HomeMy WebLinkAbout961138.tiff RESOLUTION
RE: APPROVE CONTRACT FOR JUVENILE DIVERSION PROGRAM GRANT BETWEEN
OFFICE OF DISTRICT ATTORNEY, 19TH JUDICIAL DISTRICT,AND COLORADO
DEPARTMENT OF PUBLIC SAFETY, DIVISION OF CRIMINAL JUSTICE, AND
AUTHORIZE CHAIR 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 Contract for the Juvenile Diversion
Program Grant between the County of Weld, State of Colorado, by and through the Board of
County Commissioners of Weld County, on behalf of the Office of District Attorney, 19th Judicial
District, and the Colorado Department of Public Safety, Division of Criminal Justice,
commencing July 1, 1996, and ending June 30, 1997, 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 Contract for the Juvenile Diversion Program Grant between
the County of Weld, State of Colorado, by and through the Board of County Commissioners of
Weld County, on behalf of the Office of District Attorney, 19th Judicial District, and the Colorado
Department of Public Safety, Division of Criminal Justice, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair 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 24th day of June, A.D., 1996.
BOARD OF COUNTY COMMISSIONERS
WF,bD COUNTY, COLO DO
tea_ � ti
( :- x Barbara J. Kirkmeyer, Chair
V �� A- W unty Clerk to the Board ��
�1 <!, l ,�L,fay>�
(,� .� ) i George Baxter, Pr -Te
��� 4A-I ;%t ICY C�� A _
Li; i�
Deputy Cler o the Board
Dale K. Hall
AP V AS TO FORM:
Constance L. Harbert
ount Attorney
W. . ster
961138
DA0012
77 -2 - 7v4 ' SI
JUN 2 8 1996
Form 6-AC-02A(R 1/93)
DEPARTMENT OR AGENCY NAME
Public Safety
DEPARTMENT OR AGENCY NUMBER
460000 RAA
ROUTING NUMBER
CONTRACT
THIS CONTRACT,Made this 1st day of July 199 6 ,by and between the State of
Colorado for-the use and benefit of the Department of.l Public Safety, Division of Criminal Justice,
700 Kipling Street, Suite 1000, Denver, Colorado, 80215
hereinafter referredto as the State and.2 Office of the District Attorney,
19th Judicial District, P. 0. Box 1167, Greeley, Colorado 80634
-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
-uncommitted balance thereof remains available for encumbering and subsequent payment of this contract under Encumberance
Number in Fund Number 100 Appropriation Account 765 and Organization DC62
9170000000a .
WHEREAS,required approval,clearance and coordination has been accomplished from and with appropriate agencies;and
WHEREAS.3 the Department of Public Safety, Division of Criminal Justice, is authorized by C.R.S., Article 2, Title
19-2-303, to establish and administer juvenile diversion programs; and
WHEREAS, this contract will be for the time period July 1, 1996 through June 30, 1997 and
WHEREAS, the Colorado General Assembly has appropriated sufficient funds for ongoing and new juvenile diversion
programs, as defined in the "Colorado Children's Code," for Fiscal Year 1996-1997 (July 1, 1996 to June 30, 1997; and
WHEREAS, the Contractor has the ability to manage and deliver programs and services to divert delinquent youth from
further involvement in the juvenile justice system and correctional system; and
WHEREAS, the Contractor was selected to deliver Juvenile Diversion services in compliance with State procurement rules
through RFP#BF-02994 or BF-02994-1.
NOW THEREFORE,it is hereby agreed that
1.'4 STATEMENT OF WORK
a. The Contractor shall manage-a community-based program for delinquent
youth to divert them from further involvement in the Justice/Correctional
system.
b. Services shall be provided by the Contractor in accordance with the program
proposal dated July 1, 1996 through June 30, 1997, which is incorporated
and made a part hereof as if fully set forth herein, and attached hereto for
reference as Exhibit A.
c. Funds provided through this contract shall support supervision and services
to delinquent youth as follows:
i) At least 75 percent of the youth served by the Contractor shall have
been taken into temporary custody more than once for crimes which
would constitute a misdemeanor or once for a crime which
constitutes a felony;
Page l of R 2 pages
'(See instructions on reverse of last page)
395-53:01-1014
(R 1/93)
ii) No more than 25 percent of the number of youth served by the
Contractor shall have been taken into temporary custody for a single
crime which would constitute a misdemeanor.
Prior approval for variances to these ratios must be provided in writing by
the State.
2. MAXIMUM FUNDING
a. The State shall provide no more than 75 percent of total project funds
during the contract period and the Contractor shall provide at least 25
percent of the funds during the contract period, commencing July 1, 1996.
The State share is $49,829. The Contractor's share is $16,610 and may be
in the form of cash or in-kind services or supplies.
b. 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
$49,829 for the purchase of community-based services providing the
Contractor has met the requirement of providing its share of $16,610 in
cash or in-kind match. The total disbursement under this contract shall not
exceed $49,829.
c. The monies provided herein shall only be expended for purposes of the
Projects as set forth in Exhibit A.
3. METHOD OF PAYMENT
a. The Contractor shall secure and maintain copies of invoices, contracts, and
interagency documents for all services, supplies, capital equipment, and
travel, including the rental property, which are used by the Contractor in
providing services under this contract.
b. The State shall pay the actual cost incurred by the Contractor for provision
of services under this contract in the following manner:
it State funds may be advanced on a quarterly basis. Such
advance of State funds shall be based on anticipated program
expenditures during the quarter as reflected on a written form
provided by the State, (this form is attached to this contract as
Exhibit B). At no time shall the total of those quarterly
advances exceed the pro-rated amount of State share of the
contract for the quarter and expired months of the contract
period, unless prior written approval has been received from the
State.
ii) The first quarterly advance may be requested upon final
execution of this contract on the form known as Exhibit B.
