HomeMy WebLinkAbout921040.tiff RESOLUTION
RE: APPROVE 1993 HEAD START REFUNDING APPLICATION 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 1993 Head Start Refunding
Application for the Family Educational Network of Weld County (FENWC) , commencing
January 1, 1993, and ending December 31, 1993, with the further terms and
conditions being as stated in said application, and
WHEREAS, after review, the Board deems it advisable to approve said
application, a copy of which is attached hereto and incorporated herein by
reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the 1993 Head Start Refunding Application for the Family
Educational Network 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 application.
The above and foregoing Resolution was, on motion duly made and seconded,
adopted by the following vote on the 28th day of October, A.D. , 1992.
/ it r9 BOARD OF COUNTY COMMISSIONERS
w.e c
ATTEST: �ISi1LI%L44-u;:n WELD CO TY, COLORADO
Weld County Clerk to the Board
e Ken dy, Chairman
BY:
Deputy Cle to the Board onstance L. Harbert, ro-Tem
APPROVED S TO FORM:
C. W. Ki
s
County Attorney Gor y
W. H. Webs er
921040
PL3t Cc f1R. , jam.
APPENDIX C OMB Approval No 03484043
APPLICATION FOR 2 DATE SUBMITTED Apeman(Mennen
FEDERAL ASSISTANCE 08CH0019
I. TYPE OF SUBMISSION: 1 DATE RECEIVED EY STATE Stale Appnratan eegible
ADpreation Preto/canon 08CH0019
O Construction O Construction
4 DATE RECEIVED BY FEDERAL AGENCY Federa emitter
(Non-Construction ❑ NOnConanuclron 08CH0019
S. APPLICANT INFORMATION
Legal Name OtgarnatoW Unit
Weld County Division of Human Resources Family Fduratinna1 r*g7nrk of Wald rnnnry
• Address(give cay. county. slate and rip coder Name and teephone number at the Delotl ID be contacted on mattes serene
1551 N. 17th Avenue the floatation (gnat area code)
P.O. Box 1805 Walter J. Speckman
Greeley, Colorado 80632 Executive Director (303) 353-38((16
a EMPLOYER IDENTIFICATION NUMBER Mew T. WIFE OF APPLIWR:IMNV wccOnato Joliet in box) (.111
A Stale H Warden @ School D•si
8 4 — 6 0 0 0 8 1 3• BCounty I State Connoted Institution of Htvhlh Ltenwo
C Minced cmel J Punts Unn•rmly
4 TYPE OF APPLICATION: 0 Township K Indian Tribe
O New alXContinuation O Revision E. Interstate I Individual
F ntermwraoal M Profit OrQanMnan
II Raween.erne IWWWWAl Wllansl in Mullen O ❑ G Specie Dlatra:t N Other ISoaclw)
A Increase Award B.Decrease Aware C Increase Duration
0 Decrease Duration Other(spicily) I. NAME OF FEDERAL AGENCY.
Dept. of Health and Human Services
^
It CATALOG OF FEDERAL DOMESTIC II. DESCRIPTIVE TITLE Of APPLICANT=PROJECT:
ASSISTANCE NUMBER 9 3 . 6 0 0
nnE. Head•.:Start PY93 PA22/PA20 Head Start Basic Grant
IC. AREAS AFFECTED BY PROJECT(crises.counties. artist 5tG)
Statewide (Colorado)
11. PROPOSED PROJECT: la. CONGRESSIONAL DISTRICTS OF.
Start Dale Ending Data a *Decant D Project
1/1/93 12/31/93 4
IS.ESTIMATED FUNDING: It IS APPLICATION SUBJECT TO REVIEW BY STATE EllECUTlVE ORDER ITT)? PROCESS?
a Federal S .00 )JK YES THIS PCE APPLCAT1ON,APPLICATION WAS MADE AVAILABLE TO THE
916,232 STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON
D AppKant E GO
225,664 DATE
.c Sine $ .00
b NO O PROGRAM IS NOT COVERED BY E 0. 12372
d Local S .00
O OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR RENEW
•-•e Other • S .00
I Program Income S 00 IT. IS THE APPLICANT DELINOUENT ON ANY FEDERAL DEET?
O Yea It'Yes.'attach an aapenalen O No
g TOTAL $ .00
1,141,896
II. TO THE EEO of MY KNOWLEDGE AND BELIEF.ALL DATA IN THIS AePLICATION.IREA PPMGIRON ARE TRUE AND CORRECT.THE DOCUMENT HAS BEEN DULY
AUTHORIZED BY THE GOVERNING•COY OF THE APPLICANT ANO THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED
a Typed Name of Authorized ReOeaantanie 0 Title C Tel•atMrw number
George Kennedy, Chairman Weld County Board of County Comm issi -.inns
d Sgnatwe of Authonrw Representative e Dale S9•ed
•
__,_� — 921040
ovens Cnens U isle $(snows lam 424 •REV CBS.
— i. . PYscubeo b 048 b•..:a• p.1.31
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PART III - BUDGET INFORMATION
SECTION A- BUDGET SUMMARY
Grant Program. Estimated Unobligated Funds I New or Revised Budget
Federal
Functionor Activity Catalog No. Federal Non-Federal Federal Non-Federal Total
(a) (b) (0) (d) - (0) (I) (g)
t• PA22 • S S S 9n1 n55 $ 77S7 A/. $ 1,126. 319
2- PA20 15, 177 15, 177
3.
4. I
5. TOTALS E S S 01 a,727 $ 275.764 $ 1 ..141...4.941--
SECTION
B-BUDGET CATEGORIES
-Grant Program, Function or Activity Total
6. Object Class Categories
(t) PA22 (2) PA70 (3) I./4) (5)
a. Personnel $ 433,615 $ $ $ is 433,j 1c
b. Fringe Benefits 132,408 137,40R
c. Travel 15,000 15,0nn
d. Equipment
e. Supplies 52,500 57,5nn
f. Contractual 76L I I 7",C00
g. Construction
h. Other 175.932 175,932
i. Total Direct Charges 15. 177 15,177
j. Indirect Charges 15,000 15,000
Ic TOTALS $ 001 .0.5c $ 15,177 S S $ 916,232
7. Program Income S S S S S
91040
OMB MX COMMON •
SECTION C- NON-FEDERAL RESOURCES
(a) Grant Program ! (b)APPLICANT I (c) STATE I (d)OTHER SOURCES I (e)TOTALS
8. IA22 5 225,264 Is 5 57's '
9.
10. I
11.
12. TOTALS is 225,264 $ $ 15225,264
SECTION D-FORECASTED CASH NEEDS
Total for 1st Year 1 1st Quarter 2nd Quarter 3rd Quarter [ 401 Quarter
13. Federal S 916,232 $ 305 417 S ens/,1n S S 305,410
14. Non-Federal 225,264 7S 090 �s�1u� 7`@97
15. TOTAL 51,141,493 )5 50 $ 380,497 $ S 380'497
SECTION E- BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT
FIXTURE FUNDING PERIODS (YEARSI
(a)Grant Program (b)FIRST (c)SECOND (d)THIRD 1 (e)FOURTH
16. PA22+PA20 IS 01A 119 $ 952 879 $ 990 99A $ 1 ;110,633
17.
18. I
19.
