMILLO, MARIA G JOHNSON, BEVERLY A JUREK, GAIL KIME5, DOREEN KING, GAIL S KIRKPATRICK, LINDA N KUHN, TANNA C LANGE, CRYSTAL L LARSON, LISA LEBLANC, MARY LECMUGA, LORI LIRA, SANDRA 1244336732R£T 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RCT 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 550„00 $50.00 $50.00 650.00 $50.00 $50.00 $50.00 $50.00 $50.00 650.00 650.00 $50.00 650.00 sso.00 $50.00 650.00 $50.00 $50.00 670.00 $50.00 350.00 $50.00 WWP851P SOCIAL SERVICES WARRANT REGISTER PAGE 6 STATE COIN PAYROLL DATE OF MAILING WARRANTS 05/13/94 WARRANT NUMBER I.D. PROVIDER NAME ACCOUNT NUMBER 000851689 6206281892 LIVINGSTON, KATHLEEN 1244336732RET 000851690 6205362592 LOPEZ, LAURIE 1244336732RET 000851691 6204790792 LOPEZ, SYBIL G 1244336732RET 000851692 6204534892 LUGERO, DELORES 1244336732RET 000851693 6205542792 LUCERO, DOROTHY F 1244336732RET 000851694 6204512592 LUEHRING, DIANA K 1244336732RET 000851695 6206710292 LUNA, MARIA 1244336732RET 000851696 6205363092 M, NIKKI 1244336732RET 000851697 6206801392 MADRID, LAURA 1244336732RET 000851698 6205929392 MAGRUDER, KIMBERLY D 1244336732RET 000851699 6205706092 MAIN, PAMELA K 1244336732RET 000851700 6201698492 MALDONADO, EDWINA A 1244336732RET 000851701 6205259092 MALDONADO, GRACE 1244336732RET 000851702 6204620092 MALDONADO, LIDIA 12443J6732kET 000851703 6204026892 MARKLEY, TERRY L 1244336732RET 000851704 6203222992 MARQUEZ, ANITA 1244336732RET 000851705 6204843192 MARQUEZ, FRANCES 1244336732RET 000851706 6205655192 MARTINEZ, ANNA 0 1244336732RET 000851707 6204612492 MARTINEZ, BETTY B 1244336732RET 000851708 6205263092 MARTINEZ, CELIA M 1244336732RET 000851709 6205114192 MARTINEZ, ROSE M 1244336732RET 000851710 6204149592 MARTINEZ, ROSEMARY 1244336732RET 05 18 94 18:48:31 WARRANT AMOUNT $356.00 $50.00 $50.00 $50.00 $50.00 $50.00 *50.00 650.00 $50.00 $50.00 $50.00 sso.00 $50.00 $50.00 $50.00 850.00 sso.00 $50.00 s5o,00 $50.00 $50.00 sso.00 WWP851P SOCIAL SERVICES WARRANT REGISTER PAGE 7 STATE COIN PAYROLL DATE OF MAILING WARRANTS 05/13/94 WARRANT I.D. PROVIDER NAME ACCOUNT NUMBER NUMBER 000851711 6206901292 MARTINEZ, SHELLY A 000851712 6206330492 MARVIN, ROBIN L 000851713 6206959292 MAUCK, ANGELA K 000851714 6206924992 MCKAY, PAUL L 000851715 6205173092 MECILLAS, PAMELA 000851716 6206041592 MEDINA, TAUNIA E 000851717 6204872392 MENDEZ, PATRICIA 000851718 6205545992 MENDEZ' ROSEMARY 000851719 6204566292 MERAZ, JANEL M 000851720 6204332892 MESE, VICTORIA S 000851721 6204969192 MESTAS, CLARA L 000851722 6205716392 MEYER, TINA L 000851723 6207043492 MOESER, BRENDA J 000851724 6206334692 MONTOYAD TERRY 000851725 6205527392 MORALES, GLORIA I 000851726 6204094892 MORENO, MARYLOU 000051727 6206516892 MURPHY, REBEKAH 000851728 6203981692 NELSON, LAURA J 000851729 6205378992 NEVAREZf CHRISTINE 000851730 6206039692 NILES' DAWN R 000851731 6203952892 NIRAD BARBARA J 000851732 6204816792 OCANAS, LINDA 1244336732RET 1244336732R£T 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 05 18 94 18:48:31 WARRANT AMOUNT 650.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50e00 $50.00 $50.00 650.00 $50.00 $50.00 $50.00 650.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 WWP8SIP SOCIAL SERVICES WARRANT REGISTER PAGE B STATE COIN PAYROLL DATE OF MAILING WARRANTS 05/13/94 WARRANT NUMBER I•D. PROVIDER NAME ACCOUNT NUMBER 05 18 94 18:48131 WARRANT AMOUNT t#***************R*tt*****************,tx,taF,tk,t,t,t,tR,F,t,t,t A,t,t************************** r 000851733 000851734 000851735 000851736 000851737 000851738 000851739 000651740 000851741 000651742 000851743 000851744 000851745 000851746 000851747 000851748 000851749 000851750 000851751 6204223192 6205739792 6205193192 6204327192 6204939092 6206305492 6204129092 6203466792 6205611792 6205061692 6206219992 6205880192 6203992692 6206624892 6205103492 6205753492 6204620692 6201614392 6203973992 000851752 6206082592 000851753 6205553692 000851754 6206029492 OLIN, LORRAINE OLIVAS, WINDY L ORONA, KAYDENE OSORIO, LEASA A OVALLE' MARIA A PAQUETTE' FRANCIS 0 PAZ GLORIA PEREZ, JOSIE PEREZ, REBECCA PISANA, DEBRA L POGUE' JANICE PONCE' MARY A POST' PEARL I QUINONEZ, DOREEN QUINONEZ, ELSA M RAMIREZ' ADRIANA RAMIREZ' DOROTHY M RECIO, LORRAINE REDFERN' NANCY M REED, ROBERTA K REFFEL, TRACY REFIOR, LOUANN K 1244336732RET 1244336732RET 1244336732RHT 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 150.00 $50.00 $50.00 $100.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 150.00 $50.00 $50.00 $50.00 WWP8SIP SOCIAL SERVICES WARRANT REGISTER PAGE 9 STATE COIN PAYROLL DATE OF MAILING WARRANTS 05/13/94 WARRANT I.D. NUMBER PROVIDER NAME 000851755 6206598492 RENFREW. LYNNE C 000851756 6205452792 RENKE. EMILY 000851757 6203659992 REYES, EVELYN 000851758 6206101792 RINGQUIST. FORTUNE R 000851759 6202204692 RIVERA, ELVIRA 000851760 6205496992 RIVERA. MARIA 000851761 6205701392 RIVERA, MARY 000851762 6206691092 RIVERA, ROBERTA 000851763 6204388592 RODRIGUEZ. JOANN 000851764 6205945292 RODRIGUEZ, PRISCILLA 000851765 6204966392 RODRIGUEZ; ROSA I 000851766 6205268592 RODRIQUEZ. REBECCA 000851767 6202715792 RODRIQUEZ. ROBERTA 000851768 6206161392 RONDON. CARMEN M 000351769 6205592992 ROSALES. MARIE A 000851770 6205527092 RUBIO. CARMEN 000851771 6205665192 RUSSELL, ROSALIE 000851772 6204082092 RYAN. DOLORES 0 000851773 6204835892 RYE, GLENDORA R 000851774 6201982292 SALAZAR. GUADALUPE A 000851775 6204441392 SALAZAR, REBECCA I 000851776 6205127092 SANCMEZ. DALIA ACCOUNT NUMBER 1244336732RET 1244336732RCT 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RCT 1244336732RET 1244336732RET 1244336732RET 05 18 94 18:48:31' WARRANT AMOUNT 050.00 050.00 050.00 $50.00 050.00 050.00 850.00 $50.00 850.00 $50.00 $50.00 050.00 $50.00 $50.00 350.00 050.00 850.00 $50.00 $50.00 $50.00 850.00 850.00 WMP851P SOCIAL SERVICES WARRANT REGISTER PAGE 10 STATE COIN PAYROLL DATE OF MAILING WARRANTS 05/13/94 WARRANT NUMBER I.D. PROVIDER NAME ACCOUNT NUMBER 000851777 6206189792 SANDOVAL, DEANN 1244336732RET 000851775 6205322792 SANDOVAL, FLORENCE B 1244336732RET 000651779 6204445692 SANDOVAL, PAULA S 1244336732RET 000851780 6204535792 SANDOVAL' RENEE M 1244336732RET 000851781 6206359292 SAVAGE, CARRIE 1244336732RET 000851782 6204701292 SCHMIDT, TERESA A 1244336732RET 000851783 6207062792 SCHNORR, MARY A 1244336732RET 000851784 6206476392 SCHRIVER, TAMARA M 1244336732RET 000051785 6204884592 SHANKS, CYNTHIA K 1244336732RET 000851786 6204988492 SHULTZ, SANDRA D 1244336732RET 000851787 6205296392 SILVA, LYNNETTE L 1244336732RET 000851788 6204566892 SMITH; RANDA 1244336732RET 000851789 6202057492 SMITH, VIRGINIA 1244336732RET 000851790 6205726292 SOTO, YVONNE R 1244336732RET 000851791 6204386092 SPARKS, DIANE N 1244336732RET 000851792 6206686992 STEELE, GLENDA M 1244336732RET 000851793 6205446692 SULLIVAN, PEGGY J 1244336732RET 000851794 6204022392 SWANSON, JANICE 1244336732RET 000851795 6206829592 SWEIGARD, ATHINA 1244336732RET 000851796 6206659592 SWITSER, RUTH 1244336732RET 000851797 6204884192 TANGUMA, PATRICIA N 12443J6732RET 000851798 6206888892 THIBAULT; RO88E- M 1244336732RET 05 18 94 18:48:31 WARRANT AMOUNT 350.00 550.00 350.00 $54).00 *50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 x50.03 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 WWP851P SOCIAL SERVICES WARRANT REGISTER PAGE 1I STATE COIN PAYROLL DATE OF MAILING WARRANTS 05/13/94 WARRANT I.O. PROVIDER NAME ACCOUNT NUMBER NUMBER 05 18 94 18:48:31 WARRANT AMOUNT ***************************************************************************** 000851799 6204342190 TOVAR, JULIA 1244336732RET 000851800 6207041392 TREJO CONCEPCION 1244336732RET 000851801 6206590592 TREVIZO, DOLORES 1244336732RET 000851802 6207059192 TUCKER, SHARON A 1244336732RET 000851803 6205591292 VALDEZ, KRISTINE M 1244336732RET 000851804 6206495492 VALLADARES, GABRIELA 1244336732RET 000851805 6205826192 VASQUEZ, ANOREATTA 1244336732RET 000651806 6204071192 VASQUEZ, ROSE 1244336732RET 000851807 6204857092 VIGIL, ELIZABETH A 1244336732RET 000851808 6205462992 VILLANUEVA) ORALIA 1244336732RET 000851809 6205012292 VILLEGAS, DIANA L 1244336732RET 000851810 6202643092 VILLEGAS, ISABEL 1244336732RET 000051811 6207024892 VOLPE, CHRISTINA M 1244336732RET 000851812 6206389192 WAREHIMC, GINGER 1244336732RET 000851813 6205926292 WHEELER, KAREY L 1244336732RET 000851814 6203712692 WILLIAMS; TERRY L 1244336732RET 000851615 6206795492 WILLIAMSON, BARBARA J 1244336732RET 000851816 6206292392 YATES, ELIZABETH 1244336732RET 000851817 6206879192 YBARRA, CECILIA 1244336732RET 000851818 6205449692 ZELLER, MARGARET A 1244336732RET NUMBER OF WARRANTS = 240 TOTAL = $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 $50.00 S50.00 $50.00 $50.00 $12,469.47 WWP851P SOCIAL SERVICES WARRANT REGISTER PAGE 12 STATE COIN PAYROLL DATE OF MAILING WARRANTS 05/13/94 WARRANT NUMBER I.D. PROVIDER NAME ACCOUNT NUMBER NUMBER OF WARRANTS = 240 05 18 94 18:48:31 WARRANT AMOUNT TOTAL = $12,469.47 THIS IS TO CERTIFY THAT ALL ACCOUNTING AND BUDGETING PROCEDURES HAVE BEEN COMPLETED ON THE ABOVE LISTED CLAIMS AS SHOWN ON PAGE 1 THROUGH 11 , AND DATED 05 18 94, AND THAT PAYMENTS SHOULD BE TO THE RESPECTIVE VE N DOR SIN THE $14/122.177 AMOUNTS SET OPPOSITE THEIR NAMES, WITH THE TOTAL AMOUNT DATED THIS CO 9AX�F 19 2g. SUBSCRIBED NANCE AND ADMINISTRATION SERVICES AND SWORN TO BEFORE ME THIS r2.��o DAY V� y.•u. .,. MY COMMISSION EXPIRES: _ NOTARY PUBLIC WE, THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO, HEREBY (APPROVE) (DISAPPROVE) THE CLAIMS AS SET FORTH ABOVE; AND WARRANTS IN PAYMENT THEREFORE EARE HEREBY ORDERED DRAWN UPON THE 6y22-3al...SUNO - TOTALING DATED T CiJ °DAY OF NC - O F 111,1S: • 19 WELD COUNTY CLERK TO THE BOARD DEPUTY MEMBER MEMBER WMP851P SOCIAL SERVICES WARRANT REGISTER PAGE 1 STATE COIN PAYROLL DATE OF MAILING WARRANTS 05/12/94 WARRANT I.D. PROVIDER NAME ACCOUNT NUMBER NUMBER 000851525 6204344402 SCHRADER FUNERAL HOME 1244406396DUR 000851526 6206844892 FRINGER. KIMBERLY 1244336710SUP 000851527 6205382092 GARCIA; EVELYN 1244336710SUP 000851528 6206185292 GONZALEZ, THELMA 12443367105UP 000851529 6206909992 HERRERA, ELSA 12443367105UP 000851530 6206858892 HOWARD, DAWN D 12443367105UP 000851531 6206026392 LEE, ART NAN 1244336710SUP 000851532 6207137592 MARTIN, DANIELLE ROSE 12443367105UP 000851533 6207084392 ORTIZ, MARTINA 12443367105UP 000851534 6204924392 RAMOS, JEAN L 1244336710SUP 000351535 6204995892 ROBERTS, MARIA A 12443367105UP 000851536 6207141692 RODRIGUEZ, ANALAURA 12443367105UP 000851537 6205470292 MUNOZ, YVETTE MARIE 124433671CSUP 000851538 6207022792 ONORATO, JULIE A 12443367105UP 000851539 6207157901 AVILA, ANTONIO 1244406732RET 000851540 6201707402 PETTYJOHNO RUBYI 1244406732RET 000851541 6205629592 ANZALDUA. AMY M 1244336732R1T 000851542 6204787992 BACA, ELOISA L 1244336732RET 000851543 6204049792 8AEZA1 BALVINA J 1244336732RET 000851544 6206359092 CADENAO YOLANDA 1244336732RE7 000851545 6206883692 CANTU, CARMEN E 1244336732RET 000851546 6207149792 CANTU, MARIA I 1244336732RET 05 18 94 18:52:01 WARRANT AMOUNT 51.393.00 $589.00 $99.00 5151.00 $341.00 $386.00 $419.00 $219.00 $307.00 $496.00 $802.00 $660.00 1512.00 $219.00 3514.00 $316.00 $261.00 $488.00 5432.00 $97.0J 3209.00 3280.00 WWPBSIP SOCIAL SERVICES WARRANT REGISTER PAGE 2 STATE COIN PAYROLL DATE OF MAILING WARRANTS 05/12/94 WARRANT NUMBER I.D. PROVIDER NAME ACCOUNT NUMBER 000851547 6206051892 CARRILLO, CARMEN R 1244336732RET 000851548 6206540892 FLORES, GABRIELA 1244336732RET 000851549 6206044292 FLORES, MARIA 1244J36732RET 000851550 6205094292 FLORES, WILLA M 1244336732RET 000851551 6206994492 GARCIA, GRACIELA 1244336732RET 000851552 6205097492 GONZALEZ, FRANCES P 1244336732RET 000951553 6205226592 GUAJARDO, PATRICIA 1244336732RET 000851554 6203192792 JARAMILLO. SILVIA 1244336732RET 000851555 6204847792 JOHNSTON, VIOLET 1244336732RET 000851556 6205125892 JUREK. GAIL 1244336732RET 000851557 6205671192 LATHROP, BARBARA J 1244336732RET 000851558 6206962592 LOFFELMACHER, MITZI 1244336732RET 000851559 6206029792 LUGERO, VALERIE 1244336732RET 000851560 6203952292 MABRY, THERESA 1244336732RET 000851561 6207011592 MARTENEY, KATE J 1244336732RET 000851562 6207137592 MARTIN, DANIELLE R 1244336732RET 000851563 6206282192 MARTINEZ, JENNIFER A 1244336732R£T 000851564 6206479292 MENDOZA, IRMA L 1244336732RET 000851565 6206293992 MEZA, ROSALINDA 1244336732MET 000651566 6205390992 MONTIEL, BARBARA J 1244336732RET 000851567 6206237692 MURRAY, JANET 1244336732RET 000851568 6206944992 ORTEGA, APRIL 1244336732RET 05 18 94 18-52_01 WARRANT AMOUNT 3311.03 $99.00 $432.00 *590.00 $65.00 $600.00 $3G9.00 $87.00 $280.00 $50.00 $280.00 $280.00 $211.00 $512.00 $219.00 $219.00 $191.00 $313.00 $372.00 $267.00 $356.00 589.00 WWP851P SOCIAL SERVICES WARRANT REGISTER PAGE 3 STATE COIN PAYROLL DATE OF MAILING WARRANTS 05/12/94 WARRANT I.D. PROVIDER NAME ACCOUNT NUMBER NUMBER 000851569 6205945292 RODRIGVEZ, PRISCILLA 000851570 6206291992 SANCHEZ, RAE 000851571 6207126892 STOCKER, BRENDA 000851572 6206131792 TOMAS. MAGDALENA 000851573 6204071192 VASQUEZ* ROSE 000851574 6206339701 JACKSON, DILL 000851575 6207062002 WELLS, SHARON NUMBER OF WARRANTS = 51 1244336732kET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244346732RET 1244346732RET TOTAL 05 18 94 18:5201 WARRANT AMOUNT $156.00 $208.00 $280.00 $94.00 $5.60 $150.00 $916.00 $17,211.60 WWP851P SOCIAL SERVICES WARRANT REGISTER PAGE 4 STATE COIN PAYROLL DATE OF MAILING WARRANTS 05/12/94 WARRANT 1.0. PROVIDER NAME ACCOUNT NUMBER NUMBER NUMBER OF WARRANTS = 51 05 18 94 18:52:01 WARRANT AMOUNT TOTAL = $17,211.60 THIS IS TO CERTIFY THAT ALL ACCOUNTING AND BUDGETING PROCEDURES HAVE BEEN COMPLETED ON THE ABOVE LISTE) CLAIMS AS SHOWN ON PAGE 1 THROUGH 3 , AND DATED 05 18 94, AND THAT PAYMENTS SHOULD BE TO THE RESPECTIVE VENDORS IN THE AMOUNTS SET OPPOSITE THEIR NAMES, WITH THE TOTAL AMOUNT DATED THIS 07 2CO 19 sJ_7G21r. iO6 • DIRECTOR OF FINANCE AND ADMINISTRATION SERVICES SUBSCRIBED AND SWORN TO BEFORE ME THIS 22311" DAY OF 19 �. MY COMMISSION EXPIRES: ti1yCOCc17�SSiCn y„CSJanurylu,r, OTARY PUBLIC . WP WE, THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO, HEREBY (APPROVE) (DISAPPROVE) THE CLAIMS AS SET FORTH ABOVE: AND WARRANTS IN PAYMENT THEREFORE ARE HEREBY ORDERED DRAWN UPON f) THE L V FUND .• TOTALING $ J'/,OL111L,k) DATED IS Q,E9 DAY OF __ 19_5 . WELD COUNTY CLERK TO THE BOARD C DEPUTY MEMBER MEMBER MEMBER IMO CFA RMAN MEMBER WWP851P SOCIAL SERVICES PAGE 1 STATE COIN DATE OF MAILING WARRANTS 05/09/94 WARRANT NUMBER 000851393 000851397 000851398 000851399 000851400 000851401 000851402 000851403 000851404 000851405 000851406 000851407 000851408 000851409 000851410 000851411 000851412 000851413 000851414 000851415 I.D. PROVIDER NAME WARRANT REGISTER PAYROLL 6206783901 ALLNUTT FUNERAL SERVI 6204083192 GARCIA1 DARLENE T 6205324792 GUNTER, DIANE L 6206943601 AVINA, ASUNCION G 6204344802 BASEHAR, TWYLA 6206890102 TURREZ, BETTY J 6202027902 VINSON, BERTHA 6205791492 6206068192 6203361192 6206546192 6205052792 6206958792 6205632992 6205513892 6206876292 6206280792 6206037592 6205166592 BENAVIDEZ, ANGIE F CALDERON. IRENE DIAZ, EILEEN J GAMB0A, SYLVIA LANMAYER, LAURA L LUCAS, COURTNEY MANZANARES, MELISSA A MATHISEN, KELLY MORALES, DEBORAH MORALES, ESTHER SALAZAR, LAURA L SANTIBANEZ, MAGDA 6203805701 MONTE2, JESUS F NUMBER OF WARRANTS = 20 ACCOUNT NUMBER 124440639600R 1244336710SUP 1244336710SUP 1244406732RET 1244406732RET 1244406732RET 1244406732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 12443J6732RET 1244336732RET 1244336732RET 1244336732RE•T 1244336732RET 1244336732RET 1244336732RET 1244346732RET TOTAL = 05 18 94 19:02:13 WARRANT AMOUNT $1,500.00 $496.00 $379.00 356.00 $303.00 417.00 *15.00 5370.00 3280.00 $160.00 $99.00 $539.00 *159.00 $ 209.00 $512.00 $345.00 $415.00 * 356.00 $292.00 *30.00 $6,S32.00 T WWPBSIP SOCIAL SERVICES WARRANT REGISTER PAGE 2 STATE COIN PAYROLL DATE OF MAILING WARRANTS 05/09/94 WARRANT NUMDER I.D. PROVIDER NAME ACCOUNT NUMBER 05 18 94 19:02:13 WARRANT AMOUNT ************************************************************ NUMBER OF WARRANTS = 20 TOTAL = L6,532.00 THIS IS TO CERTIFY THAT ALL ACCOUNTING AND BUDGETING PROCEDURES HAVE BEEN COMPLETED ON THE ABOVE LISTED CLAIMS AS SHOWN ON PAGE 1 THROUGH 1 , AND DATED OS 18 94, AND THAT PAYMENTS SHOULD DE TO THE RESPECTIVE VENDORS IN THE AMOUNTS SET OPPOSITE THEIR NAMES, WITH THE TOTAL AMOUNT i� DATED THIS CA 199S. DIRECT' 'F "I'ANCE AND ADMINISTRATION SERVICES V/ SUBSCRIBED AND SWORN TO BEFORE ME THIS �.� Q �DAY OF _.�.1�11-119 1 J . MY COMMISSION EXPIRES: MyCommission ExpiresJa uary10.tsw OTARY PUBLIC WE, THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO, HEREBY (APPROVE) (DISAPPROVE) THE CLAIMS AS SET FORTH ABOVE: AND WARRANTS IN PAYMENT THEREFORE ARE HEREBY ORDERED DRAWN UPON • THE 'Y^Al FUND - DATED TMjS ,Pyt ODAY OF fila2. WELD COUNTY CLERK TO THE BOARD kg? _ cirkith- i.) DEPUTY MEMBER MEMBER TOTALIAG 19_gs. MEMDER MEMBER WWP851P SOCIAL SERVICES WARRANT REGISTER PAGE 1 STATE COIN PAYROLL DATE OF MAILING WARRANTS 05/02/94 WARRANT NUMBER I.D. PROVIDER NAME ACCOUNT NUMBER 000851265 6206476292 CLARK, CAROLYN A 12443367105UP 000851266 6204391592 DODEROp BRENDA L 12443367105UP 000851267 6207160192 HALL* MELONIE 12443367105UP 000851268 6204013592 SANCHEZ* MARY E 1244336710SUP 000851269 6201855592 VASQUEZ* ROSE G 1244336710SUP 000851270 6207138802 GARCIA* CIRENIA 1244406732RET 000851271 4207157801 MIJARE5. SAMUEL 1244406732RET 000851272 6204182692 ALVAREZ* JUAN 1244336732RET 000851273 6204980892 ARAGON* RAMONA 1244336732RET 000851274 6206714992 BLOMBERG, KELLY 1244336732RET 000851275 6207106292 BRCWNLIE, BEVERLY E 1244336732RCT 000851276 6205495692 CARDONA, LINDA 1244336732RET 000851277 6207094992 CAREY. ALISSA 1244336732RET 00085/278 6204642692 CARRILLO* APRIL 1244336732RET 000851279 6207132292 DREHER* HEIDI M 1244336732RET 000851280 6207133992 ECHEVERRLA, DENISE M 1244336732RET 000851281 6204650192 GONZALEZ, JANE A 1244336732RET 000851282 6205123492 GRIEGO, PAULA A 1244336732RET 000851283 6206756392 HEMBREY, AMANDA 1244336732RET 000851284 6204779692 HERNANDEZ* CHRISTINE 1244336732RET 000851285 6207147592 LARA0 YOLANDA 1244336732RET 000851286 6206459992 LOPEZ, ADA 1244336732RET 05 18 94 19:06:35 WARRANT AMOUNT $455.00 3358.00 5257.00 6731.00 5712.00 $506.00 $78.00 $451.00 $356.00 5475.00 $240.00 $356.00 529.00 $130.00 $356.30 $512.00 $44.00 $356.00 5381.00 $415.00 $432.00 $280.00 WWP8S1P PAGE 2 DATE OF MAILING WARRANTS WARRANT NUMBER Y.D. SOCIAL SERVICES WARRANT REGISTER STATE COIN PAYROLL 05/02/94 PROVIDER NAME ACCOUNT NUMBER 05 18 94 19:06:35 WARRANT AMOUNT ********************************************************************************** 000851287 000851288 000851289 000851290 000851291 000851292 000851293 000851294 000851295 000851296 000851297 000851298 000851299 000851300 000851301 000851302 000851303 000851304 000851305 000851306 000851307 000851308 6204692492 6206767892 6206965892 6204790792 6204937892 6205742692 6207157092 6207128992 6207129492 6207129692 6204103592 6207117892 6206413492 6207149392 6205950292 6205611792 6206639492 6206481892 6207101492 6207128192 6204553592 6203762392 LOPEZ, BEATRICE M LOPEZ, CHRISTINA M LOPEZ, JUANITA LOPEZ, SYBIL G LUCERO, RANDS K LUNA, SOYLA S MALMBERG, DANIELLE MARTINEZ, ANNA MEDINA, LOUISA MONTEZ, WILMA MORRIS, JANICE ODENBAUGH, CORI ORTIZ, LUZ ORTIZ, REFUGIO L PADILLA, CYNTHIA PEREZ, REBECCA ROBEY, LINDA ROSSp STACI L SALKEY, RONALD J SCHWARTZ, BECKY SEPEDA, NORMA L SEPULVEDA, ELIS 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET I244336732RET 1244336732RET 1244336732RE7 1244336732RET 1244336732RET 1244336732RET $356.00 3280.00 314.00 *356.00 8180.00 1356.00 $356.00 $590.00 $280.00 $356.00 $194.00 $219.00 $3.00 $415.00 8370.00 8222.00 $219.00 $280.00 $73.00 $99.00 8280.00 3432.00 WWP8S1P SOCIAL SERVICES WARRANT REGISTER PAGE 3 STATE COIN PAYROLL DATE OF MAILING WARRANTS 05/02/94 WARRANT NUMBER I.D. PROVIDER NAME ACCOUNT NUMBER 05 18 94 19:06:35 WARRANT AMOUNT ******************************,**********************************hair************** 000851309 000851310 000851311 000851312 000851313 000851314 000851315 000851316 000851317 000851318 000851319 000851320 000851321 6204988492 6204794692 6206713092 6205082192 6204289592 6206732592 6207147692 6207129992 6207052892 6205907292 6206887901 6204625101 SHULTZ, SANDRA 0 TAFOYA, ANGELA R TORRES, RACHEL TRUJILLO, JEANIE M VIGIL, CATHERINE WATSON, KIM R WELLS, JULIE WILLIAMS, NANA WOOD, WEDNESDAY ZAMORA, CAROL A BAKER, ROBERT LAMGO, EDWIN C 6206939802 RATH, YVONNE V NUMBER OF WARRANTS = 57 1244336732RET $432.00 1244336732RET 8512.00 1244336732RET 8326.00 1244336732RET 8356.00 1244336732RET $432.00 1244336732RET $280.00 1244336732RET 5432.00 1244336732RET 5280.00 1244336732RET 5229.00 1244336732RET 8356.00 1244346732RET $410.00 1244346732RET $511.00 1244346732RET $488.00 TOTAL = $18,884.00 WWPB5IP SOCIAL SERVICES WARRANT REGISTER PAGE 4 STATE COIN PAYROLL DATE OF MAILING WARRANTS 05/02/94 WARRANT I.O. PROVIDER NAME ACCOUNT NUMBER NUMBER NUMBER OF WARRANTS = 57 05 18 94 19:06:35 WARRANT AMOUNT TOTAL = $18.884.00 THIS IS TO CERTIFY THAT ALL ACCOUNTING AND BUDGETING PROCEDURES HAVE BEEN COMPLETED ON THE ABOVE LISTED CLAIMS AS SHOWN ON PAGE 1 THROUGH 3 AND DATED 05 18 94, AND THAT PAYMENTS SHOULD BE TO THE RESPECTIVE VENDORS IN THE • AMOUNTS SET OPPOSITE THEIR NAMES, WITH THE TOTAL AMOUNT DATED THIS 19 21. DIRECTOR OF WINANCE AND A'MINISTRATION SERVICES ✓✓11 SUBSCRIBED AND SWORN TO BEFORE ME,THIS 73�.,V DAY OF MY COMMISSION EXPIRES: . WE, THE BOARD OF COUNTY COMMISSIONERS OF 19 2S• WELD COUNTY, COLORADO, HEREBY (APPROVE) (DISAPPROVE) THE CLAIMS AS SET FCRTH ABOVE: AND WARRANTS IN PAYMENT THEREFORE ARE HEREBY ORDERED DRAWN UPON THE 5jaca.,52ZSC.FUND TOTALING S i DATED YHIQODAY ,DF — 19 94L. WELD COUNTY CLERK TO nTHE BOARD /�'�� lii& i DEPUTY MEMBER �. .n MEMBER CHAIRMAN MEMBER MEMBER WWP851P PAGE 1 DATE OF MAILING SOCIAL SERVICES WARRANT REGISTER STATE CWEST PAYROLL WARRANTS 05/16/94 WARRANT I.D. NUMBER PROVIDER NAME ACCOUNT NUMBER 05 18 94 19:13:18 WARRANT AMOUNT *******.t*****ir, ********,t*****1**********,t****,t****etk+***R,t,t********rt***********i** 000851419 92546 000851420 54330 000851421 80063 000851422 70335 000851423 54150 000851424 45160 000851425 67497 000851426 66098 000851427 73685 000851428 72915 000851429 93255 000851430 68871 000851431 81509 000851432 72121 000851433 85320 000851434 76095 000851435 45142 000851436 77097 000851437 77512 000851438 45161 000851439 78899 000851440 76886 JUAN AGUERO MARIA AGUILAR JERRY AND KARLA ALEXA ANTHONY AND MARIE ALI MICHAEL AND BETTIL AL ALTERNATIVE HOMES FOR ALTERNATIVE HOMES FOR VERDA F ANDREWS RUDY AND CARMEN ARAGO DANIEL AND MARTHA SEA WENDY BEATTY C MASON TOM AND CAROL DLACKWE DAVID L AND ANDREA C NORMAN AND EVELYN OUR JAMES AND DIANE CAMPS DOMITILA CARRISALES CENTER FOR THERAPEUTI DAVID AND JUDY CMESLE CHILDRENS NETWORK INC CLEO WALLACE CENTER ANGELINA A. COLUNCA ANTHONY AND ROSE CORA 1244356710REG $403.36 1244356710REG 4918.00 1244356710REG $784.40 1244356710RF_G $1,014.45 1244356710REG $4,843.89 1244356710REG $19,539.85 1244356710REG $16,856.10 124435671GREG 4319.00 1244356710R£G $1,203.46 1244356710REG $264.00 1244356710REG $460010 1244356710REG $1,588.00 1244356710REG $638.00 1244356710REG $515.00 1244356710REG $237.00 1244356710REG $1,137.85 1244356710REG $9,728.00 1244356710REG $276.00 1244356710REG $8,453.59 1244356710REG $16,096.18 1244356710REG 41,276000 1244356710REG 4355.00 YwP851P PAGE 2 DATE OF MAILING WARRANT NUMBER SOCIAL SERVICES WARRANT REGISTER STATE CHEST PAYROLL WARRANTS 05/16/94 I.D. PROVIDER NAME ACCOUNT NUMBER 05 18 94 19:13:18 WARRANT AMOUNT ********************************************************************************** 000851441 87629 000851442 85321 000851443 46050 000851444 72730 000851445 91601 000851446 45146 000851447 45243 000851448 70889 000851449 86154 000851450 57207 000851451 67720 000851452 66097 000851453 85798 000851454 81895 000851455 59587 000851456 49547 000851457 83563 000851458 84787 000851459 65459 000851460 85209 000851461 54218 000851462 77110 CHARLES G DORIS CUNNI ROGER AND BETTY DAUGH COURTHOUSE, INC. (DAY ROSS A AND JANNA LEE ROSE ANN DOMINQUEZ EL PUEBLO BOYS RANCH EXCELSIOR YOUTH CENTE JANE FISHER SUSAN FRERICH JIM C MARY C GARCIA JOSEY GARCIA CYNTHIA L. GATES DORA J GIBSON MARGARITA AND PATRICK MERCEDES GOMEZ GRIFFITH CENTER DORENE GUTIERREZ HAMPTON, DAVID 6 LAVA DEVR; HANSEN DAVE HELMER LUCY HIDALGO LARRY AND PAULA HIGGI 1244356710REG $328.00 1244356710REG $205.00 1244356710REG 12,132.00 1Z44356710REG 11,189.00 1244356710REG $957.00 1244356710REG 51,870.00 1244356710REG $4,040.46 1244356710REG $957.00 1244356710REG $13.76 124435671JkEG $702.01 1244356710REG $638.00 124435671GREG $998.51 1244356710REG $100.00 1244356710REG $1,348.00 1244356710REG $1,064.91 1244356710REG $2,432.00 1244356710REG $674.00 1244356710REG $638.00 1244356710REG 4355.00 1244356710REG $758.00 1244356710REG $674.00 1244356710REG $276.00 WWP851P SOCIAL SERVICES WARRANT REGISTER PAGE 3 STATE CHEST PAYROLL DATE Of MAILING WARRANTS 05/16/94 WARRANT NUMBER I.D♦ 000851463 71260 000851464 81203 000851465 54222 000851466 85805 000851467 91615 000851468 45091 000851469 45178 000851470 45179 000851471 73139 000851472 66394 000551473 85767 000851474 62486 000351475 81343 000851476 54228 000851477 91244 000851478 45080 000851479 80638 000851480 71908 000851481 68954 000851482 56949 000051483 54237 000851484 87662 PROVIDER NAME ACCOUNT NUMBER JACOB FAMILY SERVICES JOSEPH AND VICKIE JAR USDA JOHNSON JIM AND KRISTI KADLEC TRACY AND PAUL KINDRE LARADON HALL LARIC0 CENTER FOR YOU LARICO CENTER FOR YOU CHERYL LATHROP JOLENE L LAYTON OLIVER 6 SHIRLEY LEWI SHIRLEY LEWIS GAIL LINQUIST RUSSELL AND NANCY LON DANIEL 6 KIM LUKENS LUTHERAN SOCIAL SERVI AUGUSTINE AND JO ANN DOUG AND KARENA MALCO STEPHEN AND DONNA MAT MELW000 C JUDY MATSON KENNETH AND CAROL MEL MARIA 6 DAVID MENDOZA 1244356710REG 1244356710REG I244356710REG 1244356710REG 1244356710REG 1244356710REG 1244356710REG 1244356710REG 1244356710REG 1244356710REG 124435671GREG 1244356710 REG 1244356710REG 1244356710REG 1244356710REG 1244356710REG 1244356710REG I244356710RLG 1244356710REG 1244356710REG 1244356710REG 1244356710REG 05 18 94 19:13:18 WARRANT AMOUNT 328,733.63 11,276.00 $355.00 $405.68 $734.00 $3,626.00 $2,432.00 $1,572.00 $402.11 $836.83 $427.00 $846.99 $319.00 $1,569.94 $240.00 $2,431.71 $993.00 51,124.31 $355.00 $110.00 $319.00 $710.00 WWP851P PAGE 4 DATE OF MAILING SOCIAL SERVICES WARRANT REGISTER STATE CHEST PAYROLL WARRANTS 05/16/94 WARRANT I.0. NUMBER 0008`1485 66759 000851486 45174 000851487 93321 000851488 57160 000851489 54244 000851490 76254 000851491 38657 000851492 78666 000851493 65774 000851494 78793 000851495 77411 000851496 76041 000851497 54256 000851498 92518 000851499 94194 000851500 48170 000851501 88440 000851502 93322 000851503 72569 000851504 N105761 000851505 78293 000851506 81927 PROVIDER. NAME SUE MILLER MT ST VINCENT'S HOME SCOTT L JENNIFER MULL ANTHONY G ELAINE NEIS DOYLE AND MARTHA NELS NEW OUTLOOK INC LOIS PATTON RON AND CHERYL PAULEY PHOENIX CHILD PLACEME DIANE T. PISANO MARK A AND BETH REICH ROCKY MOUNTAIN BOY'S HARVEY AND SALLY ROTH EARL C MARY ROUNDS JOHN & SHELBY ROW SAVIO HOUSE CURT 6 JAMIE SCHADEL CURTIS 6 MICHELLE SCH JAMES AND GAIL SIEFKE DAMON SIMMONS ADA M• SIMMONS MICHELLE 0 JAMES STIF ACCOUNT NUMBER 1244356710REG 1244356710REG 1244356710REG 1244356710REG 1244356710REG 1244356710RZG 1244356710REG 1244356710REG 124435671GREG 1244356710REG 1244356710REG 1244356710REG 1244356710REG 1244356710RCC 1244356710REG 1244356710REG 1244356710REG 1244356710REG 1244356710REG 1244356710REG 1244356710REG 1244356710REG 05 18 94 19:13:18 WARRANT AMOUNT $901.30 $24,354.98 1638.00 6319.00 31,408.00 51,821.30 $379.00 $638.00 $1,280.00 $343.85 11,276.00 $4,864.00 $355.00 $319.00 1186.19 $2,213.00 $379.00 1209.13 $73.20 $431.00 $638.00 $319.00 WWPUSIP PAGE S DATE OF MAILING WARRANTS WARRANT I60. NUMBER SOCIAL SERVICES WARRANT REGISTER STATE CREST PAYROLL 05/16/9♦ PROVIDER NAME ACCOUNT NUMBER 05 18 94 19:13:18 WARRANT AMOUNT ********************************************************************************** 000851507 56954 000851508 45104 000851509 56955 000851510 45150 000851511 81935 000851512 58137 000851513 92031 000851514 90687 000851515 73330 000851516 87392 000851517 85903 000851518 59633 000851519 56957 000851520 54152 000851521 75085 000851522 83235 000851523 66451 000851524 45068 ALBERT G JOY SWANSON SYNTHESIS INC. LURES TATUM TEEN ACRES INC COLLEEN MARIE TERRY THE FAMILY EXTENSION REE THOMPSON ROSEMARY TOUSLES COLLEEN VAN BRIGGLE OGRES VIGIL DONALD M 6 TINA M WEI COMMUNITY BASED SERVI EUGENE G LILY WHITCOM DAVID L ELLA MAE WHIT JOHN AND JUNE WILKINS TIM 6 DEBBIE WOJAHN DAVID G DEBBIE NORDEN YOUTH BENEFITS UNLIMI NUMBER OF WARRANTS = 106 1244356710REG 1244356710REG 1244356710REG 1244356710REG 1244356710REG 1244356710REG 1244356710REG 1244356710REG 1244356710REG 1244356710REG 1244356710REG 1244356716REG 1244356710REG 1244356710REG 1244356710REG 1244356710REG 1244356710REG 1244356710REG TOTAL = $468.00 15,688.00 $402600 $16,180.00 $355.00 $21011600 $112627 $710.00 $11336.00 1 $355.00 $270.00 $2,155.00 $173.00 $11276.00 $264.00 $638.00 $319.00 $6,531.85 $241,666.85 WWP851P SOCIAL SERVICES WARRANT REGISTER PAGE 6 STATE CWEST PAYROLL DATE OF MAILING WARRANTS 05/16/94 WARRANT 1•D• PROVIDER NAME ACCOUNT NUMBER NUMBER NUMBER OF WARRANTS = 106 05 18 94 19:13:18 WARRANT AMOUNT TOTAL = $241,666.85 THIS IS TO CERTIFY THAT ALL ACCOUNTING AND BUDGETING PROCEDURES HAVE BEEN COMPLETED ON THE ABOVE LISTED CLAIMS AS SHOWN ON PAGE 1 THROUGH 5 , AND DATED 05 18 94, AND THAT PAYMENTS SHOULD BE TO THE RESPECTIVE VENDORS IN THE AMOUNTS SET OPPOSITE THEIR NAMES, WITH THE TOTAL AMOUNT Sy214) (0l71o,2 DATED THIS It o AY 0 19 ��• DIRE OR OF FINANCE AND ADMINISTRATION SERVICES SUBSCRIBED AND SWORN TO BEFORE ML THIS�O DAY OF M' C0TLT.isioa 3 ;cc JW asy 10, 1,000. MY COMMISSION EXPIRES: LI WE, THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO, HEREBY • 19 14. TARY PUBLIC (APPROVE) (DISAPPROVE) THE CLAIMS AS SET FORTH ABOVE: AND WARRANTS IN PAYMENT THEREFORE ARE HEREBY ORDERED DRAWN UPON THEn�� \iota FUND WELD COUNTY CLERK TO THE BOARD aft - DEPUTY s �_ fL MEMBER mEnaER TOTALING 191.• MEMBER MEMBER WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/19/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT 084 PROJ DATE : 05/19/94 PAGE : 1 WARRANT AMOUNT A220792 AGLAND INC A220793 AGLAND INC A220794 AGLAND INC 052521 052522 053305 053483 053485 053859 053862 053863 053871 054123 054360 054361 054369 054562 054564 054581 054582 054855 054913 054914 055125 055318 055319 055335 055510 055740 055923 055924 056062 P120578 P120618 P120621 P120631 P120633 P120662 11-3132-6371 11+3132-6371 11-3141-6371 11-3132-6371 11-3132-6371 11-3146-6371 11-3141-6371 11-3141-6371 11-3132-6371 11-3146-6371 11-3141-6371 11-3141-6371 11-3132-6371 11-3146-6371 11-3146-6371 11-3132-6371 11+3132-6371 11-3146-6371 11-3132-6371 11-3132-6371 11-3132+6371 11-3146-6371 11-3146-6371 11-3132-6371 11-3132-6371 11-3132-6371 11+3132-6371 11-3132+6371 11-3132-6371 11-3140-6371 11+3140-6371 11-3140-6371 11-3140-6371 11-3140-63 71 11-3140-6371 108.78 422.00 283.80 337.71 483.43 596.41 239.31 708.48 323.28 535.13 235.20 299.42 440.45 861.33 956,37 262.64 7,093.7♦ 177.95 749.50 306.95 99.70 299.80 741.21 991.66 472.41 272.30 Z81.0a 503.98 159.21 231.94 38.93 202.4♦ 373.73 5,902.79 224.14 514,33 543.73 MAPZOOP WARRANT PAYEE NUMBER MELD COUNTY WARRANT REGISTER AS OF : 05/19/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROJ DATE : 05/19/94 PAGE : 2 WARRANT AMOUNT A220794 AGLAND INC P120668 P120672 P120673 P120674 P120675 P120686 P120692 P120694 P120699 P120703 A220795 AMERICAN AIR FILTER CO X-66324 11-3140-6371 11-3140-6371 11-3140-6371 11-3140-6371 11-3140-6371 11-3140-6371 11-3140-6371 11-3140-6371 11-3140-6371 1I-3140-6371 142.43 290.86 189.39 220.42 445.37 586.15 237.47 47.49 324.36 162.18 3.928.32 =============== 01 -1061 -6360 -CC 2.958.72 A220796 ANDERSON WINDSOR GARAGE DOOR, INC 33977 01-1061-6360 A220797 BANK 1, GREELEY NA A220798 BLEY ASSOCIATES A220799 ORATION'S, INC 052094 01-9020-6599 2,958.72 38.00 38.00 =s u= 25,000.00 -- 25,000.00 == S33=Ci= STM 051094 34 -1944 -6920 -JAIL 436.00 057949 C58874 19-4140-6210-MFT 19-4170-6220-E 19-4170-6220-L 436.00 177.50 51.01 3.51 232.02 __======s= sass= WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/19/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT 03J PROJ DATE : 05/19/94 PAGE : 3 WARRANT AMOUNT A220800 CENTURY PAPERS A220801 CITY OF FT LUPTON *220802 COLO DEPT OF HEALTH A220803 CONOCO INC A220804 COREN PRINTING A220805 EDWARDS, PATRICIA A A220806 F 6 F CONSTRUCTION 422297 425560 426114 431385 13420 43094 COLO 243-01 0231132 591823 23091 0516MI 28-1 01-1061-6250JANT 01-1061-6250-JANT 01-1061-6250-JANT 01-1061-6250-JANT 01-1061-6342-SOCO 01 -30616340 -ROAD 01-3182-6330 01-2111-6371 01-2111-6371 19 -4110 -6320 -NHS 01-1041-6370 25-9058-6398 1,158.50 91,30 72.00 40.80 1,362.60 =aZS= 98.62 67.67 166.29 x 980.00 980.00 fl -==.1[3=S2 11.00 17.50 34.50 S -"2=32X= 4,300.00 4,300.00 2=3x-s33t==3.222 153.00 153.00 ======== 4,322.00 4,322.00 x =2m WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/19/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROJ DATE : 05/19/94 PAGE : 4 WARRANT AMOUNT A220807 GOVERNMENT TECH SUS. INC. 136556602 A220808 GREELEY DAILY TRIBUNE (THE) 93837 A220809 HARKINS G MICHELMAN A220810 JOHNSTOWN BREEZE A220811 JORDAN. L. E STM 051294 4794 933392 A220812 KATHLEEN'S PROFESS'NL FIT 3872 A220813 KING SOOPERS 405104 405185 405187 405188 405193 405195 422744 422745 422746 01-1191-6948 01-1154-6337 01-9020-6350-1TM 01-3182-6330 01-2110-6225-TRNG 19-4170-6220-L 01-1041-6220 01-1041-6220 01-1041-6220 01-1041-6220 01-1041-6220 01-1041-6220 01-1041-6220 01-1041-6220 01-1C41-6220 488.00 488.00 ssaES 69.09 ------------- 69.09 =-=t==-is-s Z=== 10,870.43 10,870.43 an 45.90 45.90 145.11 145.11 -s--ss-m-=xs--- 48.00 48.00 16.23 39.62 13.22 11.88 19.54 23.33 3.85 17.36 26.35 WAP200P WARRANT PAYEE NUMBER MELD COUNTY WARRANT REGISTER AS OF : 05/19/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT 08J PROJ DATE : 05/19/94 PAGE : 5 WARRANT AMOUNT A220813 KING SOOPERS A220814 KING SOOPERS A220815 KING SURVEYORS 422749 422753 422755 422757 422758 422760 422762 422763 422765 422766 422 770 422773 422774 422776 440695 CI -1041-6220 01-1041-6220 01-1041-6220 01-1041-6220 01-1041-6220 01-1041-6220 01-1041-6220 01-1041-6220 01-1041-6220 01-1041-6220 01-1041-6220 01-1041-6220 01-1041-6220 01-1041-6220 01-1041-6220 43.43 46.56 49.17 34.82 37.37 26.56 2.99 412.28 9.03 25.96 21.53 12.56 28.49 9.77 7.52 39.31 154.17 __ = ate= =Sass 3 a= 94042 013182-6350 287.50 94073 01-3182-6350 138.75 A220816 KLINGENBERG, ROGER J DVM 265094 A220817 LAIDLAY LANDFILL A220818 MARKLEY CONCEPTS 40430174 I0131 01-2111-6350 22-9540-6395 01-2310-6940 426.25 =:alt= 2=223 26.00 26.00 =sxss= 165.81 165.81 s===aa as 1.161.46 MAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/19/94 INVOICE NUMBER ACCOUNT NUMBER ED DEPT OBJ PROD DATE : 05/19/94 PAGE : 6 WARRANT AMOUNT ------- A220818 MARKLEY CONCEPTS 1,161.46 A220819 MCKEE MEDICAL CENTER MC1226 A220820 MEASNER, JOHN A220821 NEW NEWS (THE) 846255 137 A220822 PRO -TECH ELECTRONICS PRO5236-9 A220823 PUBLIC SERVICE CO OF COLO 10983 19122 2229 27740 42315 42336 47884 53784 596 6381 80812 8641 9495 01-2111-6350 24-9044-6397-4715 01-3182-6330 01-1061-6360 01 -1061 -6340 -ROAD 01-1061-6341-BCHQ 01-1061-6341-BGHQ 01 -1061 -6340 -ROAD 01 -1061 -6340 -ROAD 01 -1061 -6340 -ROAD 01-1061-6341-SOCO 01 -1061 -6340 -ROAD 01 -1061 -6340 -ROAD 01+1061 -6340 -ROAD 01 -I061 -6341 -FUEL 01-1061-6341-MPSC 01+1061-6341+1402 16.00 16.00 S+_=== 227.00 227.00 _=====a+s===ssa 34.77 34.77 =c=s=s 104.14 104.14 5.58 230.41 69.21 6.15 14.10 7.26 143.25 9.53 111.08 74.80 92.69 1,816.10 1,457.56 4,037.72 ___=====sss=sss WAP200P WARRANT PAYEE NUMBER MELD COUNTY WARRANT REGISTER AS OF : 05/19/94 INVOICE NUMBER ACCOUNT NUMBER FO DEPT 06.2 PROJ DATE : 05/19/94 PAGE : WARRANT AMOUNT A220824 PUBLIC SERVICE CO OF COLO 0103302 04014 0652 085690 08886 A220825 ROBERTS ARCHITECTS A220826 11-3140-6340 11-3140-6340 11-3140-6340 11-3140-6340 11-3140-6340 87 01-6520-6920-IGTC TIRO MOUNTAIN. INC. 1857 1896 1915 A220827 TOWN OF FREDERICK 10665 4892500 A220928 UNITED STATES WELDING INC M621491 M621557 1303569 1303619 1303620 1303679 1303680 A220829 US WEST COMMUNICATIONS 940501 22-9540-6395 22-9540-6395 22-9540-6395 01-1061-6341-HSF2 01-1061-6342-MSF1 01-1061-6342-LIBF 01-1061-6342-HSF2 60-2160-6220 60-2160-6220 60-2160-6220 60-2160-6220 60-2160-6220 60-2160-6220 60-2160-6220 1,033.02 39.70 6.52 856.90 88.88 2,025.02 Z===z3=aaa aaa as 1,080.85 1,080.85 50.05 14.50 37.09 101.64 ======2===xaa== 77.51 37.41 37.41 37.41 189.74 ====.2S========= 12.11 24.89 28.25 14.13 14.13 15.47 9.42 118.40 = fl===== 85-2155-6345 9,126.86 WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/29/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT ODJ PROD DATE : 05/19/94 PAGE : 8 WARRANT AMOUNT A220829 US WEST COMMUNICATIONS 9,126.86 A220830 115 WEST COMMUNICATIONS 0016014082 85-2155-6363 A220831 WASTE MGT/NORTHERN COLO 276362 A220832 WASTE SERVICES INC 276364 276365 276366 276422 00075120 00075355 00075388 00075506 00075563 00075764 00076119 00076220 00076336 00076658 00077041 00077042 00077757 00078599 11-3132-6340 11-3140-6340 11-3141--6340 11-3145-6340 11-3146-6340 11-3132-6340 11-3140-6340 11-3140-6340 11-3140-6340 22-9540-6395 22-9540-6395 22-9540-6395 22-9540-6395 22-9540-6395 22-9540-6395 22-9540-6395 22-9540-6395 22-9540-6395 22-9540-6395 22-9540-6395 22-9540-6395 22-9540-6395 22-9540-6395 A220833 WELD COUNTY INMATE ACCOUN 940517 01-2110-6599 12.518.70 -++ 12,518.70 160.00 80.00 80.00 80.00 160.00 40.00 20.00 20.00 20.00 660.00 52.50 31.50 21.00 52.50 26.25 63.00 52.50 105.00 73.50 115.50 26.25 36.75 63.00 21.00 740.25 _=====sa===iaam 218.00 218.00 = =========Sa== WAP200P WARRANT PAYEE NUMBER MELD COUNTY WARRANT REGISTER AS OF : 05/19/9♦ INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROJ DATE : 05/19/94 PAGE : 9 WARRANT AMOUNT 4220834 WELD COUNTY REVOLVING FUND 7971 7995 8008 8019 A220835 WESTERN TEMPORARY SVCS 398291 A220836 WIGGINS TELEPHONE ASSO 940511 A220837 YURCHICK. DAVID C 940420 A220838 2CLLER OIL COMPANY 15211 15336 15451 15569 01-2110-63700PS 01-2110-6370-OPS 66-9020-6370 01-9020-6370 67-1192-6350 85+2155+6345 01-2111-6220 11-3141-6370 11+31416370 11-3141-6370 11-3141-6370 325.00 69.86 90.44 273.13 758.43 _=----s=== 139.20 139.20 21.95 21.95 19.22 19.22 =========lSXZS_ 451.22 414.49 390.58 665.50 1,921.79 FINAL TOTAL : 104,980.16 =C3 A =A=ASA AA Aci WAP200P WELD COUNTY WARRANT REGISTER AS OF : 05/19/94 DATE : OS/19/94 PAGE : 10 THIS IS TO CERTIFY THAT ALL ACCOUNTING AND BUDGETING PRODECURES HAVE BEEN COMPLETED ON THE ABOVE LISTED CLAIMS AS SHOWN ON PAGE 1 THROUGH 9 , AND DATED 05/19/94, AND THAT PAYMENTS SHOULD BC TO THE RESPECTIVE VENDORS IN THE AMOUNTS SET OPPOSITE THEIR NAMES, WITH THE TOTAL AMOUNT $ Mt/ l DEQ. ICS DATED THIS n23e9DAY 19 DIRECtOR QF FINANCE AND ADMINISTRATION SERVICES SUBSCRIBED AND SWORN TO BEFORt ME THIS .C2Y-fl DAY OF My Commission ExpiresJanuaiy 10,1395 1 • 19 32±1 WEI THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO, HEREBY (APPROVE) (DISAPPROVE) THE CLAIMS AS SET FORTH ABOVE: AND WARRANTS IN PAYMENT THEREFORE y�ARC HEREBY ORDERED DRAWN UPCN /�44990 THE - fa.�.�QU i�.� FUND - TOTALING f,1C/ �Q DATED T%S p2� TO DAY OF WELD COUNTY CLERK TO THE BOARD • CHAIRMAN MEMBER el-V.20e --70 -t-Ifse GA? e)c-4ellettace....--.. MEMBER WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/19/94 INVOICE NUMBtR ACCOUNT NUMBER ED DEPT OBJ PROD DATE : 05/19/94 PAGE : 1 WARRANT AMOUNT S861048 ACTION PAGE 582537 12-4410-6533 12-4410-6533 12-4410-6533 12-4410-6533 12-4410-6533 S861049 ALCO CAPITAL RESOURCE 22142787 12-4411-6533 12-4410-6533 sasstoso CHILD ADVOC RES 6 ED INC S861051 COOK, DONALD M.D. $861052 COPPER MOUNTAIN INC $861053 DEEP ROCK NORTH S861054 GREELEY DAILY TRIBUNE (THE) 091 994 12 -4441 -6710 —CONY 22 -4410 -6192 —CONS 12-4410-6370—LODG 12-4410-6533 12-4410-6337 20.50 20.50 20.50 20.50 20.50 aaaaaaaaaaaaaaa 102.50 =======a===4,=== 175.00 525.00 700.00 ===s=======a=ss 2,793.10 aaMilaallaaa 2,793.10 187.50 aaaaaaaaaaaaaaa 187.50 =====ail=aaiili 420,90 420.90 ==3=s====::alas 25.25 25.25 =iaa===ai iiiiii 111.80 111.80 WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/19/94 INVOICE NUMBER ACCOUNT DUMPER FD DEPT OBJ PROJ DATE : 05/19/94 PAGE : 2 WARRANT AMOUNT 5861055 GREELEY PSYCHIATRIC CLINIC S861056 IMPREST FUND 5861057 MARKLEY CONCEPTS $861058 METPATH INC. 5861059 MII PUBLICATIONS 12-4410-6357+CA 12 -4410+6357 -CA 12 -4410 -6357 -CA 12-4411-6391 12-4410-6335 12-4410-6335 150.00 150.00 187.50 487.50 40,00 45.00 135.00 220.00 10413 12-4410+6940 1,580.00 12-4411-6391 12-4411-6391 12-4411-6391 12+4411-6391 12-4411+6391 12-4411-6391 12-4411-6391 12+4411+6391 12-4411-6391 12+4411+6391 12-4411-6391 12-4411-6391 12-4411-6391 12-4411-6391 12+4411-6391 12-4411-6391 1,580.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 160.00 -a=s_--_- 12-4410-6210 196.00 196.00 WAPZGOP WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/19/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROJ DATE : 05/19/94 PAGE : 3 WARRANT AMOUNT 5861060 MUZAK BACKGROUND MUSIC 007563 5861061 NCPS 5861062 NORTH COLORADO PSYCHCARE S861063 PARTNERS INC. 5861064 PAYLESS DRUG STORE 01831 5861065 POSTMASTER 5861066 POSTMASTER 5861067 SCHAEFER ENTERPRISES INC 0008090 0008134 12-4410-6533 55.00 55.00 =ZAsz========:: 12-4411-6359 322.85 12-4410-6359 22.50 12-4441-6710-CONT 12 -4441 -6710 -CONY I2-4410-6210 12-4410-6311 12-4410-6311 12-4410-6311 12-4410-6311 seeesatmligmipsearene 345.35 =========a:::== 2,566.80 2,566.80 :=a==s===a====E 7,781.28 7,781.28 -a:: :::iCsi 46.52 46.52 :a :s 950.65 950.65 =:==========ID=s 7,000.00 7,000.00 =::=s==3as=::aa 27.04 139.59 WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/19/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROJ DATE : 05/19/94 PAGE : 4 WARRANT AMOUNT 5861067 SCHAEFER ENTERPRISES INC 0008180 5861068 SUNFLOWER WEST FLOOR BROKERS 258 266 267 5861069 TAPESTRY BOOKS 124410-6311 23.38 12-4410-6940 12-4411-6940 12-4411-6940 190.01 =-= 2,074.80 2,878.00 734.00 5,686.80 ====sass 12-4410-6330-55 80.75 124410-6311 9.75 90.50 =a==========z:s 5861070 TRW INFORMATION SERVICES C04040000480 12-4411-6356 22.35 5861071 VANASK WAREHOUSE 72785 12-4410-6312 S661072 WELD COUNTY HUMAN RESOURC 5861073 WELD COUNTY SHERIFF'S OFFICE 940001283 940001272 940000889 940000887 22.35 744.48 744.48 =sass 12 -4433 -6710 —WS 196.25 12-4425-6192 21,681.99 12-4425-6210 1,179.32 12-4411-6359 12-4411-6359 12-4411-6359 12-4411-6359 23,057.56 =s======== 16.00 16.00 16.00 16.00 YAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/19/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROD DATE : 05/19/94 PAGE : 5 WARRANT AMOUNT 5861073 WELD COUNTY SHERIFF'S OFFICE 940001284 940001375 940001274 940001278 940001281 940000964 3861074 WELD MENTAL HEALTH CENTER 12-4411-6359 12-4411-6359 12-4411-6359 12-4411-6359 12-4411-6359 12-4411-6359 6.40 16.00 6.00 6.60 5.00 6.00 110.00 ====21=== 12-4441-6710-CONT 2,526.57 12-4441-6710-CONT 2.109.96 5.436.53 =====s=s=====a= FINAL TOTAL : 61,068.38 AMOUNTS SET OPPOSITE THEIR NAMES, WITH THE TOTAL AMOUNT DATED THIS D 19 WAP2D0P MELD COUNTY WARRANT REGISTER AS OF : 05/19/94 DATE : 05/19/94 PAGE : 6 THIS IS TO CERTIFY THAT ALL ACCOUNTING AND BUDGETING PRODECURES HAVE DEEM COMPLETED ON THE ABOVE LISTED CLAIMS AS SHOWN ON PAGE I THROUGH 5 AND DATED 05/19/94, AND THAT PAYMENTS SHOULD SE TO THE RESPECTIVE VENDORS 1NNTHE 312.142621_3? • DIREC OR OF FL ANCE AND ADMINISTRATION SERVICES y� SUBSCRI5 O AND SWORN TO BEFORE ME THIS ,3C0 DAY OF - rv\c U 19..2.41• MY COMMISSION EXPIRES: My C0tfrt1ISS10nEiftCySL1ggil14J 5 NOTARY PUBLIC a WE, THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO, HEREBY (APPROVE) (DISAPPROVE) THE CLAIMS AS SET FORTH ABOVE; AND WARRANTS IN PAYMENT THEREFORE ARE HEREBY ORDERED DRAWN UPON THE•S/�FUND - TOTALING $124011131i: DATED TYIS c2Q 0DAY OF MELD COUNTY CLERK TO THE BOARD DEPUTY 19_1 _L_ • ASV �LJM CHAIRMAN itLc,a.." MEnSEA WWP851P SOCIAL SERVICES WARRANT REGISTER PAGE 1 STATE COIN PAYROLL DATE OF MAILING WARRANTS 05/16/94 WARRANT NUMBER I.D. PROVIDER NAME ACCOUNT NUMBER 000851822 6201189302 MORONES MARGARET 1244406396BUR 000851823 6206958592 ESGUIVEL. ERNESTINA 1244336710SUP 000851824 6204983792 LOPEZ. DENISE A 12443367105UP 000851825 6207163392 MOTA. MARIA C 12443367105UP 000851826 6206263092 WOODS, TERESA MAE 12443367105UP 000851827 6206534202 ANGERS, MARIKA C 1244406710RE 000851828 6207059292 GUERRERO, ALISA 1244336710RE 000851829 6204554002 KERR. STELLA 1244406732RET 000851830 6201264502 KNAPP, JUANITA 1244406732R£T 000851831 6206743292 CADWELL, TORY 5 1244336732RET 000851832 6206948392 CALDWELL, CATHERINE R 1244336732RET 000851833 6205576592 DELACRUZ, CAROLINE 1244336732RET 000851834 6207117192 DELGADILLO. ESPERANZA 1244336732RET 000551835 6206126692 GALLEGOS, JENNIFER 1244336732RET 000851836 6203256692 MUFF, PATRICIA 5 1244336732RET 000851837 6207139092 KYLE, AIMEE 1244336732RET 000851838 6206959292 MAUCK, ANGELA K 1244336732RET 000851839 6206924992 MCKAY, PAUL L 1244336732RET 000851840 6207073792 NOSKC. JENNIFER 1244336732RET 000851841 6204995892 ROBERTS, MARIA A 1244236732RET 000851842 6202521492 SILVA, MARY S 1244336732RET 000851843 6204884192 TANGUMA. PATRICIA M 1244336732RET 05 19 94 18:24:58 WARRANT AMOUNT $1.171,90 $455.00 $773.00 $812.00 $388.00 $49.00 *652.00 $5.00 $36.00 $50.00 1250.00 $103.00 $108.00 $5.00 $44.81 $381.00 $365.00 $20.00 $356.00 $62,00 $50,00 $332.00 WWPBSIP SOCIAL SERVICES WARRANT REGISTER PAGE 3 STATE COIN PAYROLL DATE OF MAILING WARRANTS 05/16/94 WARRANT I•D• PROVIDER NAME ACCOUNT NUMBER NUMBER NUMBER OF WARRANTS = 24 05 19 94 18:24:58 WARRANT AMOUNT TOTAL = $6,571.71 THIS IS TO CERTIFY THAT ALL ACCOUNTING AND BUDGETING PROCEDURES HAVE BEEN COMPLETED ON THE ABOVE LISTED CLAIMS AS SHCWN ON PAGE 1 THROUGH 2 f AND DATED 05 19 94, AND THAT PAYMENTS SHOULD BE TO THE RESPECTIVE VENDORS IN THE s101 51I 1 I AMOUNTS SET OPPOSITE THEIR NAMES, WITH THE TCTAL AMOUNT 0 DATED THIS 19 DIRECT mTt'or FINANCE AND ADMINISTRATION SERVICES SUBSCRIBED AND SWORN TO BEFORE ME THIS ,IC o DAY OF ...1,..Y2\C";1/4) MY COMMISSION EXPIRES: _„yakCCr^" ionScccsJ n ziy ,19$5 L NOTARY PUBLIC WE, THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO, HEREBY (APPROVE) (DISAPPROVE) THE CLAIMS AS SET FORTH ABOVE; AND WARRANTS IN PAYMENT THEREFORE ARE HEREBY ORDERED DRAWN UPON THE 1•_ N.S.C,E, .Z DATED T 1°DA Y OF FUND - TOTALING WELD COUNTY CLERK TO THE BOARD DEPUTY MEMBER 19_921.-• MEMBER CHAIRMAN C�- P-ns T r-ZGZsg,sg mss!! MEMBER • WAP200P ✓ARRANT PAYE= NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/20/94 INVOICE NUNDER ACCOUNT MUMSER FD DEPT 08J PROJ GATE : 05/20/94 PAGE : 1 WARRANT AMOUNT A220839 A FRESH APPROACH 051194 KLBURZ 0694 A220841 AUS0LUTE EMPLOYMENT SERVICES 12313 A220840 AAA TRAVEL AGENCY A220842 AGLAND INC A220843 AGLAND INC A CREDIT 052518 052519 052520 052567 052704 052715 053138 053464 053466 053481 053609 053949 053951 054139 054192 054292 0543113 054356 054438 054444 054563 19 -4140 -6379 -Inn 21-6950-6373 60-2160-6350 11-3140-6371 11-3140-6371 11-3140-6371 11-3140-6371 11-3140-6371 11-3140-6371 11-3140-6371 11-3140-6371 I1-3140-6371 11-3140-6371 11-3140-6371 11-3140-6371 11-3140-6371 11-3140-6371 11-3140-6371 11-3140-6371 11-3140-6371 11-3140-6371 11-3140-6371 11-3140-6371 11-3140-6371 11-3140-6371 174.00 174.00 131.00 131.00 328.00 328.00 _aa===a==ttar== 886.32- 158.25 195.30 225.02 38•39e 16.53e 58065e 403.74 298.55 442.93 160.16 295.67 273.72 152.85 195.99 190.70 1.992.99 men -tsar= 211,75 149.33 312.59 168.06 314.58 143.17 WAPZOOP WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/20/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT 08J PROJ DATE : 05/20/94 PAGE : 2 WARRANT AMOUNT A220843 AGLAND INC 054580 11-3140-6371 054665 11-3140-6371 A220644 AIMS COMMUNITY COLLEGE M-229 A220845 AIMS COMMUNITY COLLEGE 8-191 M-232 A220846 ALEJANDRO, NICOLAS JR. 940501 A22f847 ARCHULETA. VICKIE 940502 A220848 AT&T 3174583151 4220849 AUDIO 800K SERVICES, INC 040113 426.94 137.78 1'864.20 2=Z 3 Z ZZZ 19-4170-6335-E 25.00 21-6430-6382 21-6580-6382 21-6600-6382 21-6430-6383 216440-6383 216450-6383 21-6510-6383 21-6580-6383 2490346398-4715 24-9034-6398-4715 67-1192-6360 52-5510-6220 ===Z 25.00 35.53 44.64 9.86 42.25 9.75 9.75 3.25 16.25 171.28 =====x===sam:Zm 77.00 77.00 x= 6.00 6.00 xsz_axx======s 2.90 2.90 47.75 WAP2DOP WARRANT PAYEE NURSER WELD COUNTY WARRANT REGISTER AS OF : 05/20/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROD DATE : 05/20/94 PAGE : 3 WARRANT AMOUNT 4220849 AUDIO 000K SERVICES. INC 47.75 A220850 UACHMAN, GORDON R A220851 aAUER, RICHARD N A220852 BENGTSON, GREGORY E 4220853 OLEVINS, TAMMY A220854 BRATTON'S, INC A220655 UROCK. CINDY A220856 CARLSON, LINDA S 0518nI 004899 004900 940503 058370 940504 004901 01-1041-6370 63 -9020 -6740 -DENT 63 -9920 -6740 -DENT 24-9044-6398-4715 52-5520-6212 24-9034-6398-4715 63 -9020 -6740 -DENT 55.25 55.25 29.00 29.00 z 127.00 127.00 as=a 21.00 21.00 ____=====saa=s= 77.46 77.46 a====sass====fl 95.00 95.00 == as= -=a 29.50 29.50 ==a=====ari===a WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/20/94 INVOICE NUMBER ACCOUNT NUMBER FO DEPT 08J PROJ DATE : 05/20/94 PAGE : 4 WARRANT AMOUNT A220857 CEHA A220858 CENTRAL STORES A220859 COLO DEPT OF HEALTH A220660 COLO NATIONAL BANK A220861 CORDOVA. JOSE E 51794 042594 51694 8973030 051994 19-4110-6335-HHW 19-4170-6220-1 19-4170-6599-ARS 01-9020-6350 79-4410-6143 A223862 COUNCIL FOR EARLY CHILD PROFESSIONAL RECOGNITION ALANIZ 0594 21-6620-6335 LOPEZ 0594 21-6620-6335 SCHRIEVERS 594 21-6620-6335 A220863 COX, TYLER C A220864 CRABTREE• ELLEN 20.00 20.00 s--am==s 127.50 127.50 S-- 577.13 577.13 ma 250.00 250.00 24.00 24.00 S= 325.00 325.00 325.00 975.00 004902 63 -9020 -6740 -DENT 121.00 121.00 ss_ 940505 24-9034-6398-4715 21.00 WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/20/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROJ DATE : 05/20/94 PAGE : S WARRANT AMOUNT A220064 CRABTREE, ELLEN 4220065 CRAWFORD SUPPLY COMPANY 112233 A220066 DAUGMTREY, MARLYS J 4223867 DENVER ZOO A220560 DIRECTOR OF FINANCE 004903 JUN294 BM1 050294 A2208o9 OROEGEMUELLER, O• RENEE 031894 A220870 ODDLEY, LOLETTA A A220871 DYNIX, INC. M10494 038158 86-2311-6250-COMM 63-9020-6740-D£NT 21-6000+4390-BM1 12-4410-6340 12-4411-6340 79-1041-6143 21-6600-6375 52-5560-6360 21.00 166.91 166.91 x= 41.00 41,00 ass=a= 120.00 120.00 264.35 50.35 314.70 34.00 34.00 2a= 42.25 42.25 a = 247.00 247.00 222=42x2= WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/20/94 INVOICE NUMBER ACCOUNT NUMBER FO DEPT 08J PROJ DATE : 05/20/94 PAGE : 6 WARRANT AMOUNT A220872 EMS INSIDER A220873 tRICKSONS 171954 60-2160-6370 74.95 REASE0594 A220874 FANGMEIER. DEDRA K 104 139309 178918 A220875 FEDERAL EXPRESS CORP 522050277 522564943 A220876 FIRST CONGREGATIONAL CNUR 51094 A220877 FRIAS, JUAN 940506 A220578 FRONTIER BUSINCSS PRODUCTS 087408 091200 74.95 = as= 21-6600-6390 36.50 79-1041-6147 79-1041-6147 79-1041-6143 36.50 90.00 24.00 10.00 124.00 a=axis 19-4140-6310-NIVT 83.75 19^4140-6310-NIVT 79.25 19-4140-6335-N 24-9044-6398-4715 52-5560-6360 52-5560-6360 163.00 a= 50.00 50.00 19.00 19.00 a== 225.55 46.60 272.15 as= --=a WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/20/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT 08J PROJ DATE : 05/20/94 PAGE : 7 WARRANT AMOUNT A220879 FURISTER. ELAINE F A220880 GARZA. EVON A220881 GRAFFIA, ANTONIA 050494 051294 051594 051794 675076 940517 940507 940 50 8 4220882 GRAND JUNCTION HOUSING AUTHORITY A07994 UA38827 UA38828 U438829 V38827 V38828 V38829 A220883 GRAYBAR ELECTRIC CO INC 179459268 4220884 GREELEY DAILY TRIBUNE (THE) 93836 79-4410-6143 79-4410-6143 79-4410-6143 79-4410-6143 79-4410-6143 79-4410-6143 24-9044-6398-4715 24-9034-6398-4715 24-9043-6495-4590 24-9044-6398-4715 24-9044-6398-4715 24-9044-6398-4715 24-9044-6397-4715 24-9044-6397-4715 24-9044-6397-4715 67-11926212 01-1154-6337 92.00 47.00 5.00 73.00 10.00 73.00 300.00 54.00 54.00 50.00 = 50.00 ===- 82.86 10.00 13.00 10.00 550.00 550.00 550.00 1.762.86 9.62 = 9.62 _ 82.25 82.25 wAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/20/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT 08J PROJ DATE : 05/20/94 PAGE : 8 WARRANT AMOUNT A220885 GREELEY GAS CO 050394 12-4410-6340 116.23 12-4411-6340 22.14 A220886 GREELEY LANDSCAPE MANAGEMENT COMPANY 4220987 GREELEY LOGIC 6 KEY A220888 GRIECO, PAULA A223889 GUTIERREZ, REGINA A220690 HAGUE, GARY A220691 NALL AND EVANS 003800 003880 003930 003931 50044 940 50 9 940510 51094 52-5510-6365 52-5510-6365 52-5510-6365 52-5510-6165 0I-2111-6220 24-9034-6398-471S 24-9044-6398-4715 19.4170-6 370-F 19-4170-6370-I 138.37 a 147.00 34.03 38.00 12.00 231.03 == === 11.90 11.90 33.00 33.00 =sza= 17.00 s 17,00 134.08 11.25 145.33 8945 1 66-9020-6740-LSA8 6,069.37 6,069.37 3774.2==aaa WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/20/94 INVOICE NUMBER ACCOUNT NUMBER ED DEPT OBJ PROJ DATE : 05/20/94 PAGE : 9 WARRANT AMOUNT 4220892 HALL. WESLCY E. A220893 HAMILTON. JULIANN A220894 HOLIDAY INN 052094 01-2180-6350 975.00 975.00 940511 24-9044-6398-4715 9.00 51794 01-1311-6373-AL1 01-1011-6373-D1 01-1011-6373-02 A220895 HOUSING AUTHORITY FOR THE CITY OF BOULDER 4D694 24-9033-6495-4590 W45046 24-9034-6397-4715 4220896 HUGH M. WOODS A220897 JENS 4220898 K -MART 9.00 69.00 69,00 69.00 207.00 30.66 703.00 733.66 ========s==sass 086232 01-1061-6360-CN 70.15 70.15 =z======ms=s=== 051394 60-2160-6370 68.95 051794 940516 19-4170-6220-F 19-41706220L 012110-6220 68.95 _ 28.41 3.9♦ 53.91 86.26 z =_ MAP23OP WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/20/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROJ DATE : 35/20/94 PAGE : 10 WARRANT AMOUNT A220899 KEEFE COFFEE AND SUPPLY 153365 I53367 A220900 KINKD•S A2209S1 KIRKPATRICK, SHAWN A220902 KORGAN, CAROL A220903 LARRINGTON. LINO4 M A220904 LAX INC. 4220905 LENLING. ARDEN F 4220906 LEMAN 4 ASSOCIATES 1701569695 940512 940513 051994 004847 004904 SP 63445 86-2311-6250-00MM 671.68 86+2311-6250-COMM 24.48 19-4110-6210-GHE 24-9044-6398-4715 24-9344-6398-4715 01-1154-6370 52-5560-6360 63 -9020 -6740 -DENT 19-4110-6363 696.16 x 18.00 18.00 =25755.. 10.00 10.00 24.00 24.00 5= 118.50 118.50 _____ 15.00 15.00 317.00 313.00 2024.00 s 2.524.00 3---- =SSA= WAP200P WARRANT PAYEk NUMBER WELD COUNTY WARRANT REGISTBR AS OF : 05/20/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT O8J PROJ OATS : 05/20/94 PAGE : 11 WARRANT AMOUNT 4220907 LIEDTKE. KELLY J A220908 LONG. ELLEN A220909 LOPEZ. SARA A220910 LYNN PEAVEY CO A220911 MARRIOTT A223912 MARTINEZ. LUCY A220913 MCCARTHY, DEBORAH A 51794 940514 940515 86245 KI8UR2 0694 940516 004905 A220914 MCI TELECOMMUNICATIONS 71284168 19-4170-6370-A 19-4170-6370-P 19-4170-6370-5 19-4170-6370-M 24-9034^6398-4715 24-9344-6398-4715 01-2118-6220 21-6950-6373 24-9034-.6398-4715 63 -9020 -6740 -DENT 67-1192-6345-LD 2.50 2.75 136.25 7.25 148.75 =====z== 21.00 21.00 3 8.00 =x 8.00 59.45 59.45 sssnsss= 303.60 303.60 21.00 £1.00 23==s= 39.00 39.00 1,509.67 WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/20/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT ODJ PROJ DATE : 05/20/94 PAGE : 12 WARRANT AMOUNT A220914 MCI TELECOMMUNICATIONS A220915 MCI TELECOMMUNICATIONS 61195551 A220916 MCINTIRE, MARIANNE 10509.67 =z 67-1192-6345-LD 10229.03 10229.03 S=Y s-.. it= 940517 2.4-9034-6398-4715 18.00 A220917 MEDICAL CAREERS TRAINING CENTER INC RENDERS 0594 21-6580-6381 A220918 MENDIAS, ANGELIA 4220919 MERCAD00 ROSE A220920 MONORAGONO CANDACE A220921 MUNO20 DEBRA 940518 940519 004906 940520 24-9034-6398-4715 24-9034-6398-4715 63 -9020 -6740 -DENT 24-9044-6398-4715 18.00 S aS= 10642.00 10642.00 =====1=X======= 30.00 30.00 24.00 24.00 =mss 82.50 82.50 17.00 17.00 as= WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/20/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OOJ PROD DATE : 05/20/94 PACE : 13 WARRANT AMOUNT A220922 NAIL BUSINESS JOMENIS SEMINAR REGISTRATION 51794 19-4140-6335 A220923 NAIL CAMPAIGN SUPPLY CORP 94ELEC A220924 NERO. JUDY M 51694 A220925 NORMEOCO SERVICES INC. 32794 A220926 NORTH COLORADO MEDICAL CENTER 43094 A220927 NORTH COLORADO MEDICAL CENTER 1336 1337 A220928 NORTH COLORADO MEDICAL CENTER 043094 A220929 NORTHERN ARMORED SERVICE 050294 01-1025-6210 19-4110-6370 19-4170-6221-LNS 19-4170-6221-LSTD 69.00 69.00 it 295.00 295.00 sxx==23 a 76.62 76.62 =:ma 322 11.94 63.48 75.42 =$=x3 19 -4140 -6350 -COL 240.00 19-4140-6350-CPP 100.22 420.22 235 60-2160-6360 76.00 01-2310-6220 50.00 126.00 2=2=2 21-6600-6351 860.00 860.00 sax 52-5530-6310 41.00 WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/20/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT 0DJ PROD DATE : 05/20/94 PAGE : 14 WARRANT AMOUNT A220929 NORTHERN ARMORED SERVICE 41.00 ===2=3===3$336= A220930 NORTHERN COLO CYTOLOGY 51094 A220931 NORIICST BANK DENVER M. A. ♦28-3017 4220932 (MAMAS, LINDA 940521 4220933 PETTY CASH BLDG t CRNOS 051 594 051794 051994 13210 222436 222442 51794 8956 A220934 PICKLE, JOHN A220935 PIERCE, SHELLY 050594 657423 666605 19 -4140 -6350 -FP 01-1015-6350 24-9034-6398-4715 01-1061-6360 01-1061-6360 01-1061-6360 01-1061-6360 01-1061-6363 01-1061-6360 01-1061-6360 01-1061-6360 79-4110-6143 79-4110-6143 79-41106143 832.00 832.00 193 12.00 12.00 ..==a= 12.03 12.00 s = 6.22 .48 8.28 19.40 7.40 2.37 21.65 2.10 67.90 >3====3= 60.40 10.00 10.00 80.40 CCO294 21-6600-6390 18.90 GC0394 21-6600-6390 18.90 WAP200P WELD COUNTY DATE : 05/20/94 WARRANT REGISTER PAGE : 15 AS OF : 05/20/94 WARRANT PAYEE INVOICE ACCOUNT NUMBER WARRANT NUMBER NUMBER FD DEPT 00J PROD AMOUNT A220935 PIERCE, SMELLY A220936 PING' MONICA 37.80 940522 24-9044-6398-4715 17,00 A220937 PITNEY BOWES DEPT E N CORPORATION 822588 888021 4220938 PRO -TECH ELECTRONICS PRO 05256 A220939 PUBLIC SAFETY SUPPLY CO 5530 A220940 PUOLIC SERVICE CO OF COLD 051394 A220941 QUIZNO'S A220942 RAINER. MICHELLE C 52-5560-6360 52-5510-6360 52-5530-6310 52-5580^6363 01-2110-6220 01-2110-6226-TRNG 12-4410-6340 12-4411-6340 17.00 sr 3aaaa 114.50 66058 66.58 66.59 314.25 x xsa 100.80 100.80 16.95 16.95 :3 aaass 1,879.27 357.96 2,237.23 =3=a=====_ 5694 19-4140-6379-IMM 103.42 103.42 xa =sa===ss 004907 63-9020-6740-VI5N 37.00 WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/20/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT 08J PROJ DATE : 05/20/94 PAGE : 16 WARRANT AMOUNT A220942 RAINER, MICHELLE C A220943 RAMKOTA INN C CONFERENCE CENTER 51194 A220944 REOCTERANO, MARY 940523 A220945 REGION VIII CONFERENCE RE 0594 4220946 REICHERT, JANET M. 051894 A220947 RIGHT TO READ OF WELD CTY, INC ARMIJO 0594 FLORES 0594 GONZALES 0594 MARTINEZ 0594 SALAZAR 0594 SANT 0594 TOVER 059♦ A220946 RMRS SYSTEM 014580 19-4110-6379-A5S7 249044-6398-4715 21-6600-6373 01-1152-6370 21-6530-6382 21-6530-6382 21-6530-6382 21-6530-6382 21-6530-6382 21-6430-6382 21-6530.6382 52-5510-6310 52-5560-6310 37.00 33== 569.25 569.25 == 29.00 =5 29.00 2 2,475.00 2,475.00 12.50 12.50 8.65 10.20 8.65 10.20 10,20 8.65 8.65 65.20 1,200,00 800.00 2,000.00 WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/20/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROD DATE : 05/20/94 PAGZ : 17 WARRANT AMOUNT A220949 SAOUSKY, JR. STANLEY J 051794 0519M1 A220950 SCHOOL DISTRICT 46 FS8419 A220951 SCHOOL DISTRICT RE -3J HSL0494 A220952 SCHOOL DISTRICT RESJ APR 94 APR94 A220953 SH&A, SHARON K 4220954 SIEH, MICHAEL 4220955 SKILLPATH, INC. 004908 42694 51294 4220956 ST VRAIN VALLEY-KL:I-J APR 94 79-1041-6143 8.00 011041-6370 34.75 21-6600-6222 21-6600-6222 21-6600-6222 216600-6531 63 -9020 -6740 -DENT 01-1123-6350 19-4140-6335-N 21-6600-6229 42.75 15,330.50 15,330.50 ss=== 2,094.40 2,094.40 __ 1,057.65 375.00 1,432.65 299.00 299.00 90.00 90.00 == 99.00 99.00 = 76.10 WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/20/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OSJ PROD Dart : 05/20/94 PAGE : 18 WARRANT AMOUNT A220956 ST VRAIN VALLEY-REI-J 76.10 A220957 STORIE, ALLEN A220958 SUMPTER, SUE 51094 MI049♦ A220959 TALMADGE-LUNA, LINDA K 043094 A220960 TAYLOR, TODD L A22J961 TERRY, ROBIN A220962 THIEMANI STACEY A220963 TLEGZCN/ WENDELL 050994 940524 940525 940526 19-4170-6370-A 19-4170-6370-5 19-4170-6370-W 21-6800-6372 79-6600-6143 79-1123-6147 24-9034-6398-4715 24-9044-6398-4715 24-9034-6398-4715 30.25 151.00 21.50 202.75 ===sari__=alas= 58.50 58.50 137.05 137.05 528.00 528.00 30.00 30.00 =s-==ass=ate. 32.00 32.00 39.00 39.00 asa=== MAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/20/94 INVOICE NUMBER ACCOUNT NUMBER PD DEPT OBJ PROD DATE : 05/20/94 PAGE : 19 WARRANT AMOUNT A220964 TORRES. ELIDA A220965 TRUJILLO. EILEEN A220966 UNC 940527 940528 42894 A220967 UNITED PARCEL SERVICE SC 051494 646 647 4220968 US SPRINT 24-9034-6398-4715 24-9044-6398-4715 19-4110-6379-TP 01-1025-6310 01-1025-6310 01+1025-6J10 11.00 11.00 x_==x 6.00 6.00 s====xxsa===aR= 200.00 200.00 ========.222-222= 5.00 3.05 3.36 11.41 :ca= =22= 40200497942 67 -1192 -6345 -LO 104.60 A220969 US WEST COMMUNICATIONS 1E8579954 67-1192-6345-LOCL 4-3393085 67-1192-6346LOLL 4t3510415 67-1192-6345LD 67-1192-6345-LOCL 4E3510978 67-1192-6345-LD 67-1192-6345-LOCL 4t3564300 67-1192-6345-LD 67 -1192 -6345 -LOLL 4E6236031 67-1192-6345-LD 104.60 46.76 51.51 24.66 44.55 30.45 43.59 2,069.81 4,611.55 534.75 7.457.63 22.2222==== ===== WAP230P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/20/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROD DATE : 05/20/94 PAGE : 20 WARRANT AMOUNT A220970 VIERYA, 3ARLENE 940529 A220971 WEATHER NETWORK, INC. 11103 A220972 WIDER, ELIZABETH 940530 A220973 WELD COUNTY REVOLVING FUND 8024 A220974 WHITE. SHARON L 16835 A220975 WIATROWSKI, STEPHEN J 42094 A220976 WILLMOTT, RICKY L A220977 WILSON. LOUISE 24-9344+6398-4715 19.-4170-6220-A 24-9034-6398-4715 01-2110-6370-OPS 79-1014-6143 19-4170-6370-A 19-4170-6370-F 9.00 9.00 22,50 22.50 23.00 23.00 3 200.00 200.00 ===== 108.00 108.00 9.25 89.75 99.00 =a== 004909 63 -9020 -6740 -DENT 97.00 97.00 ==a= MI0494 21-6600-6377 5.36 5.36 = x+ WAP20UP WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/20/94 INVOICE NUMBER ACCOUNT NUMBER FO DEPT 080 PROJ DATE : 05/20/94 PAGE : 21 WARRANT AMOUNT 4220978 WINKLER. SUSAN A220979 NORDEN. DAVID 940531 24+9344-6398-4715 15.00 004910 004911 404912 051894 A220980 YAMAGUCNI. JUDITH S. 042594 051594 A220981 ZELLER OIL COMPANY 15079 15080 15081 15082 15181 15200 15201 15202 15203 15204 15205 15207 15208 15209 15210 15212 63 -9020 -6740 -DENT 79-1154-6143 63 -9020 -6740 -DENT 79-1154.6143 63 -9020 -6740 -DENT 79-1154-6143 79-1154-6143 15.00 _= ==us 59.50 59.50 40.00 40.00 40.00 40.00 15.00 294.00 01-1014+6370 8.50 01-1014-6370 11.25 11-3140-6371 11-3140-6371 11-3140-6371 1131406371 11-3140-6371 11-3140-6371 11-3140-6371 11-3140-6371 11-3140-6371 11-3140-6371 11-3140-6371 11+3140-6371 11-3140-6371 11-3140-6370 113140-6370 11-3140-6370 _ 19.75 =saga 61.81 215.90 121.18 148.96 651.84 171.46 107.46 357.53 272.53 356.96 157.19 171.68 413.62 185.19 339.96 386.63 4.119.92 s= WAP203P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/20/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROD DATE : 35/20/94 PAGE : 22 WARRANT AMOUNT 4223982 ZELLER OIL COMPANY 15213 15214 A223963 ZELLCR OIL COMPANY 15215 15337 15447 15448 15449 15450 15452 15453 15454 15455 15457 15458 15459 15460 15461 15462 15629 15659 15660 15671 15672 15673 15674 £5675 15676 15677 15678 15691 11-3140-6370 11-3140-6371 61-9020-6245 11-3140-6370 11-3146-6371 11-3140-6370 11-3140-6371 61-9020-6245 11-3140-6370 11-3140-6370 11-3140-6370 11-3140-6370 11-3140-6370 11-3140-6370 11-3140-6370 11-3140-6370 11-3140-6370 11-31406370 11-3140-6370 11-3140-6370 11-3140-6370 11-3146-6371 11-3140-6370 11-3140-6370 11-3140-6370 11-3140-6370 11-3140-6370 11-3140-6370 11-3140-6370 11-3140-6370 11-3140-6370 11-3140-6371 61-9020-6245 114.46 160.40 392.96 290.38 706.44 313.62 242.34 390.39 178.41 842.36 157.60 218.89 402.75 175.11 134.94 154.63 394,00 199.23 5,468.91 ss 134.94 134.82 1,143.93 357.48 366.29 153.61 369.39 166.83 151.93 129.97 186.11 119,16 104.26 189.36 547.61 4,255.69 a Z== = FINAL TOTAL : 83,004.26 WAP2DOP WELD COUNTY WARRANT REGISTER AS OF : DS/20/99 DATE : 05/20/94 PAGE 23 THIS IS TO CERTIFY THAT ALL ACCOUNTING AND BUDGETING PRODECURES HAVE BEEN COMPLETED ON THE A3OVE LISTED CLAIMS AS SHOWN ON PAGE 1 THROUGH 22 t AND DATED OS/20/94, AND THAT PAYMENTS SHOULD DE TO THE RESPECTIVE VENDORS / ORS �, IN THE $237.0121.212 --• AMOUNTS SET OPPOSITE DATED THIS se THEIR NAMES, WITH THE TOTAL AMOUNT 19 DIRE %R 'F '" I A CE AND ADMINISTRATION SERVICES SU85CRIDED AND SWORN TO BEFORE ME THIS c3tODAY OF My Commission Expires January 10, 1995 MY COMMISSION EXPIRZS:_,_- NOTARY PUBLIC WE, THE DUARD OF COUNTY commzssromems OF WELD COUNTY, COLORADO, HEREBY (APPROVE) (DISAPPROVE) THE CLAIMS AS SET FORTH ABOVE: AND WARRANTS IN PAYMENT THEREFORE ARE HEREBY ORDERED DRAWN UPON • THE _ FUND - TOTALING DATED T23Y:C)OAB OF WELD COUNTY CLERK TO THE 80AR0 Sf✓ 1935L. DEPUTY CHAIRMAN // MEMBER �F. MENDER - MEMBER MEMBER BNY/AONMBNTAL S.E'RYICES May 12, 1994 CLERK TO T iiE °OA,^.D Board of County Commissioner County of Weld 915 Tenth Street Greeley, CO 80632 Dear Sir(s): On the behalf of Laidlaw Environmental Services Inc. I would like to formally protest the awarding of Bid 400076-94 (Weld County) to a company that did not meet all of the requirements stipulated. Under the evaluation of proposals the second stipulation was for the contractor to have no less than five years of experience in transporting, disposing, and handling hazardous waste. While I realize that Laidlaw Environmental Services was the third lowest bidder and we may not have been awarded the Weld County bid even if the evaluation steps were followed, I would still like the board to consider the importance of rewarding the bid proposal to the company who best meets the qualifications set forth within the proposal. In closing, I wish the best of luck to Weld County with it's Household Hazardous Collection Program and if the county should need assistance for this on any other future programs please do not hesitate to call. WELD COG::TY oo .P.1l 71! 11A7 13 J Mart Simon Facility Manager Sincerely, Marc Simon Facility Manager Laidlaw Environmental Services (TS), Inc. 1-800-251-1227 cc: Richard Thornton Terry Traynor (//�� / }'y2 jp� Laidlaw Environmental Services (TS), Inc. /[�L[i//w f 2815 O14 Gfoenbrior Pike Greenbrier, Tennessee 37073.4514 pc Wats 1,500.251.1227 Phone 615,643.4511 Fax 615.643.0972 2-3 14 : PU Town of Mead P.O. Box 626 V.7,10 CCU .TY Mead, Colorado 80542 ^ \ 72F, (303) 535-4477 r' r r 19 P,M 9. 28 CLERK TO Ti,.. Sli)%f. May 18, 1994 Weld County Board of Commissioners P.O. Box 753 Greeley, CO 80632 RE: Notice of Public Hearing - R & M Land Company Annexation No. 1 and No. 2. June 13, 1994 Please be advised that public hearings have been set by the Mead Board of Trustees to consider the proposed R & M Land Company Annexation No. 1 and No. 2. Attached are copies of the hearing notice, the Annexation Impact Report and a maps of the proposed annexation of this property. You are being sent this notice as an adjacent property owner, or as a referral agency of the Town. Copies of the applications for this annexation are on file and available for public inspection in the Office of the Town Clerk of the Town of Mead, at the Mead Town Hall, 441 3rd street, Mead, Colorado 80549, The public's comments are welcome during the public hearings. Written con}Snents may be sent to the Mead Town Hall, Box 626, Mead, CO 80542. Sincere ider City' Manager es: ,Z; E6-; ; So; Gni OoST NOTICE OF PUBLIC HEARING R & M LAND COMPANY ANNEXATION NO, 1 AND 2 Notice is hereby given that the Board of Trustees of the Town of Mead will hold a Public Hearing commencing at 7:00 o'clock p.m., Monday, June 13, 1994, at the Mead Town Hall, Mead, Colorado 80542. Furthermore, notice is hereby given that the Planning Commission of the Town of Mead will hold a Public Hearing commencing at 7:00 o'clock p.m., Wednesday, June 1, 1994, at the Mead Town Hall, Mead, Colorado 80542. The purpose of these Public Hearings will be to determine whether certain properties for which annexation petitions have been filed meet the applicable requirements of the statutes of the State of Colorado and are eligible for annexation to the Town of Mead, and to establish the appropriate classification of zoning for the properties. The legal description for each petition is attached hereto as Exhibit A and incorporated by reference herein. Any person may appear at the Public Hearing and be heard regarding the matters under consideration. Copies of the petitions and the resolution's findings that the petitions are in substantial compliance with the applicable laws of the State of Colorado are on file and available for public inspection in the Office of the Town Clerk of the Town of Mead, at the Mead Town Hall, Mead, Colorado 80542. Dated this 10th Day of May 1994. TOWN OF MEAD, COLORADO By: /s/ Kelly Smith Town Clerk EXHIBIT A R&M LAND COMPANY ANNEXATION NO. 1 Legal description: THAT PORTION OF WELD COUNTY RECORDED EXEMPTION NO 1207 -26 -1 -RE -687, LOCATED IN THE NORTHWEST QUARTER OF SECTION 26. TOWNSHIP 3 NORTH, RANGE 68 WEST OF THE SIXTH PRINCIPAL MERIDIAN, COUNTY OF WELD, STATE OF COLORADO, MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHEAST CORNER OF LOT "B" ACCORDING TO SAID RECORDED EXEMPTION, FROM WHENCE THE NORTH QUARTER CORNER OF SAID SECTION 26 BEARS N00°12'44"E, 1030.06 FEET SAID POINT BEING ONT EH EAST LINE OF THE NORTHWEST QUARTER OF SECTION 26 AND WITH ALL OTHER BEARINGS CONTAINED HEREIN RELATIVE THERETO; THENCE S89°25'00"W, 302.64 FEET TO THE TRUE POINT OF BEGINNING; THENCE S10°57'13"W. 1100.10 FEET; THENCE N12°07'13"W, 1100.10 FEET; THENCE N89.25'00"E, 440.04 FEET TO THE TRUE POINT OF BEGINNING. THUS DESCRIBED PORTION OF LAND CONTAINS 5.444 ACRES MORE OR LESS. R&M LAND COMPANY ANNEXATION NO. 2 Legal description: THAT PORTION OF WELD COUNTY RECORDED EXEMPTION NO 1207 -26.1 -RE -687, LOCATED IN THE NORTHWEST QUARTER OF SECTION 26, TOWNSHIP 3 NORTH. RANGE 68 WEST OF THE SIXTH PRINCIPAL MERIDIAN, COUNTY OF WELD, STATE OF COLORADO, MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHEAST CORNER OF LOT "B" ACCORDING TO SAID RECORDED EXEMPTION, FROM WHENCE THE NORTH QUARTER CORNER OF SAID SECTION 26 BEARS N00° 12'44"E, 1030.06 FEET SAID POINT BEING ONT EH EAST LINE OF THE NORTHWEST QUARTER OF SECTION 26 AND WITH ALL OTHER BEARINGS CONTAINED HEREIN RELATIVE THERETO; THENCE ALONG SAID EAST LINE S00° 12'44", 1638.74 FEET TO THE SOUTHEAST CORNER OF THE NORTHWEST QUARTER OF SECTION 26; THENCE ALONG THE SOUTH LINE OF THE NORTHWEST QUARTER, S89°39'59"W, 2601.77 FEET TO THE EAST RIGHT-OF-WAY LINE OF INTERSTATE HIGHWAY NO. 25; THENCE ALONG SAID EAST RIGHT-OF-WAY LINE; N00°25'30"E, 800,28 FEET; THENCE N89°25'15"E, 325.50 FEET; THENCE N00°25'30"E, 537.50 FEET; THENCE N89°25'15"E, 1528.75 FEET; THENCE N00°12'44"E, 289.84 FEET; THENCE S12°07'13"E, 1100.10 FEET; THENCE N10°57'13"E, 1100.10 FEET; THENCE N89°25'00"E, 302.64 FEET TO THE POINT OF BEGINNING. THUS DESCRIBED PORTION OF LAND CONTAINS 75.633 ACRES MORE OR LESS. IW,M Nip W CO b W « < cr Ain rbW r M # OO 0 � V 3tta 0 4-3 OO0t; U W 7 ra �r0 <OOO Kt" COLORADO STATE HIGHWAY NO. 66 a I 'i LIP S2 'ON 3A0ASU31Ni 00Ytl0103 . i hiktili l'ei ji t lhireadi e! Sri it t N. ORAOMJ STATE HIGHWAY NO. 66 ei i 1,1 St 'ON 31YASy3ANI OOYNOIOO sir C3 O N i I i II k i 'n I fig I 4•• -rom" taw i I 1 "gt ii II I' N i RESOLUTION NO.6 - 1994 A RESOLUTION OF INTENT TO ANNEX CERTAIN PROPERTY TO THE TOWN OF MEAD TO BE KNOWN AS THE R 7 M LAND COMPANY ANNEXATION NO. I AND NO, 2 WHEREAS, petitions for annexation of certain properties have been filed with the Board of Trustees of the Town of Mead by the R & M Land Company, Louis Rademacher, General Partner; and WHEREAS, the Board of Trustees has reviewed the petitions; and WHEREAS, the Board of Trustees wishes to permit simultaneous consideration of subject property for annexation and zoning, if requested in the petition; and WHEREAS, the Board of Trustees has reviewed the petitions and desires to adopt by Resolution its findings in regard to the petitions; NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF TRUSTEES OF THE TOWN OF MEAD, COLORADO, as follows: I. The petitions, whose legal descriptions arc attached hereto as "Exhibit A" and incorporated by reference herein, arc in substantial compliance with the applicable laws of the State of Colorado. 2. No election is required under C.R.S. §31-12-107(2). 3. No additional terms and conditions arc to be imposed except those provided for in the petitions. 4. The Board of Trustees will hold a public hearing for the purpose of determining if the propose annexation complies with C.R.S. §31-12-104, and with C.R.S. §31.12.105, and will hold a public hearing to determine the appropriate zoning of the subject properties if requested in the petition, at the Mead Town Hall, Mead, Colorado 80542, at the following time and date: 7:00 PM i3. June 1•r: 1994 5. Any person may appear at such hearing and present evidence relative to the proposed annexation or the proposed zoning. 6. Upon completion of the hearing, the Board of Trustees shall set forth, by resolution, its findings and conclusions with reference to the eligibility of the proposed annexation, and whether the statutory requirements for the proposed annexation have been met, and further, will determine the appropriate zoning of the subject property if requested in the petition. 7. If the Board of Trustees concludes, by resolution, that all statutory requirements have been met and that the proposed annexation is proper under the laws of the State of Colorado, the Board of Trustees shall pass one or more ordinances annexing the subject property to the Town of Mead, and shall pass one or more ordinances zoning the subject property if requested in the petition. INTRODUCED. READ. SIGNED AND APPROVED this 25th day of April, 1994, TOWN OF MEAD By (eke:49'=%J - O,.l A.Yr, a--r,•.- ATT T: K Ily S Town Clerk Michael F. Schumann, Mayor Annexation impact Report R & M Land Company Annexation No. 1 and No. 2 May 17, 1994 Prepared for: Town of Mead P.O. Box 626 Mead, CO 30542 R & M Land Company Annexation No. 1 and No. 2 Table of Contents Page I. Project Description 1 II. Municipal Services 1 III. Special Districts 2 IV. School District Impact 2 V. Exhibits 2 A. Existing Conditions Map and Proposed Land Use Map R & M Land Company Annexation No. 1 and No. 2 Forward: This "annexation impact report" has been prepared pursuant to Section 31-12-108.5 Colorado Revised Statutes, 1986 Repl. Vol. Contained in Appendix "A" is a map depicting the proposed annexation, the existing and proposed public services to the property and the existing and proposed land use for the property. I. Project Description: The property proposed for annexation consists of a series of two annexations and is located east of 1-25 and south of Colorado Highway 66 adjacent to the UM -west Building. The annexation is contiguous to the Town at the point it abutts a portion of the Sekich Business Park. Through the series of annexations, it satisfies the 1/6 contiguity with the Town boundaries required by statute. The land proposed to be annexed is owned by the R & M Land Company, Louis Rademacher, General Partner. The property is immediately adjacent to the Sekich Business Park and is a natural extension of this industrial / commercial area. The marketability of the site is further enhanced by the easy access to 1-25 and the North Denver area, including the new airport now under construction. The land is currently zoned Agricultural by Weld County. In conjunction with the proposed annexation, the zoning will change to commercial and industrial uses in conformance with the Town's Land Use Code. Adjacent land uses include industrial and commercial uses, agriculture, and rural residences on large lots. II. Municipal Services: Municipal services for the R & M Land Company Annexation No. 1 and No. 2, will be provided in the following manner: Electricity Electric services are to be provided by the present supplier, United Power Inc., the electric franchisee for the Town of Mead. Telephone U.S. West Communications, Water Little Thompson Water District. Sanitary Sewer Sewer service will be provided by individual septic systems engineered for each specific site, The property will be required to connect to the Town's sewer system when it becomes available. Fire The site is currently served by the Mountain View Fire Protection District. Police Weld County Sheriff, under contract with the Town of Mead, Street Maint. Maintenance of roadways within the annexation will be provided by the Town after construction to Town specifications and acceptance by the Board of Trustees. 3 Financing the municipal services within the area to be annexed is addressed in an annexation agreement between the applicant and the Town of Mead. The annexation agreement is currently under negotiation and is not available at this time. III. Special Districts: The area to be annexed is included within the following special districts: St. Vrain Valley School District Mountain View Fire Protection District Northern Colorado Water Conservancy District St. Vrain - Left Hand Water Conservancy District IV. School District Impact: It is anticipated that the annexation will bring a benefit to the St. Vrain School District RE1J due to the increase in valuation, and will contribute no additional K-12 students to the school system. V. Exhibits: A. Existing Conditions Map and Proposed Land Use Map 4 COtORACO STATE NIGNWAY NO. 66 1 , SL 'ON 71V15431N1 00Vtl0103 nP .C. 1 i• E r g d 1 i AGENDA WELD COUNTY COUNCIL „'Ei_D CCU: T Y Cr: ,....,..l'77S ':;'" ; ,' ' i 9 r,:1 11: 06 PLEDGE OF ALLEGIANCE INVOCATION ROLL CALL: Ralph Campbell, President James Gardner, Vice President Barbara Janda Clair Orr David Young APPROVAL OF MINUTES: Approval of May 4, 1994, Minutes APPOINTMENTS: CLERK TO THE BOARD Elected Officials Meeting -6/1/94 at 10:00 a.m. Elected Officials Meeting -7/11/94 at 10:00 am, KFKA "Coffee Break" -7/19/94 at 9:00 a.m. ADDITIONS TO AGENDA: Items marked by * CORRESPONDENCE: Letters/Notifications 5/5/94 Thank -you Letter to Robert Thorson, Administrator, Town of Platteville for Hosting 5/4/94 County Council Meeting. Second Planning Conference Forum for City of Fort Lupton/South Weld County RE: Proposed South Weld County Joint and Regional Master Plan --5/9/94 "Hot Topics in the Tropics" Seminar Announcement to be held February 6-11, 1995, in Hawaii 5/16/94 Press Release RE: June 1, 1994, County Council Meeting Second Planning Conference Forum for City of Fort Lupton/South Weld County RE: Proposed Agenda Dialogue --5/16/94 Bd !nit OIL 3 Inter -County 5/5/94 Memo to Bldgs. & Grounds (Security) RE: June County Council Meeting 5/5/94 Memo to David Beckman, App. Spec., Info. Svcs. RE: Desired Computer Environment 5/2/94 Memo from W.M. Webster, Chairman, County Commissioners RE: County Picnic Task Force -5/5/94 5/2/94 Memo from David Worden, Personnel Director, RE: Health Insurance for Part -Time and/or Hourly Employees -5/5/94 5/5/94 Memo from David Warden, Personnel Director, RE: Employee Newsletter 5/12/94 Memo from Pat Persichino, Gen. Svcs., RE: Missile Site Park —5/12/94 Invitations to WCPHD Household Hazardous Waste Collection Site Ribbon Cutting Ceremony on 5/21/94 at 2:00 p.m. 6/1/94 County Council Agenda — Page 2 5/16/94 Memo from David Beckman, App. Spec., Info Svcs. RE: Request for Laptop Computer Pricing -5/16/94 Record of Proceedings for County Commissioners as follows - Agendas: 5/4/94, 5/9/94, 5/11/94, 5/16/94 Minutes: 4/25/94, 4/27/94, 5/2/94, 5/4/94, 5/9/94 Commissioners Work Sessions as follows - Schedules: 5/9/94, 5/16/94 Notes: 4/25/94 REPORTS: Coordinator Reports Councilman Young RE: Questionable Charter Change Need Vice President Gardner RE: Missing of Meetings and Issues around Council Rules & Regulations OLD BUSINESS: Salary Setting Discussion RE: Coroner NEW BUSINESS: Payment of the Bills: Mileage for Ralph Campbell Mileage for James Gardner July 6, 1994, County Council Meeting at 7:30 p.m. in Briggsdale at the School Library - Pre -meeting Location - Topic Selection (Oil & Gas Reg. or Comp. Plan) - Special Speaker Recruitment Open House in August for Weld County Residents 1995 County Council Budget Secretarial Research Requests PUBLIC COMMENTS: ADJOURNMENT: Open PLEDGE OF ALLEGIANCE INVOCATION ROLL CALL: APPROVAL OF MINUTES: APPOINTMENTS: ADDITIONS TO AGENDA: CORRESPONDENCE: AGENDA WELD COUNTY COUNCIL June 1, 1994 Weld County Centennial Center in Greeley Ralph Campbell, President James Gardner, Vice President Barbara Janda Clair Orr David Young Approval of May 4, 1994, Minutes dGrler2`/ -deyar, Elected Officials Meeting -6/1394 at 10:00 a.m. Elected Officials Meeting -7/11/94 at 10:00 a.m. KFKA "Coffee Break" -7/19/94 at 9:00 a.m. Items marked by * 0 0 rnm 0: o:: 77 v N> 7.4 W 0 'o Letters/Notifications 5/5/94 Thank -you Letter to Robert Thorson, Administrator, Town of Platteville for Hosting 5/4/94 County Council Meeting. Second Planning Conference Forum for City of Fort Lupton/South Weld County RE: Proposed South Weld County Joint and Regional Master Plan --5/9/94 "Hot Topics in the Tropics" Seminar Announcement to be held February 6-11, 1995, in Hawaii 5/16/94 Press Release RE: June 1, 1994, County Council Meeting Second Planning Conference Forum for City of Fort Lupton/South Weld County RE: Proposed Agenda Dialogue - 5/16/94 Two Workshops Offered through the City of Greeley on June 7, 1994- 5/19/94 Inter -County 5/5/94 Memo to Bldgs. & Grounds (Security) RE: June County Council Meeting 5/5/94 Memo to David Beckman, App. Spec., Info. Svcs. RE: Desired Computer Environment 5/2/94 Memo from W.H. Webster, Chairman, County Commissioners RE: County Picnic Task Force -5/5/94 5/2/94 Memo from David Worden, Personnel Director, RE: Health Insurance for Part -Time and/or Hourly Employees -5/5/94 5/5/94 Memo from David Worden, Personnel Director, RE: Employee Newsletter 5/12/94 Memo from Pat Persichino, Gen. Svcs., RE: Missile Site Park —5/12/94 6/1/94 County Council Agenda — Page 2 Invitations to WCPHD Household Hazardous Waste Collection Site Ribbon Cutting Ceremony on 5/21/94 at 2:00 p.m. 5/16/94 Memo from David Beckman, App. Spec., Info Svcs. RE: Request for Laptop Computer Pricing -5/16/94 5/18/94 Memo to James Gardner from Linda Larrington RE: Wellness Task Force -5/19/94 Record of Proceedings for County Commissioners as follows - Agendas: 5/4/94, 5/9/94, 5/11/94, 5/16/94, 5/23/94, 5/25/94, 6/1/94 Minutes: 4/25/94, 4/27/94, 5/2/94, 5/4/94, 5/9/94, 5/11/94, 5/16194, 5/18/94, 5/23/94 Commissioners Work Sessions as follows - Schedules: 5/9/94, 5/16/94, 5/23/94, 6/1/94 Notes: 4/25/94, 4/28/94, 5/16/94 REPORTS: Coordinator Reports Vice President Gardner RE: Missing of Meetings and Issues around Council Rules & Regulations; * and Wellness Task Force Meeting on 5/290/94 Councilman Orr RE: Participation on KFKA's 5417/94 "Coffee Break" Show Councilman Young RE: Questionable Charter Change Need OLD BUSINESS: Salary Setting Discussion RE: Coroner Computer Equipment for the County Council Office NEW BUSINESS: Payment of the Bills: Mileage for Ralph Campbell Mileage for James Gardner July 6, 1994, County Council Meeting at 7:30 p.m. in Briggsdale at the School Library - Pre -meeting Location - Topic Selection (Oil & Gas Reg. or Comp. Plan) - Special Speaker Recruitment Open House in August for Weld County Residents 1995 County Council Budget Secretarial Research Requests PUBLIC COMMENTS: ADJOURNMENT: Open May 15. 1994 Division of Minerals and Geology 1313 Sherman street Room 215 Denver, Colorado 80203 MARY A,\,y FFUERSTEIN WE ry C " . -K b REC 1991) NAY 18 N,'! 9:29 -4 0 mm cp 0 7C O� Subject: Proposed Cooley and Shell Sand and Gravel Mining Operapon near Section 16, Township 2 North, Range 68 West of the c6th W Principal Meridian. Reference: File No. 20198-000 Haley and Aldrich Inc. Attn: Carl Mount Since the inception of the C&M mining operation west of our home the quality of life and value of our home has drastically reduced. Besides ruining our view of the mountains the noise, dust and destruction of the roads have become a nuisance. The increase in traffic on road 20 1/2 and the non conformance to the speed limit by the gravel trucks has substantially increased the road noise and has become a threat to the safety of our children. The destruction of the roads by the gravel trucks has also become a safety hazard to other using the road and damaging to their vehicles. The dust is destroying the furnishings and carpeting in our homes and is threatening our health. We also believe that the dewatcring of the C&M pit has effected the water level of our well. The thought of the C&M pit operating to the West in conjunction with the proposed Cooley pit to the East. Western Mobile pit to the Southeast and the proposed Shell pit to the North all within a 500 yard radius is a major concern and very disturbing. The salability and value of our home will further decline and the living condition will become unbearable for the next 15-20 years until the mining is complete. We strongly urge the county and the state to consider the quantity and locations of these mining operations and the effect they have on the people living in the area. We request that prior to granting the Cooley and Shell permits the state and the county: Inspect the existing C&M and Western Mobil mining operations for compliance to the operating rules and regulation. Repave roads 7 and 20 1/2. Reduce the speed limit on road 20 1/2 and monitor the truck speed. Check the air quality. Monitor the dewatering. C) r c, '0 D• a -� 06) 2,3)04 GEC: "' 86-; rte_ If permits arc granted we request that the existing and new operations be monitored periodically (preferably monthly) for the safety, health and well- being of those living in the area. We also would like copies of the Mine and Reclamation Act and the Operating Rules and Regulations sent to us. Enclosed is the $5.00 printing fee. Thank you for the opportunity to express our concerns. Janine and Ted L. Cox 1767 Weld County Road 20 1/2 Longmont, Colorado 80504 (303) 651-1203 (h) (303) 461-2111 (w) jc cc: Weld County Clerk and Recorder 1402 North 17th Avenue Greeley, Colorado 80631 Weld County Planning and Zoning 1402 North 17th Avenue Greeley, Colorado 80631 Air Quality Control 429 N. College Ave. Ft. Collins, Colorado HEARING CERTIFICATION DOCKET NO. 94-37 RE: CHANGE OF ZONE FROM A (AGRICULTURAL) TO E (ESTATE) - TOM AND MARGARET RUSSELL A public hearing was conducted on May 18. 