Subsequent advances shall be made only after the State has
received and approved that form (Exhibit B), the form attached
to this contract as Exhibit C, and required data collection forms.
State approval shall be based on actual expenditure rates and
estimated expenditures for program activities described in
Exhibit A.
iii) The Contractor shall report to the State on the form attached as
Exhibit C the amount of local cash contributions or in-kind
Page 2 of 12 Pages
services received to support program activities. Such local
contributions shall equal at least 25 percent of total program
expenditures during the contract period.
iv) The Contractor will adhere to written accounting procedures
established-by the State in accordance with Exhibit B and
Exhibit C; and
v) The Contractor will identify any cost allocation methods used in
distributing portions costs.
c. The State shall disallow the reimbursement of expenditures or funding
advances that are determined by the State to be for:
i) Alcoholic beverages;
ii) Costs not incurred during the contract period;
iii) Program costs not approved by the State in Exhibit A;
iv) Bank overdraft charges or penalty interest expenses; and
v) Capital outlay in excessof $250.00 per purchased item where
prior approval was not obtained from the State.
4. STATEMENT OF FISCAL UNDERSTANDING
a. The Contractor agrees that until an acceptedFidelity Bond is obtained,
no advance funds can be made available from the State, and that such
Fidelity Bond shall be equal to 16 percent of the contract amount to
ensure refunds in the event of an audit exception. The Contractor or
employees of the Contractor who have responsibility for receipt and/or
disbursement of money under this contract shall be required to be
bonded. The State shall be immediately notified of bond cancellation
either by the underwriter or the Contractor. A copy of the certificate of
the Fidelity Bond is attached to the Exhibit A, documenting coverage
during the entire contract period.
b. Within thirty (30) days of the end of the contract period, the Contractor
shall submit to the State a final record of Expenditures using the form
attached as Exhibit C. Any monies dispersed in excess of actual costs
and expenditures as reflected by that report shall be refunded to the
State by the Contractor within the same thirty (30) day period.
c. Within thirty (30) days of the end of the contract period, the Contractor
shall refund to the State any share of the State contribution not
matched by the required local cash and/or in-kind contribution.
d. The Contractor agrees to complete and pay the cost of an independent
fiscal audit for the contract period and deliver such audit to the State
within nine (9) months of the end of the contract period. Such
requirement may be waived, all or in part, by the State.
e. The Contractor agrees to maintain sufficient accounting records to
enable the State and the independent auditor to determine all costs for
all community-based services. The Contractor shall provide to the State
and the independent auditor all other sources of support and revenue
attributable to the Diversion Program and all costs related to the
program must be accounted for and properly classified.
Page 3 of 12 Pages
The Contractor agrees that any and all accounts which pertain to any
service components described in Exhibit A shall be made available upon
request to the State or the independent auditor.
5. EVALUATION AND MONITORING
a. All research instruments and products pertaining to the Contractor's
justification for serving youth underthe terms of this contract shall be
the property of the Division of Criminal Justice for use by the State.
Such instruments and products shall not be used except withthe
express permission of the State.
b. To comply with the Single Audit and State's evaluation requirements,
the Contractor shall provide fiscal, program and client information to the
State at the time requested and on the forms provided for this purpose
by the State. The Contractor shall provide any and all clients'
information as may be permitted by the law to be released as requested
by the State, including but not limited to:
i) Number of clients referred per month;
ii) Number of clients served per month;
iii) Number of clients terminated per month with reasons for
termination;
iv) Name of client and number of hours served per month;
v) Type of service provided per month for each client with number
of hours for each service component provided;
vi) Number of program hours available per month for each service
component offered by the program.
c. The Contractor shall be required to submit any further information
requested regarding client services which is necessary for the State's
development of a data-based client information system and a unit cost
system for future funding. Such information requests shall be made
thirty (30) days in advance and shall not require data collection or
analysis on-variables not routinely collected by the contractor.
d. The Contractor agrees that the program's operations and services may
be monitored by the State on a regular basis. The State will provide the
contractor with the results of the evaluation and shall allow the
Contractor opportunity to respond.
6. PERIOD OF PERFORMANCE
The period of performance shall be from July 1, 1996 to June 30, 1997.
7. SUBCONTRACTS
a. The parties of the subcontract recognize that none of the rights, duties
or obligations arising under this contract may be assigned or delegated
without the prior written consent of the State.
b. All subcontracts entered into by the Contractor_pursuant to this contract
shall not be valid without prior approval of the State. A copy of
Page 4 of 12 Pages
subcontract(s) is/are incorporated herein, attached hereto and made a
part hereof by this reference as Exhibit D.
8. CONFIDENTIALITY
a. All records and information maintained by the Contractor pertaining to
clients of the State shall remain confidential and shall not be released to
anyone other than the person in interest, the person's parent or legal
guardian, or the State, without specific order of a court with proper
jurisdiction. Prior to release of any authorized information or record, the
Contractor shall notify the State. Nothing in this paragraph shall be
construed in any way to prevent the Contractor from releasing
information to authorized parties during the normal legal conduct of the
Contractor's business.