20. TOTALS Is 916,232 $ 952,879 $ 990,994 $ 1 030,611
SECTION F-OTHER BUDGET INFORMATION
(Attach Additional Shells d Necessary)
21. Direct Charges:
22. Indirect Charges:
23. Remar*s:
PART IV PROGRAM NARRATIVE (Attach per Instruction)
9Z1040
HEAD START PROGRAM DESIGN FORM Grantee/Delegate
I. Summary of Program Design Information
1. Funded enrollment by program option:
Center-based enrollment 343
Home-based enrollment
Combination option enrollment
Other option enrollment
Total Enrollment 343
Enrollment by County:
County Number of
FIPS Code County Name Children Served
WELD 343
2. Number of children with disabilities enrolled 34 minimum
3. Number of centers to be operated 11
4. Number of Head Start children included in item #1
that are provided child care services by the agency
through funds not included in the SF 424A and the Appendix 0
5. Number of children provided child development or child care
services by the agency that are in addition to those identified
in item #1 160
2 921040
6. Length of employment. Indicate the average number of employment hours per year
for the following positions:
Position Donn/Year Dual Role (Y)es or(N)o
1218
Director
1218
Education Coordinator
Health Coordinator 1218
Social Services Coordinator 1218
Parent Involvement Coordinator
1218
Disabilities Coordinator
3
921O40
HEAD START PROGRAM DESIGN FORM Grantee/Delegate #
II. Program Schedule
Program Schedule Number
Program Option Identification 0B
1. Funded enrollment 343
2. Number of CB/CO/OT classes or 16
Number of HB home visitors
D
Double Session, enter D
3. Number of hours of CB/CO/OT classes per child, per 3.5
day
4. Number of days of CB/CO/OT class per child, per 4
week
5. Number of days of CB/CO/OT class per child, per year 128
6. Number of hours HB socialization experience
7. Number of HB socialization experiences per child, per
year
8. Number of CB/HB/CO/OT home visits per child, per
3
year
9. Number of hours per CB/HB/CO/OT home visits 1
III. Paid Staff Employment
10. Number of hours of employment of teachers or home 40
visitors per week
11. Number of days of employment of teachers or home 5
visitors per week
12. Number of days of employment of teachers or home 2088
visitors per year
13. Number of hours of employment of aides per week 40
14. Number of days of employment of aides per week 5
15. Number of days of employment of aides per year 2088
5 921040
HEAD START LINE-ITEM BUDGET Grantee/Delegate # 08CH0019
A B C D
Total Cash Percent. Number-of
ACYF and Non- Non-Federal Admiral- Persons.,.
Federal 3n-Kind strative fl PT
I. PERSONNEL
(object class category 6.a)
A. Administrative
1. Executive Director 100
2. Fiscal Manager 8,182 100 1
3. Head Start Director 19,092 100 1
4. Bookkeeper 100
5. Administrative Assistant 100
6. Secretary 100
7. Center Director 100
A. Fiscal Tech. 5,973 100 1
B. Accountant 4,146 100 1
C. Office Manager 7,944 100 1
D. Office Tech. 8,274 100 1
E. Site Manager 12,416 100 1
i
12 921040
HEAD START LINE-ITEM BUDGET Grantee/Delegate # 08CH0019
A
Total Cash Percent Number of .:
ACYF and Non Non-Federal Admini-: Peons
Federal In-Kind strative fl '' Fr
B. Coordination
1. Education Coordinator 8,152 0 1
2. Director/Education Coordinator
3. Health Coordinator 8,152 0 1
4. Social Services Coordinator
5. Parent Involvement Coordinator
6. Social Services/Parent
Involvement Coordinator 7,944 0 1
7. Disabilities Coordinator
8. Health/Disabilities Coordinator
9. Nutrition Coordinator
A. HCP Spec. 10,342 0 1
B.
C.
13
9.;1fl40
HEAD START LINE-ITEM BUDGET Grantee/Delegate # ORCHOOI9
A
Total Cash, Percent Number of
ACYF and Non- Non-Federal:._ Admini Persons:
Federal - In-Kind strative FT`" PT"
C. Education
1. Teacher 115,192 0 16
2. Teacher Aide 83,867 35,000 0 16
3. Home Visitor
4. Substitutes
5. Other_Educauon Staff
Office Tech. 8,501 25 1
D. Health
1. Health Aide
2. Other Health Staff
E. Nutrition
1. Cook
2. Cook Aide
3. -Other Nntrtrtarrstaff
Lunch Aides 3,090 0 16
F. Social Services
1. Social Service Aide
2. Other Social Service Staff
G. Parent Involvement
1. Parent Involvement Aide
2. Other Parent Involvement
Staff
14 921040
HEAD START LINE-ITEM BUDGET Grantee/Delegate # 0RCH0019
A B C D
Total Cash Percent Number of
ACYF and Non- Non-Federal. Admit'''. Persons
Federal • In-Kind :' strative FT PT'.`
H. Maintenance
1. Custodian
2. Other Maintenance Staff
I. Transportation
1. Bus Driver 57,966 0 24
2. Bus Aide
3. Other Transportation Staff
J. Dual Roles
1. Family Worker
2. Teacher AideBus Driver
3. Other Disabilities Staff
A. Service Coord, 64,382 10 9
B.
C.
D.
TOTAL PERSONNEL 433,615 35,000
15
921040
HEAD START LINE-ITEM BUDGET Grantee/Delegate # 08CH0019
A B C;
Total Cash Percent
ACYF and Non= Non-Federal Administrative-
Federal In-Kind
2. FRINGE BENEFITS
(object class category 6.b)
1. Social Security 33,172 2,700 15
2. State Disability 2,211 15
3. Unemployment -
4. Worker's
Compensation 22,963 15
5. Health/Dental/Life Insurance 48,046 15
6. Retirement 26,016 15
7. Other Fringe
TOTAL FRINGE 132,408 2,700 15
3. OCCUPANCY
(object class category 6.h)
1. Rent 2,800 96,000 5
2. Depreciation/Use Allow 7,200 5
3. Utilities 17,000 5
4. Telephone 14,000 25
5. Building Insurance
6. Child Liability Insurance 1,500
7. Maintenance/Repair* 12,000 5
8. Renovation'
9. Other Occupancy
TOTAL OCCUPANCY 54,500 96,000
* If these services are provided by an individual who is not an employee, enter those costs in the object
class category 6.h of SF 424A, Section B. If these services are provided through a contract, enter
these costs on line 6.f of SF 424A, Section B.
16
9 ,.1.940
HEAD START LINE-ITEM BUDGET Grantee/Delegate # 008CH0019
A B C
Total Cash
ACYF and Non- Non-Federal Percent
Federal In-Kind Administrative
4. CHILD TRAVEL
1. Contract/Rental
2. Vehicle Maintenance/Repair 18,000
3. Vehicle Insurance 35,000
4. Vehicle Operating Expenses
5. Field Trips 5,000
6. Disabilities Travel
7. Other Child Travel
TOTAL CHILD TRAVEL 58,000
5. STAFF TRAVEL
1. Out-of-Town (6.c) 10,000 50
2. Local (6.h) 15,000 5
TOTAL STAFF TRAVEL 25,000
6. NUTRITION AND FOOD (object class category 6.h)
1. Children's Food=Projects 5,000 10,000
2. Adult's Food
3. Other Nutrition
TOTAL NUTRITION & FOOD 5,000 10,000
7. FURNITURE & EQUIPMENT (object class category 64)
1. Vehicle Purchase
2. Office 1,500 100
3. Classroom/Outdoor 8,000
4. Kitchen 2,000
5. Equipment/Maintenance/Repair* 5,000
6. Other Furniture/Equipment
TOTAL FURNITURE & EQUIPMENT 16,500
* If these services are provided by an individual who is not an employee, enter those costs in the object
class category 6.h of SF 424A, Section B. If these services are provided through a contract, enter
these costs on line 6.f of SF 424A, Section B.