1994. at 10:00 a.m., with the following present: Commissioner W. H. Webster, Chairman Commissioner Dale K. Hall, Pro-Tem Commissioner George E. Baxter Commissioner Constance L. Harbert Commissioner Barbara J. Kirkmeyer - EXCUSED Also present: Acting Clerk to the Board, Shelly Miller Assistant County Attorney, Lee Morrison Planning Department representative, Gloria Dunn The following business was transacted: I hereby certify that pursuant to a notice dated April 20, 1994, and duly published April 21, 1994, in the Windsor Beacon, a public hearing was conducted on May 11, 1994, to consider the request of Tom and Margaret Russell for a Change of Zone from A (Agricultural) to E (Estate). A notice of continuance, dated April 25, 1994, was also published in the Windsor Beacon on April 28, 1994, concerning said matter. Lee Morrison, Assistant County Attorney, made this a matter of record. Gloria Dunn. Planning Department representative, indicated the applicants have again requested a continuance since Commissioner Kirkmeyer is not present at today's hearing. A notice of second continuance has been published, posted, and mailed for the continuance of this hearing to May 25, 1994. at 10:00 a.m. The applicants were not present, and no public testimony was offered concerning the continuance of this matter. Commissioner Baxter moved to continue the request of Tom and Margaret Russell for a Change of Zone from A (Agricultural) to E (Estate) to May 25, 1994, at 10:00 a.m., based on the applicants' request. The motion was seconded by Commissioner Harbert, and it carried unanimously. This Certification was approved on the 23rd day of May, 1994. APPROVED: ATTEST: Weld County Clerk to the Board By: h1 Deputy C1Ark to the Board TAPE 1194-23 DOCKET #94-37 PL0950 BOARD OF COUNTY COMMISSIONERS WELD COUNTS, COLORADO . We ster, hairman Dale,K„ Hall. •ro Jlem Zeoorge7. Baxter l liar- r C4 fr Constance L. Harbert 24-1 EXCUSED Barbara J. Kirkmeyer e_c : PL 940454 HEARING CERTIFICATION DOCKET NO. 94-40 RE: SITE SPECIFIC DEVELOPMENT PLAN AND SPECIAL REVIEW PERMIT FOR A SINGLE FAMILY DWELLING ON A LOT LESS THAN THE MINIMUM LOT SIZE IN THE A (AGRICULTURAL) ZONE DISTRICT - HUBERT AND ALEXANDRA HAYWORTH A public hearing was conducted on May 18, 1994, at 10:00 a.m., with the following present: Commissioner W. H. Webster, Chairman Commissioner Dale K. Hall, Pro-Tem Commissioner George E. Baxter Commissioner Constance L. Harbert Commissioner Barbara J. Kirkmeyer - EXCUSED Also present: Acting Clerk to the Board, Shelly Miller Assistant County Attorney. Lee Morrison Planning Department representative, Gloria Dunn The following business was transacted: I hereby certify that pursuant to a notice dated May 2, 1994, and duly published May 5, 1994, in the Windsor Beacon, a public hearing was conducted to consider the request of Hubert and Alexandra Hayworth for a Site Specific Development Plan and Special Review Permit for a single family dwelling on a lot less than the minimum lot size in the A (Agricultural) Zone District. Lee Morrison, Assistant County Attorney, made this a matter of record. Gloria Dunn, Planning Department representative, entered the favorable recommendation of the Planning Commission into the record as written. Hubert Hayworth, applicant, was present and stated he had no additional comments other than he wants to build his home in a very beautiful place. (Changed to Tape #94-24.) Commissioner Harbert asked what the Health Department's comments were concerning the one -acre minimum requirement for septic systems. Commissioner Hall clarified that the subject property is 40 acres, which is less than the minimum lot size but meets the septic system requirements. No public testimony was offered concerning this matter. Mr. Hayworth confirmed that he had no problem with the Conditions of Approval and Development Standards. Commissioner Harbert moved to approve the request of Hubert and Alexandra Hayworth for a Site Specific Development Plan and Special Review Permit for a single family dwelling on a lot less than the minimum lot size in the A (Agricultural) Zone District, based on the recommendations of the Planning staff and the Planning Commission, with the Conditions of Approval and Development Standards as entered into the record. The motion was seconded by Commissioner Baxter, and it carried unanimously. This Certification was approved on the 23rd day of May, 1994. ATTEST: Weld County Clerk to the Board By: k to the Board TAPE #94-23 & #94-24 DOCKET #94-40 PL0955 APPROVED: BOARD OF COUNTY C0KMISSIONERS WELD COUNTY, COLORADO 1 1/i) Webster, Chairman Dale,K. Hall, Pr . Baxter Constance L. Harbert EXCUSED Barbara J. Kirkmeyer 940456 HEARING CERTIFICATION DOCKET NO. 94-41 RE: SITE SPECIFIC DEVELOPMENT PLAN AND AMENDED SPECIAL REVIEW PERMIT FOR EXPANSION OF AN OPEN PIT GRAVEL MINE TO INCLUDE AN ADDITIONAL 40 ACRES, INCLUDING A CONCRETE BATCH PLANT AND PORTABLE ASPHALT PLANT, IN THE A (AGRICULTURAL) ZONE DISTRICT - ANDESITE ROCK COMPANY A public hearing was conducted on May 18, 1994, at 10:00 a.m., with the following present: Commissioner W. H. Webster, Chairman Commissioner Dale K. Hall, Pro-Tem Commissioner George E. Baxter Commissioner Constance L. Harbert Commissioner Barbara J. Kirkmeyer - EXCUSED Also present: Acting Clerk to the Board, Shelly Miller Assistant County Attorney, Lee Morrison Planning Department representative, Gloria Dunn The following business was transacted: I hereby certify that pursuant to a notice dated May 2, 1994, and duly published May 5, 1994, in the Windsor Beacon, a public hearing was conducted to consider the request of Andesite Rock Company for a Site Specific Development Plan and Amended Special Review Permit for expansion of an open pit gravel mine to include an additional 40 acres, including a concrete batch plant and portable asphalt plant, in the A (Agricultural) Zone District. Lee Morrison, Assistant County Attorney, made this a matter of record. Gloria Dunn, Planning Department representative, entered the favorable recommendation of the Planning Commission into the record as written. She explained the applicant has provided documentation with existing traffic numbers for truck loads and passenger vehicles entering and exiting the site, completed plantings on the north and west boundaries, and amended the plat to show a greater setback from Weld County Road 7, all of which were required by the Planning Commission prior to the Board's hearing. Gary Tuttle, Tuttle Applegate, Inc., represented the applicant and stated this is an ongoing operation on 60 acres, and the applicant is requesting an additional 40 acres for the same processing equipment. He stated there is a 100 -foot setback from the Weld County Road 7 right-of-way, and the amount of traffic in and out of the facility has been taken care of, as well as the plantings. In response to a question from Commissioner Baxter, Mr. Tuttle indicated there has been discussion with the property owner in the northwest corner and the applicant has agreed to maintain the water level in his pond. At the request of Commissioner Hall, Mr. Tuttle gave a synopsis of the reclamation plan which will include a water storage reservoir, with trees and shrubs on the road frontages. The property will remain with the Rademacher family, who is the property owner. Mr. Tuttle and Ms. Dunn confirmed there was no response from the State concerning the coordination of a reclamation easement through the area, and Mr. Tuttle indicated there was no frontage on the river. In response to a question from Commissioner Harbert, Mr. Tuttle stated there are wetlands in the southeast corner; however, they are not being disturbed at all. No public testimony was offered concerning this matter. Commissioner Hall moved to approve the request of Andesite Rock Company for a Site Specific Development Plan and Amended Special Review Permit for expansion of an open pit gravel mine to include an additional 40 acres, including a concrete batch plant and portable asphalt plant, in the A (Agricultural) Zone District, based on the recommendations of the Planning staff and the Planning Commission, with the Conditions of Approval and Development Standards as entered into the record. The motion was seconded by Commissioner Baxter. and it carried unanimously. 940455 c -c; PG RE: HEARING CERTIFICATION - ANDESITE ROCK COMPANY PAGE 2 This Certification was approved on the 23rd day of May, 1994. ATTEST: Weld County Clerk to the Board By: gig lb b Deputy C rk to the Board TAPE #94-24 DOCKET #94-41 PL0341 APPROVED: BOARD OF COUNTY COMMISSIONERS WELD COUNTY COLORADO P4io L.& . Webster, h.irma Geor e . Baxter Constance L. Harbert EXCUSED Barbara J. Kirkmeyer 940455 RECORD OF PROCEEDINGS MINUTES BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO MAY 23, 1994 TAPE #94-24 The Board of County Commissioners of Weld County, Colorado, met in regular session in full conformity with the laws of the State of Colorado at the regular place of meeting in the Weld County Centennial Center, Greeley, Colorado, May 23, 1994, at the hour of 9:00 a.m. ROLL CALL: MINUTES: CERTIFICATIONS OF HEARINGS: The meeting was called to order by the Chairman and on roll call the following members were present, constituting a quorum of the members thereof: Commissioner W. H. Webster, Chairman Commissioner Dale K. Hall, Pro-Tem Commissioner George E. Baxter Commissioner Constance L. Harbert Commissioner Barbara J. Kirkmeyer Also present: County Attorney, Bruce T. Barker Acting Clerk to the Board, Shelly Miller Finance and Administration Director. Don Warden Commissioner Baxter moved to approve the minutes of the Board of County Commissioners meeting of May 18, 1994. as printed. Commissioner Hall seconded the motion, and it carried unanimously. Commissioner Hall moved to approve the hearings conducted on May 18, 1994, as follows: 1) Change of Zone from A (Agricultural) to E (Estate), Tom and Margaret Russell; 2) Special Review Permit for a single family dwelling on a lot less than the minimum lot size in the A (Agricultural) Zone District, Hubert and Alexandra Hayworth; and 3) Amended Special Review Permit for expansion of an open pit gravel mine to include an additional 40 acres, including a concrete batch plant and portable asphalt plant, in the A (Agricultural) Zone District. Andesite Rock Company. Commissioner Harbert seconded the motion, and it carried unanimously. ADDITIONS: There were no additions to the agenda. CONSENT AGENDA: Commissioner Kirkmeyer moved to approve the consent agenda as printed. Commissioner Baxter seconded the motion, and it carried unanimously. COMMISSIONER COORDINATOR REPORTS: Chairman Webster stated all five Commissioners, staff, and other interested parties attended the ribbon cutting for the Household Hazardous Waste Facility on Saturday, and the facility is now open for operation. PUBLIC INPUT: No public input was offered. WARRANTS: Don Warden, Director of Finance and Administration, presented the following warrants for approval by the Board: General Fund $ 196,031.56 Handwritten Warrants: Payroll Fund $ 534.08 Commissioner Baxter moved to approve the warrants as presented by Mr. Warden. Commissioner Hall seconded the motion, which carried unanimously. BIDS: BUSINESS: NEW: APPROVE RENOVATION FOR CENTENNIAL PLAZA - FINANCE DEPARTMENT: Pat Persichino, General Services Director, recommended approval of the low bid from Blazer Waterproofing Systems, Inc. for Phases I and II, with Alternate #2, in the amount of $688,700. Commissioner Hall moved to approve said bid, and Commissioner Kirkmeyer seconded the motion. CONSIDER TWO PURCHASE OF SERVICES AGREEMENTS BETWEEN HUMAN RESOURCES AND LARIMER COUNTY DEPARTMENT OF HUMAN DEVELOPMENT WEATHERIZATION PROGRAM AND AUTHORIZE CHAIRMAN TO SIGN: Walt Speckman, Human Resources Director, indicated this program was developed nine years ago with Larimer County to cover administrative costs. The agreements have worked well in the past and will be effective from April 1. 1994, through March 31, 1995. Commissioner Harbert moved to approve said agreements and authorize the Chairman to sign. The motion, seconded by Commissioner Baxter, carried unanimously. CONSIDER PURCHASE OF SERVICES AGREEMENT BETWEEN HUMAN RESOURCES' EMPLOYMENT SERVICES AND COMPUTER SYSTEMS DESIGN COMPANY AND AUTHORIZE CHAIRMAN TO SIGN: Mr. Speckman explained this agreement will allow Computer Systems Design Company to install and provide maintenance of the computer system for Job Services. The term of the agreement is from June 1, 1994, through June 30, 1996. Commissioner Harbert moved to approve said agreement and authorize the Chairman to sign. Commissioner Hall seconded the motion, and it carried unanimously. CONSIDER SINGLE ENTRY POINT AGENCY CONTRACT BETWEEN HUMAN RESOURCES' AREA AGENCY ON AGING AND COLORADO DEPARTMENT OF SOCIAL SERVICES AND AUTHORIZE CHAIRMAN TO SIGN: Mr. Speckman stated this contract has been coordinated with Social Services for July 1, 1994, through June 30, 1995. Commissioner Harbert moved to approve said contract and authorize the Chairman to sign. The motion was seconded by Commissioner Baxter and carried unanimously. CONSIDER FOOD DISTRIBUTION AGREEMENT BETWEEN HUMAN RESOURCES AND COLORADO DEPARTMENT OF HUMAN SERVICES AND AUTHORIZE CHAIRMAN TO SIGN: Mr. Speckman explained this agreement provides USDA commodities for the Senior Nutrition Program, which is utilized by UNC to keep the meals at a low cost. The term of said agreement is from July 1, 1994, through June 30, 1995. Commissioner Harbert moved to approve said agreement and authorize the Chairman to sign. Commissioner Hall seconded the motion, which carried unanimously. Minutes - May 23, 1994 Page 2 CONSIDER FORM OF INTERGOVERNMENTAL AGREEMENT FOR USE OF COMMUNICATIONS, RECORDS AND CRIMINAL JUSTICE INFORMATION SYSTEMS AND AUTHORIZE CHAIRMAN TO SIGN: Bruce Barker. County Attorney, explained an Amendment to the Intergovernmental Agreement with the City of Greeley concerning the shared -information system was completed two weeks ago. Said amendment altered Paragraph 13 concerning confidentiality requirements; therefore, the form of an agreement requiring the users to abide by the terms of the confidentiality requirements must be approved, and the Chairman should be authorized to sign any agreements with said users. Mr. Barker indicated the users are generally municipalities within Weld County. Commissioner Hall moved to approve said form and authorize the Chairman to sign. The motion, seconded by Commissioner Kirkmeyer, carried unanimously. CONSIDER CANCELLATION OF PAYROLL WARRANTS IN THE AMOUNT OF $2,712.70 FOR APRIL 1994: Commissioner Baxter moved to approve said cancellation, and Commissioner Hall seconded the motion. RESOLUTIONS AND ORDINANCES: ATTEST: Weld County Clerk to the Board By: The resolutions were presented and signed as listed on the consent agenda. Ordinance No. 89 -AA was approved on first reading at a 9:00 a.m. hearing today. Let the minutes reflect that the above and foregoing actions were attested to and respectfully submitted by the Acting Clerk to the Board. There being no further business, this meeting was adjourned at 9:15 a.m. r APPROVED: BOARD OF COUNTY COMMISSIONERS WELD COUNTIL, COLORADO . Webster, Cairma Dale K(...Hall 1. eorge Baxter 2tryc J Constance L. Harbert / it me er Barbara J. Bar K y Minutes - May 23, 1994 Page 3 RECORD OF PROCEEDINGS MINUTES BOARD OF SOCIAL SERVICES WELD COUNTY, COLORADO MAY 23, 1994 TAPE 494-24 The Board of County Commissioners of Weld County, Colorado, met in regular session as the Board of Social Services in full conformity with the laws of the State of Colorado at the regular place of meeting in the Weld County Centennial Center, Greeley, Colorado, May 23, 1994, at the hour of 9:00 a.m. ROLL CALL: MINUTES: WARRANTS: NEW BUSINESS: The meeting was called to order by the Chairman and on roll call the following members were present, constituting a quorum of the members thereof: Commissioner W. H. Webster, Chairman Commissioner Dale K. Hall, Pro-Tem Commissioner George E. Baxter Commissioner Constance L. Harbert Commissioner Barbara J. Kirkmeyer Also present: County Attorney, Bruce T. Barker Acting Clerk to the Board, Shelly Miller Director of Finance and Administration, Donald Warden Commissioner Hall moved to approve the minutes of the Board of Social Services meeting of May 18, 1994. as printed. Commissioner Kirkmeyer seconded the motion, and it carried unanimously. Don Warden, Director of Finance and Administration, presented the warrants for approval by the Board in the amount of $389,968.57. Commissioner Hall moved to approve the warrants as presented by Mr. Warden. Commissioner Harbert seconded the motion, which carried unanimously. CONSIDER NEW DIRECTIONS/JOB OPPORTUNITIES AND BASIC SKILLS PROGRAM INTRAGOVERNMENTAL AGREEMENT WITH DIVISION OF HUMAN RESOURCES AND AUTHORIZE CHAIRMAN TO SIGN: Richard Rowe, Social Services representative, explained this agreement allows Employment Services to offer educational training programs to AFDC recipients and has been on -going for the past five or six years. Commissioner Harbert moved to approve said agreement and authorize the Chairman to sign. The motion was seconded by Commissioner Hall, and it carried unanimously. 4 CONSIDER NOTIFICATION OF FINANCIAL ASSISTANCE AWARD FOR PLACEMENT ALTERNATIVES COMMISSION FUNDS FOR NORTH COLORADO PSYCHCARE AND AUTHORIZE CHAIRMAN TO SIGN: Commissioner Harbert explained all Placement Alternatives Commission (PAC) funds go to Social Services, then the PAC Committee decides how they should be distributed and makes a recommendation. This item of business, as well as the following eight items of business, are PAC's recommendations. Commissioner Harbert then moved to approve said notification and authorize the Chairman to sign. Commissioner Baxter seconded the motion, which carried unanimously. CONSIDER NOTIFICATION OF FINANCIAL ASSISTANCE AWARD FOR PLACEMENT ALTERNATIVES COMMISSION FUNDS FOR CHILD ADVOCACY RESOURCE AND EDUCATION AND AUTHORIZE CHAIRMAN TO SIGN: Commissioner Harbert moved to approve said notification and authorize the Chairman to sign. The motion was seconded by Commissioner Hall and carried unanimously. CONSIDER NOTIFICATION OF FINANCIAL ASSISTANCE AWARD FOR PLACEMENT ALTERNATIVES COMMISSION FUNDS FOR PARTNERS AND AUTHORIZE CHAIRMAN TO SIGN: Commissioner Harbert moved to approve said notification and authorize the Chairman to sign. The motion was seconded by Commissioner Hall, and it carried unanimously. CONSIDER REVISION TO NOTIFICATION OF FINANCIAL ASSISTANCE AWARD FOR PLACEMENT ALTERNATIVES COMMISSION FUNDS FOR PARTNERS AND AUTHORIZE CHAIRMAN TO SIGN: Commissioner Baxter moved to approve said notification and authorize the Chairman to sign. The motion was seconded by Commissioner Harbert and carried unanimously. CONSIDER REVISION OF NOTIFICATION OF FINANCIAL ASSISTANCE AWARD FOR PLACEMENT ALTERNATIVES COMMISSION FUNDS FOR NORTH COLORADO PSYCHCARE AND AUTHORIZE CHAIRMAN TO SIGN: Commissioner Baxter moved to approve said notification and authorize the Chairman to sign. The motion was seconded by Commissioner Harbert, and it carried unanimously. CONSIDER NOTIFICATION OF FINANCIAL ASSISTANCE AWARD FOR PLACEMENT ALTERNATIVES COMMISSION FUNDS FOR WELD MENTAL HEALTH CENTER. HOME BASED OPTION A. AND AUTHORIZE CHAIRMAN TO SIGN: Commissioner Baxter moved to approve said notification and authorize the Chairman to sign. The motion was seconded by Commissioner Harbert and carried unanimously. CONSIDER NOTIFICATION OF FINANCIAL ASSISTANCE AWARD FOR PLACEMENT ALTERNATIVES COMMISSION FUNDS FOR WELD MENTAL HEALTH CENTER, HOME BASED OPTION B. AND AUTHORIZE CHAIRMAN TO SIGN: Commissioner Harbert moved to approve said notification and authorize the Chairman to sign. The motion was seconded by Commissioner Hall, and it carried unanimously. CONSIDER NOTIFICATION OF FINANCIAL ASSISTANCE AWARD FOR PLACEMENT ALTERNATIVES COMMISSION FUNDS FOR WELD MENTAL HEALTH CENTER, FAMILY THERAPY, AND AUTHORIZE CHAIRMAN TO SIGN: Commissioner Harbert moved to approve said notification and authorize the Chairman to sign. The motion was seconded by Commissioner Kirkmeyer and carried unanimously. Minutes - May 23, 1994 Page 2 CONSIDER NOTIFICATION OF FINANCIAL ASSISTANCE AWARD FOR PLACEMENT ALTERNATIVES COMMISSION FUNDS FOR WELD MENTAL HEALTH CENTER. SEXUAL ABUSE TREATMENT, AND AUTHORIZE CHAIRMAN TO SIGN: Commissioner Baxter moved to approve said notification and authorize the Chairman to sign. The motion was seconded by Commissioner Harbert, and it carried unanimously. Let the minutes reflect that the above and foregoing actions were attested to and respectfully submitted by the Acting Clerk to the Board. There being no further business, this meeting was adjourned at 9:20 a.m. APPROVED: ATTEST: ,thwidsh Weld County Clerk to the Board By: Deputy Clerk to the Board BOARD OF COUNTY COMMISSIONERS WELD COUNTY, C LORADO if b%L . Webster, hairman i Minutes - May 23, 1994 Page 3 RECORD OF PROCEEDINGS MINUTES HOUSING AUTHORITY WELD COUNTY, COLORADO MAY 23, 1994 TAPE #94-24 The Board of County Commissioners of Weld County, Colorado, met in regular session as the Housing Authority Board in full conformity with the laws of the State of Colorado at the regular place of meeting in the Weld County Centennial Center, Greeley, Colorado, May 23, 1994, at the hour of 9:00 a.m. ROLL CALL: MINUTES: ATTEST: The meeting was called to order by the Chairman and on roll call the following members were present, constituting a quorum of the members thereof: Commissioner W. H. Webster, Chairman Commissioner Dale K. Hall, Pro-Tem Commissioner George E. Baxter Commissioner Constance L. Harbert Commissioner Barbara J. Kirkmeycr Also present: County Attorney. Bruce Barker Acting Clerk to the Board, Shelly Miller Finance and Administration Director, Don Warden Commissioner Hall moved to approve the minutes of the Housing Authority Board meeting of April 25. 1994. as printed. Commissioner Kirkmeyer seconded the motion, and it carried unanimously. Let the minutes reflect that the above and foregoing actions were attested to and respectfully submitted by the Acting Clerk to the Board. There being no further business, this meeting was adjourned at 9:25 a.m. Weld County Clerk to the Board By: LThuouu k to the Board APPROVED: BOARD OF COUNTY COMMISSIONERS WELD COUNTY COLORADO Webster, C ai Da eHall, P `o,-Te 2,z George . Baxter Constance L. Harbert / tel.IX "."A Barbara J. Kirkmey r i RECORD OF PROCEEDINGS AGENDA Wednesday, May 25, 1994 TAPE #94-24 ROLL CALL: MINUTES: CERTIFICATION OF HEARINGS: ADDITIONS TO AGENDA: APPROVAL OF CONSENT AGENDA: PUBLIC INPUT: COUNTY FINANCE OFFICER: BIDS; BUSINESS: NEW: PLANNING: W. H. Webster, Chairman Dale K. Hall, Pro-Tem George E. Baxter Constance L. Harbert Barbara J. Kirkmeyer Approval of minutes of May 23. 1994 Hearing conducted on May 23, 1994: 1) Amendments to Weld County Zoning Ordinance, Ordinance No. 89 -AA (Each individual is allowed a three -minute period of time in which to address the Board of County Commissioners on topics which are not on the Board's agenda. Please be aware that the Board may not be able to address your topic today. If the Board is unable to do so. the matter will either be referred to staff or scheduled for a work session. If you wish to speak regarding issues which are likely to be heard by the Board in a public hearing, such as a land use or violation hearing, you will be asked to give your testimony at that hearing, either in person or in writing. Public input on any topic shall be limited to 15 minutes.) 1) Warrants 1) Approve construction of Weld County Road 392 Cornish/North - Public Works Department 1) Consider Family Planning Contract Change Letter #1 between Health Department and Colorado Department of Health and authorize Chairman to sign 2) Consider Request for Proposal for 1994 Pollution Prevention Grants Program to Colorado Department of Health and authorize Chairman to sign 3) Consider request from Vegetation Management Specialist to enter upon certain lands 1) Consider Improvements Agreement According to Policy Regarding Collateral for Improvements (Private Road Maintenance) and accept form of collateral for Shiloh, Inc. 2) Consider recommendation of approval to release collateral for Pleasant View Acres - Pittington Construction, Inc., and Pristine Investments SOCIAL SERVICES BOARD: ROLL CALL: W. H. Webster, Chairman Dale K. Hall, Pro-Tem George E. Baxter Constance L. Harbert Barbara J. Kirkmeyer MINUTES: Approval of minutes of May 23. 1994 WARRANTS: Don Warden, County Finance Officer CONSENT AGENDA APPOINTMENTS: May 25 - EDAP May 25 - Local Energy Impact Review Team May 26 - Community Corrections Board May 26 - Airport Authority May 27 - Centennial Developmental Services Board May 27 - Local Juvenile Planning Committee May 30 - HOLIDAY May 31 - Town/County Meeting - Frederick Town Hall Jun 1 - County Council Jun 2 - Convention and Visitors Bureau Board Jun 2 - Island Grove Park Board HEARINGS: REPORTS: May 25 - Change of Zone from A (Agricultural) to E (Estate). Tom and Margaret Russell (cont. from 05/18/94) Jun 1 - Special Review Permit for an accessory structure over 1500 square feet in an Agricultural Subdivision and a horse training facility. Donald. L. and Joann K. Harmon Jun 1 - Special Review Permit for storage and maintenance of delivery trucks for an air freight business with limited storage, transfer, loading, or unloading of freight on site, Gregory B. and Kristie Kay Bement Jun 8 - Special Review Permit for an agricultural service establishment (onion storage and processing) in the A (Agricultural) Zone District, Griffin -Holder. Co. Jun 8 - Special Review Permit for a 738 -foot guyed communication tower in the A (Agricultural) Zone District, Denver Television, Inc., dba KDVR Jun 14 - Violation Hearings 7:00 AM 7:00 PM 12:00 PM 3:00 PM 8:00 AM 12:00 PM 7:00 PM 7:30 PM 7:00 AM 3:30 PM 10:00 AM 10:00 AM 10:00 AM 10:00 AM 10:00 AM 10:00 AM 1) Jodi Hartmann, Weld/Larimer Revolving Loan Fund - CDBG Disclosure Report 2) Public Works Department re: Road opening COMMUNICATIONS: 1) Planning Commission minutes from May 17, 1994 RESOLUTIONS: * 1) Approve two Purchase of Services Agreements between Human Resources and Larimer County Department of Human Development Weatherization Program * 2) Approve Purchase of Services Agreement between Human Resources' Employment Services and Computer Systems Design Company * 3) Approve Single Entry Point Agency Contract between Human Resources' Area Agency on Aging and Colorado Department of Social Services * 4) Approve Food Distribution Agreement between Human Resources and Colorado Department of Human Services * 5) Approve form of Intergovernmental Agreement for Use of Communications, Records and Criminal Justice Information Systems Continued on Page 2 of Consent Agenda Wednesday, May 25, 1994 Page 2 of Consent Agenda RESOLUTIONS: (CONT.) AGREEMENTS: * 6) Approve cancellation of payroll warrants $2,712.70 for April 1994 Approve New Directions/Job Opportunities Program Intragovernmental Agreement with Resources Approve Notification of Financial Assistance Award for Placement Alternatives Commission Funds for North Colorado Psychcare Approve Notification of Financial Assistance Award for Placement Alternatives Commission Funds for Child Advocacy Resource and Education *10) Approve Notification of Financial Assistance Award for Placement Alternatives Commission Funds for Partners *11) Approve Revision to Notification of Financial Assistance Award for Placement Alternatives Commission Funds for Partners *12) Approve Revision of Notification of Financial Assistance Award for Placement Alternatives Commission Funds for North Colorado Psychcare *13) Approve Notification of Financial Assistance Award for Placement Alternatives Commission Funds for Weld Mental Health Center, Home Based Option A *14) Approve Notification of Financial Assistance Award for Placement Alternatives Commission Funds for Weld Mental Health Center, Home Based Option B *15) Approve Notification of Financial Assistance Award for Placement Alternatives Commission Funds for Weld Mental Health Center, Family Therapy *16) Approve Notification of Financial Assistance Award for Placement Alternatives Commission Funds for Weld Mental Health Center, Sexual Abuse Treatment * 7) * 8) * 9) in the amount of and Basic Skills Division of Human * 1) Approve Guaranteed Buy -Back with Wagner Equipment Company for purchase of caterpillar * Signed this date Wednesday, May 25. 1994 RESOLUTION RE: APPROVE TWO PURCHASE OF SERVICES AGREEMENTS BETWEEN HUMAN RESOURCES AND LARIMER COUNTY DEPARTMENT OF HUMAN DEVELOPMENT WEATHERIZATION PROGRAM 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 two Purchase of Services Agreements between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Division of Human Resources and the Larimer County Department of Human Development Weatherization Program, commencing April 1, 1994, and ending March 31, 1995. with further terms and conditions being as stated in said agreements, and WHEREAS, after review, the Board deems it advisable to approve said agreements, copies of which are attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the two Purchase of Services Agreements between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Division of Human Resources and the Larimer County Department of Human Development Weatherization Program be. and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is, authorized to sign said agreement. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 23rd day of May, A.D., 1994, nunc pro tunc April 1, 1994. BOARD OF COUNTY COMMISSIONERS ATTEST: I I G Y Alii//. _ _G WELD COUNTY. CQLORADO • Weld County Clerk to the Board BY: 6X Deputy'Cl'etk'to th APPROVED AS TO FORM: tUviroi WWebster, Chairma Webster, , Dale ,K.,,Hall, Pro- m eorge X. Baxter ounty Attorney •stance L. Har Barbara J. Kirkm 940470 ItRooteg CC, ,N.2;,C9eiri&Ceti7 16 4; IL=f-i)_�, 5 - PURCHASE OF SERVICES AGREEMENT THIS AGREEMENT, made and entered into this 726'14 day of , 1994 , by and between the Weld County Board of Commissioners for the Weld County Division of Human Resources, hereinafter referred to as "Weld County," and the Larimer County Board of Commissioners for the Larimer County Department of Human Development Weatherization Program, hereinafter referred to as "Larimer County." WITNESSETH: WHEREAS, Larimer County will be providing weatherization activities to low-income individuals in Weld County and Larimer County, and WHEREAS, Larimer County during the past fiscal year has and will continue to provide weatherization in Weld County as a more cost effective and efficient means of providing services to low-income individuals in Weld County, and WHEREAS, Larimer County is desirous of purchasing services from Weld County to aid in.providing services to individuals in Weld County. NOW THEREFORE, in consideration of the covenants contained herein, the parties hereto mutually agree as follows: 1. Weld County agrees to provide outreach, take applications, receive verification of income, determine eligibility for applications for weatherization services in Weld County, and provide liaison activities between the client and Larimer County in accordance with the Department Energy guidelines. 940470 2. Weld County agrees to submit copies of applications and verification of income to Larimer County. A minimum of 200 eligible applications should be submitted. 3. Larimer County agrees to provide weatherization activities for a minimum of 200 eligible Weld County applicants, in accordance with Department of Energy guidelines. 4. Larimer County and Weld County agree to designate a contact person for each agency to coordinate providing weatherization services to low-income individuals in Weld County. 5. Larimer County agrees to provide Weld County with an annual report which will include the costs incurred during the year for all homes completed, the cumulative totals on costs incurred, the total number of homes completed, and the names of all Weld County participant homes completed. 6. Larimer County agrees to reimburse Weld County $ 11,700.00 for costs incurred by Weld County for the weatherization program. These monies shall be distributed to Weld County in four (4) quarterly payments beginning after the end of the first quarter this Agreement is in effect. 7. The term of this Agreement will be from April 1, 1994 through March 31, 1995 . 8. This Agreement may be amended or terminated giving thirty (30) days written notice to either party. This Agreement will terminate immediately in the event of a loss of funding to the program. 9. Larimer County agrees that it is an independent contractor and its officers, agents, or employees do not become employees of 940470 weld County, and therefore are not entitled to any employee benefits as Weld County employees, as the result of the execution of this Agreement. Likewise, Weld County agrees that it is an independent contractor and its officers, agents, or employees do not become employees of Larimer County, and therefore are not entitled to any employee benefits as Larimer County employees, as the result of the execution of this Agreement. 10. Larimer County shall provide adequate liability and workers' compensation insurance for all its employees. Larimer County will provide adequate liability insurance for all its volunteers and agents engaged in the performance of this Agreement. 11. No officer, member, or employee of either Larimer County or weld County, and no member of their governing bodies, shall have any pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. 12. Larimer County understands that monitoring and evaluation of the performance of this Agreement shall be conducted by the Weld County Department of Human Resources and the results provided to the Board of Weld County Commissioners. 13. Larimer County and Weld County assure that they will comply with Title VI of the Civil Rights Act of 1986 and that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied benefits of, or be otherwise subjected to discrimination under the approved Agreement. 940470 IN WITNESS WHEREOF, the parties hereunto have caused this Agreement to be duly executed as first hereinabove set forth. WELD COUNTY BOARD OF COMMISSIONERS 711 2 W.H.WESSTER. Ehai ATTEST: BY: 5 0.0.1.44C,vv ATTESTING TO BOARD OF COUNTY COMMISSIONER SIGNATIAMEW ILCOUNTY DIVISION OF HUMAN RESOURCES of the day, month, and year LARIMER COUNTY BOARD OF COMMISSIONERS Janet Duvall, Chair 125/94 Walter J. Speckman Executive Director ATTEST: LARIMER COUNTY DEPARTMENT OF HUMAN DEVELOPMENT %ice e-62/ lam, Rena Mackrill r qi Executive Director ylsj If o!i{.yI044 L V7�411 PURCHASE OF SERVICES AGREEMENT THIS AGREEMENT, made and entered into this -;23/-'4 day of , 1994 , by and between the Weld County Board of Commissioners for the Weld County Division of Human Resources, hereinafter referred to as "Weld County," and the Larimer County Board of Commissioners for the Larimer County Department of Human Development Weatherization Program, hereinafter referred to as "Larimer County." WITNESSETH: WHEREAS, Larimer County during the past fiscal year has and will continue to provide weatherization in Weld County as a more cost effective and efficient means of providing services to low-income individuals in Weld County, and NOW THEREFORE, in consideration of the covenants contained herein, the parties hereto mutually agree as follows: 1. Larimer County agrees to provide weatherization activities for a minimum of 200 eligible Weld County applicants, in accordance with Department of Energy guidelines. 2. Larimer County and Weld County agree to designate a contact person for each agency to coordinate providing weatherization services to low-income individuals in Wclu County. 3. Larimer County agrees to provide Weld County with au annual report which will include the costs incurred during the year for all homes completed, the cumulative totals on costs incurred, the total number of homes completed, and the names of all Weld County participant homes completed. 940470 4. Weld County agrees to reimburse Larimer County $10.440.00 representing non -grant reimbursed services rendered by Larimer County for the Weatherization Program. These monies shall be distributed to Larimer County in four (4) quarterly payments beginning after -the end of the first quarter this Agreement is in effect. 5. The term of this Agreement will be from April 1, 1994 through March 31, 1995 6. This Agreement may be amended or terminated giving thirty (30) days written notice to either party. This Agreement will terminate immediately in the event of a loss of funding to the program. 7. Larimer County agrees that it is an independent contractor and its officers, agents, or employees do not become employees of Weld County, and therefore are not entitled to any employee benefits as Weld County employees, as the result of the execution of this Agreement. Likewise, Weld County agrees that it is an independent contractor and its officers, agents, or employees do not become employees of Larimer County, and therefore are not entitled to any employee benefits as Larimer County employees, as the result of the execution of this Agreement. 8. Larimer County shall provide adequate liability and workers' compensation insurance for all its employees. Lorimer County will provide adequate liability insurance for all its volunteers and agents engaged in the performance of this Agreement. 9. No officer, member, or employee of either Larimer County or Weld County, and no member of their governing bodies, shall 940470 have any pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. 10. Larimer County understands that monitoring and evaluation of the performance of this Agreement shall be conducted by the Weld County Department of Human Resources and the results provided to the Board of Weld County commissioners. 11. Larimer County and Weld County assure that they will comply with Title VI of the Civil Rights Act of 1986 and that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied benefits of, or be otherwise subjected to discrimination under the approved Agreement. IN WITNESS WHEREOF, the parties hereunto have caused this Agreement to be duly executed as of the day, month, and year first hereinabove set forth. WELD COUNTY BOARD OF LARIMER COUNTY BOARD OF COMMISSIONERS COMMISSIONERS / l/i( /?)1/22../fl I W. 'RAWEBSTER,. Cha'rrn n,/ 4,5,"77 ATTEST: ri_ ATTESTING TOXOARD'nf rQJDNrY COMMISSIONER SIGNATURES ONLY WELD COUNTY DIVISION OF LARIMER COUNTY DEPARTMENT OF HUMAN RESOURCES HUMAN DEVELOPMENT 0 Janet Duvall, Chair ATTEST: Walter J. Speckman Rena Mackrill Executive Director Executive Director '/ r DATE I-4-743- '1 APPROVED S TO FORM l sustani 470 mEmo nnDum COLORADO To W. H. Webster, Chairman Board of County Commissioners May 18, 1994 Ono From Waiter J. Speckman, Executive Director Human Resources , suo).ct: Purchase of Service Agreements between the Weld County Division of Human Resources and Larimer County Board of Commissioners Enclosed for Board approval are two (2) Purchase of Service Agreements with the Larimer County Board of Commissioners for the Weatherization Program. The Agreements establish the terms for Larimer County to follow in providing Weatherization activities in Weld County. The Agreements are effective from April 1, 1994 through March 31, 1995. During the course of the year, Larimer County will transfer $11,700 to the Weld County Division of Human Resources for costs incurred by the Department in doing outreach, intake, verification of income, and eligibility determination for the weatherization Program. In turn, Weld County will reimburse Larimer County $10,440 for weatherizing 200 homes. This arrangement is necessary in order for Larimer to track costs associated with the Weld County operations. In addition, this reduces the amount of staff time spent on this program. This is the same arrangement we have operated for the previous nine years. If you have any questions, please telephone me at 353-3800. 940470 RESOLUTION RE: APPROVE PURCHASE OF SERVICES AGREEMENT BETWEEN HUMAN RESOURCES' EMPLOYMENT SERVICES AND COMPUTER SYSTEMS DESIGN COMPANY AND AUTHORIZE CHAIRMAN TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with a Purchase of Services Agreement between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County. on behalf of the Weld County Division of Human Resources' Employment Services of Weld County, and the Computer Systems Design Company, commencing June 1, 1994, and ending June 30, 1996, with further terms and conditions being as stated in said agreement, and WHEREAS, after review, the Board deems it advisable to approve said agreement, 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 Purchase of Services Agreement between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Division of Human Resources' Employment Services of Weld County, and the Computer Systems Design Company be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is, authorized to sign said agreement. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 23rd day of May, A.D., 1994. ATTEST: ALe.4 Weld County Clerk to the Board BY: 4utyCczkhe?ara APPROVED AS TO FORM: oun y Attorney BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Dale.. //Geo e %. Baxter � ( xe e //1 f -442-4A- Constance L. Harbert Barbara J. Kirkmey'er ffrk 00(093 et.' h`k ) 940471 PURCHASE OF SERVICE AGREEMENT THIS AGREEMENT, made and entered into this 1st day of June , 1994, by and between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Division of Human Resources' Employment Services of Weld County, hereinafter referred to as "Employment Services," and Computer Systems Design Company, hereinafter referred to as "CSDC." WITNESSETH: WHEREAS, Employment Services offers employment and training services to unemployed, underemployed, and economically disadvantaged youth and adults of Weld County, and WHEREAS, Employment Services receives authority from the Wagner- Peyser Act, the Job Training Partnership Act, and Health and Human Services Waivers to provide a management information system for the purposes of monitoring and documenting services under its employment and training programs, and WHEREAS, Employment Services desires to expand its management information system to meet the standards set by law and regulation, and WHEREAS, CSDC had developed software and assembled Digital Equipment Corporation VAX (Virtual Address Extended) hardware on which is operated a comprehensive Job Training Partnership Act management information system currently under license to the states of Alaska, Ohio, and Colorado and their Service Delivery Areas (SDA's), and WHEREAS, CSDC has assisted Employment Services in developing a computer system that meets their management information system requirements for the Wagner-Peyser Act, Job Training Partnership Act, and Health and Human Service Waivers. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. CSDC Responsibilities: CSDC agrees to: a. Continue to make operational, a computer system which provides Employment Services with the functions of its existing computer 940471 system and provides for a management information system to meet the requirements under Wagner-Peyser Act, Job Training Partnership Act, and Health and Human Services waivers. b. Provide Employment Services with the use of the maintenance of a 56 KB DSU/LSU and associated statistical multiplexer in order to connect and operate 22 CRT terminals and two system printers. c. Provide Employment Services with maintenance of the system software and update the software as changes are made by the Colorado Department of Labor and Employment. d. In the event that Employment Services relocates, CSDC will reinstall the modem and multiplexer and reconnect the computer system at no charge. e. Continue its "DECservice" maintenance contract with the Digital Equipment Corporation on the equipment in CSDC's computer center so as to provide reliable computing service for the duration of this Agreement. f. Continue with "Recover -all" insurance with the Digital Equipment Corporation for disaster recover for the duration of this Agreement. g. Advise its personnel, agents, servants, and subcontractors, if any, that all records established or maintained in the computer system are confidential and are subject to government confidentiality requirements. h. Troubleshoot telephone line problems and advise Employment Services whether the problem needs to be reported to the telephone company. 2. Employment Services Roles and Responsibilities: Employment Services agrees to: a. Provide all CRT workstations and printers for the computer system and be responsible for continuing maintenance for this equipment. b. Provide all cable and connectors for the computer system. 940471 c. Be responsible for paying the telephone company for the 56 KB DDS circuit. In the event that Employment Services relocates, it will be responsible for paying the telephone company for moving the 56 KB DAS circuit. d. Report telephone line problems to the telephone company, upon the advice of CSDC after it has completed the necessary troubleshooting procedures. e. Be responsible for acquisition of all necessary consumable supplies such as ribbon, toner, etc. 3. Term: The term of this Agreement shall be from a period from the date first written above to June 30, 1996. 4. Budget Statement: a. Employment Services shall, upon receipt of proper invoice, reimburse CSDC a sum of $4,300 per month for the performance under this Agreement. Invoices are to be sent to Weld County Division of Human Resources, Fiscal Department, P.O. Box 1805, Greeley, Colorado. b. All financial obligations of Employment Services are hereby made expressly conditional upon funds being appropriated, budgeted, and otherwise made available to Employment Services by the State of Colorado. In the event that such funding is terminated, CSDC hereby agrees to release Employment Services from all liability whatsoever, and will not hold Employment Services responsible for payment of any costs or expenses incurred by CSDC in reliance upon this Agreement. 5. Modification: All modifications to this Agreement shall be in writing and signed by both parties. 6. Termination: This Agreement may be terminated at any time by either party giving 180 calendar days written notice to the other party, and is subject to availability of funding as noted in Section 4. b. of this Agreement. 940471 7. Ownership: In the event that either party elects to terminate this Agreement, CSDC shall provide Employment Services with a current copy of all Employment Services data and the JTPA system executable code and file and record layouts. In consideration for CSDC's agreement to provide Employment Services with the JTPA software, Employment Services agrees not to sell or otherwise distribute the software to third parties for use outside Weld County. 8. Assignment: This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. CSDC may not assign any of its rights or obligations hereunder without the prior written consent of Employment Services. 9. Assurances: Assurances are described in Attachment A. IN WITNESS WHEREOF, the parties hereto have duly executed this Agreement as of the day, month, and year first above written. THE BOARD OF COUNTY COMMISSIONERS COMPUTER SYSTEMS DESIGN COMPANY OF WELD COUNTY, COLORADO VA W W. H. Webster, Chairman 0S257441 John D. Nebel ATTEST: Weld Coun y Clerk to the Board By: Q -M, � Mon 2 Deputy Clerk to the Board WELD COUNTY IV SION OF HUMAN RESOURCES Wal r 41 . 5peckman, Executive Director 940471 Attachment A Agreement Assurances 1. No portion of this Agreement shall be deemed to constitute a waiver of any immunities the parties or their officers or employees may possess, nor shall any portion of this Agreement be deemed to have created a duty of care with respect to any persons not a party to this Agreement. 2. No portion of this Agreement shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise appropriated in each succeeding year. 3. If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid. 4. No officer, member or employee of Weld County, and no member of their governing bodies shall have any pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. 5. The Contractor assures that they will comply with the Title VI of the Civil Rights Act of 1986, and that no person shall, on the grounds of race, creed, color, sex. or national origin, be excluded from participation in. be denied the benefits of, or be otherwise subjected to discrimination under this approved Agreement. 6. The Contractor assures that sufficient. auditable, and otherwise adequate records, that will provide accurate, current. separate, and complete disclosure of the status of the funds received under the Agreement, are maintained for three (3) years or the completion and resolution of an audit. Such records shall be sufficient to allow authorized local, Federal, and State auditors and representatives to audit and monitor the Contractor. 7. The Contractor assures that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on - site visits, all contract activities, supported with funds under this Agreement to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of this Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. 8. This Agreement shall be binding upon the parties hereto, their Successors, heirs, legal representative, and assigns. The Contractor or Employment Services may not assign any of its rights or obligations hereunder without the prior written consent of both parties. 940471 Agreement Assurances Page 2 9. The Contractor certifies that Federally appropriated funds have not been paid or will not be paid, by or on behalf of the Contractor, to any person for influencing or attempting to influence an officer or employee of an 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, loan, grant, or cooperative agreement. 10. The Contractor assures that it will fully comply with the Job Training Partnership Act regulations promulgated, and all other applicable Federal and state laws, rules and regulations. The Contractor understands that the source of funds to be used under this Agreement are Job Training Partnership Act funds. 11. The Contractor assures and certifies that it and its principals: a. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by a Federal department or agency. b. Have not, within a three-year period preceding this Agreement, been convicted of, or had a civil judgment rendered against them for commission of fraud or criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State. or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement. theft, forgery, bribery, falsification or destruction of records. making false statements, or receiving stolen property. c. Are not presently indicted for or otherwise criminally or civilly charges by a government entity (Federal, State, or local) with commission of any of the offenses enumerated in Paragraph 11 (b)) of this certification. d. Have not within a three-year period preceding this Agreement had one or more public transactions (Federal, State, and local) terminated for cause or default. 940471 i Jv 6/0.S7i.. ott:z. To mEmoRAnDum W. H. Webster, Chairman Board of County Commission®;$ May 18, 1994 COLORADO F(CT Walter J. Speckman, Executive Director, Human Resources Subject: Purchase of Service Agreement between Employment Services of Weld County and Computer Systems Design Company (CSDC) Enclosed for Board approval is a Purchase of Service Agreement between the Weld County Division of Human Resources' Employment Services of Weld County and the Computer Systems Design Company (CSDC). CSDC will install, make operational, and provide maintenance of a computer system to meet the requirements under Wagner-Peyser Act, Job Training Partnership Act, and Health and Human Services waivers. Employment Services will reimburse CSDC a sum of $4,300 per month for performance under this Agreement. The term of this Agreement is from June 1, 1994 through June 30, 1996. If you have any questions, please telephone me at 353-3800. 940471 RESOLUTION RE: APPROVE SINGLE ENTRY POINT AGENCY CONTRACT BETWEEN HUMAN RESOURCES' AREA AGENCY ON AGING AND COLORADO DEPARTMENT OF SOCIAL SERVICES AND AUTHORIZE CHAIRMAN TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter. is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with a Single Entry Point Agency Contract between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Division of Human Resources' Area Agency on Aging, and the Colorado Department of Social Services, commencing July 1, 1994, and ending June 30, 1995, with further terms and conditions being as stated in said contract, and WHEREAS, after review, the Board deems it advisable to approve said contract, 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 Single Entry Point Agency Contract between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Division of Human Resources' Area Agency on Aging, and the Colorado Department of Social Services be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is, authorized to sign said contract. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 23rd day of may. A.D., 1994. ATTEST: Weld County Clerk to t Board BY:4A L Q�t-1��2iQ Deputy lerk to the Board - APPROVED AS TO FORM: BOARD OF COUNTY COMMISSIONERS WEL14) OUN OLORA 1H.eWebster, �4I/�✓f /a an Dale Hall, ro- m __i Grste Baxter ounty Attorne stanceL. -4. C _67° ar/ eer / /L.�_2 Barbara J. Kirkme/er 940472 /beboe,93 ee : tfr2;AMA G � 7E)Hf7) Department or Agency Number 381000 Contract Routing Number SINGLE ENTRY POINT AGENCY CONTRACT THIS CONTRACT, made this day of . 1994, by and between the State of Colorado for the use and benefit of the Department of Social Services, 1575 Sherman, Denver, Colorado 80203-1714 hereinafter referred to as the State or the Department and the Weld County Board of Commissioners by and through the Weld County Division of Human Resources' Area Agency on Aging, 1551 North 17th Avenue, P. O. Box 1805. Greeley, Colorado 80632, hereinafter referred to as the contractor. WHEREAS, authority exists in the Law and Funds have been budgeted, appropriated and otherwise made available and a sufficient unencumbered balance thereof remains available for payment in Contract Encumbrance Number and for the Single Entry Point program, COFR's codes: Fund Agency Appropriation Code ; and WHEREAS, required approval, clearance and coordination have been accomplished from and with appropriate agencies, and WHEREAS, the State has established a Colorado Medical Assistance Program in order to participate in Title XIX of the Social Security Act (Medicaid), and WHEREAS, the Department is the designated single Colorado agency responsible for the administration of the Medicaid program, pursuant to 26.4-104, Colorado Revised Statutes (C.R.S.), as amended, and WHEREAS, the Department is authorized, pursuant to Sections 26-1-103(7) and 26-4-521, et. seq., C.R.S. as amended, to contract with designated Single Entry Point agencies to serve as independent contractors for the administration of long term care programs, and WHEREAS, Section 26-4-522, C.R.S., as amended, provides that the Single Entry Point agency shall be recommended by the Board of County Commissioners, and considered for approval by the Department in accordance with the authorizing legislation, and WHEREAS, the Board(s) of County Commissioners of Weld County has designated the Contractor to be the district Single Entry Point agency, and WHEREAS, the Department has approved certification of the Contractor as a Single Entry Point agency, WHEREAS, the Department desires to enter into this Contract with the Contractor herein for the administration of the Single Entry Point program, as set forth in greater detail below, and WHEREAS, as of the date of the execution of this Contract, the Contractor meets all statutory and regulatory requirements for entering into this Contract, NOW THEREFORE, it is hereby agreed that: 1. Contractor shall perform the functions of single entry point agencies as defined by sections 26-4-507 and 26-4-522, C.R.S., as amended, and the rules and regulations applicable to the Department and the single entry point system (hereafter referred to as 'state regulations'). These state regulations may be found in 1 of 13 9'110.172 the Code of Colorado Regulations (C.C.R.) at 10 C.C.A. §2505-10. and may also be found in Volume 8 of the staff manual titled Medical Assistance. 2. Contractor agrees to perform its obligations hereunder in conformity with the provisions of Title XIX of the Social Security Act, other relevant federal and state laws and all pertinent federal and state regulations promulgated pursuant thereto; including, without limitation, the Colorado Human Services Code, Section 26- 1-101, et. Seq., C.R:S., as amended, and those applicable portions of the Staff Manuals of the Colorado Department of Social Services, the Colorado Department of Human Services, and the Colorado Department of Health Care Policy and Financing: Volume 3, entitled Income Maintenance,' 9 C.C.R. §2503-1; Volume 5, entitled "Finance and Accounting,' 11 C.C.R. §2508-1: Volume 7, entitled "Social Services; 12 C.C.R. §2509-1 through §2509-3; Volume 8, entitled 'Medical Assistance,' 10 C.C.R. §2505-10; and Volume 10, entitled 'Services for the Aging," 12 C.C.R. §2510-1, as all the foregoing provide on the date this Contract is executed, and as they may later be amended. 3. Contractor shall perform the functions of case management for eligible persons as defined in the state statutes and regulations, including but not limited to intake/screening /referral, assessment of client need, development and implementation of a care plan, on -going case management. monitoring of clients, reassessment, and case closure: 4. Contractor shall perform all necessary administrative functions for the operation of Single Entry Point agencies, as defined in the state statutes and regulations, including but not limited to such matters as the following: a. establishing a community advisory committee for the purposeof providing public input and guidance for single entry point agency operation; b. administering a personnel system for recruiting, hiring, evaluating, and terminating employees; c. performing accounting tasks in compliance with all rules and regulations for accounting practices set forth by the state department; d. maintaining adequate liability insurance to meet the state departments minimum requirements for contract agencies; e. information management collecting and reporting of summary and client specific data pertaining to information and referral services provided by the agency, program eligibility determination, financial eligibility determination, care planning, service authorization, resource development, and fiscal accountability; f. recordkeeping: maintaining client records in accordance with program requirements, including the documentation of all case activities, the monitoring of service delivery, and service effectiveness; g. resource development: facilitating the development of local resources to meet the long term care needs of individuals who reside within the single entry point district served by the Contractor; h. protecting the confidentiality of all applicant and recipient records; and i. protecting the client's rights as defined by the state department under applicable programs. 5. Contractor shall comply with the standards as outlined in the state statutes and regulations, for the operation of the Single Entry Point agency which include, but are not limited to the following: a. Contractor shall afford appropriate and timely access to services for all clients and will facilitate the application process for potentially eligible individuals and respond in a timely manner to all referrals of eligible clients; 2 of 13 940472 b. Contractor shall provide thorough assessments of care needs and resources to assure the most appropriate targeting of all private and public long term care resources to the needs of the clients. Such targeting shall not supplant but shall support self care, family care and other informal community care; c. Contractor shall process paperwork in a timely and accurate manner to promote timely service to clients; d. Contractor shall provide accurate and timely documentation of client and agency activities; and e. Contractor shall not provide direct services unless a waiver is received from the State Department based on criteria set forth in the state regulations for single entry point agencies. - 6. Contractor shall certify adult foster care facilities within the single entry point district in accordance with the Department rules for adult foster care (staff manual volume 7, sections 7.102.10 - 7.102.80). 7. Contractor shall provide case management functions to recipients of publicly funded long term care programs, including, but not limited to Medicaid nursing facility care, Home and Community -Based Services for the Elderly, Blind and Disabled (HCBS-EBD), Home and Community -Based Services for Persons Living with AIDS (HCBS-PLWA), Home Care Allowance, Adult Foster Care, the Program for All -Inclusive Care of the Elderly (PACE), and certain in -home services available under the federal 'Older Americans Act of 1965, as amended". The authorization and administration of services through a publicly funded program shall be in accordance with the program's eligibility criteria, as defined by applicable state and federal statutes and regulations, as they exist on the date this Contract is executed, and as they may later be amended. 8. In a contract subsequent to this one-year contract, the Contractor may be required to provide case management services to persons able to pay privately for such services. 9. Contractor shall develop procedures for the transfer of clients from one county to another within the Single Entry Point district and from one district to another in accordance with the state statutes and regulations. 10. Contractor shall provide staff who meet the qualifications set forth in the state statutes and regulations, to perform the following functions: administrative/supervisory, and case management. 11. Contractor shall arrange for a licensed medical professional to be available to staff for consultation regarding medical and diagnostic concerns. 12. Contractor shall be considered for certification by the Department or its designee in accordance with standards and requirements set forth in the state statutes and regulations. Decisions about certification shall be based upon but not limited to on -site visits and other evaluation of agency performance in the following areas: quality of services provided; compliance with program requirements, including case management standards adopted by the Department; timeliness; 'performance of administrative functions, including reasonable cost per client, timely responses, managing programs in one consolidated unit, on -site visits to clients, community coordination and outreach, and client monitoring; targeting of populations served; and financial accountability. 13. In accordance with procedures set forth in applicable state statutes and regulations, Contractor performance shall be reviewed by the Department or its designee on an ongoing basis. Contractor will be notified within 30 days of the outcome of such reviews, which may result in approval, provisional approval, denial, or termination of certification. For the purpose of monitoring the Contractor monitoring and making certification recommendations, the Department may designate an agent such as (but not limited to) the Colorado Department of Human Services. 14. In accordance with H.B. 93-1317, the functions of this program are transferred by operation of law to the new Department of Health Care Policy and Financing. If this contract is made prior to July 1. 1994, it is entered by the Colorado Department of Social Services for the use and benefit after July 1. 1994, of the 3 of 13 - Department of Health Care Policy and Financing. If this contract is made on or atter July 1, 1994, it is entered by the Colorado Department of Health Care Policy and Financing in its own right and on its own behalf. 2. Contract General Provisions 1. Term: The term of this Contract shall be July 1, 1994. through June 30, 1995. This is a one-year contract with an option to renew on an annual basis for each of the next throe years under the same terms and conditions as stated in the contract. As of the date that the parties have entered this contract, a one-year contract term corresponds to the time period for which the Colorado Legislature has appropriated funds to operate the single entry point system. 2. PARTIES' RELATIONSHIP: THE PARTIES OF THIS CONTRACT INTEND THAT THE RELATIONSHIP BETWEEN THEM CONTEMPLATED BY THIS CONTRACT IS THAT OF EMPLOYER -INDEPENDENT CONTRACTOR. FOR THE PURPOSES OF THIS CONTRACT ONLY, NO EMPLOYEE OR AGENT OF CONTRACTOR SHALL BE OR SHALL BE DEEMED TO BE AN EMPLOYEE OR AGENT OF THE STATE AND SHALL HAVE NO AUTHORIZATION, EXPRESS OR IMPLIED, TO BIND THE STATE TO ANY AGREEMENTS, SETTLEMENTS, LIABILITY OR UNDERSTANDING EXCEPT AS EXPRESSLY SET FORTH HEREIN. CONTRACTOR WILL BE SOLELY AND ENTIRELY RESPONSIBLE FOR ITS ACTS AND THE ACTS OF ITS EMPLOYEES, AGENTS AND SUBCONTRACTORS. IF ANY, DURING THE PERFORMANCE OF THIS CONTRACT. CONTRACTOR SHALL PAY WHEN DUE ALL REQUIRED EMPLOYMENT TAXES AND INCOME TAX WITHHOLDING INCLUDING ALL FEDERAL AND STATE INCOME TAX ON ANY MONEYS PAID PURSUANT TO THIS CONTRACT. 3. Compliance with Applicable Laws: The Contractor shall at all times during the execution of this Contract strictly adhere to all applicable federal and state laws and implementing regulations as they currently exist and may hereafter be amended. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to this Contract. The Contractor acknowledges that the following laws are included: - Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. se . and its implementing regulation, 45 C.F.R. Part 80 et. seq.; and - Section 504 of the Rehabilitation Act of 1973, 2.9 U.S.C. Section 794, and its implementing regulation, 45 C.F.R. Part 84; and the Age Discrimination Act of 1975, 42 U.S.C. Sections 6101 et. seq. and its implementing regulation, 45 C.F.R. Part 91; and Title VII of the Civil Rights Act of 1964: and the Age Discrimination in Employment Act of 1967; and the Equal Pay Act of 1963; and - the Education Amendments of 1972, the Immigration Reform and Control Act of 1986, P.L. 99-603 the Americans. with Disabilities Act, P.L. 101.336, July 1990. and all regulations applicable to these laws prohibiting discrimination because of race, color, national origin, age, sex, religion and handicap, including Acquired Immune Deficiency Syndrome (AIDS) or AIDS related conditions, covered under Section 504 of the Rehabilitation Act of 1973. as amended, cited above. Included is 45 CFR 92.36(e), which requires that affirmative steps be taken to assure that small and minority businesses are utilized, when possible, as sources of supplies, equipment, construction and services. This assurance is given in consideration of and for the purpose of obtaining any and all federal and/or state . financial assistance. 4 of 13 (1v.. A \ P., \ f 940472 Any person who feels that s/he has been discriminated against has the right to rile a complaint with the Colorado Department of Human Services, the Colorado Department of Health Care Policy and Financing, or with the U.S. Department of Health and Human Services, Office for Civil Rights. Contractor assures that clients' rights will be protected. Contractor further assures that clients have the right to apply for services, to have their eligibility for services determined, to receive an adequate quantity and quality of the services for which they are eligible, to appeal denials of service, and to have their communications with the agency dealt with confidentially. The Contractor will notify each client of hither rights to appeal, and will facilitate appropriate access to advocacy services from the Colorado Long Term Care Ombudsman, Adult Protective Services, other supportive Services; and the Area Agency on Aging/Title III OM Advocacy Services. 4. Confidentiality of Records: Contractor shall protect the confidentiality of all applicant/recipient records and other materials that are maintained in accordance with this Contract. Except for purposes directly connected with the administration of this Program/Project, no information about or obtained from any applicanUrecipient in possession of Contractor shall be disclosed in a form identifiable with the applicanUrecipient without the prior written consent of the applicanUrecipient or a minors parent or guardian, or unless ordered by a court of competent jurisdiction. Contractor shall have written policies governing access to. duplication and dissemination of, all such information. Contractor shall advise its employees, agents and subcontractors, if any, that they are subject to these confidentiality requirements. Contractor shall provide its employees, agents and subcontractors, if any, with a copy or written explanation of these confidentiality requirements before access to confidential data is permitted. 5. Conflict of Interest: a. Definition - Appearance of Conflict of Interest The term applies to the relationship of a contractor with the state when the contractor also maintains a relationship with a third party and the two relationships are in opposition, In order to create the appearance of a conflict of interest, it is not necessary for the contractor to gain from knowledge of these opposing interests. It is only necessary that the contractor know that the two relationships are in opposition. b. Appearance of Conflict of Interest During the term of the contract the contractor shall not enter any third party relationship that gives the appearance of creating a conflict of interest. Upon learning of an existing appearance of a conflict of interest situation, the contractor shall submit to the State a full disclosure statement setting forth the details that create the appearance of a conflict of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute grounds for the State's termination, for cause, of its contract with the contractor. 6. Proprietary Information: a. Definition Proprietary information for the purposes of this contract is information relating to a party's research, development, trade secrets, business affairs, internal operations and management procedures and those of its customers, clients or affiliates, out does not include information (1) lawfully obtained from third parties, (2) that which is in the public domain, or (3) that which is developed independently. b. Neither party shall use or disclose directly or indirectly without prior written authorization any proprietary information concerning the other party obtained as a result of this contract. Any proprietary information removed from the State's site by the Contractor in the course of providing services under this Contract will 5 of 13 940472 be accorded at least the same precautions as are employed by the Contractor for similar information in the course of its own business. 7. Liability Insurance/Fidelity Coverage • Contractor. During the term of this Contract and any extension(s) hereof, Contractor agrees that it will keep in force an insurance policy or policies, issued ty a company authorized to do business in Colorado, in the minimum amounts specified below (per 24-10-114 (1) (b), et, seg., C.R.S„ as amended): the State shall be issued certificates as an additional insured. In the event of cancellation of any such coverage, Contractor shall immediately notify the State of such cancellation. a. Standard Workman's Compensation and Employers' Liability 1) As required by State statute including occupational disease, covering all employees at the work site. b. Except as to a "public entity' described below, General Liability (PL and PD) (Minimum) 1) Combined single limit - $600,000 written on an occurrence basis. 2) Any aggregate limit will not be less than $1 million. 3) • Contractor must purchase additional insurance if claims reduce the annual aggregate below $600,000. 4) State of Colorado to be named as additional insured on each comprehensive general liability policy. 5) Certificate of insurance to be provided to the State (within 10 working days after receipt of award). 6) Insurance shall include provisions preventing cancellation without 60 days prior notice by certified mail to the State. c. Except as to a "public entity' described below, Automobile Liability (Minimum) 1) Contractor to carry a minimum of $600,000 combined single limit auto insurance. d. Additional coverage may be required in specific solicitations. If workman's compensation insurance is carried by the Colorado Compensation Insurance Authority, evidence of such coverage shall be submitted on its Certificate of Insurance form; if by private carrier, on Certificate of Insurance, State Form SC -6.222. Evidence of Bodily Injury and Property Damange coverage may be submitted on State Form SC -6.222, Part B. e. For licensed professionals providing services in their professional capacity, professional liability insurance in an amount not less than $150,000 for any injury to one person in any single occurrence, and, no less than $600,000 for an injury to two or more persons in any single occurrence. If the Contractor is a "public entity" within the meaning of the Colorado Govemmental immunity Act, 24-10-101, et seq., C,R.S., as amended ("Act"), Contractor shall maintain such insurance, by commercial policy or self- insurance, as is necessary to meet Contractor's liabilities under the Act Proof of such insurance shall be provided upon request by the State. THE CONTRACTOR ACKNOWLEDGES THAT THE CONTRACTOR AND ITS EMPLOYEES ARE NOT ENTITLED TO UNEMPLOYMENT INSURANCE BENEFITS UNLESS THE CONTRACTOR OR A THIRD 6 of 13 940472 PARTY PROVIDES SUCH COVERAGE AND THAT THE STATE DOES NOT PAY FOR OR OTHERWISE PROVIDE SUCH COVERAGE. 8. Licenses/Approvals/Insurance: Contractor certifies that, at the time of entering into this Contract, it has currently in effect all necessary licenses, approvals, insurance, etc. required to properly provide the services and/or supplies covered by this Contract. Contractor further certifies that, if a foreign corporation, it currently has a Certificate of Authority to do business in Colorado issued from the Colorado Secretary of State designating a registered agent in Colorado to accept service of process. 9. Billing/Payment Procedure: The State shall establish billing procedures and reimburse the Contractor in such amounts as may from time to time be specified by the State pursuant to applicable federal and state statutes and regulations, including the Colorado Medical Assistance Act Section 26-4-101 et. seq., CRS, as amended, and the State Rules for the Long Term Care Single Entry Point System, as such statutes and rules currently exist or may hereafter be amended. State funds shall be allocated to each Single Entry Point agency based on the number of counties in a district and the number of clients served in community -based care programs in that district. The Contractor shall submit monthly expenditure statements, using forms and procedures prescribed by the State. Total compensation to the Contractor under this contract shall not exceed the limitation contained in the General Provision entitled 'Compensation/Maximum Payable.' The Contractor shall receive state and federal funds in monthly payments from the State. Allowable agency expenditures are set forth by Federal rules, CFR Title 45, Part 74, Appendix G; Office of Management and Budget Circular A-87 or A 122, whichever is applicable; and the U.S. Department of Health and Welfare, December 1976. Cost Principles and Procedures for Establishing Cost Allocation Plans and Indirect Cost Rates for Grants and Contracts with the Federal Government as indicated presently or amended in the future. 10. Compensation/Maximum Payable: Payment pursuant to this Contract will be made as earned, in whole or in part, from available state funds encumbered in an amount not to exceed $180,703 for the purchase of the within -described services. The liability of the State, at any time, for such payments shall be limited to the unspent amount remaining of such encumbered funds. At the end of the term of this contract, the total expenditures billed by the Contractor shall be reconciled with the total compensation already paid or still owed by the State, subject to the maximum encumbrance stated above. Contractor will return any excess funds received by it to the State by August 1, 1995. Financial obligations of the State of Colorado payable after the current fiscal year arc contingent upon funds for that purpose being appropriated, budgeted, and otherwise made available. 11, Federal Funds Contingency: Payment pursuant to this Contract, it in federal funds, whether in whole or in part, is subject to and contingent upon the continuing availability of federal funds for the purposes hereof. In the event that said funds, or any part thereof, become unavailable as determined by the State, the State may immediately terminate this Contract or amend it accordingly. 12. Records Maintenance and Reporting: The contractor shall maintain a complete file of all records, documents, communications, and other materials which pertain to the operation and evaluation of the program/project or the delivery of services under this 7 of 13 940472 Contract. Such files shall be sufficient to properly reflect all direct and indirect costs of labor, materials, equipment, supplies and services, and other costs of whatever nature for which a contract payment was made. These records shall be maintained according to generally accepted accounting principles and shall be easily separable from other Contractor records. Contractor shall complete reports as required by the State and cooperate with all program monitoring and evaluation efforts by the State. 13. Records Retention and Availability: All such records, documents, communications, and other materials shall be the property of the State and - shall be maintained by the Contractor, in a central location and custodian, in behalf of the State, for a period of three (3) years from the date of final payment under this Contract, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualification: If an audit by or on behalf of the federal and/or state government has begun but is not completed at the end of the three (3) year period, or if audit findings have not been resolved after a three (3) year period, the materials shall be retained until the resolution of the audit findings. 14. Performance Monitoring: Contractor shall permit the State and the U.S. Department of Health and Human Services, and any other duly authorized agent or governmental agency, to monitor all activities conducted by the Contractor pursuant to the terms of this Contract. As the monitoring agency may in its sole discretion deem necessary or appropriate, such monitoring may consist of internal evaluation procedures, examination of program data, special analyses, on -site checking, formal audit examinations, or any other reasonable procedures. All such monitoring shall be performed in a manner that will not unduly interfere with contract work. 15. Audits and Inspections: The Contractor authorizes the State to perform audits and/or inspections of its records at any reasonable time during the term of this Contract and for a period of three (3) years following the date of final payment under this Contract, to assure compliance with its terms and/or to evaluate the Contractor's performance hereunder. 16. Single Audit Clause All non-profit contractors, cooperating state agencies and county governments receiving more than $25,000 per fiscal year in federal funds shall comply with the requirements for audit as established by the U.S. Office of Management and Budget Circular Number A-128 and A-133 for obtaining financial and compliance audits. The standards to be followed may also be found in the Standards for Audit of Governmental Organizations, Programs, Activities and Functions issued by U.S. General Accounting Office, 1988 Revision, or the Guidelines for Audits of Federal Awards to Non-profit Organizations (April 1989) published by the Department of Health and Human Services. For purposes of state and local governmental agencies, the term independent auditor means a state or local government auditor who meets the independence standards specified in Generally Accepted Auditing Standards: or a public accountant who meets such standards. All for-profit contractors shall comply with the regulations set forth for non-profit contractors. 17. Assignment/Delegation/Subcontracting: This Contract is in the nature of purchased services on behalf of third -party clients. Except as herein specifically provided otherwise, the duties and obligations of the Contractor arising hereunder cannot be assigned, delegated nor subcontracted except with the express prior written consent of the State. Subcontracts permitted by the State shall be subject to the requirements of this Contract. and the Contractor is responsible for all subcontracting arrangements and the delivery of services as set forth in this Contract. 8 of 13 940472 18. Successors: Except as herein specifically provided otherwise, this Contract shall inure to the benefit of and be binding upon the parties hereto and their respective successors and assigns. 19. Representatives: For the purposes of this Contract, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s): For the State: Dann Milne, Director Office of Long Term Care System Development (Name & Title) 20. Notice: For the Contractor: Linda E. Piper, Director Weld County Area Agency on Aging (Name & Title) AU notice required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent: To the State: Dann Milne, Director Office of Long Term Care System Development Coto. Dep't of Health Care Policy and Financing 1575 Sherman Street Denver, Colorado 80203-1714 21. Litigation: To the Contractor. Linda E. Piper, Director Weld County Area Agency on Aging 1551 North 17th Avenue, P.O. Box 1805 Greeley, Colorado 80632 The Contractor shall promptly notify the State in the event that the Contractor learns of any actual litigation in which the Contractor is a party defendant in a case which involves services provided under this Contract. The Contractor, within five (5) calendar days after being served with a summons, complaint. or other pleading which has been filed in any federal or state court or administrative agency, shall deliver copies of such document(s) to the State's Executive Director. The term "litigation" includes an assignment for the benefit of creditors, and filings in bankruptcy, reorganization and/or foreclosure. 22. Dispute Resolution: Any dispute concerning performance of the contract or the provision of direct services by the Contractor shall be resolved in accordance with the procedures set forth at section 8.024.4, entitled "APPEAL PROCESS, Volume 8 of the Department's staff manual, 10 C.C.R. §2505.10. 23. Remedies: The Executive Director of the State or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Contract. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by Contractor. These remedial actions are as follows: a. Withhold payment to Contractor until the necessary services or corrections in performance are satisfactorily completed: 9of13 940472 b. Request the removal from work on the contract of employee(s) and/or agent(s) of Contractor whom the Executive Director or designee justifies as being incompetent, careless, insubordinate, unsuitable, or otherwise unacceptable, or whose continued employment on the contract s/he deems to be contrary to the public interest or not in the best interest of the State; c. Deny payment or recover reimbursement for those services or deliverables which have not been performed and which' due to circumstances caused by Contractor cannot be performed or if performed would be of no value to the State. Denial of the amount of payment shall be reasonably related to the amount of work or deliverable lost to the State; d. Terminate the Contract for cause immediately upon timely written notice without compensation for termination costs. (1) In the event this Contract is terminated for cause, the State will only reimburse the Contractor for acceptable work or deliverables received to date. 2) In the event this Contract is terminated for cause, final payment to the Contractor may be withheld at the discretion of the State until completion of final audit. o. Incorrect payments to the Contractor due to omission, error, fraud, and/or defalcation shall be recovered from the Contractor by deduction from subsequent payments under this Contract or other contracts between the State and the Contractor, or by the State as a debt due to the State or otherwise as provided by law. f. Any other remedy afforded to the State at section 8.021.25 ("Agency termination or non -renewal of contract"), section 8.021.26 ("Emergency termination of agency contract"). section 8.024 ("ACCOUNTABILITY MECHANISMS FOR SINGLE ENTRY POINT AGENCIES"). Volume 8 of the Department's staff manual, 10 C.C.R.§2505.10, or otherwise under law. 24. Termination for Convenience: This contract may be terminated at the convenience of either party by giving the other party sixty (60) days prior written notice. If notice is so given, this Contract shall terminate on the expiration of the sixty (60) days, and the liability of the parties hereunder for further performance of the terms of this Contract shall thereupon cease, but the parties shall not be released from the duty to perform their obligations up to the date of termination. 25. Severability: To the extent that this Contract may be executed and performance of the obligations of the parties may be accomplished within the intent of the Contract, the terms of this Contract are severable, and should any term or provision hereof be declared invalid or become inoperative for any reason, such invalidity or failure shall not affect the validity of any other term or provision hereof. The waiver of any breach of a term hereof shall rot be construed as a waiver of any other term, or the same term upon subsequent breach. 26. Restrictions on Lobbying: Certification for Contracts Grants, Loans and Cooperative Agreements The Contractor 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 contractor, 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 Contract, and the extension, continuation, renewal, amendment, or modification of any contract, grant, loan or cooperative agreement that utilizes federal funds. 10 of 13 940472 (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 in connection with this Federal contract, grant, loan, or cooperative agreement, the contractor shall complete and submit Standard Form - LLL, 'Disclosure Form to Report Lobbying', in accordance with its instructions. (3) The contractor shall require that the language of this certification be included in the award documents for 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 the 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 3100,000 for each such failure. 27. DEBARMENT CERTIFICATION; Certification for Contracts, Grants, Loans and Cooperative Agreements As required by Executive Order 12549, the Contractor certifies to the best of its knowledge and belief as follows: Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion --Lower Tier Participant (1) The prospective lower tier participant certifies, by submission of this contract, that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency. (2) Where the prospective lower tier participant is unable to certify "to any of the statements in this certification, such prospective participant shall attach an explanation to this contract. °Lower Tier Participant" is defined to include the Contractor and its principals, agents and subcontractors who are obligated to perform services pursuant to the terms of this contract. Contractor agrees that it will include, without modification, the above Certification clause in any such subcontract it may enter. 28. Integration of Understandings: This Contract is intended as the complete integration of all understandings between the parties as to the subject matter hereof. No prior or contemporaneous addition, deletion, or other amendment hereto shall have any force or effect whatsoever, unless embodied herein in writing. No subsequent novation, renewal, addition, deletion, or other amendment hereto shall have any force or effect unless embodied in a written contract executed and approved pursuant to the State Fiscal Rules. 