9. STATEMENT OF CONTRACT RESPONSIBILITIES
The Contractor shall:
a. Provide and maintain a facility that will meet all local, county, state, and
federal ordinances, regulations and laws.
b. Provide a staff as needed to implement the services included in Exhibit
A.
c. Conduct its program in accordance withall of the terms and
specifications of this contract including all exhibits.
d. Implement a system to maintain:
i) The legal rights of the client;
ii) Confidentiality of client records which shall include but not be
limited to require:
a) written consent to gather confidential information about
the client; and
b) written consent to release confidential information about
the client.
iii) Individual case files that:
a) include records of services described in the Exhibit A;
b) document the participants' eligibility as defined by state
law; and
c) contain a copy of the completed participant termination
form.
e. Submit completed Juvenile Diversion Client Termination Forms to the
State-within thirty (30) days of termination of each client identified as
meeting the eligibility criteria as defined herein.
f. Make available to the State, prior to execution of this contract, a copy
of the following documents as applicable:
i) Certificate and articles of incorporation;
ii) Internal Revenue Service tax exempt status letter;
iii) Names of persons serving on Board of Directors;
Page 5 of 12 Pages
iv) Corporation by-laws;
v) Names of persons authorized to sign payroll and expense checks
of the Contractor.
g. Comply with all federal and state laws, including the Immigration Reform
Control Act in all hiring practices.
h. Comply with all applicable titles of the Americans with Disabilities Act
(Public Law 101.336) and to submit documentation as required by the
State to demonstrate compliance with this act.
Maintain and make immediately available to the State at any time upon
request, personnel policies and procedures whichshall include policies
on conflicts of interest, non-discrimination concerning race, color, creed,
and national origin, sex, marital status, religion, ancestry, mental or
physical handicap, or age.
j. Maintain and make available to the State at any time upon request,
operating policies and procedures whichshall include policies on
conflicts of interest, non-discrimination concerning race, color, creed,
national origin, sex, marital status, religion, ancestry, mental or physical
handicap, or age.
k. Maintain in full force and effect comprehensive general liability insurance
and property damage insurance with limits of at least $150,000 for
bodily injury to any one person, 5500,000 for any one occurrence,
$500,000 for property damage or a total amount of $1,000,000. The
contractor shall furnish the State with written certification of the
existence of such liability and property damage insurance policy prior to
the effective date of the contract, and must notify the State when
insurance is cancelled by either the insured or the underwriter sixty (60)
days prior to cancellation and must obtain new insurance coverage prior
to the effective date of the cancellation. Certificates documenting such
coverage during the entire contract period shall be provided to the State
in Exhibit A of this contract.
If the Contractor is a "public entity" within the meaning of the Colorado
Governmental Immunity Act, 24-10-101, et seq. C.R.S., as amended
("Act"), the Contractor shall maintain such insurance, by commercial
policy or self-insurance, as is necessary to meet Contractor's liabilities
under the Act. If permitted by the Contractor's insurance policy, the
State shall be named an additional insured and proof thereof provided to
the State, as provided in Paragraph m for additional insured
endorsements. Proof of such insurance shall be provided as set forth in
this Section 9, paragraph k for other types of insurance.
Maintain in full force and effect Comprehensive Automobile Liability and
Property Damage Insurance (limit of liability $500,000, combined single
limit for bodily injury and property damage) if program participants are
transported by auto by staff or agents of the program. Proof of such
insurance is attached to Exhibit A. Otherwise, a statement from the
authorized official will certify that participants are not transported by
program staff or agents and such statement is attached to Exhibit A.
Page 6 of 12 Pages
m. The Contractor's liability insurance must establish the State of Colorado
as "additional insured." The Contractor shall attach a copy of the
"Additional Insured" endorsement, establishing such additional insured
status. No payments will be made until this additional insured
endorsement is received.
n. Maintain in full force and effect Standard Workman's Compensation and
Employer's Liability, including occupational disease, covering all
employees engaged in performance of the work at the site, in the
amount required by State statutes. If workman's compensation
insurance is carried by the State Compensation Insurance Fund,
evidence of such coverage shall be submitted on the Certificate of
Insurance Form; if by private carrier, on Certificate of Insurance, State
Form SC-6.222.
o. Maintain adequate fiscal records for a period of three (3) years following
the termination of this contract subject to inspection and audit by the
State or its designee. Any audit exception shall be subject to refund to
the State by the Contractor after negotiation for repayment has
occurred.
p. Screen, select, and supervise volunteers who interact with juveniles
assigned to the program in a manner than insures compliance with
contractual requirements and accountability withprogram services and
policies described in Exhibit A. Contractor is responsible for the actions
and omissions of such volunteers.
The State shall:
a. Monitor the Project for fiscal and program accountability.
b. Provide consultation to Project staff.
c. Provide to the Project direction on accounting, record-keeping, and
reporting.
d. Provide research and evaluation information applicable to Project
operation.