17 021040
HEAD START LINE-ITEM BUDGET Grantee/Delegate # 08CH0019
A B C
Total Cash
ACYF and Non- Non-Federal Percent.
Federal In-Kind Administrative
S. SUPPLIES (object class category 6.e)
1. Office/Copying/Postage 10,000 100
2. Cleaning 5,000 5
3. Classroom/Home Base 25,000 15,000
4. Medical/Dental 5,000
5. Kitchen 7,500
6. Disabilities Supplies
7. Other Supplies
TOTAL SUPPLIES 52,500 15,000
9. OTHER CHILD SERVICES
(object class category 6.h)•
1. Education Consultant
2. Substitutes
3. Volunteers (Education)
4. Medical/Dental Exam/Screening/Care - 15,900 10,000
5. Mental Health Assessment/Care 19,200 10,000
6. Nutrition Consultant 1,500
7. Speech Therapy 40,000 26,964
H. Disabilities Services
9. Other Services
TOTAL OTHER CHILD SERVICES 76,600 46,964
* If these services are provided by an individual who is not an employee, enter those costs in the object
class category 6.h of SF 424A, Section B. If these services are provided through a contract, enter
these costs on line 6.f of SF 424A, Section B.
18 9Z104O
HEAD START LINE-ITEM BUDGET Grantee/Delegate# 08CH0019
A B C.
Total Cask
ACTT and:Non--• Non Federal: Percent
Federal In-Kind Administrative
10. OTHER PARENT SERVICES
1. Parent Activities (6.h)
Parent Travel 5,600
2. Out-of-Town (6.c) 5,000
3. Local (6.h) 500
4. Other Parent Services (6.h) 1,832
TOTAL OTHER PARENT SERVICES 12,932
11. OTHER (object class category 6.b)•
1. Audit 2,500 100
2. Legal (6.h)' 500 100
3. Theft Bond
4. General Liability Insurance
5. Payroll/Accounting 10,000 100
6. Publications/Subscriptions 1,000
7. Printing/Advertising 5,000 100
8. T&TA CDA
9. Other T&TA 15,177
10. Other Training
11. Disabilities Training
12. Other Disabilities ,
13. Volunteers (Not Education) 10,000
14. Other
TOTAL OTHER 34,177 10,000
12. INDIRECT COSTS
1. Indirect Costs 15,000 10,000 100
TOTAL INDIRECT SERVICES 15,000 10,000
* If these services are provided by an individual who is not an employee,enter those costs in the object
class category 6.h of SF 424A, Section B. If these services are provided through a contract, enter
these costs on line 6.f of SF 424A, Section B.
19 92:2.040
HEAD START LINE-ITEM BUDGET Grantee/Delegate # 08O40019
A. B C
Total Cash
ACYF and Non- Non-Federal Percent
Federal. In-Kind- Administrative
13. TOTALS
ALL BUDGET CATEGORIES
916,232 225,264 12
TOTAL BUDGET (Cols A + B) 1,141,496 12
TOTAL ACYF BUDGET
(a + b + c below)
a. Program Funds 851,055 + 50,000 = 901,055
b. Disabilities Services
c. T&TA Funds 15,177
TOTAL NON-FEDERAL BUDGET Cash
In-Kind 225,264
20 921040
1
FAMILY EDUCATIONAL NETWORK OF WELD COUNTY
CONTINUATION APPLICATION
GRANT NUMBER 08CH0019/20
PROGRAM NARRATIVE
PA 22
1. NEED FOR ASSISTANCE AND GEOGRAPHIC AREA
No additional information is required.
2. OBJECTIVES AND RESULTS OR BENEFITS EXPECTED
The Family Educational Network of Weld County moved into the "Neighborhood
School" model in January 1992. It was anticipated that the new model
would be realized in October, 1991; however, due to construction
complications the opening was belated. Services to the children were not
significantly delayed or interrupted. Children were able to attend
classes at the main site until the modular buildings were complete. The
classrooms were moved during the Christmas break and children were able to
start the "New Year" in their new classrooms.
An additional site was added for school year 1992-1993, in Kersey, School
District RE-7. This classroom has children participating from the
Colorado Pre-school Project and Special Needs Programs, as well as Head
Start. Head Start eligible children from this district had previously
received services at the Greeley Center. Kersey is located twelve miles
east of Greeley. The Kersey School District has a pre-school classroom
adjacent to the elementary school.
The following classrooms, located on elementary school campuses, have
children integrated from various programs; Head Start, The Colorado Pre-
school Project, and/or Special Needs Programs within school districts.
Hudson Elementary, 300 Beach, Hudson
Milliken Elementary, 300 Broad, Milliken
Kersey Elementary, 510 Clark, Kersey
Billie Martinez Elementary, 341 14th Avenue, Greeley
Madison Elementary, 24th Avenue and 6th Street, Greeley
East Memorial Elementary, 614 East 20th Street, Greeley
Jefferson Elementary, 1315 4th Avenue, Greeley
Centennial Elementary, 1400 37th Street, Evans
Dos Rios Elementary, 2201 34th Street, Evans
The following site is located at a low-income housing project and has
children integrated from the aforementioned programs.
Island Grove Village, 119 14th Avenue, Greeley
921040
The site located in Frederick provides services to Head Start eligible
children only.
Frederick, 340 Maple, Frederick
The Gilcrest Center provides services to children enrolled in the Weld
School District RE-1, Colorado Pre-school and Special Needs Programs only.
Children eligible for Head Start in this school District go to either the
Frederick Center or one of the Greeley Centers. The Gilcrest School
District (RE-1) and FENWC are trying to compromise on issues which prevent
these children from attending the Gilcrest Site. We are committed to
resolve these issues for School Year 1993-'94.
Gilcrest Elementary, 1175 Birch, Gilcrest
**The following is a report of the progress made toward the goals
established in 1990 for the FENWC program, through 1993.
GOAL #1 PARENT INVOLVEMENT
Parent Involvement will be increased by a minimum of 50% by program year 1994,
and will address the overall goals of Head Start to increase social competency
of families.
HEALTH COMPONENT
Objective: To identify a minimum of 3 target families and assist them to
follow through, and be involved with their child's health,
dental and special needs care in order to ensure that child
and family needs are met.
Accomplishments:
Eighteen parents were identified as needing assistance in
following through and being involved with their child's health
needs. All of the parents were contacted, sought assistance
and were attentive to their child's health care needs.
Objective: Encourage three parents (at a minimum) to become involved in
the workings of the Health Component, and train them to assist
with the health screenings, fill in and assist when the
coordinator needs help going to other sites.
Accomplishments:
Four parents assisted with the Dental Screenings.
Two parents assisted with Heights and Weights.
Two parents assisted with Vision Screenings.
921.04O
FAMILY SERVICES
Objective: Have a center meeting on a monthly basis with a minimum of
three parents in attendance with topics addressing the needs
to parents.