11 of 13 ,.v, • r ',.i 9404'72 SPECIAL PROVISIONS CONTROLLER'S APPROVAL 1. This Contract shall not be deemed valid until It shall have been approved by the Controller of the State of Colorado or such assistant as he may designate. This provision is applicable to any contract involving the payment of money by the State. FUND AVAILABILITY 2. Financial obligations of the State payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. BOND REQUIREMENT 3. If this contract Involves the payment of more than fifty thousand dollars for the consWcaon, erection, repair, maintenance, or Improvement of any building, road. bridge, viaduct tunnel, excavation or other public works for this State, the contractor shalt before entering the performance of any such work included In this contract duly execute and deliver to and file with the official whose signature appears below for the State, a good and sullicIont bond or other acceptable surety to be approved by said official in a penal sum, not less than one -hap of the total amount payable by the terms of this contract. Such bond shall be duly executed by a qualified corporate surety. conditioned for the due and faithful performance of the contract and In addltgn, shall provide Nat if the contractor or his subcontractors fall to duly pay for any labor, materials, team hire, sustenance, provisions, provender or other supplies used or consumed by such contractor or his subcontractor in performance of the work contracted to be done, the surety will pay the same in an amount not exceeding the burn specified in the bond, together with interest at the rate of eight per ant per annum. Unlace such bond, when so required. Is executed, delivered and filed, no claim in favor of the contractor arising under this contract shall be audited, allowed or paid, A ammed or cashier's check or a bank matey order payable to the Treasurer of the State of Colorado may be accepted In lieu of a bond. This provision la In compliance with 38.26-106 CRS as amended. INDEMNIFICATION 4. To the extent authorized by law, the contractor shall Indemnify, save and hold harmless the State, its employees and agents, against any and all claims, damagee, liability and court awards Including costs, expenses, and attorney fees incurred as a result of any act or omission by the contractor, or Its employees, agents, subcontractors, or assignees pursuant to the terms of this contract. DISCRIMINATION AND AFFIRMATIVE ACTION 5, The contractor agrees to comply with the leper and spirit of the Colorado Antidiscrimination Act of 1957, as amended, and other applicable law respecting discrimination and unfair employment practices (CRS 24-34-402), and as required by Executive Order, Equal Opportunity and Affirmative Action, dated April 16, t 075, Pursuant thereto, the following provisions shall be contained In all State contacts or supcondects. During the performance o1 this contract, the contractor agrees as follows (a) The contractor will not discriminate against any employee Or applicant for employment because of race, creed, color, national origin, sex. marital status, religion, ancestry, mental or physical handicap• or age. The contractor will take affirmative action to insure that applicants are enplyed, and that employees are treated during employment, without regard to the above mentioned characteristics. Such action shall include, but not be limped to the following: employment upgrading, demotion, or transfer, recruitment of recruitment advenaings; lay -oils or terminations; rates of pay or other forms of compensation: and selection for training, including apprenticeship. The contractor agrees to post In conspicuous places, available to employees and applicants for employment, notices to be provided by the contracting officer setting forth provisions of this non-discrimination clause, (b) The contractor will, in all saiic'!tations or advertisements for employees placed by Or on behalf of the contractor, sate that all qualified applicants will receive Consideration for employment without regard to race, creed, color, national origin, sex, marital status, religion, ancestry, mental or physical handicap, or age. (0) The contractor will send to each labor union or representative of workers with which ho has a collective bargaining agreement or other contract or understanding, notice to be provided by the contracting officer, advising the labor union or workers' representative of the contractor's commitment uneer,tte Exocutvo Order, Equal Opportun y and Affirmative Action, dated April 16, 1975, and of the rules, regulations, and relevant Orders of the Governor. (d) The contractor and labor unions will furnish all information and reports required by Executive Order, Equal Opportunity and Affirmative Action of April 16, 1975, and by the rules, regulations and Orders of the Governor, or pursuant thereto, and will permit access to his books, records, and accounts by the contracting agency and the once of to Governer or his designee for purposes of investigation to ascertain compliance with such rules, regulations and orders. (o) A labor organization will not exclude any individual otherwise qualified from lull membershp rights in such lobe( organization, of expel arty such individual from membership in such labor organization or discriminate against any of its members in the toll enjoyment of work opportunity, because of race, creed, door. sox, national origin, or ancestry. (I) A labor organization, or the empioyoes or members thereof will not aid, abet, incite, compel or coerce the doing of any act defined in this contract to be discriminatory or obstruct or prevent any person from complying with the provisions of this contract or any order issued thereunder, or attempt Dither directly or indirectly, to commit any act defined in this contract to be discriminatory, Revised 1193 Form 6 -AC -02B 395-53-01-1022 12 of 13 940472 (g) in the event 01 the contractor's non-cOrrpllence with the nomdlsorlmlnatbn clauses of this contract or with any Cl sunlit rules, regulations, or Orders, iS contract may be canceled, terminated or suspended in whole or In part and the Contractor may be declared ineligible for further State contracts in eceordenoe with procedures, aumon;ed In Execute Order. Equal Opportunity and Atirmafve Acton, of Apra 16, 1075 and the Meek regulations, Or Orders promulgated in accordance therewith, and such other sanctions as may be Imposed and remedies as may be invoked as provided In Executive Order, Equal Opportunity and Affirmative Action, of April 16, 1975, or by rules, regulations, or orders promulgated in accordance therewith, or as otherwise provided by law. (h) The contractor will Include the provisions of paragraph (a) through (h) In every sub -contract and sub ontrattG purchase order unless exempted by rules. regulations, or orders issued pursuant to FxecuiNe Order, Equal Opportunity and Affirmative Action of April 18, 1975, W that such provisions el be binding upon each subcontractor or vendor. The contractor will take such action with respect to any subcontracting or purchase order as the contracting agency may direct ae • means of enforcing' such provisions. Including sanctions for non-comptarce: provided, however, that In the event the Contractor becomes Involved in, or Is threatened with, litigation with the subconracor or vendor as a result of such direction by the contracting agency, the contractor may request the State of Colorado to enter Into such litigation to protect the interest of the State of Colorado. COLORADO LABOR PREFERENCE Ga. Provisions of CRS 8-17-101 & 102 for preference of Colorado labor are applicable to this contract If pudic worts within the State ate undertaken hereunder and are financed In whole or In pan by State funds. b. When construction contract for a public protect la to be awarded to a bidder, a resident bidder shall be allowed a preference against a non-resident bidder from a state or foreign country equal f0 the preference given or required by the state or foreign country in which the non-reeldent bidder Is a resident It it is determined by the officer responsible for awarding the bid that compliance with this subsection .06 may cause denial of federal funds which would otherwise be available or would otherwise be Inconsistent with requirement, of Federal law, this subsection shall be suspended, but only to the event neceeaay tO prevent denial of the moneys or to eliminate the inconsistency with Federal requirements (CRS 0-19-101 and 102). GENERAL 7. The laws of the State of Colorado and rules and regulation. Issued pursuant thereto shall be applied In the interpretation, execution and enforcement of this contract. My provision of this contract whether or not incorporated herein by reference which provides br arbitration by any extra-ludiclai body or boson or which le otherwise In conflict with said laws, rules and regulations shell be considered nut and void. Nothing contained in any provision incorporated herein by reference wnlch purports to negate this or any other special provision in whole or In part shall be valid or enforceable or available in any action at lew whether by way of COmpbint defense or otherwise. Any provision rendered nun end void by the operation of this provision will not Invalidate the remainder 01 mt. contact to the extent that the contract is capable of execution. 0. At all times during the performance of this contract, the contractor shat strictly adhere to at applicable federal and slate laws. rules and regulations that have been or may hereafter be established. 0. The signatories hereto aver that they ere familiar with CRS 1B-8-301, et seq., (Bribery and Corrupt Influences) and CRS 16.0-a01, et seq., (Abuse of Public Office), and that no violation of such provisions is present. 10. The signatories aver that to their knowledge, no state employee has a personal or beneficial interest whatsoever In the service or property desabed herein: IN WITNESS WHEREOF, the parties hereto have executed this contract on the day first above written. Weld County Board of Commissioners by and conarw through the Weld County Division of Human (Fun Legol arum) Resou f'G��1 f' 7�liency nn A�'1 n o STATE OF COLORADO ROY ROMER, GOVERNOR Ay / / y Pesttion(Title) W,H.WEBSTER, CHAIRMAN 84-6000-813 Ely (for) r awl w. director :oral Seamy Namara or Federal I 0. Number. DEPARTMENT Or Social SeNoces/I-Inalfh Core Policy and Financing (If Corporation:) Ahos1(Seai) / Dy tr r '_( r . / • / , , 44XKA`Gk,MiribtAXii,YAXXlmfficaa^ticsiv the Board ATTORNEY GENERAL Fly Form 6 -AC -02C Revised 1/03 395-53-01.1030 GARSEPK.'95,pp. t-13,5/10/94, APPROVALS CONTROLLER ay 13 of 13 940472 otz COLORADO mEmoRAnuum W. H. Webster, Chairman To Board of County Commissioners Data May 17, 1994 FromWalter J. SpeckmanExecutive Director, Human Resources OA' subject contract between the Department of Social Services and Weld County Division of Human Resources regarding the Single Entry Point Enclosed for Board approval is the Single Entry Point Contract between the Weld County Division of Human Resources' Area Agency on Aging and the State Department of Social Services. The term of this Contract is from July 1. 1994 through June 30, 1995. If you have any questions, please telephone me at 353-3800. 940472 RESOLUTION RE: APPROVE FOOD DISTRIBUTION AGREEMENT BETWEEN HUMAN RESOURCES AND COLORADO DEPARTMENT OF HUMAN SERVICES AND AUTHORIZE CHAIRMAN TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter. is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with a Food Distribution Agreement between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Division of Human Resources, and the Colorado Department of Human Services, commencing July 1, 1994, and ending June 30, 1995, with further terms and conditions being as stated in said agreement, and WHEREAS, after review, the Board deems it advisable to approve said agreement, 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 Food Distribution Agreement between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Division of Human Resources, and the Colorado Department of Human Services be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is, authorized to sign said agreement. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 23rd day of May, A.D., 1994. ATTEST: Weld County Clerk to the Board BY: /CA,/ A,/ Deputy C erk to the Board APPROVED AS TO FORM: ity Attorney BOARD OF COUNTY COMMISSIONERS WELD C UNTY, COLORADO jibi woXIv_ W. H. Webster. Chairman arbara J. Kirkm, er 940473 /fpo*3 DF-2B (Rev. 3/94) c -u ' 745 1hC.D 8O3O21; BEV REID DEPARTMENT OF HUMAN RESOURCES NUTRITION PRG. FOR THE ELDERLY P.O. BOX 18O5 GREELEY, CO 80632 COLORADO DEPARTMENT OF HUMAN SERVICES 1575 Sherman Street, 3rd Floor Denver, CO 80203-1700 Food Distribution Agreement (Title III C - Nutrition Program For the Elderly) This agreement is made this (Enter today's date) : day of 19� by and between the Colorado Department of Human Services, 1575 Sherman Street, 3rd Floor, Denver, CO 80203-1700 (hereinafter referred to as the "Department"), and the (Enter your agency's name) (hereinafter referred to as the 'Recipient Agency"). Whereas, the Department is a distributing agency under a contract with the U.S. Department of Agriculture (hereinafter referred to as "USDA"). The Contract with USDA is subject to all federal laws and regulations. USDA controls the amount and types of commodities available to the Department. Whereas, the Department has the responsibility for administering the Food Distribution Program in Colorado in accordance with its Contract with USDA, and; Whereas, the Recipient Agency desires to participate in the Food Distribution Program in accordance with the terms of this Agreement; and Whereas, as of the date of execution of this Agreement, Recipient Agency meets all requirements for participation in this program. NOW, THEREFORE, it is hereby agreed: 1. The Recipient Agency is operating a Nutrition Program for the Elderly, serving persons who are unable to pay the full charge for service provided. Complete the following questions: a. The Recipient Agency has cooking facilities available? YesNo b. The Recipient Agency has the following types of storage facilities available: Dry Yes v No Cooler Yes X No__ Frozen Yeses NoT 2. Recipient Agency shall participate in the Food Distribution Program in accordance with the terms of this Agreement and applicable legal requirements described below. 3. The term "legal requirements" as it is used throughout this Agreement includes federal and state statutes, federal and state regulations, program requirements as identified in the Food Distribution Program Recipient Agency User's Handbook, federal and state commodity processing instructions and any amendments thereto, which are applicable to the Food Distribution Program, which are in effect when this Agreement is executed. The Recipient Agency agrees to fully comply with 1 940473 all legal requirements defined above, and to submit any reports requested by the Department or USDA in a prompt and complete manner, and to enforce such legal requirements against any processors or sub -distributing agencies which are under contract with the Recipient Agency. 4. Recipient Agency shall receive, store, distribute, and utilize donated foods. In addition, the Recipient Agency agrees to comply with the following terms and conditions: A. Use of Donated Foods Donated food will be used only in connection with Recipient Agency's established feeding operation for the sole benefit of persons served by the Recipient Agency and will not be sold, exchanged, or otherwise disposed of by the Recipient Agency or any processor without express written approval being obtained by the Recipient Agency from the Department. B. Storage Facilitic5 The Recipient Agency and any sub -distributing agencies under contract with the Recipient Agency shall provide adequate facilities for the handling, storage and distribution of donated foods. These facilities shall be such as to properly safeguard against damage, theft, spoilage, or other loss as recommended in the "Food Storage Guide for Schools and Institutions" in the Food Distribution Program User's Handbook. The Recipient Agency shall provide facilities and services that: I. Are sanitary and free from rodent, bird, insect and other animal infestation; 2. Safeguard against theft spoilage and other loss; 3. Maintain foods at proper storage temperatures; 4. Stock and space foods in a manner so that USDA -donated foods are readily identified; 5. Rotate stock utilizing "First-In/First-Out" inventory practices; 6. Store donated food off the floor and away from walls in a manner to allow for adequate ventilation; 7. Maintain accurate inventory records of product usage; and S. Take other protective measures as may be necessary, The Department reserves the right to inspect the facilities, without the benefit of prior notification, to ensure these standards are met, C. Rg ponsibility for amafe $gpilane eft or Other Lo Once the Donated Foods have been delivered to the Recipient Agency, its carrier agent, Processor, or Food Service Management Company, the Recipient Agency is responsible to the Department for said Food. In the event of damage, spoilage, theft or other loss. the Recipient Agency will promptly notify the Department. In case of spoilage, the Recipient Agency shall furnish a certificate from the County or the State Health Department representative confirming such spoilage. The Recipient Agency assumes full responsibility for reimbursing the Department for the 2 N, 0 940473 USDA dollar value of any Donated Foods improperly used or disposed of or any loss or damage to Donated Foods due to the failure of the Recipient Agency or its agents to provide proper storage, care or handling. The Recipient Agency may be required by the Department to submit documentation regarding the loss. D. Physical Inventory Recipient Agencies shall take an annual physical inventory of USDA commodities the last working day of March and submit the inventory to the Department by the date required, in a format prescribed by the Department. Such inventory shall be reconciled with the Recipient Agency's book inventory records and maintained on file by the Recipient Agency. In no event, may the inventory level of each donated food in storage exceed a six-month supply unless sufficient justification for additional inventory has been submitted and approved by the Department. E. Complaints The Recipient Agency shall immediately advise the Department in writing of any complaints regarding the donated foods. The Recipient Agency shall provide appropriate information regarding the product and nature of the complaint so that an investigation can be pursued by the Department or USDA. In addition, any complaints regarding the commercial distribution system shall be provided to the Department in writing for appropriate action. F. glaStUtdcAll When purchasing food products with federal funds, Recipient Agencies shall, whenever possible, purchase only food products that are produced in the United States. The purchase requirement does not apply in instances when the Recipient Agency determines: (1) Recipients have unusual or ethnic food preferences which can only be met through purchases of products not produced in the U.S.; (2) the product is not produced in the U.S. in sufficient and reasonably available quantities of a satisfactory quality; or (3) the cost of the U.S. product is significantly higher than foreign products. G. Utilization and Redistribj tion Available Donated Foods will be requested only in such quantities as will be fully utilized and will be receipted for by the authorized representative of the Recipient Agency. The Department reserves the right to redistribute any USDA Donated Foods in possession of the Recipient Agency. H. Records The Recipient Agency and any Processors, or Food Service Management Company under Contract with it, will accurately maintain records of Donated Foods received and such 3 940473 • accountability records as may be prescribed by the Department. Such records shall include, but not be limited to, accurate and complete records with respect to the receipt, disposal, and inventory of Donated Foods and with respect to any funds which arise from the operation of the program. The Recipient Agency shall also keep accurate and complete records showing the date and method used to determine the number of eligible persons served by that agency. All records must be retained for a period of three years from the close of the fiscal year to which they pertain. I. Audits arts( Inspecjiots The Recipient Agency shall allow representatives of the Department and/or USDA to inspect and inventory Donated Foods in storage, the facilities used in the handling or storage of such donated foods, inspect and audit all records, including financial records and reports pertaining to the distribution of donated foods, and to review or audit the procedures and methods used in carrying out the audit requirements at any reasonable time with or without the benefit of prior notification. All recipient agencies receiving more than $25,000 in federal financial assistance per fiscal year shall have an audit made by an independent auditor, that complies with the audit requirements established by the Office of Management and Budget Circular Number A-128 or A-133. The audit standards to be followed can e found in the Standards fog Audit of_Goverrnnental Organizations. Programs., ctivitie an4 Functions (1988 revision) issued by the U.S. General Accounting Office, and the Guidelines for Audits of Federal Awards to Nonprofit Organizations (April, 1989) published by the Department of Health and Human Services. For this purpose, the term independent auditor means a state or local government auditor who meets the independence standards specified in generally accepted government auditing standards; or, certified public accountant who meets such standards. J. Expenditures for EQod Expenditures for Food will not be reduced because of the receipt of such Donated Foods. except that this condition does not apply to Section 6 foods distributed to schools participating in the' Nattoual School Leitch Program. K. !roger in ontrac s The Department may enter into processing contracts with private vendors who convert Donated Foods into different end -products or by repackaging them. The contracts for processing of products are entered into by the Department for the benefit of the eligible Recipient Agency. All Recipient Agencies eligible to receive the donated foods to be processed may receive end products made from those foods and produced under such processing contracts of the Department. If the Recipient Agency elects to participate in the processing program, the Recipient Agency shall comply with all requirements of the processing contracts as set forth by the Department's contract, In no event shall the Recipient Agency enter into an agreement with a processor to convert donated foods into end -products without prior written approval of the Department. If such approval is given, the Recipient Agency agrees to take such action as may be directed by the 4 940473 Department to enforce the terms of such Processing Contract and the compliance of the processor with all legal requirements. L. EootSetteejAnagementiegamanitis Food Service Management Companies may be employed to conduct the food service operations of eligible Recipient Agencies. A Food Service Management Company is defined as a commercial enterprise or nonprofit organization which may be contracted with by a Recipient Agency to manage any aspect of its food service operation. In instances when a Food Service Management Company is employed to provide such - services, the Recipient Agency shall enter into a written contract with the Food Service Management Company which shall expressly provide that: Any donated foods received by the Recipient Agency and made available to the Food Service Management Company shall be utilized solely for the purpose of providing benefits for the employing agency's food service operation and it is the responsibility of the Recipient Agency to demonstrate that the full value of all donated foods is used solely for the benefit of the Recipient Agency. 2. The Food Service Management Company shall comply with the same terms and conditions of the Recipient Agency's Food Distribution Agreement with the Department. 3. The books and records of the Food Service Management Company pertaining to the food service operation of the agency shall be available on -site for a period of three years from the close of the fiscal year to which they pertain. Recipient Agencies shall submit Food Service Management Company contacts to the Department for approval. M. Financial 1. State Administrative Charge The Recipient Agency shall pay the Commercial Distributor on behalf of the Department a fixed cost per container computed annually for USDA commodities shipped from the distributor (or USDA) to the Recipient Agency, This administrative cost per container shall be subject to revision based upon fluctuation in the number of cases to be shipped, cost of operation, federal or state funds and number of participating Recipient Agencies. The administrative charge shall be adjusted by the Department no more fraquently than monthly. Each Recipient Agency shall be billed for the number crcontainers of donated food received by the Recipient Agency from the distributor, (or direct from USDA vendors) as reported by the distributor (or vendors) to the Food Distribution Program. Failure of a Recipient Agency to pay the administrative charge within ninety days 5 340473 of the billing date shall result in suspension of future shipments of Donated Foods. If the administrative charge is not paid, the Recipient Agency's account will be submitted to the Colorado Department of Administration, Collection Agency. Any and all additional costs involved in the collection process shall be borne by the Recipient Agency. The Recipient Agency may not be permitted to participate in the Food Distribution Program, until the account is paid in full plus all collection fees. 2. Distributor Charges The Recipient Agency shall pay the quoted price per case directly to the - contracted regional distributor as billed for the number of cases received on each shipment. The Recipient Agency shall comply with the distributor's credit policy and payment terms. In the event a Recipient Agency falls more than 60 days in arrears in payments to the distributor, the Department and the distributor may jointly agree to suspend issues of donated foods and the distributor may take nertsa2ty action to pursue collection of the account. N. Civil Rights and Non iscrimination The recipient agency at all times during the execution of this agreement strictly adhere to all applicable federal 2nd state laws and implementing regulations as they currently exist and may hereafter be amended. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to this Agreement. The recipient agency acknowledges that the following laws are included: Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d4 et. sea and its implementing regulation, 45 C.F.R. Part 80 et. sea ; and Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulation, 45 C.F.R. Part 84; and the Age Discrimination Act of 1975, 42 U.S.C. Sections 6101 et. seq. and its implementing regulation, 45 C.F.R. Part 91; :aid Title VII of thc Civil Rights Act of 1964; (mil the Age Discrimination in Employment Act of 1967; and the Equal Pay Act of 1963; and the Education Amendments of 1972. Immigration Reform and Control Act of 1986, P.L. 99-603 The Recipient Agency shall comply with and all regulations applicable to these laws prohibiting discrimination because of race, color, national origin, age, sex, religion and handicap, including Acquired Immune Deficiency Syndrome (AIDS) or AIDS related conditions, covered under Section 504 of the Rehabilitation Act of 1973, as amended, cited above. This assurance is given in consideration of and for the purpose of obtaining any and all federal and/or state financial assistance. Any person who feels that s/he has been discriminated against has the right to file a complaint either with the Colorado Department of Human Services or with the U.S. Department of Agriculture, Office for Civil Rights. 6 940473 The Recipient Agency is responsible for any additional Civil Rights reporting requirements as set forth in Addendum A of this Agreement, if applicable. O. jzdermtifieation To the extent authorized by law, the Recipient Agency shall indemnify, save a'td hold harmless the State, its employees and agents, against any and all claims. damages, liability and court awards including costs, expenses, and attorney fees incurred as a result of any act or omission by the Recipient Agency, or its employees, agents. subconnactors, or assignees pursuant to the terms of this Agreement. P. Enforeemrnt If the Recipient Agency fails to comply with the provisions of this Agteemeat it may, at the discretion of the Department, be disqualified from further participation in the Program. The Recipient Agency or the Department may seek judicial relief for any provision of this Agreement. Q. EffectiTtpats This Agreement will become effective on the date of approval by the F=mnive Dire=r of the Department or authorized designee, and shall remain in effect uatiulune 30, 1995. The Recipient Agency or the Department may terminate this Agreement at any time by giving thirty days notice in writing. Upon such termination by either the Recipient Agency or the Department, the Recipient Agency shall, at its expense return all unused Donated Foods in its possession or in the possession of its processors to such place within. the State of Colorado as may be designated by the Department S. Assent, The Recipient Agency agrees not to assign its rights or to delegate its obligations under this Agreement without prior approval in writing from the Department. T. Future £ritS<.I This Agreement is binding upon the present and future elected or employed officials of the Recipient Agency and the State of Colorado. U. Aujhotized Representative It shall be the duty of Recipient Agency to promptly notify, in writing, the Department of any change in its Agency Head or authorized representative or change in legal address. 7 9/10473 V. Siimmture, The individual signing this Agreement as the "Agency Head' or-AuodmrSd Representative" (as nested if a corporation) Semfee that his/her sign= lenity binds the Recipient A2encv to the tcrmsgfsb s Agreement, TYPE OR PRINT ALL INFORMATION BELOW: DATE: !r,y 10. 1094 NAME OF RECIPIENT AGENCY: Weld County Board of Commissioners ADDRESS: P.0_ Box 758 Greeley. CO 80632 PHONEY: (303) 356-4000 x4225 STATE OF COLORADO DEPARTMENT OF HUMAN SERVICES DATE APPROVED SIGNATURE AND TITLE OF AGENCY HEAD OR AUTHORIZt-,3D RETRESENTATIVE: FOR: EXECUTTvE DIRECTOR W.W. tebS/tidr weld C oun�y o� Cjwsssioners i�rperson (/05/25/94 d� ATTEST. IF A CORPORATION: Deputy Cleir'k to Board 8 e- - : ti 940473 WI; 111k COLORADO ME(YIORAf1DU 1 Board of County Commissioners To W•H. Webster, Chairperson Dee May 10, 1994 it i I From Walter I Cppckman, Fvprntiva nirartar, Human Racr)i,rrpc Sublec,:'on-Financial Coordinating Agreement Enclosed for Board approval is the Donated Foods Agreement for the Weld County Division of Human Resources' Nutrition Program for the Elderly. This agreement is the contractual agreement between the Colorado State Department of Social Services and the Weld County Division of Human Resources. It outlines the legal requirements of receiving and using USDA commodities within the Senior Nutrition Program. The agreement is to receive bonus commodity food items such as raisins, and blueberries, to be utilized in the menus by the vendor L'.N.C. Food Services. The USDA bonus commodities will be picked up at Vanask Warehouse CO. by Weld County Transportation. The agreement has no changes and the term period will be from July 1. 1994 through June 30, 1995. If you have any questions, please call Linda Piper at 353-3800 ext. 3320. 940473 RESOLUTION RE; APPROVE FORM OF INTERGOVERNMENTAL AGREEMENT FOR USE OF COMMUNICATIONS, RECORDS, AND CRIMINAL JUSTICE INFORMATION SYSTEMS AND AUTHORIZE CHAIRMAN TO SIGN UPON SUBMITTAL BY USERS 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, on May 3, 1993, the Board of County Commissioners approved an Intergovernmental Agreement with the City of Greeley, Colorado. for the provision of the Communications, Records, and Criminal Justice Information Systems, and WHEREAS, on May 2, 1994, the Board of County Commissioners approved an amendment to said intergovernmental agreement, which amendment revised Paragraph 13 of said intergovernmental agreement to require that all records in the joint criminal justice records and information systems be kept confidential and used for official purposes only, unless said users are required by law to disclose the same, and WHEREAS, both the City of Greeley and Weld County see the need for individual agreements with the users of the system wherein the users agree to assure confidentiality of the records and information and their official use only by users' employees, and WHEREAS, the City of Greeley has proposed a form for the intergovernmental agreement for use of the communications, records, and criminal justice information systems, which is intended to be signed by the City of Greeley, Weld County, and the individual user, a copy of which is attached hereto as Exhibit "A". and WHEREAS, the City of Greeley staff expect there to be a large number of users who will need to execute such intergovernmental agreements for the use of the communications, records, and criminal justice information systems and, therefore, it will be necessary to have one resolution authorizing the Chairman of the Board of County Commissioners to sign all such intergovernmental agreements (in the form shown in "Exhibit A") which are submitted for signature. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the form of the Intergovernmental Agreement for Use of Communications, Records, and Criminal Justice Information Systems, which is attached hereto as Exhibit "A", be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is, authorized to sign any such intergovernmental agreements upon submittal by and after signature by the users of the system. 940485 moo0$ ec ; VP; Cz:Cy (c-� y) RE: FORM OF INTERGOVERNMENTAL AGREEMENT FOR INFORMATION SYSTEMS PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 23rd day of May. A.D., 1994. ATTEST: Weld County Clerk to the Board BY: Deputy Clerk to the Board APPROVED AS TO FORM: County Attornly BOARD OF COUNTY CuMMISSIONERS WELD COUNTY, COLORADO w H. Webs a C'ai >n Daejt� Hall, °X Baxter Constance L. Harbert 4 Barbara J. Kirkmey <74% 940485 INTERGOVERNMENTAL AGREEMENT FOR USE OF COMMUNICATIONS RECORDS AND CRIMINAL JUSTICE INFORMATION SYSTEMS THIS AGREEMENT made this by and between the CITY OF GREELEY, the COUNTY OF WELD, COLORADO, day of , 1994, COLORADO, (hereinafter referred to as "City"), (hereinafter referred to as "County"), and (hereinafter referred to as "User") for access and use of criminal justice information system. WTTNESSETH: WHEREAS, an Intergovernmental Agreement for the operation and maintenance of communications, records, and criminal justice information system has been entered into on the 3rd day of May, 1993, as subsequently amended; and WHEREAS,. User desires access to the criminal justice records information system operated by the City and. County; and WHEREAS, User has reviewed and agrees to the terms and conditions of use of such information, as determined in the Intergovernmental Agreement between the City and County; and WHEREAS, User provides governmental functions for use of criminal justice records and information; and WHEREAS, the City and County are authorized to enter into this agreement by virtue of Section 29-1-203, C.RS., art. 2, Section 2-3, Weld County Home Rule Charter; and the City of Greeley Charter, Section 3-7. NOW, THEREFORE, in consideration of the following mutual promises and covenants, the parties agree as follows: 1. User is allowed access to the City/County criminal justice information system pursuant to the terms. and conditions of the Intergovernmental Agreement entered into between the City and County as modified by directions and discretion of the City and County. 2. User and 8.52 employees are hereby required to maintain the integrity and confidentiality of the criminal justice information system, and as such are required to execute the Greeley/Weld County Public Safety System Confidentiality of Information Agreement attached. hereto and incorporated herein. Additionally, the User specifically agrees that paragraph 13 of the City/County Intergovernmental Agreement, as amended, binds the User to confidentiality pursuant to the Colorado Open Records Act and penalties for violation thereof. EXHIBIT "A" 940485 3. " The User thou indemnify and save harmless and defend the City and County, their agendas, servants, and employees from and against any and all claims, liability, losses, and/or causes of action, including the reasonable cost of defense which is caused by any intentional and/or negligent act or omission of the User, its agents, servants, or employees in the performance and use of information obtained pursuant to this agreement. • The User also agrees to indemnify and defend the City and County, their agents, servants, and employees from and against all tort liability arising out of any claim, demand, or cause of action, of whatsoever kind or nature, and arising out of any conduct or misconduct of the User not included in the paragraph above for which. the City and County, their agents, servants or employees, arc alleged to be liable, except for liability, losses and costs caused solely. by the negligence of the City and County. 4. No portion of this Agreement shall be deemed to constitute a waiver of any immunities which the City or the County or their officers or employees may possess, nor shall any portion of this Agreement be deemed to have created a duty of care on the part of either part to any persons not a party to this, Agreement. 5. No portion of this Agreement shall be deemed to create an obligation on the part of the City or County to expend funds not otherwise appropriated in each succeeding year. 6. It is specifically understood and agreed that User is not a party to the City/County Intergovernmental Agreement and accrues no rights or benefits to any of the terms, covenants, or conditions of said agreement, either as a party or a third -party beneficiary., and User hereby agrees that the terms or conditions of the City/County Intergovernmental Agreement do not in any manner provide privity or standing to the User to enfoide of any of the terms and conditions of the Intergovernmental Agreement between the City or County. 7. This agreement is for an indefinite term and subject to revocation without notice to the User in the sole discretion of the City, the County, or both. DATED this-•- day of , 1994. • THE CITY OF GREELEY, COLORADO a municipal corporation by and through the City Council • THE COUNTY OF WELD a body corporate and politic by and through the Board of County Commissioners By By Mayor Chair ATTEST: City Clerk Clerk to the Board 2 940485 APPROVED AS TO LEGAL FORM APPROVED AS TO LEGAL FORM By By City Attorney County Attorney APPROVED AS TO SUBSTANCE APPROVED AS TO SUBSTANCE By By. City Manager County Finance Director AS TO AVA IABILTTY OF FUNDS By Director of Finance USER By City Clerk Mayor 3 940485 GREELEY/WELI3 COUNTY PUBLIC SAFETY SYSTEM CONFIDENTIALITY OF INFORMATION AGREEMENT , have been informed by that during . my employment/assignment with the I may have access to. confidential law enforcement information, including but not limited to, •information concerning arrests, criminal investigations and' details from official police. reports. I . understand that unauthorized dissemination of any confidential information to anyone by me may result in employment disciplinary action up to and including termination, civil liability, and/or criminal. action against me. I understand my responsibility and possible adverse consequences for unauthorized dissemination 'of information and, specifically agree to keep obtainrI information confidential to the best of my ability. SIGNED: DOS: DATE: WITNESS: DATE: 940485 RESOLUTION RE: APPROVE FORM OF INTERGOVERNMENTAL AGREEMENT FOR USE OF COMMUNICATIONS, RECORDS, AND CRIMINAL JUSTICE INFORMATION SYSTEMS AND AUTHORIZE CHAIRMAN TO SIGN UPON SUBMITTAL BY USERS 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, on May 3, 1993 the Board of County Commissioners approved an intergovernmental agreement with the City of Greeley, Colorado, for the provision of communications, records, and criminal justice information systems, and WHEREAS, on May 2, 1994 the Board of County Commissioners approved an amendment to said intergovernmental agreement, which amendment revised paragraph 13 of said intergovernmental agreement to require that all records in the joint criminal justice records and information system be kept confidential and used for official purposes only, unless said users are required by law to disclose the same, and WHEREAS, both the City of Greeley and Weld County see the need for individual agreements with the users of the system wherein the users agree to assure confidentiality of the records and information and their official use only by users' employees, and WHEREAS, the City of Greeley has proposed a form for the intergovernmental agreement, FOR USE OF COMMUNICATIONS, RECORDS, AND CRIMINAL JUSTICE INFORMATION SYSTEMS, which is intended to be signed by the City of Greeley, Weld County, and the individual user, a copy of which is attached hereto as Exhibit "A", and WHEREAS, the City of Greeley staff expect there to be a large number of users who will need to execute such intergovernmental agreements for the use of communications, records, and criminal justice information systems and, therefore, it will be necessary to have one Resolution authorizing the Chairman of the Board of County Commissioners to sign all such intergovernmental agreements (in the form shown in "Exhibit A") which are submitted for signature. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of weld County, Colorado, that the form of the INTERGOVERNMENTAL AGREEMENT FOR USE OF COMMUNICATIONS, RECORDS, AND CRIMINAL JUSTICE INFORMATION SYSTEMS which is attached hereto as Exhibit "A" be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is, authorized to sign any such intergovernmental agreements upon submittal by and after signature by the users of the system. 940485 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the day of May, A.D., 1994. ATTEST: BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO CLERK TO THE BOARD OF COUNTY COMMISSIONERS W. H. Webster, Chairman BY: Deputy Clerk to the Board George E. Baxter APPROVED AS TO FORM: Dale K. Hall BY: weld County Attorney Constance L. Harbert Barbara J. Kirkmeyer rwoform.gjb 940485 RESOLUTION RE: APPROVE CANCELLATION OF PAYROLL FUND WARRANTS 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, certain Payroll Fund Warrants in the total amount of $2,712.70 have been issued in error, and WHEREAS, a list of the specific warrant numbers, dates, names and amounts is on file with the Accounting Department, and WHEREAS, after review, the Board deems it advisable to approve cancellation of said warrants. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that those Payroll Fund Warrants for the month of April 1994, in the amount of $2,712.70, be, and hereby are, cancelled and held for naught. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 23rd day of May, A.D., 1994. ATTEST: Weld County Clerk to the Board APPROVED AS TO FORM: County Attbrhey BOARD OF COUNTY COMMISSIONERS WELD COUNTY COLORADO 111( W. H. Webster, Chai an K Hall," Pro Dale A eg ge ;7 -Baxter Barbara J. Kirkme•er 940474 A-Cc0O1 ec: ha mEMORAnDUM PIG CLERK TO THE BOARD Date 5.)?— �!DTO� UId2SNG DEPAF 437: a DQ From subi.mr. PAYROLL VOID WARRANTS FOR THE MONTH i WILL YOU PLEASE ENTER A cI OOLUTION DR THE FOLLOW= WARPANT C ANC LLAT" IONS FOR PAYROLL FUND: FOR TE MONTH OF APR.' IN THE AMOUNT OFr7JP ZI THANIIC YOU, SIWATURE 940474 RESOLUTION RE: APPROVE NEW DIRECTIONS/JOB OPPORTUNITIES AND BASIC SKILLS PROGRAM INTRAGOVERNMENTAL AGREEMENT WITH DIVISION OF HUMAN RESOURCES AND AUTHORIZE CHAIRMAN TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with a New Directions/Job Opportunities and Basic Skills Program Intragovernmental Agreement between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Social Services, and the Weld County Division of Human Resources' Employment Services of Weld County, commencing July 1, 1994, and ending June 30, 1995, with further terms and conditions being as stated in said agreement, and WHEREAS, after review, the Board deems it advisable to approve said agreement, 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, ex -officio Board of Social Services, that the New Directions/Job Opportunities and Basic Skills Program Intragovernmental Agreement between the County of Weld, State of Colorado. by and through the Board of County Commissioners of Weld County, on behalf of the Department of Social Services, and the Weld County Division of Human Resources' Employment Services of Weld County be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is, authorized to sign said agreement. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 23rd day of May, A.D., 1994. ATTEST: Weld County Clerk to the Board BY: (7-4A1-, 1 ' / to -.Boa x Deputy erk to t APPROVE Q AS TO FORM: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO We ster, C Constance L. Harbert arbara J. Kirkmey 6SO016 CC: SS; HA._ 940475 NEW DIRECTIONS/JOB OPPORTUNITIES AND BASIC SKILLS PROGRAM INTRA-GOVERNMENTAL AGREEMENT BETWEEN WELD COUNTY DEPARTMENT OF SOCIAL SERVICES AND WELD COUNTY DIVISION OF HUMAN RESOURCES This Agreement, made and entered into this 23rd day of May, 1994, by and between the Weld County Department of Social Services, hereinafter referred to as "Social Services," and the Weld County Division of Human Resources, on behalf of the Employment Services of Weld County, hereinafter referred to as "Employment Services." WITNESSETH: WHEREAS, the Federal Family Support Act of 1988 created the Job Opportunities and Basic Skills (JOBS) Program for recipients of Aid to Families of Dependent Children (AFDC) to assist recipients to become self-sufficient by providing needed employment - related activities and support services; and WHEREAS, the State of Colorado, as the State IV -A Agency, administers the JOBS Program, which has been renamed by the State of Colorado as the "New Directions Program," and WHEREAS, the State of Colorado, as the State IV -A agency, has designated Social Services as a New Directions County to implement the New Directions Program in Weld County, and WHEREAS, Social Services received funding and authority from the State IV -A agency to provide Weld County New Directions services. These funds have been budgeted, appropriated, and otherwise made available, and a sufficient encumbered balance for payment in Contract Encumbrance Number: FY93-ND-002, and WHEREAS, Employment Services received funding and authority from the Wagner Peyser Act, the Job Training Partnership Act, and other related employment and training laws, to provide county -level employment and training programs for job applicants and eligible participants, and WHEREAS, Social Services has selected Employment Services as a service provider because of past performance in providing similar services, demonstrated effectiveness, fiscal accountability, cost efficiency, and ability to meet performance standards as set forth in the Agreement, and WHEREAS, Social Services has ensured that such services or activities provided under this contract are not otherwise available to New Directions participants on a non - reimbursable basis, and WHEREAS, Social Services and Employment Services are both governed by the Board of Weld County Commissioners, and WHEREAS, the Board of Weld County Commissioners and the weld County Private Industry Council approved a Weld County New Directions Program plan for Fiscal Year 1994 that was jointly developed, planned, and coordinated between Social Services and Employment Services, and WHEREAS, the Weld County New Direction Program plan for Fiscal Year 1994 has been approved by the State IV -A agency. 940475 CONTRACT ENCUMBRANCE NUMBER: FY94-ND-002 NEW DIRECTIONS/JOB OPPORTUNITIES AND BASIC SKILLS PROGRAM INTRA-GOVERNMENTAL AGREEMENT BETWEEN WELD COUNTY DEPARTMENT OF SOCIAL SERVICES AND WELD COUNTY DIVISION OF HUMAN RESOURCES Page 2 NOW THEREFORE, in consideration of the premises and of the covenants and agreements contained herein, the parties hereto covenant and agree as follows: 1. Term This Agreement shall remain in effect indefinitely and is subject to the availability of funding. The Agreement will be reviewed annually or as needed by both parties and is subject to the provisions of paragraph 23 herein. The term for funding by Social Services to Employment Services shall be for a period beginning July 1, 1994, and ending June 30, 1995, and subject to the provisions of paragraphs 3, 4, and 5 herein. 2. Geographic Areas to be Served New Directions Program services shall be provided to welfare recipients who reside in Weld County and are determined eligible by Social Services, to participate in the Weld County New Directions Program. 3. Employment Services and Social Services Responsibilities Employment Services and Social Services shall jointly perform the following functions. A. develop, plan, and amend the Weld County New Directions Program Plan; B. develop, plan, and amend procedures, guidelines, principles, and policies for program operations to be approved by the Board of Weld County Commissioners; C. provide case management services for New Directions participants, as described in the Weld County New Directions Plan, 9 CCR 2503-1, Section 3.634.14, and Weld County operating procedures; D. develop an employability development plan for New Directions participants, as described in the Weld County Plan, 9 CCR 2503-1, Section 3.634.15, and Weld County operating procedures; E. negotiate with New Directions participants and enter into Participant -Agency Agreements, following an initial assessment and in conjunction with the development of the employability development plan, as described the in Weld County New Directions Plan, 9 CCR 2503-1, Section 3.634.16, and Weld County operating procedures; 940475 CONTRACT ENCUMBRANCE NUMBER: FY94-ND-002 NEW DIRECTIONS/JOB OPPORTUNITIES AND BASIC SKILLS PROGRAM INTRA-GOVERNMENTAL AGREEMENT BETWEEN WELD COUNTY DEPARTMENT OF SOCIAL SERVICES AND WELD COUNTY DIVISION OF HUMAN RESOURCES Page 3 F. 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 being utilized for the maximum benefit; G. Participate in the conciliation process. H. determine individuals who shall be considered to have self -initiated education or training program and assess if such individuals' participation in New Directions to determine component. I. meet the monthly average participation rates as described in the Weld County New Directions Plan, as amended, and J. provide a public record of the resources devoted, activities undertaken, and performance achieved for the benefit of the Board of Weld County Commissioners, funding sources, the Weld County Private Industry Council, local citizenry, and taxpayers. 4. Social Services Responsibilities Social Services shall be responsible to perform the following functions: A. provide overall program administration of the Weld County New Directions Program, as outlined in Public Law 100-485 and 9 CCR 2503-1, Section 3.630; B. implement actions involving welfare recipients, including: 1) determination of exemption status; 2) determination of good cause for failure or refusal to participate; 3) determination and application of sanctions; 4) providing notice of actions affecting eligibility and payment; and 5) providing fair hearings and final agency action; C. initially assess, through Social Services case managers, supportive service needs and provide child care for those New Directions participants who need such services to participate in New Directions. Jointly assess with Employment Services and provide transportation resources to New Directions participants for ongoing transportation needs. Work directly with ongoing New Directions participants and Employment Services to provide additional supportive services as needed in order to remain in New Directions and remain in compliance with State IV -A regulations; 940475 CONTRACT ENCUMBRANCE NUMBER: FY94-ND-002 NEW DIRECTIONS/JOB OPPORTUNITIES AND BASIC SKILLS PROGRAM INTRA-GOVERNMENTAL AGREEMENT BETWEEN WELD COUNTY DEPARTMENT OF SOCIAL SERVICES AND WELD COUNTY DIVISION OF HUMAN RESOURCES Page 4 D. provide the self -assessment instrument as prescribed by the State IV -A agency; assist in other assessment activities as agreed to with employment services and provide such information to Employment Services; E. refer New Directions participants to Employment Services for purposes of academic, aptitude, and assessment; assignment of New Directions component participation; and on -going New Directions component participation; F. participate in joint planning, program development, monitoring and implementation of New Directions with Employment Services; G• provide training to Employment Services in the operation of New Directions and related activities through the State IV -A agency and other appropriate training sources; H. Social Services shall establish billing procedures and reimburse Employment Services for actual, reasonable and necessary expenses incurred in providing services pursuant to this Agreement, based on the submission of monthly or quarterly expenditure statements, on forms prescribed by Social Services in accordance with the budget attached to this Agreement as Exhibit 1 and incorporated herein. Payment pursuant to this Agreement will be made as earned, in whole or in part, from available state funds encumbered in an amount not to exceed $66,308 for the purchase of the within -described services. The liability of Social Services, at any time, for such payments shall be limited to the unspent amount remaining of such encumbered funds; I. provide the initial information and orientation materials for New Directions participants as prescribed through 9 CCR 2503-1, Section 3.634.13: 5. Employment Services Responsibilities Employment Services shall be responsible to perform the functions as follows: A. provide assessments of New Directions participants in the areas of aptitude, academic, and participation barriers for purposes of the employability development plan and participant assignment to New Directions component activities; B. develop, monitor, and direct mandatory and optional New Directions component activities as described in the Weld County New Directions Plan, as amended; 9 CCR 2503-1, Sections 3.635, 3.636, 3.640; and Weld County operating procedures; 940475 CONTRACT ENCUMBRANCE NUMBER: FY94-ND-002 NEW DIRECTIONS/JOB OPPORTUNITIES AND BASIC SKILLS PROGRAM INTRA-GOVERNMENTAL AGREEMENT BETWEEN WELD COUNTY DEPARTMENT OF SOCIAL SERVICES AND WELD COUNTY DIVISION OF HUMAN RESOURCES Page 5 C. complete all necessary client, employer, or work site agreements and related paperwork for New Directions component activities; D. determine the time and dates for assessment and New Directions component activities so Social Services may refer New Directions participants to Employment Services; E. jointly assess and recommend additional supportive services for New Directions participants to continue in New Directions component activities or employment. Refer New Directions participants to appropriate supportive services (except transportation), and notify Social Services case managers of those referrals. Provide New Directions participants with the required transportation expenses needed to participate in New Directions after the assessment process in accordance with New Directions requirements. F. approve training activities based on client identification and labor market, and develop an Employability Development Plan with the client. G. determine if the New Directions participant is satisfactorily progressing in educational and training activities; H. provide a weekly list of clients receiving the Employment Services' Mini -Bus Transportation by name and total cost of transportation by week and a cumulative amount. I. provide proper invoices and verification of services performed for costs incurred in the performance of this Agreement. 6. Assurances Employment Services assures that: A. federal funds made available under New Directions will not be used to supplant non -Federal funds for existing services and activities; and 8. the services being contracted from Employment Services are not otherwise available on a non -reimbursable basis. Services provided on a "non - reimbursable basis" are those services provided to all citizens or to the low income population, including AFDC applicants and recipients. 7. Monitoring and Evaluation Social Services and Employment Services understand that monitoring and evaluation of the performance of this Agreement shall be conducted by the State IV -A agency, Social Services, and Employment Services. The results of the monitoring and evaluation shall be provided to the Weld County Private Industry Council and the Board of Weld County Commissioners. 940475 CONTRACT ENCUMBRANCE NUMBER: FY94-ND-002 NEW DIRECTIONS/JOB OPPORTUNITIES AND BASIC SKILLS PROGRAM INTRA-GOVERNMENTAL AGREEMENT BETWEEN WELD COUNTY DEPARTMENT OF SOCIAL SERVICES AND WELD COUNTY DIVISION OF HUMAN RESOURCES Page 6 Employment Services shall permit the State, IV -A Agency and the U.S. Department of Health and Human Services (funding), and any other duly authorized agent or governmental agency, to monitor all activities conducted by the Employment Services pursuant to the terms of this Agreement. As the monitoring agency may in its sole discretion deem necessary or appropriate, such monitoring may consist of internal evaluation procedures, examination of program data, special analyses, on -site checking, formal audit examinations, or any other reasonable procedures. All such monitoring shall be performed in a manner that will not unduly interfere with agreement work. 8. Modification of Agreement All modifications of this Agreement shall be in writing and signed by both parties. 9. Assignment This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. Employment Services may not assign any of its rights or obligations hereunder without the prior written consent of Social Services. 10. Applicable Laws Employment Services shall at all times during the execution of this Agreement strictly adhere to all applicable federal and state laws and implementing regulations as they currently exist and may hereafter be amended. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to this Agreement. Employment Services acknowledges that the following laws are included: - Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. ses; and • Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulation, 45 C.F.R. Part 84; and - the Age Discrimination Act of 1975, 42 U.S.C. Sections 6101 et. 2ta. and its implementing regulation, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Action of 1964; and - the Age Discrimination in Employment Act of 1967; and - the Equal Pay Act of 1963; and - the Education Amendments of 1972, - Immigration Reform and Control Act of 1986, P.L. 99-603 940475 CONTRACT ENCUMBRANCE NUMBER: FY94-ND-002 NEW DIRECTIONS/JOB OPPORTUNITIES AND BASIC SKILLS PROGRAM INTRA-GOVERNMENTAL AGREEMENT BETWEEN WELD COUNTY DEPARTMENT OF SOCIAL SERVICES AND WELD COUNTY DIVISION OF HUMAN RESOURCES Page 7 Employment Services shall at all times during the execution of this Agreement strictly adhere to all regulations applicable to these laws prohibiting discrimination because of race, color, national origin, age, sex, religion and handicap, including Acquired Immune Deficiency Syndrome (AIDS) or AIDS related conditions, covered under Section 504 of the Rehabilitation Act of 1973, as amended, cited above. Included is 45 CFR, Part 74, Appendix G 9, which requires that affirmative steps be taken to assure that small and minority businesses are utilized, when possible, as sources of supplies, equipment, construction and services. This assurance is given in consideration of and for the purpose of obtaining any and all federal and/or state financial assistance. Any person who feels that s/he has been discriminated against has the right to file a complaint either with the Colorado Department of Social Services or with the L'.S. Department of Health and Human Services, Office for Civil Rights. 11. Confidentiality of Records Employment Services shall protect the confidentiality of all applicant/recipient records and other materials that are maintained in accordance with this Agreement. Except for purposes directly connected with the administration of the New Directions Program, no information about or obtained from any applicant/recipient in possession of Employment Services shall be disclosed in a form identifiable with the applicant/recipient without the prior written consent of the applicant/recipient or a minor's parent or guardian. Employment Services shall have written policies governing access to, duplication and dissemination of, all such information. Employment Services shall advise its employees, agents, and subcontractors, if any, that they are subject to these confidentiality requirements. Employment Services shall provide its employees, agents, and subcontractors, it any, with a copy or written explanation of these confidentiality requirements before access to confidential data is permitted. 12. Insurance The parties acknowledge that the Employment Services is self -insured in accordance with Section 24-10-101 et. sq., C.R.S., as amended. 13. Licenses/Approvals/Insurance Employment Services certifies that, at the time of entering into this Agreement, it has currently in effect all necessary licenses, approvals, insurance, etc. required to properly provide the services and/or supplies covered by this Agreement. 940475 CONTRACT ENCUMBRANCE NUMBER: FY94-ND-002 NEW DIRECTIONS/JOB OPPORTUNITIES AND BASIC SKILLS PROGRAM INTRA-GOVERNMENTAL AGREEMENT BETWEEN WELD COUNTY DEPARTMENT OF SOCIAL SERVICES AND WELD COUNTY DIVISION OF HUMAN RESOURCES 14. Records Maintenance Page 8 Employment Services shall maintain a complete file of all records, documents, communications, and other materials which pertain to the operation of the New Directions Program or the delivery of services under this Agreement. Such files shall be sufficient to properlyreflect all direct and indirect costs of labor, materials, equipment, supplies and services, and other costs of whatever nature for which an agreement payment was made. These records shall be maintained according to generally accepted accounting principles and shall be easily separable from other Employment Services records. 15. Records Retention and Availability All such records, documents, communications, and other materials shall be the property of Social Services and shall be maintained by Employment Services in a central location and custodian, on behalf of Social Services, for a period of three (3) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualification: if an audit by or on behalf of the federal and/or state government has begun but is not completed at the end of the three (3) year period, or if audit findings have not been resolved under a three (3) year period, the materials shall be retained until the resolution of the audit findings. 16. Audits and Inspections Employment Services authorizes the State IV -A Agency to perform audits and/or inspections of its records at any reasonable time during the term of this Contract and for a period of three (3) years following the date of final payment under this Contract to assure compliance with its terms and/or to evaluate Employment Services' performance hereunder. 17. Single Audit Clause Employment Services shall comply with the requirements for audit as established by the U.S. Office of Management and Budget Circular Number A-128 and A-133 for obtaining financial and compliance audits. The standards to be followed may also be found in the Standards for Audit of Governmental Organizations, Programs. Activities and Functions issued by U.S. General Accounting Office, 1988 Revision, or the Guidelines for Audits of Federal Awards to Non-profit Organizations (April 1989) published by the Department of Health and Human Services. For purposes of state and local governmental agencies, the term independent auditor means a state or local government who meets the independence standards specified in Generally Accepted Auditing Standards; or a public accountant who meets such standards. 940475 CONTRACT ENCUMBRANCE NUMBER: FY94-ND-002 NEW DIRECTIONS/JOB OPPORTUNITIES AND BASIC SKILLS PROGRAM INTRA-GOVERNMENTAL AGREEMENT BETWEEN WELD COUNTY DEPARTMENT OF SOCIAL SERVICES AND WELD COUNTY DIVISION OF HUMAN RESOURCES Page 9 18. Certification for Cooperative Agreements Employment Services certifies to the best of its knowledge and belief that it and its principals are not presently debarred, declared ineligible, or voluntarily excluded from participation in this Agreement by any federal debarment or agency. 19. Representatives For the purposes of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representativc(s): For Social Services: For Employment Services: Rich Rowe, Assistance Payments Admin. IV Name Title 20. Notice Linda Perez, Name Director Title All notice required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent: To Social Services: Judy A. Griego, Director P.O. Box A Greeley CO 80632 21. Litigation To Employment Services: Walter J. Speckman, Executive Director P.O. Box 1805 Gaza_ Employment Services shall promptly notify Social Services in the event that Employment Services learns of any actual litigation in which it is a party defendant in a case which involves services provided under this Agreement. Employment Services, within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any federal or state court or administrative agency, shall deliver copies of such document(s) to the Social Services' Director. The term "litigation" includes an assignment for the benefit or creditors, and filings in bankruptcy, reorganization and/or foreclosure. 940475 CONTRACT ENCUMBRANCE NUMBER: FY94-ND-002 NEW DIRECTIONS JOB OPPORTUNITIES AND BASIC SKILLS PROGRAM BETWEEN WELD COUNTY DEPARTMENT OF SOCIAL SERVICES AND WELD COUNTY DIVISION OF HUMAN RESOURCES 22. Remedies Page 10 The Director of Social Services or designee may exercise the following remedial actions should s/he find Employment Services substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by Employment Services. These remedial actions are as follows: a. withhold payment to Employment Services until the necessary services or corrections in performance are satisfactorily completed; b. request the removal from work on the agreement of employee(s) and or agent(s) of Employment Services whom the Director or designee justifies as being incompetent, careless, insubordinate, unsuitable, or otherwise unacceptable, or whose continued employment on the Agreement s/he deems to be contrary to the public interest or not in the best interest of Social Services; c. deny payment or recover reimbursement for those services or deliverables which have not been performed and which due to circumstances caused by Employment Services cannot be performed or if performed would be of no value to Social Services. Denial of the amount of payment shall be reasonably related to the amount of work or deliverable lost to Social Services; d. terminate the Agreement for cause, given 30 day written notice, if Employment Services fails to successfully execute a corrective action plan as prescribed in writing. 1. In the event this Agreement is terminated for cause, final payment to Employment Services may be withheld at the discretion of Social Services until completion of final audit. e. incorrect payments to Employment Services due to omission, error, fraud, and/or defalcation shall be recovered from Employment Services by deduction from subsequent payments under this Agreement or other agreements between Social Services and Employment Services, or by Social Services as a debt due to Social Services or otherwise as provided by law. 23. Termination This Agreement may be terminated at any time by either party given thirty (30) day written notice and is subject to the availability of funding. 940475 CONTRACT ENCUMBRANCE NUMBER: FY94-ND-002 NEW DIRECTIONS JOB OPPORTUNITIES AND BASIC SKILLS PROGRAM BETWEEN WELD COUNTY DEPARTMENT OF SOCIAL SERVICES AND WELD COUNTY DIVISION OF HUMAN RESOURCES Page 11 Payment pursuant to this Agreement, if in federal funds, whether in whole or in part, is subject to and contingent upon the continuing availability of federal funds for the purposes hereof. In the event that said funds, or any part thereof, become unavailable as determined by Social Services, Social Services may immediately terminate this Agreement or amend it accordingly. 24. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as stated in Paragraph 8 herein. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. WELD COUNTY D IGION OF HUMAN RESOURCES WELD COUNTY DEPARTMENT OF SOCIAL SERVICES Walt . Speckman, Executive Director Judy EMPL ENT SERVICES OF WELD COUNTY WELD COUNTY DIVISION OF HUMAN RESOURCES dizAla ,' ctorerez, Director APPROVED BY: THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO W. H. ATTEST: aat WELD COUNTY CLERK TO THE BOARD BY: Deputy C14'k to the Board /s/ Gringo, Director/ APPROVED BY: Richard Hillman, Chairman weld County Private Industry Council 940475 Page 12 EXHIBIT I CONTRACT COSTS Social Services shall provide Employment Services contractual costs for a twelve month period ending June 30, 1995, as follows: Budget A. Employment Services will be provided personnel costs, as outlined in the Weld County New Directions Plan, as submitted and approved by the State Department of Social Services. B. Employment Services will be provided operating and travel costs, as outlined in the Weld County New Directions Plan, as submitted and approved by the State Department of Social Services. $59,808 6,500 TOTAL $66,308 In addition, Social Services shall make available participant resources for monthly supportive services and other program costs to Employment Services, as described in the Weld County New Directions Plan for Fiscal Year 1994-1995. 940475 1 DEPARTMENT OF SOCIAL SERVICES IIIIk COLORADO MEMORANDUM TO: W. H. Webster, Chairman Board of Weld County Commissioner PROM: Judy A. Griego, Director �}(/�t9( (q Social Services SUBJECT: Intra-Governmental Agreement Between Weld County Department of Social Services and Weld County Department of Human Resources Concerning the New Directions/Job Opportunities and Basic Skills Program DATE: May 17, 1994 P.O. BOX A GREELEY, COLORADO 80632 Administration and Public Assistance (303) 352.1551 Child Support (303) 3524933 Peotectiva and Youth Services (303) 352.1923 Food Stamps (303) 356.3850 FAX (303) sA3d915 Enclosed for Board approval is an Intra-Governmental Agreement between the Weld County Department of Social Services and Weld County Department of Human Resources concerning the New Directions/Job Opportunities and Basic Skills Program. This Agreement is an on -going agreement that sets forth our two Departments' roles and responsibilities for the operation of the New Directions Program. 1. Term of the Agreement is July 1, 1994 through June 30, 1995. 2. Social Services will provide funding of $66,308 for personnel costs and operating and travel costs to Human Resources. This funding, is a result of an approved Plan between Social Services and Colorado Department of Social Services which outlines the 224 participants to be served in the New Directions Program. JAG:jac Attachment 940475 RESOLUTION RE: APPROVE NOTIFICATION OF FINANCIAL ASSISTANCE AWARD FOR PLACEMENT ALTERNATIVES COMMISSION FUNDS FOR NORTH COLORADO PSYCHCARE AND AUTHORIZE CHAIRMAN TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter. is vested with the authority of administering the affairs of Weld County, Colorado. and WHEREAS, the Board has been presented with a Notification of Financial Assistance Award for Placement Alternatives Commission Funds between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Social Services, and North Colorado Psychcare, commencing June 1, 1994, and ending May 31, 1995. with further terms and conditions being as stated in said notification, and WHEREAS, after review, the Board deems it advisable to approve said notification, 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, ex -officio Board of Social Services, that the Notification of Financial Assistance Award for Placement Alternatives Commission Funds between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Social Services, and North Colorado Psychcare be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is. authorized to sign said notification. The above and foregoing Resolution was, on motion duly made and seconded. adopted by the following vote on the 23rd day of May, A.D., 1994. ATTEST: meiviaa Weld County Clerk to the Board BY: Deputy Cler to the Boar APPROVED AS TO FORM: County Atto ey Barbara J. Kirkme r BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO *PM iffiAigN,_JD H. Webster, eh'irma e5Scot8 CC: 55; tiCMC Pyd. ca.re- 940476 Weld County Department of Social Services Notification of Financial Assistance Award for Placement Alternatives Commission (PAC) Funds Type of Action X Initial Award Contract Award Period Beginning 06/01/94 Ending 05131/95 and Computation of Awards Unit of Service One hour by staff per week of direct services to of Youth Passages per up to 6 weeks Cost Per Unit of Service Hourly Rate Per Unit of Service Based on Average Capacity Monthly Rate Per Unit of Service Based on Average Capacity the client 40 hours $ 16.56 $2,649.60 Total Yearly $51,571.73 Services Budget (Subject to the Availability of Federal and State Funds) Enclosures: Signed RFP Approvals: By b j1 j Jl, W. ebster, Chairman /97 Board Board of Weld County Commissioners Date: e Contract Award No. FY92-PAC-600 (RFP-PAC-9200) Name and Address of Contractor North Colorado Psychcare 928 12th Street Greeley, CO 80631 Monthly Program Capacity 1.5 Monthly Average Capacity 1.5 Description The issuance of the Notification of Financial Assistance Award is based upon your Request for Proposal (RFP). The RFP specifies the scope of services and conditions of award. Except where it is in conflict with this NFAA in which case the NFAA governs, the RFP upon which this award is based is an integral part of the action. Special conditions 1) Reimbursement for the Unit of Service will be based on an hourly rate per child or per family. 2) The hourly rate will be paid for only direct face to face contact with the child and/or family or as specified in the unit of cost computation. 3) Unit of service costs cannot exceed the hourly, monthly, and yearly cost per child and/or family. 4) Rates will only be paid on approved and open cases with the Department of Social Services. Program Official: By Judy . Gr ego, Dir Wel oun Depar Soc Services Date: 940476 • INVITATION TO BID DATE: January 7, 1994 BID NO: RIP -PAC -94004 RETURN BID TO: Pat Persichino Director of General Services 915 10th Street P.O. Box 758 Greeley, CO 80632 DIRECT INQUIRIES TO: Pat Persichino, Director of General Services SUMMARY Request for Proposal (RIP-PAC-94OO4) for: Family Preservation Program Deadline: February 22, 1994, Tuesday, 10:00 a.m. The Placement Alternatives Commission, an advisory commission to the Weld County Department of Social Services, announces that competing applications will be accepted for new grants pursuant to the Board of Weld County Commissioners authority under the Statewide Family Preservation Program (C.R.S.26-S.5-101) and Emergency Assistance for Families with Children at Imminent Risk of Out -of -Home Placement (C.R:S. 26-5.3-101). The Placement Alternatives Commission wishes to approve a. twelve month program targeted to run from June 1. 1994 through May 31, 1995, at targeted funding levels of increments up to $482,431.00. This program announcement consists of five parts, as follows: PART A...Administrative Information PART 8...Background, Overview and Goals PART C.. -Statement of Work PART D...Bidder Response Format PART E...Evaluation Process Delivery Date (After receipt of order) BID MUST BE SIGNED IN INK VENDOR 'North caOraA0 Karl Ci11s TYPED OR PRINTED SIGNATURE PsychCare (DBA Youth Passages) ADDRESS 92R 12 Stzert rrealny, rn Handwritten Signature By Authorized Officer or Agent of Vender TITLE Senior Vi P sid n DATE 2/21/94 ZIP 80Q2; PHONE 0 (303) 352-1Q56 The above bid is subject to Terms and Conditions as attached hereto and incorporated. 1 940476 4r-tAL44uu. '— Attacnment A Page 1 of 2 ' COVER PAGE AL'TERNAT'IVES TO OCT OF PLACEMENT PROGRAMS Placement Alternatives Commission PROGRAM YEAR 1994 BID 0 REP -PAC -94004 Client Group(s) to be Served: Children ages 12 to 18 at risk for cut of home placement Name of Applicant Agency: North Colorado PsvchCare (DBA youth Passages) Address: 928 12 Street City: Greeley, CO 80631 Phone: (303)352-1056 Contact Person: Jeff Hauser, MSW/MAEd Title: Manager of Psychiatric Services Approximate Project Dates: Start June 1. 1994 Send May 31. 1995 Title of Project: Youth Passages PAC Program Amount Requested $51,571.53 Signatures: Jeff J. Hauser Name and Sitature of Person Prep Sal 1/A Karl Gill Sr. Vice Pres. Name d Signature of Chief Administrative Officer of Applicant Agency 2/23 /94 Date 2/21/94 Date PROPOSED FAMILY PRESERVATION PROGRAM CATEGORY Please initial toindicate the bidder's chosen category (only one category per bid) Home Based Intensive Family Intervention Option 1 Home Based Intensive Family Intervention Option 2 Intensive Family Therapy Sexual 'Abuse Treatment X Day Treatment Life Skills Individualized/Innovative Services 21 940476 NORTH COLORADO PSYCHCARE IDEA YOUTH PASSAGES) TABLE OF CONTENTS Statement of Need 1 Population to be Served 1 Program Requirements 2 Types of Services Provided 2 Provision of Services and Administrative Capability 3 Past Performance 4 Evaluation► Results 4 Budget 4 Program Evaluation and continuation 5 ADDITIONAL FOLLOW-UP PLANS '94-95 5 Attachments A B1 B2 83 Cl C2....., C3.... D1 D2 D3 El E2 Ti 12 G H Sample Schedule 940476 PAC PROPOSAL 1. STATEMENT OP NEED Youth Passages Adolescent Partial Hospitalization Program has been designed to address the multifaceted needs of adolescents experiencing significant emotional, behavioral, educational, interpersonal, and familial problems. As such, it serves adolescents suffering from a wide range of psychiatric disorders. As a partial hospitalization program, Youth Passages can intensively treat these adolescents while simultaneously minimizing the disruption and stigma often associated with inpatient treatment or other restrictive settings. Youth Passages offers "40 plus" hours per week of treatment and utilizes milieu, individual, group, experiential, behavioral, and family therapy. When indicated, psychotropic medications are also administered. In addition, an accredited BOCES classroom staffed by an affective needs teacher addresses academic and behavioral issues in the classroom. Until the opening of Youth Passages, adolescents needing a more intensive treatment modality than outpatient therapy, were necessarily treated outside of our community and/or separated from family. Indeed, in order to assure the adolescent's safety, they were often hospitalized because there were no intermediate levels of care available. Youth Passages is currently the sole community provider of medical model adolescent partial hospitalization services. Given the level of utilization of our PAC program since June '93 - Jan '94 (10 children served) Youth Passages appears to be meeting a vital need within our community. We believe that the therapeutic scope and intensity of our program is well suited to successfully intervene with children that are at risk for being placed outside of their home. By utilizing a partial or day hospitalization model specific therapeutic interventions can be implemented within the family system or with the child's problem behavior while they continue to reside at home. 2 RagLATION TO BE SERVED Youth Passages serves clients aged 12-18 from diverse ethnic and socioeconomic backgrounds. Both males and females are treated at Youth Passages. A wide range of diagnostic categories, dysfunctions, and problem behaviors are served. Many of our clients are experiencing severe emotional, behavioral, interpersonal, educational, and family problems. A large number are classified as special education students, many are clients of Department of Social Services, and a fair number have criminal histories. North Colorado PsychCare is a 27-10, 101 designated facility. Program capacity is slated to be 14 clients once the program is fully implemented. Length of stay is contingent upon severity of pathology and clinical progress. Thus, while the mean stay has been approximately 21 treatment days, the, 940476 client's length of treatment could vary from a few weeks to several months. Client referrals cegin with a phone call to Youth Passages' Team Leader. A brief sketch of the client and presenting issues are gathered. If the client appears to be an appropriate candidate for Youth Passages an intake session is scheduled. An indepth assessment occurs in the intake. If the client appears appropriate, an admission date is set. In the event a client presents with a desire to harm themselves or others, the individualized treatment plan will contain specific interventions to assure safety. Psychiatric hospitalization is available at Psychcare if less restrictive means are inadequate. We propose using PAC funds for those clients with insufficient resources who meet the following guidelines for out -of - home placements: CRITERIA,l (at least one of the below) a. The child is in need of protection b. There is a finding of mental illness c. The child's behavior constitutes danger to the community CRITERIA #2: S. Appropriate community resources are absent/exhausted CRITERIA1): : a.- Out -of -home placement is most likely to remedy the dysfunction. CRITERIA #4: a. Inability to participate in a public school setting. CRITERIA.15 : a. Constitutes a manageable level of risk of harm. 3. PRQQRAM REOQJREMENTS The primary overall goals of Youth Passages include: 1. Stabilization and treatment of the presenting problems 2. Improving family dynamics and level of functioning 3. Preventing more restrictive treatment placements 4. Maintaining the patient in the community and within the family system and home school district 5. Addressing and resolving educational problems Each client is thoroughly assessed with regards to individual and family systems dynamics as part of our intake process. An individualized treatment plan based on this and other relevant data will be implemented within 3 program days. Individual, milieu, group, and experiential therapy will be implemented on the first day of attendance. Family Therapy will be initiated within 5 program days from admission. See attachment B for specific measurable outcome -based goals. 4. TYPES OP SERVICES PROVIDED Each client will receive individual, milieu, group, experiential and family therapy as well as state certified education (via our BOCES school program). Vocational assessment and planning will be provided when it is indicated. A routine psychological evaluation will be provided when indicated and may include standardized psychological tests such as the Minnesota Multiphasic Personality Inventory. Further psychological testing/evaluation and psychotropic medications 940476 2 will be administered on an as needed basis. In addition, psycho - educational classes covering a wide variety of issues and skills (ie: assertiveness training, drug and alcohol use, problem solving, etc.) are offered. All clients are admitted to the program and attended by a North Colorado Medical Center staff physician. Upon admission all schools are notified of the presence of their former student in Youth Passages educational curriculum. In addition, individual education plans are requested from BOCES to coordinate special education for the patients. BOCES is updated through a case conference or by phone on the progress and/or concerns regarding the patient. Each client is managed by a Master's or Doctoral level mental health therapist. Case management includes coordination of services with Department of Social Services and/or Department of Mental Health, as indicated by the needs of the patient. Department of Social Service workers and Department of Mental Health therapists are invited to all Youth Passages case conferences, and are given updates regarding the client and their family's progress and participation. Youth Passages utilizes Department of Mental Health for concurrent group therapy and on- going aftercare therapy. The therapeutic community is strengthened by daily community meetings and a behavior modification system. By addressing client's individual and family needs with this intensive multi -modal approach, it is believed that those clients at risk for out -of -home placement and or placement in increasingly restrictive and costly facilities can be prevented. The physicians provide a history and physical, as well as an on going medical and psychiatric evaluation and treatment (including medications when indicated, and discharge summaries.) 5. PROVZ8xoN 9Z SERVICES AND ADMZNZSTR7,'[VE CAPABZLXTX Youth Passages utilizes a medical model approach with a multi- disciplinary staff. Currently, Youth Passages is staffed with two child/adolescent psychiatrists. (One serves as the program Medical Director while the other is the Associate Medical Director), a Master's level affective needs teacher, two Master's level mental health therapists, a Recreation Specialist, and a Psychiatric Team Assistant. Program hours are 8 am to 4 pm Monday through Friday with family therapy scheduled on an individual basis. A case management system is utilized. The team leader will be responsible for all client tracking and reporting requirements. Clinical and educational staffings are held at least once every two weeks to coordinate treatment, discharge planning and to facilitate a smooth transition back into the public school system. All agencies involved in the adolescent's care are invited to attend and participate in these staffings. There is no risk of duplication of services, given that Youth Passages is currently the sole county provider of a medical model adolescent partial hospitalization program. The personnel staffing the Youth Passages meets and/or exceeds all the standards described in the "Minimum Rules and Regulations for Day Treatment Centers" policy /7.706 (specifically, section 7.706.14 Personnel). 940476 3 PROGRAM EVALUATION1ND CQ$TINUATX9N The effectiveness of utilizing PAC funds to cover patients care at Youth Passages will be evaluated by measuring compliance with the following outlined objectives: Objective #1: 80% of clients will actively engage and participate in Youth Passages' on -site school and at time of discharge will continue education in a state approved school Objective #2: By the time of discharge 80% of clients will not be dangerous to themselves or others thereby enabling them to function within the community at large Objective #3: 908 of clients families/foster families will consistently and actively engage in treatment planning, family therapy and program activities. Data for Objective #1 will be gathered from review of educational section of medical record and from case manager's discharge summary. bate for Objective /2 will be gathered from discharge summaries. Data for Objective /3 will be gathered from patient's medical record. Data for all the objectives will be collated into one report. Cost effectiveness will be demonstrated via utilization of Attachment C (Cost Saving Analysis). Youth Passages will continue our commitment to serve individual clients once these funds have been exhausted. ADDITIONAL FOLLOW-UP PLANS FOR 1994-1995 PAC GRANT: Follow-up of Youth Passages effectiveness for PAC participants is evaluated as follows: At one, three and six months post -discharge participants and/or participants families/guardians are phoned and asked the following: 1. 2. 3. 4. Have you continued your education If no, are you suspended: If no, are you expelled? If no, are you schooled at home? Have you remained in your home? In not, have you been placed in another home? Where? By whom? Have you attended therapy? If yes, with whom? How would you rate 1 2 3 4 5 poor very good outpatient How your in a state approved school? Y N N Y N Y N Y N Y N often? relationship with your parents? 940476 5 kt'Y-eAC-94u04sttacncent A Page 1 of 2 ' COVER PAGE ALTERNATIVES TO OUT OF PLACEMENT PROGRAMS Placement Alternatives Cc mission PROGRAM YEAR 1994 BID ai REP -PAC -94004 Client Group(s) to be Served: Children ages 12 to 18 at risk for out of home placement Name of Applicant Agency: North Colorado PsychCare (DEA Youth Passages)' Address: 928 12 Street City: Greeley, CO 80631 Phone: (303)352-1056 Contact Person: Jeff Hauser, MSW/MAEd Title: Manager of Psychiatric Services Approximate Project Dates: Start June 1. 1994 End May 31, 1995 Title of Project: Youth Passages PAC Program Amount Requested S51_,571.53 Signatures: Jeff J. Hauser Name and/Sygnature of Person Prepar ds Karl Gills, Sr. Vice Pres. Name and Signature of Chief Administrative Officer of Applicant Agency ➢/?1/44 Date ?