10. REPRESENTATIVES
a. For the purpose 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 new or substitute
representatives:
For the State: Larry Linke
Title: Program Administrator, Division of Criminal Justice
For the Contractor: Barbara J. Kirkmeyer, Chair
Title: Board of County Commissioners
Page 7 of 12 Pages
11. CONFLICT OF INTEREST
a. No employee of the Contractor shall perform or provide part-time
services to a consultant or consultant firm that has been retained by the
Contractor under the authority of this contract.
b. The Contractor agrees that no person who presently exercises any
function or responsibility in connection with the program has any
personal financial or economic interest, direct or indirect, in this contract
except to the extent that he may receive compensation for his
performance pursuant to the Contractor.
c. No person who presently exercises any function or responsibility in
connection with this program on behalf of the Contractor shall have or
acquire any personal financial or economic interest, direct or indirect,
which will be materially affected by this contract, except to the extent
that he may receive compensation for his performance pursuant to this
contract. Any economic or financial interest includes, but is not limited
to:
i) Any business entity in which the person has a direct or indirect
interest worth more than one thousand dollars ($1,000.00);
ii) Any real property in which the person has a direct or indirect
interest worth more than one thousand dollars ($1,000.00);
iii) Any source of income, loans, or gifts aggregating two hundred
and fifty dollars ($250.00) or more in value received by or
promised to the person within twelve (12) months prior to the
execution date of this contract;
iv) Any business entity in which the person is a director, officer,
partner, trustee, employee, or holds any position of
management.
For purposes of this subsection, indirect investment or interest
mean any investment or interest owned by the spouse, parent,
brother, sister, son, daughter, father-in-law, mother-in-law,
brother-in-law, sister-in-law, son-in-law, daughter-in-law of the
person by an agent on his/her behalf, by any business entity
controlled by said person, or by a trust in which he/she has
substantial interest. A business entity is controlled by a person
if that person, his/her agent, or a relative as defined above
possesses more than 50 percent of the ownership interest. Said
person has a substantial economic interest in a trust when the
person or an above-defined relative has a present or future
interest worth more than one thousand dollars ($1,000.00)
d. The Contractor shall incorporate the above subsections of this section
into every subcontract into which it enters in connection with this
contract, making such provisions applicable to the person or entity with
whom the Contractor contracts.
Page 8 of 12 Pages
12. CONTRACT MODIFICATIONS, CHANGES OR AMENDMENTS
This agreement 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.
13. INDEPENDENT CONTRACTOR
The Contractor shall render services under this contract as an independent
Contractor, not as an employee, and shall be accountable to the State for the
ultimate results of its actions but shall not be subject to direction and control of
the State as to details, methods or to particular hours or work, except as
provided herein. Neither the Contractor nor the employees of the Contractor
shall be construed as agents or employees of the State for any purpose.
Contractor shall pay when due all required employment taxes and income tax
withholding, 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.
14. INDEMNIFICATION
It is agreed that the State shall not be held liable for any error or omission of
the Contractor in providing services hereunder. Nothing in the indemnification
clause at paragraph 4 of the Special Provisions shall be construed in any way to
be a waiver by the Contractor of the protections which are granted to the
Contractor and its employees under the Colorado Governmental Immunity Act,
C.R.S. 24-10-101, et seq., as amended.
15. PERFORMANCE OF CONDITION PRECEDENT TO VALIDITY OF CONTRACT
The Contractor and the State each certifies that all conditions precedent to the
valid execution of the contract on its part have been satisfied.
Page 9 of 12 Pages
16. CONTRACT TERMINATION
This contract may be terminated by either party by giving thirty (30) days
notice in writing, delivered by certified mail, return receipt requested, to the
other party at the above address, or delivered by personal services upon the
party. If notice is so given, this contract shall terminate on the expiration of
the thirty (30) days, and the liability of the parties hereunder for the further
performance of the terms of this contract shall thereupon cease, but the parties
shall not be relieved of the duty to perform their obligation up to the date of
termination.
Upon receipt of notice of termination for convenience, the Contractor shall
incur no further obligations in connection with the contract. The Contractor
will be reimbursed for reasonable costs allocable to the contract performance.
The State may deduct any unliquidated advance payments made pursuant to
paragraph 3b from compensation due the Contractor, and in the event the
amount advanced exceeds the compensation yet due the Contractor after
termination, that amount shall be remitted to the State within thirty (30) days
of contract termination.
Page 10 of 12 Pages
SPECIAL PROVISIONS
CONTROLLER'S APPROVAL
I.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 of Colorado 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 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 upon the performance of any such work included
in this contract,duly execute and deliver to the State official who will sign the contract,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 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,provendor or other supplies used or consumed by such contractor or his subcontractor in performance of the work
contracted to be done or fails to pay any person who supplies rental machinery,tools,or equipment in the prosecution of the work 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 is executed,delivered and
filed,no claim in favor of the contractor arising under such 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 CRS 38-26-106.
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,
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.
DISCRIMINATION AND AFFIRMATIVE ACTION
5. 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(CRS 24-34-402),and as required by Executive Order,Equal Opportunity and Affirmative Action,dated April 16,
1975.Pursuant thereto,the following provisions shall be contained in all State contracts or sub-contracts.
During the performance of 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 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 advertisings; lay-offs 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 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.
(c) The contractor will send to each labor union or representative of workers with which he 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 under the
Executive Order,Equal Opportunity 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 office of the Governor or his designee for purposes of investigation to ascertain compliance with such rules,regulations and orders.
(e)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.
(D 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.
Form 6-AC-028
Revised 1/93
395-53-01-1022
page_1_1_ of_ 2_ pages
(g)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 canceled, 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 of 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 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 paragraphs (a)through(h)in every sub-contract and subcontractor purchase order unless exempted by
rules,regulations,or orders issued pursuant to Executive Order,Equal Opportunity and Affirmative Action of 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 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.
COLORADO LABOR PREFERENCE
6a.Provisions of CRS 8-17-101& 102 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.
b.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.06 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(CRS 8-19-101 and 102)
GENERAL
7.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,
defence,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.