Accomplishments:
Center Committee meetings were held monthly, as planned.
Objective: Increase contact of parents on a monthly basis. Case managers
will spend fifteen percent (15%) of their time with parents.
Accomplishments:
Case managers spent fifteen percent (15%) or more of their
time with the families assigned to them.
GOAL #2 TRAINING
Parents, staff and community trainings will address Head Start specific issues
and increase awareness of a Comprehensive Early Childhood Program.
HEALTH COMPONENT
Objective: To establish a comprehensive training program for parents,
staff and the community.
Accomplishments:
Six parents along with staff participated in the Dental
Workshop.
Thirty parents attended First Aide and CPR classes and
received their certification. All staff requiring their First
Aide and CPR Certificates completed the class and received
their certificates.
Six parents and all education staff attended the Nutrition
Workshop.
Six parents attended the Basic Health Workshop.
Three parents attended a Child Abuse Prevention Workshop.
Eight parents along with staff attend a Mental Health
Workshop.
Not accomplished:
Once again the Parent Support Group on site never
materialized. This is due to FENWC's transition into the
"Neighborhood School Concept", and the fact that there is no
longer a central location for parents to meet. We are
currently in the process of locating appropriate facilities
whereby we can hold these support groups. There were;
however, many referrals made to local programs working with
parents.
9 ;=.040
Objective: Train staff in identifying the child with emotional needs,
identify three children and begin treatment.
Accomplishments:
Eighteen children and families were identified as needing
Mental Health Services and twelve families received services
through Weld Mental Health or Adams County Mental Health.
FAMILY SERVICE COMPONENT
Objective: Assist parents, staff and the community with a training on
literacy with a minimum of five persons in attendance.
Accomplishments:
Thirteen parents were enrolled in GED classes at Aims Couuuunity
College and with BUENO-HEP.
Four parents were enrolled in ESL classes.
Two parents took a spanish class at Aims Community College.
Objective: Provide training on Centering Curriculum/Self Esteem to
parents, communities and staff with a minimum of six persons
in attendance, in Spanish and in English.
Accomplishments:
We were unable to provide the Centering Training as there was
a significant amount of turn-over in the Family Services
Component.
GOAL #3 COMMUNITY INVOLVEMENT
To educate community agencies and the private sector to the goals and philosophy
of the Head Start Program, in order to enhance advocacy for children and
families, as well as program participation.
HEALTH COMPONENT
Objective: Complete the DIAL-R on all enrolled children. Schedule Case-
reviews, Interagency Clinics, Speech Diagnostics and treatment
with the University of Northern Colorado.
Accomplishments:
The following agencies and community representatives were
involved in the aforementioned activities; local dental
providers, the Weld County Health Department, the University
of Northern Colorado, Weld County Hospice, the Red Cross,
Members of the Health Advisory Board, and the Interagency
Early Childhood Clinic.
921040
Objective: Mainstream all special needs children into school districts by
April 1992, by way of staffings.
Accomplishments:
School personnel (School Community Facilitator) were
identified. The Special Needs Technician and teachers
attended all staffings regarding identified children.
Individual Education Plans were written in conjunction with
the parents and the schools. At the end of the school year,
withdrawal forms were sent to the schools with all pertinent
information to ensure that proper follow-up is given to the
children.
FAMILY SERVICE COMPONENT
Objective: Case managers with the assistance of parents will visit three
agencies or business for an information sharing session to
discuss what each agency or business has to offer and explain
the services of FENWC.
Not accomplished:
This goal was revisited and it was determined that this method
was not an effective means to gather and disseminate
information. The number of agencies that we can effectively
visit and impact is limited. The turn-over rate of the Family
Service Component was also a factor in the need to delete this
goal.
Objective: Provide assistance for parents transitioning children into the
public school districts.
Accomplished- The breakdowns were completed in May of 1992.
Information was sent to parents regarding Kindergarten Round-
up and follow-up was done with both the parents and the
schools.
GOAL #4 NAEYC ACCREDITATION
To have all FENWC sites credentialed by the National Association of Education for
Youth Children and Children by 1994.
EDUCATION COMPONENT
Objective: To help FENWC personnel become involved in the credential
process that will facilitate real and lasting improvements in
the quality of the program serving young children.
Accomplishments:
Due to the new program model the credential process has been
delayed. We hope to complete the process for all centers by
December of 1995.
921040
3. APPROACH
The Family Educational Network of Weld County (FENWC) is in the process of
completing it's transition into the "Neighborhood School Concept". In the
process of this transition it became apparent that the staffing pattern
could not meet the demands of the new structure. It was also obvious that
the staffing pattern needed to be reorganized in order for the program to
align itself for future program expansion. The attached organizational
chart illustrates the new personnel structure. The current structure was
approved by Region VIII with the most current Quality Improvement Grant.
In keeping with the "Neighborhood School Concept" FENWC is hoping to
purchase slots from with SJB Child Development Centers, Inc. SJB Child
Development Centers, Inc. operate early childhood programs, including; The
Colorado Pre-school Project and Special Needs Programs (99-457) on
elementary school sites. SJB Child Development Centers, Inc. provides
these services on public school sites where FENWC does not have early
childhood projects. It is in accordance with FENWC's "Neighborhood School
Concept" to offer all children the opportunity to attend an integrated,
quality, early childhood program located at the public school where they
will attend kindergarten. We are proposing to purchase 20 slots from SJB
Child Development Centers, Inc. The elementary school sites which will
benefit from the FENWC/SJB collaborative effort are as follow:
Jefferson Elementary, 1315 4th Avenue, Greeley
Monfort Elementary, 2101 47th Avenue, Greeley
Scott Elementary, 3000 13th Street, Greeley
The Family Educational Network of Weld County (FENWC) has identified
several areas of needed improvement through the SAVI, Self Program
Monitoring and Parent Questionnaires. The critical areas the program will
concentrate on are mental health, multi-cultural activities and materials,
parent classes, and training for the Service Coordinators (a newly created
position) . Following is a description of how we will improve upon the
aforementioned areas of needed improvement.
Mental Health
Currently FENWC contracts with Weld Mental Health and Adams County Mental
Health. These contracts provide for; 10 individual or family sessions
located on site, parent support groups, and parent trainings. If a family
or child requires or requests more than the ten allotted sessions,
provisions will be made. All services are available to monolingual
spanish speaking families. The University of Northern Colorado (UNC) will
provide play therapy, and staff and parent training. Services will be
coordinated between the, families and children mental health clinics and
UNC by the Special Needs Technician. We are also hoping to make services
available to staff members who may be in need.
Multi-cultural Activities and Materials
FENWC is in the process of assessing the multi-cultural materials and
supplies in each classroom and the resources available. This process
should be complete by December, 1992. January, 1993 new appropriate
materials will be ordered. Materials will include: books, pictures, toys,
games, etc.
Trainings on multi-cultural diversity and activities will be arranged with
the T/TA network as well as through local agencies. A coordinated grant
to Public Service of Colorado was submitted by The Area Agency on Aging,
Weld School District 6, The United Way of Weld County and FENWC. The
grant is to promote an inter-generational program which will enhance
multi-cultural diversity in the classrooms. The targeted classrooms for
FENWC are in the rural areas of Kersey and Milliken. The intent of this
grant is so that older adults will share their life stories and
experience, dance, customs, food, etc. with the children participating in
the FENWC Early Childhood Programs.