/21/44 Date PROPOSED FAMILY PRESERVATION PROGRAM CATEGORY Please initial toindicate the bidder"s chosen category (only one category per bid) Home Based Intensive Family Intervention Option 1 Home Based Intensive Family Intervention Option 2 Intensive Family Therapy Sexual Abuse Treatment X Day Treatment Life Skills Individualized/Innovative Services 21 940476 RFP-PAC-94004 A ttacnment A Page 2 of 2 TYPE OF PROJECT X Continuing Project under Weld County PAC How many years? 1.4 New Project Proposed Program will eliminate the need for out of home placement Proposed Program will lower the cost of out of home placement Other: The Proposed Program will MANDATORY PROPOSAL REQUIREMENTS Please initial to indicate that the following required sections are included in this proposal: Statement of Need Population to be Served N/A Program Requirements Types of Services Provided Provision of Services & Administrative Capability Past Performance Letters of Support (New Programs Only) Budget Program Evaluation and Continuation 22 940476 92tots Intervention CO 11 0 44 0 0 0 a PteA. wI W 4v Ya+ G 61 o a) > > .0 C 1 O 4J tr. .,y ••1 H d, C <a F G >.N H .-1 Set 0Ha V aOSC N Vi. .0aH a ' R T -I 1� N .-1 fO N > a a •.1 C m Call C N.-4 1a V -. -4 OO 01 •.1 0) •.-1. 0) a F 0) -el oa.0O.00Rini0 X o Z O HIV) O4 H Intervention I Youth Passa Title of Project I N OS V •.1 0) b Cd V a 10 0) > 09 0) .-4 0 C C 3 a C 000 It d. tr >.W as .-I O114 CD OO _C a a > N N N -A N •.1 U .0 ab a G (0 a u•1 C .C O -.1 01 Ii 00)C •374.O uy mC a JJ -.ti J ) U C a ti O 0) 'O Myb Q) .-IaC U oa0) QM O .-I C 7.+4+0.00 d" $4 .C G .C 00000 CO $3. LO U 0 X .1 01 U 01 0 0) 8 Prw {x U a W o a O ▪ W F H 22 O M XH 4--z CO > F OF O El CJ ruu 047 H ✓ W W 0.1 N 8 a Time Frame Dates Initiated upon referral to program. Educational staffing to be held within 5 program days of admission Initiated upon client's first day of attendance Initiated upon client's first day of attendance. Maintained on an ongoing basis throughout treatment period Person (s) Responsible Youth Passages teacher Client's case manager Youth Passages teacher Youth Passages teacher Client's case manager Psychiatric Team Assistant >4 4) -.I > M O a Exchange and coordination of information between Youth Passages education program, client's home school (or school they will be attending) and client's family Individual education of client within Youth Passages BOCES classroom Assessment of client's classroom behavior and intervention into maladaptive or disruptive behaviors as necessary 940476 REQUIREMENTS a a I es PAC Pr Youth Passa C H Pt as 07 Om 031 CO aa>e o 0.0 3 00 L W W L 0) On w 0 a'c.C'Pi O '0 ( 0 443 )i U ) W 7 - 'lb 'A .CC W G+ 6 N W 0 L O C �.�1 O L —4O aft O .y .C it (� el CO i.) J > O» M C•34 O YW-•-IC 4) C 444 W2A-e01102 U >la.CC0 O CO 0aWU 0 L X Objective 2: ed/Innovative Services Person (s) Responsible Time Frame Dates Ongoing throughout treatment By time of discharge Within 5 program days of admission Ongoing throughout treatment All direct care staff Assigned Mental Health Therapist to address and document Assigned psychiatrist Assigned Mental Health Therapist, psychiatrist, group therapist >1 el V U 04 Clients will work within the parameters and rules of the program Clients will demonstrate increased levels of impulse control and coping skills Clients will be assessed regarding need for psychotropic medication. If indicated, medications will be prescribed Clients will explore, express and process dynamics associated with any acting out behavior 940476 ' as eff [w d O LC a' U ad) w CA aC ft . da REQUIREMENTS 8 Intervention Intensive Family Intervention Intensive Family X C - >. ro 0 a 0 ft 0 rod c4J i O! s - a >. N 0 mil o WOO .1 > 0 0 ° �4w..1 N g U 4+) 0 waC -> rtt S -+•.a m OCcu N 4 a c U a 4.) >..-a a a y.C y NF+)N o °4)0,1 m$ >+ W W 14 Jr o `Naa 4.) a' C o P7 a) hCA U C �- !a •n 0 N a w 0 Hi y E Objective 3: ed/Innovative Services a) 0 a Sa N W d 4.1 a 0 I0 .,y E Psychosocial to be completed within 3 program days. Family assessment ongoing throughout course of treatment Initiated within 5 program days of admibsion. Ongoing on a weekly basis Weekly throughout course of treatment Minimum of every 2 weeks throughout course of treatment Person (s) Responsible Assigned Mental Health Therapist to complete initial psychosocial and take responsibility for ongoing assessment Assigned Mental Health Therapist Activity therapist and assigned staff Multidisciplinary team to attend staffings. Case Manager to schedule and contact parents >1 4, > -N y a Family system data collected directly from family/foster family and involved agencies used to aid in treatment planning Individual family/foster family therapy on a weekly basis Family/foster family night participation Clinical and educational staffings attended by parent(s)/foster parent(s) 9404'76 U en C 44 U O U ro0 iC N a04 PAST PERFORMANCE O to it RA it>a•a 2H� O 01 b1 wxC MH O W X a as > .i 41) .4 (0 • )33 of North Colorado N W 01 ro N • w aro .C 44 O 0, O• P >. Agency Name: ONine Month Program 9/1/94-5/31/95 N C N a .41 U • n-• .O O w 0 W O 44 le T N \ N .i fes Y. \ h. 44 O 0 .P O O Target Performance* a .94 W .n .O O .-4 .CC 4) > M C �1 M Ir. 7 O • O v OC O• >, 0 '•i E �>. 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C 0 Ow 0 44 a 0 d' m h C. • O 4.1 A C 0 O 41 O Ore 1H 0 44 > 4) 03 el 0 O 0 a CC 0 O+ .roi) OO m d 1 41 aC -4 - 41 14 0 0 0.0 00 vp>p 0 a 0U r t't D, A 4 Oro DA - III .-1 0 0 10 0 0 0 0 0 I -I W -•{ M -1 a) w 0 W O X. 1 O. 0 b0 .4 M -•••4z W.OW 04 Oo O a •d O w .An. 900 AO o m a a 14 +ta .0a0.. O 3444 A T. 00) a S a V !c m to = 0 0 D N > See Section 4A and 940476 t M m 0 0 b• .C C a 0 .4 a o V- c it a 0 M 7 0 O m C Oa 0 Oro kdOAen m z a. 0 d $4 M C" 0 0 CVO to O room E� a c 44CC00 s 0 H4 0 a a 000 g as Ce0 C b• 0 g 0 C .4 -.4 • C W L r .� b OA -•0 00 04 N c� . M -4M 00 00 0OH °a -40 'oa.CO O s0 OH O r 04004 p Ll 0 a o i 0 . O a 4400 4)>I4.)0 1 b1 0 A e L1 'd 4.) 0 el 0 O A CONN. � 0C O a) 00 0-C -ICW O ) 0 MM 05C %00 ONA 0 4,0 COE4Q> 00 s4) 0w 0> o I .- m 0 l - MO .CC a »~0 0 01.m r4 4 Ca OsOs 1) -I C 4) en C mg W Emma) $ .l 0 —X 4000447 0 b •- -I 04-A yO $ A to 1= -'4 7 r4 •C 01 W <11 01 a 0 0 0 a'd>9 00 o >4 4) 4~ H a n a 00 b'• O. b• U 0 O 44 0 14 0> to P. O M r4 0 0 )0 C b1 O A OA 'O S m -rt C In Y• 4) 0 m 040 $ r4 Q) km 00 00000 CD•HW 0 M 0 U.C U TA O 0 0 .c w >s o 1C • N M Program Outcomes: m 11 0 0 O 040) 14 '0 0 00 roo CI is ma S4 I0 o IA0 110• dU 54• .0Q 4) 4)14 0 U0 $.4 0 .0• .1�) LL0) •>, >1 610.> os 0,40i0� mw -4 4 0017.0 U �°' 0 -. a a'0 C.4 0000 00 m ) 4 aC0. °A C 40 MO Nw>0 '-4 m�-40 k.4 0.,40 °' a • .4a0W y0 .40 00 t4CO 100 -00080 ma ACA r414 0000-44) ) 0 Ici4 4) > O 0 ..'4 4 >. 0 0')0. to sii000 °m - 0Kt•rcly U M a CC))R %...W .00 >000...4 OIN4 >o0 .1•n > m A -IC 11 •A 00 4+54 00,0 -4 A 0 0..) 0 dm X 004 4314 0-x1-44) O 0 m 0 b•7 0 0.4a a • it 0AAU O.km V + o0 >000k t • H 54.44 7 00 a 0%00 AA 0 A 0 000 44W0• 4)43 y C 007 001) 0•I000 0 -4fl wile CC W OJ) 00 m b) .CCC .15454 170 4 04 E U .-+0 0054 4ma>.0 1 m 0 • .C ••4 COO m 0.4 MO 0 W 0 44 4 RC 0 0 A o IT C '0 A 44 400> CM 74C0C 0.4 $4 c11040 .111• m -stirs 054 0 •-+b•>,cO •A tOC 00 0. C S-' •X 140'00m mm '0 1/ 0 a) O 0 0 4.) O.-•1 me >w L Ay •1 CU) 00 7 0'd C0 * 44 O .4 0 0 CO M N C.1 0 .C m C 0 4) O 04 >I C 0 0 .-1 0. 0 r4 •.l .1 • 0 m4JA0 C .ICA 714000 00 --4.) 0 11.4 004 0 ).4Oa iM 0 LI.44'CI 14 .1.IC =to -4z 40 0 O.o07'c MO7 0c gr4 a) 7 000 O.1 000ro 11.1 O' 40 m C .O '0140 r4 ;4P. O O - V. A00 •.t •0rml la .. 0 54 •~ a0 0 7 )4 'cot+ 0 0 0Or °0 CD • 0.c 0 C 0L 0.)W4 0) O CP044 C4 c b•A. em C0) .07X0'0 0 000 0414C0 0 R a000 O 54An 00(7+M'b 544• C -0 A00 L. m O> C NO C) .C 0 m - 4 mO >. 3 0 0 W ¢.0 14..4..4 0 •.4 >, • it 0000 400 0 04o o 54 0 4 al ai '0 >, N0 )4 0• >; 0.000.0 0 0 04)0110 54• to m4.)W 0 .0 'C OOC CO.C E 000 0) 4•.47440 4+ AA0 700 A4+• +l M3000 O Z MM0 n454Caro 1scd> 15 40,1 7 00.4 '000.40 0 .4 0 4 60 0 0 0 0 C W 0 C 00 >9 00 0 U Z VI) $ --170,r3 0 f M Z 14 M set a H 940476 • PAC FUNDS Hourly Unit Rate Cost Computation Sheet Attachment E Page 1 of 2 I. Program Name: Thnth Paaaagea II. Agency Name: North rnlnra!n PcychCate III. The project's unit of service definition is: A. The project will provide what type of service to each client. B. This device will be provided for a an (maximum) hours per week for up to 6 (maximum stay in the program) weeks. IV. The hourly Unit Rate is based on: Check one X A- An individual client who is aged 12 , through 38 • B. A family unit as described as follows: V. Program Statistics Total number of clients to be served in the 12 month program is The monthly maximum program capacity is 2 The monthly average capacity is 1.5 Average stay in the program is f weeks. Average hours per week in the program is 40 VI. Description of unit of service cost between direct and indirect services. * Base the computation on the hourly rate per unit of service cost based on the average capacity A. The portion of direct services to the hourly rate per unit cost based on average capacity is 75Z or $12.42 per hour. (only face-to-face contact with the client for services) B. The portion of indirect services to the hourly rate per unit cost based on average capacity is 75% or S 4.14 per hour. C. Total hourly rate per unit of service based on average cost (A+B+C). $ 16.56 D. Total proposed yearly budget for services $51.5 _1.53 33 940476 RFP-PAC-94004 VII. Unit of service rate computation 1. Travel to & from client's home totals an average of 2. Paper work required by Weld County Department of Social Services totals a average of 0 hrs/week not sure hrs/week 3. Supervisor meetings totals an average of 0 hrs/week Attachment E Page 2 of 2 4. Case management services of: a. making referrals to other services needed by clients; b. providing linkage to ensure clients obtain and benefit from the services to which they have been referred; c. monitoring the client through contacts with individuals and agencies; d. advocacy to ensure that the best interests of the client are served; and e. planning of services to best serve the client. Totals an average of 8 5. Court testimony required by Social Services totals an average of 6. Administrative costs totals an average of Please describe below: 7. Other costs totals an average of Please describe below: 8. Sub -total indirect costs 9. Direct services to clients (Face to face contact) totals an average of Total average hours of service to be provide per week 0 2 hrs/week hrs/week hrs/week 0 hrs/week 10 hrs/week 30 hrs/week 40 Weekly direct services to clients total an average of: $ 496.80 Weekly indirect services to clients total an average of:$ 165.60 75 z 34 940476 GrN PROGRAM PERFORMANCE .RFP-PAC-94004 a a 1 (C) Target Performance 06/01/94 to 5/31/95 fl • 1.5 (6 weeks) 2649.60 100% do O O r-1 24,177 1 PP m r'1 CO do O OP O tlP O (B) Actual Performance 06/01/93 to 2/28/94 3.125 1.25 (5 weeks) L3903.16 co Q z O •-I- N dP en \ \ z z z C \ C € i C [ (A) Target Performance" 06/01/93 to 05/31/94 in N N ri Cs d k.0 N W o O ri M- o O N Cn en o ri on ' N r-- 2 2 a en [[C Z y 6 a C 0, m ..r rJ t.1 d A -O O r1. Avg. number of children served per month 2. Avg. number of months in program for children who have been discharged 3. Avg. cost per month per child 4. X of children at home or less restrictive setting at discharge 5. X of children at home or less restrictive setting 6 months after discharge rm Avg. savings of lternative vs. projected lacement vg. X of treatment goal et per child discharged 1----- 8. X of children who entered another PAC Program after discharge 9. X of children who are in more costly placement at discharge 10. 2 of children who are in more costly placement 6 months after discharge Conrnent nn any ohir_ctiva aleh was vi en 940476 e ,. Attachment G COUNTY PLACEMENT ALTERNATIVES PLAN FINAL BUDGET PAGE FY 1994 - 1995 (1) PROGRAM NAME (2) FAMILY PRESERVATION PROGRAM FUNDS REQUESTED (3) FOSTER CARE REQUESTED FOR PROJECT (4) OTHER FUNDS PROVIDED FOR PROJECT. (5) TOTAL PROGRAM Youth Passages PAC Program $51,571.53 $51,571.73 TOTALS $51,571.73 How will Family Preservation Program money be accounted for separately from other agency money? PAC funded youth are tracked on a separate ledger system. Their attendance is documented on an attendance sheet designating them as PAC recipients. This allows Youth Passages the ability to generate their monthly invoice to Department of Social Services for PAC funds. The income generated from these invoices are recorded as PAC income in PsychCare's accounts receivable ledger. 940476 Attachment H tie BUDGET FORMAT A. DIRECT COSTS: Example 1. Staff Salaries 2. Providers Payments 3. Program Coordination 4. Total Direct Costs $177,658.50 *3 B. INDIRECT COSTS: Example 1. Director/Supervisor Salary 2. Secretary/Administrative Asst. 3. Operating Costs Total Indirect Costs TOTAL ANNUAL COSTS Annual Rate Per Child Monthly Rate Per Child Hourly Rate Per Child 11.195 ,0 76.19 6n 16 56 $. 59,219.50 S216,878 PO *1 This figure reflects the total expenses for operating Youth Passages for the calendar year 1993. Not all of these expenses are directly devoted to serving PAC recipients. *2 Youth Passages routinely estimates that 25% of total expenses (see *1) are devoted to indirect costs. Thus this figure represents 25% of *1. *3 *2 *1 Youth Passages routinely estimates that 75% of total expenses (see *1) are devoted to direct costs. Thus this figure represents 75% of *1. 37 940476 } zz 0 L n ) F n a. ar r 3 X 2 u Y 1 S c J d T dL t m4 ::••• d" 6 In i r Kc. 4 `�, p Y 3u C $ r .4.}:47)1:,; .� A I !Srm: t 4 t O i 7 3. as 2 I • 8 'e = - as r y 3 as a Psych Ed Wrsp-Up Community Met tins Psych EdiGoal Crp 40476 COLORADO DEPARTMENT OF SOCIAL SERVICES P.O. BOX A GREELEY, COLORADO 80632 Administration and Public Assistance (303) 352.1551 Child Support (303) 3526933 Protective and Youth Service (303) 352.1923 Food Stamps (303) 356-3850 FAX (303) 353-5215 MEMORANDUM TO: Constance Harbert, Chairman Board of County Commissioners FROM: Judy Griego, Director, Social Services VL, DATE: May 20, 1994 SUBJECT: Notification of Financial Assistance Award between North Colorado Psychcare and the Weld County Department of Social Services Enclosed for Board approval is a Notification of Financial Assistance Award between North Colorado Psychcare and the Weld County Department of Social Services for Placement Alternatives Commission (PAC) funds. The Placement Alternatives Commission (PAC) reviewed proposals under a Request for Proposal process and are recommending approval of this bid. 1. Total award would be $51,571.73 2. The period of the award is June 1, 1994, through May 31, 1995. 3. The Pscychcare program would provide one hour of direct services to the client by staff of Youth Passages for 40 hours per week up to 6 weeks. If you have any questions, please telephone me at extension 6200. JAG:aas .$S D1 c 9404 76 RESOLUTION RE: APPROVE NOTIFICATION OF FINANCIAL ASSISTANCE AWARD FOR PLACEMENT ALTERNATIVES COMMISSION FUNDS FOR CHILD ADVOCACY RESOURCE AND EDUCATION AND AUTHORIZE CHAIRMAN TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with a Notification of Financial Assistance Award for Placement Alternatives Commission Funds between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Social Services, and Child Advocacy Resource and Education, commencing June 1, 1994, and ending May 31, 1995, with further terms and conditions being as stated in said notification, and WHEREAS, after review, the Board deems it advisable to approve said notification, 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, ex -officio Board of Social Services, that the Notification of Financial Assistance Award for Placement Alternatives Commission Funds between the County of Weld, State of Colorado. by and through the Board of County Commissioners of Weld County. on behalf of the Department of Social Services, and Child Advocacy Resource and Education be. and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is, authorized to sign said notification. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 23rd day of May, A.D., 1994. ATTEST: Weld County Clerk to the Board BY: ! jl�(2.,6.-1c�e Deputy e k to the Board APPROVED AS TO FORM: BOARD OF COUNTY COMMISSIONERS WELD COUNTY. /A. t 61p a W. H. Webster, C, irma e Baxter 1� r�e `,=onstance L. Harbert/ arbara J. Kirkmey r // L5�CAPC 940477 Weld County Department of Social Services Notification of Financial Assistance Award for Placement Alternatives Commission (PAC) Funds r Type of Action - Contract Award No. X Initial Award FY92-PAC-200 (RFP-PAC-9200) Name and Address of Contractor Contract Award Period Beginning 06101/94 and Child Advocacy Resource and Education 814 9th Street Greeley, CO 80631 Ending 05/31/95 Computation of Awards Monthly Program Capacity 8 Unit of Service A match of one advocate or volunteer with a family for 40 hours per month for up to 12 months (10 hours per week) Cost Per Unit of Service Monthly Average Capacity 8 Description The issuance of the Notification of Financial Assistance Award is based upon your Request for Proposal (RFP). The RFP specifies the scope of services and conditions of award. Except where it is in conflict with this NFAA in which case the NFAA governs, the RFP upon which this award is based is an integral part of the action. Special conditions Hourly Rate Per $ 12.87 Unit of Service Based on Average Capacity Monthly Rate Per $ 514.88 1) Reimbursement for the Unit of Service will be based on an hourly rate per child or per family. 2) The hourly rate will be paid for only direct face to face contact with the child and/or family or as specified in the unit of cost computation. 3) Unit of service costs cannot exceed the hourly, monthly, and yearly cost per child and/or family. 4) Rates will only be paid on approved and open cases with the Department of Social Services. Unit of Service Based on Average Capacity Total Yearly $49,428.51 Services Budget (Subject to the Availability of Federal and State Funds) Enclosures: Signed RFP Approvals: far Program 0fficia_ : W. tl-: ebster, Chairmank9y Board of Weld County Commissioners Date: 1� ", 319 J A. ego, ecto We Coin* Deparjjhent f So al Services Date: 4.5/ v Q`t 940477 INVITATION TO BID =msnnmm===ae=s===mau======mmmasmmv DATE: January 7, 1994 BID NO: RFP-PAC-94004 RETURN BID TO: Pat Persichino Director of General Services 915 10th Street P.O. Box 758 Greeley. CO 80632 DIRECT INQUIRIES TO: Pat Persichino. Director of General Services SUMMARY Request for Proposal (RFP-PAC-94004) for: Family Preservation Program Deadline: February 22, 1994, Tuesday. 10:00 a.m. The Placement Alternatives Commission, an advisory commission to the Weld County Department of Social Services, announces that competing applications will be accepted for new grants pursuant to the Board of Weld County Commissioners authority under the Statewide Family Preservation Program (C.R.S.26-5.5-101) and Emergency Assistance for Families with Children at Imminent Risk of Out -of -Home Placement (C.R.S. 26-5.3-101). The Placement Alternatives Commission wishes to approve a twelve month program targeted to run from June 1, 1994 through May 31. 1995, at targeted funding levels of increments up to $482,431.00. This program announcement consists of five parts, as follows: PART A...Administrative Information PART B...Background, Overview and Goals PART C...Statement of Work PART D...Bidder Response Format PART E...Evaluation Process Delivery Date (After receipt of order) BID MUST BE SIGNED IN INK VENDOR Child Advocacy Resource and Education ADDRESS 814 9th St. Greeley Colorado 80631 .ZIP 80631 PHONE It 303-356-6751 The above bid is subject to Terms and Conditions as attached hereto and incorporated. Marla Martin TYPED OR P1RINTED STfnNATUR Han rtten Sig atye uy Authorized 0 icer or Agent o Vender TITLBoard President DATE2-17-94 1 940477 4.) ^.Yce, of S=firics tote Provided: b The ;argent pr -elation for this &tc1 a will amine darcnstrted that trey have not lorded a ro:ri to nx+ ,. ng patenting are child roaring behaviors, are laGcirra in lhaschald nexragscait ozrapeterey and lack Scnoalcdge cr ae r Irk, available =a]ras, wihic'h results in their children being at imminent risk of gJir into at- faire p0arx+- rrcnt. 'The =vices gadded by the Family Pdvocrte grog= fcasing on Life Solis Eibatirn have been developed to help preserve the faintly. Doing the 5-8 hays of direct service: tine that is prarclr' in the fam.ly's hare the Family advcrate will fans on tradtrrg those life sills that are designed to facilitate the inplarenGatirn of rate anon by irgir vier parental caratency, hand -old n n gthre t catetorry, family conflict rranngerent and the erxtive ac =ming of ccinrity Pdirrrry fa= wil 'cc on t`rrr life s'dlls that arc di:tar ly related to argrcxriate r ztrinj pumtirr. The Pant Etixntirn wtpar:-nt will be aerated by the aivccee utthain3 &. Suancn Eavola's f-'' re - Irma Ni trtm Parent cpt ificcaally '.c�i,�t.t�i.r..�,�i for pmts that fah try 3err tttr d—dr�ad-yr�m�, rite ��Mt✓�c�/ provide' prarncs is an interactive arm, the advocates t raga modeling, dhrQttnatinf, coaching, are ircti COnCE the family with appropriate rrxturin t her inforeati.en. Ctfic ^r‘pirn that will `b presentee will izcli.?e tit are rot limited to, wirer, rrcrth'.'asive parrzrtinj technic , r1 f trtccm for Para= are children, raping 3c la, canon cation skills, appropriate opectatias, nutrition, h}ciere, are child oafe_ty/ xrrvi.iat. Li the safety of de family's war horn a family advc¢ite will also provide is ih'vic al nurtrar= to a deprived parent, act as a pos- itive role mail are help hii1e' parental mlf cstn n. Patens and their children Fact ic)pating in to advca3te pttgti-m are required to attend are ax Bitty anplete at let ae grip i-ncr parattrg ciao• offered at c.a.r.e. Panther service proAdoe by the Family Pdvotte Program is information and ocariam in relation to ;ixnehoki &flagerrmt anpxtany. again, =tit a instnctiaa, =ream , coaching, da;usstatim„ are airing the family will be imtroii.arsl to apxoa-iatc cloanire practices, near planning, food pxtiraratiat, � irg are pressing. It will also to ere ax_,r..aisibility of the Early xlvccite to provide the fantly with information royardihc; aptopriate rt ocean avai lahlr+ in tee ti i.ty and within the lanai , state are federal a) erc rahts. The family will tarn In; to arn"ss these senior. eel f advocacy will to marled, enturagod and gAiix . ?O,c tcs will also ardr s )Sn r— regarding isolation and the lade of an arpregiate ci-p * t system Tee service ptvianly a.'*.lirrd arc dizect=h tovrard: crtkarelog parrots' ahi'it1 to crxata stable are nrztrcin hire cnviramthts that promote healthy childdevelopment; a`»i ,tier children are fa;tl is to Lcsohe C r1 S, carat with rnx' zany are appropriate services, are rennin safely together in ;heir liam _ ,; are aveidirr, unwary at -of - hare plaa:anL of childrai, are helping children already in cut-of-ture care to be rota d to are hi rrein aimed with their fariLies. The opai of Ferily Preservation. 5.) Prevision of Service and Administrative Capability: ty: Tie Director of Pc .crabas are t^al au -Am edrdnistem and spat= hate Family Pdvaate artigarn are acia.ts directly to the c.a.r.e. Bird of Directors. o rcrtt Poard of Diucb,x., list is At ath rent M. c.a.r.e. has sects - fully administered the pco nn in so nriarrce with the standards at by the C ols: de ch harms code (07M9-3-102) are the told Carty Plasm -Mt Altaciativas Ctirnissien for the put 7 yxrs. A clear andaxstarctizx; of the pr arctic and finart al structure is crrifiatily tea in the scrtiae; a a latai to hi Serve; (2), Program Regrure- nurts (3), Tp of Services Ptwirlcd (4), and &eget (8). Tee Director of Pantten will have a masters Dare in cer ial cork or a cow = field are iaix with fam- i lies are a'h letrtri in at' Ei ve are regltrtful sitantia's. Tee 8 Ebraly Pon:mita will meet the naninun qi l , fica- tias of a cam S2rvias Aile n —wt at sirs .atiat fran High school or C;xD F ui.valatrt art to years full tiro acetic= vlhidt provided extsasive pabli_c contact in a service relatrd field. In addition an tvccate '4111 have had accrim'en with gaxattiri are/' or %irking with children in alvz.abuit, anri as day care or presthrol. Qumntly five at of the scan advocates have at la .t a Bedteler's dance in a Harare Service related field. The Director of A3vaates has a 1>tcters Degree in cr-WI cote vat 19 }ears of die= are ahem six yeas in the current ptsitien. Ste Di a erns mire (Attaztne st N).. c.a.r.e. will make provisiars for an ireependem finarr^.al ,nriit to be pafeumd mealy. 'The audit that identify, cesnirre are report the ircnie are Vitae irrifie to the alteration of this PAC frail.: icyran. bt the ;rest remit audit planer refer to Attadmrnt 0. c.a.r.e writ be respcxtible for all Regain( costs i ele ng p^roach,ctxm*ing, z wl,equipraht,nit, and capital item. c.a.r.e currently has- ,available all ct`rr reocry Ein<arrial , material', cyaiiprorht, fri l ity, p r'oa'n i rrn:ras, are c tx `yr to implement the Family Aristatz Fre grill as bsigatted in this pretrial. The Director of Pdvocitrs is raj:m ble for the hirng,trainin; and anosvi_sing to the Fenny Idecates. Gads tite is prwidsl with 8-12 hairs of initial training and will thrum after attcri a vcdcly aparvi ry. eat.m, with the Dirxtrar and other t'vvcibts. The Director is re niel° for the ire l sir) into the program faidlies that rrect the elirdhi1ity atiria. This pry is aarrplisrx1 by uti1i?frig ere Family Pdvnte Phan Referrat fern (Attack -tent K), the Fare Assessment Roan (Attsis utL L), ere Pdilt-Pda2esoent Parenting Inventory (Attain - rent F), and the Risking Matrix (Att<'c-rrnit Q). It is the rrrp r5ibitity of the firecto ' to submit to t,( S the Quarterly Chant Px,jr Report (Attedtrnit R) are the &rely Omttt Retort (Attachtntt S) to be mrplewd by -2- 2 94047'7 sthe adcate. Tne Director of Pdvocatm will =Tnlete art submit earthly t Vc. the Colorado State [ artra t Of see .a1 Services s Puttcthzati ' fed Contract -al kg-. Services Fenn (Attu lent. T) cfttI the Placement Alt rat w responsibility G3� Mstttnly lit for I�imbs�.a3restt Fbx:n (AttcsYreent U). It will also � the of the Director to oatp]ete and s}n'it to toss the PlaOttt Alt ecnativcs ()amostiat Quarterly t (Pita:hp:tit V) , the aural Financial Auiit and the Final Narrative &maw of the Ptagat's Qitorrts. G1ai le the Director of Pchocatm will lee for collecting and fi 1 in; in te birders de originals of all lnfcmratiai obtains:3 in the tt E r^llc ,/srenini gcuurnw, all t wets and ctorrntaticn completedby the in - dual ad.ombes and any other r el vmt infomatiai =ring the fatly; y; the advocate wi] 1 ir�y e �appoint:i s with aryl develop grrifce goals for the fardly try work with. They will dxuintt all direct and in- dintt service they provide. 'UTJ will c rplete for reds fatly Pavolelc's Fatly lerfCart (Au nt SO, a 4tk>acly Cont:rt Sint (httainukt X) and a monthly Contact Report (attc:rant 5); vhica evil! ix sitnittM to the apptcpaate Croaker a1crx with a n rrati e quartaly report. identified Er? ono axly to Fatly Advocate Prrgm is the ally ]m tarn life 5Frog= dlls Fro ava l3bie to this so Tart -Fit itmrlatiai in Cield Carty. Voile there are otrcr ftartos& Parchti T act9.ci i.e., the Men Parent Family Advocate P�yan, First Steps ari Parents as First'dieters, the Artily Pancatc Program is clearly de only Ems- grrt r%igned to work with those famlies that qualify for Family Preservation Services. the saxes of the Farr iy J' hntte au -Lau do rds sigu£icontly m to asea)a "tiny cf other entire reaazens within the crntutity. ']h families provided with 'evicis thxaria the hey ate Program are see 1y dy&rareticral. aid are in need of s th tees as Ird*.da 'divil and Fanily Therapy, P;,' nlcM,c3l and Psychiatric �, .n -Fig C nsairg• Sonia! Aare Victims Groups, Prvttcave Coy Care, Inter -Agency Sarntrn3, Alternative School Rc;ca.n and Prenatal Caro just to identify a few. Additiat3l infestation at hew the Family Alvmate acgmrn collaborates with sore of the eats prrgrats plc refer to Attar:at 1. 6.) Past P rt:raw c.a.r.e. has aitaniat.crrtd the Fatly Pdve ate Pr'egran over the past 7 years. 'The aaxett Director has brut r;ible for the program 5 of those 7 years. Caa.,.n,Lsy of the 7 advcz.-atm erplaya.', 2 have hen auks fox r 2 for and 2 for o ct a year. In •c1Hitim to the Eaad3.y Advocate Pin c.a.r.e. ',at re- cent y ycwx erg by wars t a :m sia'i'iar to the Fatly 3t•` re- cently p�� Eiaxtirtg de Colorado Cdldrert s Tart Elan to develop c=am ac gran to c ock with teen parents and their fa dies utilizing tnimt volut'sez. x'vo ates. Pier the years the -'� ^ in de aver all rp lity of etccatm, Fatly Adt--oc�te Phan has :saw_ very sicaificar t c>a. art' their thainirtraining at supervision, the services offered, de chat tracking, aocartability, evaluation ;tarn and agetzy retaking. ing. nett the existing Fatly Aducrate Prey ate As c.a.r.e. trams a prober of program that can to sem to L p revio ly =tiered the newly dcvelgel Then Paratt Fatdly Pdvccate progarn thzugn sirdli,ar to de Fatly Pciarte Ptu]rait the tarot prpalaticn are tort patents and deb: families utilizing g volmteer . Tm Parrrtt 135 - =tat Ptcxran at c.a.r.e. provides 14 different Parts tirg (lass's, e rgi g from an Infant Class to a vtxy Inten- sive Paz<zto£ Tams C!atS. 9ncih>- the clams that are tit at the c.a.r.e. facility, classes are taught at Fort Iipten, Gird' r, Greeley Stct, aeeley Ce tml, Aims, a-addratc, A watn's Plan- and the Transitional "rude. axe' ntssfu ly axrplete a Patenting Class offered by Families ins/oiled in de Etro.ly Advmte Ptogr<7rt . sa vi r� to a c.a.r.e. 'Dr Children's Program at c.a.r.e involves an in house child are facaity, whim children are in d..ixir dru vkrile parents are participating in paxmtirg rt tS=c`. 'Dr thiairch learn sore of the sere amts as their as they relate to than. An at:basis is placed m "rlf atxa1n, pal body safety and th parents'ore o'atmztieatim. IrLLot;ttatim and Stilts beneficial m any fondly participating in the �vxatearr,�tn- drm's Rc3ran also tars a Prrvcntirn Program, pitied "Cord 't' &d h" that is provided to xesthool thrai a mid6le school children in VF1d Canty. It's puite_z is to teach children hcw to ithitiy and protect therselves fran ahlasive situations. D -e final tcujraU that c.a.r.e. has is de Clacusit'J FBn taah Ferran, its prp r.:. is to pc -aide the arltlts and adolescents in ttld Canty with infdaetien oar ring issues of child a z:se/rta3l+ecc. Ftc a =plate description of the current per ferrate of the Fndly Advocate Progran airing PY 1993-1994 using tie pc-icd 6/1/93-2!28/94 pinare refer to Attaarent C. 7.B) Draluatim tacnits: Lnfocrntiat regor'irg project ard rat cffeotiv hS armalt based ci valuation alt ri.a developed by t'>° Director of Advocates and ap peon l by PPC and the Board of Gold Carty CaimiS;ioners i-, addrce in Attaetrt'rnt D. S.) ar>t: 'Dre fetal meant zoq1/4=ted for the funding of the Fatly Advocate Progcat is $49,428.51. 'D'`is is a signifi- cant cant increase fran the previous request fora nrtt2 r of mart. In this procreal the tine needed for the Dime - ter of Advaatm to adequately admnists the pram was increased trot 12 to 15 hours a week. Since tie pagan's innptirn only 12 tsars pa week had bast allcraln5, c er35 in arpensibi l i ties, irons -lees in de nit= of -3- 94®4► adveoaton and the nub= of families semi and additims to the adninnistrative requirements re art:irg PAC ha\e trap it Snit the roe to increase the hairs. Inckeed in this years tudept is the FICA arts ivtdicare Q6ts of all the euPlvlees involved in the rte Program. arcing the 94-95 year the pcga n will he utilizing 8 ad\coat s instead l of six. Il` Director and tin Fatly Advccatc , Siwna S0C gm- hair pay increase. beget re - fleeting the casts of the services as =lined in. the popcsal is padded in Attach -rent H. ire haply rate of the direct n+l ivy of service to a fatly is reflected in Aitadarmt E. re state at the time of en %citing of this proposal had not developed specific vorklizad standards tat the Lire 9d..]_ss carrcyry. t'e fatly advocate •xo- gran is prtlxsing to provide 8 Fatly Advocates to 8 fanilys for 40 has a mirth for a pmcied of 12 months. 'Ile a3vccatc win utilize an interactive teaching neth d in addressing Life Solis. 9.) Prutcai, F'alutim arrii thtjnaaticn: A_u}can evaluation will a taxi m the rreasated cuts= of the mjecti z identified ar Attatrent B. Data regardi e the total nutter of families are chides participating in the xc> m and 'chair 1a th of stay in the poytan w ll to evaluated. Fbr each rum h tilt an child rnrains ;n their lent cr rctint cut -of -1 Y];t plaa-rent wile working with an advocate =sits in a otst saviccri. Sho.id it involve Ihrrapto F for Care the savings is evert greater. The fit that the advocate txujrau lxas the ability to premien the same arvicxs tic a family of to or a farrily of 8 crakes it a very ast effective sasvicr. Inprvuce nt in Household Management CarEre- tarcy and Parental Cart ita y will to re al by utilizing the PAPI (Ate, aten P) , ape c at tett aaesarent tml . rams cn the inventory provide an it of risk -high, :rediun,lar for rex-H -ing ahxive and neglcotful parenting. Irrprovarent will b3 =sized by a 2 point irtav arcnt in an cr he of en fair oxtapr roc on to in- ventory. IRtartev mtt in en ihi 1 i ty of faralie to access =arcs will it rreasurred by the dzartnatatica of rtferra s to °tic seivicts, as ;Len as t'r witifr_'d involvcunt with tine =vices. Of the families omtpletire CtY' Hearin 80% will clorao't'ate a redirrd risk on a seardardizt as rent teal- 'ltrc Pdvccate pary..an will utilize the Risk Matrix as the pre are post assess -rent tool to crrris..^e the artcrare of objective 5 (Atts z tilt B, pp 6 of 7). Lag tern oitrmres will be eta. -rented in the frllrw up sunny. Of the families that re:allied We Sall Savia 80% will be iitxt 6 rmths after did -arty frnn the dam. A follow .p s>,r ey will he =eaten with tin apacpriate crack= orker regarding tic sit aatlrn of the fatly and children. Rai tive a'rarr of the cbjcctives identified in Attathttrtt B will result in fe..er of firm going into cut -of -pare cue saving significant stints in Rstt Care are Thecaptetic Ere hex Care Payrrrnts. gee Emily Adecate program will, ass crnrircn to evaluate the tzckv.an bf mllcrtirg informatics ra.gardirg the parents attctxe at c.a.r.e. pirating chic--, reincidcns of atstantiated ahem or neglect;hale vajdrp with a Maly Advocate, the re•centap' of children rearmed finn cut -of -into care wile Inure with an ad\aate, and the paccatage of parents that dera st rats an i manscxi chi t ity to display .yrxrr cute Twit -till inter- action. The individual advocate will doare nt the northly rrtal of direct t are indirect t =vices for each fatly on rte Atocvtes rtthly Tine alas. (At'a: rreat Z) This form will he izv? to evaluate the ,,ra'kcked staa'ards as veers as przvide intoner itajoi lire ti'e family's notthly involvement. 'Ilse Platarent Altenttw Care PhnUlly I test for IairrtZramunt form (AtD:br nt U) will provide raithly daurcntatiat of tie est r irYavidral fatly and par child. If rte anent furls ice edia steel, firriing v`nulr' be =Pit thrt4n application to ether grant =as oath as the Colorado Cli_idrm's Th_rt and, the Colorado ra a and Private Ruriattie s. '2 roc. veuld also be the pcfisihility of nx n5tirg a diticrel fatting tarn the City, County are United Why. -4- 940477 TYPE OF PROJECT PROGRAM REQUIREMENTS C C O O •.1 M ▪ C > • > C a) • C r: rr ), ), ..r - i r fll M w a) a) > > ..r -n In in C C y a N C W H .ter ro in N • '' b N •-4 C N X 'OO W CO2 p QC(- F y > tr., dEE ., 2 X> W C O G O 0.C a) r0 C MI O A Orr to Cl.C xl a) ro . E E ro Nr w N 1 C7 •n W J 7 O ri O •n CC •n L a ▪ E L U zo ro a d-xc wO C 0 E mrd CO o•i y w �O ERro ac e0 a .i 0 f a 4 0 0 rno 0 oz �u 4 a A• 5 O � vv ro 8 8 N U x O A A .O o rr (0•n zE' U -CP vW 0 (11 •••I V) W D. N r•1 Duaug It Cal O (.4 e▪ (11 pi b Rr ,) O .n .n W CO r.7 E a N CC1C)� why rUr Cal `c {a• z C) N ., A CO C • U L U) i0 .+ w 0 m O. a) nE- > V C z a) +•9O O o. E Title of Project O C) ro L L •ti A d i L L E C) •n CU r<C E U v N v A O C O C N 4 CY 0.CG u d 6/1/94-5/31/95 Referral of appropriate families to program of Assess - 8 & Q) Director of Advocates b Director of Advocates 6/1/94-5/31/95 C) a) 2 Ti 01 Aal a1 '^� 8 W -C W 0 3 4.1 .r x E u w Q U -�41 W W CA N 940477 Nt.. 2w O JN es 4J et U 04 V O o. O a F PROGRAM REQUIREMENTS Family Intervention Intensive Intervention Intensive Family £ o E l iz ' 04 c �c F w O 4 O ▪ ▪ C.3a 0) G E : C 4LJ•.i 1J 1Y. .4,O+ C Z O C 1 N - N vZ •.i ▪ « 0 01 tial ..J J.1 L N D. V C a ME F la R C:0 cal w cccIN C f/7 W � to of V • 0 m : a N Loa p• CO °i(f3) m +1 .•' £ C T 4-4 u C` Cu 0.1 7 a 0 aO d O • 0. 1.1 M 6/1/94-5/31/95 Pre and Post Administer assessment 6/1/94-5/31/95 Ongoing Parents/Advocate/Caseworker 6/1/94-5/31/95 Ongoing Parents/Advocate 6/1/94-5/31/95 Ongoing r v -H >. ,J U 1J 7 .. •; W.)tw0 L i w 4J 4 8 § U., 0 E 8 O' O c w c yNy co C W ao u) .— •'-4 440 i�CO - v >.$mPN v8 x ,. U.C .c m $.N . Lai544 0)a JJ N a§ro'8 C �m O Y Y CO J 0. F m v., .ti • ma N 0.4 7 y -.4 'O N 1J > ~ ~ O.S'4 Q • t 010a Discuss/Develop s 6/1/94-5/31/95 •ivoing ro L •'d h O c9 CC O) 'l 04 '0 44 +3 C Y C ▪ Y 03 m • g 44▪ -4 st w 6/1/94-5/31/95 Ongoing 446 8 1J C c N Pig 7 87 .0 8L CW m G L C Y 0,o a a C C L c c L -.. i3 2W u N .H - '°ACC o U W ro 4 c-- 0.••9OC. 6/1/94-5/31/95 Ongoing 6/1/94-5/31/95 Ongoing J .'n t .~ p TOJ 0... .c 3 14 N J F L tSn Y a m am w 'O a to t.4 w w T +yJ UX1' rorf a$ ,. a: Sae 940477 1 wFa C1 '4 N Da N W C 6/1/94-5/31/95 Ongoing 4 X 4 8 a a 6/1/94-5/31/95 Ongoing 6/1/94-5/31/95 Oriig 6/1/94-5/31/95 Ongoing >. N 0 y ca; • m m a c u u d 'u N Oj Q' as m1 0+ •.CI ,-4 . I-ai L l N 10 4.) N C G a ▪ 4 E i •.1 '2C al 4 y C i� r-1 w o .cm La.1 cCp m ) .U) .'" wl ID fa •O r4 0 it 11 R6 4+ o 8 ala c� \ L O al CJ (0 N C Q� W Y.1 3.4 4 •n p p1 T. Q L ~ ~ C ua.1 •. N 4 a! si LA al caw WO W4 . M N LL N -. 40 Q C 6/1/94-5/31/95 Ongonig Advocate/c.a.r.e. staff 940477 TYPE OF PROJECT Intervention Intensive Family Intensive Family Intervention 4) V M a h a O. ro r r c a O C ro •+ F 'a E + a (0 WZN La. V+ d N - 72 .s 4-4 m C m C C ro E- 0.1 N> a•-' r a 7 N•"• E J ea, r X> W 'd O O.0 O. a 'C-+ C 5 fA. Title of Project 7 cz O a) a) m -t co 2 w z 4.4 0. d 0 ni0 a CC 0 .� F0 M W 0. L o c Cal N ro r��>,N ro - 0 ti X 1-1 Cal a) Z 77 co r a Cw It n A V -'-4 y O C ) rn 4.1 a 44 M W .••1 LI Cu Ca Util 3 , Cel a CC) L 1.11 y a? to t -.c Q y CO > g •am, o Li iS 00. 2 a y v A Coft 0 C O C n 0. w m Identify family s 6/1/94-5/31/95 g' kik I 6/1/94-5/31/95 6/1/94-5/31/95 6/1/94-5/31/95 4.1 :q N .N cca 4g C) O J C 4 " a e10 1.4 C) o CL 0 L J U) Sa W rr a a L C L N L A i0 T -4 fa J^-1 s., O se a a a x C 1-1 1O 98 ( r 6/1/94-5/31/95 Document all referrals and cut 1.4 $, C El' N I N 118 '0 '0 8 4,4a4-4 a8 0 0 .04 >. Q. .y J a+ C 43 CO a) .Ni N •M .1.1! p a 4.+ y a v i� Q •-� ' ) EE in 2 'p N O 6/1/94-5/31/95 Director of Pdvcoates 4.1 aE u ro r c C C a O 4 V a r C a a .C r a co 7 a ro a C. N a 44.1 w A O U M w u a 0. En E A 00 0 a a a 4.1 r C ro a w g F J v a O 4 C. v W I-4 4-4 44-44 940477 TYPE OF PROJECT PROGRAM REQUIREMENTS Intervention Cr M v Od 0 Intervention Intensive Family T G C E C• ro d .I a n :2-2 C S K a 43 ce J W Z a. -44 C.3O W Ws CC E- L qOw O U sr a y Z O w = g .a-.2 LW en 'a > r Up > U F w w CO LOA (r. O F a v. U p. w y t.. CC v 43m P w co w > VF1 o —4 0 u t 01 V CC 7 v a am O •.. .0 Ca ( O 6. I LI N [w. u 4 l b u a IN C C N E y n. E — .. 1E7.0 .-i it i0 ,X 7 j La N ... Y a > 1 44 7. Y.+ C C , r - C rl H + N J� C. w4 w Q rl 2 >0 C1 8" w w^; N n M C ro w�D w ,N 0 t) O 4.5 m..4 6/1/94-5/31/95 Ongoing N a > Parents/Director of 5 � u A^s Li U J � r a 33, 2 2 2 -215 lii re Salt L *46 C.) w a- 0 N 7 u'g x y0 l) m Director of Advocates r 8 6/1/94-5/31/95 Director of Advocates statistics on outcories of the 940477 ft Intervention Intervention N a V ... 7. Is ✓ I a T T H O .• a >' n `" a rt a o w '- C A O a a a_ a 0 w > > E y44 ... « C >• c • w W co F a C s, F — C ..1 N C MI r+ Cs. N a N ... C Er.) r•. « .4 10 N • ..1 in N > <' N •1-I 0 A p ... a Y •0 CO -04 0 O C b E• y 7 a w a .4 a 0 a— • �a aJ ..> 1G T w 40 71 41 (I1 ..w ^C. O �O r= VIC.7 ell PROGRAM REQ SEE BEWAI LO ;I Y O Ncid • Ca] W E w▪ . 6y fat 0 5 0 w 0 -. z >� W < 0) 0Ca4 r F >4a � • zor.�+g EJ $c >. O OF '•1 0 N n 1.4 CO Cal O F pp p U ¢5 .C 0 N ...1w , > a 10 N . a w 44 E E. Director of t,ntinistcr Riskin() Assessment I' 6/1/94-5/31/95 Parents/Advocate .00 E di) 0 • 4-1 4.1 'a Q u c 00 CW.0 K CI JJ Q W U y 5.4 O ', 8.2.00• > N 4.4 a. 3 N o .C (V U) 'C u�1 C :J Q • C.2 92 N fri �x1 .qC� H (I)'CO 0 W 6/1/94-5/31/95 6/1/94-5/31/95 6/1/94-5/31/95 G) V O rJ y a.1 y8 •T on { a: 0 •' } v W EC O L N LL 1d to O J — VS 4 ..1 W u c F .J C a O .12 ! )4 J'ti c a O r eJ • ^4 G O ro N a N ..,y a > 8 N I,4 Mea u u C. 1.. Os 0 b.44 E n) ro ��•N g 2 N i!•N c V ��pp C .•1 C „y c, JJ Q G .C C la •-. .3 E."' 0 .44 V r2 .C C -. 2 C C > 2 2f W • E 1i �U 0. 6/1/94-5/31/95 •.. n It N .C. N aJ y o G .°.'D CJ Erie' >r, -1.. T ti 4..a C fri • G O 4•• ♦ • `J G ✓ r, >. O C 0 0 . In • L050 )41 2 T s, - O 0w pL. 50.1 .1 N 9404'7'7' a' i V Attachment B Page 7 of 7 6/1/94-5/31/95 6/1/94-5/31/95 6/1/96-5/31/95 Advocate/c.a.r.e. staff Provide family with 24 hour crisis service 940477 PAST PEItFORIIANCE Advocate Pro( Education C .-•1 U C) C) C JJ 0 C) N F C) L ro .N J-) C ro • 0 C) 0 H W C 0 u+ C.) "J U C C 4) N .p a C U c •M 1A v t` y G O C c L F C �0 -I C. i 0) .0 L L 0 .C C •ri a _ 'C y A ro t. 00 Q 0 J a J Cr c J �• u a a T. u u C C) � O 0-y W C) J J _ C RG W Wel . .d a c u a c u p tai L W 0 a W 7 w ey . O c .roj •r V a ••.. eC La U P. U w .. �ro 94047'7 J t; rol LJ W • O 91. U • a MI 50 J .. G 4 PAST PERFORMANCE Education C N it C) uu a a 0 U w y ro U 0 V Qi >. •J '0 • rts a E E a O y. 0. Advocacy Agency Name :Child N Cl a) c N J a J Vi S a a A > -0 N •n 00 a J N a N o •^ a a o 0 M W d- N- ON CO C) N 0 O + .•�- 1 W O o O dP 1) 171 N N IC IC C 4 C i 0 CJ + E x o O N at .0 Cal L 1. ❑ .y .A oC) O C C .-4 1+ C) >.C L - Sa A O -) • W u o eC CL N L 0 L C .� 0.4 r-1 0.1 ",'S m E C au„ a 0 m $.4a1 E 4.) C) c C C) C oS•i 1•-1 ro o, .J --4 C) F 0 'o N i 1 0 y yl W 11 C O N 0 �eV' ip In c 0 F •n1 940477 C m 01.1 0 Os C) b U 0 7 ro C m C 0 m U C ro C ti U U L al 0 C) U to U U O ra .r, .C v a m U u' c to M a tn C) ,0 W N a C/7 > CO C) •r CO C) I L V leeU N 0 a N k. -6.4 (O. 0 O M CO CO N N L • 0 c o C. C O 0 y 0 •A O O > .C ro 'Ti 0.4 E r+ ro c) 4-1 4-1 ro C N C 4.4 eC �•+ C C •� rt 0 a L > are CL Ur -4 0 i t 'C Q) G rr y•rr C L 0 • C) C) .C 0) 44 L W c --c w: aa 6 rn 0 O 1.1 C L ,p J V V ✓ C ▪ fi ✓ C v r.. Q a O - Co GA a • a C ▪ N a G ✓ y C C o a M a L a G rr rat • + R I- S J L OC 0 '4 - L n J a a a J C .0 a "" V a A N T O .0 ai a G .0 r. • r C a Cr W F•1 a J a e • —4 C U 2 -2 L a. wa 4 is C W C o �^ .) o c N C C) A y ✓ a Cl N L u a 0. `O 940477 .7 0 family Advocate Program Title of Project: n rn .. O V 1.1 'C .0...1 CC cf.. 0 -4 >4 h•I a) x W ,-I ,1 ^ a v 3w • •-1 0 C3wr)• 11Q a) E u> p m e L O 7.J O N Ow 0 C) •U .C *' N O N C) 4 L 0 U C C E t0 JJ W a -a CC0•.+00. 03 0014(0-C CO coy > fa to •,I G. Q 4 y O C O W O JJ 0 W •.1 CI a) •.. -.1 - ai 0 C ^ a) •.1 > .4 0 .,., 0 •.I • 0 L W 0 0 L C) 0 W C) N JJ JJ C1. L ,••I J) rC w4 00.34 +J a 0 C 0 W E F, C 3 y ) O N O LJ 41••.1 O ••+ .C . C O L n• U O O N N ..I •O C N r -I >+ O 0 r-1 .r W .-I W •4 W E 0 .0 •rl ..1 7 >,••1 0 a) OoC7 ELJ)a)4>4+ w - Caw0 r4 144 a •0 U S. O.E CO In coCL ry 0 al.= O •� im-I N 'O ro A m N 3 - J-) J.) •O CPL C) y 0 a) C 4. 4 -.U4 >. E C) W1 .0 0 4 C •M ao 4,4. 0 C JJ 0+O .0 W raw ..c +) •c 0 doE >, a) O a) U co 4 a oC 0 ton U •.I ,u ej .. CO. ,0 1-4 E .-. r 3 .•1 I C^ C > ,J ,•I +J t0 • C O d.OC t0 t0 ea4, S4'.44 a •.1 O Cr IT .••1 0 J) .`l ON Pc, cfl. 4 '0 (0O C) ,-1 3) .1 Q a O. O L 0 rc co 0+Q ••I > _ ro rn+J m E •.1 ,( 0 7 0 uJ 0 0 N 4, .C r1 4 N O W U^ V 4 C 4.1C N 4 a It•=7 3•./ 0 N 7•W -0 '0 0°w,°c•r4 ,(-10cwNom, a 0 0 •.1 •.I C ,d 4 ,(95.....C4 a ^' '0 'C m •.( N 0 01 1-i U .C .... _ Id O. 0 .4) 0 0 v W W 0ONNa0 L W O, a It Ix .-+ C O L L V• 4.1O 4 ..-1 .r ..y .C J.) L I 1 W N C W 4-, N N W O a c, t 0 4.1 ra 3 41 w O 0 C N E m -•1 04.) 4 JO C. ''Al dF -' 4 >, U 7 0 to PP ,� a 0, 0 a) coo •d In N L. .0 0, J) ...I in r J) U >' C N 01 O N •-I C5 o >. O to a) y .a ...,4 ro C) d A. ..1 rl 0 Ia re ••1 • O 4 re Ia. Q a E: 0 W a 3 04• 0 re x ..7a Li 7 ` 0 O 41.1C I 04 a W '0 N O It w .O W 8 C 0 N ..,,n > roaoa•.1 C) > a) .) 0 'G CL: W JJ >, u O C 4. a) la to co 0 .0 ro L° way 54 O' > Q. C O 7 J 0 J 3 L N O a 'v 4 N N ro J./ 0 0 0 0> 'MOO O N •.i N =4.$1...c ro (1) Cl. 0 J) 4 4 J) C O to W >, 0 E C JJ ••1 •H 0 A. Q" 4 CO N 0 W V•' >. CLO41C.C 0 P •-1 • p .0 E y 0) do —4 to E .. L 0 7 0 C to L O 10 rJ E, JJ In 'O •.I I` 0 .0 Li M 00 C .n Y N 3 O E C O C I O 10 0 •.I 014 JJ uJ c 71 300(00 o 1 'J 0 .0N O•� 0 j 4 N X 3 O. > •••• C E N C) C) d C G L J= O •'A >, N +J F '4 0 (00 .•+ (t rt O C •.1 4 r•I E H C1 i •.1 0) rt 0 on Q w .C U 4 0+ C) O t J-1 C) .C v C) W J.) a C) > J.) > C 0 C ^ t0 0 CO E •.•r 0 1.4 O > al O 0 S 0.4 w C C W> O C F •.1 ..I N 4 •,I b) > C 0 0 •0 CO c.4•.1 > 3••1 • 0 0 C > N U 4 it '•1 0 0 N •O C O O W -I O U N O., M. , N • W to 0 .CC ,0 .1).C .C Ri O O J.6%J.) W 115 • U • W ,0 0 .C >, 0 0 N 0• •C U .i > E L t0 rC la .C O N N W r) 7 U 10 ON 0 4) 0 4 3 C ON 0 C ,C 0 .•, •ti b op W a) 4) u r0 in JJ •n v 0> N L 0 L ON 3 0 0 0 0 E a" J.) 440 ) 00)0 C) C) C) C G m C .G 0 0 v it relates ro 4 W 0 0 0 ••1 -C 4> O, 3 C O E- 14 7 0 4) •.•1 4 004 a) F U > �+ c Ca. . 41 44 N In .. • 4J 4) ro C W Cfl ro .v •.1 CO C 4 O C +) CE •00•.I••l N0 a) O •0 E .C +) 0 _ ro v W caci) U sj O C W O •,", CC 7 C 7 t0 40 •O '•I 41 0 w G U 3 •O ,-1 C ro> N 000.•.1 -.Itam In y 0 4 0 3 4.1 ON o .0 0 ••1 0 0 +) ,n H .., 4-1 .C L CL )-I 0.) o0 O JJ N I 0 7 R7 0 c'J N C 3 0 0 C•.I C O L •,I I O ✓= 0 G) > i) EJ) •>ULO ,"",�W C>, la 70'•1 4 A 00 0 4.4 4 O E L-$ EC) ON 0 MC W 0 C .C N -01 > "+ 0, .a 4 •-c .0, 0 ,0 0 a U N Li. 4 3 4 _ L .J 0 0 + o a co 'O 1 4 JJ 0 4 •O C 4 0 J) O N C O •O .•• 0 O C b N.C 0> 0 4 C O C t 0 •0 %J r .a U N 4 t0 'O .., ,> 0 J= W 0 0 •.I S C W O C o>.:.tCC)Q 0 '. 10 4) U 4 E N a.l E C` CI 9404.! Program Outcomes: V 0 0 .C 4 ) A) N (0 .-I >1 C C) 4 04.•I •.-1 I M (1) O 0V10 CO O 0 0 W U 4) U C E m 1 C 0 >r. 4 ..1 .4 4 C N .-I 0 CL C ° C )•) w sa• il E CD 0 0 N Cl 7 F U] N .C a 4 a) V A) Ip ..1 0 U F• C>W •q .04 • 0 0 0 +) •C 0 4 . 4) • aL 4 IC 0 >, u) E .-I •.1 •.4 Q) •.1 0 0 C >•I O E .•I >, 0 o rl .C m .-1 4 ) 0 4..w 4 •.I 0 W 4 O E 10 C (0.•1 O (C 7 0 C) C o w 0 0 L O L 10 'C% A) J) In 4-4 C) >, C •.+ V 0 C C O L 0 c••' •^' C Ey ) C) 21 °v -(0 C 0) 0) O 1) Y a) 4 C C1)EO U >E O 0) 0 C (0 C) E 4 (11 C) •.+. • .C 4 CN E. • 0 0 4 • r0 C C O 0 3 4 C) C) 01 v it O ON 4 4 O 0 C O 'O 4 I T —1 0) 4 .—IV � . ...r1 Pa..I C CL •.I•'14 w a< Cgti—i v s r O ,¢•.I 0 0 U U C) E .0 -C 4) 0 A) 10 A) L) 0 ' 1mc�� •'-4 0 w 01.-I CL 4 .C •ti C',4 C) W w •.a E 0 .C (1) '0 00 O W 4) 0 a) > an CA V t .-I v o0 C) V a) .0 0 a r` O > ••I 4 4) 0) C U) E E 0 C ••+ 4)r m %4 4 J.) W 1.1 A) 1J 4 ro 00 C O C C 0' U • E e v •E E E 4 •N/ S E 0 10 . O •.1 O, 0l V O'0Z4 E 0 O 10 0 (O W N O A) 0. 0. 4 4 4 4 m 0 0,—i 0 ..I •.I w O 3 N w r W W 0 4) 0) 0) A) (0 >. 4 .C (1) 0)0C C O .•1 (0 L .C W .C ,C 0 0•./ u0y+).� > E N Cn .1 WV ra a Cr, co O. Cr, 0 • 4 Ti w 11 •ti C XI C C .-I CO 1•• 0 A.) •.C'i1 Ol ,•1 •-I 0. '4.4.C C 0 .•I 7 C J 7 0 O 1•) 0 .•I aim •.I 00 U families evaluation C) X 4) W 0 0' C 4 v A) (0 C •.1 CJ C) 4) N 0 .) r J.) A) 0 to 0 a) -0 O A) C ••+ • 0 4 v O. 4 x 0 a '0 .-4 O 0 EC O 0 .0 O 0) 4.O by 0 O 4J 1✓ 0) O 0 4 C 0 >. • RS ▪ E C m 940477 ov Z'O O p m ow. S00 F- 0- W O T u C) w ... v W W f%% a u E 0 O O 0 O 4J C U u •n r-) w 0) 2-) 2 0 C O .--.. Cl) 7 .--4 E E C N G) N C 0..) fn to E C) V C N (O-4 ..I o o ., a) y ..1 ) C y a y fa 7 E •A O w N U N ...I ro .0 C) J } N L 0 0 A E re C. it y :c u C 0 u ON rt :J A 0 G. ‘. a •.+ U W 0.-! O •.a a y ro y f. ro re C 0 0. a) O 0 C) W > S4 43 y T) U y R ISf..1f..1> C > C Ty ro E I-4 L co •-i 0 v, Ey0 w (0 3 4. N N L >5 C @)4a) '0 LO> C y W :r A W 7 C J.1 N N o re 4J JJ 0. M1. JJ C 7 w N E 3 A U E C) O 0 W y a) .i E."too u L U) W 61 Cn J O. Ut ro f N 4 .C 00 •-I 'd y C C) W C C 0 fd O ^. C) E CJ a.• L C C -a y O X N y rn 0 .C w t. 7 '0 O a U) .0 C . , i re re L > E» 0 r y and assessment efforts. the outcomes based on the eo C y C) a.. 0 O 01 C F C u @ � F . 0 O J) 0 0W O p f m O a) JJ L y C O C 0 aa))OE A +) w C 0) y ..l C 0 w C C It C r m O co > v,L-r1 c ro w BOO 'C C C (-4 a) O- N - 0 > TS .. ro C rL c0 00 N "Cl 0 N E torn wcc ..1 .-, m 0 L O U .r 0 E•r ri wo. v). 2 w . ,J,, 0 0 0 r 0 co m O t c ro 7 C a+ .-i C •-iC > 0 > 3 > 0 0 t0 C) U) 4,)W $4 O to •.1 it ..w. J .,1 N W N .C L y CI 0 y y ro U C y in w c' O .. C U .y Cl a T E m w N t U a y C N CL .ti H 0 H a) 0 L C T N a) m N V N C ft E C) )•1 cJ '0 L 8 54 C 0 O w a C) y cn 9404'77 c o' h w Z U a < c0 Other Outcomes: C N a U U c a U U) ti) ;44 a) ro a 0) .-1 .0 •0 A 0 U) i) y .i= 0 0 0 C G t y 4 N J u C 01 a) 0 V r0 C E w> o L U•.1ra0O < y ^- v) 4 a O .-1 •.1 U) O. A V ORS O C E �, N O W .C ..i 1 41 a N , U) Ln a O +)(I) a G +) .C u C -1 > O C it a 0 r1 ra •.1 0 c.. E..1,CLL m A in to m m a) m 0 E O• C C O W 4) 4 ,a,O -I UN W W 4 ) 0 a) CO >+ y O a AI O U C (n a a) ••~ G 3 H 4 U. rn aaa0o'.+ 443 •••-•q E 4 to .--tr 0 C L O 0 Co U, .C 4 U) a •'1 0, -.4 10 CO C JJ 4 y a PS r0 N r0 W I,... •C.-•- 44 0 a (.1 u — 0 "0•" 0rt4.)r coc 03 vy 4 0 3 a e w 0 L) N 0 - la .,j a) O > 00 L C w ..-I C CD A t. 0 c U)0 U '0 a• yy..-1 .4F a) ..a 1 y >. W 44 1•61 U) 4.) rW ..-4 .n U) •,y H -4 0 y N Al C CC .C U) 0 C) ;aH E.Etr. 0 C)FmCE ) y) 4 ••1 .ai _; U) O7 > 0 H C > co •O 4 0 .-1 a . Cu U V• •-� 0 Q m C C 01 Le 10 0 ..y .C 4 O a) 4-4 °a ti, 4) L C 0 0 0 a •0 ..Ga rd 7 O 4 0 ^+ co a -I > 4 2j r0 N W N‘4 a) p C) u a) .C 4 y a) r" C 4 4) 8 W 0 V Q 4.) a O Q O a 4 1) a) w y 0 5..I0000 U a O E F. •.1 L 14 W .C'OOwLI0 041 3 E+ (0 U• 1 3 C M } 0 O dea t, 0 J a 0 0 a b W m U G0 C Q ti• U, t, O J A U N N � O 'd J 7 V a 0 2 0. u a a ••-i a o.C C to .0 a .0 A y Is U V to h 04 Q N 0 1) C ro a) 0 .4 (1) L S O r C ro Tr V a) W y C 0 V U) C 7 N .) it, S b 4 0 4.1 m 0 4 D.•• C ro C 0 0 .0 y 0 C m > its L 3) 4 0 L N M 940477 PAC FUNDS Hourly Unit Rate Cost Computation Sheet Attachment E Page 1 of 2 I, Program Name:,, i ra.] i matte Perri II. Agency Name: CtJ0 TdcAny Rte^ arr] }t7cticn III, The project's unit of service definition is: A. The project will provide what type of service to each client. Rrrrbas r3 rife 4nlls B. This device will be provided fora 9 n'r ` '� 'V (maximum) stay in the program) hours per week for up to 52 (maximum weeks. IV. The hourly Unit Rate is based on: Check one A. An individual client who is aged through B. A family unit as described as follows: A Lraiy unit crici_t of at lov't cTr chi',.d birth to 12 yetrs, hIskorairtrticuTrdianarci siblin s V. Program Statistics Total number of clients to be served in the 12 month program is _F tlim }t s The monthly maximum program capacity is 8 • The monthly average capacity is 8 • Average stay in the program is 36 Average hours per week in the program iweeks. s 6 VI. Description of unit of service cost between direct and indirect services. Base the computation on the hourly rate per unit of service cost based on the average capacity A. The portion of directs ervicoers to the hourl4 yrrate per nitycosface-to-face based n average capacity is contact with the client for services) B. The portion of indirect services to the hourly rate per unit Cost based on average capacity is 5O or $ 6.43 per hour. C. Total hourly rate per unit of service based on average cost (A+B+C) . $ �� ^, D. Total proposed yearly budget for services $ eo 33 940477 RFP-PAC-94004 Attachment.E • VII.• Unit of service rate computation Page 2 of 2 1. Travel to & from client's home totals an average of 5.23 hrs/week 2. Paper work required by Weld County Department of Social Services totals a average of 3. Supervisor meetings totals an average of 4. Case management services of: a. making referrals to other services needed by clients: b. providing linkage to ensure clients obtain and benefit from the services to which they have been referred; c, monitoring the client through contacts with individuals and agencies; d. advocacy to ensure that the best interests of the client are served; and e. planning of services to best serve the client. 1.30 hrs /week 5.23 hrs/week Totals an average of 5. Court testimony required by Social Services totals ar average of 6. Administrative costs totals an average of Please describe below: 7. Other costs totals an average of Please describe below: S. Sub -total indirect costs 9. Direct services to clients (Face to face contact) totals an average of Total average hours of service to be provide per week Al hrs/week 1 in hrs/week 15 RA hrslweek S 44 hrs/week IA 91 hrs/week _36.92 hrs/week Weekly direct services to clients total an average of: $ 475.28 50 % Weekly indirect services to clients total an average of:$ 475.27 30 z 34 940477 w r J W Co d 5 V A 00 a, el J PROGRAM PERFORMANCE RFP-PAC-94004 C' a O co a a 8 0 i d N J d d q"I C CC. A C C J G C I Z.30"tva 3 7OmrxrrIV 940477 Attachment F Page 2 of 2 Objective 2.) The target performance for the average number of months in the program for children who have been dischared was 8 months. The actual performance was 5.5 months. The average length of stay in the program was greatly effected by the fact that during the first 9 months of the program a total of nine families were discharged from the pro- gram. Two families moved out of state shortly after agreeing to participate in the pro- gram, one family placed their child up for adoption, three families refused to co-operate after court involvement was discontinued and one family no longer qualified for services. The target average length of stay for 94-95 has been reduced to six months as a response to the changes in program eligibility criteria. 9404'7Y Attachment G COUNTY PLACEMENT ALTERNATIVES PLAN FINAL BUDGET PAGE =aaaaaaza==a===mmsaaa=a==®=a=am=a=avaaaaaaa====a=aaaaaaaraa=aa=aaa h=aria FY 1994 - 1995 (1) PROGRAM NAME (2) (3) (4) (5) FAMILY FOSTER OTHER TOTAL PRESERVATION CARE FUNDS PROGRAM PROGRAM REQUESTED PROVIDED FUNDS FOR PROJECT FOR PROJECT REQUESTED Family Advocate ca= -a =_ $49,428.51 $49,428.51 TOTALS49 42.-5-1- -===ss_=-- =s======== How will Family Preservation Program money be accounted for separately from other agency money? The Director of Advocates is responsible for the monthly billing of the services provided by the Family Advocates. Astatement of the monthly billing is provided to the c.a.r.e bookkeeper. Upon receipt of payment the PAC monies are placed in a restricted fund. c.a.r.e. operates on a cash basis of accounting but maintains several specific restricted funds, the PAC monies being one of these restricted funds. The income and expenditures for the Family Advocate Program are accounted for separately. The Director of Advocates manages the budget and distri- butes PAC monies in accordance with the PAC contract. 36 940477 PttaCment H FAMILY ADVOCATE PROPOSED 94-95 BUDGET I. ANTICIPATED REVENUE $49,428.51 A. Placement Alternatives Commission $49,428.51 B. Total Income $49,428.51 II. ANTICIPATED EXPENDITURES $49,428.51 LINE ITEM TOTAL COST A. DIRECT COSTS $35,136.96 1.) Family Advocate Salaries $32,640.00 8 Family Advocates X $8.50 X 40 hrs./month FICA 2,023.68 Medicare 473.28 B. INDIRECT COSTS $14,291.55 1.) Director of Advocates Salary $11,335.55 15 hrs./week X $13.50 X 52weeks 10,530.00 FICA 652.86 Medicare 152.69 2.) Supplies 556.00 5 Homebased Manuals x $55.00 275.00 2 Nurturing Games X 525.00 50.00 100 Copies X 3C X 52 weeks 156.00 5 Stamps X 29C X 52 75.00 3.) Mileage 2,400.00 8 Advocates X 100 Miles X 25C x 12 Months 2,400.00 TOTAL ANNUAL COSTS $49,428.51 ANNUAL RATE PER FAMILY $6,178.56 ANNUAL RATE PER CHILD* $3,089.28 MONTHLY RATE PER FAMILY 514.88 MONTHLY RATE PER CHILD* 257.44 HOURLY RATE PER FAMILY 12.87 HOURLY RATE PER CHILD* 6.44 * Anticipating average family has two children. Note: The Life Skills Category of Attachment I has not yet developed a rate structure and reimbursement methodology. At`,zadnstt I R,ge1of6 LIFE SKILLS SERVICES GENERAL DEFINITION: Services that focus on teaching life skills and are designed to facilitate implementation of the case plan by improving household management competency, parental competency, family conflict management and effectively accessing community resources. TARGETJELIGIBLE POPULATIONS ♦ Meets the Colorado Out -Of -Home Criteria. 4 Meets the PAC Eligible Population Criteria. ♦ At the time life skills services are commenced, there is a reasonable possibility that services will bring about sufficient improvement in parental skills to allow a child to return home or safely reside at home. TYPES OF SERVICE PROVIDED ♦ Teaching, modeling, demonstrating, and coaching as an interactive process with the client. ♦ Training in household management including budgeting, cleaning, maintenance, purchasing, menu planning, food preparation, etc. ♦ Teaching child rearing and discipline; parenting. ♦ Teaching how to establish community linkages/advocacy and making use of services. ♦ Demonstrating nurturing/esteem role -modeling. SERVICE OBJECTIVES ♦ Improve Household Management Competency - capacity of parents to provide safe household environment for their children through competent household cleaning and maintenance, budgeting and purchasing. ♦ Improve Parental Competency - capacity of parents to maintain sound relationships with their children and provide care, nutrition, hygiene, discipline, protection, instruction, and supervision. ♦ Improve Ability to Access Resources - services shall assist parents to work with other sources in the community and within the local, state, and federal governments. -19- 940477 At`ait,3t I Pane 2 Of 6 SERVLCE TIME -FRAMES ♦ Up to six months for PAC families with children in their own "home". and/or ♦ Up to six months for PAC families with children in out -of -home care . who will be returning to their own home. MEASURABLE OUTCOMES ♦ Improve household management competency as measured by pre and post assessment instruments. ♦ Improve parental competency as measured by pre and post assessment instruments. ♦ Parents can independently work with other sources in the community and within the local, state, and federal governments. ♦ Eighty percent of families receiving life skills services will remain intact six months after discharge of the services. ♦ Eighty percent of families/participants who complete the Life Skills Services will have improved competency level or reduced risk on standardized assessment, such as the risk assessment tool. WORKLOAD STANDARDS ♦ Intensity of services will be measured by: ■ Number of hours per day, week, or month o Number of individuals providing the services ■ Maximum caseload per worker ■ Modality of treatment ♦ Workload standards will be developed by the State Allocation; Unit based on the following considerations. • Spend o number of hours per week serving families as a workload standard. ■ Need to develop allocation methodology for life skills staff, e.g., total caseload, total number of caseworkers, total PAC caseload, weighting, etc. ✓ Needs to be a statewide workload standard for in-house services staff, -20- s4nn AttattEnt Z Page 3 d 6 • Should not be a workload standard for purchased services because needs and time vary. • Frequency of services depends on dysfunction of family and specific goals of treatment plan for that family. STAFF OUALIFiCATIONS ♦ A classification similar to the current Case Aide III will be developed. RATE STRUCTURE ♦ Salary based (Rate structures and reimbursement methodoliaies will be developed for this program) SERVICE PROVIDER ♦ The providers of the services for each program may be either county departments or private providers contracted by the county departments. In either option the same standards of accountability, professionalism, and staff expertise are applicable. -21- 940477 MINIMUM QUALIFICATIONS Case Services Aide lU Education: Experience: Substitution: Attachitnt T Page 4 of 6 Graduation from high school or GEO equivalent. Two years full time experience which provided extensive public contact in a service related field. Successful completion of appropriate coursework in behaviorial sciences obtained at a college or university, may substitute for the required experience on a year for year basis. For Promotional Purposes Only: One year full time experience at Skill Level II, Case Services Aide. 9404'7'7 • -4C fRVICrarFkAMES Attach!Ett I PeCe5of6 ms f • e;max m m ksme h`,rame<for'the Dayw'€reatment rvzce as twe>ve (,22) Continuous months plus compietian of,$,partlal semester jhe child 13 enrolled n� :647 '.'WORKL'OAD S1'ANOARDS Required staffing for'Day Treatment Service is outlined in State licensing ,rules. Service workers carrying responsibility for coordination: between the county' and. purchased. Day Treatment Service may also be included in a county's plan for this: service., .648 STAFF QUALIFICATIONS Staff, qua'lifi.cateons, for, the Day Treatment Service pravrders are enumerated.in Volume VII. 7 503.65 LIFE SKILLS" „SERVICE :651 -"DEFINITION Services. not. focus ,on -.teaching .life skills and n areehouseh old facilitate implementation ar ntalthe Zse competencplart y. famii"y conflict management.: .competency, p management and effectively accessing, community resources. 652!"'ELIGIBLE"POPULATIONS Each child shall meet the el criteria of •""" Eami"iy Preservattan; Prograa • Eligible „Papulation Criteria:: >." A m aan geable.level of, risk of;fia m to the child_ •" At the time.L_tf,e Skill's Services are commenced., ere is a reasonable possibility that services will, bring about suffiient reside at home orareturnl ls to allow a home THIS;REV.ISION• VII'- •Adopted Efl iv D ,,%ASTTREVIS1ONr Adopted'� ff tiv COLORADO ;D AFAR MANUAL0F VOLUME 7 SERVICES SOS., RV :;12EVISION NUMBER IZ F 940477 i ,bN NFusTeN �r Att I bS3 TYPES:PrSPECFYC SEi2VYCES FEIqe 6 oe 6 'Ceac£aitl mo' e}3n9, emonscri4 g, and, c7iO ing a.! o Interactive praceswi.th• he;olteR bucTSetYng, C�"canting:, n ao SehaTd am nagement "tnciuding, �p� --• ^ re aration, ett,. mrant n9 Tp urchasing, menu plannin , food p P ,..._.-ib.n, j maintenancep arenting Teaching chi d rearing and d.iscipiine, p d making use Teaching how to establish community linkages/advocacy an of. Services'. Demonstrating nurturi:rr9/esteem role:=modeling.' 6S4 SERVICE OPAECTIVES _:'capacity of parents to genie , . . Tenor"ide.:HouseTial"dSatiol ement Competency h and maintenance,;; krvdget7ng -:and provide safe household environment far their. children°;throng •competen•t. household •cleaning purchasing. Imgrove,parental Competency capacity of parents to maintain sound rei.ationSh ps with their.: children, and provide. care,. nutrition, hygiene, d sc'rpline. protect'an, tnsiructfon, and• supervision. t Atcess,Resources.-_- services shall assist parent, ImproL'e,Abl.ity and within the local, to.work with other sourcei tin tfie.commumtY.,. state, and fede..r...;,,.,..,„.,, al governments 6SS5 SERYICE`TIME FRAMES vp to twelve tit)`matfis'for families with cirtldren In their own home and/.or for: £am51 ties with ch�Cldren l n ;ot�af l me^�care, who wtl i Vie returning to their own home• .655 WORKLOAD STANDARDS Eightyrp re Cent (801'.) o( work time shall be involved 'with direct service to fain) includig9:.travel ti me . 657 STAFFQ UAtIFICATIONS , .: w _ . _•. Staff's 3verin of CIt £ r Case: Aide_ I1 et"'the State Merit System~ -m ti {e 4 LAST REVISION: THIS REVISION: VII LAST - ° Rd:. Adopted: "'Adopted:, fE fec ive COLORADO DEPARTMENT.OF';;SOCSAL SERVICES STAW MANUAL VOLUME . 7 RV REVISION NUMBER 9404'7'7 i' Attachment .7 Did the Severity of the Case Influence the Use of PAC Programs? The severity of a case did not result in significant use of PAC programs. In fact. the data did not suggest any major shift in usage. C. To what extent did caseworkers and supervisors measure the ^effectiveness and non -effectiveness of PAC programs in terms of a successful closure or milestone in a treatment plan? to f the 69 of mposite caseworker e ranking responses those measure programs effectiveness PAC programs, among three cases identified as follows: Value of of Total Total Responses 27: 56 1) Parent Advocate 18[T 39 2) Partners Plus 1Vb 33 3) Youth Passages 16- 30 4) Therapeutic Foster Care 26 5) Intensive Services 1L' �- 23 6) Day Treatment `ate 3 7) Family Preservation 2:102 - Rank PAC Programs Including Supervisory information of 20 composite responses which measured effectiveness, the response total measured was 89 and resulted in a ranking as follows: Rank PAC Programs Z of Total Total Responses 1) Parent Advocate 25^ 69 2) Partners Plus 197 53 3) Therapeutic Foster Care 157 40 4) Youth Passages 14 37 : 35 5) Intensive Services 13 34 6) Day Treatment 1`+ 7) Family Preservation 27 6 1607 273 The Parent Advocate Program was the most used and considered the most effective PAC program. The Alternative Shelter Some was a concern. during the interview, because it did not provide more intensive treatment programs and provide for space (beds) D. What services or programs were deemed necessary by caseworkers and supervisors but unavailable to meet the needs of the family 6 94048 Attachment K 1-472_ _ C7777 wiy Child advocacy resource ano education. Inc. 1001 9th Avenue — P.C. Box 945 — Greeley. Colorodo 80632 — 303) 356-6751 FAMILY ADVOCATE PROGRAM INTAKE/REFERRAL DATE CASEWORKER NAME' PHONE ADDRESS COURT ACTION: yes no ADJUDICATED: yes no TREATMENT PLAN: yes no GUARDIAN AO LITEM: FAMILY COMPOSITION (NAMES AND DATE OF BIRTH) BRIYEXPIN NY ISIX MONTHS :AB ABUSE/NEGLECT THAT HAS OCCURRED IN THE EFLDURING THE PAST HAVE THE CHILDREN EVER BEEN IN OUT -OF -HOME CARE? yes no IF YES WHAT ARE THE DATES DO THE PARENTS EXPRESS A DESIRE TO IMPROVE AS A PARENT? yes no DO YOU FEEL THE PARENTS HAVE THE POTENTIAL OR CAN IMPROVE? yes no WHAT DISCIPLINARY MEASURES DO THE PARENTS USE YELLING SPANKING ---------- GROUNDING TIME-OUT OTHER LOGICAL CONSEQUENCES A UNITED WAY AGENCY a 940477 Attachment r, tircyx<1,.\ Chad ®dvoc«v rsoU«m and education. Inc. 1001 9th Avenue — P.O. Box 945 — Greeley. Colorado 80632 - (303) 356-6751 HOME VISIT -FAMILY ASSESSMENT FAMILY CASEWORKER DATE GUARDIAN AD LITEM PREPARED BY FAMILY HISTORY: NAME BIRTHDATE POSITION IN FAMILY MARITAL STATUS HIGHEST GRADE COMPLETED_ EMPLOYER MEDICAL HISTORY COUNSELING HISTORY FAMILY BACKGROUND HOW WERE TREY PARENTED HOW WERE THEY DISCIPLINED DOES THE PARENT IDENTIFY SELF AS HAVING BEE ABUSED BEDD ( ERBALLL PHYSICALLY, HEMOTIONALLY OR SEXUALLY) A UNITED WAY AOEMCY 941 NAME. BIRTHDAT:•ttuchment POSITION IN FAMILY MARITAL STATUS HIGHEST GRADE COMPLETED EMPLOYER MEDICAL HISTORY INVOLVEMENT WITH OTHER AGENCIES FAMILY BACKGROUND HOW WERE THEY PARENTED HOW WERE THEY DISCIPLINED DOES THE PARENT IDENTIFY SELF AS HAVING BEEN ABUSED (VERBALLY,PHYSICALLY, EMOTIONALLY OR SEXUALLY) IF YES, HOW AND BY WHO CHILDREN: NAME, BIRTHDATE CURRENT GRADE IN SCHOOL SCHOOL ATTENDING SCHOOL SITUATION MEDICAL HISTORY INVOLVEMENT WITH OTHER AGENCIES ADDITIONAL INFORMATION: 240477 NiME HIRTHDATZ Attachment L CURRENT GRADE IN SCHOOL SCHOOL ATTENDING SCHOOL SITUATION _ MEDICAL HISTORY _ INVOLVEMENT WITH OTHER AGENCIES ADDITIONAL INFORMATION NAME B I RTHDATE CURRENT GRADE IN SCHOOL SCHOOL ATTENDING SCHOOL SITUATION MEDICAL HISTORY INVOLVEMENT WITH OTHER AGENCIES ADDITIONAL INFORMATION NAME IIRTHDATE CURRENT GRADE IN SCHOOL SCHOOL ATTENDING SCHOOL SITUATION MEDICAL HISTORY 940477 IWOVLEMENT WITH OTHER AGENCIES Attachment L ADDITIONAL INFORMATION NAME - BIRTHDATE CURRENT GRADE IN SCHOOL SCHOOL ATTENDING SCHOOL SITUATION MEDICAL HISTORY INVOLVEMENT WITH OTHER AGENCIES ADDITIONAL INFORMATION CURRENT FAMILY INFORMATION: WHAT KIND OF A PARENT ARE YOU HOW DO YOU FEEL ABOUT BEING A PARENT DISCIPLINE (WHEN, WHY, HOW) DO YOU FEEL ANY OF YOUR CHILDREN HAVE BEEN ABUSED IF YES, WHO WAS PBUSED, HOW WAS THE CHILD ABUSED AND WHO ABUSED THEM 94©477 Attachment L WHAT KINDS OF THINGS DO YOU AND YOUR CHILDREN DO TOGETHER WHAT DO YOU FEEL ARE THE BIGGEST PROBLEMS IN YOUR LIFE RIGHT NOW WHAT WOULD YOU LIKE TO CHANGE ABOUT YOUR FAMILY WHAT AREAS OF PARENTING DO YOU FEEL YOU NEED TO IMPROVE UPON 30W COULD AN ADVOCATE HELP YOUR FAMILY ADDITIONAL INFORMATION _ ADVOCATE SUPERVISOR'S COMMENTS, IS THIS FAMILY APPROPRIATE FOR THE FAMILY ADVOCATE PROGRAM 940477 Pt+,c�tuta tt: M Page 3.of 2 CHILD ADVOCACY RESOURCE AND EDUCATION, INC. BOARD OF DIRECTORS NAM} ADDRFSS Marla Martin WORK Supply Officer President TUC Accounting Services Greeley, CO 80639 HOME 909 44th Ave. Ct. #11 Greeley, CO 80634 Nancy Varner WORK Site Representative Vice -President The Greeley Building Greeley, CO 80631 HOME 1813 Fairacre Dr. Greeley, CO 80631 Roberta Miller WORK Vice -President Secretary North Cob. Medical Center Greeley, CO 80631 HOME 5601 18th St. #28 Greeley, CO 80634 Marsha Biddle WORK CPA Treasurer Ruesch & Biddle, CPAs Greeley, CO 80634 HOME 1925 28th Ave. #14 Greeley, CO 80631 Kathy Hansen WORK Office Manager State Farm Insurance Co. Greeley, CO 80631 HOME 1924 34th Ave. Greeley, CO 80631 Gayla Lindquist WORK Attorney 710 11th Ave. Suite 300 Greeley, CO 80631 HOME 16696 WCR 70 Greeley, CO 80631 Barbara Bosley WORK Bedingfield & Associates 1701 23rd Ave. Suite A Greeley, CO 80631 HOME 3044 17th Ave. #6 Greeley, CO 80631 PHONE WORK 351-1400 HOME 353-2224 WORK 356-7973 HOME 356-7973 WORK 350-6054 HOME 330-1119 WORK 353-1798 HOME 356-9212 WORK 356-8500 HOME 351-6643 WORK 353-6040 HOME 352-7753 WORK 352-8673 HOME 352-5825 940477 Att M ••145.3e 2 ot2 Pam Padilla Lynn Price Sharron Riesberg James Peyton WORK HOME WORK HOME WORK HOME WORK HOME Manager, Taco John's 701 11th Ave. Greeley, CO 80631 1541-1/2 12th St. Greeley, CO 80631 Network Manager Systems & Computer Technology Greeley, CO 80631 27790 Blackfoot Rd. Loveland, CO 80537 Instructor UNC English Department Greeley, CO 80639 1726 18th Ave. Greeley, CO 80631 Attorney 710 11th Ave. Suite 205 Greeley, CO 80631 2518 15th Ave. Greeley, CO 80631 WORK 356-7508 HOME WORK 3564000 x4871 HOME 669-9545 WORK 351-2768 HOME 351-0541 WORK 356-8266 HOME 3524110 Attachte t N Page 1 of 2 Toni Wickersham 23989 W.C.R. 58 Greeley, CO 80631 EXPERIENCE: September 1988 to present Child Advocacy Resource and Education 814 9th St., Greeley, CO 80631 Director of Advocates and Special Programs: Administers a program providing services to families for the prevention and treatment of child abuse and neglect. Hires, trains and supervises the Family Advocates. Interviews/screens and selects families for program. Initiates and maintains statistics, narrative reports and records for the advocate program. Assists in fund raising efforts, grant writing and preparation of annual project budget and maintenance of fiscal accountability. November 1986 to May 1987 Blue Valley Mental Health Center Beatrice, NE 68310 Psychiatric Social Worker: Provide Therapy to individuals and families covering a wide range of emotional and psychological problems. Social Work Consultant to the Tecumseh Community Hospital Geriatric Swingbed Unit. Facilitator for the parenting program entitled Systematic Training for Effective Parenting. May 1984 to August 1986 Beatrice Community Hospital Beatrice NE 68310 M.S.W. Consultant: Provide consulting services part time to Parkview Hospital, Geriatric Unit. January 1979 to May 1984 Blue Valley Mental Health Center Beatrice NE 68310 Psychiatric Social Worker: Provide therapy to individuals and families covering a wide range of emotional and psychological problems. Beatrice Crisis Line Consultant. Social Work Consultant to Parkview Hospital, Geriatric Wing. Clinic Representative on the Co-ordinated Intervention System for Domestic Abuse Board. September 1974 to April 1976 Gage and Jefferson Counties, Probation Office, Beatrice NE 68310 Juvenile Probation Officer: Oversaw juveniles on probation. Conducted hone studies, developed treatment plans and prepared court reports. Assessed, approved and supery vised foster homes. Boards and Committees: Member of the Weld County Child Protection Team. May 1991 to present. Member of the Weld County Interagency Early Childhood Screening Team. May 1991 to present. Member of the Board of Directors as well as a Crisis Volunteer for Co-ordinated Intervention System for Domestic Abuse. June 1982 -July 1987. Appointed by Nebraska Governor to the Nebraska Foster Care Review Board in 1982. Activated in January 1986, served until July 1987. Member of the Beatrice State Developmental Center's Human and Legal Rights Committee; May 1986 to July 1987. 94 nit"-, Atta4tent N ; '-2 of 2 Appointed by the Gage County Hoard of Supervisors to the Region V Mental Health Advisory Board; March 1985 to April 1986. Elected to the Filley Consolidated School Board; May 1986 to May 1987. OTHER: Foster parent 1974-1984 Attended the first National Conference of Foster Care Reviewers; Sept. 1986 EDUCATION; Masters of Social work University of Nebraska -Omaha Omaha, Nebraska Diploma -December 1978 Bachelors of Social Work University of Nebraska -Lincoln Lincoln, Nebraska Diploma-May1975 940477 BROCK, WATKINS & SCHOMMER CERTIFIED PUBLIC ACCOUNTANTS 1220 11TH AVENUE, SUITE 200 GREELEY, CO 80631 (303) 352-1700 June 28, 1993 %L11L 0 Page 1 of 4 JAMES A- BROCK LEE WATKINS DAN SCNOMMER INDEPENDENT AUDITOR'S REPORT Board of Directors Child Advocacy Resource and Education, Inc. Greeley, Colorado we have audited the accompanying statements of assets, liability, and fund balance - cash basis of Child Advocacy Resource and Education, Inc., (a nonprofit organization) as of December 31, 1992 and 1991, and the related statements of support, revenue, and expenses - cash basis and changes in fund balance - cash basis for the years then ended. These financial statements are the responsibility of the Organization's management. Our responsibility is to express an opinion on these financial statements based on our audits. we conducted our audits in accordance with generally accepted auditing standards. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management,.as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion. As described in Note 1, these financial statements were prepared on the basis of cash receipts and disbursements, which is a comprehensive basis of accounting other than generally accepted accounting principles. In our opinion, the financial statements referred to above present fairly, in all material respects, the assets, liability, and fund balance of Child Advocacy Resource and Education, Inc., as of December 31, 1992 and 1991, and its support, revenue, and expenses, and the changes in its fund balance for the years then ended, in conformity with the basis of accounting described in Note 1. Respectfully submitted, aion Oezi**,r 1Sc ,s Brock, Watkins & Schommer Certified Public Accountants MEMBERS OF THE AMERICAN INSTITUTE OF CERTIFIED PUBUC ACCOUNTANTS 1 94 04i7 Attit 0 Page 2 of 4 CHILD ADVOCACY RESOUtCEAND EDUCATION, INC. Greeley.Colorado erne Current Assets Petty Cash ' Cash in Banks er hP� �___Pr 31.992 and. ASSETz Total Current, Asse s overty Assern (Note 1) Office Equipment Less: Accumulated Depreciation Total Property A sets Total Assets LIABILITY AND FUND BALANCES Liability Payroll withholding Fund Balances Current - Unrestricted Total Liability and Fund Balances 19Q2 300 33,132 ,33,632 2,221, 300 21.340 21.F40 1,198 -Uslat) 33,632 21,640 97 535 33,535 21,105 33,632 21,640 The accompanying note is an integral part of these financial statements. gjchibit, L 2 940477 Attadi alt O • a3of4 CHILI ADVOCACY RESOQ CE AND EDUCATION, INC Greeley Colorado Statements of Sucoory, Revenue, and Expenses and Change iz fund @•;lances - Cash BaVV.s Years Ended December 31, 1992 and 1901 Support and gevenne Public Support Donations Other Revenue Governmental Grants and Services United Way Allocation Other Programs Fund-raising - (Net of Direct Costs) Investment Income Total Support ar4 Revenue Functional Expenses Salaries Purchased Services Supplies Rent Payroll Taxes Auto Expense Telephone and Answering Service Advertising Insurance Other Expense Health Insurance Office Expense Conferences Total Functional Expenses Excess of Support and Revenue Over Functional Expenses and Balances - Beginning of Year gund.Balances - End of Year • 1942 3,927 I 00, 2,732 90,642 37,546 43,292 43,227 14,166 51,314 8,964 4,737 581 718 161,572 140,274 69,834 69,320 27,579 18,295 13,454 5,377 12,582 12,737 5,885 5,672 5,234 12,063 4,042 2,609 3,331 749 2,490 2,490 1,700 160 1,263 2,167 1,053 651 695 665 149,142 133,455 12,430 6,819 21,19. 14,286 —2.16111 21,105 The accompanying note is an integral part of these financial statements. Fxhthit 2 3 940477 Attrrrht O Page 4of4 ;PI= ADVOCACY REsouRc_Lmo £DUCISTIQNJ INQ;. Greeley, Colorado Note to Financial Statements December 31, 1992 Note 1 - Su1P,mearY of 33ignificat Accounting Policies Nature of Activities Crisis intervention, parenting classes, play therapy children advocates, community awareness and educational related to prevention of child abuse and neglect. E'ca sis of Presentation The Organization prepares its financial statements on the cash method of accounting and includes depreciation of capitalized assets. Under this method, revenues are recognized when collected rather than when earned and expenses are recognized when paid rather than when incurred. Consequently, grants receivable and due from governmental agencies at December 31, 1992, are not included in the financial statements. classes, services Fund Accounting To ensure observance of limitations and restrictions placed on the use of resources available to the center, the accounts of the center are maintained in accordance with the principles of fund accounting. This is the procedure by which resources for various purposes are classified for accounting and reporting purposes into funds established according to their nature and purpose. At year end all funds are unclassified and unrestricted. Property and craipment Office equipment which is purchased is stated at cost; donated items are stated at their estimated fair market value at the time of the donation. Depreciation in provided for in amounts sufficient to relate the cost of depreciable assets to operations over their estimated service lives on a straight line basis with estimated lives of five years. income Taxes The Child Advocacy Resource and Education, Inc., qualifies as a tax exempt organization under Section 501(c)(3) of the Internal Revenue Code; therefore, no provision for income taxes is included in these financial statements. 4 9404'7'7 Attachment I Adult-Ad01escent Parenting inventory Stephen J. Bavolek, Ph.D. Form A faisIng•ienl dren rYou re 32 statements in this de the decreetors booklet. icfyou agree or disagree witparenting ? cnstatement ay etly unceport "e statement. orf feel thisOssttatemthe resnseslen is trueocateC lr most or aillrthe time. circle STRONGLY AGREEme statement. If you stronoiy �f you support the statement or feel this statemens t is true sOme t is notMe lime, truemost or rctethe AGREE. EEyou u feel STRONGLYagainst DISAGREE. statement fre or feel true oe oft he time. you cle DISAGREE. Use UNCERTAIN only twhentit is absolutely impossible to or that the statement is decide on one of the other choices. Lstatement isdoasample :iquestion ueonio one then. Read the statement and decide how you feet about the by g Example: Kids should be allowed to do what they want to do. STRONGLY AGREE AGREE UNCERTAIN DISAGREE STRONGLY DISAGREE As you can see. mere really is no right or wrong answer only your opinion. Ins�tle� fh Number 1 ou will find more questions like the one above. When you are told to OurnThe plepage.ep� these tour points dna go on until you finish all the questions. In answering them. in mind: Answer the questions frankly and truthfully. There is n0 odvantage in giving on untrue answer because you think it is the right thing t0 say. 2. aAnswer Me uestions as bout whatgt0 answer. Gvegthe fkly at st natural answer s you can. Don't rtthhd nd too much time thinking comes to mind, 3. Don't skip any questions or provide two answers for any question. Make sure you respond to every statement with only one answer. 4. Although some questions may seem much like others. there are no two statements exactly alike so make sure You respond to every statement. f there is anything you don't understand. please ask your questions now. If you come across a word you don't know while answering a question, ask the examiner for help, Turn the Page and Begin Copyright' 1984 by Family Oevelopment Rese 'Cos. Inc. All rights reserve°. This test or parts thereat may not be repr0°uCed in any corm without permission of the publisher. 940477 Attachment p form A Pa;e 2of4 A BCr 1. Young children should be expected to comfort their mother when she is feeling blue. Strongly Agree Agree Uncertain Disagree Strongly Disagree 2. Parents should teach their children right from wrong by sometimes using physical punishment. Strongly Agree Agree Uncertain Disagree Strongly Disagree 3. Children should be the main source of comfort and core for their parents. Strongly Agree Agree Uncertain Disagree Strongly Disagree 4. Young children should be expected to hug their mother when she is sad. Strongly Agree Agree Uncertain Disagree Strongly Disagree 5. Parents will spoil their children by picking them up and comforting them when they cry. Strongly Agree Agree Uncertain Disagree Strongly Disagree 6. Children should be expected to verbally express themselves before the age of one year. Strongly Agree Agree Uncertain Disagree Strongly Disagree 7. A good child will comfort both of his/her parents after the parents hove argued. Strongly Agree Agree Uncertain Disagree Strongly Disagree S. Children learn good behavior through the use of physical punishment. Strongly Agree Agree Uncertain Disagree Strongly Disagree 9. Children develop good, strong characters through very strict discipline. Strongly Agree Agree . Uncertain Disagree Strongly Disagree 1O. Parents should expect their children who are under three years to begin taking care of themselves. Strongly Agree Agree Uncertain Disagree Strongly Disagree 11. Young children should be aware of ways to comfort their parents after a hard days work. Strongly Agree Agree Uncertain Disagree Strongly Disagree 12. Parents should slap their child when s/he has done something wrong. Strongly Agree Agree Uncertain Disagree Strongly Disagree 13. Children should always be spanked when they misbehave. Strongly Agree Agree Uncertain Disagree Strongly Disagree 14. Young children should be responsible for much of the happiness of their parents. Strongly Agree Agree Uncertain Disagree Strongly Disagree 15. Parents have a responsibility to spank their child when slhe misbehaves. Strongly Agree Agree Uncertain Disagree Strongly Disagree 16. Parents should expect children to feed themselves by twelve months. Strongly Agree Agree Uncertain Disagree ''9°4$47 Please go to mod pogo. Attachment 9 17. Parents should expect their children to grow physically at about 3t the same rate. Page of 4 Strongly Age Agree Uncertain Disagree 18. Young children who feel secure often grow up expecting too much. Strongly Agree Agree Uncertain Disagree 19. Children should always "pay the price" for misbehaving. Strongly Agree Agree Uncertain Disagree 20. Children should be expected of an early age to feed. bathe. and clothe themselves. Strongly -Agree Agree Uncertain Disagree Strongly Disagree 21. Parents who are sensitive to their children's feelings and moods often spoil their children. Strongly Agree Agree Uncertain Disagree 22. Children deserve more discipline than they get. Strongly Agree Agree Uncertain Disagree 23. Children whose needs are left unattended will often grow up to be more independent. Strongly Agree Agree Uncertain Disagree Strongly Disagree 24. Parents who encourage communication with their children only end up listening to complaints. Strongly Agree Agree Uncertain Disagree Strongly Disagree 25. Children are more likely to learn appropriate behavior when they are spanked for misbehaving. Strongly Agree Agree Uncertain Disagree Strongly Disagree 26. Children will quit crying faster if they are ignored. Strongly Agree Agree Uncertain Disagree Strongly Disagree 27. Children five months of age ought to be capable of sensing what their parents expect. Strongly Agree 28. Fern A ABC D Strongly Disagree Strongly Disagree Strongly Disagree Strongly Disagree Strongly Disagree Agree Uncertain Disagree Strongly Disagree Children who are given too much love by their parents will grow up to be stubborn and spoiled. strongly Agree Agree Uncertain Disagree Strongly Disagree 29. Children should be forced to respect parental authority. Strongly Agree Agree Uncertain Disagree 30. Young children should try to make their parent's life more pleasurable. Strongly Agree Agree Uncertain Disagree Strongly Disagree 31. Young children who are hugged and kissed often will grow up to be "sissies." strongly Agree Agree Uncertain Disagree Strongly Disagree 32. Young children should be expected to comfort their father when he is upset. Strongly Agee Are Uncertain Disagree Strongly Disagree Strongly Disagree Please complete information on the back pag Attachment p C pap4of4 Please complete the following information: AGe: years Name Sex: (Circle one) Male Female Race: (Circle one) White Black Hispanic Asian Oriental American Indian Other: If appropriate: Name of School: Grade Level: Please feel free to add any comments you have: It 340477 a RGyiew: Intake 3 Mo. 6 Mo. 9 Mo. ❑ Closure RISK FACTOR MATRIX Attachment 0 Program: Parent -Aide Child -Aide Group Services TAT Name of Child Cate Number Worker Female Caretaker Reationtip Male Caretaker Relationship Please rate the extent to which each of the element below Contributesto risk for the Odd in question. Put a rating from 0 to 3 (for No Risk to High) in the box by the element, If insufficient information is available. out a -9' In the box. If the element is not applicable, put an 'NA' in the box. On the section assessing Caretaker Characteristics, two boxes are provided so that more than one caretaker can be rated. The female caretaker should be rated in the column marked 'p', and should be identified by name and relationship above. The malt caretaker should be rated in the column marked •t`^'r and should be identified by name and relationship above. The initial assessment should be recorded in the boxes on the left. The follow up assessment should be recorded in the boxes on the right. - NO RISK (0) LOW (1) MODERATE (2) HIGH (3) I. CHILD CHARACTERISTICS Pre-test = Post-test a age ist 12.17 6-11 0 • 5 b. P11ysiOUMentau Social Deveiopment NO physical, mental, social disability or developmental delay Mild physical, mental, social disability or developmental delay Moderate physical. mental, social disability or developmental delay Profound physical, , mental. social disability or developmental delay C. Self -Care Self sufficient Cares forself with minimal adult assistance Cares for sell with much adult assistance Unable to care for Nil d 4'" - • pion Actively resists abuse Show; some consistent resistance to abuse Displays li le or little Occasional resistance 10 abuse Accepts abuse wrtnouf resistance e Fear of Caretaker tar Home tnvirc-' • rnt No feat of caretaker or home environment Evidences mild doubt or concern about home environment Evidences anxiety and discomfort about home environment Extremely fearful about caretaker Or home environment 11. SEVERITY OF CA/N Pre-test =3 Post-test =s f. Dangerous Acts No acts that place child at risk of pain or injury acts which place child at risk of minor pair Or injury Acts which place Child at risk of significant pain of moderate injury Arts which place child at risk Of impairment Or loss of bodily functions g. latent of Mysi(al Injury Of Harm No injury, no medical treatment required Superficial injury, no medical attention required Significant injury. unlikely to require medical intervention Major injury or substantial effect on development requiring medical treatment Is, Extent of Emotional Harm No emotional harm or behavioral disturbance related to CAN Minor distress or impairment in role functioning related to CAIN Behavioral problems that impair social relationships or role functioning related to CAM Extensive emotional or behavioral impairment related to CA/N 1. Adequacy of Medical Can Adequate routine and Crisis Care provided Failure to provide routine medical, dental or prenatal care Failure to provide medical care for injury Or illness that usually should receive attention Failure to )rovide treatment for a critical Or life -dim atening condition j Provision foe task Needs Food. clothing, shelter and hygiene needs all adequately met Failure to prOvsde for basic needs places child at risk of minor distressedacomlert Failure t0 meet basic needs places child at risk Of cumulative harm Failure tO provide for basic need; places child at risk Of imminent harm k, Adequacy Of Supervision Supervision meets ni•rmal standard; appropriate to child's aae Lack of supervision places child at risk of minor discorn. fort/distress Lack of supervision places child at risk of Cumulative harm Lack of supervision places child at risk of imminent harm . I. Physical Hazards in the Home No observable conditions in the home threaten the child's wed -being Conditions in the home place the child at risk of minor illness or .. superficial injury , Conditions in the home place the Child at risk of harm that is significant.. _but unlikely to require treatment -. Hazards in the home environment place the child at risk of serip/14 harm anYW17t7S!' likely ton treatment : III. Saxual Contact — • NO sexual contact . _., Suggestive remarks and flirtation without Clear sesualoverturesor- ..