8.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.
9.The signatories aver that they are familiar with CRS 18-8-301,et.seq.,(Bribery and Corrupt Influences)and CRS 18-8-401,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 any personal or beneficial interest whatsoever in the service or property described herein:
IN WITNESS WHEREOF,the parties hereto have executed this Contract on the day first above written.
Contractor:
(Full Legal Name) WELD COUNTY. COLORADO STATE OF COLORADO
WELD COUNTY BOARD OF COMMISSIONERS ROY • r ' ,GOVERNOR
l By tCr �•/ '\i�'1�'V '�
CHAT: ✓ 06 24 96 EXECUTIVE DIRECTOR
rlr Sec-p. rity Num• r orr •eml I.D. �mbeer ,, DE
ci V' ,Zt ' � / Gz��^��/ OFPARTMENT Public Safety
�. At :a
s
: 31 DE
l i :r ern!n•f�r0'1`.! d 't • KU/County Clerk TO BOARD
APPRO ALS1
ATTORNEY GENERAL CON RO ER Cliffo II
By By 0 0
Form6-AC-02C •
Revised 1/93 Page 1.2. which is the last O_1_2. pages
615-82-50-6038 *See instructions on reverse side.
*INSTRUCTIONS
(1) Insert official Department designations, e.g., Administration, Local Affiars, etc. as appropriate.
(2) Set forth company(ies)or individual(s) name(s) and address(es).
(3) Insert a brief statement indicating reasons for contract,e.g.."The contractor having special knowledge,expertise and skill in diagnosing and testing diseases
affecting cattle;and. Use as many"Whereas's"as required.If additional space is required continue to-above words"NOW,THEREFORE;"and state"con-
tinued on page 2". On page 2. state "Whereas continued from page I" if required.
(4) Specify clearly the goods or services contracted for,the consideration moving from one party to the other,the time within the contract is to be executed,
limitations on assignments,if any,and special provisions desired,or required.Seek legal assistance when in doubt.Separate each principal item and number con-
secutively using as many pages as necessary.
(5) If a delegee signs for the Executive Director place the words "FOR THE" before the word "EXECUTIVE"
Autographic,as distinguished from stamped,signatures should,as a minimum,be affixed to the original,which will be-filed by the Division of Accounts and
Control,and two counterparts,one of which shall be transmitted to the contractor.If there is more than one contractor a copy so signed will be sent to each,thus
requiring additional autographic signatures.
Division of Criminal Justice
cds
William Woodward,Director
700 Kipling St.
Suite 1000
Denver,CO 80215-5865
(303)239-4442
COLORADO FAX(303)239-4491
DEPARTMENT
OF PUBLIC SAFETY
DATE: July 22, 1996
TO: Juvenile Diversion Program Directoropt
FROM: • Mindy Miklos
SUBJECT: Juvenile Diversion Contract
Here is your copy of the juvenile diversion contract! 4'19000000
�y�Q0 OQ o a
Your contract number for Fiscal Year 96-97 is v
6
Enclosed with the contract are various forms which you will need throughout the
year. These farms are explained below. Please be aware that funding will be
withheld should you become delinquent in submitting any of these forms.
Cash Request
Roy Romer A Cash Request must be submitted in order for you to receive funds. Funds may
GOVERNOR be requested at the beginning of each quarter. Please submit two signed copies
-Patrick C.DIRECTOR DIRECTOR of the cash request form.
Division of
Crinkle'J
` kle'J Ce Fiscal Report
Colorado State
Patrol
Colorado Rureas The fiscal report is due the 15th of the month following the end of the quarter—
• "investigation October 15, January 15, April 15, and July 15. This is a basic accounting report
w showing how much money and cash/in-kind match you have received and spent -
during each quarter.
Budget Revision (Blue form)
The Budget Revision form should be completed in the event changes are made
to your approved budget at any time during the next year. This form must be
D C J submitted with the fiscal report for the quarter affected by the change.
Home Page:www.state.co.ustgov_dir/cdps/dcj.htm
E-Mail:wwoodwarosatetystate.co.us
Juvenile Diversion Program Director
July 22, 1996
Page 2
DCJ Monthly Data Collection Form
This is a monthly client summary for your program, which is due by the 10th of the
following month. Twelve copies are enclosed for the next year.
Juvenile Diversion Client Termination Form
This form should be filled out on each "criteria" youth terminating from your
program. Instructions for completing the form and your program ID number are
on the back of the data collection form. These forms may be submitted with the
Monthly Data Collection form or you may send them in separately. The
termination forms must be submitted within 30 days of youth's termination.
Please use only Client Termination Forms with a 7/94 revision date.
If youneed additional copies of any of these forms or have questions about them,
please call me at 239-4474.
Thank you for your cooperation during this year's contracting process!
Enclosures
EXHIBIT A
Proposal Concerning:
JUVENILE DIVERSION: 19TH JUDICIAL DISTRICT
1996-1997
A. ORGANIZATION DESCRIPTION: The Nineteenth Judicial District
Attorney' s Office is a department of Weld County, Colorado
Government . Weld County is synonymous with the Nineteenth
Judicial District . Within the District Attorney' s Office
exists the Community Programs Division, which includes
Juvenile Diversion and Victim/Witness Assistance . (See
Appendix A)
The 19th Judicial District Attorney' s Juvenile Diversion Program
includes six staff persons . The Project Director is the Community
Programs Administrator and spends at least fifty percent of time in
the Diversion Program. The Administrator' s office is located
within the juvenile unit . There are three juvenile counselors,
masters-level Community Counselor III , as designated by Weld County
Personnel Services who work with the main Diversion Program. We
also have one full-time, masters-level Community Counselor III
position with the Intensive Family Intervention Program. A full-
time Office Technician II (clerical) works with the Diversion
Program. Project staff are under the supervision of the District
Attorney, A. M. Dominguez, Jr. , as illustrated in an organizational
chart included in Appendix A.