Parent Classes
There will be a minimum of one parent class per month. The topics will
cover a wide variety of material, and all Head Start Component areas will
be covered. At Open-House, parents were given a questionnaire to
determine their needs and interests. This information will be gathered
and staff will determine the needs of the parents. A yearly and monthly
calendar will be sent to the parents regarding the trainings and classes
to be offered. The Service Coordinators will also contact parents with
particular interests to encourage them to participate. We hope to utilize
parents to conduct classes for other parents.
The following resources will be used to provide classes for parents: The
University of Northern Colorado, Aims Community College, Weld Mental
Health, Parents, The Specialist Staff at FENWC, The Region VIII T/TA
Network, Private Consultants etc. Parents will also be encouraged to
attend staff trainings, when appropriate. All trainings will be
documented.
Service Coordinator Training
The Service Coordinator is a newly created position within the new
organizational structure of FENWC. In order for staff in this position to
be effective in their new roles, we have identified the following training
needs: Supervisory Training, The On Site Program Review Instrument
(OSPRI) , Team Building, Time Management, Communication Skills and The Art
of Networking. The same resources mentioned in the Parent Classes will
provide the aforementioned trainings.
32_1040
HANDICAPPED SERVICES
The Family Educational Network of Weld County will continue to allocate
.0275 of its dollars to provide services to children with special needs.
Children will be recruited with their diagnosis in tact from various
referring sources, within Weld County. During the time of screenings it
is inevitable that we identify students with possible needs. Upon
identifying children with possible needs we refer them to the proper
agencies and/or doctors for a complete assessment and diagnosis. When the
child is diagnosed a complete Individual Education Plan is written in
coordination with the child's parent, Special Needs Technician, the
therapist etc.
When a special needs child enters the program and after the Individual
Education Plan is written, appropriate materials and supplies will be
ordered for the child, to ensure a successful Head Start experience.
Children and parents will receive all needed services according to the
Individual Education Plan in coordination with the school districts and
appropriate agencies. FENWC assures that parents and children will
receive necessary support services to include: transportation, child care,
mental health etc.
9e7-4
,,:.a4U
FAMILY EDUCATIONAL NETWORK OF WELD COUNTY
CONTINUATION APPLICATION
GRANT #08CR0019/20
PROGRAM NARRATIVE
PA 20
The Family Educational Network of Weld County is dedicated to ensure that staff
receive the highest quality training as possible. FENWC utilize various means
by which to secure training for staff development, such as, Aims Community
College, private consultants, the Region VIII Resource Network, Weld County
Personnel Workshops, and local, regional and national trainings.
The 1993 program year priority is to provide quality training to the Service
Coordinators. The Service Coordinator position is a newly created position
within the reorganization of FENWC. The Service Coordinator position (see
attached position description) plays a key role in the FENWC organization.
Therefor, this position must receive training in the following areas: each Head
Start Component area, Time Management, Community Networking, Conflict Resolution,
Supervision Skills and Early Childhood Education. This position also must be
Director Certified with the Colorado Department of Education which will require
some classes on Early Childhood Education at Aims Community College.
FENWC is also pleased to announce that several teaching staff are pursuing early
childhood classes at Aims Community College. If an employee does not qualify for
financial assistance and cannot afford the tuition and book costs FENWC assists
the employee with these costs. The Career Development Committee has been very
active in this process and does have a policy in place to ensure that funds are
appropriated accordingly and fairly.
321040
FAMILY EDUCATIONAL NETWORK OF WELD COUNTY
CONTINUATION APPLICATION
GRANT #08CH0019/20
BUDGET NARRATIVE
PA 22
4. BUDGET APPROPRIATENESS AND REASONABLENESS
1. Staff Salary
Staff salary is broken out on the Budget page according to position,
grade level, and percentage of time charged to the Head Start Grant.
Individual salaries may appear to be less; however, due to various
resources and time allocation, overall salaries have increased.
2. Fringe benefits
Social Security is figured at .0765 x salary for each employee,
Workers Compensation is figured at .03785 x gross salary for the teachers
and teacher aides, and at .0029 x gross salary for other employees.
State Disability is figured at $.51 per $100.00 made up to a total of
$5,000.00 per employee.
Health Insurance is figured at $130.25 per all regular, full time
employees.
Life Insurance uses the following formula for all regular full time
employees:
3 x the amount of an employees salary divided by 1000 x .265.
Retirement is a 6% salary match.
3. Occupancy
Rent
Island Grove Village $150.00 per month x 8 months = $1,200.00
Milliken Elementary $250.00 per month x 8 months = 2,000.00
Occupancy/Depreciation is estimated at (modular) . . . 7,500.00
Utilities is an estimated cost based on FY 1991-92 actual budget
expenditures and a $1.25 per square foot rate, charged to FENWC by School
Districts 6 and RE-3J. The modular units are tied in with existing School
District utilities.
Telephone costs pay for program related telephone charges. This is an
estimated cost based on budget expenditures for FY 1991-92, and the
addition of 7 new sites.
321040
Child Liability Insurance is charged at a rate of $3.80 per child.
Additional funds are placed in this to cover siblings involved while their
parents are volunteering in program activities. Funds are also added for
a possible rate increase.
Maintenance is an estimated cost based on FY 1991-92 budget expenditures.
Maintenance costs include costs incurred for the safety and upkeep of the
facilities to include: carpet cleaning, and janitorial services provided
by the school districts, charged to FENWC at $1.34 per square foot per
month.
Building Repair is estimated based on FY 1991-92 budget expenditures.
Building Repair costs include the costs to repair plumbing, electricity
and damage that may occur to the buildings.
4. Child Travel
Field Trip costs cover the costs for the mini-vans to transport all
classrooms on monthly field trips to include trips to: the zoo dairy
farms, local restaurants, pumpkin farms etc.
Vehicle Operating Expenditures are charged at a rate of $.90 per mile x
33,000 miles. The Vehicle Operating Expenditures include the costs of gas
and oil, vehicle liability insurance and replacement costs. Vehicle
replacement costs are pro-rated on a percentage rate of usage.
Vehicle Repairs pay for the cost to repair vehicles utilized by the
program. The charges are pro-rated on a percentage rate of usage.
5. Staff Travel
Out-of-Town Travel costs are for administrative staff to attend training
conferences to include: Region VIII Training Conferences, National Head
Start Training Conferences, Management Conferences, Director and Staff
Association Conferences and Business, Coordinator Conferences and meetings
relative to the program. Costs include: per diem, room and board and
travel arrangements.
Local Travel costs pay a rate of $.25 per mile for staff to make home
visits and site visits. This cost also pays mileage for in state and
local travel in the interests of Head Start Business.
6. Food costs are reimbursed by the United States Department of Agriculture's
Child Adult Care Food Program (CACFP)
7. Furniture and Equipment
Office equipment and furniture include: desks, chairs, file cabinets, etc.
Classroom costs cover the furniture used on the classrooms which may
include: child sized chairs, water tables book shelves, dramatic play
furniture, etc.
322040
Recreation equipment constitutes outdoor gross-motor supplies such
tricycles, wagons etc.
Kitchen equipment consists of food warmers, temp stacks, etc.
Equipment/Repair and Maintenance pays for the costs incurred to repair
classroom furniture and office equipment such as the laminator, copy
machine, typewriters, classroom tables and outdoor equipment.