- contact Adult has protons(' Odd, made Sexual... overturn, or engaged Child in non -genital fondling or grooming Adult has engaged child 'Asexual contact including masturbation,. penetration or Oral sex III. CHRONOCITY OF CAIN Pre-test = Post-test = n Chronicity of GUN Child has not been abused or neglected Isolated incident of CAIN Intermittent occurencet Of CAIN Repeated or ongoing pattern of CAIN (more than two octurences in a short time span) IV- CARETAKER CHARACTERISTICS Pre-test - Post-test = 0 Age of Parent, Caretaker Parent over age. 21 Teen Parent of any age living wish parent(%) or mature personfs) Young parent (age 1B- 21) living alone Or with similar age partner Teen parent (age 12.17) living alone or with similar age partner p. Victimization of Other Children No evidence of CAIN towards other Children Evidence Of minor CNN towards other children Evidence of moderate CNN towards other children , Evidence of serious CAIN towards other children FOLLOW-UP ASSESSMENT 4-47 Attachment Q LID J JJ JLi JJ 1D JJ Jn J gimp NO RISK (0) LOW (S) MODERATE (2) HIGH (3) O. Mental, Physical or Emotional Impairment No oysical, mental or emotional impairment interferes with the -- capacity TO Parent A Phss•CaI. mental Or emotional impairment ' mildly interferes with' the tapauty TO, parent A physical. mental or emotional impairment interferes significantly with the capacity to parent Oue tO phy;Nal, mental or emotional Impair. - meat, capacity TO parent is severely inadequate . r. Substance Abuse No Pest or present substance abuse HgtOry of substance abuse but no current Problem Reduced effectiveness due to substance abuse or addiction Substantial incapacity due to substance abuse or addiction s. Hlrtory Of ult:" Assault:"a Behavior Noassaultive Dehavror Isolated incident of alultive behavior not resulting in injury Sporadic incidents of asaslbn behavior which results Or Could result in minor in;ury Rtpm faCed ciden60f assaultive behavior Or single incident which results or could result in mayor injury t History of Abuse or Neglect as a Child Was not abused or neglected as a child isolated incidents of abuse Or neglect as a child History of intermittent abuse or neglect at a child - History Of chronic and/or severe abuse or neglect via child u. Parenting Skills and Knowledge No noteworthy limitations in parenting sk ills and knowledge Some unrealistic. expectations Of child and/or gaps in parenting skills Significant galls in knowledge strut that interfere with effective parenting Gross deficits in parenting knowledge and skills of inappro- prate demands and e.pectations of child V. Nurweance Openly accepting and ate!nonat• towards child, provides adeQuate stimulation inconsistent proviMdn and rap esvOn of stimulation. acceptance and affection Some deprivations D^ but not openly 'electing or hostile Severe relectwn and/or deprivation of affection, attention and stimulation w. Recogertion of Problem Open acknowledge- ment Of problem and its seventy and willing- nest tO accept responsibility Recognition Of problem's existence and wilingness to take some responsibility Superficial understand- ing of problem but failure to accept responsibility for their own behavior No understanding or complete denial of problem and refusal to accept any responsibility c. Protection of Child Caretaker willing and able to protect Chill and using good Iudgement Caretaker willing but occasionally unable t0 Protect child Caretaker vacillates or is inconsistent about protecting child Caretaker ref uses Oris unable b e to protest child y. Cooperation with Caw Planning and Service Caretaker actively involved in Case planning and services Caretaker does not take initiative in Obtaining needed services Caretaker minimally' involved in seMCts, passive -resistant or fails to follow through Caretaker actively resists any agency contactor involvement V. PARENT/CH LD RELATIONSHIP Pre-test = Post-test = z. Response to Child's Behavior or Misconduct Caretaker does not overreact tO child's behavior and child responds to limit setting Caretaker occasionally responds inappropriate- ly to child's behavior Caretaker responds tO child's behavior with frustration or helpless. ness and child escalates misbehavior Caretaker consistently responds abusively to Child's behavior aa. Attachment and Bonding Secure parent/child attachment Mild discrepancies or inconsistencies are evident in the parenuchild relationship Child evidences an anxious or disturbed . attachment to the parent Complete letk of bonding between Child and parent bb. Childs Role in Family Roles and responsiblities in family are ass.gned aooroprutely Child is given m+ppro• ornate role withn0 immediately apparent detrimental effects Child's role in family has detrimentalefletts On normal development Chit's role in family severely limits Or prevents normal development VI. ENVIRONMENTAL FACTORS Pre-test = Post-test = cc. Stress on Caretaker No ugni ficanttife messes currently impinging on caretaker Caretaker experiencing mild stresses Caretaker super nencing moderate stresses Caretakerexperiencmg multiple and/Or Severe stresses dd. tmploy.+eni• Status of Providers Employed ate level consistent with train. ing and personal expectations Or Unemployed by thane Ci.rrenti ufhlei.rn Y iiloy ed or unemployed with immediate prospec0 for employment Unemployed but with marketable skills and i potential /of employment Unemployed witn no propped{ for employment ee. Social Support for Caretaker Rreouent suPOortrvf comet; with f. iends or relatives and appropriate use Cl community resources Occasional contact with supportive persons: some use of available community resources SporadicsuppOrtwe contact; undvusCc r resources Caretaker geographical. Ty Or emotionally yd at - ed and community resources not available or not used VII. PERPETRATOR ACCESS Pre -tort ,_ Post-test N. Per petrat or Attest to (Abuses Responsibility for Care of Ohld INegkr& Perpetrator has no access or responsible Caretaker is available Supervised access Or shared responsibility for care of child Limited unsupervised access or primary responsibility ON care of Child in non•supportive environment immediate. unlimited access or full resPonsibdrty for care of -child OVERALL RISK AFTER INITIAL ASSESSMENT - 0- No Risk CFTC EC DE CO ED DE DO C ❑a ❑D CE OVERALL RISK AT CLOSURE El - 0- No Risk -1- Low Risk - 2- Moderate tree 0477 •> - 1- - 2- -1- Low Risk Moderate Risk Ninth O cle 0=i3o risk 1-32=Low 33-64=Moderate Attachment R Child ddvococy resource and education, Inc. 1001 9th Rvenue — P.O. Sox 945 — Greeley. Colorado 80632 - (303) 356-6751 ADVOCATE QUARTERLY PROGRESS REPORT OUTLINE CLIENT'S NAME: ADVOCATES NAME: DATE OF REPORT: REASON FOR REFERRAL: GENERAL GOALS FOR MR. AND MRS. GOALS ACHIEVED: GOALS NOT ACHIEVED: ASSESSMENT: RECOMMENDATION: ADVOCATES SIGNATURE -77-77 1•11-'1±-t.) i, Child advococv resource one educ000n. Inc. 1001 9th :venue — P.O. ?ox 945 — Greeley. Ccicrcdo 80632 — (303) 356-6751 MONTXtY C_NTACT F AMILI" : _ ADVOCATE: Attachment S NUMBER OF APPOINTMENTS KEPT: NUMBER OF APPOINTMENTS CANCELED: NUMBER OF APPOINTMENTS MISSED: MONTH/YSAR: DATE/TIKE PERSONS PRESENT PURPOSE OF CONTACT a 'O" D WAY KdNCY mama 940477 Attachment T 5310.213 (V79) COLORADO STATE DEPARTMENT OF SOCIAL SERVICES AUTHORIZATION FOR CONTRACTUAL CASE SERVICES Weld COUNTY DATE C ild Advocacy Resource and EC:caticn. _^c. (NAME OF PROVIDER) 1001 - 9th Avenue (ADDRESS) a Greeley, CO 80631 CTY) (SiAIE) L'P CCDE) THE DESCRIBED SERVICE IS AUTHORIZED FOR THE CLIENT INDICATED: Lee_ at --aced 1 --:eels ;NAME c C;IENT1 6. SERVICE. :^=:srg I (Parent-AdVCcate ' vest '-68) OESC ::PncN) 7. APPROVAL: 00 -� Proarem 353 HOUSEMCLD NC. (CAL) ;CAL GAP.) Cbject 655 (SV. CCOEI (CASE wORKER) (ONE) (CO. DIRECTOR OR SUPERVISOR) (DAM 8, TO BE COMPLETED BYPROVIDER DATE Cr. SERVICE___ — CHARGES Tax ; 0747704 D ANO THE C-IARGES ARE MADE CERTIFY BONA FIDE CONTRACT B AUTHORIZED E?WEEN ME ANND THE COUNTY DEPAR ENTEOF SOCAL SERVICES ND CATED. PURSUANT TO (PROvICER5 SIGVAEURE) LONE) PREPARE IN littruen ORIGINAL ANO ONE COPT TO PROVIDER. ONE COPY FOR PENDING SOL COMPLETED PROMO WS PORMS —ORIGINAL TO =NTT nnasCE OEMS - COPT TO CAS RECORD. 940477 Attachment U CA Oa 7 rr C 0 s�;uo}r ato 101 12701 I I I am2N auallO O 7 -0 n net et A 1/40 4 A O. o m > w x n rt.", A n 0 C ro a ra x A rt 7 < R 0 N a• m 0 A Pt 04 0 K d h 2 N O O K r+0 IC "3 en I. r O r— r 9 Oa Ca A r (f, 7 C 70 I". < A 104 0 rn 0 r o rr N 0 O N, 0 0 O C H ro R a 0 041 0 R G •0 O r N 0 0 r• b Resource end Education nosuy 1504 :ol �l�sa4 03 A 5 A r r r. A y r* 4 A W •t A 0 0 C. ro .0 F A N rt M 0 n 73 A d C m a A C R 940477 PLACEMENT ALTERNATIVES COMMISSION QUARTERLY PERFOKMANCE REPORT NAME OF CONTRACTOR: PROGRAM NA≥1E: Reporting Period: 06/01/93 through 08/31)93 09/01/93 through 11110 )93 „tea Atast V Ps -ft 1af4 CONTRACT N0: 12/01/93 through 02128194 03/01/94 through 0'3/31/94 Target Performance k Actual Quarterly 1, Objectives Saitailanili. Performance B. Average number of children served per month Average number of months in program for children who have been discharged Average cost per month per child COMMENTS MENTS 9404'77 PtiadtB t V Page 2 of 4 II. Program Specific Objective Related to Client Outcome Performance as Stated in the PAC Implementation Plan A. Objective Description: What has been undertaken andior completed during this period? Does this progress meet those goals stated in the Implementation Plan? What will be undertaken next quarter to meed or exceed the Implementation Plan? B. Objective Description What has been undertaken and/or completed during this period? Does this progress meet those goals stated in the Implementation Plan? What will be undertaken next quarter to meet or exceed the Implementation Plan Attach additional sheets ii necessary Attadnt V Page 3 of 4 II. Program Specific Objective Related to Client Outcome Performance as stated in the PAC Implementation Plan (Continued) Objective Description_ What has been undertaken and/or completed during this period? Does this progress meet those goals stated in the Implementation Plan? What will be undertaken next quarter to treed or exceed the Implementation Plan? Objective Description: What has been undertaken andlor completed during this period? Does this progress meet those goals stated in the Implementation Plan? What will be undertaken next quarter to meet or exceed the Implementation Plan Attach additional sheets it necessary -3- S4Q4'7"! ptiatnst V ace 4 of 4 Have any complaints from clients, parents, agencies been received on the project? Have problems or issues developed for your agency related to the administration and operation of the project? IV. What, if any, technical assistance is needed to successfully complete this project? hereby certify to the best of my knowledge and belief that the information in this report, including any supplemental information. is true and correct. Signature Title Date 94 Attacanent W Family Schedule and Performance Chart Complete the information at the eno or each session by entering the date you introduced the concept. Place a check in either she Ne More work column OR Undersranas:AcccOts column. If more wart is nctdcd- renew dtuur3 the neu session. When the coact; understood and accepted, place the date in the UndastandrAcceprs column. The concept should be understood and accepted bct advancing so the next concept. Use the Notes column for any comments you w'ab to make. Date , Needs More i t. ndcntatnst I Content introduced Work Accent Notes 1. Orientation I _. Nurturing Philosophy of Raising Children Discioune and Punishment 3. Family Rules 5, Personal Needs and Payoffs to Behavior 6. Spoiling Your Children 7. Personal Power rS.- Praise for Being and Doing 4. Red. White. and Bruises Hurting Touch 10. Baby Proofing 11. Verbal and Physical Redirection 1^_. Touts aria Talk 13. Time 14. -Out Acs and Stages 15. 16. Skill Strips 17. Troublesome Feelings 18. Handling Stress Nurturing Diapering and Dressing. Routines 19. 22. Nurturing Feeding Routine Dinner Time 21. Nutrition and Nurturing Bath Time Routine = 23. Nurturing Bedtime Routine Anger 24. i Managing Behavior 25. lcmonne 26, 27. Personal Space 23. Bodies. Conception. and Pregnancy Scary Touch. Love. and AIDS 29. Body Mao 30. 31. Criticism and Confrontation 32. 33, 34. I Statements and You Messages Problem Solving and Decision Making Helping Children with Feelings 35. Improving Specific Self -Esteem Stimulating and Communicating 36. Toilet Training 37. Verbal Management 38. 39. Self-Esoression 40. ?conic and Possessions 41, Situations and Solutions: Review of Behavior Management 42. Positive Self -Talk 43. Families and annual Use ' 44, Emer¢encv Parenting and Survival fits 45. Closing Program Activities I 1 I etrasvaesaLW— Oft !I/trine TAeFatee,tortoftheNununeeProvisofortarawdfatidre9tawPh.Yoneedmryn+tep S Attac5rent p Nurturing Program for Parents and Children Birth to Five Years Family Record Form PARENTS: Father's Name: (Work): Phone (Home): Mother's Name: (Work): Phone (Home): Address: City: CHILDREN: 1. 3. 4. Name State ZiD Additional Information About the Family: eta n r IRA and Cbildrea a Ye,nawl soy to .msasa This(an■90001tooNunrns6E... fartncnas 940477 d r C J C C ADVUCATE i N F. 0 t Attachment X FOLLOW-UP CONTACTS AND SUGGESTED RESOURCES / SATE PERSONS CONTACTE( GOALS TIME SPENT 940471 FAMILY ADVOCATE PROGRAM Fatly ?t aztte Rale-• Psse Ntreds of Family ate 1 ferral Provide Relevant information Prseive infoctxtic ratop.y it to'±cine with fatly Particulate in staffing -met sera= provided by CET Family Advoate Rale- ?c3at5 no's of fatly Mite nafesoil provide relevant infraiai lezieive infocmtinn-a ply it to ring with fatly par`ir;F`- in s`affirx3 S j?mt s<2fl.Nriors ao✓idal by Altcmativr3 Stool Family Advocate Pole Asses roils of fatly Make rverxal Provide xr_laerit information rive infocmtiai-apply it to taking with family PArticipitte in staffirrp St, Cl lit as provided by ;bid M'ntctl attrt Family Adacate Rale Ass= mot of family Male reaal provide rde. nt iritoccritiai Pereive infoc:utiar'apply it to wroarri with fanly Participate in .sta,f,t,,r�rr� �sy�.� Support scz'ir .+ Franck' byy Part or THESE ARE cgtnps OF 07xpE Ikl M IM17S criB Oft PCEtCEES IBM THE EMILY A13.07115 istzna_ son. FAMILY ADVOCATE COLLABORATION PLAN Ewe 2 COLLABORATING AGENCY CET rar_- AtteL referral is cork �c.:a family for Stvias amide relevant infaatatbas to adwcte Provide appropriate available err is ri.e., Itst3` Apry Bacaring, Ptotecti.e Day Care Participate in staffirrls Stet sFxviat Eporviciad br alma t Alttt1ative Sd'nal Rale- celd qty SiW1 Tate Nark Aft i refeaxal ass family for a tvian Previde relevant infarction to a accate Provide appropriate avai/lble salvias Participate in staffirtp Swtt wires provided by ackcratc teld Mnt;l Wealth - After refer]. i, cafe amiss fatly fx services Provide relevant inforretias to adatxate psi& arct: are available. neivicrc-i.e., Fatly or irtividn1 Treapy, Psydtlogit:31 at �r iaaic Ate, ice Corbeling, Sexual hw victims Ckac{z Fatticipato in stsffi.'rJs Shalt sot provided by adaate Part ors Ida- Aftr n eaal is mite a as' child fa' aorvic s avvide relevant irdaattitias to advocon Provide aptcpr;ate :vices- aniar Facto= or Starr Pl.tr; Partiaiiste an Staffans sm a'rims ExoJixi by alaa..3'" to REh c ito D",aD Ilk. CN:Y A SPLL ICRCICtia'IFE 940477 FAMILY'ADVOCATE PROGRAM FAMILY ADVOCATE COLLABORATION PLAN COLLABORATING AGENCY Page 2 of 2 Faanly Advocate Itie As`Ess macs of fairly Make referral Provide relev nt infagcatarn Elective informatiaraaaly it to c,csJdrrj with Se fatly P,pte inaffints Support arvicrs prwidal by Thcxapizt Privyist Rale- After refenta is rode assess fatly far =vices Profitle relcvent infaztudm to aductate Provide <,pacpc;rm available saw= itcrticipote it sttffns arcart wire, prenided by advocate rattily Adwat RalL— Asrs.s news of family than aizxttriate intra xr self to ortrol px rnMl Pre irie rclexsst infcxrrstiai Partitfnte in staffirx)s Stwrt secviace provide:I by slcz2l bract School DisMlct Itle Assam the wail of Cr fa ily Frwide relevent infaer aticn to etluote prticipate in sttffirra 3rtert s=icm xtvidee by advocate racily Advocate Role Asg5 of family Mice relent Prwir}. rclevent informatics: Receive inforration-apply it to ;,rzldrx7 with family &Rost services provided by A human"s Pita' A Uren's Place Rale Asters the meth of tit (slily Provide rele ,art infcctS iai to awl to Provide i(rn'cxvite aver nble servirr Protective aeltr'r, rbtstic Violence Can eUri `4 t services pi:viand by advarste Family lebmte Rale- A mods of fitly [Tice refer 'il Provide rc1e e t infortatien Receive info ntcm-q ely it to trxidrij with f r:1y Stp_t service!: provided by tte Health Depertrent tt d Canty Ceprtnent of italth Ible Aftrs mfenl in sale •I--,,.farily far =vices Provide rcicacnt it earation to adcmaaRt Provide af{rrir+3te available Vital Care, tbII Baby Qrdc• Irannr atint c rrrt services ptiwidcd by EdvosIte THESE ARE EXAMPLES OF COLLARABORATION EF ORTS WITH OTHER COMMUNIT'Z RESOURCES AND REPRESENTS ONLY A SMALL PORTION OF THE A ENCIES THAT THE FAMILY ADVOCATES NETWORK WITH. 9404/♦ Attachment Z c•a•r'e7 r r Chad advocacy r.wwce and educotton. 814 9th Street — P.O. Box 945 — Greeley. Colorado 80632 — (303) 356-6751 ADVOCATE'S NAME _ FAMILY'S NAME FAMILY ADVOCATE TIME SHEET NUMBER OF INDIVIDUALS SERVED MONTH AND YEAR FACE TO FACE CONTACT TRAVEL COURT TIME PAPERWORK SUPERVISORY MEETINGS AGENCY STAFFINGS TOTAL COMMENTS: UNITED WAY AGENCY 9404'7! TABLE OF CONTENTS STATEMENT OF NEED POPULATION TO BE SERVED PROGRAM REQUIREMENTS TYPES OF SERVICES TO BE PROVIDED PROVISION OF SERVICES AND ADMINISTRATIVE CAPABILITY PAST PERFORMANCE EVALUATION RESULTS BUDGET PROGRAM EVALUATION AND CONTINUATION ATTACHMENTS 1 2 2 3 3 3 4 A -Z 940477 ATP -PAC -94004 Attachment h Page 1 of 2 COVER PAGE ALTERNATIVES TO OUT OF PLACEMENT PROGRAMS Placement Alternatives Commission PROGRAM YEAR 1994 BID # REP -PAC -94004 Client Group(s) to be Servedill children birth -12 years old and their families living in Weld County in imminent danger of being removed from their home Name of Applicant Agency: Child Advocacy R�aC!inafN and ':dt'.n?tine address: 814 9th street City: Greeley Colorado 80631 Phone: (303 356-6751 Contact Person: Toni w iexersham Title: Director of Advnra ns And Prr_an, Approximate Project Dates: Start rune 1. 1994 End Mav 31. 1995 Title of Project: Family Adyoc to Prniram Amount Requested $49/42.°.51` Si8 nat es: . Name and Signature of^ Person, Preparing Proposal Name d Signature of iefnistrative Officer of plicant Agency Date Date PROPOSED FAMILY PRESERVATION PROGRAM CATEGORY Please initial to indicate the bidder's chosen category (only one category per bid) Home Based Intensive Family Intervention Option 1 Home Based Intensive Family Intervention Option 2 Intensive Family Therapy Sexual Abuse Treatment Day Treatment Life Skills Individualized/Innovative Services 21 9404'77 FP -e AC -94004 • _ TYPE OF PROJECT .;Lcachment A Page 2 of 2 Continuing Project under Weld County PAC How many years? 7 New Project X Proposed Program will eliminate the need for out of home placement Proposed Program will lower the cost of cut of home placement Other: The Proposed Program will MANDATORY PROPOSAL REQUIREMENTS Please initial to indicate that the following required sections are included in this proposal: �t Statement of Need / Population to be Served f �fl.i Program Requirements 174\,4 Types of Services Provided Provision of Services & Administrative Capability 4 OL: Past Performance Letters of Support (New Programs Only) Budget o'Lvt-, Program Evaluation and Continuation 22 94047'7 la) . Staztarent of: In 1993 theme were over 11200 child ah /rt's)lect referrals race to ICES are theme were atirtbely 750 chil- dren per troth in cat -of- ha. care.* Tramp the period of ire 1.993-Ettnery 1994 a fetal of 16 families with a total of 44 children were involved in de Famdly Advocate Prr ran An additional five fatulies vv o referred to the Rogran are were revrr cratt'med with an advocate ballad ftrctim vas not a ie to include than in de tAJ-1}ca ttze ware also those families that tete rover refired to the advocate p :Jr= dxctse the r. ,,..r..-rras sure mare that the program vas at flatiron rapacity and a referral would be futile. It is gm -ally accepted that parenting and nzrt:ring skids are leaded tE'havicrs and that child abuse alb re - sleet rcpt' ant an aMoce of learning apprceriate maturing matting are ctildrearjxg behaviors, all of lanai are the c.pose at focus of the family Advocate Progran. Child Advoccy Pcsacat and action's (c.a.r.e.) Ftrily Pd- vccatc Pragran was developed 7 ooars app with the prwrary axctee of stnt:hjLhenirj and pmervirg families while rzotectre the child= ton (re)ar„s or neglect, ticniiq preventing out -of -hate p' grant or excavating ;he re- turn to the tare the chi 1&ei currently living in foshier care. re progran to to fug is a very intensive tarty band intervention pro3rzm utilizing rained pair' ernlowes of c.a.r.e. t -cork with are advocate for a &artily that reefs the Fanny Pro e:vatic criteria for to to 40 :oars a month for a t^e.'.icd of ore yr*,r. FLr the 94-95 F1t-tt ynr c.a.r.e. would provide 8 advocate to work with 8 fans) its. Sr row' for a:t a rro:gram an to mortal by the fact that for the pat 61 }oars caseworkers are '1repl aro mat perserrel. have ircludcd a family's involvement with the frilly ciccote cz ,La'u in their rexnctrrdaticns a'd treatrEnt plarc. An indimtim that the gagran L seen as wattle, effective ate re.asi. (See i lita La -)chil- dren e inxwsin crsts of cut -of -lam Pmt', `long with the dowse in available e s - or thae m it eve more crucial that sincere rffarts are nada to grande services &' g cd toxreerve the fatly and avoid cawing the hold= from their tare. fortdotab parrentire 7 ogrars V2re irictficd in aiptor n of 1991 by the U.S. Pdvixay Board at Child Ptuc are Nbglect as the sigle r,wL i^r rant stntegy to deal with the p e- venticn of raltreat1ett of tildrtn. Without the Emily Advocate Phan to will see an On -case in the amber of children in cut -of -tare Gaze. ]irritcrl. *Significant and specific statistics ecc tenting le -n1 roped are very 2.) nailatirntoBeServed: re target Ereilaticn for this t.r.0 ctrn ail children living in 4eid County teavan birth and the age of 12 Wars, regardless of sex, ethnicity or legal status who heave boot identified by Vii' cy, as Icing at high risk of mire pla-re in czt-of-km care an to Cy^sical., erotical or sexual ate senor reelect; or hire/ter Caitiza d cam in the home is likely to result in Erhysical or atrxiorel injury if tare is no imtadiate intezvurtian. At the titre the Fatly Pdvccate services are amrcresd it shall to deene tttat there will the a reasonable Erxyhitity that services w)l.l bring about suffiCdntt irnmettent in parental skills to allow a child(r en) to return hate cr safely reside at tore. CtJdrtn so identified will have met the Se26 9 lirx:s for cuter -hare plants as well as fleets the fPC eligible Ego:latian criteria. a are not of`.v� _ d to the <p�al 'The intensive taut services received by fanilirs v zmcd into this cavyc z client tt ai atirn that c.a.r.e. serves. 'Rae netts of the fan:i is identified as appropriate for this ero ran are severe and chronic, w ithnit imrediate int rventicn oat-cf-tore placement of. the children is eminent. 'lie FCCES will to the only referral sarcce for this =regrxn, referrals will to initiated by tie tacworkms in the Child Protectiat Divisicn. the pro= hagins with the Mild Protective Ci torlarr raking an <rf acaLL as to wt-ethrr or rot the child(rm)tave met the 9026 guidon iris for cut -of -hare ,direr nt. A rr fr'rr 1 farm Exwichd by the Fatly Advocate Program (Attr'rrent'&) will be c mpleta and subtottxh;3 to the c chats supervises for mil. are the referral is approved it is then sat to the Director of Pdvo2. A Family Assessment (Attachment L) is ont rsd by the Director of Advocates within 1-8 ;taking g days after the referral is received. aculd the family to s=ad as arptrlriate for the Freon an arhocate will begin working with the fatly within 1-5 TACedng days. '2e asscaratt and match will take padre in a ti fly fathiirn as long as the fatly maps tctselves acre pith to the Family Advocate aogianr. Curing the 94 95 fiat year c.a.r.e. is proposing to guide 8 ataincrl Lanny Pdvccates to wcdc 40 trouts par tronUh per fanny for a period of 12 ninths, es outlined in the Lifesldlls c to xy of the Fanily Prc evatirn Plogan. (c.a.r.e. valid be mai to the prrZihi1ity of curdling the intonation for an xi -Et -tonal 6 ttai'^s if alloge under the state PPC Guidnllirc and SCES ani c.a.r.e. detemti.'e that a rub still cdsts and oar timid involverrent would prehe t out -of -Torte plaoarent of the thud(ren) involva.) tliki.S.2i CSUIStaraS ` it tr ey to may for farilia to arr- nut to less than 40 hours a month, allacnj the sv�v am tc anx y that is also available for ally put tiara involvrstcnt. It is feasiole that the Advocate t.ealrun %Darr serve rare than 8 farm. J. per acnth. 3.) Pittman Peguirerrents: Alist of pra3rrm toad and treasonable objectives to he utilized ized in the pco3ran evaluation as cell as a t.odc plat that itrlu3's iqsrewtatiat tineliress are aithessod in Attactottnt B. -1- 9404'77 ortir, iik COLORADO MEMORANDUM DEPARTMENT OF SOCIAL SERVICES P.O. BOX A GREELEY, COLORADO 80632 Administration and Public Assistance (303) 352.1551 Child Support (303) 3524933 Protective and Youth Services (303) 3524923 Food Stamps (303) 356.3850 FAX (303) 3534215 TO: Constance Harbert, Chairman Board of County Commissioners //►� FROM: Judy Griego, Director, Social Services . M U. DATE: May 20, 1994 SUBJECT: Notification of Financial Assistance Award between the Child Advocacy Resource and Education and the Weld County Department of Social Services Enclosed for Board approval is a Notification of Financial Assistance Award between the Child Advocacy Resource and Education and the Weld County Department of Social Services for Placement Alternatives Commission (PAC) funds. The Placement Alternatives Commission (PAC) reviewed proposals under a Request for Proposal process and arc recommending approval of this bid. 1. Total award would be $49,428.51 2. The period of the award is June 1, 1994, through May 31, 1995. 3. The Child Advocacy Resource and Education program would match one advocate or volunteer with a family for 40 hours per month for up to 12 months (10 hours per week). If you have any questions, please telephone me at extension 6200. JAG:aas 940477 RESOLUTION RE: APPROVE NOTIFICATION OF FINANCIAL ASSISTANCE AWARD FOR PLACEMENT ALTERNATIVES COMMISSION FUNDS FOR WELD COUNTY PARTNERS AND AUTHORIZE CHAIRMAN TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with a Notification of Financial Assistance Award for Placement Alternatives Commission Funds between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Social Services, and Weld County Partners, commencing June 1, 1994, and ending May 31, 1995, with further terms and conditions being as stated in said notification, and WHEREAS, after review, the Board deems it advisable to approve said notification, 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. ex -officio Board of Social Services, that the Notification of Financial Assistance Award for Placement Alternatives Commission Funds between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Social Services, and Weld County Partners be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is, authorized to sign said notification. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 23rd day of May, A.D., 1994. ATTEST: Weld County Clerk to the Board BY: j1Y Deputy Cl rk to the Board APP B.o ED AS TO FORM: nt Atto e Constance L. Harbert BOARD OF COUNTY COMMISSIONERS WELD COUNTY. CO MORADO /�_1 u)pi . Webster. Chairman ge F✓ Baxter arbara J. Kirkme e ; /9/4/ZrA/E,e..e, 940478 Weld County Department of Social Services Notification of Financial Assistance Award for Placement Alternatives Commission (PAC) Funds Type of Action X Initial Award Contract Award No. FY92-PAC-300 (RFP-PAC-9200) Contract Award Period Beginning 06/01/94 Ending 05/31/95 and Name and Address of Contractor Weld County Partners 1212 8th Street Greeley. CO 80631 Computation of Awards Unit of Service A match of one advocate or volunteer with a family for 40 hours per month for up to 12 months (8.75 hours per week) Cost Per Unit of Service D.D.S. less Hourly Rate Per Unit of Service Based on Average Capacity $ 13.00 $ .73 $ 12.27 Monthly Rate Per $ 520.00 Unit of Service Based on Average Capacity Total Yearly $36,243.00 Services Budget (Subject to the Availability of Federal and State Funds) Enclosures: Signed RFP Approv�a�ls::�Q By '��1' / /!7� W. H. ebster, C iairman ��:�5 gy Board of Weld County Commissioners Date: Monthly Program Capacity 12 Monthly Average Capacity 12 Description The issuance of the Notification of Financial Assistance Award is based upon your Request for Proposal (RFP). The RIP specifies the scope of services and conditions of award. Except where it is in conflict with this NFAA in which case the NFAA governs, the RFP upon which this award is based is an integral part of the action. Special conditions 1) Reimbursement for the Unit of Service will be based on an hourly rate per child or per family. 2) The hourly rate will be paid for only direct face to face contact with the child and/or family or as specified in the unit of cost computation. 3) Unit of service costs cannot exceed the hourly, monthly, and yearly cost per child and/or family. 4) Rates will only be paid on approved and open cases with the Department of Social Services. Program Official: By JuSyGrego, Wel ount Depar nt Soci 1 Se ices Date: .5//9fiy 940475 • INVITATION TO BID v=gveaCraMMM0=======a=========s=======aa=Ys3sfY======Omss=aa==a==saa=zsmS======aaaaaaa DATE: January 7, 1994 RETURN BID TO: Pat Persichino Director of BID N0: RFP-PAC-94OO4 General Services 915 10th Street P.O. Box 754 Greeley, CO 80632 DIRECT INQUIRIES TO: Pat Persichino, Director of General Services SUMMARY Request for Proposal (RFP-PAC-94004) for: Family Preservation Program Deadline: February 22, 1994, Tuesday, 10:00 a.m. The Placement Alternatives Commission, an advisory commission to the Weld County Department of Social Services, announces that competing applications will be accepted for new grants pursuant to the Board of Weld County Commissioners authority under the Statewide Family Preservation Program (C.R.S.26-5.5-101) and Emergency Assistance for Families with Children at Imminent Risk of out -of -Home Placement (C.R.S. 26-5.3-101). The Placement Alternatives Commission wishes to approve a twelve month program targeted to run from June 1. 1994 through May 31, 1995, at targeted funding levels of increments up to $482,431.00. This program announcement consists of five parts, as follows: PART A...Administrative Information PART B...Background, Overview and Goals PART C...Statement of Work PART D...Bidder Response Format PART E...Evaluation Process Delivery Date 2-21-94 (After receipt of order) VENDOR Weld County PARTNERS ADDRESS 1212 8th Street ureeiey, CU SUbif BID MUST BE SIGNED IN INK Dawn Farrington TYPE Dn OR PRI:J1£jl SIGNATURE Ha�ndwritte Signatu By Authorized Officer o Agent of ender .TITLE Executive Director DATE 2 -21 -tit ZIP 80631 PHONE A 303-351-0700 The above bid is subject to Terms and Conditions as attached hereto and incorporated. 1 940479 • to e-tAL-yovU4 r.ttactunent A Page 1 of 2 Client Group(s) to be COVER PAGE ALTERNATIVES TO oCT OF ?LAC:MUTT T PROGRAMS Placement Alternatives Commission PROGRAM YEAR 1994 BID it -PAC-94004 FPP - criteria youth ages 8 to 18 in weld County Served: Name of Applicant Agency: Weld County PARTNERS Address: 1212 8th St. City: Phone: Greeley, CO 80631 (30... 351-0700 Contact Person: Dawn Farrington Title: EZeCU;1Ve vrrectdr Approximate Project Dates: St994 art JunEnd x,31. 11994 Title of Project: PARTNERS PLUS Amount Requested $67,579.00 Signatures: Dawn Farrington Name and Signature of Person Dawn Farrington Name and Signature of Chief A Applicant Agency 2-21-94 Date 2-21-94' Officer of Date PROPOSED FAMILY PRESERVATION PROGRAM CATEGORY Please initial to indicate the bidder'' chosen category (only one category pet bid) Home Based Intensive Family ln:ervertion Option 1 Home Based Intensive Family Intervention Option 2 Intensive Family Therapy Sexual Abuse Treatment .Day Treatment Life Skills X Individualized/Innovative Ser'ices 21 940478 KtF-PAC-94004 TYPE OF PROJECT Attachment A Page 2 of 2 Continuing Project under Weld County PAC How many years? 13 + New Project X Proposed Program will X Proposed Program will eliminate the need for out of home placement lower the cost of out of home placement Other: The Proposed Program will MANDATORY PROPOSAL REQUIREMENTS Please initial to indicate that the following required sections are included in this proposal: Statement. of Need Population to be Served Program Requirements Types of Services Provided Provision of Services & Administrative Capabi.li•=y Past Per: ormance Letters of Support (New Programs Only) Budget Program Evaluation and Continuation 22 940475 TABLE OF CONTENTS ABSTRACT PROGRAM NARRATIVE Statement of Need Population to be Served Program Requirements Types of Service Provided Provision of Services & Administrative Capability Past Performance Evaluation Results Budget Narrative Program Evaluation & Continuation ATTACHMENTS Attachment Attachment Attachment Attachment Attachment Attachment Attachment Attachment Attachment Attachment Attachment A A. B C D E F G G. G. H 1. 2 - 5 2 2 2 3 4 4 4 4 5 - Budget 1 - Citations, mentorship programing - Program Requirements - Past Performance - Evaluation Results - Rate Computation Sheet - Program Performance - Final Budget Page 1 - PARTNERS PLUS accounting format 2 - PARTNERS PLUS accounting format - Budget Format PARTNERS' Board of Directors list PARTNERS' Proof of Insurance 940478 PARTNERS PLUS PROGRAM weld County Youth Alternatives dba/Weld County PARTNERS FY 1994-95 ABS '•C2 The PARTNERS PLUS Program for 1994-95 is a continuation of the successful project which has been funded by the Placement Alternatives Commission for the past 13 years, but with changes reflecting the guidelines of the Family Preservation Program (FPP) and response to the time restrictions imposed by "imminent risk" eligibility. For FY 1994-95 (6/1/94 thru 5/31/95), PARTNERS is requesting $67,579.00 in the "Individualized/Innovative" category in order to serve 26 youth in intensive one-to-one, year -long matches with screened and trained adult mentors, with average length of service during FY 1994-95 estimated at 20 weeks. Adult mentors will provide guidance, role -modeling and advocacy through at least 10 hours per week one-to-one contact, within the framework of friendship, recreational/educational activities and professional counselor support. The PARTNERS PLUS program will serve Weld County youth, ages 8 to 18, who are at imminent risk of out -of -home placement or who are at risk of placement in more restrictive environments. This youth population is one in which conflict with either their parents, the community or both results in problems in the school environment, with delinquency, substance abuse, and/or teen pregnancy. Most of these youth do not trust the adult population and do not have positive adult role models. The 26 youth served will be determined by Social Services and PARTNERS' staff to meet the criteria of eligiblity and to be candidates for responsiveness to the mentorship services of PARTNERS PLUS as a means of preventing out -of -home placement or placement in a more restrictive environment. 1994-95 programatic changes to meet PPP guidelines include: 1) interviews of referred youth within 48 hours of referral (excluding weekends or situations impeding contact); 2)acceptance or declines reported to Social Services immediately following interview; 3) waiver of requirement fcr youth to attend Junior Partner Orientation prior to being accepted into program; 4)commitment to match youth within 14 days of acceptance into program, and to release the referral if the match is not made in that period; 5) decrease of Senior Partner stipend to $7.50/hour of one-to-one contact for matches initiated after June 1, 1994. Numbers 1-3 have been implemented as of January 1994. Three PARTNERS PLUS matches made in February were made within 7-12 days of referral. PARTNERS' 1994 volunteer recruitment plan includes an emphasis on Senior Partners for higher risk youth, which will facilitate building a pool of Senior Partners for PARTNERS PLUS in order to meet the needs of the FPP framework. 1 940478 PROGRAM NARRATIVE 1.STATEMENT OF NEED There are 14 PAC criteria youth currently receiving one-to-one, year -long mentorship services through PARTNERS PLUS FY 1993-94. In addition, approximately 28 active Alumni Partnerships initiated under PARTNERS PLUS programming are maintaining their relationships beyond the one year commitment. PARTNERS PLUS, a 13+ year program, has continued because of its effectiveness in preventing out -of -home placements or placements in more restrictive settings. The PARTNERS PLUS program is built upon the positive and therapeutic effects of mentorship and a "significant other"(s.ee citations attached) in a youth's or child's life, serving not only to prevent out -of -home placement in the immediate sense, but to provide lasting effects on the youth's self-esteem and coping skills. The PARTNERS PLUS model also provides capacity building for parents of involved youth, as Senior Partners often help the parents in their own skills development and resource access. The mentorship model provides an innovative alternative to placement outside the home or in more restrictive settings for a number of youth suited to this type of programming. 2.POPULATION TO SE SERVED PARTNERS PLUS is a program developed for individuals, with the target population being Weld County males and females ages 8 to 18,(no targeted ethnic group) as referred and determined eligible by Social Services, who are at imminent risk of out -of -home placement or placement in a more restrictive setting. These youth will meet the criteria listed in Part C, Statement of Work of this RFP. PARTNERS PLUS will serve 12 new youth in FY 1994- 95, and approximately 14 youth already receiving PARTNERS PLUS services as of June 1, 1994, assuming continous eligibility. Youth will be matched in intensive nentorship relationships for up to 12 months of continuous service, determined by eligibility. 3.PROGRAM REQUIREMENTS Each youth is matched with a screened and trained adult (Senior Partner) stipend volunteer, who becomes a friend, advocate, and role model, spending at least ten hours per week with the child. During the Partnership, the youth is also exposed to various Life -Skills trainings, the opportunity for positive recreational and educational opportunities, and counselor guidance and support. Partnership goal setting and reviews occur on a quarterly basis. 1994-95 programatic changes to meet PPP guidelines include: 1) interviews of referred youth within 48 hours of referrals (excluding weekends or situations impeding contact); 2)acceptance or declines reported to Social Services immediately following 940478 interview; 3) waiver of requirement for youth to attend Junior Partner Orientation prior to being accepted into program; 4)commitment to match youth within 14 days of acceptance into program, and to release the referral if the match is not made in that period; 5) decrease of Senior Partner stipend to $7.50/hour of one-to-one contact for matches initiated after June 1, 1994. The overall goal of the project is to prevent out -of -home placements or allow for the least restrictive placements by carefully matching committed adults with the youth. Specific objectives for youth involved in the project include: 1) for 75% of individuals served, out -of -home placement will be prevented or placement in a more restrictive environment will be prevented; 2) 75% of all Senior Partners will advocate for the youth in the school system; 3) 75% of all children involved will not be charged with a delinquent offense while in the PARTNERS PLUS program; 4) 50% of Partnerships will transition to active Alumni Partnership status after completion of 12 months of programming and cessation of volunteer or program compensation. See activities and implementation to meet Objectives as outlined on Attachment B. 4. TYPES OF SERVICES PROVIDED The recruitment of Senior Partners is accomplished through implementation of the PARTNERS marketing plan. Prospective Senior Partners receive six and one half hours of initial orientation and training, and face rigorous screening. PARTNERS' marketing plan for 1994 will be focusing on recruitment of Senior Partners to work with high risk youth, thus assisting in providing a pool of volunteers available for PARTNERS PLUS matches. New matches between PARTNERS PLUS youth and Senior Partners will be made within 7-14 days of referral. In cases where this is not possible, the referral will be released. Special care is taken to identify common interests and match the strengths of the adults with the needs of the youth. Both the adult and the youth are given the choice to accept or decline the match. The counselor initiates the first meeting between the Partners. Partnerships arrange their own subsequent meeting times and activities. Partnerships stay in weekly contact with the counselor, and take part in many of the recreational, educational, and therapeutic activities offered by PARTNERS. The emphasis is on quality role - modeling, friendship, and advocacy for the Junior Partner. 3 940478 5. PROVISION OF SERVICES AND ADMINISTRATIVE CAPABILITY Weld County PARTNERS has been in existence since 1975. Our mission is to match high risk youth with trained adult volunteers for year -long, one-to-one relationships. For 13+ years, PARTNERS has administered the program and PAC funds to the satisfaction of the Placement Alternatives Commission, Weld County Department of Social Services, and the State Department of Social Services, and all of the appropriate financial controls are in place to manage these funds. Tracking systems are also in place and computerized. PARTNERS staff receive ongoing training and education in areas of interest in the youth services field, including such issues as victimized youth, delinquent youth, resiliency and risk factors for youth, substance abuse and teen parenthood. The counselor for PARTNERS PLUS is a Masters level counselor with 10 years experience with the project, meeting OSS requirements for Caseworker III. 6. PAST PERFORMANCE To date in the current contract year, 14 youth have been matched, and 90% of youth were at home or a less restrictive setting at time of discharge. 72% benefitted from school advocacy, and 97% of the youth served were not charged with delinquent offenses while in the program (see attachment C). Measured in strictly financial terms, the FY 1993-94 PARTNERS PLUS cost to date for one youth to be fully involved in the project for one month is $476.48 on average. The cost for that same child to be in placement ranges from $600.00 to $2250.00 per month. 7b. EVALUATION RESULTS (see Attachment D) 8. BUDGET Line item expenses of the enclosed FY 1994-95 budget include: A. Stipends for Senior Partners. Senior Partners spend a minimum of 10 hours per week with the youth. Senior Partners in existing Partnerships as of June 1, 1994 will continue stipend of $9.00/hour. New matches will receive stipend of $7.50/hour. While matches are made with the intent of continuation for a full year and beyond, average weeks of service per youth will be from 1 to 52 in FY 1994- 95, resulting in an average of 26 weeks during the year. This reflects youth matched in FY 1993-94 completing a 12 month match in FY 1994-95, youth matched late in FY 1994-95, and youth who will not continuously meet eligibility criteria for up to 12 months. B. Salary for professional staff to recruit, screen and train potential Senior Partner volunteers, manage and support the 4 940478 ongoing caseload for one year, communicate and correspond with Partnerships, and maintain youth, volunteer, and match files. Benefits, figured at 18% of salaries, are included in the salary lines. C. Operational costs are based upon estimated total annual cost of direct service, and costed out to PARTNERS PLUS at 10%, coinciding with 13% of total PARTNERS' total caseload which PARTNERS PLUS cases represent. Travel is figured at $.26 per mile and includes only direct program service mileage. (See Attachments F, G and H) As noted on the TOTAL BUDGET page, PARTNERS' request exceeds 10% of the estimated PAC designation to Weld County as of February 4, 1994. In the event that the total allocation does not increase and raise the 10% available, PARTNERS requests that the PAC consider application to the Family Issues Cash Fund for a match to meet the total PARTNERS PLUS budget need. 9. PROGRAM EVALUATION & CONTINUATION The PARTNERS PLUS program is subject to a series of ongoing evaluations on a monthly, quarterly, and annual basis. Financial and programmatic reports are submitted to the Department of Social Services on a monthly and quarterly basis. PARTNERS and the Department of Social Services jointly complete reports and an annual audit conducted by the State Department of Social Services. PAC evaluation criteria include: number of youth involved, percentage of children in less restrictive placements, cost savings, and other program -specific outcomes (e.g., presence of delinquency, school advocacy by Senior Parnter). It is projected that FPP evaluation criteria will be similar if not identical to criteria used under PAC programming. In addition, Weld County PARTNERS completes quarterly and/or annual evaluations conducted by the PARTNERS Association, United Way, and five other funders. These evaluations consider programmatic capability, administrative and financial systems, and professional standards. An annual financial audit which complies with Federal A-133 audit standards is also completed and made available to DSS and the PAC Board. Workload standards for PARTNERS' Counselor III position are set at a minimum caseload of 20 (as per PARTNERS Association Operating Standards). Weld County PARTNERS' operations designate 80* of Counselor III time to caseload management and counseling activities, with the goal of average caseload at 30. While PARTNERS' general programming would continue without the support of FPP funding, there are no additional funding sources available at present to provide the 10 hour/week stipend program for the purpose of preventing out -of -home placement or prevention of placement in more restrictive environments. 5 940478 Weld County Youth Alternative dbalWeld County PARTNERS PARTNERS PLUS BUDGET FY 1994-95 A. Program Services B. Operations Client 26 Partnerships of 10hrsMik x 20 ave. iwks./yr 14 carry-over stipend ©$9.00/hr 12 new matches stipend Q$7.50/hr Direct $25,200.00 511000,00 Subtotal Program Services 543,200.00 40% PARTNERS PLUS Counselor III 513,074.00 Indirect 5% Executive Director (supervision & admin) $1,770.00 5% Office Manager $1,044.00 Indirect Occupancy Operations Telephone Support Financial Services (@10%1 Insurance Postage Volunteer Support Activities Mileage Supplies Staff training Printing/Promotions $1,410.00 $450.00 $780.00 $410.00 $400.00 $400,00 $500.00 $450.00 $300.00 5550.00 $800,90 Subtotal Operations $22,338.00 C. Program Coordinator - DSS @ 3% $2.041.00 Subtotal DSS TOTAL BUDGET FPP Funds Proposed match from Family Issues Cash Funds ANNUAL RATE PER CHILD $2.599.00 MONTHLY RATE PER CHILD $520.00 HOURLY RATE PER CHILD $13.00 52,041.00 $67+579.00 $48,240.00 $19,339.00 940478 Attachment A.1 MENTORSHIP PROGRAMMING Support & Citations Hamilton, Stephen F. and Mary Agnes. PHI DELTA KAPPAN V.73, 3/92; p.546-550. Successful mentoring programs. Research outcomes: 1) Employers and organizations can help with recruitment; 2) mentoring programs should focus on youths in need; 3) mentors need clear goals; 4) building competence is the most functional goal for mentoring. Satz, Arthur and Trubowitz, Julius. PHI QELTA KAPPAIV V.73. 3/92;p.551-556. Big Buddy Program. Outcomes: 1) provision of secure environment; 2) establishemnt of a positive relationship; 3) expansion of youth's horizons; 4) improved attitudes toward school. Sherer, Jill. l-IospjlnkL& Health Ngtwark.E V.67, 9/20/93; p.10 Found increase in youth school attendance and performance on state functional and subject examinations for youth involved with mentors. Bacorn, Christopher N.. psychologist "I have come to believe that most adolescent boys can't make use of professional coun- seling. What a boy can use, and all too often doesn't have, is the fellowship of men — at least one man who pays attention to him, who spends time with him, who admires him. A boy needs a man he can look up to." 940479 PROGRAM REQUIREMENTS Intervention Intensive Intervention Intensive En a U .ti a a O. .-i .o J J la C 1C ,Cca a > C.E+ . 0 tl C T a ►r .-ii L 1 E F C 'o m a N {Y in a in .d 4 o E w ••••1 it In - ,n c4 > d c.1 7 ' CO Coo C H .w tai N JC C • 0 O C 1tl F > a •.1 a .J a 7 a •M • I.1 J E u X T k. •C O O. € O.C a co 'X 0 C: O I-. v; PARTNERS PLUS Title of Project a) -) C C v CO 5- O. Y G Q) E d V A a a } V_ L En 0) L N L. w 0 1 0 0 bit L O fti E Y a L..+O CO E 0 *E14. As referred, within 48 hours Counselor III Accept referral, interview/orient A L o) w 0.- .c N C C T C C ter. 0 o 0 v -X O o nel I N 5- Recruit/orient volunteers Counselor III volunteers r. L O 0) N C ✓ Facilitate match Counselor III/all staff ,n N N N CY L a— U O 0. O1 a C C •. 01 N•-• C d ••• • 01 N C C a •••• O 0 q O O L C V C O on-going/as needed Counselor III Case management N 940478 L W Co u d cc 04 r y C PROGRAM REQUIRRIENTS TYPE OF PROJECT Intervention Intensive Intervention a V • C Intensive d d T d la u H F . d C W N W N ..1 G) ▪ d d A..... .-. .7 N rl N N > 'C (0 -4 a 10 10 M d.C'O CQ C GO a m -, IS rn CD 0 o Q a 0 F' > d �.r E iJ U a EJ X >. u+ 'O O o.0 O.C d .0,+ C : OTOf+v0o.Ci-. ed/innovative Services Title of Project 0 a 8 N LC a. .- R G z 0_ W Z as O40 Do W Ccd ✓ it z CO it w as A O tv a -, z V 0 L z O ✓ X u S v y C m .A H, > T > U U .vNO ✓ U F O cal > ^a t7 O Ca c..4 q 0 {.. 04 C3 r-. M as M1 y cd 1-I N W w d d A (+ > .n U s d O 'O A a O a -C U N T E Vs. O N X a) L ' O N O. - a C C - 0 ▪ N L di a Y Senior Partner Contact teacher, school counselor c n O 6 Senior Partner 0) 3- 0 }a Senior Partner Secure needed school services 940478 OF PROJECT 0. F REQUIREMENTS Fapily Intervention Intensive Family intervention Intensive C) >> > G. , (p Y J 1. C .7 CU C) > F5 a .tC >1 d M F L +. -+ F V r d N d C N L. )n d N -.4 C C E ti at N N V) N>< I0 F 7 N Ip +1 d. q O Cq C m.-, d(n-•• d•• d .y CO C r d M J J ✓C d X A ++ C TW 2 G. e 4 =0r.01 -+(n G..7 D-4 Title of Project PARTNERS PLUS E ppL� L d C .-. V a W O N O v C: d N a d CC T Y u Senior Partner Intensive mentorship Counselor III Counseling support more than three Program specific objectives, please use the same formatasdescribed in Attachment O M J W Co ii CV N 940478 mm no a C u U > W H ti Y 1 O O T T v) ca Ca IL T > W R b Q. a. O W W N ✓ ✓ Y C t0 w a a a u > a E- re c T a M .-1 Y r E Si ✓ a re 0 C ca a 'o O Er. r 0 0) a an as, .-+ 1b h N 1n N>< C +1 O CO CM) C Or., Y CO 0 0+00 a° W 7 F CI •N J ✓ •-•X >. W •t aO O.c a 10-. C rc O : O F. V) O r' -+ I PARTNERS PLUS ✓ U I 0 tit s zo H v Z W CO n LEIa S U 1- U O U F c Q1 W O E V H W a Wn. w C' La) os >`S O < = a U GK - a ✓ 'M -+ .o a F' O v. a AH Y W ✓ A E 4 E'• 12 months/Partnership Senior Partner/Junior Partner L d V 0. O (OY. .r SO U a al S- O. .C Tary C W L O O—' C a N La) — 0 a) i .--. ++ a).O a) L *- .r i U O. w -+ 0 U v a C O 4 Counselor Ill Partnership support At 12 month completion Senior Partner/Junior Partner C) a) C w L. U o+1 V 0 0 r+ >' 4-5 C tat o EC c o E U 40.1 ✓ w Co w ga v a N ba at 1j ✓ 4 specific objectives, please use the same forma N 940478 PAST PERFORMANCE Program Name: PARTNERS PLUS Agency Name: Weld County PARTNERS ✓ N V d d > • L ON .O u01 c0 N .0 O . N r 01 01 00 - 0 • w a o Target Performance* 0 O b C) > 4-1 N O 4-)L ~ C C) im C! O O C N ao u E a E iv , im,C O N O oh - .^. 4 y a) y c GI 0 y ..7i 0) 0 a) ..4 C O O! 0M C (0 C N J - r.n PIP, O A O C) CL O`. L cu o. d O ti ., fel.l � a EIms o M o_ L. • T 0 O ▪ V ▪ .�. ti - O C W C 01 U 0 a O o ) d s c 4i U. V N G al ow w � E a� n O :t 00 r • N ad y, b0 00 C re ▪ I - • a a .C E.+ 0 C O art • O Q "a V C V V JM C 0 � 0 01 � 0.y rr V T a J L • O � W W Hrie a! d C C W C •U V C w O u w v V ▪ 4 O aw O N J 0 C y a Y ✓ A d +I N V b u a da d V prevention speaks to the effectiveness of PARTNERS PLUS as O C) d Y1 CJ V r N A 10 C L S.- £4-1 .-f+ IV 0) 1-) )0. ' In CC V W V CO CC CC Ct 0. 10 w N 940478 PAST PERFORMANCE Agency Name: Weld County PARTNERS Al C) N � N O 01 O > + N M W 0) a N Is V 00 0) N O el-+ I. .O W 0.0 O Target Performance* ... U a) 0) N .C S. N .O a) O C C ... r. N f` Q n d L 0) N r ro .C w O_ N 0) a > a) s. o ... C O T ✓ w U .• — f.. 0) a a) O .oN O o a . N T • P E+ L. O - U I, p O - V K C - W .r �y a C 0) 0) g C • a w a) ▪ 0. V a y O� O 0) w a E O.I N - 4 = m • ets N 1d 00 C M a d CJ F. Ln O p N y M p a)'( U 1 r V N • 9 O C • co as v gw U O co W V U . d y C U C ^• m � Gw O 0) W'O L L P. W • N O ..O C a) 10 g as u .0 a,-.4 N la q U N ▪ 0) Q. V .O O O) was iJ d A N 940478 PAST PERFORMANCE Program Name; PARTNERS PLUS Agency Name: Weld County PARTNERS a a 0 J / < > m + CO ..uCM all a N 4 .o a.00 Target Performance* a V a 0 a .C u a > +- C u ++ U - .O 0 rl 0 O ar z c N en 7 P E - ., Y - o T I. ad C a O V ,J u c C: 7 C) 2 roH w — = C — O 4.- a N W w C Y C a a Of C o • 4A u O. a .C t c U d J q in r 0 0 Q. t a C p y 4O .C L .. a N ea CDL O a 0 y L.a xt a a-, to C _ '+ a A c b b0 0 u is06 L L i °0 o 00, 4..; 0. 0. y a a ti")— ar ai .C ct E + W CJ V am) rte- n] O O CC L O C.C Q C) q a0- -O. CD + Y .0 d _ ..., a Y Y a b ✓ V W Cr, C �1 C Z Q+ a I-• C t7 -4-%4 Y. Y • C z to in e a m C) o a - u rn •-• o 0 f-0 n a fa 0 -' U0 • acc E a u o 0! a/ Y i°4. f_a 4,. Y a 1 - pi a ro C> a ,�..Y, c . .+ a.+ J.1 .... a C V V ✓ a W..-. X (47 JCInm" 04.0 8 W O a 411 of — c of--> Y Yt-� y Y +.yN a 0, V C G 4 ai O4 - O • N •� 4- C 0 0 d • O 0 C H N C a LI V ro Y .C 7 1A N <O U .0 a-. in Y ▪ u N a • b 0 94047F. U cn PAST PERF PARTNERS PLUS Program Name: Agency Name; Held County PARTNERS ✓ d a) E co A O N .T d4 to i CO s d ✓ N V O N o d N - •••-5 a o 0 aC 0 L a) •- V Q)w .c Y } L a) in _ C d C+ Vi C 1. C. -4 a-) C C.) v c� d O V) C• P/ 0. ✓ C L. .a J c d E o v 5- ✓ qqC L E O N 1.. fr - o n ✓ W C ii d d ✓ 0. in any other part of PARTNERS' 0 .n LI) O Cr; ✓ 0 W c 2 at 0 m a d 4 y a ✓ p c d +r — • 4 C a0 V d in .+ d Cr V CO N N 940478 v) O N .haN 'a V La) a CC 0 z 0 Oa F 00 C M .7 a > n•1 0 U 4I PARTNERS PLUS Title of Project: V L. u1 0 Ow v m °a a iS "3 V O O4. 1a � a ro q O L u 0. d a O F la N 0. a is w v O .• a w 1r 04 C a d - ., a m 10 M V '4 u ci 04 (0 .) a= .01 1.1 u .C u 00 d 7 A 0 14 ..fir v .C 44 Y CO O CC A m CT .y a > V M .-1 W O l• 7 .ti 10 O L a✓ .C 4) y w v 0. Q 7 a p co P M a H a P9 y 0) T La P P .r a O a. a a a 1+.C a•) S b y O ti N > a N O - 1• b"1 01 a o. ..+ a v V u o a d w T W W C. 0. d t0 Iti H H YJ f 2O V Y N C a C) L C t C .. N C- 4-1 CV C ^ 9 0.1� E V O L R 71y 4d 3 � aro •,. L 0) E Cy.1 0 m 9 L L N V a $).C +) 4-' > a N T Y L L C C) V O w a O L 0 C N E 0- C V) 9 N C L N R C- CU CL) C) ro L N a.-- O 9.C .C O +)9 C Y.C r p N U E .C 4-' V V N --. W.4- J J N O a) 70-. ma L L O. Na) 4-4-4 a.0Y 0 O O E J O a) a) a) C C U CJ) OI CA R R a) a) a) .-• .+ 4-) C11 C7,UC C C MC R a) W CJ L L i- V V V CV 0) a) 5- > Y C) a) C) RRroaaa i) i) 'Y i( it ,i) it relates to eliminating the need for out of home placement or lowering N W N r 0 +-) v o ar +)m R b L a) 0) L > C ro O. o r V +J N C ro ro its _...) C L • • N CO 3 CO 0 4 . M 0.4 N ++ 44) .C 1 U L CI) v.CC a N 9 L V C R a) 1. • a u') . LC)C - Ea ON q) V 1D V 404.°4°447 �4 a ,0014- O L L > 4-1 0 R O 4 V 4-) .C C) C t) OI O oi E 4 011 L > 01 > (0 n <V 9 L C) N 0.C 4_ 0) V O 441 O L N 52 C) c a <a Cr' 940478 Program Outcomes: a 0 Y •0 a F co a C) v • . a N 4/n • w N V C c a N• c U N co -. N a C a +-` C N C a •0 ..>. ✓ 4a Y O • N U 44- P a L L N IS 0 L Y 0. 4a •n O O O —. U ( L (n a 6 0.0 N E ( N E C • (o a 1.0 E 0O) ' 0 (0 I.S.s i (O L O 0. fa 4-1 > L L C ° CU CU .0 as a E a ti C d v goals were met or exceeded to date - C C L > cla toLr fJ •p S- C C. to ▪ L L 0.0 O..-. CD C as sCh10 y C a to Q 0 al 4•J' f+ 5- 0V to sas C •• O w G -a-, a O C fa •.-. N a(na in a. to VaV E 0 4-i N L 1•• a aroma U • LI C E LICE i C. . M 1/1 N 4 cx Cc a a W (O.C ft. 4a N L W Cr0 a CU -a d a -• N C Ss 3 V .-0 C in J (O — a C_ re C (11.00 .o CC a-• • C W N V J .a a C .r ¢ 01C.N.C CO 0.' N • 5- W -. 02 X 7y4 -H i CC to a < a OCa.C C E V CO'17 GEI0 10 LU ,a 4- 0 Q Q 1- �a U m a-1 C a S.- S.- C-) L 0) -C 4-) L C A N a C a V 0 O 0) C Y V (O a-• a N f- 4.1 n 0 V (V a a u) as • > �_ Ca - 0 O a L as.0 0 O1(n OIJ C J w C- V) (O(0 a (s L W U Z C 1- CC 04a. O 0 v pa -1 .0 a in a-. 10 L 6) CO 5 S. W V• z ra a C- 0 M 940478 w b g cu L ✓ H 7 O . O ro v 44) C N (0 C) a .4 a) y . A • 0 • ,Y 0, a) U 0)) Y co L. O Z7 44 0 O 0 y , C 9 In .4) E 4, C — L O IV O .... W 4'• U C U bro J 0 C G •-• C (0 as C a 0 0 N 0 C) C) U .0 N l- Cr (0 0 ^ > C ro • 4.. L C L CO Y (0 O • S] L .4 ro u L. m 0 •-• 7 4- C .r .0.. j• p)V C. w M Cr) W X 4- C TiV a) G u )7 b N C 04-' O I ba iv) • a) p J m - a • . +0 p • a) CC 0 .. • U w•.. L. m s.) --5 CC 4- O 1. 0.. d CI evaluation and assessment efforts. on the Project's long-term the outcomes based placement or lowering for out of bon 4-) N ro n ti 0 a L -J + 0- V) CC ro IU 0 In = i OC a 0 • < C 4-1Y a-. -- C ro 0 CJ C E c c c 0 0 +ti n u X CO 4 .) 0 O U • 9 b a V L a) a) C) 4- In .a L e) 4a1 0VI++ •G •0a) ▪ 0 a) c.-44 O 4 ..> 3 + y- i 0 d-) 0 C a 00 V QC 0 � c La) L0 .-I a .C 44- y v,c10.1 CN ..04'fl 10 C ▪ p C Y In ✓ .a b • -. C A O C) .N m 04,00 > p /O '0E ... C 44 El) IO 4J a C L. a a) i•.. dl0.0 eCa0 •a > E Oi CL 44 -0 a 4O •-i C 1-c N .c v ro IA a .O E V 00 aI yro a G •V) >, In y C. Cr• a C O L Ia +) 0_^ W +) a .•y c • v tA it Y 0 C Ci a < ✓ E+ ..1 A C1, 0 4- U ... b ,n a)'p O a O. a •-. L +J In Y In C) L •— In N U C O 1L Q0 L ro > •y, W a. - .1 N .00 w O ro..+ N L > C C.) In r0 0 -. - a 7 OW Is 0 co > 0 VT C+a N a W a) .4 •• C go . a) a C ss- 0) s-) a) 444 N L O) L C L ,., In 0O +)0-. d V (c)a C 0 01 ti ▪ d 0 0 > co 4 y C,))•t,, I—+-, CD au Program Outcomes: n ai 141 u C 01 JJ U U to ^ro C a 4. IO C In O >• .C U L. 0) - .> a0 L C U U Y L C 0 a 0 O a O F ▪ -.. CO VI L N r • O 0 r O ♦-, •O .•- >' C 4.4 44- C X E 0404 In O 4- 0— L O ro 0 ..-. In .0 co ▪ X 4 • it▪ s in w C O L CT a) N ro - .c 0 — 0 C + ' 0 . +.l .-• E to f- o U V > 0 01 v O O v U EE +-.. CU 7 CU> roo>a10 U .0S- • Y.) a IV • Cl•••- 0 O C >,.C ▪ InO 10•.04 .ra£ ....a->) a C Q 0.C 0b V ro V NN N ,y Al Q) -. CC C r O a "- of a In OLLL E C) •4 N } Cu' 0+• 000 e U VC 4-000 V 0 O>,TT l• .0 V) > C Y -'L 01 01 CA 4-1 OC•• V) a >..,....-.+a D C) ro > b, O 0) -Jo ••- O In ... C_ L O a V, In L cc o Cn L E 0 a) 0:1 CC .C a.-roL V 2 i 4I 91 •k H a) N C u C, ea I— n 940479 Ca V Z o W o d 110 d a Other Outcomes: V a +) V 004 a V W N • ✓ a ✓ • = v O 01 t0 L L tE •O o> N o 0 0 E °� - V +� O .01 w a d V 4 .0 W O W 0 O IA I O) 3� 0. CL •O ✓ L— a a. r0 YE C C N NV a L .C 4o) C .r e0 JO N o ++++ m a Ern •0 ID 0 t 0) f. E C 0 0 4.) L C S- 0 .••N ++ C CO O. 9C w tD N 01 ...CQ1 N L NL N a•t y O C a CO to N 0.0Ca C y 0 u 0'0J C1+•' v¢ " m 05 4 �EEE a 0) >, VI no inn Cdr 0 " L-+ CC tae •- m N 0 ▪ a) > a 00 2 C•O N L+0 a Ow I- ro a +' to N a 0) d s- o d 0 - N C>, 4 0)V L no • O IA p V +O VC L1tO ~ ND, x.40 .C •"� a 0 0 O L S- 4-) V) C0 V %-.01 H CD w al a E nC tp ♦•) c r= a, y,, y W. EE c 1--.C 1V) N • >, • c +, ,, °a ro to 0 C0_.c L bL 0 ▪ Lam. a oA.C .� >t C� 0. 4-) O 0 3 'Jo '.• to C L Q. N C ••~) .1"V.CC a0) V4-4 /) r'0 •r. C C Y L) b•' a N•+ Cl 01 N W o o •9t „%' -C C >, E I- +' G L N tnY O < W t9 a•' a. -4 •O w a' t0 V N C > 4 is C a.- O C 0 .4-) > 40 40-4 0 O y N 0 N a o 0) — 0. M E 0) 0 W G0 y • 0 O co •..• a C +%,C O, la .w 4.) L C CO8 a >>—+-, a �� CP Ca m a C c L e O. >•••0 L a0 p01+ tL •..•-• •O 0 •.C.ab • C C )- aC 0 to L -0 L C 44 �. 0.) 0n v v Ca a>,d V—• 0) C C E >, J 4-) L E tO • V 'o 0.0OV ro a CO> 3 0A SA-) y L C d p a) < V 0 0.0 0 CV > 1— t0 tO It V in a N 0 x V • N 0 J ✓ m 4 0 a 7 0 O 0 ▪ N N a J X r• PAC FUNDS Hourly Unit Rate Cost Computation Sheet Program Name: PARTNERS PLUS II. Agency Name: Weld County PARTNERS III. The project's unit of service definition is: A. The project will provide what type of service to each client. Intensive one-to-one mentorship B. This device will be provided for a 10 (maximum) (maximum stay in the program) hours per week for up to 52 weeks. IV. The hourly Unit Rate is based on: Check one X Attachment E Page 1 of 2 An individual client who is aged 8 through B. A family unit as described as follows: 18 V. Program Statistics Total number of clients to be served in the 12 month program is 26 The monthly maximum program capacity is 14 The monthly average capacity is 12 Average stay in the program is 20 weeks. Average hours per week in the program is 10 VI. Description of unit of service cost between direct and indirect services. Base the computation on the hourly rate per unit of service cost based on the average capacity A. The portion of direct services to the hourly rate per unit cost based on average capacity is 83 z or 5 10.79 per hour. (only face-to-face contact with the client for services) B. The portion of indirect services to the hourly rate per unit cost based on average capacity is 17 z or $ 2.21 per hour. C. Total hourly rate per unit of service based on average cost (A+B+C). $ 13.00 D. Total proposed yearly budget for services 5 67,579.00 33 940478 RFP.-PAC-94004 VII. Unit of service rate computation 1. Travel to & from client's home totals an average of 2. Paper work required by Weld County Department of Social Services totals a average of 3. Supervisor meetings totals an average of 1 hrs/week .25 hrs/week .25 hrs/week Attachment E Page 2 of 2 4. Case management services of: a. making referrals to other services needed by clients; b. providing linkage to ensure clients obtain and benefit from the services to which they have been referred; c. monitoring the client through contacts with individuals and agencies; d. advocacy to ensure that the best interests of the client are served; and e. planning of services to best serve the client. Totals an average of 5. Court testimony required by Social Services totals an average of 6. Administrative costs totals an average of Please describe below: PAC meetings, billings, reports, tracking 7. Other costs totals an average of Please describe below: Volunteer recruitment, training 8. Sub -total indirect costs 9. Direct services to clients (Face to face contact) totals an average of Total average hours of service to be provide per week .75 hrs/week 0 hrs/week .25 hrs/week .5 hrs/week 3 hrs/week 10 hrs/week 13 weekly direct services to clients total an average of: $ 1080 Weekly indirect services to clients total an average of:$_ 9/.20 77 z Z3 -z 34 940478 PROGRAM PERFORMANCE n C' P P n J C P (C) Target Performance 06/01194 to 5/31/95 .N— 12 overall 20 wks. in FY 1994-95 O CJ N - W 10. X of children who are in NIA Not tracked more costly placement 6 months after discharge .omment on anti ohinctivo wh rWvac not mat whorl r.vnnarina rnlv.nn n to A (B) i Actual Performance 06/01/93 to 2(28/94 $482.95 Irt { Not tracked Per DSS Per DSS O 0' .— (A) Target Performance* 06/01/93 to 05/31/94 it, Cssl I $620.55 IS O Not tracked Per 055 Per DSS z z N GI > V 'a V cu O .O O 1. Avg. number of children served per month 2. Avg. number of months In program for children who have been discharged 3. Avg. cost per month per child 4. X of children at home or less restrictive setting at discharge H._____Xof children at home or less restrictive setting 6 months after discharge Avg, savings of alternative vs. projected placement 1. Avg. X of treatment goal met per child discharged 8. X of children who entered another PAC Program after discharge 9. X of children who are in more costly placement at discharge 940478 9E Z-9 pue t-9 sa.uawy3en2q DaS tfauom Aoua2Q .2a1410 woa; £taleardas so; paauno3pr oq lauow wn2oad uoilw aasaad £limo TIT^ nog m=n====== =======a=ma==a===a=======n======m=n6aCmzveammu®malam=mmmmmmmmmm L6S'L9$ 0$ 0$ 6LS`L9S sTYzox •• S = =Y.= ====al= 6££'6t$ L6S'L9$ 0$ OS 0PZ•gp5 :pasodold 6LS'L9$ $1114 S213N1MVd Z33COSd 2]03 Q3QIAOSd 0.'VSOOSd scioa 'MAW 213g.LO (S) (h) C=ma====MM.c3TaG:xncrlczmmmrm=am=Oa=rm=rc======Ca=============amr=.==aoaai[ 5661 - 7661 A3 fca=@Ccm= =maniamv=amcax=aCran==atatrtraacfl ar=a==winaaa 30Vd Lax= VVN23 and S3AILVRULWV SN3W33VTd LLNn03 133fOSd 303 ansanb321 31tr 2131S03 (s) Qanssnbax SQNn3 WVSOOSd NOIIVAS3SSSd A•IIh'V3 (Z) 3WVN WYUDOad (i) 0 luawy>e11V 940478 88? )2S 0 NroaN N rONOw2rt)Oa) U) Oer W .0.0 0 N N N N N N N ID88888888 C rL) W MMCV 0 pi • M W WNNf` aM 6 r 0 r •4•0441 N r, e mNNNMt7e N N N N N N N N W PARTNERS PLUS MONIES N a 08e a Lo m NrD0808 Cp WNMWr r c? c)ONrgW O ro't 0000 co e0.- W V NN NN a) Nu. m N N h N elf.; N N N N N N N N rncOMMNfOM W iq2 0M0rW0 aIT O OS L6 m r0 P1 yMNN 4,N 0', No! ✓ O rn ONW CO^N CI d r r w 0 0 Y h Cost to PAC Check Total For Month of Date Received r) e41 00 arot N<00000 e M6'C'Nr:ln0000 , N WCOMW r IOr4NNN t1 Qo M O W IL) o W a N4 K N N N N N y co. N e1≥ CO 0 CO N C9 CO r r 66 '0, It)o>�-6 t0 arO CI 0) CIW m • W Co a61) c) rt.r4 N N N N N N N N M M M Cr)M 0)0) d v M y W m `m W W a • ,.)�A �.on,.e'W ae E m m O�O d o 0 U O ≥ W W • LLpp « U O C) N 0. N n ”.c40OZO-)r-zQ- OMi mm OW d e m r fMwMl a Maaae H ZEEkimWWWW 0 r41.003200.> q m a Cr 0 0 O <COOZZ”°)¢�i� Q 8 S e N re a it W a tO IL) 0 N a r 0 rq a N N r N N N N 1a- 0 O m I- 4 N N S REMAINING AVG. PER MONT t'9 aueW 32f.1V 940475 January 1994 '00 OOS000000 OOOOOOOOO 9 0000 • CDcN(0(0(DcDcoMcD00co &O) do co Co(n CA co M co co co co in el r N Co co co C') M CD C) y to CO N y V) N 4) V) W V) N N V1 W '-' O C C N Q)o C'- O'- C) rn y d N N Q) '? y r e�y„ `g •y Z y V C C, a•E d w OAla O g a) 0 ca co N T co L m y c o o c w p 0.-> co O N d 0 z0000000000000 o co ct N CO CO (a O CO CO CO O 00 NC0C)NNNNNO •ct N gr V)N NN • N VY V> .0 V> V> N In COCY000C+O0000 CO d(DOO(b tiOrM000O00ZONNO OM0'iOOOC7CMC0MMO CO N N M C7 Ch 01 M N Mr d CD CD N 01 CO CD CD CD CO to CO r r W CD • NNV?VtN v). V)N V) VY V) N "CD N(O o0 oOO cod d OOOCO ▪ COrMOCO0C)OCOOCal NW p N (A (A O C)) CD (r0 M M CD M M r HMNNMCO e- cgrd at CD (D N co CD O r` re. co (D N )- V)N V) • N N V) V) N V) Vi v) Cl) V) cD(had ador N d d d Th Th M 000Th drr-0 W 5i p'p2 O0 CO M Tr Th 0 M P1 N 0 0 C) D) N r N [r c- )1) :17 d C) C1) r r O r s N � C N 0. O 6) .O E C a b d V N CO i.) Q N O 0. cp r 'N FO C W V) O CD M C Cn 0 r '0 co N Co a (N 0.`) O M Cz CO w cr co Co F- co co Cal 03 01 cn Tr CAdeC7NeOD ONOr^d d 'n Tt tr; cD Oi c'i a:I: Vi COeTh(7NC)O co d Th O N r O N CC; CC; CC d N h N N V) 4/> N V) r 2 co F 0. CA z Z co CZ W CO @ W C., O W OOJaUEOC t— caccE z>OWaao<coO Ja ¢O zaEt_ V Q z<I-wz(riw J LL J CA i= O Q to OUOmdon< 940478 Attachment H BUDGET FORMAT A. DIRECT COSTS: Example 1. Staff Salaries 2. Providers Payments 3. Program Coordination B. INDIRECT COSTS: Example 1. Director/Supervisor Salary 2. Secretary/Administrative Asst. 3. Operating Costs TOTAL ANNUAL COSTS Annual Rate Per Child $ 2599 Monthly Rate Per Child Hourly Rate Per Child 520 13 $ 13,074 43,200 2,041 $ 1,770 1,044- 6,450 $ 67,579 37 940478 INDIVIDUALIZED/INNOVATIVE PROGRAM GENERAL DEFINITION Programs developed by a county or a provider to meet the needs of individuals or targeted client populations. Each program must operate within the overall definition ,and eligibility criteria of the Family Preservation Program. Counties will be limited to a maximum of 10% of the Family Preservation Program allocation for this program area. TARGET/ELIGIBILITY POPULATIONS ♦ Meets the Colorado Out -of -Home Criteria. • Meets the PAC Eligible Population Criteria. 4 Developed for individuals or larger populations. ♦ Homeless adolescents (SE 93-254). • Children in need of an expedited procedure for permanent placement (SB 93-254). TYPES OF SERVICES PROVIDED • Specific types of services would be identified for each program and would met service needs of the identified individual or population. • For counties where it would not be cost effective to develop a full scale day treatment and sexual abuse PAC program this individualized program category to fill the need for a specific child. SERVICE OVECTIVES ♦ Specific service objectives for each type of service must be described in detail. 4 Service objectives should focus on: • preventing placement • reunifying families • preventing placement in a more restrictive level of care • developing expedited procedures for permanent placement of children, or services and placement procedures for homeless adolescents SERVICE TIME FRAMES ♦ Service time frames must be specifically established for each program and must be designed for children at imminent risk of placement. -14- 940478 ♦ Service time frames must be intense, short-term, and limited to one year. ♦ For an Individualized/Innovative Program to be extended beyond one year, the plan must be submitted and approved annually by a State/County review team. MEASURAB.E OUTCQME,5 ♦ Outcomes must: • Relate to service objectives ■ Be specific and measurable • Be objectively determined WORKLOAD STANDARDS • Intensity of services will be measured by: ■ Number of hours per day, week, or month • Number of individuals providing the services ■ Maximum caseload per worker • Modality of treatment ♦ Must be developed in cooperation with the State Allocations Unit. STAFF QUALIFICATIONS • Must meet minimumMeritSystem qualifications for the requested Classification. ,,•: RATE STRUCTURE ♦ Rate Structures and reimbursement methodologies will be developed for each program. , �! /, SERVICE PROVIDER • The providers of this service for each program may be either county departments or private providers contracted by the county departments. In either option the same standards of accountability, professionalism, and staff expertise are applicable. •15- 940479 Chair: Chair Pro Tem: Treasurer: Secretary: Recruitment Committee: Operations Committee: National Board Rep.: John Dent Legal Rep. Attorney George Jaramillo Community Relations Dir. of Public Services, Jerry Lewis Community Rep. WELD COUNTY PARTNERS BOARD OF DIRECTORS gcecutive Committee Lt. Juan O. Cruz (350-9648) Karl Wagner (353-2311x8570) Julie Hrenko (350-6779) Jennifer Rudner (356-4000x4508) Lt. Juan O. Cruz Bill Starks J. Bob Lowenbach (351-7300x4548) UNC J. Robert Lowenbach Judicial Rep. District Court Magistrate, Weld District Court Bill Starks Referral Agency Rep. Weld County Deputy D.A. Dennis White Community Representative President, Union Colony Bank Lt. Juan O. Cruz Community Rep. Karl Wagner Community Rep. Monfort, Inc. Julie Villumsen-Hrenko Community Representative NCMC Foundation Lucia Puga School District Rep. Jennifer Rudner Probation Representative BOARD/brdlist.num 11/29/93 857-4667 (0) 616 Denver Avenue Ft. Lupton, CO 80621 351-2601 (0) 330-1727 (H) 350-6558 (0) 353-7102 (H) 351-7300 (0) ext. 4548 ext. 4549 353-8264 (H) 356-4010 (0) ext. 4731 356-6460 (H) 356-7000 (0) 356-9392 (H) 356-1015 (F) 350-9648 (0) 356-8510 (8) 353-2311X8570 330-6518 (H) 350-6779 (0) 353-9896 (H) 351-6410 (0) 330-3759 (H) 356-4000x4508 223-0608 (H) 5139 W. 11th St. #909 Greeley, CO 80634 218 38th Avenue Greeley, CO 80634 Weld District Court P.O. Box C Greeley, CO 80632 D.A.'s Office P.O. Box 1167 Greeley, CO 80632 Union Colony Bank 1702 23rd Avenue Greeley, CO 80631 Greeley Police Dept. 919 7th Avenue Greeley, CO 80631 2550 53rd Avenue Greeley, CO 80634 1301 10th Street Greeley, CO 80631 School District $6 811 15th Street Greeley, CO 80631 19th Judicial Dist. Probation Office P.O. Box C Greeley, CO 80632-0138 940475 ---------------------- -- FEE-09-'9a WED 14:19 ID: • TEL NO: PCZ PARTNERS, INC. & AFFILIATES GENERAL INFORMATION First Named Insured: Additional Named Insured: Policy Period: Location(s): Partners, Inc. Grand County Partner; for Youth Latimer County Partners, Inc. Gunnison County Partiers, Inc. Partners of Boulder County, Inc. Delta Montrose Youth Services, Inc. dba: De:ta Montrose Partners Denver Youth Program. dba: Denver Partners Mesa Youth Services dba: Mesa County Partners Montezuma County Partners, Inc. Weld County Youth Alernatives,Inc. dba: Weld County Partners January 264994 to January 26, 1995 910 - 16th Street Denver. Colorado 80202 612 Hemlock Street ' Hot Sulphur Springs, Colorado 8045I 333 West Mountain Fort Collins, Colorado 50521 304 West Tomichi Avenue Suite 16 Gunnison, Colorado 81k30 1430 Florida Avenue Suite 206 Longmont, Colorado 80501 P.O. Box 1708 - Montrose, Colorado 81402 710 South Logan Street: Suite 109 Denver, Colorado 80209 735 South Avenue Grand Junction, Colorado 81501 37 North Madison Cortex, Colorado 81321 1212 - Sw Street Greeley, Colorado 80631 t 0478 FEE -©8-'94 TUE 15:51S ID: TEL NO: U40? PO2 :010 T. ' ERTIFIC'Tt,lt; 1NSI(,R MSc enta(swtt,Y11 mains, ,.....,..«.u�I+..I...wW4,...'.wi ...w,.,�,«.,...,. 4 CONFERSL NO RIGHTS UPON Aga CflT ICAT E MOLD R. THIS CERTissATION WICA`HD TTEE Van Gilder Insurance Corp DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 8Y 4NE 700 Broadway, Suite 1000 POLICIES BELOW. Denver, CO 90203 303-037-6500 COMPANIES AFFORDING COVERAGE mi. AP Weld County Youth Alternatives, Inc. dba: Weld County Partners 1212 - 8th Street Greeley, CO 80631 ONOWANY L 11fR COMPANY LETTER A CeroIne C.syglty COIANY Lentp C rrtNANY •CIPANY LEI PR 00YERACES a„ rxr, +:.n...r.nN[+`•wm 4•••r,.. wirnnxrrn-,.x,,..xv.,NxrwL—. nr�n.--rvr...�x �-.+...w.,n.n.•++n...�n+�•�ln�.«..-'?��...� .:h!-_ w.,, IS TO CERTIFY THAT T HE POUC•ES OF INSURANCE LISTED BELOW HAVE BECN ISSUED TO THE INSURED NAMED *ROVE FOR THE PCIUCY REPIQD INDICT TED. NOT WITHSTANDING ANY REQUIREMENT, TERM OR C0NOT ION OF ANY CONTRACT OR OTHER DOCUMENT WaIRESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERT AMN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN It SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONvIT ON" OP SUCH POLICIES. LMITS SMOWNMAY HAVE BEEN REDUCED D' PAC) QAMS to LT1 TINTO, IraamANae POLICYPNMe01 FOL.IOYEFFECTIYR OAYetwaite,YYW P0LoY cxPMAT warsto e(w,OO,Yy : CCNVNAL LIAbLITY ILNCIAL OINIML IAmtny CLAIMS ALAN OCCOR IA•S S CONTMCIOTPS PILOT. �Mrt0molIte LI4SLfY A I� A* AUTO All ONO ADIOS SCNTOUL(0 AuTO$ HMO AUTOS N0N-ONN(O AUTOS OIMGL Minify H BINDER:110S4 OINDERt11854 1/26/04 1/26/94 1/26/95 1/26/25 'r,TNIMI AGGIRGAIt Pinky(' - cepa) F AGO rlASoNAA 4 ACA. WSW t ACN MCtMMNUT Pill OAMA 14y ow lore IW0. WPM 4Ary ow ):OALIM0 LNGL( IMI 1 1000000 $ 1000000 ( 1000000 GORILY NOM trio 1v.d S S $ 10Q4Q9.2- 50000 5000 1000000 100Av Ken P...NLM.O ircortan Roma t Ck0CSZLIAULITY 8 f ' uwARLA IOWf r 0THIA 11101 IMBIIfL(A TOIYA BINDERS11D55 1/26/04 1/26/95 ACA 0CCUMITNCI I 0)00000 .4$ {000(k04 woMLLbti a OIIOCAT,ON AND EMM.01t f 4YLBY i TrATutQov (MTS .. 'd9a;;;uta;;r„!,;;I; ;AO! ACDOtNT 1 011tA1l-POLICY LMT aIAAT(-TACO romans r$ S I"4 071401 Professional Liability BINDESt11954 1/26/04 1/26/95 51,000,000 Each Cho :1,000,000 Aggryte >CStaIMI0N ON OPTRATIOMPLOOATIONINCIIMILVOPINOIAL =MS CERTIPItATR..NOLDEi(.. Fa,", �SHOULD ANY OF THE ADOvE OESCRI K9 EO POLES BE CANCELLED BEFORE THE rA_ EXPIRATION DATE THEREOF, THE ISStaNC COMPANY Wa.l, ENCEAvOR TO tts MAI 10 OAYSWRLTTENNOTCE191NEGERTIFIC►TEHOLDERNAAAEDTOTHE „;:; L• EF T. BUT FAILURE TO MAIL SUCH NOTICE SHALL MPOSE NO OBLIGATION OR ▪ L• TA641T Y OF ANY KUNDUPON THE COMPANY.ITS AGENTS OR REPRESENTArwES. Lt ANTNwLYm - dirt Civision of Criminal Justice 700 Kipling Street Ste 3000 Lakewood, CO 90215 CORD25-9(7/SD)"'� Im,IM"NA.,^•"-wn .':Isoo IMMAY� baRi tRgea:nw - 071.27000 I 78 FEB-0$-`94 TUE 15:55 ID: TEL NC: u407 P02 �/�a��g' '% AC4fltI) aG�?;:i.:I1�1CR.'i /�!�cAAWpq l r "V .. ,yQr At,r NIM1P'1U\�ClE IY�TJ:.N Wu. .; t."."" N.+.. A: 9 1 1lialMR(YYRX1/YY) , M00(ICU Van Glider Insurance Corp 700 Broadway, Suite 1000 CONFERSQt INO RIGHTISIU►ON THE CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER POLICIES snow. tt4zN'�N[L ,i,Np HOLDER. THIS CERTIFICAtE THE COVERAGE AFFORDED IV THE Denver, CO 80203 COtSANIESAFFORDNGCOVERAGE tt' 303-837-8500 LETO AMY A Ciroline Catyiilty COWANV e, ital.LEITER Weld County Youth Alternative*, Inc. comb's LEITERv dba: Weld County Partners Tyr. D 1212 - 8th street Greeley, CO 80631 Or E PR • HIS IS TO. NOTIFYTHAT THE CANTO OFNSIIENT.T LISTEDB NDTINAVFDNY ISSUEDCT THCMSUREDNAMED ANCC LISTED ELO In'DICATEO.NOTWITNSTANDINDAh(VOEOURREMENT.TEteAORCONDRTCNOFANYCONTRACTOROTIIER CERnFICATC MAY BE ISSUED OR MAY PERT AN, THE INSURANCE APPOROEO BY THE POLICIES OesoveCO EXCLUSIONS AND CONDITIONS OR SUCH POLICIES. LK TS SHO WNMAY HAVE DEES REDUCED BY PAC CLAMS. wtTWFQR CT P0*1 PERIOD C(MENTw{THRESOECiTOwHICH1F05 HEREIN IS SUBJECT TO ALL THE TERMS. eft?WC Of INSMIHOC LY,{J P0.10T watt MOOT ETTEcTAK !AR(MM/00YYYI POLICY CriwAT CAR(MMIQQt�I MOTS A CANCAN. LIMYRY X Magnin mum ❑AInIIY 5)NDERf11054 1/26/94 1 DNIMS AWIUWII I 1000000 1/26/95 ►R40yta [QAr�r.cQ $ 14QQp00 I 1000000 1 1000000 r notat a Aa. lame � I CLAIMS 14•01OCCUR OtCtICArb[t C.NU'3 8 COXTM[IOII'S TROT. rime rime GAMAat (Ay ow I..el I 50944 I.Sro.IMAM tAya.e'nook $ 5400 I A WIOMOS..R _L '— SI w� MMILITY Awe Auro ML OWNID ALMS SCN(dltt0 Autos NCO AUTOS NON-ONMIO AUTOS CA ME[ {MOWNPROPLRTY " BINDERS11854 1/26/94 1/25/95 CQA{IMO SIMGSI mil I 1000900 00ILY that H Ri.MAJ ROOKY IMAM? fit *WNW $ OMIAOL I D [iOCiaLWInY -_& vAcattta fOrM OTN(II IMN VAOIH IA FORM BINDERs1185S 1/26/94 1/26/95 )AM IXONAWtf 1 2(100000 $ 30Sgg00, 1 ': Wtt •1i9 : t.' ' ..•,"' waO%f*I sOIA.Vaitml AND EVLOYERa'LIYi.RT t PAI (.Alit 4i• R 1,,,.. IIACM ALPNNV 1 •Pa OISIANICY tat s DIUATt-MEN t""ORI $ A onto Professional Liability BINDERS -11954 1/26/94 1/26/95 1 51,000,000 Each CI■ i 51,000,000 Aggrgte OffelO►TION Of OPIDIATIoia400ATIONIWYCHIOASHOCO4Al. MHO CcM11VIONTEjfQLAE$ ......-•-SIANCELLATION jL• _ . - Arnwa..x..4,,..0....,..t.,,„, ......,,,..., ..`' 1"t'. FK.., tt _n GI•lA.:wt Y4i N4A"AL1w»e.A......uya}11i.:?itYLI(.1'M1k .`Alw n1�•anw..�wr.. ti _int„ r SHOULD ANY OK THE AOOVCOESCRI EO POtcts BE CANC6LLED9c occc THE CiEXPIRATION DATE THEREOF. THE $SANG COMPANY WU. ENCEAVOR TO eE .t: MAa. 10 OAYSWn1TTENNOTICE10THECERT'MAT EHOLDEANA►EOTOTHE Division of Criminal Jetties 1w LEFT. 807 FAILURE YO MAIL SUCH NOTICE SHALLP.NOSE NOODLCATIONOR 700 Kipling Street Ste 3000 LIABILITY or ANY KRVDLIPON NNE COMPANY,ITS ACENT$ORREVRESFMMist. .:41.-AMFNRmgJW Lakewood, CO 80215 MM a y 071/270000 IriR hJ1YV'.VY4'MCVM'.Y:..•y':/T•VYAYInYM�W "JM1.Le � »qT� .--i.. �,. ,..: �1i.N�V ACO RD 25.E i7/� ,1;;,- m.--- ... r..� -• �.... ; • ��//�� 940478 Ott Wilk COLORADO MEMORANDUM DEPARTMENT OF SOCIAL SERVICES P.O. BOX A GREELEY, COLORADO 80632 Administration and Public Assistance (303) 352-1551 Child Support (303) 3524933 Protective and Youth Sarvices (303) 352•:923 Food Stamps (303) 356-3850 FAX (303) 353-5215 TO: Constance Harbert, Chairman Board of County Commissioners FROM: Judy Griego, Director, Social Services (} iii//{� . DATE: May 20, 1994 SUBJECT: Notification of Financial Assistance Award between Weld County Partners and the Weld County Department of Social Services Enclosed for Board approval is a Notification of Financial Assistance Award between Weld County Partners and the Weld County Department of Social Services for Placement Alternatives Commission (PAC) funds. The Placement Alternatives Commission (PAC) reviewed proposals under a Request for Proposal process and arc recommending approval of this bid. 1. Total award would be $36,243.00 2. The period of the award is June 1, 1994, through May 31, 1995. 3. The Partner's program would match one advocate or volunteer with a family for 40 hours per month for up to 12 months 8.75 hours per week) If you have any questions, please telephone me at extension 6200. JAG:aas 940478 RESOLUTION RE: APPROVE REVISION TO NOTIFICATION OF FINANCIAL ASSISTANCE AWARD FOR PLACEMENT ALTERNATIVES COMMISSION FUNDS FOR WELD COUNTY PARTNERS AND AUTHORIZE CHAIRMAN TO SIGN WHEREAS, the Board of County Commissioners of Weld County. Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado. and WHEREAS, the Board has been presented with a Revision to the Notification of Financial Assistance Award for Placement Alternatives Commission Funds between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Social Services, and Weld County Partners, with terms and conditions being as stated in said notification, and WHEREAS, after review, the Board deems it advisable to approve said notification, 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, ex -officio Board of Social Services, that the Revision to the Notification of Financial Assistance Award for Placement Alternatives Commission Funds between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Social Services, and Weld County Partners be, and hereby is, approved: BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is, authorized to sign said notification. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 23rd day of May, A.D., 1994. ATTEST: Weld County Clerk to the Board BY: Deputy Cler to the Board C APPR• 1 AS TO FORM: ounty Attorney BOARD OF COUNTY COMMISSIONERS WELD COUNTY, CO ORADO . Webster, C Dale R. Hall, . Baxter �ryr d/.rte«� eirt 2.,yyy ec �COnntance L. Harbert Barbara J. Kirkm er 940479 5500/8 t SS; Pa Tints Weld County Department of Social Services Notification of Financial Assistance Award for Placement Alternatives Commission (PAC) Funds Type of Action Initial Award X Revision of Earlier Action Issued on 5/20/94 Contract Award Period Beginning 06/01/93 Ending 05/31/94 and Contract Award No. FY92-PAC-300 (RFP-PAC-9200) Name and Address of Contractor Weld County Partners 1212 8th Street Greeley. CO 80631 Computation of Awards Unit of Service A match of one advocate or volunteer with a family for 40 hours per month for up to 12 months (8.75 hours per week) Cost Per Unit of Service D.D.S. less Hourly Rate Per Unit of Service Based on Average Capacity Monthly Rate Per Unit of Service Based on Average Capacity $ 14.32 $ .37 $ 13.95 $ 620.53 Total Yearly $ 88,946 Services Budget (Subject to the Availability of Federal and State Funds) Yearly budget decreased by $10,000, no other obligations or provisions changed Enclosures: Signed RFP Monthly Program Capacity 15 Monthly Average Capacity 15 Description The issuance of the Notification of Financial Assistance Award is based upon your Request for Proposal (RFP). The RFP specifies the scope of services and conditions of award. Except where it is in conflict with this NFAA in which case the NFAA governs, the RFP upon which this award is based is an integral part of the action. Special conditions 1) Reimbursement for the Unit of Service will be based on an hourly rate per child or per family. The hourly rate will be paid for only direct face to face contact with the child and/or family or as specified in the unit of cost computation. 3) Unit of service costs cannot exceed the hourly, monthly, and yearly cost per child and/or family. 4) Rates will only be paid on approved and open cases with the Department of Social Services. Approvals: By/A b)(4.4)1 W. H. Webster, Chairman,53 /9f Board of Weld County Commissioners Date: Program Official: By Date: ieg Di CtOr ty D ar ent of ial Services 940479 fistre. 1111k. COLORADO MEMORANDUM TO: Constance Harbert, Chairman Board of County Commissioners FROM: Judy Griego, Director, Social Services O. DATE: May 2O, 1994 DEPARTMENT OF SOCIAL SERVICES P.O. BOX A GREELEY, COLORADO 80832 Administration and Public Assistance (303) 352-1551 Child Support (303) 352.6933 Protective and Youth Servloes (303) 352.1923 Food Stamps (303) 3563850 FAX (303) 353-5215 SUBJECT: Revision to Notification of Financial Assistance Award (NOFA) Between Weld County Partners and Weld County Department of Social Services Enclosed for Board approval is a Notification of Financial Assistance Award (NOFA) between the Weld County Partners and Weld County Department of Social Services for Placement Alternatives Commission (PAC) funds. The purpose of this revision is to decrease the yearly budget of Weld County Partners Plus from $98,946.00 to $88,946.00. The difference being $10,000.00 This revision does not change any of the other original obligations or provisions. If you have any questions, please telephone me at extension 62OO. JAG:aas 94O479 RESOLUTION RE: APPROVE REVISION TO NOTIFICATION OF FINANCIAL ASSISTANCE AWARD FOR PLACEMENT ALTERNATIVES COMMISSION FUNDS FOR NORTH COLORADO PSYCHCARE AND AUTHORIZE CHAIRMAN TO SIGN WHEREAS, the Board of County Commissioners of Weld County. Colorado. pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with a Revision to the Notification of Financial Assistance Award for Placement Alternatives Commission Funds between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County. on behalf of the Department of Social Services, and North Colorado Psychcare, with terms and conditions being as stated in said notification, and WHEREAS, after review, the Board deems it advisable to approve said notification, 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, ex -officio Board of Social Services, that the Revision to the Notification of Financial Assistance Award for Placement Alternatives Commission Funds between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County. on behalf of the Department of Social Services, and North Colorado Psychcare be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is, authorized to sign said notification. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 23rd day of May, A.D., 1994. ATTEST: Weld County Clerk to the Board BY: APPRO .b AS TO FORM: o my Atto ey BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Cbai rman Baxter Constance L. Harbert A / mod- 'i r arbara J. Kirkme y 940480 C� : C5.; NO"": eaychco, Weld County Department of Social Services Notification of Financial Assistance Award for Placement Alternatives Commission (PAC) Funds Type of Action Initial Award X Revision of Earlier Action Issued on 5/20/94 Contract Award Period Beginning 06/01/93 Ending 05/31/94 and Computation of Awards Unit of Service One hour by staff per week of direct services to of Youth Passages per up to 6 weeks Cost Per Unit of Service Hourly Rate Per Unit of Service Based on Average Capacity Monthly Rate Per Unit of Service Based on Average Capacity Total Yearly Services Budget (Subject to the Availability of Federal and State Funds) the client 40 hours $ 16.56 $2,720.00 $52,740.88* Yearly budget increased by $10,000, no other obligations or provisions changed Enclosures: Signed RFP Approval s : /f � By W. H. eb er, Chairman -57(9,/ Board of Weld County Commissioners Date: SA2/11J Contract Award No. FY92-PAC-600 (RFP-PAC-9200) Name and Address of Contractor North Colorado Psychcare 928 12th Street Greeley, CO 80631 Monthly Program Capacity 2 Monthly Average Capacity 1.5 Description The issuance of the Notification of Financial Assistance Award is based upon your Request for Proposal (RFP). The RFP specifies the scope of services and conditions of award. Except where it is in conflict with this NFAA in which case the NFAA governs, the RFP upon which this award is based is an integral part of the action. Special conditions 1) Reimbursement for the Unit of Service will be based on an hourly rate per child or per family. 