Within Weld County Government, only the Board of County
Commissioners has the authority to enter into contracts . The
Chairman of the Board, currently Barbara J. Kirkmeyer, provides the
authorized signature for contracts . Those persons authorized to
sign payroll and expense checks for Weld County are Barbara J.
Kirkmeyer and the Weld County Director of Finance and
Administration, Donald D. Warden. (See Appendix B for the Internal
Revenue Service tax exempt status letter. )
B. GEOGRAPHIC AREA SERVED: The Nineteenth Judicial District D.
A. ' s Diversion Program serves all of Weld County. The larger
cities in the county are Greeley and Fort Lupton and the
smaller towns include : Ault, Dacono, Eaton, Erie, Evans,
Firestone, Frederick, Gilcrest, Johnstown, Kersey, LaSalle,
Lochbuie, Milliken, Platteville, and Windsor.
Juvenile Diversion Offices are located on the second floor of
the District Attorney' s Office within the Weld County
Centennial Building. The office street address is 915 Tenth
Street, Greeley, CO 80631; mailing address is P. O. Box 1167,
Greeley, CO 80632 . A south county satellite office is
utilized on a regular basis when a juvenile counselor
schedules Diversion clients in Fort Lupton. The office street
address is 330 Park Avenue, Fort Lupton, CO 80621 . This
961138
-2-
building is a Weld County Services Building and provides
extension offices for county departments .
All juvenile offense reports originating from the police
departments of the above named communities, as well as those
from the Weld County Sheriff' s Office, the Colorado State
Patrol, and the University of Northern Colorado Department of
Public Safety are sent to be reviewed by the Nineteenth
Judicial District Juvenile Chief Deputy District Attorney,
William E. Starks . Juveniles deemed appropriate to be
"diverted from the court system" are referred to the Diversion
Program.
C. JUVENILE POPULATION SERVED:
1 . Total number of juveniles arrested in last year (1995) in
area served: 1824 .
1 .a. Total number of arrested juveniles to be referred
in FY 1996-97 for diversion services directly from
the arresting agency: -0- .
2 . Number of delinquency filings in the juvenile courts of
the jurisdictions served in the last year (1995) : 1100 .
2 . a . Total number of referrals expected in FY 1996-97
from the District Attorney' s Office in lieu of
filing in juvenile court : 250 .
3 . Number of juveniles placed on probation in the area
served during the last year (1995) : 384 .
3 . a. Total number of referrals expected from the
juvenile court or probation office in FY 1996-97 :
-0- .
4 . Number of juveniles committed to the Division of Youth
Services (DYS) from the area served calendar year (1995) :
34 .
4 .a. Total number of referrals anticipated for juvenile
diversion services during FY 1996-97 from DYS : --0- .
5 . Number of referrals anticipated from other agencies
during FY 1996-97 : Agency: -0- No. of referrals -0-
PLEASE NOTE THAT THE INTENSIVE FAMILY INTERVENTION
PROGRAM IS IN-PART DIRECTED TOWARD HISPANIC JUVENILE
OFFENDERS AND THEIR FAMILIES.
961138
-3-
D. LETTER FROM REFERRAL AGENCY: Please find included in the
Appendix C, a letter from District Attorney A. M. Dominguez,
Jr. and William E. Starks, Chief Deputy District Attorney,
verifying the projected number of diversion referrals for FY
1996-97 .
E. PROGRAM EVALUATION FOR FY 1995-96 : The objectives outlined
in the Nineteenth Judicial District Attorney' s Juvenile
Diversion proposal for FY 1995-96 are listed below, with a
eleven month report (July 1, 1995-May 31, 1996) .
1 . TO PROVIDE STATE CRITERIA JUVENILES WITH A COMMUNITY
BASED ALTERNATIVE TO THE FORMAL COURT SYSTEM FOR AN
ANTICIPATED ACCEPTANCE RATE OF 70% AND AN ANTICIPATED
REJECTION RATE OF 30% .
EVALUATION
Contracted Achieved as of 5-31-96
70% Acceptance State : 179 cases
250 cases Other: 95 cases
(4 cases rejected)
2 . PROJECTED RECIDIVISM RATES FOR PROGRAM PARTICIPANTS WILL
BE 15% FOR SHORT-TERM RECIDIVISM AND 35% FOR LONG-TERM
RECIDIVISM.
EVALUATION
SHORT TERM RECIDIVISM
Contracted Achieved as of 5-31-96
15% 4%
LONG TERM RECIDIVISM
Contracted Achieved as of 5-31-96
35% 27%
3 . PROJECTED NUMBER OF VICTIMS TO RECEIVE RESTITUTION WILL
BE 200 WITH A PROJECTED AMOUNT OF RESTITUTION TO BE
$5 , 00-0 TO BE DISBURSED TO THE VICTIMS OF THEIR CRIMES .