**NOTE: All furniture and equipment needed for special needs children
will be provided for with these funds.
8. Supplies
Office supplies include paper, paper clips, pens/pencils, calendars,
typewriter/computer ribbon etc.
Postage pays for the cost of stamps and postage fees for program related
activities; i.e. : letters to community agencies and parents,
correspondence related to Head Start business.
Classroom covers the costs incurred for classroom materials to include:
construction paper, finger paint, paint brushes, scissors, crayons,
pencils, etc.
Medical/Dental include the costs associated with the health and safety of
the program, such as; first aid kits, bandaids, antiseptics, toothpaste,
etc.
Kitchen supplies include the cost of paper products for the classroom
meals, as well as serving supplies.
Janitorial costs include supplies foe the cleanliness of the classrooms to
include: disinfectant, toilet paper, paper towels, mops, sponges, etc.
**NOTE: All supplies needed for special needs children will be provided
for with these funds.
9. CHILD SERVICES
Medical/Screenings and Care pays for the children's physical exams, sick
child care and other necessary exams by medical providers etc. This is
done by contract with local health clinics and doctors. Medicaid and
private insurance will be billed when appropriate.
Dental/Examinations Care cover the costs of the children's dental
screenings and examinations. Medicaid and private insurance will billed
for families receiving these benefits
Mental Health Assessments and Care pays for Mental Health Assessments and
a maximum of ten sessions for children and their families, provided by
Weld Mental Health and Adams Mental Health Clinics. Medicaid and private
insurance will be billed for clients receiving these benefits.
9 f7 040
Speech Therapy pays for the following if families are not receiving
medicaid or have private insurance; speech diagnostics, individual and/or
group therapy and consultation services for the staff and parents.
Services are provided by contract with the University of Northern
Colorado.
**NOTE: This category also assures that all services required by special
needs children will be provided for.
1O. OTHER PARENT SERVICES
Parent Activities pays for the cost of parent trainings, Center Committee
and Parent Policy Council Meetings and educational materials for the
parents pursuing educational endeavors. Also, pays for the costs of
materials needed for parent orientations and Special Parent Functions.
The costs include transportation and child care, as well.
Parent Travel pays for the cost of two parents to attend the National Head
Start Training and for two parents to attend the Region VIII Training
Conference, as well as local trainings as deemed by the Parent Policy
Council.
11. OTHER
Audit pays for the annual audit as required by the Department of Health
And Human Services, for all federal grants.
Data Processing covers the charges of Weld County for computer support
services.
Publications/Subscriptions covers the costs incurred for the purchase of
early childhood publications and program related publications and
subscriptions.
Printing/Advertising includes the costs of printing program material and
newsletters. The cost of employee recruitment and advertisement is also
in included in this line item. Costs are based on expenditures of FY
1991-92
921:0,10
FAMILY EDUCATIONAL NETWORK OF WELD COUNTY
CONTINUATION APPLICATION
GRANT NUMBER 08CH0019/20
BUDGET NARRATIVE
PA 20
1. STAFF TRAVEL
Out of Town pays for staff to attend training conferences relative to Head
Start to include:
The High/Scope Registry
Ypsilanti Michigan, Spring, 1993
Two teachers and the Educational Coordinator
The National Head Start Conference
Indiana, Spring 1993
four staff members
Other local and national conferences as deemed appropriate by FENWC
administration with approval form Region VIII.
Air fare, room and board, per diem, and registration and materials are
included in the cost of the conferences.
Local travel includes mileage at a rate of $.25 per mile for staff to
travel to local trainings and per diem at a rate of $10.00 per day. Also
pays for 10 staff members to attend each of the CAEYC conferences in the
spring and fall of 1993.
2. SUPPLIES
Classroom supplies consist of books and materials for staff attending
trainings offered by FENWC, and taking classes at Aims Community College
relative to their positions with FENWC.
3. OTHER
Printing/Advertising pays for the costs incurred for materials and
announcements relative to trainings.
Staff Training will be concentrated on the new Service Coordinator
positions. The costs for training will include the cost of consultants,
tuition at Aims Community College (only if staff are not eligible for
assistance and can not afford to pay tuition on their own) , and CDA
training.
at:040
WAS Approval No.0348-0040
ASSURANCES - NON-CONSTRUCTION PROGRAMS
Note: Certain of these assurances may not be applicable to your project or program. If you have questions,
please contact the awarding agency. Further,certain Federal awarding agencies may require applicants
to certify to additional assurances. If such is the case,you will be notified.
As the duly authorized representative of the applicant I certify that the applicant:
1. Has the legal authority to apply for Federal (e)the Drug Abuse Office and Treatment Act of
assistance, and the institutional, managerial and 1972 (P.L. 92-255), as amended, relating to
financial capability (including funds sufficient to nondiscrimination on the basis of drug abuse, (fl
pay the non-Federal share of project costs) to the Comprehensive Alcohol Abuse and Alcoholism
ensure proper planning, management and corn- Prevention, Treatment and Rehabilitation Act of
pletion of the project described in this application. 1970 (P.L. 91-616), as amended, relating to
nondiscrimination on the basis of alcohol abuse or
2. Will give the awarding agency, the Comptroller alcoholism;(g) §§ 523 and 527 of the Public Health
General of the United States, and if appropriate, Service Act of 1912(42 U.S.C. 290 dd-3 and 290 ee-
the State, through any authorized representative, 3) as amended, relating to confidentiality of
access to and the right to examine all records, alcohol and drug abuse patient records; (h) Title
books, papers, or documents related to the award; VIII of the Civil Rights Act of 1968 (42 U.S.C. §
and will establish a proper accounting system in 3601 et seq.), as amended, relating to non-
accordance with generally accepted accounting discrimination in the sale, rental or financing of
standards or agency directives. housing; (i) any other nondiscrimination
3. Will establish safeguards to prohibit employees provisions in the specific statute(s) under which
from using their positions for a purpose that application for Federal assistance is being made;
constitutes or presents the appearance of personal and (j) the requirements of any other
or organizational conflict of interest, or personal nondiscrimination statute(s) which may apply to
gain. the application.
4. Will initiate and complete the work within the 7. Will comply, or has already complied, with the
applicable time frame after receipt of approval of requirements of Titles II and III of the Uniform
the awarding agency. Relocation Assistance and Real Property
Acquisition Policies Act of 1970 (P.L. 91-646)
5. Will comply with the Intergovernmental which provide for fair and equitable treatment of
Personnel Act of 1970 (42 U.S.C. §§ 4728-4763) persons displaced or whose property is acquired as
relating to prescribed standards for merit systems a result of Federal or federally assisted programs.
for programs funded under one of the nineteen These requirements apply to all interests in real
statutes or regulations specified in Appendix A of property acquired for project purposes regardless
OPM's Standards for a Merit System of Personnel of Federal participation in purchases.
Administration(5 C.F.R.900,Subpart F).