2) The hourly rate will be paid for only direct face to face contact with the child and/or family or as specified in the unit of cost computation. Unit of service costs cannot exceed the hourly, monthly, and yearly cost per child and/or family. By _ �J Jud A. sego, Wel Co Department of Social Services Rates will only be paid on approved and open cases with the Department of Social Services. Program Official: C�� Date: ,��/qfit} ireAtor 940480 COLORADO DEPARTMENT OF SOCIAL SERVICES P.O. BOX A GREELEY, COLORADO 80632 Administration and Public Assistance (303) 352.1551 Child Support (303)3524933 Protective and Youth Services (303) 352.1923 Food Stamps (303) 356-385O FAX (303) lotf‘x115 MEMORANDUM TO: Constance Harbert, Chairman Board of County Commissioners (n/ FROM: Judy Griego, Director, Social Services " " DATE: May 2O, 1994 SUBJECT: Revision to Notification of Financial Assistance Award (NOFA) Between North Colorado Psychcare and Weld County Department of Social Services Enclosed for Board approval is a Notification of Financial Assistance Award (NOFA) between the North Colorado Psychcare and Weld County Department of Social Services for Placement Alternatives Commission (PAC) funds. The purpose of this revision is to increase the yearly budget of North Colorado Psychcare from $42,740.88 to $52,740.88. The difference being $10,000.00 This revision does not change any of the other original obligations or provisions. If you have any questions, please telephone me at extension 62OO. JAG:aas 940480 RESOLUTION RE: APPROVE NOTIFICATION OF FINANCIAL ASSISTANCE AWARD FOR PLACEMENT ALTERNATIVES COMMISSION FUNDS FOR WELD MENTAL HEALTH CENTER, HOME BASED OPTION A, AND AUTHORIZE CHAIRMAN TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with a Notification of Financial Assistance Award for Placement Alternatives Commission Funds between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Social Services, and the Weld Mental Health Center, Home Based Option A, commencing June 1, 1994. and ending May 31, 1995, with terms and conditions being as stated in said notification, and WHEREAS, after review, the Board deems it advisable to approve said notification, 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, ex -officio Board of Social Services, that the Notification of Financial Assistance Award for Placement Alternatives Commission Funds between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Social Services, and the Weld Mental Health Center, Home Based Option A. be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is, authorized to sign said notification. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 23rd day of May, A.D., 1994. ATTEST: Weld County Clerk to the Boar BY:.J Deputy the Bga t FORM: totney BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ~Cdart,. si_eiee "de onstance L. Harbert 940481 5500/g ate.,; 55; WP4r 0-- Weld County Department of Social Services Notification of Financial Assistance Award for Placement Alternatives Commission (PAC) Funds Type of Action X Initial Award Contract Award No. FY92-PAC-500 (RFP-PAC-9200) Contract Award Period Beginning 06/01/94 Ending 05/31/95 and Computation of Awards Unit of Service Name and Address of Contractor Weld Mental Health Center Home Based Option A 1306 11th Avenue Greeley. CO 80631 A match of two families per worker per 80 hours per month for up to 6 weeks to provide intensive services as long as required to stabilize the situation with families with 34 hour crisis intervention. (20 hours per week) Cost Per Unit of Service Hourly Rate Per Unit of Service Based on Average Capacity Monthly Rate Per Unit of Service Based on Average Capacity $ 25.20 $1,649.00 Total Yearly $72,562.00 Services Budget (Subject to the Availability of Federal and State Funds) Enclosures: Signed RFP Approvals: /J 1 BY /// I— _ / 622.4. ( " H. I ebster, Chairman s- /05/ Board of Weld County Commissioners Date: Monthly Program Capacity 4 Monthly Average Capacity 3 Description The issuance of the Notification of Financial Assistance Award is based upon your Request for Proposal (RFP). The RFP specifies the scope of services and conditions of award. Except where it is in conflict with this NFAA in which case the NFAA governs, the RFP upon which this award is based is an integral part of the action. Special conditions 1) Reimbursement for the Unit of Service will be based on an hourly rate per child or per family. 2) The hourly rate will be paid for only direct face to face contact with the child and/or family or as specified in the unit of cost computation. 3) Unit of service costs cannot exceed the hourly, monthly, and yearly cost per child and/or family. 4) Rates will only be paid on approved and open cases with the Department of Social Services. Program Official: By Ju'y Gri ,o, Weli oun Depar'! ent of Soc :1 Services Date: 940481 i INVITATION TO BID .i'�mR=�Jmm m ssvava:vaavvvvamaR======mm==mv=msmmvv=mam==m==am=a= mama mama masmmmammemvvmmmmmmm DATE: January 7. 1994 RETURN BID TO: Pat Persichino Director of BID NO: RFP-PAC-94004 General Services 915 10th Street P.O. Box 758 Greeley. CO 80632 DIRECT INQUIRIES TO: Pat Persichino, Director of General Services SUMMARY Request for Proposal (RIP -PAC -94004) for: Family Preservation Program Deadline: February 22, 1994, Tuesday. 10:00 The Placement Alternatives Commission. an advisory commission to the Weld County Department of Social Services, announces that competing applications will be accepted for new grants pursuant to the Board of Weld County Commissioners authority under the Statewide Family Preservation Program (C.R.S.26-5.5-101) and Emergency Assistance for Families with Children at Imminent 'Risk of Out -of -Home Placement (C.R.S. 26-5.3-101). The Placement Alternatives Commission wishes to approve a twelve month program targeted to run from June 1. 1994 through May 31, 1995, at targeted funding levels of increments up to 5482,431.00. This program announcement consists of five parts, as follows: PART A...Administrative Information PART B...Background, Overview and Goals PART C...Statement of Work PART D...Bidder Response Format PART E...Evaluation Process a.m. Delivery Date (After receipt of order) VENDOR Weld Mentni Health enter', Tnr ADDRESSIW6 Eleventh AVAnur Crrrlfy, Crlcradc The above bid is subject to Terms and Conditions as attached hereto and incorporated. BID MUST BE SIGNED IN INK Dale o Pee -en^ M9TI+L MJj,l TYPED OR ,R�tINTED �SIGN4TURE nX ay A -4r" Handwritten Signature By Authorized Officer or Agent of Vender .TITLEfxecutive D{rertor ZIP A0631 PHONE 8 (303) 353 3626 DATE 2 -21-9T 940481 RFP-PACr94004 Attachment A Page 1 of 2 COVER PAGE ALTERNATIVES TO OUT OF HOME PLACEMENT PROGRAMS PLACEMENT ALTERNATIVES COMMISSION PROGRAM YEAR 1994 BID tt REP -PAC -94004 C,i„nt Group(s) to be Served Families with children at risk ,of out -et -home n.'acemi'ulh Name of Applicant Agency: Weld Mental Health Center, Inc. Address: 1306 Eleventh Avenue City: Greeley, Colorado 80631 Phone: L303) 353-3686 Contact Person: Dan E. Dailey Title: Director; Children an@ Family Services Approximate? Project Date';: Start June 1 1994 End May 31, 1995 Title of Project: In —Home Intensive Services Team Amount Requested: S7? 562.00 Signatures: Dan E. Dailey Name and Signature of Pe Dale F. Peters.n Name and Signature of Chief Administrative Officer of Applicant Agency alo-oliy Date Date PROPOSED FAMILY PRESERVATION PROGRAM CATEGORY Please initial to indicate the bidder's chosen category (only one category per bid) X Home Based Intensive Family Intervention Option 1 Home Based Intensive Family Intervention Option 2 Intensive Family Therapy Sexual Abuse Treatment Day Treatment Life Skills Individualized/Innovative Services 940451 RFP-PAC-94004 TYPE OF PROJECT Attachment A Page 2 of 2 X Continuing Project under Weld County PAC How many years? 2.5 Now Project Proposed Program will eliminate the need for out of home placement Proposed Program will lower the cost of out of home placement Other: The Proposed Program will MANDATORY PROPOSAL REQUIREMENTS Please initial to indicate that the following required sections are included in this propocal : Statement of Need Population to b'- Served Program Requirements Types of Services Provided Provision of Services & Administrative ,�\\ Capability S'/ Past Performance 0 Evaluation Results __RiglBudget Program Evaluation and Continuation C 940481 TABLE OF CONTENTS Cover Page overleaf Table of Contents a Program Narrative 1 1. Statement of Need 1 2. Population to be Served 3. Pros:73a R:Vquir^mentS I 4. Types of Services Provided 2 3 5. Prevision of 3er ices and Administrative Capabtlit: 3 6. Past Performance 3 7B. Evaluation Results 3 8. Budget 4 9. Program Evaluation and Continuation 4 Attachments A. Cover page overleaf B. Program Requirement, C. Past Performance 11 - 15 D. Evaluation Results 16 - 19 E. Hourly Unit Rate Cost Computation Sheet 20 - 21 F. Program Performance 22 C. County Placement Alternative Plan Final Budget Pag« 23 H. Budget Format 2 ie a 940451 D. Program 1Wtrrative ,1. Statement of Need The child and adolescent population at* risk of out-of"home placement continues to be underserved by the private and public mental health and social services systems of Weld County. In fiscal year 1992-93. the Children and Family Services Program (CFSP) of the Weld Mental Health Center. Inc. (WMHC) admitted more than 600 children and adolescents to its outpatient services in addition to Continuing to work with those already on its rolls. Of the children and adolescents admitted to the CFSP. approximately 90S fit the Colorado Division of Mental Health (DMfi) definition of severely emotionally disturbed by virtue of the severity and nature ''f their presenting problems, out -of -home placement. or a combination of these factors. The TIME a lmal.-'; the veuth porulArion in need of meu!L hoolth :,'(vin ':,•I.1 County to be over lSCO in any ,i.'ea .e u . in,. In -Home intensive Services Team !TST! dcsinned .o deal directly and promptly .fah the ms:' troubled of those families. This proposal seeks to maintain the current level of services available through the 1ST. The Colorado State Department of Social Services reports that last year nearly 34,000 families were ..rued by !Oral dePar(meats of ;criaf services. Approximately 54.000 children Were provided services, MO: in their own homes and :Oo requiring placement lo out -of -home care. In the previous fiscal sear, ac.lnring to data from the Weld County Department of Social Services (WCDSS), there were more than 220 Weld County children in out -of -home placements with the majority in foster families and the rest in group homes. child placement agencies, and in residential child care facilities (ECG?). There were more than 1200 reports of abuse received by the WCDSS in the past year. More than 110 Dependency and Neglect Petitions are filed annually in response to these reports. There is a perennial shortage of appropriate foster homes in which to place these children in need. Placement Alternative Commission "slots" have been significantly reduced by continuing and questionable redefinitions of whom may have access to them. There are not sufficient rcources for the children and their families in this county, 2. Population to be Served The following eligibility criteria must be met before 1ST services will be offered, a. The family must reside in Weld County; b. There must be a risk of imminent out -of -home placement of at least one family member aged birth to )B years (or such placement has already occurred) precipitated by a recent or ongoing situation which severely threatens the family's ability to adequately cope with that and related situations; c. At least one parent/guardian must consent to work with the team with the goal of keeping the family together and to protect the children from further harm in accordance with a safety plan; d. As services are to be delivered in the family's home, there must not be a high potential for physical danger to project staff; e. There must be a manageable level of risk of harm to the targeted child(ren); and f. There is a reasonable possibility that services can bring about sufficient improvement in parental competency to allow the children) to return home or to safely reside in the home. The following catevories of children and adolescents (independent of age, gender, ethnicity) who meet SH26 guidelines will be served by the IST: a. Youths suffering from the effects of significant sexual and/or physical abuse and neglect to the extent they are unable to maintain effective daily functioning at home and at school; b. Youths who are unable to control suicidal and/or homicidal behavior thus placing themselves, their families, and their communities at risk; c. Youths who present with behaviors that are temporarily beyond the ability of their parents and their community to manage; d. Youths suffering from significant cognitive impairment and/or mental illness to the extent they can no longer be maintained in the family setting and/or at school. At least 40. families sill be served annually: Referrals will flow from individual caseworkers at WCDSS to Rosi Anson, Supervisor of the Ongoing Child Protection Team there to Dan Dalley, 1ST director. The final decision .a!: to the appropriate level of mental health services will be made by the WM@C. 9404£1 7. Program Requirements The overall goal of the project is to enable families with children at risk of out -of -home placement or who already have children placed out of their homes to care for those children in a healthful manner in the home environment. Specific goals and objectives are: Goal A. Rapidly improve and stabilize family functioning to enable the family to care for the children in the home netting. Objective Provide crisis intervention and other services within three days of referral to 40 families CO either prevent out -of -home placements of children and adolescents in foster and group homes, residential child care facilities. juvenile detention facilities. and in psychiatric hospitals (family preservation services) or return pouthi from such (a'ilitie t their family hones wit 'r, .'ir.e .,•r8:: of roferrol reunit cation Goal 9. Improve overall functioning of families via improved family conflict management. improved parental competency, improved household management competency, and an improved ability to gain access to and use pppreeriate resources in the community tr, enable the families to anprnrriate'.y car" for ;heir children in their own homes on a long term basis. Objective a. Eighty-five percent of families which receive either family preservation or reunification services through the 1ST will measure significantly lower on the risk assessment scales at time of termination of services. Objective b. At termination. six and 12 months after termination of 1ST services. 90% of the families will remain intact. Objective c. Seventy percent of children currently in long term placement who are provided reunification service; will return to their own home and not reenter out -of -home placement within 12 months of completion of ervicey Objective d. Fewer than 10: of discharged Children will enter another FPP pro&rnm. Objective e. Fewer than 10% of the children served will be in a more costly Placement at discharge and fewer than 15% will be in such a placement six months after discharge. Objective f. Eighty percent of the families receiving either family Preser•n tion or reunification services will not have a substantiated ,incident of abuse or neglect within 12 months of successful completion of services. 4. Types of Services Provided The WIC provides families with intensive, home -based crisis intervention. mental health assessment and treatment, case management, and education services, eodeltd after the nationally known Homebuilders program, The following principles guide the IST's approach; a. To intervene immediately; b. To provide brief and intensive treatment; c. To focus treatment, using existing family strengths, on identifying and solving problems, and on realistic goal setting; d. To involve and empower families in treatment; and e. To link clients and their families with and educate them in the effective use of other community services and resources. Crisis lierviros are available 2MM hour pet .lay, never, days per week to provide :c:eening, evaluation and assessment, intervention. and follow-up planning to clients. Services. tailored specifically to each client family. aro offered on a short-term basis. focussing on those issues and problems precipitating the crisis and on using the crisis to mobilize the youth and his or her family to develop new ways to cope and prevent further crises. The average period of involvement ranges from four to six weeks. Services are delivered primarily in clients' homes but will be available wherever necessary to optimize results. These aspects of the project --rapid response to referrals. accessibility of therapists at home during eveeiras and weekends. the time available for client families, the location of the services, the staffing pattern, the low caseloads, and the brief duration of the services --produce a much more powerful intervention than one which offers only one or two of the components. The WRAC believes that families deserve strong, effective support in attempting to learn productive ways to cone with problems before the last resort of Placement of children out aide the home is utili.'.e•[!. 940481 The services provided by 1ST are culturally sensitive and competent. They are designed to be consistent with the culture and belief systems of the client families. Training to educate and sensitize staff to the needs and cultural differences Of the residents of Weld County occurs on a regular basis. 5. Provision of Services and Administrative CaPabilitY The WMHC i•: a nricate, nun -profit corporation governed by a board of directors, currently chaired by Michael is li._nsed by I ..,. ,. CulvrodocumPrehancivu •uwnunity mental n -a ,. .cenbr serving a:: ,i Weldcunt... ,h, wMgC 'wen in oNit,Ole0 l?62. M•c,,,,, .>mptn•v.q.,Ive canmtmity gent:.: health renter in November. 1917. Dale Peterson, MSW, M1t1, is the WMHC's Executive Director. Scott Wong. %701C Business Manager, is responsible for fiscal aspects of the project. The 150. employees of the WNEC (of whom 10 serve in administrative cahleittesl are surety bonded. The :ST is staffed to t., masrers level mental health rlini,: iana whe;e training included crisis intervention and family systems theory. Each member of the team has three or more years experience working with children. adolescents, and families. Each team member has undergone special training in the philosophical and practical aspects of family preservation. Each member of the team will meet the minimum qualifications of a Colorado Department of Social Services Caseworker III. Overall administrative responsibility is assigned to Dan E. Dailey, BA. Director of the CFSP, who has more than 20 years experience in mental health treatment and administration. Be reports directly to the Executive Director of the WMRC. At present, the 1ST i', the only program in Weld County delivering the services a; described herein. The P -,rent Adv-.., ., r.,rram of Child hlvor,r.,• Resource and F'''ir.,)ior,, Inc ,CARE also peer; ,e hnwe-h.se, services further defining the continuum of care the families of 'veld County deserve.. The 1ST, however. offers the most intensive and comprehensive services. It is further differentiated from the CARE program in its direct therapeutic focus and the brevity of its service delivery --Sour to six weeks versus 12 months --and its direct connection t,> an ongoing source of mental health service- for it.; client families. The 1ST will often be able to prepare clients for successful involvement in the services offered by CARE. 6. Past Performance The WMRC provides inpatient, residential, partial care, and outpatient treatment services including group. family, and individual therapy as well as case management, educational, and vocational services. Programmatically. the WMUC is made up of the Community Support Program which serves adults who are chronically and severely mentally ill, the Acute Treatment Unit which is a highly structured, intensive residential treatment program for chronically and seriously mentally ill adults, and the Children and Family Services. Adult Outpatient. and Peer Counseling Programs which primarily provide outpatient services. An outreach office in Fort Lupton is staffed to serve citizens living in the southern portion of Weld County. The WMBC Is funded through the Colorado Division of Mental Roalth, county and local governments, the United Way of Weld County, victim compensation funds. grants, private donations, contracts for service with a variety of agencies. Medicaid, Medicare, third party insurance payments, and fees for services. ;or tae '.''rid 6/1/9; through 2/22/°4, this: project .; meeting all objectives. sot forth in :,7 ".ran' .equect Twenty-sixfamilies have been served. with 91: completing their treatment plans (three are currently receiving IS? services.) Four of the five families nerved by the 1ST in its first months of practice (January and February, 1992) remain intact 12 months after termination of services. Of the other families completing services: 100% remained intact at termination; 90.5% remained intact at three months after termination: 85.7% accepted referrals for ongoing services from CPSp or another agency: 85.7: reported improved levels of communications within the family compared to pre-treatment levels; and 100: reported and demonstrated significantly decreased levels of violence within the family compared to ore -treatment levels., 7E. Evaluation Results The 1ST hay; net til of t; pr4ject and _ "ft ett en.-_ ,ae7cetr .,l.ie,•t ,.tothm•nt i ,.t theS.. 3 940481 8. Budget The IST requires an annual operating budget of $72.562 up from $72,408.13 last year due largely to increases in travel expenses based on previous years' experiences. Administrative and supervisory overhead is reduced however. Personnel expenses account for 555.200, or 76.1% of the total budget which will provide for 2.00 full-time equivalents (FTE). Each therapist/case manager will be paid $24.000 annually. Fringe benefits are calculated at 15% of salaries. or $7.200 annually. The non -personnel portion of the budget is $17,362 annually, which is 23.9% of the total. Each of the two therapist/case managers will travel an estimated 800 miles per month and will be reimbursed at the present W'MEC rate of 5.27 per mile equalling 54,032 annually. Rent for office space for the workers and supervisors not exceed .•'t month. cal Culated from current expenditurps. Ie1^9hone eap'nse of ...3 monthly iS .!cut:.t.,il from ..ut,.ni o\Fen.es of ti1e "r ,i,;i.: ,.p:,n,: ,,f r17 nnntb a _ ba 5n1 an c,trront. ti:_muffin rates. Clinical and office supplies are calculated to match the current monthly rates within WMMC of s175, including one tone leased pacer for each clinical worker (514,95/pager/month'!. Professional Liability Insurance will oat 562.50 per month per FTE, or Sle,RO annually. Secretarial/bookkeeping/data entry support expense will be ..,.50 per FIE per month or 9900 yearly, calculated. from oasts currently be in6 incurred for similar activities. Expenses for project evaluation support of 540 monthly 15480 annually) are derived from current experience with such services on a per ETE basis. Psychiatric and psychological backup and support costs of 5150 monthly is based on one hour each of a psychiatrist's and psychologist's time per month at hourly rates of S95 and S55, respectively. 9. Program Evaluation and Continuation The evaivat iun of this Project wilt be focused on the degree to which it[ ml f ';e:,lr and obiective are met. The data to he evaluated will be obtained via numerous routes and sources. The Colorado '.:. rot Assessment Record (CCAR) will be used to assess the levels of functioning of the individuals admitted to the IST. The CCAR has been utilized by the entire public mental health system of Colorado for over a decade. It contains nine level of functioning scales which are described by anchor points in a manual that define s the use of the CCAR. Overall patterns of scores on such key areas as family functioning, interpersonal relations, role performance, and feeling and affective processes will be of special interest. It is expected the interventions of the IST will lead to positive chances in these areas as well as the total of scores in all levels of functioning. Both pre- and post -intervention data wilt be obtained. Assessment efforts in this area will be closely coordinated with current DMII research efforts. Other objectives will be assessed via monthly follow-up contacts with families. Observations by IST members and by other professionals involved with the families will also form the bases for studying goal and objective attainment. The level of agreement and disagreement between the family members and involved professionals regarding these observations will be studied as well. Demographic data will be obtained and maintained for each individual and family accepted into the project. Data which are specific to this project will be combined with the data information system already in place at MSC to provide a very comprehensive and understandable means by which to study the effectiveness of this project. whenever feasible. pre- and post - intervention data will be obtained and utilized. The 'MEC is comaitted to the continuation of this protect and '.ili pursue any remsonable npt'ofs to fund it in Perpetuity. Continued funding for this project through the Weld County Placement Alternatives Commission will be sought as the WMIIC believes the IST is definitive in terms of what PAC programs are required to provide. Many clients of the project will be Medicaid eligible. Funding for them through the "Rehab Option", which permits billing Medicaid for other than clinic -based services, will be sought although it must be remembered the WMMC is limited in the amount of Medicaid it may earn each year and is, in effect, punished when it exceeds that limit or "cap." The MC will approach the DM in Its budget negotiations to switch a substantial portion of the cost of this project tO that entity. 940481 Attachment B Page 1 of 6 PROGRAM REOUIREPCF S TYPE OF PROJECT Title of Project: Tn-Home Intensive Services Tenm n1. T,, . 1 ci_htv_fi,.a ., r^:'"t_,.r !trait;..; wr;.-y re- LJ)+eLn t'!-Jc .1":e"gment ,ra1'5 at. time of aurrr^sful terminatiQX-pf neryires_ PR'c;pAl SPTTiITC OH.IFCTTVES (MrNTMUM r. TTPFE PER PRCcp1M) �.,LATED T^ CLIENT ^?UTCOME :'ERFfRMANCS Home Based Intensive Family Intervention Option I Home Paned intensive Family intervention ^.ration Sexual Abuse Treatment . Day Treatment Iridiv Olual P[ed/!o-.ovat.lve rr:i,:.. Activity Person(s) Time Frame Resoons.ihle DAte5 (nit ial Aes=melt of ramify 1ST Treatment Staff At admix.ion Tliorpy, Case Mananement. E.fucatten. 1ST Treatment Staff Dngoins Crisis Intervention ) ollo.r-un As,;ossments rat F.mi ty Psychological/Psychiatric Consultation Clinical Supervision Administrative Supervision 1ST Treatment Staff At termination of services Dan Dailey, BA William Crabbe. PhD Russ Johnson, MD Theron Sills. MD As needed Dan Dailey. BA Ongoing Dan Dailey. 3A Ongoing 940451 Attachment B Page 2 of 6 PROGRAM REQUIREMENTS Title of Project: In -Rome Intensive Services Team ribj.ctivr tU !'L"LlI1aPi .»1_C �'IAQ...l:�RQII.t21,�,iLte-: P'CGR.5M SPECIFIC Or! CTIVFE ,!!.NtNt' CF T1iffEE PEE MCST "1: : L:TFn Tr "'KT ;^OTrrMF P"'FFORMx+CE TYPE OF PROJECT Home Based Intensive Family Intervention Option 1 Rome Rased Intensive Family Intervention Reti n Intonivp ?amf " Thory Sexual Abuse Treatment Day Treatment _ Life Skillr i re)viA!i.i1H? ed/lens ativ't Eereicee Activity TI:e ne', ra:o Management, F,dirra t ion. T ,,Ppr"rniinn Psychological/Psychiatric Consultation C,}iniral SuPervininn Administrative Supervision Data Collection Person(s) Renoonsible IST Treatment Staff William Crabbe, PhD Russ Johnson. MD T'rleron Sill_, MD Dan Dailey, BA Dan Dailey. BA 1ST Treatment Staff Dan Dailey. BA Neil Ranson. PhD Time Frame Dates ongnint as needed ongoing ongoing At termination & amain six and 12 months later 940481 Attachment B Pate 3 of 6 PROGRAM REQUIRF21ENDS TYPE OF PROJECT Title of Project: In -Home Intensive Servir,1 Tram Ohert lvo ,a ;^, _.ham ,r'•+i.,n 11 7..'t;.'l '0._.t, 1ST —_ n`.rn ,nil T•,.•rapy Sexual Abase Treatment Day Treatment r'GCGF'.M 4?ECt fC OBJECTIVE" .r4L'IIMLN or =FE P4't P'C(,r AM ____ Life Stipp. MUST 2O v^L TAD 'fc f,,, , 'H'TC0 F r rlor;! "CF inn i /'(!e>: i-;•d/[nnevdtive SYvire_c Home Based Intensive Family Intervention Option 1 Home Paned inten,,ive Family Intervention Activity ThCtnr,,, :acme Manasenent, Edu.:nticn. r..y_ rn,..rvent en Person(s) Time Frame Reason'iblt_ Dates 1ST trontment staff onen;ne. Psychological/Psychiatric Consultation William Crabbe, PhD as needed Russ Johnson, MD Theron S:::w, :D Clinical Supervision Dan Dailey. BA ongoing Administrative Supervision Dan Dailey, BA ongoing Data Collection 1ST Treatment Staff 12 months post successful completion Dan Dailey, BA Neil Benson. PhD 940481 Attachment B Pate of 6 PROGRAM REQUIREMENTS TYPE or PROJECT iT,ne P,_..,! inl.•n..fve Family i,G•rvonti•sn Objective 4, r^wer tlyan jOv of raunbarretl rlildrnn wul ,.n ter TJe1-tr rrSrcr as ,A't rr ri i`rC'i a• PROGRAM SPECIFIC OBJECTIVES (MINIMUM OF THREE PER PROGRAM) MAST BE RELATED TO CLIENT OUTCOME PERFORMANCE opLim Home Based Intensive Family Intervention Option 2 intensive Family "herAPV ._- S0sual Ah.r:e rrettment Day Treatment Life Skills Individualized/Innovative Services Activity Therapy, Casa Management. Education, Crisis intervention Psychological/Psychiatric Consultation Clinical Supervision Administrative Supervision Data Collection Person(s) IST Treatment Staff William Crabbe. PhD Russ Johnson. MD Theron Silts. MD Dan Dailey, BA Dan Dailey, DA 1ST Treatment Staff Dan Dailey. BA Neil Benson, PhD 8 Time Frame 'it' ^9 — Ongoing As needed Ongoing Ongoing At discharge, six and 12 months post services 940451 Attachment B Page 5 of 6 PROGRAM REQUIREMENTS TYPE OF PROJECT Objective 5: 1-wer_than 101 of the children erv' L j.Li. be in ._morn ry; 1'• plarement at discliaciZ 1Gsl�ew_r_I.-?Jl:'ti' ' bin , • .J : I+e ; o •:uc:: PROGRAM SPECIFIC OBJECTIVES (MINIMUM OP THREE PER PROGRAM) MUST BE RELATED TO CLIENT OUTCOME PERFORMANCE '.Tome ^A?r2<r :i Finily Inter'.en.vn r)o! l pn ' Home Based Intensive Family Intervention Option 2 .—r Intensive Family TI'.cr.vy .nut douse Tnat.wn' Day Treatment Life Skills Individualized/Innovative Services Aetivity Person(s) Time Frame $eSP97ll1LY1J.� wit$ Therapy. Cane Management. Education. IST Treatment Staff Ongoing Crisis Intervention Follow-up Assessments of Family 1ST Treatment Staff At termination and six months post - Dan Dailey, PA termination Psychological/Psychiatric Consultation William Crabbe. PhD As needed Russ Johnson. ND Theron Sills. MD Clinical Supervision Dan Dailey, BA Ongoing Administrative supervision Dan Dailey, BA Ongoing Data Col leCI icn 1ST Trgalment S.ftS c, munths pot'. :Alece;5fu: Dan Dailey, BA Neil Denson, PhD 9 940451 Attachment B Pase 6 of 6 PROGRAM REQUIREMENTS TYPE OF PROJECT Titles )i ".i.:'_is_3V9v,'J'•i'S.-'.z erx_u:-`_T::il_ i_a_ home Darr: Intensive F:.ta;i} Intervention Option t Objective 5: Eizhfv verent of Tom; 1fro- rrrniv;nr 1ST _ Rome Based Intensive Family Intervention ^ery cgis .411 rot tze a ^ub^tant.latrdinci- Option 2 ,IF' -'T of (burn nr e....i..r' Jtlt?r tZson : __. Int,nvicn Family '.1 .'Apv 12LS.9C_ir1 LOALd_-r^iro ;. _ Sexual Abuse Tre,afeent Day Treatment PROGRAM SPECIFIC OBJECTIVES (MINIMUM OF THREE PER PROGRAM) , Life Skills MUST DE RELATED TO CLIENT OUTCOME PERFORMANCE Individualized/Innovative Services Activity Person(s) Time Frame ��nnn�t to Date:; Therapy. Case Management. Education. IST Treatment Staff Ongoing Crisis Intervention Follow-up Assessments of Family 1ST Treatment Staff At termination and 12 months post - Dan Dailey. PA termination Psychological/Psychiatric Consultation William Crabbe. PhD As needed Russ Johnson, MD Theron Sills. MD Clinical Supervision Administrative Supervision Data Collection Dan Dailey. BA Ongoing Dan Dailey, BA Ongoing 1ST Treatment Staff Twelve months post successful termination Dan Dailey. BA Neil Benson. PhD 10 940481 Attachment C Page 1 of 5 PAST PERFORMANCE Prncram �:,il_N�. r1)} ,n`.: . C_:�r�'ll• T� 4r Airy•nry...0 . Wn i j TleaM I'an ✓-r.. I. Objective 1 Target Peaforn nce'` (Outline the objective) Reduce aggression/violence Progress to meet objectives as of 2/28/94 90% 100% of families com— pleting program re— ported improvement r" .....eemPent n (*.r ',t ict9.11 iercorl .e i7 not meeting tarset performance. the potential contractor must describe reasons for deficient performance and describe how the program will meet its planned performance by 5/31/94. 1ST is on target. All families completing services for whom violence and aggression wcr„ problems reported significant reductions in the amount of violent and aggressive behaviors used within the home and outside the family environment. 11 940481 Attachment C Page 2 of 5 PAST PERFORMANCE Pregr`:in:c,s 'r Serv4ces i"ai". As n .ti01,.r .1'.,, 11 X11 H1. !`p.�U ar Objective 2 Target Performance' (Outline the objective) Prosress to meet objectives as of 2/28/94 Families will remain intact 85% Of the families com— pleting services, 85% remained intact or were reunited Please comment on _r:n :e _ e. .t actual p? trrmance is not moottarget performance. the potential contractor must describe reasons for deficient performance and describe how the program will meet its planned performance by 5/31/94. 1ST is on target with 85% of families seen to date intact either by having avoided out —of —home placement or via the return of a child to the family who was placed out of the home at time of referral . In two of those families which are not intact after termination of services, it is deemed to be in the best interests of those children not in the home to have been placed out of the family home. 12 940481 Attachment C Page 3 of 5 PAST PERFORMANCE Pr.ogrrn Nar,e: inteis 'r Ser 2s Team A:.nc Walrt more !'a Health cert.., Objective 3 Target ?erfermanr.. (Outline the objective) Families to remain intact one year post services Progress to meet objectives as of 2/28/94 75% 92% of families which successfully completed services are intact one ye.ir post services Please comment on performance. If actual performance is not meeting target performance, the potential contractor must describe reasons for deficient performance and describe how the program will meet its planned performance by 5/31/94. 1ST is on target. Target is being exceeded at this point bj• a good margin. 13 2404.61 Attachment C Page 4 of 5 PAST PERFORMANCE Program Names: Tntonsio Sor•:icos Team Agency 7.?nni'.nI f in,p1 h}i ronh. 1. Objective 4 (Outline the objective) TargFt Performance* Progress to meet objectives as of 2128194 Limited 4t of families will move to other PAC programs after completing IS; ser— vices 10% Nine percent of families completing IST services required additional ser- vices from other PAC pr ',gr. am.s Please comment on performance. If actual performance is not meeting target performance, the potential. contractor must describe reasons for deficient performance and doscribe how the program will meet its planned performance by 5/31/94. 1ST is on target here. This outcome is somewhat difficult to assess due to a variety of issues such as confidentiality. It is not necessarily negative, either, in our viewpoint that families might move from one provider to another. 14 940451 Attachment C Page 5 of 5 PAST PERFORMANCE rrosrom Tr` ;ve _nr\•icr T-,:t!n ,s'en Name: `.call. Men}:1 1e414n CorF.,.. . Objective 5 Target P rLwnrtnce (Outline the objective) Avoiding more costly placements Progress to meet objectives as of 2/28/44 10% at discharge, 15% Nine percent of target six months after children were in more costly placements at discharge and at six months post -discharge Please comment on performance. If actual performance is not meeting target performance. the potential contractor must describe reasons for deficient performance and describe hew the program will meet its planned performance by 5/31/44. IST is on target. It is interesting to note our belief that the children represented in this statistic are appropriately placed in these more costly facilities, that the 1ST assisted in determining the inadequacy of the families to effectively deal with these children. 15 940481 Attachment D Page 1 of 4 EVALUATION RESULTS (Continuing Projects ONLY) ?. _.. Pro ject: ln-Holm, Int,n�iv�-sr..ics T is m TT. now many years has the Project been funded by PAC? 2.5 III. Please provide a description of the Project's evaluation criteria and of how the Program outcomes and cost effectiveness were to be measured (This narrative should be replicated from the Project's approved RFP Bid for any or part of the PY1993-1994 period of June 1, 1993 through May 31, 1994). from RFP-PAC-93003 by 'NT1HC: -Theo \'or.a l goal of the project is to enable families with children at risk of out - of -home placement or who already have children placed out of their homes to care for those children in a healthful manner in the home environment. Specific goals and objectives are: Goal A. Rapidly improve and stabilize family functioning to enable the family to care for the children in the home setting. Objective Provide crisis intervention and other services within three days of referral to 44 families to either prevent out -of -home placements of children and adolescents in foster and group homes, residential child care facilities, juvenile detention facilities, and in psychiatric hospitals or to return youths from such facilities to their family homes within three weeks of referral. Goal B. Improve overall functioning of families to enable them to care for their children in their own homes on a long term basis. Objective a. When aggression and/or violence has been determined to have been part of the family's problem, 90% of the families will report and demonstrate a marked reduction in the use of violence/aggression within and outside the family. Objective b. At termination and six months after termination of IST services. 85% of the families will remain intact. Objective c. Seventy-five percent of the successfully terminated families will remain intact 12 months after termination of in -home services. Objective d. Fewer than 10% of discharged children will enter another PAC program. Objective e. Fewer than 10% of the children served will be in a more costly placement at discharge and fewer than 15% will be in such a placement six months after discharge. The evaluation of this project will be focused on the degree to which its major goals and objectives are met. The data to be evaluated will be obtained via numerous routes and sources. The Colorado Client Assessment Record (CCAR) will be used to assess rho levels of functioning of the individuals admitted to the IST. The CCAR has heen utilized by the entire public mental health system of Colorado for over a decade•. It rontain': nine level of fwnctioninz scales which are described by anchor points in a manual that defines the use of the CCAP.. Overall patterns of scores on such key areas as family functioning. interpersonal relations, role performance. and feeling and affective processes will be of special interest. It is expected the interventions of the 1ST will lead to positivechanges 16 940481 Attachment D Page 2 of 4 in these areas as well as the total of scores in all levels of functioning. Both pre- and post -intervention data will be obtained. Assessment effort_ in this area il. c -e closely rno 1 .,aced with c rr?nt 1M'1 research efforts , Other objectives will be assessed via monthly follow-up contacts with families. Observations by 1ST members and by other professionals involved with the families will also form the bases for studying goal and objective attainment. The level of agreement and disagreement between the family members and involved professionals regarding these observations will be studied as well. Demographic data will be obtained and maintained for each individual and family accepted into the project. Data which are specific to this project will be combined with the data information system already in place at WMfiC to provide a very comprehensive and understandable means by which to study the effectiveness of this project. Whenever feasible, pre - and post -intervention data will be obtained and utilized." IV. What are the outcomes basedthe Prci oct's evaluation criteria. Be outcomes on factual and specific. A. Cost effectiveness: (especially as it relates to eliminating the need for out of home placement or lowering the cost of out of home placement). The 1ST was successful in meeting its cost effectiveness projections. Services were delivered slightly under the projected $1595 figure. All families successfully completing 1ST services were intact at termination of those services: 90.5% were intact three months post termination; more than 85% of those families who completed 1ST services at least one year ago also remain intact. Clearly, 1ST worked to maintain the physical integrity of the families it served, thus significantly lowering and in some cases eliminating the need for out of home placement. B. Program Outcomes: For the period 6/1/93 through 2/28/94, this project is meeting all objectives set forth in its grant request. Thirty-three families have been served, with 84% completing their treatment plans (two are currently receiving 1ST services.) Of the other families completing services: 85% remained intact at termination: 90% remained intact at three months after termination; 92% accepted referrals for ongoing services from CFSP or another agency; 100% reported improved levels of communications within the family compared to pre-treatment levels; and 100% reported and demonstrated significantly decreased levels of violence within the family compared to pre-treatment levels. C. Other: For the entire fiscal '7`a3-94 fiscal year. this project will likely not serve the number of families originally intended. This is dun to the resignation of one of the workers in late 1993 and subsequent difficulties finding an adequate replacement for her. 17 940481 Attachment D Page 3 of 4 what signlicant rytiument %aye th" n!i;enev une,erYkyn C,1 i its .-valUatCn The W^IHC is still strugsling to fully evaluate the data gained from this project. All data gathered to date has been evaluated by hand with 'initial Computer assistance as yet. We plan to experiment. with ?t yariotv of ra r' scales over the coming fiscal Year to enable us to more fully and adequately assess the impact of IST services. VI. Describe long—term evaluation and assessment efforts to track participant outcomes and the cost efficiency of the Project? Be specific. All data rurrentvI ;athered will be maintained in usbie f n track ?ST result-: longitudinally detailing participant outcomes and the cost efficiency of the project. The W^IHC is committed to modifying IST and its other offerings to best serve its clients. Thus. we will examine as much as possible the long term results of IST interventions not only in terms of the specific children targeted by the IST in its work but also their siblings. \'I I. What are the outcomes based on the Project's long-term evaluation and assessment efforts. A. Cost effectiveness: (especially as it relates to eliminating the need of out of home placement or lowering the cost of out of home placement. We are encouraged by being able to slightly reduce costs per family served in this proposal. The project continues to demonstrate its ability to effectively reduce the need for out -of -home placement for a wide variety of families and to do so in a cost effective manner. IST services continue to be delivered at a rate less than would typically be required to place a child in foster care. An added benefit to the IST is its accomplishments in terms of diverting children other than the targeted child in each home from out -of -home placement as well. B. Program Outcomes: The WMHC continues to demonstrate the effectiveness of the IST in positively responding to families in crisis. assisting them to maintain the physical integrity and regain the emotional integrity necessary to continuing to function as a family. The WT;IC is dedicated to maintaining the IST as part of the larger ,service delivery system. C. Other Chicanes: There are none to r,.,nort at this time. 18 940481 Attachment D Page 4 of 4 VITT. Describe the prri:rem deficiencies identified by the Bidder's evaluation '.'stem and desrrib' how these defisiencies were corrected. it boiir- solved. Identify Program deficiencies that wer • unable to be corrected. The WNI:C is pleased to have met ill foals and objectives contained in our bid to offer 1ST services through grants the Weld succe.; sful .from County Placement Alternatives Commission. No complaints have been received by the project director or his superiors from any source have been received to date. The 'SIC is committed to working through any difficulties others may have with the 1ST. IX. Describe any Project or audit issues from other outside evaluators (PAC Foster Care Evaluator. etc.) or auditors. Describe how these projects or audit issues were resolved. No project or audit issues have been raised by evaluators outside the WNHC. The WP1HC's annual performance audit examined the IST's operations, passing them without comment. 19 PAC FUNDS Hourly Unit Rate Cost Computation Sheet Program Name: In —Home Intensive Garr:'* cos Tern (TcT II. Agency Name: Weld Mental Health Center_ Inc. Attachment E Page 1 of 2 III. The projects unit of service definition is: A. The project will provide what type of service to each client. Intensive, home -based crisis intervention. mental health assessment and treatment, case management, and education services B. This service will be provided for 20.0 (maximum) hours per week for up to r, (maximum stay in the program) weeks. IV. The hourly Unit Rate is based on: Check one A. An individual client who is aged through xx B. A family unit as described as follows: A child at imminent risk of placement, his or her siblings residing at home. his or her parent(s)/guardian(s) and other extended family members who may reside in the home. V. Program Statistics Total number of clients to be served in the 12 month program is 40 The monthly maximum program capacity is four (41. The monthly average capacity is three ('). Average stay in the program is four (4) weeks. Average hours per week in the program is twenty (20). VI. Description of unit of service cost between direct and indirect services. Base the computation on the hourly rate per unit of service cost based on the average capacity. A. The portion of direct services to the hourly rate per unit cost based on average capacity is 55% or S13.86 per hour. (only face-to-face contact with the client for services) B. The portion of indirect services to The hourly rate per uni' cost based on average capacity is 45% or per hour. C. Total hourly rate per unit of service based on average cost (A+B+C), $25.20 D. Total proposed yearly budget for services $72.562.00 20 940481 Attachment D Page 4 of 4 c r TT . Y ,,nti fond >• ✓_VO rde . evaluation �. .- 1.: ft';.i i, - 172 1ef 1� �.,"lc � ' � + a ti how these deficiencies; wen,correctedor being (esersolved. Identify Program deficiencies that weru Un-,h1. lc be corrected. ,nt All goals and objectives contained in our ,+ to have R; 5';° ••l�.rw ?) i, "1�'nt The rs'fu is p., �o -(f T All grants from the w. ., V,Cns through Alternatives tecn-tb mto offer on. IS. -. Commission. No complaints have been received by the project director or his superiors from any source have been received to date. The MMHC is committed to working through any difficulties others may have with the IST. TN. Describe any Project or audit issues from other outside evaluators (PAC Foster Care £valuator. etc.) or auditors. Describe how these projects cr Audit issues were `.::elvr?t, the W"HC. The Mn project or audit issues have been raised by evaluators outside ` W^lHC's annual performance audit examined the IST's operations, passing them without comment. 19 PAC FUNDS Hourly Unit Rate Cost Computation Sheet Attachment E Page 1 of 2 .. Program ` me: in -Homo- — ----- II. Agency Name: Weld Nental Health Center in . The project's unit of service definition is: A. The project will provide what type of service re each client. Intensive, home -based crisis intervention. mental health assessment and treatment, case management, and education services B. This service will be provided for `O.0 (maximstayum) hours per week for up to ---._ ll^nra19) we•'ks. IV. The hourly Unit Rate is based on: Check one A. An individual client who is aged through xv B. A family unit imminent risk of placement. or her parent(s)/guardian(s) may reside in the home. V. Program Statistics Total number of clients to be served in the 12 month program is 40 The monthly maximum program capacity is four (4). The monthly average capacity is throe (3). Average stay in the program is four (4) weeks. pr,_ge hours. per wee1: in the program is twenty (20). VI. Description of unit of service cost between direct and indirect services. Base the computation on the hourly rate per unit of service cost based on the average capacity. A. The portion of direct services to the hourlti rate per unit cost capacity is 55% or $13.86 per hour. (only based on average P f;lce—to—face contact with the client- for services) as described as follows: A child at his or her siblings residing at home. his and other extended family members who ti, ho,trl ♦., Sf rns` B, �, inn .�f indirect St?^,,tin _ t,� - ,... _ nc11,",4 n, hour. bA.`, Cr1 r -n .1 Ver hr' capacity (t7 r- - D. r?teper unit of _orvic(, L.m'A er Total hourly cost (A+B+C). $15:.22 Total proposed yearly budget for services $72.562.0Q 2.0Q 20 RFP-PAC-94004 VII. Unit of service rate computation .. Travel a errs of 2. Paper work required by Weld County Department of Social totalq ,, average of 0, _hrs/week 3. Supervisor meetings totals 1.3 hrs/week an average of 4. Case management services of: a. making referrals to other services needed by clients: b. providing linkage to ensure clients obtain and benefit from the sorvices to which they have been referred: c. monitoring tti' 'pent t?rou h contacts with agencies: d. advocacy to ensure the best interests of the client are served: and e. planning of services to best serve the client .1 hrs/week totals an average of Attachment E Page 2 of 2 4.n 11,-; /,01,' 5. Court testimony required by Social Services totals an average of 6. Administrative costs total an average of Please describe below: Program Director's time based on .05FTE at average capacity minus WCDSS report preparation time 7. Other costs total an average of Please describe below: 0.1 hrs/week 1.0 hrs/week 0.0 hrs/week 8. Sub -total indirect costs 9.0 hrs/week 9. Direct services to clients (Face to face contact) totals ;,0 hrs/week an average of Total average hours of service to be, . rovi od ,„r •,;�>Ic--^nn- tinan clients t P.l ave•rn�e u;: 7% 'tired cerVlfwG to r.` .'r'.� 'nrwk1•✓ indirect services to clients total an average of . 21 9404.51 REP -PAC -94004 PROGRAM PERFORMANCE Program Name: in-Nmne to""ne.i-r• Pry u -n.. '^yam °'; 1.-," - ?°:. (A) (B) "C' Target Performance 01wrtjVeq j'a rY,Pt Performance" Actual n PfnrmanrP il nr Attachment F Page 1 of 1 1. Avg. number of children 4 serveq prr month 2, avg. number of months in program for children who .. AVt. f)5t pr i�ln.,t t•, per mild G, % of children at home or lesz rettTittive Getting rttsc ar P.r 1 1 1 51577 5: 1575 5 16eY 85 90 5. of children at home or less restrictive setting 6 o th aftgr d srharre 6. Avg. savings of alternative vs. Projected pl xrPment 95 $ 3805 (RCCF) S 265 (Foster) 7. r1vg, of treatment goal B5 na g. ',_child .tisrharee" 8. : of children who entered another PAC Program atter Ki5rhar go 9, % of children who are in more Costly placement at 41arharxe 10. of children who are in more costly placement 6 10 10 10 5 3805 (RCCF) $ 265 (Foster) 85 n $5 5 3500 (RCCF) S 211 (Foster) 85 in 22 9 10 15 940481 ' Attachment G COUNTY PLACEMENT ALTERNATIVES PLAN FINAL BUDGET PAGE FY 1994 - 1995 () PROGRAM NAME (2) °'YiT V PRESERVATION PROGRAM T:T'\TC REQUESTED In —Home Intensive Services Team (TST) $72,562.00 (3) FOTE` CARE REQItESTED re!) ecn Tr( TOTALS (4) O?TP-n FUNDS PROVIDED POD nqo •rr•v (5) T^T� PROGRAM $72,562.00 c72.'F2+°O $7'.562.00 How will PAC money be accounted for separately from other agency money? Scott Wong, Business Manager of mil wato e3up any revenues generated illstseparate cost for rotthe funds used to operate the IST as other sources. Accounts for each revenue source will be maintained separately. The 41HC is independently audited .annually. Attachment H Page 1 of 1 BUDGET FORMAT ,•r 1':; Staff salaries ci,ff frinsr' hrnafits B. INDIRECT COSTS Director salary Director fringe benefits Clinical supervision Professional liability insurance Psychiatric/Psychological services/consultation Clinical I:l ,ind office suppli :. Support staff Project evaluation R, ntnrtili_ties/Phone 24 ;48.000 7,200 $35,200 $ 2.000 300 2.990 1.500 1.800 4.032 2.100 200 430 1,260 $17.167 Total $72,562 940481 WELD MENTAL HEALTH CENTER, INC. BOARD MEMBER LIST JANUARY 3, 1994 Michael A. Lazar, President Attorney At Law Bank One Plaza 822 7th Street, Suite 300 Greeley, CO 80631 351-6930 (Home) 353-6700 (work) Term: 6-30-95 Lori Johnson -Berke, Vice -President 2605 34th Avenue Greeley, Colorado 80631 659-1684 (Work) Term: 6-30-96 Hazel J. Chick, Secretary Homemaker/Retired Teacher 16470 weld County Road 86 Ault, Colorado 80610 834-2346 Term: 6-30-94 Dr. Robert P. Herz, Treasurer UNC Assistant Vice President Student Affairs 2413 27th Avenue Court Greeley, Colorado 80631 330-0251 (Home) 351-2303 (Work) Term: 6-30-94 Kent L. Jackson, Past President State Parm Insurance 3912 W. 21st Street Road Greeley, CO 80631 330-5174 (Home) 351-5107 (Work) Term: 6-30-95 Rhoten A. Smith, Ph.D. Retired 3707 16th Street Road Greeley, Colorado 80631 330-3256 (Home) Term: 6-30-96 Alvina Derrera 23569 Blake Street Johnstown, Colorado 80534 587-4277 (Home) 353-9251 (Work) Term: 6-30-95 George Baxter Weld County Commssioner P.O. Box 758 Greeley, Colorado 80632 356-4000 ext. 4200 (work) Sally Harms 17486 Weld County Road 8 Brighton, Colorado 80601 659-4949 (Home) 752-5800 (Work) Carla Lujan 1862 10th Avenue Greeley, Colorado 351-2161 (Home) Term: 6-30-9( Term: 6-30-96 Term: 6-30-95 Joy Keyser Pickar P.O. Box 834 Eaton, Colorado 80615 454-3567 (Home) 351-5150 (Work) Term: 6-30-96 Ron Wood, Chief of Police Greeley Police Department 919 7th Street Greeley, Colorado 80631 350-9660 (Work) Term: 6-30-96 Gretchen Karst 318 Pine Lasalle, Colorado 80645 284-5180 (Home) Term: 940481 LIFE -TIME MEMBERS Maryellen Clifford 6302 North 73rd Street Scottsdale, AZ 85250-5500 Cornelia Dietz Director, Eldergarden 1713 Glen Meadows Drive Greeley, Colorado 80631 Bernard C. Kinnick 2212 27th Avenue Greeley, Colorado 80631 John Martin 147 South Denver Avenue Ft. Lupton, Colorado 80621 857-2471 (Home) 857-4800 (Work) Hazel J. Chick 16470 Weld County Road 86 Ault, Colorado 80610 834-2346 (Home) Harry Ashley 940451 ACOISU® CERTIFICATE OF INSURANCE yw PRODUCER Flood & Peterson Insurance Inc P.O. Box 578 Greeley, CO 80632 INSURED Weld Mental Health 1306 11th Avenue Greeley, CO 80631 ISSUE DATEIMM/00/M H01/20/94 HIS ER IFIGA EIS AS A MATTER OF INFO4CMAYION ONLY ANC CONFERS NO RIGHTS DOES NOT AMEND, EXTEND N THE CERTIFICATE OR ALTER THE COVERAGE AFFORDED 8T THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A St. Paul LETTER COMPANY B LETTER COMPANY C LETTER COMPANY 0 LETTER COMPANY E LETTER Ins. Co. COVERAGES BELOW ISSEEN UED TO THE INSDR£D NAMED sPTMcE ToW�m PERIOD THIS CERTIFY TTITAANME DNG ANYOREONREMF SENT, TERM URANCE �OROCOND ON OF ANY CONTRACT OR OTHER DOCUMENT THE H THIS. INDICATED, NOYWRH-, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO M.S. CEOCCLUSIONS MAY O DSUED OR MAY PERTAIN, V BEEN REDUCED BY PAID CLAIMS, E%CLUSIONS AND CONDITIONS' OF SUCH POLICIES. UMRS SHOWN MAY HAVE CO1 TYPEOF INSURANCE LTR A; GENERAL LIABILITY g COMMERCIAL GEN LIA BI LIT' I .,, CEAIMSMADE , A OCCUR., ',OWNEWS 6 CONTRACTOR'S PROT.', A AUTOMOBILEU*610TV r{ ANY AUTO CI ALL OWNED AUTOS F . X j SCHEDULED AUTOS X I HIREDAUTOS JC NON -OWNED AUTOS GARAGE LIABILITY ''. EXCESSUABILITY UMBRELLA FOP ! jOTHER THAN UMBRELLA FORM WORKER'S COMPENSATION ANO EMPLOYERS' LIABILITY OTHER A Employee Dishonesty POLICY NUMBER FKO8300395 FK08300395 FKO8300395 POLICY Orin DATCjMM/DO EPP P T DATEMM/ /Yr 01/01/94'01/01/95 LIMITS GENERAL AGGREGATE 1 1 000 000 PROOUOTS•COMP/OP AGO. 1 1,000,000 PERSONAL 6AOV. INJURY S 1J 000, 00 EACH OCCURRENCE s 1.„000 000 100,000 5 000 FIRE DAMAGE(Any oat Mel MEO.OOTNSE (My m. Pismo S 01/01 9401/01/95I 'COMBINED SINGLE MIT 1i IL-BOOILYINJURY (Per wag') BODILY INJURY APar PROPERTY DAMAGE I EACH OCCURRENCE AGGREGATE STATUTORY LIMITS EACH ACCIDENT OISEABE•POLICY LIMIT DISEAGE• EACNEMPLOYESIS 1'1,000,000 IS is 1$ s Is 1 01 01 94101 01/951815,000 -0- ded. I � O ESCRIPYION OF OPERATIONS/LOCATIONS/V EN ICL ES/SPECIAL ITEMS Certificate Holder ois is fundingas purposes. adtadditionalinsured in regard to the General Liability CERTIFICATE HOLDER State o£ Colorado Departmentt of Institutions 3550 West Oxfgord Avenue Denver, CO 80236 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES DL CANCELLED BEFORE THE oU'IRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FNLVRE TO atm. StJ9LNOTICE SHALL IMPOSE NO OBUGATON OR ATNES. UABI» . OF ANY KIND UPON • • . ITS -s OR FIE7AESF1'� UTHORIZEO RE SE TAT E'I� 940481 VRP © CORPORATION 1990 ati; wilge. COLORADO MEMORANDUM DEPARTMENT OF SOCIAL SERVICES P.O. BOX A GREELEY, COLORADO 80632 Administration and Pub!Ic Assistance (303) 352.1551 Child Support (303) 3524933 Protective and Youth Services (303) 352.1923 Food Stamp* (3O3) 358,3850 FAX (303) 3534115 TO: Constance Harbert, Chairman Board of County Commissioners FROM: Judy Griego, Director, Social Services . Q�/,h 0_ DATE: May 2O. 1994 SUBJECT: Notification of Financial Assistance Award between the Home Based Program Option A of the Weld Mental Health Center and the Weld County Department of Social Services Enclosed for Board approval is a Notification of Financial Assistance Award between Home Based Program Option A of the Weld Mental Health Center and the Weld County Department of Social Services for Placement Alternatives Commission (PAC) funds. The Placement Alternatives Commission (PAC) reviewed proposals under a Request for Proposal process and are recommending approval of this bid. 1. Total award would be $72,562.00 2. The period of the award is June 1, 1994, through May 31, 1995. 3. The Home Based Program Option A of the Weld Mental Health Center would match two families per worker for 8O hours per month for up to 6 weeks to provide intensive services as long as required to stabilize the situation with families with 34 hour crisis intervention. (2O hours per week) if you have any questions, please telephone me at extension 62OO. JAG:aas 94O4 Bd RESOLUTION RE: APPROVE NOTIFICATION OF FINANCIAL ASSISTANCE AWARD FOR PLACEMENT ALTERNATIVES COMMISSION FUNDS FOR WELD MENTAL HEALTH CENTER, HOME BASED OPTION B, AND AUTHORIZE CHAIRMAN TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with a Notification of Financial Assistance Award for Placement Alternatives Commission Funds between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Social Services, and the Weld Mental Health Center, Home Based Option B, commencing June 1, 1994, and ending May 31, 1995, with terms and conditions being as stated in said notification, and WHEREAS, after review, the Board deems it advisable to approve said notification, 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, ex -officio Board of Social Services, that the Notification of Financial Assistance Award for Placement Alternatives Commission Funds between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Social Services, and the Weld Mental Health Center, Home Based Option B, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is, authorized to sign said notification. The above and foregoing Resolution was,on motion duly made and seconded, adopted by the following vote on the 23rd day of May, A.D., 1994. ATTEST: Weld County Clerk to the Board BY: /7 Deputy Clerk to the Board APPROVED AS TO FORM: iy _44;l Constance L. Harbert Barbara J. Kir 30ARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO / ,� ladi; H. Webster Chairman Da enK, 'all, P 0-2cm f / �L-... BaxteIt GeorAergitc,4-cav 940482 Ce. i ttJMF-G Weld County Department of Social Services Notification of Financial Assistance Award for Placement Alternatives Commission (PAC) Funds Type of Action Contract Award No. X Initial Award FY94-PAC-500 (RFP-PAC-9200) Contract Award Period Name and Address of Contractor Beginning 06/01/94 and Weld Mental Health Center Home Based Option B 1306 11th Avenue Greeley, CO 80631 Ending 05/31/95 .----- '--- _ _ Monthly Program Capacity Monthly Average Capacity Description 4 Computation of Awards Unit of Service Up to 5 hours of services weekly will be delivered over the period of 4-6 weeks. Cost Per Unit of Service 3 Notification of Award is based Proposal (RFP). scope of services Except where this NFAA in governs, the RFP is based is an action. the Unit of based on an hourly or per family. will be paid for to face contact and/or family or as unit of cost costs cannot monthly, and child and/or be paid on cases with the Services. The issuance of the Financial Assistance upon your Request for The RFP specifies the and conditions of award. it is in conflict with which case the NFAA upon which this award integral part of the Special conditions Hourly Rate Per $ 26.43 Unit of Service Based on Average Capacity Monthly Rate Per $ 584.00 Unit of Service Based on Average Capacity Total Yearly $21,722.76 Services Budget (Subject to the Availability of Federal and State Funds) Enclosures: 1) Reimbursement for Service will be rate per child 2) The hourly rate only direct face with the child specified in the computation. 3) Unit of service exceed the hourly, yearly cost per family. 4) Rates will only approved and open Department of Social Signed RFP Approvals: �Jl� By (/% /(vr % ifinfri Program Official: By (20, W. H. Webster, Chairman ✓/&s 99 Board of Weld County Com 'ssioners S/ Date: .-67/12$ fre/ J A. G We Co Depa So al Services Date: J/11/CW rec r en of 940482 INVITATION TO BID =y=RR==-J FRLYP=Sn9vII3i'==R= 9=Mmt=======.-== __-______-- DATE: 3ID NO: January 7, 1994 RFP-PAC-94004 RETURN BID TO: Pat Persichino Director of General Services 915 10th Street P.O. Box 758 Greeley, CO 80632 ------ Director of General Services DIRECT INQUIRIES T0: Pat Peraichino, SUMMARY Request for Proposal (RFP-PAC-94004) for: Family Preservation Program Deadline: February 22. 1994, Tuesday, 10:00 a.m. The Placement Alternatives Commission, an advisory commission to the Weld County Department of Social Services, announces that competing applications will be accepted for new grants pursuant to the Board of Weld County Commissioners authority under theLies with Family Preservation Program (C.R,S,26-5.5-1O1) and Emergency Assistance for Families at Imminent Risk of Out -of -Home Placement (C.R•S. 26-5.3-101). The Placement Alternatives through hghionMa wishes to approve a twelve month program targeted to run from _Tune 1 1994 ,y 1995, at targeted funding levels of increments up to 5482.431.00. ny 31,as follows: program announcement consists of five parts, PART A... PART B... PART C... PART D... PART E... Administrative Information Background, Overview and Goals Statement of Work Bidder Response Format Evaluation Process Delivery Date (After receipt of. order) VENDOR Weld Mental 4eplth Center Tnr ADDRESS1?46 Eleventh Avenue Greeley, rnlnr^rin BID MUST BE SIGNED IN INK PRINTED Si�NA'FURE Handwritten Signature By Authorized Officer or Agent of vender TITLE 'xee"ti ye r)iv.antA- ZIP £0631 PHONE 1 r?r..;.• 0S DATE a _.7 1 -99 The above bid is subject to To rims ri d Conditions as af. t.IChod he:emu ,:nd incorporated. 940482 RFP-PAC-94004 Client Group(s) to be Served: Attachment A Page 1 of 2 COVER PAGE ALTERNATIVES TO OUT OF HOME PLACEMENT PROGRAMS PLACEMENT ALTERNATIVES COMMISSION PROGRAM YEAR 1994 BID 4F RFP-PAC-94004 Families with children 1tr ..l'_ of_out-of-home nlacement Name of Applicant Agency: Weld Mental Health Center. inc. Address: 1306 Eleventh Avenue City: Greeley, Colorado 80631 Phone: (303) 353-3686 Contact Person: Dan E. Dailey Title: Director, Children and Family Services Approximate Prnjoct Dates: Start Juno 1. 1994 End May 31 19913 Title of Project: Mobile Mental Health Team Anount Requested: 528.541.00 Signatures: Dan E. Dailey Name and Signature of Dade F. Peterson Name and Signature of Applicant Agency PROPOSED FAMILY PRESERVATION PROGRAM CATEGORY Please initial to indicate the bidder's chosen category (only one category per bid) Person ring _ .posal a ala0)st( Date �0-94 Date Chief Administrative Officer of Home Based Option 1 X Home Based Option 2 Intensive Family Therapy Sexual Abuse Treatment Day Treatment Life Skills Individualized/innovative Services Intensive Family Intervention Intensive Family Intervention 940482 RFP=PAC-44004 Attachment A Page 2 of 2 TYPE OF PROJECT Continuing Project under Weld County PAC How many years? New Project Proposed Program will eliminate the need for out of home placement. Proposed Program will lower the cost of out of home placement Other: The Proposed Program will - MANDATORY PROPOSAL REQUIREMENTS Please initial to indicate that the following required sections are included in this propnsal: Statement of Need Population to be Served Program Requirements 4 _ Types of Services Provided Provision of Services & Administrative Capability Past Performance Letters of Support (New Programs Only) Budget Program Evaluation and Continuation 940492 TABLE OP CONTENTS Table of Contents Program ..m Narra" I. Statement of tined 2. Population to be Served 3. Program Requirement t 1 2 A, n,` Ca.. Ireui„r'. ....... ....... 5. Provision of Services and Administrative Capability ?,4 7A. Letters of Support 4 S. Budget 4 9. Program Evaluation and Continuation 4 Attachments A. Cover page overleaf B. Program Regn'renents - 10 C. n, t p; -c n,v, na D. Evaluation Results na E. Hourly Unit Rate Cost Computation Sheet -1 - 12 F. Program Performance 13 G. County Placement Alternative Plan Final Budget Page 14 H. ,5 �jild golf Tliy ❑.!1 J 940452 D. prorramjMarrativc 1. Statement of Need The child and adolescent population at risk of out -of -home placement continues to be underserved by the private and public mental health and social services systems of Weld County. In fiscal year 1992-93, the Children and Family Services Program (CFSP) of the Weld Mental Health Center. Inc. (WNHC) admitted more than cr0 children :,eel a.lelc:rr•nta to Jtn outpatient services in addition to continuing to work with those already he children mil ..n H,e. l i. ,i. is oat IOC f., C .t.10 o inary, --,;(0. .., . I,; �., �r ,ir,'no o, Iho ceverityend pure not their presenting problems, out -of -home placerent, or A combination of these `actors, Me DM11 nature estimates the youth population in need of mental health services in Weld County to be over 1500 in any given ,air. Thu+ ulor,aio State Denp:'tlisenf of nor'a!!. ?ervio,r raper,c. that ^, sir near'? ".000 fnm)ijec •.er,e de -el by loc: .ire tr G;r.gtr fir .. a•1' ;r 1., ., H.1/ ., e4,pnn -'m l,Ir n warp provided eervirnr by 'hose local departments, ROC ;n PaPir own homen and 20` requiring Placement in n,l-n`-home care. In the pen -leas fiscal year, according to data from the weed County Department of Social Services (WCDSSI, there were more than 220 Weld County children in out -of -tome placements with the majority in foster families and the rest in group homes, child placement agencies, and in residential child care facilities (RCCF). There were here than 1200 reports of abuse received by the WCDSS in the past year. Typical of other years, more than 110 Dependency and Neglect Petitions in Weld County were filed in response to these reports. There is a perennial .horta;e of appropriate foster hoses in which .rate their children in need. Placement Alternative nm1 . ion '1,. r...' havd , .'1� 't ..t! ,,.I.. t r euire re n;,.... redefinitions of whom may _ have aocec.; to then. aerr t.. :mt ff;c,pn' trrr._ err the rb largo and 'heir families in this coua'V. The Mobile Mental Health Team IMMHT1, as proposed herein. is designed to deal directly and promptly with some of the most troubled of those families. 2. Population to be Served The following eligibility criteria must he met before MMHT services will he offered: a. The family aunt reside in Weld County; b. There must be a risk of imminent out -of -home placement of at least one family member aged birth to I3 years tor such placement has already occurred) precipitated by a recent or ongoing situation which severely threatens the family's ability to adequately cope with that and related situations: c, At least one parent/guardian must consent to work with the team with the goal of keeping the family together and to protect the children from further harm in accordance with a safety plan; d. As services are to be delivered in the family's home, there must not be a high potential for physical danger to project staff; e. There must be a manageable level of risk of harm to the targeted child(ren); and f. There is a reasonable possibility that services can bring about sufficient improvement in parental competency to allow the childiren) to return home or to safely reside in the home, fell win„ -n+e"w'i'•n of children tar 10(1,ernn' lind000nei•nof age, gender. ethnicity) who meet SB26 guidelines will be served by the MMHT: a. Youths suffering from the effects of significant sexual and/or physical abuse and neglect to the extent they are unable to maintain effective daily functioning at home and at school: b. Youths who are unable to control suicidal and/or homicidal behavior thus placing themselves, their families, and their communities at rick: c. Youths who present with behaviors that are temporarily beyond the ability of their parents to manage; d. Youths suffering from significant cognitive impairment And/or mental illness to the extent they can no longer he maintained in the family setting and/or at school. At least 110 families will he served annually by the 'DIRT. Ileforrals will flow from individual caseworkers at 'JCDSS to a 'J('DS.n ,:nee r'of or there to man Dailnv. MMHT director. The (foal toe lion as f;) the appropriate hovel of ,ogee health urr.-icr•.; +lilt he'rote hl' lie'*Ml1C, 3. Program Requirements Then'Pr al l .pal ot !'"• o -..o • .., .,nahl , .hilt,. with _.', . -, •n , -h .,.-of n.r • nm,•al or who Already have children ni,,,. , out of 'heir 'winos to care cur 'ho'- l::,. iron in 4 ho.tlthful manner in 940482 the home environment. Specific goals and objectives are: Goal A, Rapidly improve and stabilize family functioning to enable the family to care for the children in the home setting. Objective Provide crisis intervention and other services within three days of referral to 40 families to either prevent out -of -home Placements of children and adolescents in foster and group homes, residential child rice fu-ititie5, juvenile detention facilities. and in psychiatric hospitals (family preservation services) or r,. .ire.: .iY-:n 1•rrref'.nal (reunification to ,°tarn -moths ,.. .,. '.. Goal B. Improve overall functioning of tamilien .ia improved `ai J conflict .-. agem ni_ inr- ?Ar•ot.a; competency, improved household management competency. and an improved ability to gain access o and ,ire -n p': is t• Cn 9Pn r•-5 in .11" community bsahle the `moil`. es to -irprnpri atel' rare for ?heir children in own l;,n„ fern in",. Objective a. F.Chr. rive urcent of families yhich seeeice either family preservation or reunificatien services through the MMNT will measure significantly tower on the risk assessment scales at time of termination of services. Objective b. At termination. six and 12 months after termination of MMRT services. 90: of the families will remain intact. Objective c. Seventy percent of children currently in long term placement who are provided reunification services will return to their own borne and not reenter nut -of -home placement within 12 months of completion of .iii nler ano h.. '..ini rr.ir Objective d. i',.w.-- •� than !^ i - ^.; ¢ch n ,•i!children Objective e. Fewer than 10% of the children served will be in a more costly placement at discharge and fewer than 15' will be in such a placement six months after discharge nun r': n[ion or reunification services will Objective f. Lip:rt; , ea-nt of rams or e^en ,nC `h r !alit- not have a substantiated incident of abuse or ilef;lrt trktilin f2colt_ of Win,: ofo: e 'lotion of cervices. 4. Types of Services Provided The M'MHC will provide families with moderately intensive, home -based Crisis intervention, mental health assessment and treatment, cane ,management, and education _.ervices, modeled after a Previous project of the CFSP also known a5 the Mobilo Mental Health Team. The following principles guide the .`MIIT's approach: a. To intervene immediately: b. To provide brief and moderately intensive treatment; c. To focus treatment. using existing family strengths, on identifying and salvias problems, and on realistic goal setting; d. To involve and empower families in treatment; and e. To link Clients and their families with and educate them in the effective use of other community services and rof:oure ws. Crisis services will be available 24 hours per day, seven JAYS per week to provide screening. evaluation and to clients. Services. tailored specifically to each client anrre,sae nt. inf,, r.r,.n . ,.n. .,-. •nlinv i^ ..l innin:. family, are offered on a short-term basis, focussing on those issues and problems precipitating t- CA ii;; .ua on using the crisis to mobilize the youth and his or her family to develop new ways to cope and prevent further crises. Up to five hours of services weekly will be delivered over the period of involvement which ranges from four to six weeks. Services will be delivered Primarily in clients' homes but will be available wherever necessary to optimize results. These aspects of the project --rapid response to referrals. accessibility of therapists at home during evenings and weekends. the time available for client families, the location of the services. the staffing pattern. the low caseloads, And the brief duration of the services --Produce a much more powerful intervention than one �!„ inlievn:; that families deserve strong, effective which offers only one or two of the components. ewayw^1lIC i support in attempting .,tarn productive ways to r,Jne With problems before the last reaoft of placement of ; i l lren out i•fe the home is of i I ..;ed r ,,np,- -nt Ti;"'ire i ,. n i nt vtth Jt•n :, ail "!iT .:' i' ', .iS' n,„ ... { .J . iu.af _ .,, .. nee,:_ fl r,i girt .ad 1. .: - Ind -ultural differences oi i f 'n t !Hint,fir .n in 11a! ')mill;. 2 940482 5. Provision of Services and Administrative Capability The MC is a private. non-profit corporation governed by a board of directors. currently chaired by Michael Lazar. It is licensed by the State of Colorado as a comprehensive community mental health center serving all of Weld County. The WMEC has been in existence since 1962. becoming a comprehensive community mental health center in November, 1967. Dale Peterson, MSW, MlIA, is the WMHC's Executive Director. Scott Wong, WMBC Business Manager, is responsible for fiscal aspects of the project. The 150+ employees of the WMEC (of whom 10 :r adminintratiee era ,ti e) are surety bonded. .{nr,eudeh 11 rye. r.1 ,. -fuel ; , r, i '1"'r aa�r;.r ! .1,.nt 5..:r' r_ini ier ho tra n.n,. .1..;i ‘41..,.. _ .. lmea vs' Ai .a . . .. .ere .care cXP^( n,. .n Ncin: wr ,h children adolescents. and families and will lave undertone e,ial .training in I: phileophieal and practical aspects of family preservation. The staff member will meet the minimum qualifications of a Colorado Department of Social tier• I 41r •,r TT:, Overall adminintralle.ree on^.ibility it finligned to Dan E. ..c f the •I„ `!a Ir ,• 11on _, ..r •<p^r+on( _ rnmental he, ltj treatment and administration. He reports directly to the 4`:c dive Director of the Wa1HC. At present, two programs are delivering in home services to at risk families in Weld County. The Parent Advocate Program of Child Advocacy Resource and Education. Inc. (CARE) provides home -based life skills and educational services. The In -Home Intensive Services Team (IST) of the WMHC offers the more intensive and comprehensive treatment and case management services. The 1ST and the MMET are further differentiated from the CAFE program in their direct therapeutic focus and the brevity of its service delivery --four to sis weeks versus i months --end its direct connection in an ongoing eeurce of mental health services for its client . t env;<. on•i `he '4MHT aade avail,ail „ to ram who .M nei need the added in..rrci 1 of the 1ST :nit who learly need similar .e rVi,1? if the family i :swain intact or a t,i11d iS to he returned safely from placement. The MMET will often be able to prepare clients for u:cetsful involvement in the services offered by CARE or more traditional outpatient treatment sources. Cp until June. 1993. these throe serviCess-P3r ent AdveuAte •e+ vmlT__ . e:n,.d 'he sent:ining of hems' based services aimed at families at risk of having a child placed out of the home. Two year funding for the earlier, pilot version of the nnHT Special Services Project administered In Colorado by the DMH. Despite :ins' from the Child and Adelesce rit Sp. meeting all its established goal". its funding was not renewed by OMR which reported no available funds for continuation of services, The advent of the Family Preservation Project legislation loads the way for renewal of the MMET's efforts. 6. Past Performance The WMRC provides inpatient, residential. Partial care, and outpatient treatment services including group. family, and individual therapy as well as case management. educational. and vocational services. Programmatically. the WMHC is made up of the Community Support Program which serves adults who are chronically and severely mentally ill, the Acute Treatment Unit which is a highly structured. intensive residential treatment program for chronically And Seriously mentally ill adults, and the Children and Family Services. Adult Outpatient, and Peer Counseling Programs which primarily provide outpatient services. An outreach •.tfige in Fort fu^rnn is staffed reify,. .'r._ ns living is the southern Portion of Weld County. The WMEC is funded through the Colorado Division of Mental Health, county and Local Governments, the United Way of 'geld County, victim compensation funds, grants• private donations. contracts for service with a variety of agencies, Medicaid. Medicare, third party insurance payments, and fees for Services. This proposal, if funded. will increase the capacity of the ¶*tEC to meet the ever increasing demands for services to this target population and will enable the delivery of more intensive services. The increase will not have to come at the expense of other services within WMRC As would occur if we were to shift internal emphasis to accomplish the goals and objectives contained herein. The CFSP currently employs approximately 1IFTE who will deliver nearly 12,000 hours of service to more than fi0q youths and !.heir families [h i:1 " ;seal year. The C?SP has consistently increased its level of service to Weld Count'- families over the past few years. The WM1IC fine •,n,Ce•-hill'; np„r,Aied fit.: 'ST for three Bears combining funding through the Colorado Trust and ui; q,l ':r. , ••m.st !slim hear^ er ,'r+:nrhai.. fenced for r .,ge :I. :..', u, r,•••n sr.•' ,!m'.i.•l J•I' m. refer:rig In ,1 pafirnt 7.q"'fro7 ut 1 ,Mar. :Th. :he ac! 'w. ..,...rc. Uniead WAN' Of W0Iii!'. p r;: ,I I ., o.-F1'r^, nl:,I hw.d th worker tr. thAi ny ,:ans III the mental health rare of 1,icn'. i :'.creel at the 940482 WIC. The Family Education Network of Weld County has recently approved a grant which will enable wMHC to deliver mental health services on -site to Head Start children and their families via a 1.0FTE psychologist. The WMRC record in service delivery through these specialized projects and through its other services is exemplary. 7A. Letters of Support Letters of support received to d,,te irrompanv this. 4oCuMent as Attachment Xfx• 8. Budget :.'.0^. �r SC I --,r., rssr ,•..n: The MMHT will require an annual UPerat.rr but •et [ c8,ai �_r .000, or <IR ,!f00. Fr?nge which will provide for 0.757TR. Annual arar. Per .E be - at the total budget hi l !;• :!.. aI r,. or ? AQP benefits are [ i' '� - -< I . wr ❑ou, I f u! r` l ion -: r: will be a n •;u �^ fringe oenef ihsr An , in wi amount to onr (salary Psychiatric d ,+ yr*. g ca consultation. 51.21. Pr o. csstona. Liability .n..ur ante will Cost >>63 annually. backup, and support services will cost s150 monthly ($1,800 annually) based on one hour of a psychiatrist's and a psychologist's time per month at hourly rates of $95 and $55. respectively. The therapist/case manager will travel an estimated 800 miles per month and will be reimbursed at the present WMHC rate of $.21 per mile equalling 52.016 annually. Clinical and oftier supplies are talc'tlated to match the current annual rate per (514.'15/month). Secretarial/bookkeeping/data F"'C. within 'e'"F!C of 51050, or <797, including one digital pager culntad Iron eoctc. •.Irr' t ; being incurred for similar e� activities. ♦ .f '.:40 annual:: .� r ! .p r 'n [t• with �, Fn�[•v frpit ✓ ! H3,. .!�ua[r•! -nt:'Vnfbased such services. Annual rent for office apace for the wordier, including telephone and util . . eapen•e• is on current utilization rates amounting to $493 annually. 9. Program Evaluation and Continuation i,.s are set. Tlv. evaluation of this project will be focused on the degree to which its major ;;oa l_ .:n!1 �bfl'•:' The data to be evaluated will be obtained via numerous routes and sources, T1!c Cotora'o Client Assessment Record (CC.Ui1 will be used to assess the levels of functioning of the individuals admitted to the MMRT. The CCAR has been utilized by the entire public mental health system of Colorado for over a decade. It contains nine level of functioning scales which are described by anchor points in a manual that defines the use of the CCAR. Overall patterns of scores on such key areas as family functioning, interpersonal relations. role performance, and feeling and affective processes will be of special interest. It is expected the interventions of the MMRT will lead to positive changes in these areas as well as the total of scores in all levels of functioning. Both pre- and post -intervention data will be obtained. Assessment efforts in this area will be closely coordimted with current DMH research efforts. Other objectives will be assessed via monthly follow-up contacts s❑ wh ntacithfamilies, meObservations bservatr, nsabyan pnnibjembers e .,nd by other n-,,.. i01-'' .: n,.,,n rd w.th the farm'loo attainment. The n level of agreement and disagreement between the family members and involved prOfessiontit regarding these observations will be studied as well. Demographic data will be obtained and maintained for each individual and family accepted Into the project. Data which are specific to this project will be Combined with the data information system already in Place at WIC to provide a very comprehensive and understandable means by which to study the effectiveness of this project. Whenever feasible• pre- and post - intervention data will be obtained and. utilized. The WRAC is committed to the continuation of this project and will pursue any reasonable options to fund it in t perpetuity. Continued funding for ttis project �eis thriughgthe tthe od beouftni PiaceienteAlternativtsPCosmissiOri Will all be sought as the vMRC believeSms the �! :oot f Mc pro':` wil n Med c: !i,;ib Fundtnc•for them throu„h iiio,, -Rehab be4 ! i ^rnv'.hi ernr - r^hi1!in Medicaid for ••her than clinic -based - r ! ". will be '[ !.•ht although ..Qehab notion". h. h Vernvrd-. ;d +n• ern . vh ,id to •✓f,.rt• pmll ;t t r.gne d! r i h,. I, � 1pt .r :. . r, t t r , a•. it 'Nt•1(' 1.. _.,r w[[:h a ul.. emit! p,oti..n 0! the �n t 'It !hi,!r ;ort to !liar hint ,. 4 940482 Attachment b Page 1 of 6 PROGRAM REQUIREMENTS TYPE OF PROJECT t Proiec. .er�t��M,.'�:1L�M"-1LT:I' T�.t'� 'MM"'" r.atipn-ervic. tJi liiititaure `izn;fieant'v .:'r,+__. 7'L� 1.��•v..L.1ryr�'1�L"�1t.�I�l"__ _.. PROGRAM SFEC'FIC OBJECTIVE S IMIN?MUM OF THREE PEP. ^Rc E,\MI MUST BE RELATED TO CLIENT OUTCOME PERFORMANCE Home rA elt Inter^_ive "amity Intervention QI)f jUll Intensive Family Tberopy > sua1 lhnee Treatment __ Life Skill; Individualized/Tnnov“tive Service: n Activity Person(_) Time Frame Therapy. Ca,!" Management. Education. MMHT Treatment Staff Ongoing Cris. Int,.rvort inn Follow-np Assessments of Family Psychological/Psychiatric Consultation Clinical Supervision Administrative Supervision MMET Treatment Staff At termination of service, Dan Dailey, BA William Crabbe, PhD Russ Johnson, MD Theron Sills, MD Dan Dailey. DA As needed Ongoing Dan Dailey. BA Ongoing 940482 Attachment B Page 2 of 6 PROGRAM REQDIREPQr1'i'S TYPE OF PROJECT � r., qr. r 1 rr µ rwantT . Rene Rased Intensive 'AmilY Intervention Title ..f Pr ninr `.. S:.--._.il. l_�-'�lL.:_. dL1_.w,..-)-...._ '.._ ,.... .. . itttinatinn IA at i,.�M1.rnn t�.≥_^ n.lt DiArAPY St.,Ia lbncr. Tr. .ar nr.nt C M M T In 7Rr-7t `,(' i PreeRll SPECIFIC Ds,crnr ! . : lM � i,.E� ,— MUST EE RELATED TO CLIENT OUTCOME PCRFORMANC. nrli•'dual i-.._:/7 n:oa Zt "e` C'S Activity TYe �.t PY. .... MonAE",'v nt. Crisis Intervention Personl$l yUT m n Time Frame Psyc hr r't l"al/f s•;. P�rtt i'_ -. tal: ..0 'C::1.am CrahFo, !MT Russ John9on. MD Theron Sills. MD Clinical Supervision Administrative Supervision Data Collection DAn Dailey. BA onguiny Dan Dailey, BA ongoing MMRT Treatment Staff Dan Dailey. BA Neil Benson, PhD At termination & again sir and 12 months later 94048Z Attachment B Pate 3 of 6 PROGRAM RECUIREKENTS TYPE OF PROJECT 1 i'.!o qr .''n j qr, vn, , aeeY.• 2"'2211 1.0411— _' 9oee ^a,. d Intensive Fnatly Tntervantinn tern a'ef! r3 Mi ,_,te i n,a 10%10 I ....I n after ternina'••n r` W1R: servlrea, Intensive !Amity TlieraPF S,-..•aI Abuseu..".'.^en' PROGRAM SPEC-IFTC OBJECTIVES (MINIMUM JP THREE PER rcw.: 'IM1 MUST DE RELATED TO CLIENT OUTCOME. PERFORMANCE Individuali^,ed/Innovtt ve Services Activity Person(s) P ngnnihie Time Frame eaten h r 1. C.10CA0 r l . i �. 1\ . MMHT r !acme•. 1 Criiis Intervention Clinical Supervision Administrative Supervision Data Collection :on ul ration 'n ill l.li' Crr.bb"• vhn Russ Johnson, MD Thelon Sills. MD 1_ ,orb . Dun Dailey. BA onsoiro: Dan Dailey, BA ongoing MDiBT Treatment Staff 12 months post successful completion Dan Dailey, BA Neil Benson, PhD 94104.82 Attachment B Page 4 of 6 Tile of PROGRAM REDUIRFNENTS t.ir4eLti1 Lth_I.2 C (W1}7T) from the '0%117 PRIX/RAM SPECIFIC OnJCCTTVES (MINIMt'k OF THREE %'FR orl.C,CRAM1 MUST BE RELATED TO CLIENT OUTCOME PERFORMANCE TYPE OF PROJECT home Rased Intensive Family Intervention Inten:ive CamilY Ther.PY __ .Sexua: 1tuse Treatment nay' Tieatm.nf ._..__ l ile S1. I11 I ndividn:iI l:od i'nno'vative. Activity Personfs] Time Frame ___ReLaTaaiW.Y natal T'Lleri _ . C-Ge M!na.r."7en( . ErtI,'atien. Crisis Intervention clay; ir.11/P •.'h,a�fb: CJr, i:ul tfipn Wj tIlam Crabhe. PhD riled Theron Sills. MD Clinical Supervision Dan Dailey. EA OngoinL Administrative Supervision Dan Dailey. DA Ongoing Data Collection MIT Treatment Staff At discharge. six and 12 months Post services Dan Dailey. BA Neil Benson, PhD S 940482 Attachment B Page 5 of 6 Tim° l° PROGRAM REQUIREMENTS '( Project. _M!LJ1e TYPE OF PROJECT __ Rotor Rased Intensive Family Intervention t,nn .v in fl ^`it-"- r,t. ,.I lam. ffl' :_dL..W:wt „ - intrniiVP Family 7.1wvspy sA,_yer ty�.;han :ri:'u a ,_LLf?i Trna !'.meet Day Tren tmrnt ?RCQRAM ;PECIFIC OBJECTIVE, `I^:DR:'1 ;+r. TBREr "ER P C:-,'i!! __ Lit,- Si}Ir. MUST BE RELATED TO CLIENT OUTCOME PERFORSANC., __.._ ind:cidu zed ./(nn� n"�."^ Activity Persontsl Time Frame ?esme ..in,,. Day T},r•r;wv, C..sr• m..... ,.