EVALUATION
RESTITUTION
Contracted Achieved as of 5-31-96
$5, 000 $13 , 666 . 55 (273% of goal)
961138
-4-
NUMBER OF VICTIMS
Contracted Achieved as of 5-31-96
200 120
PROJECTED NUMBER OF SUPERVISED ASSIGNED COMMUNITY SERVICE
WORK HOURS TO BE COMPLETED WILL BE 1, 000 HOURS .
EVALUATION
Contracted Achieved as of 5-31-96
1, 000 hours 1839
F. PROGRAM OBJECTIVES FOR FY 1996-97 :
1 . TO PROVIDE STATE CRITERIA JUVENILES WITH A COMMUNITY
BASED ALTERNATIVE TO THE FORMAL COURT SYSTEM FOR AN
ANTICIPATED ACCEPTANCE RATE OF 70% AND AN ANTICIPATED
REJECTION RATE OF 30% .
la. State criteria juveniles are those who have been
taken into custody for one or moire misdemeanor
offenses or one felony, and therefore would likely
result in a juvenile filing. Juveniles are
referred for Diversion by the Chief Deputy District
Attorney who reviews all offense reports . The
Community Programs Administrator then assesses those
referrals to determine the appropriateness of each
referral programmatically and assigns cases to a
juvenile counselor.
lb. Diversion services willinclude : screening, intake
and assessment; individual and family counseling;
educational and counseling groups, such as
redirecting anger, life skills, parent groups;
referrals to substance abuse evaluations and
treatment programs, psychological testing and
treatment; referrals to Partners; supervision and
case management ; restitution collections; and
community service hours .
lc . Diversion services will thereby reduce the number
of cases filed by the Deputy District Attorney,
reduce the number of cases referred to Probation
and reduce expensive processing through state
courts . It is determined that a savings of $875 per
juvenile per year is saved when a juvenile is
diverted from the court system and placed on
juvenile diversion: $1200 (the cost of probation per
year) less $325 (cost of juvenile diversion per
961118
-5-
juvenile) . A savings of $44 , 675 per juvenile is
determined when a juvenile is diverted from DYS :
$45, 000 (cost of DYS per year) less $325 (cost of
juvenile diversion per year) . NOTE : these are 1992
figures .
2 . PROJECTED RECIDIVISM RATES FOR PROGRAM PARTICIPANTS WILL
BE 15% FOR SHORT-TERM RECIDIVISM AND 35% FOR LONG-TERM
RECIDIVISM.
2a. Short-term recidivism is defined as a re-arrest
while on the Diversion program, resulting in a case
filing. The Juvenile D.A. , the Community Programs
Administrator, and the juvenile counselor consult
regarding further action. If the offense is minor
and the counselor is willing to continue working
with the juvenile, the juvenile is given
consequences for the offense . Consequences might
include : additional community service hours,
additional restitution to pay and/or added
contractual time .
Short-term recidivism will be measured by any
re-offense while in the Diversion program recorded
in the closing log.
2b. Long-term recidivism is defined as a re-offense
within five years after a juvenile' s case has been
closed in the juvenile diversion program. The
juvenile D.A. will determine, at the time of the
current offense, whether to file or to offer another
opportunity with the Diversion program.
Long-term recidivism will be measured by tracking
all new police reports to determine if the juvenile
has had any prior involvement with the juvenile
diversion program over the past five years . If
tracking records show previous juvenile diversion
involvement, a notation will be made in the new
case log, along with a notation of whether the case
was closed "successful" or "unsuccessful . " The
number of juveniles, involved with the juvenile
diversion program, who have re-offended after
his/her case has been closed, will be tracked and
counted as this program' s long-term recidivism rate .
3 . PROJECTED AMOUNT OF RESTITUTION TO BE $5, 000 TO BE
DISBURSED TO THE VICTIMS OF THEIR CRIMES.
PROJECTED NUMBER OF SUPERVISED ASSIGNED COMMUNITY SERVICE
WORK HOURS TO BE COMPLETED WILL BE 1, 000 HOURS .
961138
_
-6-
3a. Victims of juvenile crimes will be contacted to
prepare and return restitution forms .
3b. Each juvenile' s diversion contract will include
payment of any restitution owed to his/her
victim(s) .
3c . In cases where monetary losses did not occur, or
many times in addition to payment of restitution,
the juvenile' s diversion contract will include
assignment of community service hours .
3d. A consistent procedure is in place for assigning
community service hours (sixteen hours for each
offense) . In the case of a juvenile who is already
employed or is responsible for family caretaking,
the community service hours may be altered. This
provides a consistent and reliable method of
assignment . Because of an expanded community
service program developed by the Community Programs
Administrator, the counselors have more
comprehensive and diverse choices related to
assigning juveniles community service hours . This
can result in more successful completion of assigned
community service hours and program success in
general .
G. PROGRAM DESCRIPTION
1 . PROGRAM PHILOSOPHY: It is the goal of the Nineteenth
Judicial District Attorney' s Juvenile Diversion Program
to provide a community based alternative to the formal
court system for Weld County juvenile offenders who meet
the criteria for services . The program seeks to provide
a balanced approach which includes : protection to the
public; holding youth accountable and responsible for
their behaviors; and helping youth to develop the
competencies and skills needed for them to live
productively and responsibly in the community.
Each juvenile has a unique set of circumstances and
factors which have contributed to his/her offense
behavior. The response of the counselor will be to
develop an individualized case plan that is related to an
assessment of unique contributing factors . Justice is
best served in this program when the community, the
victim (s) , and the juvenile and the juvenile' s family
receive balanced attention and all gain tangible outcomes
from the interaction with this juvenile diversion
program. It is within this framework that all program
services are delivered.