8. Will comply with the provisions of the Hatch Act
6. Will comply with all Federal statutes relating to (5 U.S.C. §§ 1501-1508 and 7324-7328)which limit
nondiscrimination. These include but are not the political activities of employees whose
limited to: (a) Title VI of the Civil Rights Act of principal employment activities are funded in
1964 (P.L. 88-352) which prohibits discrimination whole or in part with Federal funds.
on the basis of race, color or national origin; (b)
Title IX of the Education Amendments of 1972,as 9. Will comply,as applicable,with the provisions of
amended(20 U.S.C. §§ 1681-1683,and 1685-1686), the Davis-Bacon Act (40 U.S.C. §§ 276a to 276a-
which prohibits discrimination on the basis of sex; 7), the Copeland Act (40 U.S.C. § 276c and 18
(c)Section 504 of the Rehabilitation Act of 1973,as U.S.C. §§874),and the Contract Work Hours and
amended (29 U.S.C. § 794), which prohibits dis- Safety Standards Act (40 U.S.C. §§ 327-333),
crimination on the basis of handicaps; (d)the Age regarding labor standards for federally assisted
Discrimination Act of 1975, as amended (42 construction subagreements.
U.S.C.44 6101-6107), which prohibits discrim-
ination on the basis of age;
Standard Form 4249 (4-88)
Prescribed by OMB Circular A-102
Authorized for Local Reproduction
521,0440
10. Will comply, if applicable, with flood insurance 13. Will assist the awarding agency in assuring
purchase requirements of Section I02(a) of the compliance with Section 106 of the National
Flood Disaster Protection Act of 1973(P.L.93-234) Historic Preservation Act of 1966, as amended (16
which requires recipients in a special flood hazard U.S.C. 470), EO 11593 (identification and
area to participate in the program andto purchase protection of historic properties), and the
flood insurance if the total cost of insurable Archaeological and Historic Preservation Act of
construction and acquisition is$10,000 or more. 1974(16 U.S.C.469a-1 et seq.).
11. Will comply with environmental standards which 14. Will comply with P.L. 93-348 regarding the
may be prescribed pursuant to the following: (a) protection of human subjects involved in research,
institution of environmental quality control development, and related activities supported by
measures under the National Environmental this award of assistance.
Policy Act of 1969 (P.L. 91-190) and Executive 15. Will comply with the Laboratory Animal Welfare
Order (EO) 11514; (b) notification of violating Act of 1966 (P.L. 89-544, as amended, 7 U.S.C.
facilities pursgant to EO 11738; (c) protection of 2131 et seq.) pertaining to the care, handling, and
wetlands pursuant to EO 11990; (d) evaluation of treatment of warm blooded animals held for
flood hazards in floodplains in accordance with EO research,teaching,or other activities supported by
11988; (e)assurance of project consistency with this award of assistance.
the approved State management program
developed under the Coastal Zone Management 16. Will comply with the Lead-Based Paint Poisoning
Act of 1972 (16 U.S.C. H 1451 et seq.); (f) Prevention Act (42 U.S.C. H 4801 et seq.) which
conformity of Federal actions to State (Clear Air) prohibits the use of lead based paint in
Implementation Plans under Section 176(c) of the construction or rehabilitation of residence
Clear Air Act of 1955, as amended (42 U.S.C. § structures.
7401 et seq.);(g)protection of underground sources 17. Will cause to be performed the required financial
of drinking water under the Safe Drinking Water and compliance audits in accordance with the
Act of 1974, as amended, (P.L. 93-523); and (h)
Single Audit Act of 1984.
protection of endangered species under the
Endangered Species Act of 1973,as amended,(P.L. 18. Will comply with all applicable requirements of all
93-205). other Federal laws, executive orders, regulations
12. Will comply with the Wild and Scenic Rivers Act and policies governing this program.
of 1968 (16 U.S.C. H 1271 et seq.) related to
protecting components or potential components of
the national wild and scenic rivers system.
SIGNATURE,�OF AUTHORIZED CERTIFYING OFFICIAL // TITLE
.-�-.�e_ ��_,,��,c___-,,a9- Chairperson
O 777O q Weld County Board of Commissioners
APPLICANT ORGANIZATION DATE SUBMITTED
Weld County Board of Commissioners
Division of Human Resources O2s, /(19.97-,
SF 4248 1488) Back
321040
CERTIFICATION REGARDING LOBBYING
Certification for Contracts. Grants. Loans.
and Cooperative Agreements
The undersigned certifies, to the best of his or her knowledge and belief, that:
(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of
the undersigned, to any person for influencing or attempting to influence an officer or
employee of any agency, a Member of Congress, an officer or employee of Congress,
or an employee of a Member of Congress in connection with the awarding of any
Federal contract, the making of any Federal grant, the making of any Federal loan, the
entering into of any cooperative agreement, and the extension, continuation, renewal,
amendment, or modification of any Federal contract, grant, loan, or cooperative
agreement.
(2) If any funds other than Federal appropriated funds have been paid or will be paid
to any person for influencing or attempting to influence an officer or employee of any
agency, a Member of Congress, an officer or employee of Congress, or an employee
of a Member of Congress in connection with this Federal contract, grant, loan or
cooperative agreement, the undersigned shall complete and submit Standard Form-
LLL, "Disclosure Form to Report Lobbying", in accordance with its instructions.
(3) The undersigned shall require that the language of this certification be included
in the award documents for all subawards at all tiers (including subcontracts,
subgrants, and contracts under grants, loans, and cooperative agreements) and that
all subrecipients shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed
when this transaction was made or entered into. Submission of this certification is
a prerequisite for making or entering into this transaction imposed by section 1352,
title 31, U.S. Code. Any person who fails to file the required certification shall be
subject to a civil penalty of not less than S10,000 and not more than $100,000 for
each such failure.
Weld County, Weld County Board of Commissioners
Organization Choi MOT) ��/��lG�
Author ed Signature �� /4 Title Date
(Revised 4/9/92)
92-.040
caRFICATION REGARDING EBARMENT. SUSPENSION. AND RE3PONSIBILITY MATTERS- OTHER
PRIMARY COVERED TRANSACTIONS
By signing and submitting this grant application,the applicant, defined as the primary
participant in accordance with 45 CFR Part 76, certifies to the best of its knowledge.
and belief that it and its principals:
(a) are not presently debarred, suspended, proposed for debarment, declared
ineligible, or voluntarily excluded from covered transactions by any Federal.
Department or agency;
(b) have not within a three-year period preceding this proposal been convicted
of or had a civil judgment rendered against them for commission of fraud or a 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 or otherwise criminally or civilly charged by a
governmental entity (Federal, State, or local) with commission of any of the offenses
enumerated in paragraph (1)(b) of this certification; and
(d) have not within a three-year period preceding this application/proposal had
one or more public transactions (Federal, State, or local) terminated for cause or
default.
The inability of a person to provide the certification required above will not necessarily
result in denial of participation in this covered transaction. If necessary, the
prospective participant shall submit an explanation of why it cannot provide the
certification. The certification or explanation will be considered in connection with the
Department of Health and Human Services' (HHS) determination whether to enter into
this transaction. However, failure of the prospective primary participant to furnish a
certification or an explanation shall disqualify such person from participation in this.
transaction.
The prospective primary participant agrees that by submitting this proposal, it will
include the clause entitled "Certification Regarding Debarment, Suspension,
Ineligibility, and Voluntary Exclusion - Lower Tier Covered Transactions,: provided
without modification in all lower tier covered transactions and in all solicitations for
lower tier covered transactions.