•nt, Elw,a 12r7 ., Crisis Intervention ImRT ••t`^.nn. cr if' 1� tmrminat ire aid .,x months pent- �',�•s:;anent•; n! F ami Iv �� San Dl:: r.y, BA t.., c.,4; cJ i!;u Psychological/Psychiatric Consultation William Crabbe, PhD As needed Russ Johnson. MD Theron Sills, MD Clinical Supervision Dan Dailey, BA Ontoint \Amini7trat ivt Supervision Dan Dailey. BA Ongoing Data Collection MMHT Treatment Staff Six months post '-!ic,.essl'ui termination Can -Dailey. BA Neil Benson. PhD 940482 Attachment B Page 6 of 6 PROGRAM REQUIRECITS TYPE OF PROJECT N __ Home Fared Intensive Family Intervention .�•1'1,r F;o,,�.r Nevil^-._ake..;til.�t'al_! `t.T^a�S.N.�FC?_. ':La w • aef h./v=it tf i a; ,.,1_ R:_:.= dent_2Lahu-,P c..s :1,•r! 41„ilin 1'3'grrp.% PRCGEAM SP Ec1 iC OIUECTI.`ES ClINIEUM CS THREE PER Fars+: \M) MUST BE RELATED TO CLIENT OUTCOME PERFORMANCE Option Intensive Family Therapy _ Sexual abaci'treatment Da' Treatment LiteS16tir -'f ln.:iv idual lred/ Innoval. iye Sera.._e:i Activity Thraapy. Cafe ?LanaE.•menl. Crisis Intervention Personlsl ge nergLip l e Time Frame n. to FO1Inv-.q> ,A; r,... a,•Ta o' amii;' 1MBT Treatment toff at rmination and 12 months post - Dan Dailey, RA terminstieu psychological/Psychiatric Consultation William Crabbe, PhD As needed Russ Johnson. MD Theron Sills. MD Clinical Supervision Dan Dailey, BA Ongoing Administrative Supervision Dan Dailey, BA Ongoing Data Collection MMHT Treatment Staff Twelve months post successful termination Dan ^4ilev, DA Neil Denson. PhD 10 940482 PAC FUNDS Hourly Unit Rate Cost Computation Sheet Attachment E Page i of 2 I. Program Name: Mobile Mental Health Team (MMHT) 1 r.., 1 r .. •�. III. The project's unit of service definition ._. A. The project will provide what ♦..hn r)1 ", nrvice to each 'lie t. y t r, i a health l - n t :l r fl Intensive. home -based crime i;t.,:rvF- �.:Ir i i'....... treatment, case management and education services B. This service will be provided for 5.0 (maximum) hours per week for up to 6 (maximum stay in the program) weeks. IC. The houri�- Pr:- Fate iS,mc- Check one A. An individual client who is aged through xx B. A family unit as described as follows: \ 4hi:.'t at imminent risk of placement. his or her siblings residing at home. his or her parents)/guardian(s) and other extended family members who may reside in the home. V. Program Statistics Total number of clients to be served in the 12 month program is 44. The monthly maximum program capacity is four (4). The monthly average capacity is three (3). Average stay in the program is four (a) weeks. Average hours per week in the program is five (5). VI. De cription of ""'t of cnr.•+ro rnct between direct and indirect services. Base the computation on the hourly rate per unit of service cost based on the average capacity. A. The portion of direct services to the hourly rate per unit cost based on average capacity is 55% or $14.54 per hour. (only face-to-face contact with the client for services) E. Tho portion of indirect services to the hourly rate pnr unit co`t• based on avnragn ,•nnari+.. in L^m or $17.80 et hole. -r,f,ll hn!Ir; rat pr' ':n: t :�i: `vie., 1S:,.t on nn ,—, rot (:1+D+C). D. Total proposed yearly budget for services S„. i4•_.___ 11 940482 RFP-PAC-94004 VII. Unit of service rate computation - 1. Travel to & from client's home totals an average of P., ."r r,7O,7'.1712,1 Wnirt. County Department of Social c cervices totals an average of FnFn'� Attachment E Page 2 of 2 2.nnhrs/week (1.'_0hr /week an average of 4. Case management services of: a. making referrals to other services needed by clients; b. providing linkage to ensure clients obtain and benefit from the services to which they have been referred: c. monitoring the client through contacts with individuals and agr,n ) c s • d. advocacy to ensure the best interest.- et `!^, .. ._ _. served; and e. planning of services to best serve the client n,,°hr/ •mek totals an average of 5. Court testimony required by Social Services totals an average of 0.00hrs/week 6. Administrative costs total an 0,25hrs/week average of Please describe below: Program Director's time based on .025FTE at average capacity minus WCDSS report preparation time 7. Other costs total an average of 0.0 hrs/week nlnlce 4ncrribn bnlowt 8. Sub -total indirect costs 3.35hrs/week 9. Direct services to clients (Face to face contact) totals 4.15hrs/week an average of Total average hours of service _7,rn to he provided per week __ .'k', rirrr` servicec clients total 1. -i,,r..rl r\ •. r. s 7o',4o $6m .ld: rnr•! . lrr.('17 rr> an :lv___.'--'^ 12 94104.82 RFP-PAC-94004 Program Name: Mobile Mental Health Team .. Av3. nuslwr of .,,.l lr.,n Attachment F Pate 1 of I PROGRAM PERFORMANCE FY1993 - 1994 FY1994 - 1995 !PI ✓'. _06/41/n) .o 0ii11.9n L:i .aL1.u=:lflL 2. Avg. number of months in program for children who ^ ii ve _been disrhattsd OJ- 3, Avg, Cost per month per 4, of Childeen at home or less restrictive setting ,2_di srharre R1 na r,o4 R1 94 _ 5. -r of children at home or lev- restrictive setting 6 6. Avg. savings of alternative vs. projected pl aMmPnt na na 7. Avg. % of treatment coal met per_child dy5charged na na 8, : of children who entered another PAC Program after 9. t of children who are in more costly placement at discharre na 10. % of children who are in more costly placement 6 rnfthq nfter 4i'rharreDa sl 776 (fester rare) 35 In Rik 9404.82 Attachment G COUNTY PLACEMENT ALTERNATIVES PLAN FINAL BUDGET PAGE FY 1994 - 1995 (1) PROGRAM NAME (2) FAMILY PRESERVATION PROGRAM TnN^ti REQUESTC�1 (3) FOSTER CARE REOU STIT ^()P ppn 7tr7 (4) OTNER �. NER � MOS PFPVI?r^ "P4.1(. TrCT (5) T0T_ PROGRAM Mobile Mental Health Team (NN T) $23,541.00 $28,541.00 TOTALS $2°.541.00 $2:.541.00 How will PAC money be accounted for separately from other agency money? Scott Wong, Business Manager of WMH funds used to operate the tNT as other sources. Accounts for each The WMHC is independently audited C, will set up separate cost centers for the well as to track any revenues generated from revenue source will be maintained separately. annually. 9404.82 Attachment H Page 1 of 1 BUDGET FORMAT DIRECT COSTS C4ilF L 4�,rp;..F�*�• B. INDIRECT COSTS Director salary Director fringe benefits Clinical supervision Professional liability insurance Psychiatric/Psychological services/consultation Travel Clinical and office supplies Support staff Prn;nrt ovaluatlon Runt/Utilities/Phone fubtote.I $ 750 1.121 563 1,300 2,016 787 338 .30 Subtotal $ 3,141 Total S23.541 940482 WELD MENTAL HEALTH CENTER, INC. BOARD MEMBER LIST JANUARY 3, 1994 Michael A. Lazar, President Attorney At Law Bank One Plaza 822 7th Street, Suite 300 Greeley, CO 80631 351-6930 (Home) 353-6700 (Work) Term: 6-30-95 Lori Johnson -Berke, Vice -President 2605 34th Avenue Greeley, Colorado 80631 659-1684 (Work) Term: 6-30-96 Hazel J. Chick, Secretary Homemaker/Retired Teacher 16470 Weld County Road 86 Ault, Colorado 80610 834-2346 Term: 6-30-94 Dr. Robert P. Metz, Treasurer UNC Assistant Vice President Student Affairs 2413 27th Avenue Court Greeley, Colorado 80631 330-0251 (Home) 351-2303 (Work) Term: 6-30-94 Kent L. Jackson, Past President State Farm Insurance 3912 W. 21st Street Road Greeley, CO 80631 330-5174 (Home) 351-5107 (Work) Term: 6.30-95 Rhoten A. Smith, Ph.D. Retired 3707 16th Street Road Greeley, Colorado 80631 330-3256 (Home) Term: 6-30-96 Alvina Derrera 23569 Blake Street Johnstown, Colorado 80534 587-4277 (Home) 353-9251 (work) Term: 6-30-95 George Baxter Weld County Commissioner P.O. Box 758 Greeley, Colorado 80632 356-4000 ext. 4200 (Work) Term: 6-30-9E Sally Harms 17486 Weld County Road 8 Brighton, Colorado 80601 659-4949 (Home) 752-5800 (Work) Carla Lujan 1862 10th Avenue Greeley, Colorado 351-2161 (Home) Term: 6-30-96 Term: 6-30-95 Joy Keyser Pickar P.O. Box 834 Eaton, Colorado 80615 454.3567 (Home) 351-5150 (Work) Term: 6-30-96 Ron Wood, Chief of Police Greeley Police Department 919 7th Street Greeley, Colorado 80631 350-9660 (Work) Term: 6-30-96 Gretchen Karst 318 Pine LaSalle, Colorado 80645 284-5180 (Home) Term: 940482 LIFE -TIME MEMBERS Maryellen Clifford 6302 North 73rd Street Scottsdale, AZ 85250-5500 Cornelia Dietz Director, Eldergatden 1713 Glen Meadows Drive Greeley, Colorado 80631 Bernard C. KinniCk 2212 27th Avenue Greeley, Colorado 80631 John Martin 147 South Denver Avenue Ft. Lupton, Colorado 80621 857-2471 (Home) 857-4800 (Work) Hazel J. Chick 16470 Weld County Road 86 Ault, Colorado 80610 834-2346 (Home) Harry Ashley 940482 ACOILD® CERTIFICATE OF INSURANCE PRODUCER Flood & Peterson Insurance Inc P.O. Box 578 Greeley, CO 80632 ISSUE DATE(MM/DENY% 101/20/94 IS CERTIFICATE IS ISSUED AS A MATTER OF INFONMAWON ONO/ AND CONFERS NO CERTIFICATE GOES NOT AMEND, EXTEND OR ALTER Tnt COVERAGE AFFORDED UT THE POUCIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A St . Paul Ins. Co LETTER COMPANY B 1 LETTER INSURED Weld Mental Health 1306 11th Avenue Greeley, CO 80621 COMPANY C LETTER COMPANY D LETTER COMPANY E LETTER COVERAGES .:. ITHIS IS TO CERTIFY THAT NDICATED, NOTWRHSTANDNG ANYCIESREQUIREMENT, TERMOF INSURANCES ROCONDIT:ON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH CERTIFICATE MAY DE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HERON IS SUBJECT TO ALL THE TUBAS, EXCLUSIONS AND CONOMONS OF SUCH POUCIES. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICY EXPIRATION DATE(MM/OON I , OATE(MM/DO/ Y 01/01/94'01/01/95 GENERALAGOREGATE ;E 1000,000 PRODUCT=•COMP/OPAGD.! E 1,000,000 PERSONAL AADV,INJUPY E 1,000 000_ EACH OCCURRENCE r E 1,000,000 FIRE DAMAGE (Any on. Mel E 100,000 5,000 CO I LTn TM OF INSURANCE POLICY NUMBER A:I GENERAL LIABILITY X OOMMERCIAL GENERAL LIABILITY. CLAIMS MADE LX :!OCCUR.' 'OWNER'S & CONTRACTOR'S PROT.', A I AUTOMOBILE UABILT' ` ANY AUTO ALL OW NE0 AUTOS SCHEOULED AUTOS x JIIIRED AUTOS p_Si NON -OWNED AUTOS I GARAGE LIABILITY i II-EXOESS LIABILITY UMBRELLAFORM OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY OTHER AtEmployee DDishonesty FKO8300395 FKO8300395 IFK08300395 LIMITS MED.DIPEIa (Any ow Dimon% 01/01/94;01/01/95! COMBINED SINGLE LIMIT L BODILY INJURY rat Dna.) I BODILY INJURY (Pet Accident) 1 � PROPERTY (DAMAGE E !$1,000,000 EACH OCCURRENCE (AGGREGATE IE E STATUTORY LIMITS EACH ACCIDENT IDISEASE-FOLICY LIMIT IS I DISEASE EACH EMPLOYEE $ 101/01/94'101/01/95'11$15,000/-0- ded. DESCRIPTION OF OPERATIONS/LOCATIONS/y EHICLESISPECIAL ITEMS Certificate Holder is named as additional insured in regard to the General Liability only - funding purposes. CERTIFICATE HOLDER State of Colorado Departmentt of Institutions 3550 West Oxfgord Avenue Denver, CO 80236 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE C(PIMTION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE MOLDER NAMED TONE LEFT. BUT FAILURE TO MAIL SVLFI ROYCE SMALL IMPOSE NO OBLGAT101 UABI . OF ANY MO UPON N • - . fi A - OP SENT TNE UTH�E I C. 94048 VRP O AccnitD cosPonAnommo COLORADO DEPARTMENT OF SOCIAL SERVICES MEMORANDUM TO: Constance Harbert, Chairman Board of County Commissioners FROM: Judy Griego, Director, Social Services DATE: May 20, 1994 SUBJECT: P.O. BOX A GREELEY, COLORADO 80632 Administration and Public Assistance (303) 352-1551 Child Support (303) 3528933 Protective and Youth Services (303) 342.1923 Food Stamps (303) 356-3850 FAX (303) 3534215 Notification of Financial Assistance Award between Home Based Program Option B of Weld Mental Health Center and the Weld County Department of Social Services Enclosed for Board approval is a Notification of Financial Assistance Award between Home Based Program Option B of the Weld Mental Health Center and the Weld County Department of Social Services for Placement Alternatives Commission (PAC) funds. The Placement Alternatives Commission (PAC) reviewed proposals under a Request for Proposal process and are recommending approval of this Sid. 1. Total award would be $21,722.76 2. The period of the award is June 1, 1994, through May 31, 1995. 3. The Home Based Program Option B of Weld Mental Health Center will provide up to 5 hours of services to families weekly for a period of 4-6 weeks. 1f you have any questions, please telephone me at extension 620O. JAG:aas 940482 RESOLUTION RE: APPROVE NOTIFICATION OF FINANCIAL ASSISTANCE AWARD FOR PLACEMENT ALTERNATIVES COMMISSION FUNDS FOR WELD MENTAL HEALTH CENTER, FAMILY THERAPY, AND AUTHORIZE CHAIRMAN TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with a Notification of Financial Assistance Award for Placement Alternatives Commission Funds between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Social Services, and the Weld Mental Health Center, Family Therapy, commencing June 1, 1994. and ending May 31, 1995, with terms and conditions being as stated in said notification, and WHEREAS, after review, the Board deems it advisable to approve said notification, 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, ex -officio Board of Social Services, that the Notification of Financial Assistance Award for Placement Alternatives Commission Funds between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Social Services, and the Weld Mental Health Center. Family Therapy, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is, authorized to sign said notification. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 23rd day of May, A.D., 1994. Weld County Clerk to the Board BY: o,ceOr yo Deputy Clerk to the —Board AP? ED �AS TO FORM: "far County Atto BOARD OF COUNTY COMMISSIONERS WELD OUNTY. COLORADO // Webster,1Chai .an Dale Hall, Pro • em CeeoorgeBaxter / onstance L. Harbert :arbara J. Kirk 940483 548 tt: ss; w/wc Weld County Department of Social Services Notification of Financial Assistance Award for Placement Alternatives Commission (PAC) Funds Type of Action Contract Award No. X Initial Award FY94-PAC-500 (RFP-PAC-9200) Contract Award Period Name and Address of Contractor Beginning 06/01/94 and Weld Mental Health Center Ending 05/31/95 Family Therapy 1306 11th Avenue Greeley, CO 80631 Computation of Awards Monthly Program Capacity - 8 Monthly Average Capacity 6 Unit of Service Description Services will be delivered for up to 24 weeks for up to 6 families per month with 5 hours of services per week. Cost Per Unit of Service The issuance of the Notification of Financial Assistance Award is based upon your Request for Proposal (RFP). The RFP specifies the scope of services Hourly Rate Per $ 25.46 and conditions of award. Except where it is in conflict with this NFAA in Unit of Service Based on Average Capacity Monthly Rate Per $ 547.00 which case the NFAA governs, the RFP upon which this award is based is an integral part of the action. Special conditions Unit of Service Based on Average Capacity Total Yearly $36,665.00 1) Reimbursement for the Unit of Service will be based on an hourly rate per child or per family. Services Budget (subject to the Availability of Federal and State Funds) Enclosures: 2) The hourly rate will be paid for only direct face to face contact with the child and/or family or as specified in the unit of cost computation. Signed RFP _—_ 3) Unit of service costs cannot exceed the hourly, monthly, and yearly cost per child and/or family. 4) Rates will only be paid on approved and open cases with the Department of Social Services. Approva s: (��,� By 1 I2r, it Pi' Program Official} Cha .SJ,2s qy Board of Weld County Commissioners Date: .5%2 ,3 %q Juct . G i go, Di, ctor We oun Depar nt Soc 1 Services Date: 5/19/91 19/91 940483 INVITATION TO BID n===eu==s_-===s=e==ass=u==sse_==a_ss=====assex=====s_s=====__.___ DATE: January 7, 1994 BID NO: REP -PAC -94004 RETURN BID TO: Pat Persichino Director of General Services 915 10th Street P.O. Box 758 Greeley. CO 80632 DIRECT INQUIRIES TO: Pat Persichino, Director of General Services SUMMAR i Request for Proposal (REP -PAC -94004) for: Family Preservation Program Deadline: February 22, 1994, Tuesday, 10:00 a.m. The Placement Alternatives Commission, an advisory commission to the Weld County' Department of Social Services, announces that competing applications will be accepted for new grants pursuant to the Board of Weld County Commissioners authority under the Statewide Family Preservation Program (C.R.S.26-5.5-101) and Emergency Assistance for Families with Children at Imminent Risk of Out -of -Home Placement (C.R.S. 26-5.3-101). The Placement Alternatives Commission wishes to approve a twelve month program targeted to run from June 1, 1994 through May 31, 1995, at targeted funding levels of increments up to S4o2,t21.00. This program announcement consists of five parts, as follows: PART A... PART B... PART C... PART D... PART E... Administrative Information Background, Overview and Goals Statement of Work Bidder Response Format Evaluation Process Delivery Date (After receipt of order) BID MUST BE SIGNED IN INK Die P 7ne....,nn V.., VF - TYPED ,qR I PRINTED GNAhRE i vENDOR_?7d NtQDtat mealth rentP^ Tnr kJ0 Handwritten Signature By Authorized Officer cr Agent of Vender ADDRESS13Q6 Eleventh Avenue TITLE Rye ntiti ve D rentar DATE 2 Gnen1'y, 1.nlnr-ttan ZIP SC63a PHONE #.4...y.3 _'6e6 The above bit! is subject to Terms and Conditions as. attached hereto and .....rporated. 940483 RPP-PAC-94004 Attachment A Page 1 of 2 COVER PAGE ALTERNATIVES TO OUT OF HOME PLACEMENT PROGRAMS PLACEMENT ALTERNATIVES COMMISSION PROGRAM YEAR 1994 BID # RFP-PAC-94004 Client Group(s) to Le Served: Families witn__ 4ildnen_at risk J:' olit-ot_hom? pltae eli Name of Applicant Agency: Weld Mental He\ilth Center, Inc. Addr'- ss: 1 ^06 F≥venth Avenue City: Greeley, Colorado 80631 Phone: (303) 351 X486 Contact Person: Dan E. Dailey Title: Director, Children. and Family Services Aporo,:imate Project Dates: Start June 1 1994 End `tav 31. 1995 Title of Project: Intensive Family Therapy Amount Requested: $16 665 Signatures: Dan E. Dailey Name and Signature of Per, Da Name and Signature of Chief Administ ative Officer of Applicant Agency Preparing Plposal Date Date PROPOSED FAMILY PRESERVATION PROGRAM CATEGORY Please initial to indicate the bidder's chosen category (only one category per bid) X Home Based Intensive Family Intervention Option 1 Home Based Intensive Family Intervention Option 2 Intensive Family Therapy Sexual Abuse Treatment Day Treatment Lit•' Skills Individualized/Innovative SerVir.eS 940483 RIP -PAC -94004 TYPE OF PROJECT Continuing Project under Weld County PAC How many years? y Nnw Project Attachment A Page 2 of 2 X Proposed Program will eliminate the need for out of home placement Proposed Program will lower the cost of out of home placement Other: The Proposed Program will Please initial proposal; MANDATORY PROPOSAL REQUIREMENTS to indicate that the following required sections are included in this Statement of Need AIADPopulation to be Served Program Requirements Types of Services Provided Provision of Services & Administrative Capability Past Performance Letters of Support (New Programs Only) Budget Program Evaluation and Continuation 940483 TABLE OF CONTENTS Cover Page overleaf T:bl< ,f (fin r , t e! Program Narrative 1. Statement of Need 1 2. Population to be Served 4. Types of Services Provided 2 5. Pr" .._ ien -f Sorvic's and Adili:..ct--e_!'r' 6. Past Performance ' 7A. Letters of Support 3 8. Budget 4 9. Program Evaluation and Continuation 4 Attachments A. Cover page overleaf u. n Prix r„n Pecicirnnontc 5 - n C. Past Performance na D. Evaluation Results na E. Hourly Unit Rate Cost Computation Sheet 10 - 11 F. Program Performance 12 G. County Placement Alternative Plan Final Budget Pnv113 ^,.:.:t' ....... ................. ... .... a 940493 D. Program Narrative 1. Statement of Need The child and adolescent population at risk of out -of -home placement continues to be underserved by the private and public mental health and social services systems of Weld County, In fiscal year 1992-93. the Children and Family Services Program (CFSP) of the Weld Mental Health Center, Inc. (WMHC) admitted more than 600 children and adolescents to its outpatient services in addition to continuing to work with those already on its rolls. Of the children and adolescents admitted t0 the CFSP, approximately 90% fit the Colorado Division of Mental Health (MC) definition of severely emotionally disturbed by virtue of the severity and nature of their presenting Problems. out -of -home Placement, or a combination of these factors. The DMH ecti mater, the youth point; a,t inn in need of mental !lea lth ^erv' es in Weld County to be Over 1500 in any riven year, The Colorado State Department of Social Services reports that last year nearly 34.000 families were served by local departments of social services. Approximately 54.000 children were provided services, 80% in their own homes and 220,1 requiring placement in out -of -home care. In the previous fiscal year, according to data from the Weld County Department of Social Services (WCDSS1, there were more than 220 Weld County children in out -of -home placements with the majority in foster families and the rest in group homes, child placement agencies, and in residential child care facilities (RCCF). There were more than 1200 reports of abuse received by the WCDSS in the past year. More than 110 Dependency and Neglect Petitions are filed annually in response to these reports. There is a perennial shortage of appropriate foster homes in which t0 place these children in need. Placement Alternative Commission "slots" have been significantly reduced by continuing and questionable redefinitions of whom may have access to them. There are not sufficient resources for the children and their families in this county. This proposal seeks to establish a new level of services availahlc `hrourh the W'?HC. The ?ntensive ".silt' Therapy ornjeet (IFT) in designed to deal directly and promptly with the some of the most troubled of those families. 2. Population to be Served The following eligibility criteria must be met before IFT services will be offered; A. The family must reside in Weld County; b. There must be a risk of Imminent out -of -hone placement of at least one family member aged birth to 10 years (or such placement has already Occurred) precipitated by a recent or ongoing situation which severely threatens the family's ability to adequately cope with that and related situations; c. At least one parent/guardian must consent to work with the team with the goal of keeping the family together: d. There must be a manageable level of risk of harm to the targeted child(ren). e. There must be a reasonable possibility that IFS services can bring about sufficient improvement in parental competency so as to allow a child already in Placement to safely return home within six months of provision of IFT services or to allow a child to be safely maintained in his or her home. The following categories of children and adolescents (independent of age. gender. ethnicity) who meet SB26 guidelines will be served by the IFT: a. Youths suffering from the effects of significant sexual and/or physical abuse and neglect to the extent they are unable to maintain effective daily functioning at home and at school or those abused and/or neglected youths whose parents do not possess sufficient parental competency to safely care for their children: b. Youths who are unable to control suicidal and/or homicidal behavior thus placing themselves, their families, and their communities at risk; c. Youths who present with behaviors that are temporarily beyond the ability of their parents and their community to manage: d. Youths suffering from significant cognitive impairment and/or mental illness to the extent they can no longer be maintained in the family setting and/Or at school. At least 16 families will be served annually. Referrals will flow from individual caseworkers at WCDSS to through a designated supervisor there to Dan Dailey. IFT director. The final decision as to the appropriate level of mental health services will be made by the WMRC. 940463 3. Program Requirements The overall goal of the project is to enable families with children at risk of out -of -home placement or who already have children placed out of their homes to care for those children in a healthful manner in the home environment. Specific goals and objectives are: Goal A. Rapidly improve and stabilize family functioning to enable the family to care for the children in the home setting. Objective Provide crisis intervention and other family based services within three days of referral to 16 families to either prevent out -of -home placements of children and adolescents in foster and group homes, residential child rare facilities, juvenile detention facilities. and in psychiatric hospitals (family Preservation services) or to return youths from such facilities to their family homes within six months of services provision !reuhit:Cation services.) Goal B. Improve overall functioning of families via intensive family therapy and ancillary activities designed to improve family conflict management, parental competency, household management competency, and to provide an increased ability ..o gain access to and use appropriate resources in the community thereby enabling the families to safely and appropriately care for their children in their own homes on a long term basis. Objective a. Eighty-five percent of families which receive either family preservation or reunification services through the IFT will measure significantly lower on the risk assessment scales at time of termination of services than they did at time of referral. Objective b. At termination, six and 12 months after termination of IFT services. %t of the families receiving family preservation services will remain intact. Objective C. Seventy percent of children currently in long term placement who are provided reunification services will return to their own home and not reenter out -of -home placement within 12 months of completion of serV ceU. Objective d. Fewer than 10% of discharged children will enter another FPP program. Objective e. Fewer than 10% of the children served will be in a more costly placement at discharge and fewer than 15 will be in such a Placement six months after discharge. Objective f. Eighty percent of the families receiving, either family Preservation or reunification services will not have a substantiated incident of abuse or neglect within 12 months of successful completion of services. 4. Types of Services Provided The HMRC will Provide families with intensive, family based crisis intervention, mental health assessment and treatment, case management, and education services for up to five hours Per week for 24 weeks. The following principles guide the IFT's approach: a. To intervene immediately: b. To provide brief and intensive treatment; c. To focus treatment, using existing family strengths, on identifying and solving Problems, and on realistic goal setting; d. To involve and empower families in treatment: and e. To link clients and their families with and educate them in the effective use of other community services and resources. - Crisis services will be continually available to provide screening. evaluation and assessment, intervention. and follow-up planning to clients. Services, tailored specifically to each client family, will initially focus on those Issues and problems Precipitating the crisis which lead to IFT referral. Family treatment will then move on to dealing with longer standing issues which impede the family's ability to safely and effectively function as a unit. The average period of involvement will be 24 weeks. Services will be delivered primarily at WMHC offices but will be held in clients' homes or at other sites when indicated. These aspects of the project --rapid response to referrals, accessibility of therapists via phone during evenings and weekends, time intensive family therapy and case management services, the relatively low caseloads. and the moderate duration of the services --produce a powerful intervention resource. The %MHC believes that families deserve strong, effective support in attempting to learn productive ways to cope with Problems before the last resort of placement of children outside the home in utilized. The see':ices provided by 1FT Ire culturally :ensi(i':e and competent. They are designed to be consistent with (he culture and ..'lief systems of the client families. Training to educate and tenr,iti_n -tiff to the needs and cultural differences of the residents of Weld County occurs on a regular basis. 2 940483 5. Provision of Services and Administrative Capability The WMHC is a private, non-profit corporation governed by a board of directors, currently chaired by Michael Lazar. It is licensed by the State of Colorado as a comprehensive community mental health center serving all of Weld County, The WMHC has been in existence since 1962. becoming a comprehensive community mental health center in November, 1967, Dale Peterson, MSW, MBA. is the WMHC's Executive Director, Scott Wong, WMHC Business Manager, is responsible for fiscal aspects of the project. The 150+ employees of the WMHC (of whoa 1.0 serve in administrative capacities) are surety bonded. The IFT will be staffed by a full-time masters level mental health clinician whose training included crisis intervention and family sv' togs theory. The person to be hirer) +•iii have at least three years experience w,rl;ing wl'4h :hildr'n. .wlole;eents, and f:mil L•') and will meet the minimum qualifications of a Colorado Department of Social Services Caseworker III. S/he will undergo special training in the philosophical and practical aspects of family preservation. Overall administrative responsibility will be assigned to Dan E. Dailey, BA. Director of the CFSP, who has more than 2' yearn experience in mental health treatment and administration. He reports directly to the Executive Director of the WNRC. At present, the IFT will be the only program in Weld County designed to have its sole function be the delivery of services as described herein. The WMHC and other providers may from time to time provide this level of services in brief spurts to selected families. As envisioned, the IFS will often be able to prepare clients for successful involvement in significantly lower levels of intervention such as more typical outpatient therapy models or education programs. 6. Past Performance The VlniC provides inpatient, residential, partial care, and outpatient treatment services including group, family, and individual therapy as well as case management, educational, and vocational services. Programmatically, the WMHC is made up of the Community Support Program which serves adults who are chronically and severely mentally ill, the Acute Treatment Unit which is a highly structured. intensive residential treatment program for chronically and seriously mentally ill adults. and the Children and Family Services, Adult Outpatient, and Peer Counseling Programs which primarily provide outpatient services. An outreach office in Fort Lupton in staffed to serve citizens living in the southern portion of Weld County. The WMHC is funded through the Colorado Division of Mental Health, county and local governments. the United Way of Weld County. victim compensation funds, grants, private donations, contracts for service with a variety of agencies, Medicaid. Medicare. third party insurance payments, and fees for services. This proposal, if funded, will increase the Capacity of the WMHC to meet the burgeoning demands for more intensive services to Weld County children and their families. The increase will not have to come at the expense of some other offering of the MC AS would occur if we were to shift internal emphasis to acepeeliah the goals and objectives of this proposal. The CFSP currently employs approximately IIFTE who will deliver nearly 12,000 hours of service to more than 600 youths and their families this fiscal year, The CFSP has consistently increased its level of service to Weld County families over the past few years. The WMBC has successfully operated its In -Home Intensive Services Team, based on the nationally acclaimed liomebuildera Prusram, fur throe years combining Dundinz through the Colorado Trust and the Weld County PAC. Similarly, the Victim and Law Enforcement (VALE) Board of Weld County has funded for three years a 0,75FTE triage worker, hired to initially screen and admit child abuse victims to outpatient services of tho WMHC. For the past two years, United Way of Weld County has funded a 0.25FTE mental health worker to assure that no gaps in the mental health care of abused children occurred et the WMHC. The Family Education Network of Weld County has recently approved a grant which will enable WMHC to deliver mental health services on -site to Head Start children and their families via a l,OFTE psychologist. The WMHC record in service delivery through these specialized projects and through its other services is exemplary. 7A. Letters of Support Letters of Support accompany this document as Attachment !L X. 7 9404S3 8. Budget The IF? will require an annual operating budget of $36,665. Personnel expenses account for $27,600, or 75.35 of the total budget which will provide for 1.00 full-time equivalent therapist/case manager who will be paid $24,000 annually, hinge benefits are calculated at 155 of salaries, or $3,600 annually. The non -personnel portion of the budget is $9,065 annually, which is 24,7% of the total. Project administrative services will cost 51150 annually ($1000 in salary And $150 in fringe benefits.) Clinical supervision costs will be $1495 yearly. The therapist/case manager will travel approximately 400 miles per month and will he reimbursed at the present WMRC rate of S.21 per mile equalling $1,008 annually. Rent for office :pace for :.he worker, tolerbone espen_e, and utility expense is based on surr•pd utilization rates amounting to $x30 annually. Clinical and office supplies are calculated to match the current monthly rates within WMRC of $87.50, including one digital pager ($14.95/month), Professional Liability Insurance will cost 562.50 per month, or $750 annually. Secretarial/bookkeeping/data entry support expense will be $37.50 per month or t1450 yearly, calculated from costs currently being incurred for similar activities. Expenses for project evaluation support of $21 monthly (S252 annually) are derived from current experience with such services on a Per flit basis. Psychiatric consultation, backup, and support services will cost Sl90 monthly ($2280 annually) based on two hours of a psychiatrist's time per month at an hourly rate of $95, 9. Program Evaluation and Continuation The evaluation of this project will be focused on the degree to which its major coals and objectives are met. The data to be evaluated will he obtained via numerous routes and sources, The Colorado Client Assessment R,,rord CAR) will be used to awes the ,evris of functioning of the individuals admitted to the 717. The CCAR has been utilized by the entire public mental health system of Colorado for over a decade. ft contains nine level of functioning scales which are described by anchor points in a manual that defines the use of the CCAR. Overall patterns of scores on such key areas as family functioning. interpersonal relations, role performance, and feeling and affective processes will be of special interest. It is expected the interventions of the IFT will lead to positive changes in these areas as well as the total of scores in all levels of functioning. Both pre- and post -intervention data will be obtained, Assessment efforts in this area will be "lonely coordinated with current CM1I research efforts. Other objectives will be assessed via monthly follow-up contacts with families. Observations by the IF? worker and by other professionals involved with the families will also form the bases for studying goal and objective attainment. The level of agreement and disagreement between the family members and involved professionals regarding these observations will be studied as well. Demographic data will be obtained and maintained for each individual and family accepted into the project. Data which are specific to this project will be combined with the data information system already in place at WMBC to provide a very comprehensive and understandable means by which to study the effectiveness of this project. Whenever feasible, pre- and post - intervention data will be obtained and utilized. The WMEC is committed to the continuation of this project and will pursue any reasonable options to fund it in perpetuity. Continued funding for this project through the Weld County Placement Alternatives Commission will be sought as the WMRC believes the 1FT will easily meet the terms of what PAC programs are required to Provide and become a valued community resource. Many clients of the project will be Medicaid eligible. Funding for them through the "Rehab Option", which permits billing Medicaid for other than clinic -based services, will be sought although it must be remembered the MC is limited in the amount of Medicaid it may earn each year and is, in effect, punished when it exceeds that limit or "cap." The vitae will approach the DM in its budget negotiations to switch a substantial portion of the cost of this project to that entity although the DMH has been reluctant t0 underwrite new projects. 4 940483 Attachment B Page 1 of 5 PROGRAM REQUIREMENTS TYPE OP PROJECT Title of Project: _Intensive Camiiv Therapy Rome Based Intensive Family Intervention Option 1 `uJ,)•' i ':: rr ,.r nxe Par T9t.0., . ,ntrrvnnr)gn retain intact at 4i^rhar'" an4 for *he �_. Intensive Family Therapy Jo L1rntS &J.i...m4nSh` _T_ Sexual Abuse Treatment Day Treatment PROGRAM SPECIFIC OBJECTIVES !MINIMUM OF THREE PEP ?ECGR1M! Lite ;nil' MUST BE RELATED TO CLIENT OUTCOME PERFORMANCE Individual'zed/Innovative Services Activity i i1 15Pfnll.nr Person(s) Responsible Time Frame D11te- TFT S.,. -U a,tmi-sins Therapy, Case Management, Education. IFT Treatment Staff Ongoing Crisis Intervention Follow-up Assessments of Family Data Collection Psychiatric Consultation/Services Clinical Supervision Administrative Supervision Dan Dailey. BA Ongoing IFT Treatment Staff At termination of services Dan Dailey. 6,A IFT Treatment Staff 12 months post successful completion Dan Dailey. BA Neil Benson. PhD James Medelman, MD As needed Russ Johnson. MD Theron Sills, MD Dan Dailey. BA Ongoing S 940483 Attachment B Fate 2 01 5 PROGRAM REQUIREMENTS TYPE OF PROJECT Title of Project; Tntenr;ye wlmi;v Therapy GbieY u__ll'^_:-r.1!'_12n tk9Lt v in clre for rbildrnn .;o Placed prior fo re- ferral v+11 be lea- than "it month.. PROGRAM SPECIFIC OBJECTIVES (MINIMUM OF TILREE PER PROGRAM) MUST BE RELATED TO CLIENT OUTCOME PERFORMANCE Rome Based Intensive Family Intervention C,mt:on Rome PAr•I r... 71mily Tntnreentien Option 2 _ Intensive Family Therapy �_ Sexual Abuse Treatment Day Treatment Life Skills Individualized/Innovative Services Activity Personfs) Responsible Time Frame Dates Therapy. Care gann;r.menP. CdiC1!;.on. AFT Treatment ., .aff en,n,n Crisis Intervention Pvchiatri: Consultation/Services Clinical Supervision Administrative Supervision Data Collection Jame' Medelman, MD as needed Russ Johnsen. MD Theron Sills. MD Dan Dailey, BA ongoinc Dan Dailey, DA ongoing IFT Treatment Staff At termination Dan Dailey. BA Neil Benson. PhD 6 940483 Attachment B Page 3 of 5 PROGRAM REQUIREMENTS TYPE OP PROJECT Title of Project: Intensive xamily Therapy Home Based Intensive Family Intervention Opt inn err h Of4_21-1122.1•, ,::fli.J_',uL_T._4 L'1 irmm the IPT PRCCR.\M SPECIFIC OBJECTIVES (MINIMUM OF TRREE PER PRr ✓FaM) MUST BE RELATED TO CLIENT OUTCOME PERFORMANCE flame ..•. IaG„n•;; ?amity Inl.•rvention of on _ Intensive Family Therapy Sexual Abuse Treatment Day Treatment Life skills Individualized/Innovative Services Activity TherapyCa;m '!ena:demnnt, rilnr'1t;on. Crisis Intervention Psychiatric Consultation/Services Clinical Supervision Administrative Supervision Data Collection Person(sl Responsible Time Frame Date: ... 7rnatmftnt Ste.f ongoing James Medelman. MD As needed Russ Johnson. MD Theron Sills, MD Dan Dailey, BA Ongoing Dan Dailey, BA Ongoing IPT Treatment Staff At and post discharge Dan Dailey, BA N,'i1 Benson. PhD 94048,3 Attachment B Page 4 of 5 PROGRAM REOUTREMBNTS TYPE OF PROJECT Title of Project' Intensive Fnmity Threat's, Home Based Intensive Family Intervention Option 1 1^ .r i__i_�^�.._'�y1•�F!�_...��e�`r.�-lam Home Rased Intensive Fami 1Y Intervention Option and fnlrrr than thti,.2.5. wi!t be in such Intensive Family Therapy nlacomm 6 _12 1e.n .;,_after disch:ir^c Sexual Abuse Treatment Day Treatment PROGRAM 'PECIFIC OBJECTIVES (MINIMUM OF TREE PER PROGRAM) _ Life SYi11s MUST BE RELATED TO CLIENT OUTCOME PERFORMANCE Individualized/Innovative Services Activity Person(s) Responsible Time Frame Dates ,.., taev. Case `t na,,'emen'.. :dui at:ion. ITT Treatment Staff On;;uing Crisis Intervention Follow-up Assessments of Family IFT Treatment Staff At termination and at six and 12 months post - Dan Dailey. PA termination Psychiatric Consultation/Services Clinical Supervision Administrative Supervision Data Collection James Medelman, MD Russ Johnson. MD Theron Sills, MD Dan Dailey. BA Ongoing Dan Dailey. BA Ongoing As needed ITT Treatment Staff Six and 12 months post successful termination Dan Dailey, BA Neil Denson. PhD 8 940453 Attachment B Pate 5 of 5 PROGRAM REOUIRt7TENTS TYPE OF PROJECT Title of Project: 7ntcni,Le Family Therapy rnii1"r"ve r,-htv Ferran. n! `a Nl'' ,.. r.iyi']^ ,pT �, wi"ems 'i11 Eat ituve nb a,.nt is t.d fr�- dent of abuse nr_perlect within t' non•h^ 7J rnmplti•9n aL.z1 isa. PROGRAM SPECIFIC OBJECTIVES (MINIMUM OF THREE PER PROGRAM) MUST BE RELATED TO CLIENT OUTCOME PERFORMANCE Home Based Intensive Family Intervention Option 1 9cne 2a:;nd Option 2 _Y Intensive Family Therapy Sexual Abuse Treatment ,.___ Day Treatment Life Skills Individualized/Innovative Services Intennive Family Intnrventtnn Activity Therapy. Case, Management. Edkcation. Crisis Intervention Person(s) Rrssons'ble Time Frame Dates IFT Treatment staff Ongoing Follow -yip Asses=menu of Family TFT Treatment Staff Dan Dailey. Da Psychiatric services/consultation Clinical Supervision Administrative Supervision Data Collection James Medelman, MD Russ Johnson. MD Theron Sills. MD Dan Dailey, BA Dan Dailey. EA IF? Treatment Staff Dan Dailey. BA Neil Denson. PhD 9 At termination and 12 months post - termination As needed Onto ins Ongoing Twelve months post successful termination Y L. PAC FUNDS Hourly Unit Rate Cost Computation Sheet Program Name: intensive Family Theravv (IFT) ?T. ;3encv 4.1ne: wnld "',ntnl 8ea'th Canter III. The project's unit of service definition is: A. The project will provide what type of service to each client. Intensive family therapy including comprehensive assessments, crisis intervention, treatment, and case management services B. This service will be provided for our 4 (maximum) hours per week for up to 26 (maximum stay in the program) weeks. Attachment E Page 1 of 2 The hourly unit Pato is based on: Check one Tnr A. An individual client who is aged through xx B. A family unit as described as follows: A child at imminent risk of placement. his or her siblings residing at home, his or her parent(s)/guardian(s) and other extended family members who may reside in the home. V. Program Statistics Total number of clients to be served in the 12 month program is 16 The monthly maximum program capacity is ejsht ($). The monthly average capacity is $ix S 6). Average stay in the program is twenty-four (24) weeks. Average hours per week in the program is five (5). VI. Description of unit of service cost between direct and indirect services. Base the computation on the hourly rate per unit of service cost based on the average capacity. A. The portion of direct services to the hourly rate per unit cost based on average capacity is 6q%.or $1.28 per hour. (only face-to-face contact with the client for services) B. The portion of indirect services to the hourly rate per unit cost ' based on average capacity is 40t or $10.18 per hour. C. Total hourly rate ner unit of service based on average cost (.A+B+C). $25.46 D. Total proposed yearly budget for services $36.665.00 10 3404;3 RFP-PAC-94004 VII. Unit of service rate computation 1. Travel to & from client's home totals an average of 2. Paper work required by weld County Department of Social Services totals an average of 3. Attachment £ Page 2 of 2 0.35hrs/week 0.25hrs/week Supervisor meetings totals an average of 0.l9hrs/week 4. Case management services of: a. making referrals to other services needed by clients: b. providing linkage to ensure clients obtain and benefit from the services to which they have been referred: c. monitoring the client through contacts with individuals and agencies: d. advocacy to ensure the best interests of the client :..c served: and e. planning of services to best serve the client totals an average of 5. Court testimony required by Social Services totals an average of 6. Administrative costs total an average of Please describe below: Program Director's time based on .05FTE at average capacity minus WCDSS report preparation time 1 .00hrs/we ek 0.05hrs/week 0 �Mrs/week 7. Other costs total an average of 0.Q3hrs/week Please describe below: Not less than 10 continuing education hours per worker per year as required in RFP 8. Sub -total indirect costs 2•QQhrs/week 9. Direct services to clients (Face to face contact) totals an average of Total average hours of service to be provided per week 3.Q0hrs/week 5.00 Weekly direct services to clients total an average of: $ 7(.33 60% Weekly indirect services t. 'dents total an average of:$ 50.92 AO% 11 9404s3 RFP-PAC-94004 PROGRAM PERFORMANCE Program Names Intensive Family Therapy FY1993 - 1994 Ohj✓ct„ve❑ fA) Tar_ k Performance" C11/01 Q5/31.194 Q5/3l rni, Attachment F Page 1 of 1 FYI994 — 1995 (9) (C) Actua) Performance Target Performance n';L.11' . � LrLA 0,/01J'lA to 1. Avg. number of children 2. Avg, number of months in program for children who have been discharged 3. Avg. cost per month per child of children at home or less restrictive setting at discharge r • : of children at home or less restrictive setting 6 months after disrhar-e 6. Avg. savings of alternative vs. projected placement 7. Avg. % of treatment goal met per child discharged 3. % of children who entered another PAC Program after di.rharye 9. N of children who are in more costly placement at discharge 10. % of children who are in more costly placement 6 months alter discharge na w nn na na na na na 12 na na 24 $ 547 na 90 na 85 na na 9 712 (foster rare) A5 Olt 10 na 10 na c 9404133 Attachment G COUNTY PLACEMENT ALTERNATIVES PLAN FINAL BUDGET PAGE FY 1994 - 1995 (1) PROGR:A:.: NAME (2) FAnILT PRESERVATION PROGRAM FUNDS REQUESTED (3) FOST:R CARE REQUESTED FOR PROJECT (4) OTHER FUNDS PROVIDED FIR PROJECT (5) TOTAL PROGRAM Intensive Family Treatment $36,665.00 (IFT) S36,665.00 TOTALS $36.665.00 $36,665.00 How will PAC money be accounted for separately from other agency money? Scott Wong, Business Manager of WMHC, will set up separate cost centers for the funds used to operate the IFT as well as to track any revenues generated from other sources. Accounts for each revenue source will be maintained separately. The WMHC is independently audited annually. 94O453 Attachment H Page I of 1 BUDGET FORMAT A. DIRECT COSTS Staff salaries Staff fringe benefits P. INDIRECT COSTS Director salary Director fringe benefits Clinical supervision Professional liability insurance Psychiatric services/consultation Travel Clinical and office supplies Support staff Project evaluation Rent/Ptiiities/Phoce 14 $24.000 3.600 Subtotal $27.600 $ 1.000 150 1.495 750 2,280 1,008 1.050 450 252 630 Subtotal $ 9,065 Total $36,665 940483 WELD MENTAL HEALTH CENTER, INC. BOARD MEMBER LIST JANUARY 3, 1994 Michael A. Lazar, President Attorney At Law Bank One Plaza 822 7th Street, Suite 300 Greeley, CO 80631 351-6930 (Home) 353-6700 (work) Term: 6-30-95 Lori Johnson -Berke, Vice -President 2605 34th Avenue Greeley, Colorado 80631 659-1684 (Work) Term: 6-30-96 Hazel J. Chick, Secretary Homemaker/Retired Teacher 16470 Weld County Road 86 Ault, Colorado 80610 834-2346 Term: 6-30-94 Or. Robert P. Merz, Treasurer UNC Assistant Vice President Student Affairs 2413 27th Avenue Court Greeley, Colorado 80631 330-0251 (Home) 351-2303 (Work) Term: 6-30-94 Kent L. Jackson, Past President State Farm Insurance 3912 W. 21st Street Road Greeley, CO 80631 330-5174 (Home) 351-5107 (Work) Term: 6-30-95 Rhoten A. Smith, Ph.D. Retired 3707 16th Street Road Greeley, Colorado 80631 330-3256 (Home) Term: 6-30-96 Alvina Derrera 23569 Blake Street Johnstown, Colorado 80534 587-4277 (Home) 353-9251 (work) Term: 6-30-95 George Baxter Weld County Commissioner P.C. Box 758 Greeley, Colorado 80632 356-4000 ext. 4200 (Work) Term: 6-30-9E Sally Harms 17486 Weld County Road 8 Brighton, Colorado 80601 659-4949 (Home) 752-5800 (Work) Term: 6-30-96 Carla Lujan 1862 10th Avenue Greeley, Colorado Term: 6-30-95 351-2161 (Home) Joy Keyser Pickar P.O. Box 834 Eaton, Colorado 80615 454-3567 (Home) 351-5150 (Work) Term: 6-30-96 Ron Wood, Chief of Police Greeley Police Department 919 7th Street Greeley, Colorado 80631 350-9660 (Work) Term: 6-30-96 Gretchen Karst 318 Pine LaSalle, Colorado 80645 284-5180 (Home) Term: 940483 LIFE -TIME MEMBERS Maryellen Clifford 6302 North 73rd Street Scottsdale, AZ 85250-5500 Cornelia Dietz Director, Eldergarden 1713 Glen Meadows Drive Greeley, Colorado 80631 Bernard C. Kinnick 2212 27th Avenue Greeley, Colorado 80631 John Martin 147 South Denver Avenue Ft. Lupton, Colorado 80621 857-2471 (Home) 857-4800 (Work) Hazel J. Chick 16470 Weld County Road 86 Ault, Colorado 80610 834-2346 (Home) Harry Ashley 940483 AOOI'Jk CERTIFICATE OF INSURANCE < ISSUE DATE(MM/DDRY) 601/20/94 PRODUCER Flood & Peterson Insurance Inc P.O. Box 578 Greeley, CO 80632 THIS CERTIFICATE IS ISSUER AS A MATTER OF INFORMATION ONLY AN0 CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE 6P5PANYA St... Paul Ins. Co. TTER COMPANY B LETTER INSURED Weld Mental Health :306 11th Avenue Greeley, CO 80631 COMPANY C LETTER COMPANY D LETTER COMPANY E LETTER COVERAGES '.. ... THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TONE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONOMON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. OCCLUSIONS AND CONOMONS OF SUCH POLICIES. LIMITS SHOWN MAY RAVE BEEN REDUCED BY PAID CLAIMS. CO LTR; TYPE OP INSURANCE POLICY NUMIIER 'POLICY EIPECTIYE POLICY EXHMTION'" LIMITS DATE(MM/00/YY) , DATE(MM/DO/1'VI A GENERALLIABILITY OMMERCIAL GENERAL LIABILITY FKO8300395 01/01/94,01/01/95 GENERAL AGGREGATE I i 1, 000, 000 I X PRODUCTS-COMP/OFAGO,! a 1, 000, 000 I 'OWNER'S& 'CLAIMS NAM X OCCUR.' PERSON AL AAOY. INJURY 1 1,000,000 CONTRACTOR'S PROT,I ! EACH OCCURRENCE 1 1, 000,000 FIRE DA MACE (Any ono NW s 100, 000 MED.EIOEEX£(My cooptnr 'I 1 5,000 A AUTOMOBILELIAIILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS MIRED AUTOS NON•OWNEO AUTOS GARAGE LIAORITY FKO8300395 I 01/01/94!01/01/95I I I I I GOMQINEDSINGLE LIMIT 11, 000, 000 ' I �� I X 000ILY INJURY (Per person) f `X I BOOILYINJIJRY (PIE madddaRI) S X PROPERTY OAMAGE S EXCESS LIABILITY III. UMBRELLA FORM I OTHER THAN UMBRELLA FORM EACH OCCURRENCE $ AGGREGATE S 1 I WORKER'S COMPENSATION AND EMPLOYERS' LIASILm' STATUTORY EMITS - I— EACHACCIDENT !1 OISEASE•POUCY LIMIT ;f OISEASE•EACH EMPLOYEE $ A OTHER Employee Dishonesty FKO8300395 _ 01/01/94101/01/95'$15,000/-0- ded. II DESCRIPTION OP OPERATIONS/LOCATIONS/YEMICLEs/sPEOIAL ITEMS Certificate Holder is named as additional insured in regard to the General Liability only - funding purposes. CERTIFICATE HOLDER State of Colorado Department: of Institutions 3550 West Oxfgord Avenue Denver, CO 80236 Ar-nnn nc_< .-,A'v. • ..P 1 41 IA 4 r1 CANCELLATION SHOULD LEFT. ANY OF THE EXPIRATION DATE MAIL 10 DAYS ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO WRITTEN NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE TO MALLS NOTICE SHALL IMPOSE NO OBLIGATOR OR UPON .p's A CR REPRESENTATIVES our FAILURE LIABIEISOF ANY KIND 1uTHOR12EDAE ESENTAT / -. VRP 0 +1tD CORPORATION DM Wilk COLORADO MEMORANDUM DEPARTMENT OF SOCIAL SERVICES TO: Constance Harbert, Chairman Board of County Commissioners FROM: Judy Griego, Director, Social Services DATE: May 20, 1994 SUBJECT: P.O. BOX A GREELEY, COLORADO 80032 Administration and Public Assistance (303) 352.1551 Child Support (303)3524933 Protective and Youth Services (303) 352.1923 Food Stamps (303) 3583850 FAX (303) 353.5215 a. Notification of Financial Assistance Award between the Family Therapy Program of the Weld Mental Health Center and the Weld County Department of Social Services Enclosed for Board approval is a Notification of Financial Assistance Award between the Family Therapy Program of the Weld Mental Health Center and the Weld County Department of Social Services for Placement Alternatives Commission (PAC) funds. The Placement Alternatives Commission (PAC) reviewed proposals under a Request for proposal process and are recommending approval of this bid. 1. Total award would be $36,665.00 2. The period of the award is June 1, 1994, through May 31, 1995. 3. The Family Therapy Program of the Weld Mental Health Center will deliver services for up to 24 weeks for up to 6 families per month. These services will be provided 5 hours per wee',. If you have any questions, please telephone me at extension 6200. JAG:aas 940483 RESOLUTION RE: APPROVE NOTIFICATION OF FINANCIAL ASSISTANCE AWARD FOR PLACEMENT ALTERNATIVES COMMISSION FUNDS FOR WELD MENTAL HEALTH CENTER, SEXUAL ABUSE TREATMENT, AND AUTHORIZE CHAIRMAN TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County. Colorado, and WHEREAS, the Board has been presented with a Notification of Financial Assistance Award for Placement Alternatives Commission Funds between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County. on behalf of the Department of Social Services, and the Weld Mental Health Center. Sexual Abuse Treatment, commencing June 1, 1994, and ending May 31, 1995, with terms and conditions being as stated in said notification, and WHEREAS, after review, the Board deems it advisable to approve said notification, 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, ex -officio Board of Social Services, that the Notification of Financial Assistance Award for Placement Alternatives Commission Funds between the County of Weld. State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Social Services, and the Weld Mental Health Center, Sexual Abuse Treatment, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is, authorized to sign said notification. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 23rd day of May, A.D., 1994. ATTEST: Weld County Clerk to the Board BY: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO H. Webs'ter,,Chai'man -�-- I Dale -r /Ceor Constance L. Harbert r IA,/ S /1 :arbara J. Kirkme 5 -Soots tC : 56) re)M/#C 940484 Weld County Department of Social Services Notification of Financial Assistance Award for Placement Alternatives Commission (PAC) Funds Type of Action Contract Award No. X Initial Award FY94-PAC-500 (RFP-PAC-9200) ••, -5 Yl-' i an �'% - ••�••• "Y- '+Y' rIM •• A. -^'®'t l r / • .- !Y"W"LL .A`A. Contract Award Period Name and Address of Contractor Beginning 06/01/94 and Weld Mental Health Center Ending 05/-31/95 Sexual Abuse Treatment 1306 11th Avenue Greeley, CO 80631 Computation of Awards Monthly Program Capacity 12 Monthly Average Capacity 9 Unit of Service Description Five hours per week per family to an average of 24 weeks per family. Cost Per Unit of Service The issuance of the Notification of Financial Assistance Award is based upon your Request for Proposal (RFP). Hourly Rate Per $ 25.46 The RFP specifies the scope of services and conditions of award. Except where Unit of Service Based on Average Capacity Monthly Rate Per $ 547.00 it is in conflict with this NFAA in which case the NFAA governs, the RFP upon which this award is based is an integral part of the action. Unit of Service Special conditions Based on Average Capacity Total Yearly $54,998.00 1) Reimbursement for the Unit of Service will be based on an hourly rate per child or per family. Services Budget (Subject to the Availability of Federal and State Funds) Enclosures: 2) The hourly rate will be paid for only direct face to face contact with the child and/or family or as specified in the unit of cost computation. Signed RFP 3) Unit of service costs cannot exceed the hourly, monthly, and yearly cost per child and/or family. 4) Rates will only be paid on approved and open cases with the Department of Social Services. Approvals: /f By 2 b . 0 _,, 1ster, Program Official: By ,,i w. ii: We Chairman ,9%d /q i Board of Weld County Commissioners � Date: .5,o73/�f1 T Judy . Grie o, Di ctor Welder unt a artm nt o SocialServices Date: / \JC//7I g I 940454 INVITATION TO BID a=e=aa==_=..=a__============_m=====a a amac====a==a_==n===a==a===a===_===-=a_==a DATE: January 7, 1994 RETURN BID TO: Pat Persichino Director of BID NO: RFP-PAC-94004 General Services 915 10th Street P.O, Box 758 Greeley, CO 90632 DIRECT INQUIRIES TO: Pat Persichino, Director of General Services SUMMARY Request for Proposal (RFP-PAC-94004) for: Family Preservation Program Deadline: February 22, 1994, Tuesday, 10:00 a.m. The Placement Alternatives Commission,'an advisory commission to the Weld County Department of Social Services, announces that competing applications will be accepted for new grants pursuant to the Board of Weld County Commissioners authority under the Statewide Family Preservation Program (C.R.S.26-5.5-101) and Emergency Assistance for Families with Children at Imminent Risk of Out -of -Home Placement (C.R.S. 26-5.3-101). The Placement Alternatives Commission wishes to approve a twelve month program targeted to run from June 1, 1994 through May 31, 1995, at targeted funding levels of increments up to 5482,431.00. This program announcement consists of five parts, as follows: PART A...Administrative Information PART B...Background, Overview and Goals PART C..,Statement of Work PART D...Bidder Response Format PART E...Evaluation Process Delivery Date (After receipt of order) VENDOR Weld Mental Health Center, The ADDRESS1j06 Eleventh Avenue Greeley, r0' r`Y{n BID MUST BE SIGNED IN INK D11 e TYPED pft PRINTED `$ZGNAtURE 4Q^ 3 Handwritten Signature By Authorized Officer or Agent of Vender •T.ITLEFXPcvtLve Diree*.pr DA,..�E?-21-R4 ZIP SQS31 PHONE #t -4-3Q) 353 3686 The above bid is subject to Terms and Conditions as attached hereto and incorporated. 940484 RFP-PAC-94004 Attachment A Page 1 of 2 COVER PAGE ALTERNATIVES TO OUT OF HOME PLACEMENT PROGRAMS PLACEMENT ALTERNATIVES COMMISSION PROGRAM YEAR i994 BID # RFP—PAC-94004 Client Group(s) to be Served: Families with children at risk of out—of—home_placement Name of Applicant Agency: Weld Mental Health Center. Inc. Address: 1.306 Eleventh Avenue City: Greeley, Colorado 80631 Phone: (303) 353-3686 Contact Person: Dan E. Dailey Title: Director, Children and Famijv Services Approximate Project Dates: Start June 1. 1994 End May 31, 1995 Title of Project: Sexual Abuse Treatment Amount Requested: $54,998.00 Signatures: Dan E. Dailey Name and Signature of Dale F. Peterson Name and Signature of Chief Administrative Officer of Applicant Agency Date 2-,a_ ?I/ Date PROPOSED FAMILY PRESERVATION PROGRAM CATEGORY Please initial to indicate the bidder's chosen category (only one category per bid) Home Based Intensive Family Intervention Option 1 Home Based Intensive Family Intervention Option 2 Intensive Family Therapy - Sexual Abuse Treatment Day Treatment Life Skills Individualized/Innovative Services 940484 RIP -PAC -94004 Attachment A Page 2 of 2 TYPE OF PROJECT Continuing Project under Weld County PAC How many years? X New Project X Proposed Program will eliminate the need for out of home placement Proposed Program will lower the cost of out of home placement Other: The Proposed Program will MANDATORY PROPOSAL REQUIREMENTS Please initial to indicate that the following required sections are included in this proposal: Statement of Need Population to be Served Program Requirements , Types of Services Provided Provision of Services & Administrative Capability Past Performance 4) Letters of Support (New Programs Only) Budget Program Evaluation and Continuation 940454 TABLE OF CONTENTS Cover Page Table of Contents Program Narrative 1. Statement of Need 2. Population to be Served 3. Program Requirements 4. Types of Services Provided 5. Provision of Services and Administrative Capability 6. Past Performance 3 7A. Letters of Support. 4 8. Budget 4 9. Program Evaluation and Continuation Attachments A. Cover page overleaf B. Program Requirements 5 - 12 C. Past Performance na D. Evaluation Results na E. Hourly Unit Rate Cost Computation Sheet 13 - 14 F. Program Performance 15 G. County Placement Alternative Plan Final Budget Page 16 H. Budget Format 17 overleaf a 1 1 1 12 23 3 a 940484 D. program Narrative 1. Statement of Need The child and adolescent population at risk of out -of -home placement is underserved by the private and public mental health and social services systems of Weld County. In fiscal year 1992-93, the Children and Family Services Program (CFSP) of the Weld Mental Health Center, Inc. (WMRC) admitted mere than 600 children and adolescents to its outpatient services in addition to continuing to work with those already on its rolls. More than 300 of these youths had been the victims of sexual or physical abuse at some point in their lives. Of the children and adolescents admitted to the CFSP. approximately 90% fit the Colorado Division of Mental Health (DMH) definition of severely emotionally disturbed by virtue of the severity and nature of their presenting problems, out -of -home placement, or a combination of these factors. The DMH estimates the youth population in need of mental health services in Weld County to be over 1500 in any given year. The Colorado State Department of Social Services reports that last year nearly 34,000 families were served by local departments of social services. Approximately 64,000 children were provided services. 80: in their own homes and 20% in out -of -home care. In the previous fiscal year, according to data from the Weld County Department of Social Services (WCDSS), there were more than 220 Weld County children in out -of -home elate■ents with the majority in foster families and the rest in group homes, child placement agencies, and in residential child care facilities. More than 1200 reports of abuse were received by WCDSS last year; approximately 30% of those detailed allegations of sexual abuse. As WCDSS does not field all sexual abuse reports, responding instead to cases in which the assailant is a family member of the victimized child or in which the victimized child is also inadequately responded to or protected by his or her family, this number does not adequately state the number of sexually victimized youth in Weld County. More than 110 Dependency and Neglect Petitions are tiled annually in response to these reports. There is a perennial shortage of appropriate foster homes in which to place these children in need. Placement Alternative Commission "slots" have been significantly reduced by continuing and questionable redefinitions of whom may have access to them. There are not sufficient resources for the children and their families in this county. The Sexual Abuse Treatment (SAT) component of CFSP is designed to deal directly and promptly with sexually abused children and youthful perpetrators of sexual abuse. thus adding a more intensive element to existing WMHC services. 2. Population to be Served The eligibility criteria for SAT services are: a. The family must reside in Weld County; b. There must be a risk of imminent out -of -home placement of at least one family member aged birth to 18 years (or such placement has already occurred) precipitated by the recent occurrence or discovery of sexual abuse which severely threatens the family's ability to adequately cope with that and related situations; C. At least one parent/guardian who is not a perpetrator of the sexual abuse must consent to work with the team with the goal of keeping the family together: and d. Specific client populations will include at least one of the following: 1. a victim of sexual abuse under the age of 18 years; 2. a perpetrator of sexual abuse/assault under the age of 18 years; 3. the non -abusing spouse of an adult incest perpetrator; and 4. relatives under the age of 18 years in the household of incest victims and/or perpetrators. At least 24 families will be served annually: 16 families of abused children, eight families of juvenile abuse perpetrators. Referrals will flow from caseworkers at WCDSS to a WCDSS supervisor to Dan Dailey, SAT director. The final decision as to the appropriate level of mental health services will be made by the WMHC. 3. Program Requirements The overall goal of the project is to enable families with children at risk of out -of -home placement or who already have children placed out of their homes as a result of sexual abuse to care for those children in a healthful manner at home. Goals and objectives are: Goal A. Rapidly improve and stabilize family functioning to enable the family to care for bbe children in the home setting. Objective Provide crisis intervention and other services within three days of referral to 24 families to either prevent out -of -home placements of children and adolescents in foster and group homes, residential child care facilities. juvenile detention facilities. and in psychiatric hospitals (family preservation services) or to return youths from such facilities is their family homes within six months of referral (reunification services.) 1 940484 Goal B. Improve overall functioning of families via improved family conflict management, improved parental competency. improved household management competency, and an improved ability t0 gain access to and use appropriate resources in the community to enable the families to appropriately care for and protect their children in their own homes on a long term basis. Objective a. Eighty-five percent of families which receive either family preservation Of reunification services will measure significantly lower an the risk assessment scales at time of termination than at onset of SAT services. Objective b. At termination, six and 12 months after termination of SAT services. 90: of the families will remain intact. Objective c. Seventy percent of children currently in long term placement who are provided reunification services will return to their own home and not reenter out -of -home -placement within 12 months of completion of services, Objective 4. Fewer than 10% of discharged children will enter another PAC CFPP) program, Objective e. Fewer than 10% of the children served will be in a more costly Placement at discharge and fewer than 15% will be in such a placement six months after discharge. Objective f. Eighty percent of the families receiving either family preservation or reunification services will not have a substantiated incident of abuse or neglect within 12 months of successful completion of services. Objective g. one hundred percent of the perpetrators SAT serves will not commit sexual assault within 12 months of service completion. Objective h. Ninety percent of non -perpetrating abused children seen in SAT will not act out sexually aggressively within 12 months of successful services completion. 4. Types of Services Provided The WMHC will provide targeted families with intensive, family based crisis intervention, mental health assessment and treatment, case management. and education services. The following principles will guide the SAT's approach: a. To intervene as soon as possible after abuse/assault is discovered and reported; b. To provide intensive treatment for the family of moderate duration: c. To focus treatment. using existing family strengths. on identifying and solving problems, and on realistic goal setting; d. To involve and empower families in treatment: and e. To link clients and their families with and educate them in the effective use of other community services and resources. Crisis services will be continually available to provide necessary support and protection, intervention, and related services. Services, tailored specifically to each client family, will be offered focussing on those issues and problems directly related to the issues of sexual abuse/assault and on new ways to cope with family problems to prevent recidivism and additional victimization. The average period of involvement will be 24 weeks with an average of five hours of services provided weekly to each family. Services will be delivered primarily at the VMHC. Home visits will be conducted as necessary. The initial WMHC response to the families of victimized children will not be the responsibility of SAT staff. For three years, the CFSP has used a triage system to address the issues of abuse victims at the time of admission to WMHC services. In order to not duplicate services and to maximize the SAT staff's response, we will continue to use the existing system. The triage worker, who will have a new tool to offer the families, will assess the immediate and longer term needs of the families in order to formulate the initial mental health services plan to be implemented by SAT staff. Nor will the initial WMHC response to Juvenile perpetrators of sexual assault/abuse be the responsibility of SAT staff. The CFSP has therapists experienced in evaluating and treating these perpetrators. In order to not duplicate existing services and to maximize the availability of SAT staff, initial screening of and service planning for these youths will not be SAT staff's responsibility. SAT staff will, immediately enter the treatment picture at the completion of this initial step. Since a high percentage of youthful perpetrators are themselves victims of sexual abuse/assault. evaluation of this issue will also be included. Services for victims and perpetrators will include individual, family. and group therapy as well as case management --all designed to address the issues and behaviors related to sexual abuse victimization. sexual dysfunction, and sexual abuse Perpetration. At minimum, each child victim will be seen individually as appropriate. in weekly group sessions with similarly aged victims, and in weekly family sessions. Psychiatric 2 940484 evaluation will be available. Perpetrators of each child's abuse will be included in a victim's service plan if such inclusion is in the best interests of the victim and only if the perpetrator is a member of the victim's nuclear family, admits to having assaulted the child, claims remorse in response to his/her actions, and has been cleared by his/her therapists as capable of and ready for participation in the victim's services. Services for juvenile perpetrators will include individual sessions as appropriate, at least weekly group therapy with other similarly aged perpetrators, and weekly family therapy. Psychiatric evaluation will be available. 111 services will be aimed at reducing the impact of the abuse both now and in the future for the victim and his/her family, at assisting all family members to understand the dynamics and sequelae of sexual abuse, and at minimizing the likelihood of further sexual abuse. SAT staff will attend at least 12 hours of education annually to keep knowledge and skills current with state of the art counselling modalities and findings. SAT services will be culturally sensitive and competent. They will be designed to be consistent with the culture and belief systems of the client families. .Training to educate and sensitize staff to the needs and cultural differences of the residents of Weld County Occurs on a regular basis. 5. Provision of Services and Administrative Capability The WMHC is a private, non-profit corporation governed by a board of directors, currently chaired by Michael Lazar, It is licensed by the State of Colorado as a comprehensive community mental health center serving all of Weld County. The WMHC has been in existence since 1962. becoming a Comprehensive community mental health center in November. 1967. Dale Peterson. NSW. MBA, is the WMHC's Executive Director. Scott Wong, WMHC Business Manager, is responsible for fiscal aspects of the project. The 150. employees of the WMHC (of whom 10 terve in administrative capacities) are surety bonded. The SAT will be staffed by 1.50 full-time equivalent (FTE) masters level mental health clinicians. Each team 'member will have had at least three years experience working with children, adolescents, and families. Each team member will have undergone special training in the treatment of sexually abused Children and the perpetrators of such abuse. They will also have studied the philosophical and practical aspects of family preservation. Each member of the team will meet the minimum qualifications of a Colorado Department of Social Services Caseworker III. Overall administrative responsibility is assigned to Dan E. Dailey. BA, Director of the CFSP. who has more than 23 years experience in mental health treatment and administration. He is a specialist in the treatment of the sexually abused and the sexually abusing. He reports directly to the Executive Director of the WMHC. The SAT project is not currently in existence in Weld County. A variety of its programmatic offerings are available through the WMHC as well as other providers in the community. The SAT offers, however, a unique system to help the families described above. It has at its immediate disposal the existing services of the WMHC, an important consideration as many of the families to be served by SAT will need related ongoing mental health services after completing SAT services. 6. Past Performance The WMEC provides inpatient, residential. partial care, and outpatient treatment services as well as case management, educational, and vocational services. Programmatically. the MK consists of the Community Support Program which serves chronically and severely mentally ill adults, the Acute Treatment Unit which is a highly structured, intensive residential treatment program for chronically and seriously mentally ill adults. and the Children and Family Services, Adult Outpatient, and Peer Counseling Programs which primarily provide outpatient services. An outreach office in Fort Lupton serves citizens living in the southern Weld County. The WMHC is funded through the Colorado Division of Mental Health. county and local governments, the United Way of Weld County, victim compensation funds, grants, private donations, contracts for service with a variety of agencies, Medicaid. Medicare, third party insurance payments. and fees for services. This project will increase the capacity of the IMHC to meet the ever increasing demands for services to its target population. enabling delivery of more intensive services. The increase will not have to come at the expense of other WMHC services as would occur if we were to shift internal emphasis to accomplish the goals and objectives contained herein. The CFSP employs approximately IIFTE who will deliver nearly 12.000 hours of service to more than, 600 youths and their families this fiscal year, The CFSP has consistently increased its level of service to Weld County families over the past few years. The WMHC has successfully operated its In -Home Intensive Services Team for three years combining funding through the Colorado Trust and the Weld County PAC. Similarly, the Victim and Law Enforcement (VALE) Board of Weld County has funded for three years the 0.75FTE triage worker described above to initially screen and admit 3 940484 child abuse victims to WMHC services. For the past two years. United Way of Weld County has funded • 0.25FTE mental health worker ,to assure no gaps in the mental health care of abused children occurs at the WMBC. The Family Education Network of Weld County recently approved a grant enabling WMHC to deliver its services on - site to Head Start children and their families via a 1.0FTE psychologist. The WMHC record in service delivery through these specialized projects and through its other services is exemplary. 7A. Letters of Support Letters of support received to date accompany this document as Attachment XXX. 8. Budget The SAT requires an annual budget of S54.998. Personnel expenses for 1.5087E account for 541,400, or 75.38 of the total budget. Salary per FTE will be S24,000 annually. Fringe benefits are calculated at 151 of salaries, or 55.400 annually. The non -personnel portion of the budget is $13,598. which is 24.7% of the total. Administrative supervision will cost 51,725 (51500 salary plus 15% benefits.) Clinical supervision expense will be $2243 based on requirements of four hours per month per FTE contained in the RPP. Professional Liability Insurance will cost $1,125. Psychiatric consultation, backup, and support services will cost 53.420 based on three hours of a psychiatrist's time per month at an hourly rate of $95. Travel per PTE will be 400 miles per month. reimbursed at the rate of $.21 per mile equalling $1,512 annually. Clinical and office supplies at $1575 match the current annual rates per WMHC PTE. Secretarial/bookkeeping/data entry support expense will be $675 yearly, based on current costs for similar activities. Expenses for project evaluation support of 5378 are derived from current experience with such services. Rent of office space, including telephone and utilities, of 5945 is based on current utilization rates. 9. Program Evaluation and Continuation The evaluation of this project will be focused on the degree to which its major goals and objectives are met. The data to be evaluated will be obtained via numerous routes and sources. The Colorado Client Assessment Record ICCARI will be used to assess the levels of functioning of the individuals admitted to the SAT. The CCAR has been utilized by the entire public mental health system of Colorado for over a decade. It contains nine level of functioning scales which are described by anchor points in a manual that defines the use of the CCAR. Overall patterns of scores on such key areas as family functioning. interpersonal relations, role performance, and feeling and affective processes will be of special interest. It is expected the interventions of SAT will lead to positive changes in these areas as well as the total of scores in all levels of functioning. Both pre -and post -intervention data will be obtained. Assessment efforts in this area will be closely coordinated with current DMB research efforts. Other objectives will be assessed via monthly follow-up contacts with families. Observations by SAT members and by other professionals involved with the families will also form the bases for studying goal and objective attainment. The level of agreement and disagreement between the family members and involved professionals regarding these observations will be studied As well. Demographic data will be obtained and maintained for each individual and family accepted into the project. Data which are specific to this project will be combined with the data information system already in place at WMHC to provide a very comprehensive and understandable means by which to study the effectiveness of this project. Whenever feasible, pre- and post - intervention data will be obtained and utilized. The WMRC is committed to the continuation of this project and will pursue any reasonable options to fund it in perpetuity. Continued funding for this project through the Weld County Placement Alternatives Commission will be sought as the WMBC believes the SAT directly addresses what PAC programs are required to provide. Some clients of the project will be Medicaid eligible. Funding for them through the "Rehab Option". which permits billing Medicaid for other than clinic -based services, will be sought although it must be remembered the M18C is limited in the amount of Medicaid it may earn each year and is, in effect, punished when it exceeds that limit or "cap." The WMHC will approach the DNB in its budget negotiations to switch a substantial portion of the cost of this project to that entity. 4 940484 Attachment B Page 1 of 3 PROGRAM REQUIREMENTS TYPE OF PROJECT Title of Project: Sexual .Abuse Treatment Objective 1: Eirhty-tjve percent of families whigh Le- rri,y either family prenervatton or reunifi- ration servirr9 njll_mersmre significantly lower o$ rtsk assessment scales at time of successful termination of srrvj.ces PROGRAM SPECIFIC OBJECTIVES (MINIMUM OF THREE PER PROGRAM) MUST BE RELATED TO CLIENT OUTCOME PERFORMANCE•. Home Based Intensive Family Intervention Option 1 for Based Intensive Family Intervention Option 2 Intensive Family Therapy Sexual Abuse Treatment Dav Treatment Life Skills Individualized/Innovative Services Activity Initial Assessment of Family Therapy, Case Management. Education. Crisis Intervention Follow-up Assessments of Family Psychiatric Consultation/Services Clinical Supervision Administrative Supervision Person(s) Responsible Time Frame, Dates SAT Treatment Staff At admission SAT Treatment Staff Ongoing SAT Treatment Staff Dan Dailey, BA Russ Johnson. MD Theron Sills. MD James Medelman, MD Dan Dailey. BA Ongoing Dan Dailey. BA Ongoing At termination of services As needed 5 940484 Attachment B Page 2 of 8 PROGRAM. REQUIREMENTS TYPE OF PROJECT Title of Project; Sexual Ahn'e Treatment _ Home Based Intensive Fasily Intervention Option I Objective 2: at termination six and 12 months after _ Rome Based Intensive Family Intervention termination of SAT seethes 5 of the Option 2 families will remain intact _____ Intensive Family Therapy Sexual Abuse Treatment T Day Treatment PROGRAM SPECIFIC OBJECTIVES (MINIMUM OF THREE PER PROGRAM) Life Skills MUST BE RELATED TO CLIENT OUTCOME PERFORMANCE Individualized/Innovatii/e Services Activity Persons) Time Frame RespoJ+4ibje Oates Therapy, Cave Management, Education, SAT Treatment Staff ongoing Crisis Intervention Psychiatric Consultation/Services Clinical Supervision Administrative Supervision Data Collection James Medeluan, HD Russ Johnson, MD Theron Sills. MD Dan Dailey, BA as needed ongoing Dan Dailey, BA ongoing SAT Treatment Staff Dan Dailey, BA Neil Benson, PhD Al termination & again six and 12 months later 6 940484 Attachment B Pace 3 of 8 PROGRAM REOUIRERENTS TYPE OF PROJECT Title of Project: Sexual Abuse Treatment _ Rome Based Intensive Family Intervention Option I Objective 3: Seventy fine percent of the successfully Hose Based Intensive Family Intervention terminated families will be intact 12 months Option 2 Ater trr.inationst SAT services Intensive Family Therapy Sexual Abuse Treatment Day Treatment PROGRAM SPECIFIC OBJECTIVES (MINIMUM OF TRREE PER PROGRAM) _ Life Skills MUST BE RELATED TO CLIENT OUTCOME PERFORMANCE Individualized/Innovative Services Activity Person(s) Responsible Time Frame paten Therapy, Case Management, Education, SAT treatment staff ongoing Crisis Intervention Psychiatric Consultation/Services James Medelman. MD as needed Russ Johnson, ND Theron Sills, MD Clinical Supervision Dan Dailey. BA ongoing Administrative Supervision Dan Dailey. BA ongoing Data Collection SAT Treatment Staff 12 months Pont successful completion Dan Dailey, BA Neil Benson, PhD 7 9404134 Attachment H Page 4 of 9 PROGRAM REQUIREMENTS TYPE OP PROJECT Title of Project: Sexual Abuse Treatment _ Home Based Intensive Family Intervention Option 1 Objective 4: Fewer than 10% of jtisrhareed children will _ Home Based Intensive Family Intervention enter another PAC ()terra. after d1trharge_ Option 2 from tie SAT, Intensive Family Therapy Sexual Abuse Treatment _ Day Treatment PROGRAM SPECIFIC OBJECTIVES (MINIMUM OF THREE PER PROGRAM) — Life Skills Individualized/Innovative Services MUST BE RELATED TO CLIENT OUTCOME PERFORMANCE Activity Therapy. Case Management, Education, Crisis Intervention Psychiatric Consultation/Services Clinical Supervision Administrative Supervision Data Collection Person(s) Rryronsible Time Frame Date, SAT Treatment Staff Ongoing James Medelman. MD Russ Johnson. MD Theron Sills. MD Dan Dailey, BA Dan Dailey. BA SAT Treatment Staff Dan Dailey, BA Neil Henson. PhD As needed Ongoing Ongoing At discharge, six and 12 months post services 940484 Attachment B Page 5 of 8 PROGRAM REOUIREKENTS TYPE OF PROJECT Title of Project: Sexual 4by"e Treatment Objective 5: Fewer thsnJOx of theshj,ldren served wilt be in a more rnstly placement at discharge ant fewer thanjhan 15% will he in surh }aremenfs six months after SAT di,rharee PROGRAM SPECIFIC OBJECTIVES (MINIMUM OF THREE PER PROGRAM) MUST BE RELATED TO CLIENT OUTCOME PERFORMANCE Home Based Intensive Family Intervention Option 1 Borne Based Intensive Family Intervention Option 2 _ Intensive Family Therapy _X_ Sexual Abuse Treatment Day Treatment Life Skills Individualized/Innovative Services Activity Therapy, Case Management. Education, Crisis Intervention Follow-up Assessments of Family Psychiatric Consultation/Services Clinical Supervision Administrative Supervision Data Collection Personfs) Responsible Time Frame Date: SAT Treatment Staff Ongoing SAT Treatment Staff At termination and six months post - Dan Dailey. BA James Medelman. MD Russ Johnson. MD Theron Sills. MD Dan Dailey. BA Dan Dailey. BA SAT Treatment Staff Dan Dailey. BA Neil Benson. PhD termination As needed Onto ins Ongoing Six months Post successful termination 940484 Attachment B Page 6 of d PROGRAM REOVIREMEMTS TYPE OF PROJECT Title of Project: yere:U, S1L JZe. Dt Objective 6: Ninety percent of families rereivinr. SAT services xilLynt have a suhstantiljed inci- dent of &hese nr neglect within 12 mouths of completion of services. PROGRAM SPECIFIC OBJECTIVES (MINIMUM OF THREE PER PROGRAM) MUST BE RELATED TO CLIENT OUTCOME PERFORMANCE Hose Based Intensive Family Intervention Option 1 Home Based Intensive Family Intervention Option 2 Intensive Eerily Therapy —S_ Sexual Abuse Treatment Day Treatment Life Skills Individualized/Innovative Service. Activity Person(s) Begpnn,jhle Therapy. Case Management. Education. Crisis Intervention Follow-up Assessments of Family Psychiatric Consultation/Services Clinical Supervision Administrative Supervision Data Collection Time Frame flees SAT Treatment Staff Ongoind SAT Treatment Staff At termination and 12 months post - Dan Dailey. BA termination James Medelman. MD Russ Johnson, MD Theron Sills. MD Dan Dailey. BA Dan Dailey. BA SAT Treatment Staff Dan Dailey. BA Neil Benson, PhD As needed Ongoing Ongoing Twelve months post successful termination 10 94®4SI Attachment H Page 7 of 8 PROGRAM REQUIREMENTS TYPE OF PROJECT Title of Project: Sexual Abuse T raiment Objective 7: One hundre4 percent_ot the perpetrators SAT serves will not sexually assault pxevtnus 9r pew victims within 17 months of completion of SAT services. PROGRAM SPECIFIC OBJECTIVES (MINIMUM OF TREE PER PROGRAM) MUST BE RELATED TO CLIENT OUTCOME PERFORMANCE Rope Based Intensive Family Intervention Option 1 Home Based Intensive Family Intervention Option 2 Intensive Family Therapy _ Sexual Abuse Treatment _ Day Treatment Life Skills Individualized/Innovative Services Activity Person(s) Responsible Time Frame .Dates Therapy. Case Management. Education, SAT Treatment Staff Onsoins Crisis Intervention Follow-up Assessments of Family SAT Treatment Staff Dan Dailey, HA Psychiatric Consultation/Services Clinical Supervision AdministratiVe Supervision Data Collection James Medelaan, MD Russ Johnson. MD Theron Sills. MD Dan Dailey, BA Dam Dailey, BA SAT Treatment Staff Dan Dailey, BA Neil Benson. PhD At termination and 12 months post - termination As needed Ongoing Ongoing Twelve months post successful termination 11 940494 Attachment B Page 8 of 8 PIIOGRAM REQUIREMENTS TYPE OF PROJECT Title of Project: Sexual Abuse Treatment Rome Based Intensive Family Intervention Option 1 Obiectivc 8: ,Ni r r e..rtehe no perprtrlJ)...+i*:_._� Rome Based Intensive Family Intervention Option 2 Intensive Fatly Therapy Sexual Abuse Treatment Day Treatment PROGRAM SPECIFIC OBJECTIVES (MINIMUM OF THREE PER PROGRAM) _ Life Skills MUST BE RELATED TO CLIENT OUTCOME PERFORMANCE _ Individualized/Innovative Services abused children seen in SAT will not art out in a srxually aeeres,ive manner within 12 months of sucressful services rempletion Activity Person(s) Responsible Time Frame Dates Therapy. Case Management. Education. SAT Treatment Staff Ongoing Crisis Intervention Follow-up Assessments of Family SAT Treatment Staff At termination and 12 months post - Dan Dailey. BA termination Psychiatric Consultation/Services Clinical Supervision Administrative Supervision Data Collection James Medelman. MD Russ Johnson. MD Theron Sills. MD Dan Dailey, BA Dan Dailey. BA SAT Treatment Staff Dan Dailey. BA Neil Benson. PhD As needed Ongoing Ongoing Twelve months post successful termination 12 240484 PAC FUNDS Hourly Unit Rate Cost Computation Sheet Attachment E Page 1 of 2 I. Program Name: Sexual Abuse Treatment ($AT) II. Agency Name: Weld Mental Health _center, Inc. III. The project's unit of service definition is: A. The protect will provide what type of service to each client. Intensive, clinic -based, family focussed crisis intervention, mental health assessment and treatment. case management. and education services B. This service will be provided for 5 (maximum) hours per week for up to 24 (maximum stay in the program) weeks. IV. The hourly Unit Rate is based on: Check one A. An individual client who is aged through xx B. A family unit as described as follows: A child at imminent risk of placement. his or her siblings residing at home, his or her parent(s)/guardian(s) and other extended family members who may reside in the home. V. Program Statistics Total number of clients to be served in the 12 month program is 24 The monthly maximum program capacity is 12. The monthly average capacity is 9. Average stay in the program is 24 weeks. Average hours per week in the program is 5. VI. Description of unit of service cost between direct and indirect services. Base the computation on the hourly rate per unit of service cost based on the average capacity. A. The portion of direct services to the hourly rate per unit cost based on average capacity is 5Q% or $15.28 per hour. (only face-to-face contact with the client for services) B. The portion of indirect services to the hourly rate per unit cost based on average capacity is 4Q% or $10.18 per hour. C. Total hourly rate per unit of service based on average cost (A+B+C). $25.46 D. Total proposed yearly budget for services $54.008.00 17 9404S4 RFP-PAC-94004 .Attachment F Page 2 of 2 VII. Unit of service rate computation 1. Travel to & from client's home totals an average of 2. Paper work required by Weld County Department of Social Services totals an .Average of 3. Supervisor meetings totals an Average of 0.35hrs/week n.25hrs/•. eek 0.19hrs/week 4. Case management services of: a. making referrals to other services needed by clients; b. providing linkage to ensure clients obtain and benefit from the services to which they have been referred; c. monitoring the client through contacts with individuals and agencies; d. advocacy to ensure the best interests of the client are served; and e. planning of services to best serve the client totals an average of 5. Court testimony required by Social Services totals an average of 6. Administrative costs total an average of Please describe below: Program Director's time based on .05FTE at average capacity minus WCDSS report preparation time 7. Other costs total an average of Please describe below: Not less than 12 continuing education hours per worker per year as required in RFP 1.00hrs/week 0.05hrs/week 0.13hrs/week 0.03hrs/week 8. Sub -total indirect costs _ 3.00hrs/week 9. Direct services to clients (Face to face contact) totals an average of 3.0Qhrs/week Total average hours of service to be provided per week 5.00 Weekly direct services to clients total an rrvera.ge of: $ 76.38 60% Weekly indirect services to clients total an average of:$ 50.92 40% 14 940484 RFP-PAC-94004 Attachment F Page 1 of 1 Program Name: Sexual Abuse Treatment Objectives PROGRAM PERFORMANCE FY1993 - 1994 FY1994 - 1995 (A) (B) Target Performance* Actual Performance 06/01/91 to 95221/99 ___9.6L01/93 to 07/29/94 (C) Target Performance 06/01/94 to 95/31/95 1. Avg. number of children __game&Per lolitb e' III__ 12 2. Avg. number of months in program for children who Dave been discharged - 7a 3. Avg. cost per month per child_ 4. S of children at home or less restrictive setting at dl.rharte 5. S of children at home or less restrictive setting 6 6. Avg. savings of alternative vs. projected placement 7. Avg. S of treatment goal met per child discharged 8. S of children who entered another PAC Program after na na na na 7a na nit na 24 4 547 20,_ 85 4 712 (foster rare) 85 9. S of children who are in more costly placement at discharge 10. S of children who are in more costly placement 6 montht after discharge nA na 15 na na 10 15 94048 Attachment G COUNTY PLACEMENT ALTERNATIVES PLAN FINAL BUDGET PAGE FY 1994 - 1995 (1) PROGRAM NAME (2) FAMILY PRESERVATION PROGRAM FUNDS REQUESTED (3) FOSTER CARE REQUESTED rO2 PROTECT (4) OTHER FUNDS PROVIDED FOR PROTECT (5) TOTAL PROGRAM Sexual Abuse Treatment $54,998.00 $54,998.00 (SAT) TOTALS $54.993.00 $54,996.00 How will PAC money be accounted for separately from other agency money? Scott Wong, Business Manager of WMHC, will set up separate cost centers for the funds used to operate the SAT project as well as to track any revenues generated from other sources. Accounts for each revenue source will be maintained separately. The WMHC is independently audited annually. 16 940464 Attachment H n.,S„ , nF BUDGET FORMAT A. DIRECT COSTS Staff salaries Staff fringe benefits B. INDIRECT COSTS Director salary Director fringe benefits Clinical supervision Professional liability insurance Psychiatric services/consultation Travel Clinical and offices supplies Support staff Project evaluation Rent/Utilities/Phone S35.000 5.400 Subtotal $41,400 $ 1,500 225 24? 1,125 3.420 1.512 1.575 675 378 945 Subtotal $13.598 Total S54.998 17 940484 ��errs WELD MENTAL HEALTH CENTER, INC. BOARD MEMBER LIST JANUARY 3, 1994 Michael A. Lazar, President Attorney At Law Bank One Plaza 822 7th Street, Suite 300 Greeley, CO 80631 351-6930 (Home) 353-6700 (Work) Term: 6-30-95 Lori Johnson -Berke, Vice -President 2605 34th Avenue Greeley, Colorado 80631 659-1684 (Work) Term: 6-30-96 Hazel J. Chick, Secretary Homemaker/Retired Teacher 16470 weld County Road 86 Ault, Colorado 80610 834-2346 Term: 6-30-94 Dr. Robert P. Herz, Treasurer UNC Assistant Vice President Student Affairs 2413 27th Avenue Court Greeley, Colorado 80631 330-0251 (Home) 351-2303 (Work) Term: 6-30-94 Kent L. Jackson, Past President State Farm Insurance 3912 W. 21st Street Road Greeley, CO 80631 330-5174 (Home) 351-5107 (Work) Term: 6-30-95 Rhoten A. Smith, Ph.D. Retired 3707 16th Street Road Greeley, Colorado 80631 330-3256 (Home) Term: 6-30-96 Alvina Derrera 23569 Blake Street Johnstown, Colorado 80534 587-4277 (Home) 353-9251 (Work) Term: 6-30-95 George Baxter Weld County Commissioner P.O. Box 758 Greeley, Colorado 80632 356-4000 ext. 4200 (Work) Term: 6-30-9( Sally Harms 17486 Weld County Road 8 Brighton, Colorado 80601 659-4949 (Home) 752-5800 (Work) Term: 6-30-96 Carla Luian 1862 10th Avenue Greeley, Colorado Term: 6-30-95 351-2161 (Home) Joy Keyser Pickax P.O. Box 834 Eaton, Colorado 80615 454-3567 (Home) 351-5150 (Work) Term: 6-30-96 Ron Wood, Chief of Police Greeley Police Department 919 7th Street Greeley, Colorado 80631 350-9660 (Work) Term: 6-30-96 Gretchen Karst 318 Pine LaSalle, Colorado 80645 284-5180 (Home) Term: 9404S4 LIFE -TIME MEMBERS Maryellen Clifford 6302 North 73rd Street Scottsdale, AZ 85250-5500 Cornelia Dietz Director, Eldergarden 1713 Glen Meadows Drive Greeley, Colorado 80631 Bernard C. Kinnick 2212 27th Avenue Greeley, Colorado 80631 John Martin 147 South Denver Avenue Ft. Lupton, Colorado 80621 857-2471 (Home) 857-4800 (work) Hazel J. Chick 16470 Weld County Road 86 Ault, Colorado 80610 834-2346 (Home) Harry Ashley 9404f ; ". A/D//IJI® CERTIFICATE OF INSURANCE issue DATE(NYJOOM71701/20l94 Flood & Peterson Insurance Inc= Flood P.O. Box 578 THIS CERTIFICATE IS ISSUED AS A MASTER ONFORMATION ONLY AND IloCONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED RY THE POUCIES BELOW. Greeley, CO 80632 I COMPANIES AFFORDING COVERAGE COMPANY A St . Paul Ins . Co . COMPANY e LETTER INSURED 1. Weld Mental Health COMPANY `` I LETTER 1306 11th Avenue Greeley, CO 80631 COMPANY D LETTER ! COMPANY E I LETTER COVERAGES.. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED SELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PER10O INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH This CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEWN IS SVOJECT TO ALL THE TERMS, OCCLUSIONS AND CONOMONs OF SUCH POUCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. COI TYPE OF INSURANCE POLICY NUMBER OATMM/OOM•1 OPO AYE MM/DOTM'1 LIMITS LTRi 01/01/94 01/01/95 GENERALAOGR_GATE IS 1,000,000 A; GENERALLIABILIre FK08300395 :PRODUCTS•COMP/OPAGO. I S 1,000,000 a COMMERCIAL GENERAL LIABILITY ---7_CLAIMS PERSONAL&ACV. INJURY S 1,000,000 MADE X ,OCCUR.' ,S 1,000,0/00 EACH OCCURRENCE OWNER'S & CONTRACTOR'S PROT,' �__.I FN E DAM AGE (Any one NHS l S 100, 000 S 5,000 • MED.CCPEraE(My on. renal A AUTOMOBILE LIABILITY FKO8300395 01/01/94:01/01/951 COMBINED SINGLE LIMiT S1,000,000 AVMi ANY AV ALL OWNED AUTOS ( BODILY INJURY I S (Per Penal) X i6CNEDULED AUTOS X HIRED AUTOS I 00IILYINJURY E accident) I X NON -OWNED AUTOS GARAGE LIABILITY I PROPERTY DAMAGE i9 EACH OCCURRENCE ;S EXCESS LIABILITY AGGREGATE i S 1 'UMBRELLA FORM OTHER THAN UMBRELLA FORM I I I I OUTCRY LINT ITS 1 AT ' WORKER'S COMPENSATION 1 'i EACH ACCIDENT 4 S ANO AND I DISEASE•POLICY LIMIT B EMPLOYERS' LIABILITY 1 1019EA9E•EACH EMPLOYEE( S A DIRER Employee Dishonesty FKO8300395 101/01/94101/-01/95 $15,000/-0- ded. DESCRIPTION OF OPERATION,/LOCATIONSP4 CHICLES/SPECIAL ITEMS Certificate Holder is named as additional insured in regard to the General Liability only - funding purposes. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE OCPIRAT1ON DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO Colorado MM.10 DAYS WRITTEN NOTICE TO THE CER:IFFCATC HOLDER NAMED TO THE State of Departmentt of Institutions LEFT. BUT FAILURE TO MAIL SW8 NOTICE SHALL IMPOSE NO OOUGATION OR 3550 west Oxfgord Avenue VABIESOF ANYIDND UPON TNS . NY. ITS S Oft REPRESENTATIVES. Denver, CO 80236 , UTHORIZEORE1�ynI�ESEeN1at •. ( (� �p .c 15.C\ \� I T'�'___�7. i'f0o VRP 0 0I1RPVNA ,ACAR025.SiTI901101 1 #11060 fOrn Wi�Yc COLORADO MEMORANDUM DEPARTMENT OF SOCIAL SERVICES TO: Constance Harbert, Chairman Board of County Commissioners FROM: Judy Griego, Director, Social Services DATE: May 20, 1994 SUBJECT: Notification of Financial Assistance Award between the Sexual Abuse Treatment of the Weld Mental Health Center and the Weld County Department of Social Services P.O. BOX A GREELEY, COLORADO 80632 Administration and Public Assistance (303) 352.1551 Child Support (303) 3524933 Protective and Youth Services (303) 352.1923 Food Stamps (303) 3564850 FAX (303)'.515 Enclosed for. Board approval is a Notification of Financial Assistance Award between the Sexual Abuse Treatment of the Weld Mental Health Center and the Weld County Department of Social Services for Placement Alternatives Commission (PAC) funds. The Placement Alternatives Commission (PAC) reviewed proposals under a Request for Proposal process and are recommending approval of this bid. 1. Total award would be $54,998.00 2. The period of the award is June 1, 1994, through May 31, 1995. 3. The Sexual Abuse Treatment program of the Weld Mental Health Center will provide 5 hours of services per week per family on an average duration of 24 weeks per family. If you have any questions, please telephone me at extension 6200. JAG:aas 940484 0JJ WAGNER GUARANTEED BUY-BACK Wagner Equipment Co. P,O. Box 17620 Denver, CO 80217.0620 (303)739-3000 As part of the agreement between Wagner Equipment Co. and Weld County, for the purchase of Caterpillar, Model 966F, S/N 1SL00851, delivered on April 27, 1994, we offer to buy this unit back either when the machine accumulates 5 years, or 5000 hours from the date of delivery, whichever occurs first, for $65,800. Execution of this offer will be at your discretion. It will not commit you to trading this unit in on another Caterpillar machine, but will be subject to the following conditions: 1) Machine must be in good and complete operating condition. 2) Machine must be equipped with all attachments and options as originally delivered. 3) All tires/undercarriages must have at least 50X wear remaining with no significant damage to carcass or any undercarriage components. 4) All windows in cab must be intact and free of cracks. In the event this Buy -Back provision is executed, any variation in machine condition from those described above will be negotiated and may affect the re -purchase price. Offered By: Wagnetuipment Co Accepted By: Weld County A b4••• Date: 05-16-94 Date: QJ/oS/q CAT® E60033 Denver, Durango, Grand Junction, Pueblo, Hoyden 940492 r THIS IS TO CERTIFY THAT ALL ACCOUNTING AND BUDGETING PROCEDURES HAVE BEEN COMPLETED ON THE ATTACHED LISTED CLAIMS AS SHOWN ON PAGE 1 THROUGH 1 • AND DATED MAY 25,1994 , AND THAT PAYMENTS SHOULD BE TO THE RESPECTIVE VENDORS IN THE AMOUNTS SET OPPOSITE THEIR NAMES, WITH THE TOTAL AMOUNT L MR ADh11NSTRATION `SERVICES SUBSCRIBED AND SWORN TO BEFORE ME THIS 25th DAY OF MAY 19 94 • MY COMMISSION EXPIRES: MY COMMISSION EXPIRES JAN. 1, 1996 ICS WE THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO HEREBY APPROVE THE CLAIMS AS SET FORTH ABOVE; AND WARRANTS IN PAYMENT THEREFORE ARE HEREBY ORDERED DRAWN UPON THE PAYROLL FUND - TOTALING $ 8,285.11 DATED THIS 25th ,DAY OF MAY 19 9G PAGE OF 1 MONTHLY PAYROLL HANDWRITE APPROVAL FORM WARRANT NUMBER 017687 LINDA MYERS 92.75 017688 JAMI STAFFORD 38.61 017689 RANDY J SMITHGALL 1 972.40 017692 KATHLEEN ALVARADO 4.79 65 017693 DARLENE SALL 378.90 017694 MARGARET L KEARNEY 1,047.47 474.64 017708 MARY KAY BACHENBERG 017709 JANELLE DENISE GXLLAN'D 874.11 017711 BRYAN P NELSON 69.49 017712 ROCKY PETERSON 972.05 017714 STEVE GARCIA 816.13 017717 TERRI K BUTZ 505.12 017718 MARIA LOMA 613,79 PAYEE WARRANT AMOUNT NUMBER OF WARRANTS 13 TOTAL R_285 11 THE AMOUNT OF THESE HANDWRITES WILL BE INCLUDED IN THE MONTHLY PAYROLL TOTAL ON MAY 24 19 94 MAP20OP WARRANT PAYEE NUMBtR WELD COUNTY WARRANT REGISTER AS OF : 05/23/94 INVOICE NUMBER A2209d4 AGLAND LNG A220985 AGUILAR, SAM 054500 054112 053477 004128 054129 054295 054347 055106 055107 055240 055341 055420 055707 055710 056121 056122 ACCOUNT NUMBER ED DEPT OBJ PROJ 11-3132-6371 11-3132-6.371 11-3132-6371 11-3132-6371 11-3132-6371 11-3140-6371 11-3132-6371 11-31406371 11-3140-0371 11-3140-6371 11-3140-6371 113140-6371 113140-6371 11-3140-6371 11-3140^6371 113140-6371 050194 24-9034-6397-4715 A220986 ANSON♦ R. RUSSELL ATTORNEY AT LAW 050194 24-9034-03974715 A220987 ASH, TERRY I. DATE : 05/23/94 PAGE : 1 WARRANT AMOUNT 778.16 251.10 228.99- 259.33 232.23 401.62 357.41 258.65 299.42 508.75 553.24 1,469.60 491.48 287.59 294.36 29 3.8s 6,507.82 129.00 129.00 ♦71000 471.00 05019♦ 24-9044-6397-4715 450.00 A220988 ASPEY, LINDA C G ROBERT 050194 050294 450.00 24-90446397-4715 235.00 24-9034-6397-4715 366.00 601.00 WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/23/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROJ A220989 BAK, JULIE A220990 BELL, OSCAR N A220991 Sb.NNtTT APARTMENTS A220992 SICKLING, MELVIN 050194 05019♦ 050194 050194 A220993 BISSCLL LEO A OR MARGARET 050194 050294 A220944 BLANCHARD CORP INC A220995 BOCKIUS, WALTER A220996 SONAR. ROBERT mom DATE : 05/23/94 PAGE : 2 WARRANT AMOUNT 24-9044-6397-4715 24-9044-6397-4715 24-903463974715 24-9034-6397-4715 24-9044-6397-4716 24-9034-63974715 467.00 467.00 237.00 237.00 213.00 213.00 271.00 271.00 367.00 406.0C 773.00 050&94 24^9034-6397-4715 307.00 050194 050294 050394 249044-0397-4715 24^9044-6397-4715 24-9044-6397-4715 307.00 279.00 143.00 416.00 838.00 050194 249044-6397-4115 425.00 WAP200P WELD COUNTY WARRANT REGISTER AS OF : 05/23/94 DATE : 05/23/94 PAGE : 3 WARRANT PAYEE INVOICE ACCOUNT NUMBER WARRANT NUMBER NUMBER FD DEPT OBJ PROJ AMOUNT A220996 BONAR, ROBERT *220997 BORYS. RICHARD N A220998 BOULTER, DONNA M. A220999 BOWERS, ALICE M. A221000 BOYLE INVESTMENT 050194 050194 050194 050194 A221001 BREWER. LONNY OR CONSTANCE 050194 A221002 SRISTOL G RODINSON PROP 050194 050294 050394 050494 A221003 BROOKMAN, CAROLYN S. AND JOHN 050144 24-9044-6397-4715 24-9044-63974715 24-9044-6397-4715 24-.9044-6397.1'4715 24-9034-6397-4715 24-9034-6397-4715 24-9034-6397-4715 24-9034-6397-4715 24-9044-6397-4715 425,00 444.00 ♦44.00 92.00 92.00 312.00 312.00 178.00 178.00 429.00 429.00 395.00 447.00 215.00 398.00 1,455.00 24-9044-6397-4715 249.00 249.00 WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/23/94 INVOICE ACCOUNT NUMBER NUMBER FD DEPT 08J PROJ DATE : 05/23/94 PAGE : 4 WARRANT AMOUNT A221004 ()RUG. OLA A221005 CALL. DARRELL A. 050194 050194 A221006 CAMENISCH. CECIL KNOX OR P E 050194 A221007 CAMENISCH. PHIL E. 050194 050294 A221008 CHESTNUT SQUARE APARTMENT 050194 050294 A221009 CHUN. MU KYUM A221010 CIARRUSTA, MARY A221011 CITY OF GREELEY 050104 050194 NAY 24-9034-6397-4715 24-9034-6397-4715 249044-6397-4715 24-9034-6397-4715 24-9034-6397-4715 323.00 aaaaaaaaaaaaaaa 323.00 aaa 421.00 421.00 406.00 aaaaaaaaaaaaaaa 406.00 184,00 171.00 aaaaaaaaaaaaaaa 355.00 24-9044-6397-4715 455.00 24-9044-6397-4715 24-9044-6397-4715 24-9044-0397-4715 01-2150-6350 246.00 701.00 234.00 234.00 464.00 464.00 75.364.33 WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/23/94 INVOICE NUMBER ACCOUNT NUMBER FO DEPT OBJ PROJ DAIL : 05/23/94 PAGE : 5 WARRANT AMOUNT A221011 CITY OF GREELEY 75.364.33 A221012 CITY OF JOHNSTOWN A221013 CITY OF THORNTON A221014 CLEVELAND. M C A221015 COAKLEY. VIRGINIA N A221010 COGAN. JIM 050194 050294 050394 050194 050194 050194 050194 A221017 COLONIAL ARMS APARTMENTS 050194 A221010 COLORADOAN (FT COLLINS) 187453 24-9034-6397-4715 24-9034^6397-4715 24-9044-6397-4715 249044-6397-4715 24-9044-6397-4715 24"9044-6397-4715 24-9044-6397-4715 24-9044-6397-4715 11-3180-0330 111.00 91.00 189.00 aaanineammdmm aale 391.00 343.00 343.00 208.00 208.00 409.00 409.00 J78.00 378.00 426.00 425.00 54.92 54.92 i WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/23/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT 08J PROJ DATE : 05/23/94 PAGE : 6 WARRANT AMOUNT A221019 CONLEY, JAMES L A221020 CONLEY, JUNE Z 050194 24-9044-6397-4715 259.00 259.00 050194 21r.9034-00397.5715 327.00 050294 24-9034-0397-4715 145.00 472.00 A221021 CORAGGIO, ANTHONY JR 050194 24-9034-6397-4715 438.00 A221022 CORCORAN, CMARLC5 W 050194 050294 050394 A221023 CORRAL, JESUS A221024 COTTONWOOD FLORIST A221025 COWAN, EDWARD W. A221020 COX, BARBARA 050194 000261 050194 050194 24-9034-6397-4715 24-9044-6397-4715 24-9044-6397-4715 24-9044-6397-4715 52-5580-6336 24...9034-.6397-.4715 24-9044-6397-4715 438.00 375.00 303.00 350.00 1,028,00 421.00 421.00 31.50 31.50 244.00 244.00 367.00 MAP20OP MARRANT PAYEE NUMBER MELD COUNTY WARRANT REGISTER AS OF : 05/23/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROJ DATE : 05/23/94 PAGE : 7 MARRANT AMOUNT A221020 COX. BARBARA .367.00 A221027 CRABTREE, MADELINE 05019♦ 24-9034-63974715 500.00 A221028 CULLEN, JOHN M.D./FAMILY PRACTICE 051194 *1-31900399 A221029 DANLEY, JAMf:5 G. AND LINDA D. 050194 050294 A221030 DARLING, MARY L 4221031 DAVEY. HAROLD A221032 DAVIDSON, MEREDITH 4221033 DAVIS, JACK 050194 050194 050194 050194 050294 aaaaaaaaaaaaaaa 500.00 45.00 45.00 24-9034-6397-4715 444.00 24-9044-6397-4715 378.00 24-9034-6397-4715 24-9044-6397-4715 24-9034-6397-4715 24-9044-6397-4715 24-9044-6397-4715 822.00 416.00 aaaaaaaaaaaaaaa 416.00 464.00 464.00 226.00 aaaaaaaaaaaaaaa 220.00 367.00 367.00 aaaaaaaaaaaaaaa 734.00 WAPZOOP WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/23/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROD DATE : 05/23/94 PAGE : 8 WARRANT AMOUNT A221034 DE ANZA. PEGGY E. 050194 24-9034-6397-4715 293.00 A221035 DEMASKE. JANN M OR JEFF L 050194 050294 A221036 DEPRIEST• RICHARD 050194 A221037 DUNKER G MCMILLION ENTER 050194 A221038 EASTWOOD VILLAGE MOBILE HOME PARK 050194 050294 A221039 ER8E5, LYLE A221040 ESQUIBEL. JACOB 050194 050294 050394 293.00 24-9044-6397-4715 450.00 24-9044-0397-4715 245.00 24-9044-6397^4715 24-9044-6397-4715 249044-6397-4715 2490446397-4715 24-9034-6397-4715 24-9044-6397-4715 24-9044-6397^4715 695.00 378.00 378.00 303.00 303.00 363.00 456.00 819.00 239.00 345.00 265.00 849.00 050194 24-9034-6397-47;5 468.00 050294 24-9034-6397-4715 550.00 aaaaaaaaaaaaaaa 1.018.00 wAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER A5 OF : 05/23/94 INVOICE NUMBER ACCOUNT NUMBER ED DEPT OBJ PROD DATE : 05/23/94 PAGE : 9 WARRANT AMOUNT A221041 FEDERICO HERLINDA 050194 A221042 FIELDS, EDWIN AND DOROTHY 050194 A22104) FLOT, PAUL C JUANITA 050194 05029♦ A221044 FOLSOM, JOHN S. A221045 FRANKLIN, FRED A221046 FRANKS, CHARESL A A221047 FREI♦ MARTIN 24^9044-6397-4715 24^9044-6397-4715 24-9034-6397-4715 24-9034-6397-4715 367.00 367.00 356.00 siSSseSSeSseSSSS 356.00 337.00 456.00 SSeesossSeSSssSS 793.00 05019♦ 24-90446397-4715 412.00 050294 24904463974715 398.00 050194 050194 050194 A221048 FT COLLINS HOUSING AUTHORITY AD594 24-9044^6397-4715 24-9044-6397-4715 24-9034^6397^4715 24-9043-6495-4590 SessSySssaseess 800.00 363.00 363.00 256.00 256.00 462.00 seSSSSSSSsSsSeS 462.00 61.32 WAP200P WELD COUNTY WARRANT REGISTER AS OF : 05/23/94 WARRANT PAYEE INVOICE NUMBER NUMBER ACCOUNT NUMBER FD DEPT 08J PROJ DATE : 05/23/94 PAGE : 10 WARRANT AMOUNT A221048 FT COLLINS HOUSING AUTHORITY ✓ 186 ✓ 286 A221049 FT LUPTON TOWNHOUSES 050194 050294 A221050 GANSEVELD, DALE OR BETH 050194 /A221051 GARCIA. NOVAR M A221052 GARTRELL. HARLAN 05019♦ 050194 A221053 GATEWAY PLACE APARTMENTS 05019♦ 050294 A221054 GILBAUGH AGENCY A221055 GLENDALE APARTMENTS 24-9044-6397-4715 458.00 24-9044-6397-4715 455.00 e meeeelema flea 974.32 24-9044-6397-4715 296.00 24-903463974715 190.00 24-9034-63974715 24-9034-6397-4715 24-9044-6397-4715 24-9034-6397-4715 24-90346397-4715 aeeeeeeeeeeeeee 480.00 180.00 aeeeeeeeeeeeeee 180.00 375.00 375.00 350.00 e eeeeeeeeeeeeee 350.00 376.00 371.00 747,00 050'294 24-9044-6397-4715 238.00 238.00 050194 24-9044-6397-4715 366.00 WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/23/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROJ DATE : 05/23/94 PAGE : Al WARRANT AMOUNT A221055 GLENDALE APARTMENTS 050294 050394 050594 050694 A221056 GODBY REAL ESTATE 050194 4221057 GOLDBERG, STEVEN H 050194 050294 4221056 GRAJEDA♦ RUTH ANN A221059 GREELEY GAS CO 050194 7039 A221060 GREENPOINT APARTMENTS 050194 05029♦ A221061 GROUND WATER PROTECTION COUNCIL 3320 24-9034-6397-4715 24-9034-6397-4715 24-9044-6397-4715 24-9034-6397-4715 24-9044-6397-4715 24-9034-6397-4715 24-9034-6397-4715 24-9044-6397-4715 01 -1061 -6344 -VETS 24-9034-6397-4715 24-9044-0397-4715 313.00 331.00 45.00 373.00 1,428.00 242.00 ySSSsSssSSS 242.00 466.00 507.00 973.00 367.00 367.00 45.73 ssssssSS Sen. 45.73 450.00 ♦50.00 ssssssssssSSSSS 900.00 19-4170-6335-P 190.00 ysiSesssSESSsssss 190.00 WAP200P WARRANT PAYEE NUMBER MELD COUNTY WARRANT REGISTER AS OF : 05/23/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT 05J PROJ DATE 1 05/23/94 PAGE : 12 WARRANT AMOUNT A221062 GROVER HOUSING AUTHORITY 050194 050294 A221063 GRUBER PATRICIA A221064 GUERRERO: GUADALUPE 24-90J463974715 24-9034-•6397-4715 02.00 85.00 147.00 050194 24-9034-6397-4715 94.00 94.00 050194 249044-6J97-'4715 345.00 A221065 GUILLIAMS, EUNICE M AND KENTON. MARJORIE 050194 24-9044-6397-4715 A221066 HAAS, HENRY A221067 HAENDLER, WANDA A221008 HAUGEN RENTALS 050194 050194 050194 050294 24-90346397-4715 24-9034-6397-4715 24-9044-6397-4715 24-9034-6397-4715 A221069 HCATHERMAY PARTNERSHIP 050194 24-9034-6397-4715 345.00 116.00 116.00 270.00 270.00 196.00 196.00 251.00 265600 516.00 267.00 i WAP200P WARRANT PAYEE NUMBER WELD COUNTY &ARRANT REGISTER AS OF : 05/23/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROJ BATE : 05/23/94 PAGE : 13 WARRANT AMOUNT A221069 HEATHERWAY PARTNERSHIP 050294 050394 050494 050594 050694 050794 A221070 HENRY, PATRICIA D. 050194 050294 A221071 HENSLEY, DONNA A221072 HEPP, JAMES A. 05019♦ 050194 05029♦ 050394 050494 A221073 HERRERA, HECTOR MANUEL 050194 A221074 HILL, DARYL C OR CONNIE E 05019♦ A221075 HINOJOSA, JESUS 05019♦ 24-9044-0397-4715 24-9034-6397-4715 249044-6397-4715 24-9044-6397-4715 24-9034-6397-4715 24-9034-6397-4715 24^9044-6397-4715 24-9044-6397-4715 24-9044-0397-4715 24-90446397-4715 24-9034-6397-4715 24-9044-0397-4715 24-9034-6397-4715 24-9044-6397-4715 24-9034-6397-4715 24-9044-6397-4715 399.00 388.00 247.00 343.00 387.00 388.00 2,419.00 435.00 381.00 816.00 ♦57.00 457.00 356.00 ♦97.00 85.00 297.00 1,235.00 253.00 253.00 333.00 333.00 145.00 WAP200P WARRANT PAYEE NUMBER VELD COUNTY WARRANT REGISTER AS OF : 05/23/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT O8J PROJ DATE : 05/23/94 PAGE : 14 WARRANT AMOUNT A221075 HINOJOSA, JESUS A221070 HOBART. JUDITH A 050194 A221077 HOLMAN. JOSEPH S t ROSE M 050194 A221078 MOLT, DONALD A 050194 A221079 HOMES AGAIN GREELEY 050194 050294 050394 050494 A221080 JAMES, JOHN T A221081 JARAMILLO. MELINDA A221082 JARRETT, HILTON F. 24-9034-6397-4715 24-9044-6397-4715 24-9044-0397-4715 24-9034-6397-4715 24-9044-6397-4715 24-9044-63974715 24-9044-63974715 145.00 336.00 438.00 337.00 337.00 550.00 550.00 274.00 66.00 400.00 335.00 1,075.00 05019♦ 24-9034-6397-4715 303.00 MI0494 21-6600-6372 21'6600-6375 303.00 30.00 1.50 31.50 05019♦ 24-9044-6397-4715 283.00 MAP200P WARRANT PAYEE NUMBER MELD COUNTY WARRANT REGISTER AS OF : 05/23/94 INVOICE NUMBER ACCOUNT NUMBER FO DEPT 083 PROJ DATE : 05/23/94 PAGE : 15 A221082 JARRETT. HILTON F. A221083 JET PROPERTIES MANAGEMENT 050194 059294 A221084 JOHNSON. FRED A221085 JONES. JULIE 4221086 KESTED, ALAN A221067 KEYMEN AGENCY A221088 KINNISON. LUELLA C A221089 KLAWITER. WIG 050194 050194 050194 050194 050294 050304 Mir WARRANT AMOUNT 283.00 24-9044-6397-4715 249.00 24-9044-6397-4715 235.00 24-9034-6397-4715 24-9044-63974715 24-9044-6J97-4715 24-9034-6397-4715 24-9034-6397-4715 24-9044-6397-4715 484.00 410.00 410.00 426.00 426.00 175.00 175.00 292.00 425.00 255.00 972.00 051194 52-5580-6370 164.00 164.00 050194 24-9044-0397-4715 255.00 050294 24-9044-6397-4715 255.00 WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/23/04 INVOICE NUMBER A2210d9 KLAWITER. WIG A221090 KONIG RANCH. INC A221091 KRAMER. JACK E. alma ACCOUNT NURSER FD DEPT 08J PROJ DATE : 05/23/44 PAGE : 16 WARRANT AMOUNT aaaaaaaaaaaaaaa 510.00 050194 24-9034-6397-4715 250.00 aaaaaaaa 250.00 050194 24-90446397-4715 418.00 A221092 KURTZ CATTLE COMPANY 050194 A221093 LANAGHEN. FRANK 6 CAROL 050194 A221094 LANCASTER VILLAGE APARTMENTS 050194 050294 24-9034-6397-4715 24-9034-6397-4715 24-9044-6397-4715 24-9034-6397-4715 A221095 LINDBLAD. BURNICE E AND LINDBLAD. NARY ALICE 050194 249034-6397-4715 050294 24-9044-6397-4715 A221096 M LEE SMITH PUBLISHERS AND PRINTERS 51194 19-4170-6333-E aaaaaaaaaaaaaaa 418.00 201.00 201.00 aloaaa 103.00 103.00 210.00 232.00 442.00 272.00 372.00 aaaaaaaaaaaaaaa 644.00 137.00 137.00 4AP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER A5 OF : 05/23/94 INVOICE ACCOUNT NUMBER NUMBER FD DEPT OBJ PROJ DATE : 05/23/94 PAGE 17 WARRANT AMOUNT A221097 MICRO COMPUTER WORLD INC 32119 A221098 PERSICHINO, PASQUALE 052394 A221099 PETTYJOHN. JOHN A221100 PRYOR. PAUL D RPD94 G-5"94 A221101 PUBLIC SERVICE CO OF COLO 2410 5712 8848 A221102 SCHIPPER. BETTY A221103 SCOTT, DOREEN J A221104 SHELTON. DAVID W 011191-6398-50 01-1061-6370 24-9034-6397-4715 25-9070^6370-93 01-1061^6341NAME 01-1061-6341-HRD 0:-1061^6341-1400 599.00 599.00 355.02 aaaaaaaaaaaaaaa 355.02 517.00 517.00 206.50 206.50 363.60 1.422.92 1.395.01 J.101.62 W48966 24-9034-6397-4715 326.00 051294 51994 19-4170-6370-W 19-4170-6370-w 326.00 195.75 37.75 233.50 016048 01 -2110'6370 -JAIL 22.00 MAP200P WARRANT PAYEE NUMBER MELD COUNTY WARRANT REGISTER AS OF : 05/23/94 DATE : 05/23/94 PAGE : 18 INVOICE ACCOUNT NUMBER WARRANT NUMBER ED DEPT OBJ PROJ AMOUNT A221104 SHELTON, DAVID M 22.00 A221105 STANGER LITHO GRAPHICS 042194 A221106 UNITED POWER, INC. 51680 A221107 VILLAGE GREEN APARTMENTS S42516 A221100 LLD COMMUNITY FOUNDATION 51794 A221109 NORDEN, DAVID 52-5520-6220 01 -1061 -6340 -ROAD 24-9034-6397-4715 01-1011-6377-AL1 011011-6377-AL2 01-1011-6377-D1 1,008.00 1,008.00 65.15 65.75 526.00 526.00 10.00 10.00 10.00 mYlimaidmelMiaimmaeaalimm 30.00 051994 01-1154-6370 245.44 245.44 FINAL TOTAL 139,952.95 SUBSCRIBED AND SWORN TO BEFORE ME THIS WAP2OOP WELD COUNTY WARRANT REGISTER AS OF : 05/23/94 DATE : 05/23/94 PAGE : 19 THIS IS TO CERTIFY THAT ALL ACCOUNTING AND BUDGETING PRODECURES HAVE BEEN COMPLETED ON THE ABOVE LISTED CLAIMS AS SHOWN ON PAGE 1 THROUGH 18 , AND DATED 05/23/94, AND THAI PAYMENT$ SHOULD BE TO THE RESPECTIVE VENDORS IN THE AMOUNTS SET OPPOSITE THEIg,NAMES, WITH THE TOTAL AMOUNT DATED THIS 19 DIRECTOR OF FINANCE AND ADMINISTRATION SERVICES 2 �1 1DAY OF mA�, 19 ±1. MY COMMISSION EXPIRES: MI COMMISSION EXPIRES JAN. I, 1996 NOTARY PUBLIC WE, THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO, HEREBY (APPROVE) (DISAPPROVE) THE CLAIMS AS SET FORTH ABOVE: AND WARRANTS IN PAYMENT THEREFORE ' ARE` HEREBY ORDERED DRAWN UPON THE C��t- �.ORT7 Pc y_ FUND -' TOTALING i_13Q , 5,. / G 6 DATEDTHIS&31tDAY OF 4 J.__ 19..912 a WELD COUNTY CLERK TO THE BOARD DEPUTY CHAIRMAN /74 -1* -e MEMBER MEMBER ALLAA' MEMBER i MEMBER MAP20OP WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/23/94 INVOICE NUMBER ACCOUNT NUMBER FO DEPT OBJ PROJ DATE : 05/23/94 PAGE : 1 WARRANT AMOUNT S861075 VARGAS, J FELL% S861076 *COLLECTION SERVICES CIR S861077 *SUPPORT ENFORCEMENT S861078 BENAVIOEZ,MARY ANN S861079 dURNETT, MARGARET JOIE 5801000 NINOJOSA, IRENE 5801081 FAMILY SUPPORT REGISTRY 12-0001-2040 12-0001-2085 12^0001-2085 12-0001-2045 120001-2045 12-0001-2046 12-0001-2045 676.50 Saaaassaaaaaase 076.50 82.00 assaaaaaaseeSaa 82.00 218,00 218.00 3.83 3.83 98.00 98.00 Saaa 166.38 166.38 2.913.42 2,913.42 SaassaaaasSeSSS FINAL TOTAL : 4,158.13 WAP200P WELD COUNTY WARRANT REGISTER AS OF : 05/23/9♦ DATE : os/23/9• PAGE : 2 THIS IS TO CERTIFY THAT ALL ACCOUNTING AND BUDGETING PROD£CURES HAVE BEEN COMPLETED ON THE ABOVE LISTED CLAIMS AS SHCWN ON PAGE 1 THROUGH 1 r AND DATED 05/23/44. AND THAT PAYMENTS SHOULD SE TO THE RESPECTIVE VENDORS IN THE $ 471/ /SELL AMOUNTS SET OPPOSITE THEIR NAMES. W1TH THE TOTAL AMOUNT DATED THIS _ 19 . DIRECTOR NANCE AND ADMINISTRATION SERVICES SUBSCRIBEDAND SWORN TO BEFORE ME THIS DAY OF 19_ S_ . WI COMMISSION f.XPAF.S JAzi, _, _tau GOMMi$$/Oh' EXPIRES Art 1,1236 NY COMMISSION EXPIRES: NOTARY PUBLIC W. THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO. HERESY (APPROVE) (DISAPPROVE) THE CLAIMS AS SET FORTH ABOVE: AND WARRANTS IN PAYMENT THEREFORE ARE \�Z HEREBY ORDERED DRAWN UPCN / THE. :.,. ya ESUND - TOTALING $ /jiay13 DATED THIS a2 -"DAY OF 19 2.1 WELD COUNTY CLERK TO THE BOARD ii_),a, DEPUTY GHA MAN MEMBER MEMBER Ah44 I__1.1 MEMBER MEMBER MAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF S 05/24/9♦ INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROD DATE : 05/24/94 PAGE : WARRANT AMOUNT A221110 AEI LIMITED LIABILITY CO 050194 050294 A221111 AGLAND INC A221112 AGLAND INC 156353 I56355 JJ1373 JJ1382 JJ1389 JJ1410 JJ1417 JJ1427 JJ 1456 JJ1461 K54997 L39580 053615 053902 P120716 P120724 P120725 P120778 P120785 P120961 P120952 P120953 A221113 AMER CORRECTIONAL ASSN St M 40106 24-9044-63974715 378.00 24^9034-6397-4715 472.00 01^10616340 -ROAD 01 -1061 -6340 -ROAD 61-9020-6246 61-9020-6246 61-9020-6245 61-9020-6246 61-9020-6245 61-9020-6246 61"9020-62.45 61-9020-6246 01 -1061 -6340 -ROAD 01 -1061 -6340 -ROAD 619020-6245 61-9020-6245 011061 6340 -ROAD 01 -1061 -6340 -ROAD 01 -1061 -6340 -ROAD 01 -1061^6340 -ROAD 01 -106L -0340 -ROAD 01 -1061^6340 -ROAD 01 -1061 -6340 -ROAD 01 -1061 -6340 -ROAD 850.00 153.45 46.50 4,023.44 4.235.86 ♦.621.71 4,398.49 5.019.56 4.271.94 5,020.20 4.396.20 74.40 153.45 353.17 ♦18.30 99.98 79.05 37,567.70 132.53 88.35 153.45 83.70 69.75 60.46 588.23 01-2110-6370^JAIL 16.45 01-2110-6370JAIL 560.00 575.45 _========5===== WAP20oP WARRANT PAYEE NUMBER MELD COUNTY WARRANT REGISTER AS OF : 05/24/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT 0BJ PROD DATE : 06/24/94 PAGE : 2 WARRANT AMOUNT 4221114 BASB, PAUL THOMAS 4221115 BARKER, BRUCE T A221116 ism, PHYLLIS A221117 BAXTER, GEORGE E 1825 11-3190-6397-t625 270.83 020794 020894 042294 051094 677616 79-1012-6143 79-1012-6143 79-1012-6143 79-1012-6143 79-1012-6143 052094 79-1031--6147 052494 01-1031-6370 004913 63-9020-6740-VISN 79-1011--6143 A221118 BI MONITORING CORPORATION 715464 715941 A221119 BOB BARKER COMPANY A221120 BOYLE, BRENDA A 01 -2310 -6396 -HOME 01 -2310 -6396 -HOME 270.83 ===== =Sr.= 5.00 38.30 48.60 22.08 10.00 123.98 360.00 344.69 694.69 en 59.00 59.00 118.00 1,501.60 36.00 1,537.50 265163 01-2310-6940 4,796.00 0523 LZC ♦,796.00 01-1041^6330 77.00 77.00 =3== 3=2 MAP200P WARRANT PAYEE NUMBER A221121 CECIL. WILLIAM F A221122 CICOFF. GEORGE A *221123 CLARKE. ARTHUR N A221124 COLO COUNTIES INC MELD COUNTY WARRANT REGISTER AS OF : 05/24/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT 08J PROJ DATE : 06/24/94 PAGE :. 3 WARRANT AMOUNT 6151036 24-9044-6397-4715 269.00 V51036 24-90446397-4715 367.00 042594 051394 050194 062394 A221126 COLO DEPT OF HEALTH 51294 61794 A221126 COLO DEPT OF HEALTH 5694 A221127 COLO DEPT OF REVENUE 061994 A221126 COMPAQ COMPUTER CORP 50351 79-3160-6143 793180-6143 24-9034-0397-4716 01-3182-6370 19-4110-6599 19-41106599 19-4110-6599 19-4170-6599 01 -1191 -6946 -DA 630.00 28.09 40.00 66.99 325.00 325.00 _===__Y======n 140.00 140.00 ---------=ors=. 15.00 16.00 30.00 840.00 =-==x 840.00 1.260.00 1,260.00 3,864.00 MAP20OP WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/24/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT 09J PROJ DATE : 05/24/94 PAGE : 4 WARRANT AMOUNT 4221128 COMPAQ COMPUTER CORP 50351 51184 51493 53587 53589 54184 54723 54734 55212 55531 55535 55867 56802 56803 57113 57383 IA221129 CONTINENTAL WATER SYSTEMS 11021 A221130 CORDOVA, JOSE E A221131 COREN PRINTING 004914 13768 23191 01-1191-6948-EXT 2,024.00 19 -4110 -6948 -METH 2,024.00 24-.9033-6940-7540 7,269.00 01 -1191 -0948 -DA 21,200.00 24-'9033-6940-7540 104.54 24-9042-6940- '540 10226.46 01 -1191 -6948 -DA 5,605.00 11-3180-6948 1,376.00 01 -119► -6948 -ACCT 702.00 11-3180-6948 219.00 01-1191-6946-80CC 1,980.00 011191 -6948 -£XT 70665.00 01 -1191 -6948 -ACCT 3,669.00 01-1101`6948-8OCC 346.00 01-1191-6948-EXT 52.00 01-1191-6948-1S 26.00 19-4110-6948-ItTN 26.00 01-1191-6948-80CC 8,561.00 01-1191-6946-EXT 80561.00 01-1191-6948-EXT 728.00 01-1191-6948-15 728.00 24-9033-6946^7540 728.00 19-4170-6220-L 63 -9020 -'6740 -DENT 01-2420-6328 01-1061-6214 78,788.00 =-=s=xs_s 388.44 388.44 64.00 64.00 26.00 44.00 69.00 WAP200P WARRANT PAYEE NUMBER mak WELD COUNTY WARRANT REGISTER AS OF 05/24/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT 08J PROJ OA7E : 05/24/94 PAGE : 5 WARRANT AMOUNT A221132 COUNTY SHERIFF OF CO INC 940523 01-2110-6370-OPS A221133 DAISY'S LAUNDRY G DIAPER SERVICE 27506 27514 27515 27526 27548 27568 27578 27592 27601 27616 28147 28162 28180 28186 26200 28216 6221134 DAZSY•S LAUNDRY G DIAPER SERVICE 28241 4221135 DENVER ZOO JUN39F8N2 4221136 DEWITT ADVERTISING. INC 51994 60-2160-6229 60-2160-6229 60-2160-6229 60-2160-6229 60-21606229 60-2160-6229 60-2160-6229 00-2160-6229 00-2160-6229 60-2160-6229 60'-2160-6229 60--2160-6229 60-2160-0229 60-2160-6229 00-2160-6229 60-2160-6229 60-2160-6229 21-6600-6390-BN2 19-4140-6099 220.00 220.00 s 8.00 12.00 34.00 25.00 8.00 30.40 40.35 130.00 12.55 4.30 71.65 40.85 460.00 41.10 4.75 10.55 933.50 23.45 23.45 120.00 120.00 140.00 140.00 =-xa:ssa_sazs 6221137 DIET2GEN CORPORATION 7011609 051704 01-1021-6360 84.96 WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/24/94 INVOICE NUMBER ACCOUNT NUMBER ED DEPT OBJ PROD DATE : 05/24/94 PAGE 6 WARRANT AMOUNT A221137 DIETZGEN CORPORATION A221138 DIRGES, GEORGE L A221139 DORNBURG, RHONDA K 004915 $10594 A221140 EMPIRE LABORATORIES 2140092 2140099 A221141 FLEBBEr DIANE RAESE 052494 A221142 FRANKLYN, FRED AND DLT CONCRETE RR042 A221143 FT COLLINS IdINTRONIC 059093 4221144 G G G FLIGHT, INC AG0104 60101 G0102 G0104 63-90206740-V1SN 21-6950-6372 11-3190-6397-825 01-6520-6920-IGTC 01 -9020 -6350 -JO 25-9081-6398-RR93 19-4170-6250-GNRL 012111 -6398 -JAIL 01 -21116398 -JAIL 01 -2111 -6398 -JAIL 01-2111-6396-MARR $4.90 = -Zr 54.00 54000 33.37 == 33.37 80.00 90.00 170.00 s= 1,220.94 1,220.94 ===z= 5►487.50 5,487.50 C 6.96 _ 6.96 326.70 490.05 605.55 326.70 WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF L 05/24/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROD DATE : 05/24/94 PAGE 7 WARRANT AMOUNT A221144 G 6. G FLIGHT. INC A221145 GOBERT. HARRY SIM 1.749.00 1825 It -3190-6397-1829 270.83 A221146 GOVERNMENT FINANCE OFFICERS ASSN 34781 34797 270.83 =a 01-1031-6370 545.00 01-1031-6370 545.00 1.090.00 =sr= A221147 GRAYBAR ELECTRIC CO INC 179-460029 671192-6212 220.80 179-460030 67--1192-6212 276.00 A221148 GREELEY DAILY TRIBUNE (THE) 94423 A221149 GREELEY [NDEPENDENCE STAMPEDE 05069♦ A221100 HARTFORD INSURANCE (THE) 052394 A221151 HAUSE. TERRY D 004916 004917 01-1154-6337 525510-6358 01^2340-6510 63-9020-6740-VISN 63--9020-6740-V I SN 496.80 zos=zcs_zc_sans 58.71 56.71 === =IIS== 15.00 15.00 _- 844.00 044.00 206.60 109.99 316.49 -�----s_ams-- WAP200P WARRANT PAYEE NUMBER A221152 HERRERA. KELLY 6 A221L53 HOECKEL'S A221154 HOWARD, LARRY A221155 HOYT. JUDITH K MELD COUNTY WARRANT REGISTER AS OF 105/24/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT O8J PROJ DATE 2 06/24/94 PAGE = a WARRANT AMOUNT H9451620 54246 940509 0520141 A221156 INTERNATIONAL CRITICAL INCIDENT 032894 A221157 INVESTMENT SYSTEMS INCORP 050194 A221158 JOHNSTON, THOMAS R A221159 JORDAN/ L. G 967011 940516 79-4170-6147 011041-6210 O1-2118-6350 01-1041-6370 60-2160-6370 24-9044-6397-4715 01 -2111 -6315 -JAIL 01^2111-6220 100.00 100.00 174.69 174.69 100.00 100.00 105.50 105.60 ====x,===ass=n= 25.00 25.00 243.00 243.00 'a- 61.56 61.56 367.00 367.00 a= -====3x WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/24/94 INVOICE ACCOUNT NUMBER NUMBER PD DEPT OBJ PROJ DATE : 05/24/94 PAGE : 9 WARRANT AMOUNT A221160 KELLEY BLUE BOOK A221161 KIMBREL MUSIC, INC. 20R153494 007026 01-1021-6210 52-5580-6358 A221162 KING'S COURT ALARMS 6 SPECIALTY SYSTEMS 0851 01-1061-6360 01 -1061 -6360 -JAIL A221163 LASELL, WARREN L 051894 A221164 LAWRENCE M. FINN L ASSOC. 94-17 A221165 LENDERS ASSET MANAGEMENT CORD U19461 V104612 910462 V19463 V19464 V19465 A221166 LENGEL. DALE 0 004918 79-1041-6143 19 -4146 -6350 -TB 24-9044-6397-4715 24-9044-6307-4715 24-9044-6397-4715 24-9044-6397-4715 24-9044-6397-4715 24-9044-6397-4715 63 -9020 -6740 -DENT 135.00 135.00 40.00 40.00 420.00 64.00 484.00 159.00 159.00 = II 70.00 70.00 146.00 146.00 146.00 146.00 146.00 146.00 876.00 _S 3-_a ASS 57.00 57.00 WAP200P WARRANT PAYEE NUMBER A221167 LISCANO, PETE A221168 LOPEZ. CLARENCE A221169 LOPEZ. LEONARD A221170 LOUIS, ANDREW D. WELD COUNTY WARRANT REGISTER AS OF : 05/24/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROD DATE : 05/24/94 PAGE : 10 WARRANT AMOUNT 050194 050194 050194 050194 A221171 MANN. ROBERT OR TINA 050194 A221172 MARQUEZ, MAXINE A221173 MARTIN TRAILOR PARK A221174 MARTIN, BONNIE 050194 050194 050194 24-9034-6397-4715 24-9044-63974715 24-90446397-4715 24-9044-63974715 24-9044-6397-4715 24-9044-6397-4715 24-904463974715 24-9044-6397-4715 500.00 500.00 =Nays x404.00 460.00 a 367.00 367.00 432.00 432.00 za 467.00 467.00 450.00 460.00 341.00 341.00 ======a 450.00 450.00 a MAP2OOP WARRANT PAYEE NUMBER MELD COUNTY WARRANT REGISTER AS OF : 05/24/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT 08J PROD DATE : 05/24/94 PAGE : 11 WARRANT AMOUNT A221175 MARTIN, JAMES A221176 MARTINEZ■ CATARINO A221177 MARTINEZ. VICENTE A221178 MATT.. RICHARD 050194 050194 050194 878052394 A221179 MATTHEW CNISMAR TRUST II 050194 A221180 MCCOMB REALTY 050194 A221181 MCCORKLE. CLARENCE OR LOIS 050194 A221182 MCCOY. STEVE 050194 24-9044-6397-4715 24e9044...6397.-4715 24-9044-6397-4715 01-1012-6229 2490346397-4715 24-9034-6397-4715 24-9044-63974715 24-9034-6397-4715 255.00 255.00 416.00 416.00 s_x 319.00 319.00 32.00 32.00 ----�x---xxsxx, 447.00 447.00 353.00 Mpg 353.00 191.00 191.00 n= 303.00 303.00 t MAP20OP WARRANT PAYEE NUMBER WELD COUNTY YARRANT REGISTER AS OF = 03/24/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT 08J PROJ DATE S 05/24/94 PAGE z 12 WARRANT AMOUNT A221183 MCKINZIE. JIMNE A221184 NCPEEK. ROBERT L A221185 M EASNER. JOHN A22I186 MESSNER. LEROY A221187 MILLER, JOHN L. *221188 MONACO LOCK 050194 050194 050194 050194 050194 FREIGHT 00107712 U1221189 MONTOYA. GEORGE THOMAS 060194 A221190 MORA. MARGARET 24-9044-63974715 24-9034^6397-4715 24-9044-6397-4715 2490446397-4715 24-9044-6397-4715 01-1061�6360"JAIL 01 -1061 -6360 -JAIL 266.00 266.00 313.00 313.00 =a=== 27.00 27.00 377.00 377.00 =============== 456.00 456.00 7.19 650.00 657.19 24.9044-6397-4716 397.00 397.00 050194 24-90446397-4715 356.00 356.00 WAP200P WARRANT PAYEE NUMBER MELD COUNTY MARRANT REGISTER AS OF : 05/24/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT 08J PROJ DATE : 05/24/94 PAGE : 13 WARRANT AMOUNT A221t91 NAIL LAW ENFORCEMENT INSTITUTE. INC 940523 01-2110-6370-OPS A221102 NAIL SHERIFF'S ASSOC JO 83215 NW 82954 A221193 NEHA A221194 NELSON- SULLIVAN A221195 NELSON. JOYCE A221190 NOLAN. DICK 052494 050194 050194 050194 A221197 NORTHERN COLORADO AIDS PROJECT 051794 `A221198 OCNOA. LEOBARDO 8. 050194 01-2110-6370-TRNG 01-2111-6220 19-4170-6335E 249044'6397-4715 24-9044-6397-4715 24-9034-6397-4715 19-4140-6311-HIVG 19-4140-6320-HIVG 19-4140-6350-HIVG 24-9044-6397-4715 660.00 660.00 s-- 500.00 756.00 1.256.00 ======s==sass== 239.00 ======sss====== 350.00 350.00 253.00 253.00 62.00 62.00 a 90.77 267.64 2,000.69 2.359.10 s 200.00 I SAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/24/94 INVOICE NUMBER ACCOUNT NUMBER ED DEPT OBJ PROJ DATE : 05/24/94 PAGE 14 WARRANT AMOUNT A221198 OCHOA. LEOSARDO B. A221199 OCHSNER. DANIEL A221200 ORIENTAL TRADING CO A221201 ORR. JAMES L A221202 ORR. RONALD A221203 OYER. DWIGHT D A22120♦ PAL PARTNERSHIP A221205 PARKER. GARY 050194 942405 1825 050194 050194 950194 004919 24-9044-6397-4715 52-5510-6220-SRP 1I -3I90-6397-1825 24-9034-6397-4715 24-9044-63974715 24-90446397-4715 639020 -6740 -DENT Silikaaaaaaaaafia _—s 200.00 367.00 40.75 VIP 40.75 270.83 270.83 s 231.00 daaaba 231.00 300.00 300.00 475.00 475.00 59.00 59.00 MAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF 05/24/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT O8J PROD DATE 2 05/24/04 PAGE : 13 WARRANT AMOUNT A221206 PARKER• THOMAS N JR 050104 24-9044-6397-4715 441.00 A221207 PATIENT ADVOCACY TEAM 050194 050204 05039♦ 050494 050594 050694 050794 060894 A221208 PATTEN, ELVIN 0 A221209 PATTISON, LINDA A221210 PETTENCILL, DORIS L A221211 PETTY CASH - H R D 004920 050194 950194 PCMA 94 249034-6397-4715 24-9034-6397-4715 24-9034-6397-4715 24-9034-6397-4715 24-9034-6397-4715 24-9034-6397-4715 24-9034-6397-4715 24-9034-63974715 63 -9020 -6740 -DENT 24-9044-6397-4715 24-90346397-4715 21-6530-6311 21-6580-6311 21-6600-6220 21-6600-6222-F1 21-6600-6222-G2 21-6600-6222-H2 21-6600-6224-C1 21-6600-6224-DRI 441.00 276.00 276.00 244.00 270.00 249.00 234.00 300.00 252.00 2,101.00 46.00 46.00 =============== 270.00 270.00 L== = 445.00 445.00 a 2.32 .92 2.16 19.80 3.98 3.70 5.56 10.00 MAP200P WARRANT PAYEE NUMBER MELD COUNTY WARRANT REGISTER AS OF : 05/24/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT 08J PROD DATE 3 05/24/94 PAGE : 16 WARRANT AMOUNT A221211 PETTY CASH - H R 0 PCMA 94 A221212 PETTY CASH -AMBULANCE 052394 A221213 PETTYJOHN, JOHN 21-6600-6224-EM1 216600-6224-EM2 21-6600-6224-H2 21-6600-6224-J1 21-6600-6224-MI1 21-6600-6224-MI2 21-6700-6390 21-6800-6372 21'6800-6390 21-6650-6390 21-6950-6210 216950-6372 21-6960-6210 21-6960-6220 21--6960-0372 15.36 9.54 4.50 9.54 10.99 5.00 6.08 3.00 16.19 69.00 2.53 4.75 17.47 5.61 10.50 240.70 = = =s 60^2160-6360 64.61 64.81 050194 24-9034-6397-4715 517.00 4221214 PFANKUCH. TOM OR SHIRLEY. 050194 050294 050394 050494 050594 A221215 PHILLIPS, ERNESTINE 050194 050294 24-9034-6397-4715 24-9034-6397-4715 24-9034-6397-4715 24-9034-6397-4715 24-9034-6397-4715 51:.00 ===s 324.00 344.00 315.00 329.00 315.00 .627.00 z 24-9044-•6397-4715 248.00 24-9034-6397-4715 233.00 481.00 WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF Z 05/24/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT 08J PROD DATE : 05/24/64 PAGE I 17 WARRANT AMOUNT A221216 PICKETT. DARRYL BRADLEY 050194 050294 A221217 PROPERTY TECHNICA 050194 050294 A221218 PROULX♦ RON 050194 050294 050394 A221219 R G H HOUSE RENTALS 050194 050294 050394 060494 A221220 R L N INVESTMENTS A221221 RAY L. NELSON C CO 050194 050194 8221222 RAYS OFFICE EQUIP INC 6965 7008 24-9034-6397-4715 24-9044-6397-4715 249034-6307-4715 24-9044-6397^4715 24903463974715 24-9044-6397"4715 24-9044-63974715 24-9034-6397-4715 24^9044-6397-4715 249034-6397-4715 24-9044-6397-4715 24-9044-6397-4715 24^9044-6397-4715 64-1155-6250-OFSU 64-1155-6250-OFSU 252.00 410.00 671.00 cv== 285.00 251.00 536.00 314.00 266.00 52.00 632.00 384.00 444.00 218.00 514.00 1.560.00 171.00 171.00 ========s====== 203.00 203.00 = = 195.75 195.75 WAP200P WARRANT PAYEE NUMBER &ELD COUNTY WARRANT REGISTER AS OF : 05/24/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROD DATE : 05/24/94 PAGE : 18 WARRANT AMOUNT A221222 RAY'S OFFICE EQUIP INC A221223 REAVES. FRANCES 050194 A221224 RIGG JEFF A221225 RINNE. THERESA E 4221220 ROAOIFCR. HOWARD 050194 004921 050194 A221227 ROCKY MTN PROPERTIES 050 [94 050294 A221228 ROSE. JOHN 24-9034-6397-4715 24-9044-63974715 63 -9020 -6740 -*DENT 24-9044-0397-4715 24-9634-6397-4715 24-9034-6397-4715 aaca 391.50 432.00 432.00 444.00 444.00 15.00 15.00 =s -== 251.00 251.00 251.00 370.00 355.00 725.00 050194 24-9034-6397-4715 456.00 A221229 ROSS LAD. EDUCATIONAL SER DISCOUNT 40340 21-66406222 21-6640-6222 458.00 111.12- 5,556.00 5.444.88 ---=_ MAP200P WARRANT PAYEE NUMBER MELD COUNTY WARRANT REGISTER A5 OF : O5/24/94 INVOICE NUMBER ACCOUNT NUMBER ED DEPT 08J PROJ DATE : 06/24/94 PAGE : 19 MARRAN7 AMOUNT A221230 SALAZAR, FERMIN A221231 SANCHEZ. RICHARD A221232 SCHAUB, KIRK RAY A221233 SCHLPPER. BETTY A221234 SCHIFFER. JIM A221235 SCHUETT, KEITH A A221236 SCOBY, JERRY L 05019♦ 050194 650194 050194 050294 050394 060494 050194 050294 050394 050494 050594 050694 050794 24-9034-63974715 2490446397-4715 24-9034-63974115 24-9034-6397-4715 24-9044-6397-4715 24.-90446397-'4715 24"9044-6397-4715 24-9034-6397-4715 24-9034-6397-4715 24-9034-6397-4715 24--9044-6397-4715 24-9044-^6397-4715 249044-6397-4715 24 -➢044-6397-4715 3853 79^10146147 0520NI 01-1041-6370 356.00 358.00 700.00 700.00 269.00 289.00 470.00 367.00 356.00 372.00 1,565.00 402.00 432.00 367.00 443.00 251.00 456.00 264.00 2,615.00 34.50 34.50 62.75 WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/24/94 INVOICE NUMBER ACCOUNT NUMBER FO DEPT O3J PROJ DATE : 05/24/94 PAGE : 20 WARRANT AMOUNT .41 A221236 SCOBY. JERRY L A221237 SCOTT REALTY A221238 SELLMER. LINDA A221239 SHINE. RICHARD A221240 SINNER, ALBERT A221241 SLUYTER, GEORGE A221242 SMITH• YVONNE J A221243 SORENSEN. PAUL 05019♦ 060294 050394 050104 052404 050194 050294 050194 050294 24-9034-6397-4715 24-9044-6397-4715 24-903463974715 24-9044-6397-4715 52-5520-6350-SRP 24-0044-63974715 24-9044-6397-4715 24--90346307-4715 24-9034-6397-4715 62.75 346.00 444.00 218.00 1.008.00 356.00 356.00 75.00 z -_ 75.00 362.00 184.00 646.00 ac 334.00 349.00 683.00 =max 004922 63 -9020 -6740 -DENT 34.00 34.00 05019♦ 24--9044-6397-4715 251.00 MAP200P MELD COUNTY DATE 1 05/24/94 WARRANT PAYEE NUNHER WARRANT REGISTER AS OF : 05/24/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT 08J PROJ PAGE i 21 WARRANT AMOUNT A221243 SORENSEN, PAUL 251.00 A221244 SOVEREIGN. LISA 050194 050294 050394 050494 A221245 SOWERS, EARL C BARBARA 050194 A221246 SEEER. 8. DOUGLAS 050194 A221247 SPRAGUE. OREN W C JOANNE 050194 050294 A221248 ST ANDREWS EPISCOPAL CHURCH 050194 A2212 49 ST PETER LTD LIABILITY CO 050194 A221250 STAPLETON. DANIEL F 940.$13 24-9044-6397-4715 24-9034-6397-4715 24-9034-6397-4715 24-9044-6397-4715 24-9034-6397-4715 24-9034-6397-4715 24-9044-6397-4715 24-9044-6397-4715 24-9044-63974715 2490446397-4715 01-2111-6315-INCS 198.00 367.00 332.00 182.00 =2 1,079.00 118.00 118.00 234.00 234.00 === -z.....--2 190.00 378.00 568.00 ==z=2222222x=== 275.00 275.00 364.00 364.00 xz 16.65 SAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/24/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROJ DATE S 05/24/94 PAGE : 22 WARRANT AMOUNT A221250 STAPLETON. DANIEL F A221251 STEBLETON, GARY L 050194 A221252 STEWART MOBILE HOME PARK 050194 A221253 STEWART, MARK A221254 SYOLLEY. DELBERT A221255 STREET, MARC E 050194 050194 004923 A221256 SULLIVAN, HARLEY DONALD 050194 A221257 SWANK• MARY 050194 249034-6397-4715 24-9034-6397-4715 2.4-9044-6397-4715 24-9044-6397-4715 63-9020-6740-VI5N 24-9034-6397-4715 24-9034-6397-4715 16.65 2 = 362.00 362.00 a 120.00 120.00 =223=2 = 263.00 263.00 91.00 91.00 92.50 92.50 =x22==========2 357.00 357.00 246.00 246.00 WAP200P WELD COUNTY WARRANT REGISTER AS or : 06/24/94 WARRANT PAYEE INVOICE NUMBER NUMBER A221258 THOMPSON. GERALD A221259 TIESZEN, MELVIN F. A221260 TORREZ, PETE SR. 050194 050294 050194 050194 A221261 TRANSCOR AMERICA, INC X63731 A221262 TRAUTWEIN0 ANN 050194 A221263 TRETHEWEY. ROBERT OR. 050194 A221264 TRI-CITY PEST CONTROL 17051 A221265 TRUJILLO, ADAM 05019♦ ACCOUNT NUMBER ED DEPT OBJ PROD GATE : 05/24/94 PAGE t 23 WARRANT AMOUNT 24-9034-6397-4715 221.00 24-9034-6397-4715 274.00 24-90346397-4715 24-9044-6397-4715 01-2111-6398-MARR 24-9034-6497-4715 249044-639 7-4 715 01-10616360 24-9034-6397-4715 495.00 237.00 237.00 -= __ 337.00 337.00 ====a==z 355.50 355.50 222.00 222.00 249.00 249.00 ----ssa 43.00 45.00 465.00 _ 465.00 NAP200P WARRANT PAYEE NUMBER MELD COUNTY WARRANT REGISTER AS OF : 05/24/94 INVOICE 'turnout ACCOUNT NUMBER FD DEPT OSJ PROD DATE : 06/24/94 PAGE : 24 WARRANT AMOUNT A2212O6 TWENTY-NINTH STREET INVESTMENTS 050194 24-9034-6397-4715 A221267 TWO RIVERS INVESTMENT 050194 050294 A221268 UNC 413.00 413.00 24-9044-6397-4715 430.00 24-9044-6397-4715 435.00 mialliManniannaW 866.00 050194 24-9034-6397-4715 242.00 A221269 UNITED PARCEL SERVICE 648 648 -SC A221270 UNITED STATES WELDING INC R056401 A221271 US WEST COMMUNICATIONS 296607 461301 88121 895409 954800 A221272 US NEST COMMUNICATIONS 4E2214275 4E5360440 242.00 3 01-1025-0310 3.36 01-1025-6310 5.00 8.36 _______________ 19-4140-6360-N 2.65 52-5520-6345 52-5510-6345 52-55x6-6345 52-5560-6345 52-5510^6345 67 -1192 -6345 -LO 67-1192-6345�LD 67-1192-6345-LOCL 2.65 3 = 129.66 40.13 44.06 ♦4.56 95.48 361.89 154.24 8.93 51.30 WAP200P WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/24/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT 08J PROJ DATE : 05/24/94 PAGE : 25 WARRANT AMOUNT A221272 US WEST COMMUNXCATIONS 4E8332200 4E83322301 4E8333510 4E8572441 4E0514052 4E8574078 4E857434 A221273 US WEST COMMUNICATIONS 531299 A221274 VALLEY VILLAGE MOBIL HOME PARK 050194 050294 A221275 VAN BEGER. MARK A221276 VARELA' HELEN A221277 VASQUEZ. AUDON 050194 V11715 V11716 050194 671192-6345-10 67 -1192 -6345 -LOG. 67 -1192 -6345 -LOGE 67-1192-634YL0 67'1192-6345-LOCL 67 -1192 -6345 -LO 67 -1192 -6345 -LOLL 67-1192-6345-LD 67-1192-6345-LOCL 67 -1192 -6345 -LOLL 85-21556363 24-9044-6397-4715 24-9034-6397-4715 24-9034-6397-4715 24-9044-63974715 24-9044-6397-4715 249034-6397-4715 ♦0.52 43.09 ♦3.09 12.62 86.76 103.29 44.0$ 13.81 692.94 154.24 1.448.91 1.760.00 1.760.00 sx= 130.00 149,00 279.00 550.00 550.00 ===sa=x 255.00 253.00 508.00 250.00 250.00 an WAPZOOP WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/24/94 INVOICE NUNS ER ACCOUNT NUMBER FD DEPT 084 PROD DATE : 05/24/94 PAGE : 26 WARRANT AMOUNT A221216 VELASOUEZ, FRANK G. 050194 24-9044-0397-4715 450.00 A221279 VILLAGE GREEN APARTMENTS 050194 050294 050394 A221280 VINTAGE CORPORATION A221261 VIP SIGNS A221262 VWR SCIENTIFIC A221283 WALTERS. MARCIA L 050194 050294 050394 050494 06059♦ 050694 050794 050094 SNIPPING 3360 13355940 24-9034-6397-4715 24-90446397-4715 24-9034-0397-4715 249044-6397-4715 24-9044-6397-4715 24-9034-0397-4715 24-9044-6397-4715 24-9034-6397-4715 24-9044-0397-4715 24-9044-6397-4715 24+90446397-4715 450.00 s 412.00 375.00 456.00 1,245.00 xx 399.00 234.00 192.00 376.00 195.00 247.00 192.00 367.00 2,204.00 __==_==xxxs=xx= 01-9020-6210 ♦.50 01-9020-6210 60.00 MIPINSSSISISMINSSI __=- 64.50 19-4170-6250-GNRL 103.76 05209♦ 79-1153-6147 052594 79-1153-6147 103.75 ============== 160.00 300.00 480.00 MAPZOOP WARRANT PAYEE NUMBER WELD COUNTY WARRANT REGISTER AS OF : 05/24/94 INVOICE NUMBER ACCOUNT NUMBER ED DEPT 064 PRO.) DATE : 05/24/94 PAGE : 27 WARRANT AMOUNT A221284 MATSON. CHARLES P 060194 24-9034-6397-4715 300.00 A221285 WEINMCISTER. DAVID AND CHERYL 050194 A221286 WEISER. JERRY 060194 060294 060394 050494 050594 050694 A221287 WELD COUNTY REVOLVING FUND 8014 8015 8026 A221284 WESTERN TEMPORARY SVCS 407164 A221289 WIEDEMAN. LYDIA A221290 WILLETTE. DONALD 060194 050194 300.00 24-9034-6397-4715 181.00 24-9034-6397-4715 24-9034-6307-4715 24-9034-6397-4715 24-9034-6397-4715 24903464974715 24-9034-6397-4715 88-2112-6220-AUXL 012110-6220 60-2160-6229 67-1192-6350 24-9044-6397-4715 24-9034-63974715 181.00 197.00 177.00 281.00 230.00 173.00 277.00 1.368.00 120.00 24.00 35.04 179.04 139.20 139.20 177.00 177.00 130.00 136.00 =zs=c2 MAP200P WELD COUNTY WARRANT REGISTER AS Of : 05/24/94 WARRANT PAYEE INVOICE NUMBER NUMBER ACCOUNT NUMBER FO DEPT OBJ PROJ OATE : 05/24/94 PAGE : 28 WARRANT AMOUNT A221291 WILLIANS. GEORGE G HELEN 050194 A221292 WILLOWS (THE) 050194 050294 050394 A221293 WINDSOR ASSOCIATES, INC. 050194 050294 A221294 WI:NTERSET INN OF GREELEY 050194 A221295 WOOD. SUSAN A221206 YBARRA, LYDIA A221297 YEPE2.,CECILIA A221298 YOUNG. JOAN G. 050194 050194 050194 050194 24-9044-6397-4715 249.00 24-9044-6397-4715 24-9044-6397-4715 24-9034-6397-4715 249.00 260.00 260.00 413.00 933.00 24-9034-6397-4715 352.00 24-9034-6307-4715 360.00 24-9034-6397-4715 24-9044-6307-4715 24-9034-6397-4715 24--9044.-6397-4715 24-9044-0397-4715 712.00 _== cants=.. 520.00 520.00 311.00 311.00 446.00 446.00 St _=ar_ 400.00 400.00 t 303.00 MAP20OP WARRANT PAYEE NUMBER MELO COUNTY WARRANT REGISTER AS OF : 05/24/9♦ INVOICE NURSER ACCOUNT NURSER FD ,DEPT OHJ PROJ DATE : 05/24/94 PAGE : 29 WARRANT AMOUNT AZ21298 YOUNG. JOAN 4. AZZ1Z99 ZANHRI. RICHARD A221300 ZULLO. RON 303.00 050194 24-9034-6397-4715 167.00 367.00 050194 24-9044-6307-4715 263.00 050294 24-9044-63974715 378.00 630.00 ============== FINAL TOTAL - 213.868.03 AMOUNTS SET OPPOSITE THEIR NAMES, MITH THE TOTAL AMOUNT DATED THIS �[ _ bqY QF/11 l \t\`C 19 MAP2OOP MELD COUNTY WARRANT REGISTER AS OF : 05/24/94 DATE 05/24/94 PAGE : 30 THIS IS TO CERTIFY THAT ALL ACCOUNTING AND BUDGETING PRODECURES HAVE BEEN COMPLETED ON THE ABOVE LISTED CLAIMS AS SHOWN OM PAGE 1 THROUGH 29, AND DATED 05/24/94, AND THAT PAYMENTS SHOULD BE TO THE RESPECTIVE VENDORS IN THE se' 03 . DIRECTOR aF"FINANCE AND ADMIN'TS�TRATION SERVICES SUBSCRIBED AND SWORN TO BEFORE ME THIS 9,,, DAY OF WIL 19 . pi £0MMIJ. WN .AI ulw m it 1.1496 MY COMMISSION EXPIRES: NOTARY PUBLIC WE. THE BOARD OF COUNTY COMMISSIONERS OF MELD COUNTY, COLORADO, HEREBY (APPROVE) (DISAPPROVE) THE CLAIMS AS SET FORTH ABOVE; AND WARRANTS IN PAYMENT THEREFORE ARE HEREBY ORDERED DRAWN UPON • THE DATE THIS a DAY OF FUND - TOTALING 19 / MELD COUNTY CLERK TO THE BOARD DEPUTY MEMBER %4 - EMBER CHAIRMAN WAP2OOP WARRANT PAYEE NUMBER dem WELD COUNTY WARRANT REGISTER AS OF : 05/24/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT O0J PROJ DATE : 06/24/94 PAGE : 1 WARRANT AMOUNT 5861082 FT LUPTON U PUMP IT S061O83 IMPREST FUND $861084 K MART $861085 MICKCY'S 5861086 PHIL'S AUTO 5861087 TARGET 5861088 VISION CLINIC 12-4425-6716-CDUC 169.70 12-4425-6716-EMPL 65.00 234.70 ===========a=== 12-4425-6716-EMPL 120.38 12-4425-6716-EDUC 126.50 12-4425-6716-EDUC 12-44215-6116+EMPL 12-4425-6716-EMPL 12-4425--6716-EDUC t2-44256716-EDUC 12-4425-6716""EDUC 12-4425-6392 12-44256.392 246.80 === 40.50 95.73 164.86 301.09 68.81 64.81 115.00 115.00 ===s=3=_._a 69.94 69.94 05.60 85.00 180.60 = s= WAP2DOP WARRANT PAYEE NUMBER MELD COUNTY WARRANT REGISTER AS OF : 03/24/94 INVOICE NUMBER ACCOUNT NUMBER FD DEPT OBJ PROJ DATE : 05/24/94 PAVE : 2 WARRANT AMOUNT 5861089 FT LUPTON U PUMP IT S061090 MIKE'S HEATING S861091 WESTLAND DISTRIBUTING $661092 FAMILY SUPPORT REGISTRY 12 -4426 -6710 -0TH 12 -4403 -6710 -EWER 12-4463-6710-ENER 12-00012045 FINAL TOTAL : 69.00 69.00 ------^-s-azzT_ 200.00 200.00 380.70 380.70 2,369.84 2,369.84 4,236.56 z WAPZOOP WELD COUNTY WARRANT REGISTER AS OF : 05/24/04 DATE : 05/24/04 PAGE : S THIS IS TO CERTIFY THAT ALL ACCOUNTING AND BUDGETING PRODECURES HAVE SEEM COMPLETED OH THE ABOVE LISTED CLAIMS AS SHOWN ON PAGE I THROUGH 2 s AND DATED 05/24/94, AND THAT PAYMENTS SHOULD SE TO THE RESPECTIVE VENDORS IN THE AMOUNTS SET OPPOSITE THEIR, NAMES, WITH THE TOTAL AMOUNT $ DATED THIS DIRECTOR Of✓ FY4UGf/CE AND ADMINISTRATION SERVICES SUBSCRIBED AND SWORN TO BEFORE ME THIS CPL'DAY OF _LM-1r1LC_ MY COMMISSION EXPIRES: $1 COMMISSION EXPIRES JAtUJ, 19C? /. WE, THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO, HEREBY (APPROVE) (DISAPPROVE) THE CLAIMS AS SET FORTH ABOVE: AND WARRANTS IN PAYMENTC/, THEREFORE ARE HEREBY ORDERED DRAWN UPON J THE 50 . �_ isigs: 5 UND - TOTALING $a;2L362 DATED THIS C25:)AbAY OF�� I9ag,.. WELD COUNTY CLER TO THE BOARD j� "?"� t 7 DEPUTY MEMBER if& Ibuiai CHAIRMAN MEMBER MEMBER MEMBER WWP851P SOCIAL SERVICES WARRANT REGISTER PAGE 1 STATE COIN PAYROLL DATE OF MAILING WARRANTS 05/19/94 WARRANT NURSER 000651849 000851850 000851861 000851852 000851853 000851854 000851855 000851856 000851857 000851868 000851859 000851860 000851861 000851862 000851863 000851064 000851065 000861866 000851867 000851868 000851869 000851870 1.0. 6205373792 6206725992 6207172492 6206223602 6206525692 6207123601 6201972002 6206723502 6207051292 6206141092 6205166692 6205305092 6205282492 6205874992 6207049292 6204413492 6206834692 6206814192 6204874692 6204503992 6206664292 6207041902 PROVIDER NAME ALVAREZ, DIANE GARZA. MISTY R HARRINGTON. TAMMY JASSO. PEARL L SANCHEZ, DORA N EASEL*. ISABEL SIEHR. HELEN N BLACKSTON, KAREN R BLANKENSHIP, MICHELLE CRUZ, TANNIC 0 DAVILA, ELENA DIAZ, CORRINNE DIGGINS, MELISSA FLYNN. SHANNON GARCIA* MADORA LARA. ANNA N MARSHALL, LORI D MASCAREMAS, CLAUDETTE MIRANDA. ANNA MITCHELL• BARBARA A MORADO, RICARDO RAMIREZ, BEATRIZ ACCOUNT NUMBER 1244336710SUP 124433671OSUP 12443367105UP 1244336710SUP 1244336710SUP 1244406732RE T 1244406732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 1244336732RET 05 24 94 1858:36 WARRANT AMOUNT 856.00 8436.00 8367.00 $488.00 $362.00 8210.00 $64.00 8590.00 $219.00 8176.00 $260.00 487.00 8574.00 $280.00 $99.00 476.00 $319.00 $280.00 $1.304.00 $356.00 $590.00 $712.00 YWPBSIP SOCIAL SERVICES WARRANT REGISTER PAGE 2 STATE COIN PAYROLL DATE OF MAILING WARRANTS 03/19/94 WARRANT 1.0. PROVIDER NAME ACCOUNT NUMBER NUMBER 000831871 6206306392 VALDEZ. PAULINE A NUMBER OF WARRANTS = 23 OS 24 94 18:58:36 WARRANT AMOUNT 1244336732RET 4456.00 TOTAL = 48.361.40 MWP8SIP SOCIAL SERVICES WARRANT REGISTER PAGE 3 STATE COIN PAYROLL DATE OF MAILING WARRANTS 05/19/94 WARRANT I.D. NUMBER PROVIDER NAME ACCOUNT NUMBER NUMBER OF WARRANTS = 23 OS 24 94 16:68:36 WARRANT AMOUNT TOTAL = *8.361.00 THIS IS TO CERTIFY THAT ALL ACCOUNTING AND BUDGETING PROCEDURES HAVE SEEN COMPLETED ON THE ABOVE LISTED CLAIMS AS SHOWN ON PAGE 1 THROUGH 2 . AND DATED 06 24 94. AND THAT PAYMENTS SHOULD SE TO THE RESPECTIVE VENDORS IN THE t7�t�ltil.(/� . AMOUNTS SET OPPOSITE THEIR NAMES. WITH THE TOTAL AMOUNT DATED THIS pMl HSF �19 4Y. DIRECTOR OF' FINANCE AND ADMINISTRATION SERVICES SUBSCRIBED AND SWORN TO BEFORE NE THIS 42DAY OF ItCOMMISSION MIRES IAN. 1, 1986 MY COMMISSION EXPIRES: C NOTARY PUBLIC 19 WE, THE BOARD OF COUNTY COMMISSIONERS OF WIELD COUNTY. COLORADO. HERESY (APPROVE) (DISAPPROVE) THE CLAIMS AS SET FORTH ABOVE& AND WARRANTS PAYMENT THEREFORE ARE HEREBY ORDERED DRAWN UPON /� THE �,.(.1 � Et ICC t-��%FUND - TOTALING B Q 13(Al. OO DATED THIS r )5 OAY OF 1 r]Y WELD COUNTY CLERK TO THE BOARD -�`_,✓v/ DEPUTY MEMBER (7 -7/f -921771 --nn• _a MEMBER IN MEMBER MEMBER R E3? S C01V.[r,[UNICATIONS 0` 0161 Lr/rnerREvoLViNG LOAN FUND P.O. Box S • Greeley. Colorado 80832 - (303) 3564565 - FAX (303) 352.2438 Memo TO: Don Warden FROM: Jodi Hartmann DATE: 5/23/94 RE: RLF CDBG Application WELD COUNTY 02' YC:SHr`!E7S 19^4 MY 23 All .S 31 CLERK TO THE BOP .D Attached are four copies of a CDBG DiscleamatAmori now being required with all CDBG applications and projects. It should have been included with the various documents in the recent application. Basically the report discloses all sources of financial interest in CDBG projects. I need to have this signed by Bill Webster as soon as possible. If it needs to be placed on the Commissioners' agenda, then fd request that it be on the Wednesday, May 25 agenda. Keep one copy for your files and have the clerk call me when the others are ready to be picked up. Thanks for your assistance! CDBG DISCLOSURE REPORT PART I - APPLICANT/GRANTEE INFORMATION 1. Applicant/grantee name, address and phone number. Weld County 915 10th Street Greeley. CO 80631 356-4000, ext. 4200 Federal employer identification number. 2. Indicate whethor this report is: 3. Project Assisted/to be Assisted a. b. c. d. e. 84-Qp00$1. Initial X Update Fiscal year: 1994 Entitlement Grant(s) Competitive Grant X Amount requested/received: $ 250.000 Program income to be used with (c) above: $ 7.805 Total of (c) and (d): $ 257 805 PART II - THRESHOLD DETERMINATIONS 1. Is the amount listed at 3(e) above more than $200,000? Yes No_ 2. Have you received or applied for other HUD assistance (through programs listed in instructions) which, when added to 3(e) above amounts to more than $200,000? Yes No Ifthe answer to either 1 or 2 of this Part is %Yes', then you must complete the remainder of this report. If the answer to j2ella 1 and 2 of this Part is Non, then you are only required to sign the following certification and need not complete the remainder of this report. I hereby certify that this information is true. n f i )C.� William f Webster. hainnan Weld County Commissioners (Chief Elected Officiab/Title) Date c7/7/9t PART III - OTHER GOVERNMENT ASSISTANCE PROVIDED/APPLIED FOR 1. Provido the requested information for any other Federal, State and/or local governmental assistance, on hand or applied for, that will be used in conjunction with the CDBG grant. (See instructions) Name and Address of Agency Providing or to Provide Assistance Program Type of Assistance Amount Requested or Provided Greeley/Weld Economic Development Action Partnership (EDAP) 810 9th St., 2nd Floor P.O. Box S Greeley, Colorado 80632 Economic Development Program Admin. & Technical Assistance $30,000 PART IV - INTERESTED PARTIES Alphabetical List of All Persons with a Reportable Financial Interest in the Project Social Security or Employer ID # Type of Participation in Project Financial Interest in Project ($ & To) None PART V - EXPECTED SOURCES AND USES OF FUNDS This Part requires that you identify the sources and uses of all assistance, including CDBG, that have been or may be used in the Project. Source Use COBG Grant CDBG Grant Business assistance to small businesses creating or retaining jobs benefiting low/mod persons in rural areas of Weld and Larimer counties, Program administration Greeley/Weld Economic Program administration & technical assistance Development Action Partnership (EDAP) Unrestricted Program Program administration Income PART VI - CERTIFICATION I hereby certify that the information provided in this disclosure is true and correct and I am aware that any false information provided or lack of information knowingly mado or omitted may subject me to civil or criminal pentatties under Section 1001 of Title 18 of the United Slates Code. In addition, I am aware that if I knowingly and materially violate any required disclosure of information, including intentional nondisclosure, I am subject to a civil money penalty not to exceed $10,000 for each violation. It ut i William H. ebster, ha anion Weld County Commissioners (Chief Elected OfficiaLTitle) Date 6A7 M CMG DISCLOSURE REPORT t PART I - APPUCANT/GRANTEE INFORMATION 1, Applicant/grantee name, address and phone number. Weld County 915 10th Street Greeley, CO 80631 356-4000, ext. 4200 Federal employer identification number: n/1 2. Indicate whether this report is: Initial X Update_ 3. Project Assisted/to be Assisted. a. Fisca; year: 1994 b. Entitlement Grant(s) Competitive grant X c. Amount requested/received: d, Program income to be used with (c) above: e. Total of (c) and (d): $250.000 12,848 $262,848 PART II - THRESHOLD DETERMINATIONS 1. lc the amount listed at 3(e) above more than $200,000? Yes X No 2. Have you received or applied for other HUD assistance (through programs listed in Instructions) which, when added to 3(e) above amounts to more than $200,000? Yes No If the answer to either 1 or 2 of this Part is "Yes", then you must complete the remainder of this report. If the answer to both 1 and 2 of this Part is "No', then you are only required to sign the following certification and need not complete the remainder of this report. I hereby certify that this information is true. /)<.( !/t 10-21/113-7 w bstC liam r, Chairman \- (Chief Elected Official/Title) Weld County Commissioners PART III - OTHER GOVERNMENT ASSISTANCE PROVIDED/APPLIED FOR 1. Provide the requested information for any other Federal, State and/or local governmental assistance, on hand or applied for, that will be used in conjunction with the CDBG grant, (See Instructions) Name and Address of Agency Providing or to Provide Assistance Program Type of Assistance Amount Requested or Provided Greeley/Weld Economic Development Action Partnership (EDAP) 810 9th St., 2nd Floor P.O. Box S Greeley, Colorado 80632 Economic Develop- ment Program Admin. & Technical Assistance $30,000.00 9 PART IV - INTERESTED PARTIES Alphabetical List of All Persons with a Reportable Financial Interest in the Project Soc. Security or Emp;oyer ID # Type of Participation in Project Financial Interest in Project (S & %) None PART V - EXPECTED SOURCES AND USES OF FUNDS This Part requires that you identify the sources and uses of all assistance, including CDBG, that have been or may be used in the Project. Source Use o CDBG Grant CDBG Grant Greeley/Weld EDAP Unrestricted program income Business assistance to small businesses creating or retaining jobs bene£itting low/mod individuals. Program Administration Program Administration & technical assistance Program Administration L PART VI - CERTIFICATION I hereby certify that the information provided in this disclosure is true and correct and I am aware that any false information provided or lack of information knowingly made or omitted may subject me to civil or criminal penalties under Section 1001 of Title 18 of the United States Code. In addition, I am aware that if I knowingly and materially violate any required disclosure of information, including intentional nondisclosure, I am subject to a civil money penalty not to exceed $10,000 for each violation. William H. We star, Chairman (Chief Elected Official/Title) Weld County Commissioners / (Date) DPSBIB20 DESCRIPTION OF MESSAGE IN IN -BASKET Message : THE FOLLOWING ROAD WAS OPENED MAY 20, 1994. IT WAS CLOSED : APRIL 14, 1994 FOR A BRIDGE REPLACEMENT: : WCR 25 BETWEEN WCR 62 AND WCR 64.5 : MONA Received from : PENOTC02-MAIN Received : 05/20/94 13:22 Sent : 05/20/94 13:21 Select an option and type it below; then press ENTER. 3 Send 8 Reply 9 File 10 Delete PF1=Help 2= 3= 4=Main Menu 5= 6 -Fast Path PF7- 8= 92. 10= 11= 12 -Quit DMDE103I Sign -on to DISOSS successful M a®>> SUMMARY OF THE WELD COUNTY PLANNING COMMISSION MEETING May 17, 1994 A regular meeting of the Weld County Planning Commission was held May 17. 1994 in the County Commissioners' Hearing Room (Room *101), Weld County Centennial Building, 915 Tenth Street, Greeley, Colorado. The meeting was called to order by the Vice -Chairperson Richard Kimmel at 1:30 p.m. Tape 459 Roll Call Richard Kimmel Bill O'Hare Shirley Camenisch Juliette Kroekel Bud Clemons Marie Koolstra Ron Sommer Tom Rulon Judy Yamaguchi Present Present Present Present Present Present Present Present Absent • o :�� W Also present: Keith A. Schuctt, Current Planner II, Gloria Dunn, Current Planner, Todd A. Hodges, Department of Planning Services; Lee Morrison, Assistant County Attorney; Jeff Stoll, Weld County Health Department; Don Carroll, Weld County Public Works: Becky Schoenfeld. Secretary. The summary of the last regular meeting of the Weld County Planning Commission held on May 3, 1994, was approved. CASE NUMBER: USR-1046 NAME: Cooley Gravel Company ADDRESS: 3609 South Wadsworth Blvd., Suite 300, Lakewood, CO 80235 REQUEST: Site Specific Development Plan and a Special Review permit for an open pit sand and gravel mine, including concrete and asphalt plants in the A (Agricultural) zone district. LEGAL DESCRIPTION: SE4 SW4 of section 9, part of the NW4 of Section 16, and part E2 NE4 Section 17, all in T2N, R68w of the 6th P.M., weld County, Colorado. LOCATION: North of and adjacent to Weld County Road 20 1/2 and 1/2 mile west of Weld County Road 7. Vern Nelson, representative, introduced the member of Cooley Gravel that were present at the meeting. Bill Timmons, Vice -President and General Manager for Cooley Gravel Company stated that his company has been in business for 45 years and has several operation in the Denver area. He also stated his company is very responsible and is environmentally conscious. Vern Nelson then stated the applicant would comply with the Development Standards but would like to request a Change in Development Standard #4, that states the maintenance time is from 6:30 p.m. to 10:0C p.m., be changed to 6:00 p.m. to 12:00 a.m. They also had concerns over Development Standards #19 and 20 about the sewage disposal system. He stated that the applicant feels portable toilets should be adequate for this use. Jeff Stall stated that if there in a lack of running water a vault privy system would be adequate for the temporary offices, but he is not in favor of portable toilets. Bill O'Hare moved to change Development Standard M4 to extend maintenance hours until 12:00 p.m. and delete Development Standard *20 for an engineered sewage disposal system. Motion seconded by Bud Clemons. mitThs 05ia '1 PLANNING COMMISSION MINUTiS May 17, 1994 Page 2 The Vice -Chairperson asked the secretary to pole the members of the Planning Commission for their decision. Richard Kimmel - yes, Bill O'Hare - yes, Shirley Camenisch - yes, Juliette Kroekel - yes, Bud Clemons - yes, Marie Koolstra - yes, Ron Sommer - yes, Tom Rulon - yes. Motion approved unanimously. The Chairman asked if there was anyone in the audience who would like to speak for or against the application. William Englehart, surrounding property owner and representative for the affected ditch company, had concerns about the detwatering materials going into the creek and the negative effects on the water and wildlife in the area. Robert Duckworth, surrounding property owner, stated the situation out there is unbearable. He would like to see the batch plant moved because it is undesirable. The roads are also in bad shape and he would like to see them taken care of. Jay Groom, surrounding property owner, stated he had concerns about the quality of his lake being effected by the new operation. He was also concerned about the bad conditions of the.roads. Gloria Dunn stated that this company would enter into a Road Maintenance Agreement with the County. Allen Howard, representative, stated that they had a winter lease with the City of Longmont for water so water would not be taken from surrounding areas. He also stated they would comply with the Road Maintenance Agreement with the County. He also stated they would be willing to move the batch plant closer to the center of the property. Mr. Howard stated the water would be maintained in compliance with the State of Colorado's NPDES permit. This would monitor ground water and they would even be willing to install a slurry wall t0 maintain the integrity of the surrounding property. Rob Laredo representative, also assured the Planning Commission that no water would be used from the South Platte River and that the water would be supplied by the City of Longmont. He also stated they do not want any damage to the surrounding properties. Marie Koolstra asked Don Carroll when the roads would be repaired. Don Carroll stated that they were planning a meeting between the three gravel companies that operate in the area to work out a Road Maintenance Agreement. Don Carroll also stated concerns about the reclamation setbacks on the property. Gloria stated that they could change Condition of Approval #3 to reflect the changes the Public Works Department wanted. Discussion followed regarding road improvements. Ron Sommer moved to change Condition of Approval #3 to state: "The plat shall be amended to show a 100 foot setback from the proposed reclamation slopes to the center -line of Weld County Road 20 1/2 on Exhibit F (Reclamation Plan Map)." Shirley Camenisch seconded the motion. The Vice -Chairperson asked the secretary to pole the members of the Planning Commission for their decision. Richard Kimmel - yes, Bill O'Hare - yes, Shirley Camenisch - yes, Juliette Kroekel - yes, Bud Clemons - yes, Marie Koolstra - yes, Ron Sommer - yes, Tom Rulon - yes. Motionapproved unanimously. PLANNING COMMISSION MINUTES May 17, 1994 Page 3 Gloria Dunn asked if the Planning Commission could make a motion to recommend vacation of SUP -259. Bill O'Hare moved to recommend vacation of SUP -259. Bud Clemons seconded the motion. The Vice -Chairperson asked the secretary to pole the members of the Planning Commission for their decision. Richard Kimmel - yes, Bill O'Hare - yes, Shirley Camenisch - yes, Juliette Xroekel - yes, Bud Clemons - yen, Marie Koolstra - yes, Ron Sommer - yes, Tom Rulon - yes. Motion approved unanimously. Bill O'Hare moved Case Number USR-1046 for a Site Specific Development Plan and a Special Review permit for an open pit sand and gravel mine, including concrete and asphalt plants be forwarded to the Board of County Commissioners with the included Development Standards and amendments to the Board of County Commissioners with the Planning Commission's recommendation for approval. Motion seconded by Bud Clemons. The Vice -Chairperson asked the secretary to pole the members of the Planning Commission for their decision. Richard Kimmel - yes, Bill O'Hare - yea, Shirley Camenisch - yes, Juliette Kroekel - yes, Bud Clemons - yes, Marie Koolstra - no, Ron Sommer - yes, Tom Rulon - yes. Motion approved. Marie Koolstra: "I really feel the trucking is an intricate part of this situation and I feel it has not been handled yet. CASE NUMBER: USR-1045 NAME: Griffin -Holder, Co. ADDRESS: P.O. Box 511, Rocky Ford, CO 81067 REQUEST: A Site Specific Development Plan and a Special Review permit for an agricultural service establishment (onion storage and processing) in the A (Agricultural) zone district. LEGAL DESCRIPTION: Lot A of RE -1325 W2 SE4 of Section 36, T6N, R65W of the 6th P.M., Weld County, Colorado. LOCATION: North and adjacent to Weld County Road 62 and approximately 1/2 mile west of Weld County Road 49. Hall Holder, applicant, stated that the site was purchased as is and is not adequate for their needs for processing onions. They have four storage bins for the onions, an office, and a grating area. There is not room to store the finished product. The Vice -Chairperson asked if there was anyone in the audience who would like to speak for or against the application. No members from the audience wished to speak. Ron Sommer moved Case Number USR-1045 for a Site Specific Development Plan and a Special Review permit for an agricultural service establishment (onion storage and processing) in the A (Agricultural) zone district be forwarded to the Board of County Commissioners with the Planning Commissions' approval. Motion seconded by Tom Rulon. • PLANNING COMMISSION MINUTES May 17, 1994 Page 4 The Vice -Chairperson asked the secretary to pole the members of the Planning Commission for their decision. Richard Kimmel - yes, Bill O'Hare - yes, Shirley Camenisch - yes, Juliette Xroekel - yes, Bud Clemons - yes, Marie Koolstra - yes, Ron Sommer - yea, Tom Rulon - yes. Motion approved unanimously. CASE NUMBER: USR-1047 NAME: Denver Television, Inc., dba KDVR ADDRESS: 501 Wazce Street, Denver, CO 80202 REQUEST: A Site Specific Development Plan and a Special Review permit for a 738 foot guyed communication tower in the A (Agricultural) zone district. LEGAL DESCRIPTION: A part of the 5E4 of Section 19, TON, R56W of the 6th P.M., Weld County, Colorado. LOCATION: North and adjacent to Weld County Road 90 and approximately 1/3 mile west of Weld County Road 27. Fred Braumgartner, representative, stated that they would like to place a 730 foot tower with an 8 foot beacon next to an existing tower outside the Town of Pierce to be used for broadcasting the television station KDVR. Mr. Braumgartner said it was a pleasure working with this group. The Vice -Chairperson asked if there was anyone in the audience who would like to speak for or against the application. No members from the audience wished to speak. Bud Clemons moved Cane Number USR-1047 a Site Specific Development Plan and a Special Review permit for a 738 foot guyed communication tower in the A (Agricultural) zone district be forwarded to the Board of County Commissioners with the Planning Commissions' recommendation for approval. Motion seconded by Juliette Krookel. The Vice -Chairperson asked the secretary to pole the members of the Planning Commission for their decision. Richard Kimmel.- yes, Bill O'Hare - yes, Shirley Camenisch - yes, Juliette Xroekel - yes, Bud Clemons - yes, Marie Koolstra - yes, Ron Sommer - yea, Tom Rulon - yes. Motion approved unanimously. Meeting adjourned at 3:10 p.m. Respectfully submitted, Becky SchoEnfeld Secretary HEARING CERTIFICATION DOCKET NO. 94-39 RE: AMENDMENTS TO WELD COUNTY ZONING ORDINANCE - ORDINANCE NO. 89 -AA A public hearing was conducted on May 23, 1994, at 10:00 a.m., with the following present: Commissioner W. H. Webster. Chairman Commissioner Dale K. Hall, Pro-Tem Commissioner George E. Baxter Commissioner Constance L. Harbert Commissioner Barbara J. Kirkmeyer Also present: Acting Clerk to the Board, Shelly Miller County Attorney, Bruce Barker Planning Department representative, Chuck Cunliffe The following business was transacted: I hereby certify that pursuant to a notice dated May 2, 1994, and duly published May 5, 1994, in the Windsor Beacon, a public hearing was conducted to consider amendments to the Weld County Zoning Ordinance. Bruce Barker, County Attorney, made this a matter of record. Chuck Cunliffe, Planning Department Director, entered the recommendations of the Planning Commission into the record as written and explained the three Resolutions of Recommendation. He indicated two resolutions were approved as proposed by staff; however, the third resolution, concerning Section 28.15.5, contains language which would require permit holders of Planned Unit Development Plans to submit an annual written application showing progress. Mr. Cunliffe explained staff's recommendation is to extend the time period to submit a plan from one to three years; however, staff does not desire the annual written report as discussed in a prior work session with the Board. He indicated it would have been inappropriate for staff to argue with the Planning Commission over the issue since he understood from the work session that the Board wanted the change as proposed by staff. Commissioner Kirkmeyer confirmed that four elk would be permitted in the Agricultural Zone and questioned whether they would be tested for tuberculosis and what type of fencing would be required. Commissioner Baxter and Mr. Cunliffe indicated they assumed that would be controlled by the Department of Wildlife and/or Agriculture. Further discussion ensued concerning the testing, and Mr. Barker suggested the ordinance be read into the record, with discussion to follow. Mr. Barker read Ordinance No. 89 -AA into the record, and Mr. Cunliffe answered further questions from the Board. No public testimony was offered concerning this matter. Commissioner Hall moved to approve Ordinance No. 89 -AA, based on the recommendations of the Planning Commission and staff's recommendation concerning the change to Section 28.15.5. The motion was seconded by Commissioner Baxter, and it carried unanimously. Commissioner Baxter requested Mr. Cunliffe contact Troy Baker of the Extension Office and John Pickle of the Health Department to attend the June 6, 1994, meeting at which the second reading of the ordinance will be heard. ORD89AA RE: HEARING CERTIFICATION - ORDINANCE NO. 89 -AA PAGE 2 This Certification was approved on the 25th day of May. 1994. ATTEST: Weld County Clerk to the Board By: Deputy Clerk CO the Boa TAPE #94-24 DOCKET #94-39 0RD89 APPROVED: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Barbara J. Kir Barbara J. 1CirjEmeyer ORD89AA RECORD OF PROCEEDINGS MINUTES BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO MAY 25, 1994 TAPE #94-24 The Board of County Commissioners of Weld County, Colorado, met in regular session in full conformity with the laws of the State of Colorado at the regular place of meeting in the weld County Centennial Center, Greeley, Colorado, May 25, 1994, at the hour of 9:06 a.m. ROLL CALL: MINUTES: CERTIFICATIONS OF HEARINGS: ADDITIONS: CONSENT AGENDA: PUBLIC INPUT: WARRANTS: BIDS: The meeting was called to order by the Chairman and on roll call the following members were present, constituting a quorum of the members thereof: Commissioner W. H. Webster, Chairman Commissioner Dale K. Hall, Pro-Tem Commissioner George E. Baxter Commissioner Constance L. Harbert Commissioner Barbara J. Kirkmeyer Also present: County Attorney, Bruce T. Barker Acting Clerk to the Board, Carol Harding Finance and Administration Director, Don Warden Commissioner Hall moved to approve the minutes of the Board of County Commissioners meeting of May 23, 1994, as printed. Commissioner Kirkmeyer seconded the motion, and it carried unanimously. Commissioner Baxter moved to approve the hearing conducted on May 23, 1994, as follows: 1) Amendments to Weld County Zoning Ordinance, Ordinance No. 89 -AA. Commissioner Hall seconded the motion, and it carried unanimously. There were no additions to the agenda. Commissioner Harbert moved to approve the consent agenda as printed. Commissioner Hall seconded the motion, and it carried unanimously. There was no public input offered. Don Warden, Director of Finance and Administration, presented the following warrants for approval by the Board: General Fund $ 353,840.98 Payroll Fund $ 8,285.11 Commissioner Baxter moved to approve the warrants as presented by Mr. Warden. Commissioner Hall seconded the motion, which carried unanimously. APPROVE CONSTRUCTION OF WELD COUNTY ROAD 392 CORNISH/NORTH - PUBLIC WORKS DEPARTMENT: Pat Persichino, Director of General Services, presented the bid tabulation received from Denny Graham, Department of Public Works. Commissioner Hall moved to accept the low bid from Mountain Constructors in the amount of $789,748.75. Seconded by Commissioner Kirkmeyer, the motion carried unanimously. BUSINESS: NEW: PLANNING: RESOLUTIONS AND ORDINANCES: CONSIDER FAMILY PLANNING CONTRACT CHANGE LETTER #1 BETWEEN HEALTH DEPARTMENT AND COLORADO DEPARTMENT OF HEALTH AND AUTHORIZE CHAIRMAN TO SIGN: John Pickle. Health Department Director, explained this amendment is required by the Colorado Department of Health due to a caseload study, and it results in a decrease of $16,875 for this year. Commissioner Harbert moved to approve said change letter and authorize the Chairman to sign. Seconded by Commissioner Baxter, the motion carried unanimously. CONSIDER REQUEST FOR PROPOSAL FOR 1994 POLLUTION PREVENTION GRANTS PROGRAM TO COLORADO DEPARTMENT OF HEALTH AND AUTHORIZE CHAIRMAN TO SIGN: Mr. Pickle stated this application was prepared by Jeff Stoll and staff in the Environmental Protection Division. The application is for a total of $17,750, which includes an additional .5 FTE. Commissioner Baxter moved to approve said Request for Proposal and authorize the Chairman to sign. Seconded by Commissioner Harbert, the motion carried unanimously. CONSIDER REQUEST FROM VEGETATION MANAGEMENT SPECIALIST TO ENTER UPON CERTAIN LANDS: Bruce Barker, County Attorney, explained this is the normal request made by the Pest and Weed Department for the weed program. One landowner on the list, John Doninger. whose attorney contacted Mr. Barker, may require arbitration proceedings. Mr. Barker recommended the board follow normal procedure and grant the request. Commissioner Kirkmeyer so moved and Commissioner Hall seconded. The motion carried unanimously. CONSIDER IMPROVEMENTS AGREEMENT ACCORDING TO POLICY REGARDING COLLATERAL FOR IMPROVEMENTS (PRIVATE ROAD MAINTENANCE) AND ACCEPT FORM OF COLLATERAL FOR SHILOH, INC.: Gloria Dunn, Department of Planning Services, stated this is in conjunction with the Final PUD Plan for James H. Scott, Jr., President of Shiloh, Inc., which was granted on April 27, 1994. Ms. Dunn stated the Improvements Agreement has been reviewed by Don Carroll, Department of Public Works, and Lee Morrison, Assistant County Attorney. Mr. Morrison also reviewed the Letter of Credit presented by Mr. Scott and found it to be in order. Mr. Scott was in attendance. Commissioner Hall moved to approve the Improvements Agreement and accept Letter of Credit #744 from First Interstate Bank, in an aggregate cumulative amount not to exceed $292,370. Seconded by Commissioner Baxter, the motion carried unanimously. CONSIDER RECOMMENDATION OF APPROVAL TO RELEASE COLLATERAL FOR PLEASANT VIEW ACRES - PITTINGTON CONSTRUCTION, INC., AND PRISTINE INVESTMENTS: Ms. Dunn recommended release of collateral in the amount of $12,041.66. In response to Commissioner Baxter. Ms. Dunn explained the Department of Public Works inspected the project and found the work to be satisfactory. Commissioner Hall moved to release collateral in the amount of $12,041.66, with $8,071.73 payable to Pittington Construction, Inc. and $3,969.93 payable to Pristine Investments. Seconded by Commissioner Harbert, the motion carried unanimously. The resolutions consent agenda. were presented and signed as listed on the There were no ordinances. Let the minutes reflect that the above and foregoing actions were attested to and respectfully submitted by the Acting Clerk to the Board. Minutes - May 25, 1994 Page 2 There being no further business, this meeting was adjourned at 9:10 a.m. APPROVED: Weld County Clerk to the Board By: b -% I / a' A��-45 -Deputy Clerk to the Boa 1 BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO A-4 &b&Jj H. Webster, Clpirm4n- e ,L! Baxter �/ Constance L. Harbert Barbara J. Kirkrpeyer Minutes - May 25, 1994 Page 3 RECORD OF PROCEEDINGS MINUTES BOARD OF SOCIAL SERVICES WELD COUNTY. COLORADO MAY 25, 1994 TAPE 1194-24 The Board of County Commissioners of Weld County, Colorado, met in regular session as the Board of Social Services in full conformity with the laws of the State of Colorado at the regular place of meeting in the Weld County Centennial Center, Greeley, Colorado. May 25, 1994, at the hour of 9:00 a.m. ROLL CALL: MINUTES: WARRANTS: ATTEST: The meeting was called to order by the Chairman and on roll call the following members were present, constituting a quorum of the members thereof: Commissioner W. H. Webster, Chairman Commissioner Dale K. Hall, Pro-Tem Commissioner George E. Baxter Commissioner Constance L. Harbert Commissioner Barbara J. Kirkmeyer Also present: County Attorney, Bruce T. Barker Acting Clerk to the Board, Carol Harding Director of Finance and Administration, Donald Warden Commissioner Baxter moved to approve the minutes of the Board of Social Services meeting of May 23, 1994, as printed. Commissioner Hall seconded the motion, and it carried unanimously. Don Warden, Director of Finance and Administration, presented the warrants for approval by the Board in the amount of $16,755.69. Commissioner Hall moved to approve the warrants as presented by Mr. Warden. Commissioner Baxter seconded the motion, which carried unanimously. Let the minutes reflect that the above and foregoing actions were attested to and respectfully submitted by the Acting Clerk to the Board. There being no further business, this meeting was adjourned at 9:15 a.m. Weld County Clerk to the Board By: Deputy Cler to the APPROVED: BOARD OF COUNTY COMMISSIONERS WELD COUNTY COLORADO Ma H. Webster, chairman em aHall, P�fi Constance L. Harbert Barbara J. Kirkmeyer Hello