(Revised 4/9/92)
9`1040
CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND
VOLUNTARY EXCLUSION - LOWER TIER COVERED TRANSACTIONS
(To Be Supplied to Lower Tier Participants)
By signing and/or submitting this grant application, the prospective lower tiers
participant, as defined in 45 CFR Part 76, certifies to the best of its knowledge and. -
belief that it and its principals:
(a► are not presently debarred, suspended, proposed for debarment, declared=:
ineligible, or voluntarily excluded from participation in this transaction by any federal r,
department or agency.
(b) where the prospective lower tier participant is unable to certify to any of
the above, such prospective participant shall attach an explanation to this proposal.-
The prospective lower tier participant further agrees by submitting this proposal thatr
it will include this clause entitled "Certification Regarding Debarment, Suspension,-
Ineligibility, and Voluntary Exclusion - Lower Tier Covered Transactions," without:
modification in all lower tier covered transactions and in all solicitations for lower tier:,
covered transactions.
(Revised 4/9/92)
921049
Page 1 of 2
U.S. DEPARTMENT 'OF HEALTH AND HUMAN SERVICES
Certification Regardina Drug-Free Workplace Reauirements
Grantees Other Than Individuals
By signing and/or submitting this grant application, the grantee is providing:thet
certification set outbelow. = "
•
This certification is required by regulations implementing the Drug-Free Workplace-Act of 198t'
45 CFR Part76 +SubpartFY The regulations;published in the May 25;i-1990'Federal Register,require
certification by grantees that they will maintain a drug-free workplaces The certification set-out below"-
is a material representation of factuponwhich reliance will be placed when the Department of Health-
and HumansServices(HHS,determineskto'award=the^pranta If it is later determined_ thattheirantes
knowingly rendered a false certification or•otherwissviolates the requirements of'the•Drug4Freet
Workplace-Acr HHS;in addition to any other remedies'available to the Federal Government, may take-
action authorized under the Drug-Free Workplace-Acts False certification or violation of the cm tircatioit
shall be groundsfor suspension of paymentsrsuspension or termination-of grants;'orgovemmentwide
suspensiort'or-debarment`w aztr .era s. - r" +s “ 's rs/ y b aalrr : u?4aa
sfl? Workplaces"under grants,-fonbranteesother tharrindividuals;4needmot;be-identified om'the*
certification. If known,they may be identified in the grantapplication. If the'grantee does notidentifyw
the-workplacesatthstime of application,-or upon•awardrif there is no application,the grantee must-
keep the identity of the workplace(sl on-fife in its'office and make the information available for Federal
inspection.- Failure to identify-all knowrrworkplaces•constitutes a violation of the grantee's drug-free
workplace requirements.;' u =ar s3lua mrra e€ Put WS< ;, :e 4114e
' Workplace identifications must include the-actual Address of buildings (or:parts of buildingsr!
orother sites where-work under the granttakes placeCâtegorical descriptions may be used le.g all*
vehicles of a mass transit authority or State highway department while in operation;State employees;
in each local unemployment office, performers irvconcerthalls or radio`studios.) "'n al" 'Co
If the workplace identified to HHS changes during the performanceof.{the•grant, the grantee
shall inform the agency of the change(s), if it previously identified the workplaces in question (see
above).
Definitions of terms in the Nonprocurement Suspension and Debarment common rule and Drug-
Free Workplace common rule apply to this certification. Grantees' attention is called, in particular;to
the following definitions from these rules:
"Controlled substance" means a controlled substance in Schedules I through V of the
Controlled Substances Act (21 USC 812) and as further defined by regulation (21 CFR 1308.11
through 1308.15).
"Conviction" means a finding of guilt (including a plea of nolo contendere) or imposition of
sentence, or both,by any judicial body charged with the responsibility to determine violations of the
Federal or State criminal drug statutes;
"Criminal drug statute" means a Federal or non-Federal criminal statute involving the
manufacture, distribution, dispensing,use, or possession of any controlled substance;
"Employee" means the employee of a grantee directly engaged in the performance of work
under a grant, including: (i) All "direct charge" employees; (ii► all "indirect charge" employees unless
their impact or involvement is insignificant to the performance of the grant; and, (iii) temporary
personnel and consultants who are directly engaged in the performance of work under the grant and
who are on the grantee's payroll. This definition does not include workers not on the payroll of the
grantee (e.g., volunteers, even if used to meet a matching requirement; consultants or independent
contractors not on the grantee's payroll; or employees of subrecipients or subcontractors in covered
workplaces).
The grantee certifies that it will or will continue to provide a drug-free workplace by:
(a) Publishing a statement notifying employees that the unlawful manufacture, distribution,
dispensing, possession or use of a controlled substance is prohibited in the grantee's workplace and
specifying the actions that will be taken against employees for violation of such prohibition;
et er.r.01
041)
Page 2 of 2
HHS--Certification Regarding Drug-Free Workplace Requirements
(b) Establishing an ongoing drug-free awareness program to inform employees about:
(1) The dangers of drug abuse in the workplace; (2)The grantee's policy of maintaining a drug-
free workplace; (3) Any available drug counseling, rehabilitation, and employee assistance programs;
and, (4) The penalties that may be imposed upon employees for drug abuse violations occurring in the
workplace;
(c) Making it a requirement that each employee to be engaged in the performance of the gram
be given a copy of the statement required by paragraph (a); n
(d). Notifying the employee in the statement required by paragraph (al,that, as a condition of,
employment under the grant, the employee will: Y
(1) Abide by the terms of the statement; and, (2) Notify the employer in writing of his or heel
conviction fora violation of a criminal drug statute occurring in the workplace no later than five=
calendar days after such conviction;
le► -Notifying the agency in writing, within ten calendar days after receiving notice under(
subparagraph (d)(2) from an employee or otherwise receiving actual notice of such conviction...
Employers of convicted employees must provide notice, including position title, to every grant office*
or other designee on whose grant activity the convicted employee was working, unless the Federal,
agency has-designated a central point for the receipt of,such notices..• Notice shall include the =
identification number's) of each affected grant; -
(f) Taking one of the following actions, within 30 calendar days of receiving notice under..
subparagraph (d)12), with respect to any employee,who is so convicted:..
(1) Taking appropriate personnel action against such an employee, up to and including,.
termination, consistent with the requirements of the Rehabilitation Act of 1973, as amended;-or,.(2).
Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation
program approved for such purposes by a Federal, State, or local health, law enforcement, or other-,
appropriate agency. . . .
(g) Making a good faith effort to continue to maintain a :drug-free-workplace through:;
implementation of paragraphs, (a), (b), (c), (d), (e) and (f).
fit
a•
O13.
(Revised 4/9/92)
921040
� , mEmORAMU
1
WIICTo George Kennedy, Chairman Date October 26, 1992
COLORADO From Walter J. Speckman, Executive Director, Human Resources ( AS
Subject: PY'93 Head Start Refunding Application Grant
Enclosed for Board approval is the 1993 Head Start Refunding Application for the
Family Educational Network of Weld County.
The total amount of funding is $1,141,896.00 for the PA-22 PA-20 Head Start Basic
Grant. $916,232.00 Federal Dollars plus $225,664.00 Non-Federal match.
The funds will be used to serve 343 three and four year old eligible children in
the Head Start Program. Services will include: medical and dental screening,
breakfasts, lunches, snacks, etc. Specialized programs for special needs children
are also funded with these dollars.
The term of this Grant is from January 1, 1993i through December 31, 1993.
If you have any questions, please telephone Tere Keller-Amaya at 356-0600.
921040
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