9611:38
-7-
In accordance -with "The Balanced Approach, " it is our
goal that through community service, the youth will take
responsibility for their crime (s) by returning to the
community a service of measurable value . And, through
the restitution program, repay the victim for damages
resulting from their crime (s) . It is our hope that with
the community and youth working together, this experience
will help the youth gain meaningful skills and acquire
respect toward self and others, thus, leading to more
productive living, a safer community environment and
lower recidivism.
2 . ACCEPTANCE CRITERIA:
2a. Commission of an illegal offense while between the
ages of ten and seventeen.
2b. Taken into custody at least once or twice for a
misdemeanor offense or once for a felony.
2c . Offense report sent to District Attorney' s Office
for review.
2d. Review by Deputy D.A. , Juvenile Division, indicates :
sufficiency of evidence; offense is non-violent;
history of juvenile and circumstances of crime do
not require a court filing.
2e . The juvenile and his/her parents must choose to
participate in the Diversion program instead of
court and agree to the terms of the contract .
2f . The juvenile must accept responsibility for
participation in the criminal activity and agree to
the terms of the contract .
2g. At intake, counselor deems juvenile appropriate for
diversion services . Very few juveniles would be
found inappropriate at this point (less that 5%) .
One factor which might precipitate rejection at this
point would be the discovery of information
regarding the juvenile' s history that was not
available to the Deputy D.A.
3 . SEQUENCE OF ACTIVITIES FOR PROGRAM PARTICIPANTS
3a. Referral process : Juvenile offense reports are
received daily by the District Attorney' s Juvenile
Division. A "Names Inquiry" is conducted on each
juvenile to check for local prior offenses . File
folders are then made for first time offenders and
case numbers are assigned. A repeat offender' s
961.?38
-8-
diversion file is located and the new offense is
recorded in the cumulative record. Information
regarding the new offense is recorded on the Weld
County Computer System (limited access) .
Restitution questionnaires are sent to all victims
listed in the offense report .
Reports are then reviewed by the Juvenile Deputy
District Attorney. All case files are then
sent to the Community Programs Administrator. She
reviews the offense report and the juvenile' s
history, assigns a funding source, and a counselor.
The Diversion secretary then enters new case infor-
mation onto the Tiburon computer system and the
program statistical information onto the LOTUS
system. Letters are sent to parents informing them
that they need to call for an appointment for an
Intake assessment .
If parents do not call for an appointment within ten
days, they are contacted by registered mail . If
there is no subsequent response, the case is given
to the Deputy D.A. to review for court filing.
3b. Intake Assessment : At this time, the
counselor meets with the juvenile and at least
one parent or legal guardian. The police report
is reviewed, an advisement of rights is given,
and information about juvenile records is
explained. If the juvenile accepts responsibility
for his/her offense, the Diversion Program is
explained and offered to the family as an option
to court .
If the family chooses Diversion over court, the
requirements of participation are explained. The
parent signs required Release Forms in order that
important information may be shared with school or
other appropriate agencies . A complete Family
History is then taken and discussion surrounding
specific problems may ensue . After the counselor
has gained insight into individual problems, an
individual case plan is written in contract form
and signed by the juvenile, the parent, and the
counselor.
The counselor then completes a risk assessment, and
prepares individualized treatment goals and a
related case plan, including the frequency of
appointments and the variety and duration of
services to be provided. Schools, caseworkers,
961118
-9-
therapists, and other appropriate agencies are
contacted for further information. Contract
specifications always include regular school
attendance or employment, an apology letter
to the victim (s) , payment of restitution,
community service hours, and counseling or
referrals, as needed. Data base information is
entered into the computer.
4 . Counseling and Supervision. For six to nine months, the
juvenile (with intermittent family involvement) meets
with the Diversion counselor for regularly scheduled
appointments . These may be planned weekly for high risk
youth, but most commonly are scheduled twice monthly.
The counselor supervises the completion of the contract,
discusses concerns of the youth as indicated in the needs
assessment and plans sessions to work on the treatment
goals related to the illegal and troublesome behaviors .
The Diversion counselors receive twice-monthly
supervision from Scott Shannon, M.D. who is the Medical
Director and Psychiatrist for Child and Adolescent
Services at Psychcare in Greeley, CO. Referrals to other
agencies are made as indicated. Case notes are
maintained by the counselor in the juvenile' s Diversion
file .
5 . Termination. Youth are discharged or terminated either
successfully or unsuccessfully. Successful termination
indicates that all terms of the contract were
satisfactorily completed. The Termination Summary is
completed, placed in the file and closed. Unsuccessful
terminations are referred to the Deputy D.A. for review
and either filed in court or closed as unsuccessful . An
unsuccessful closing would eliminate a juvenile from
consideration for Diversion should he/she be detained on
a future charge.
6 . Staff/Case Supervision. The Community Programs Admin-
istrator reviews all cases at referral and at
termination. In addition, the Administrator reviews
individual cases on a regular basis and provides comments
to the counselors related to content and direction.
Counselors inform the Administrator of any incidents,
crises or high risk situations . Weekly staff meetings
are held with a planned agenda which includes case
staffings, paperwork updates and changes, and in-service
training. Each counselor is required to meet with the
Administrator at least once per month on an individual
basis for any programmatic concerns . An evaluation of
the counselor' s performance is completed based upon the
Weld County Personnel requirement with the counselor
961138
-10-
evaluating him/herself with the Administrator. Positive
and open communication is a primary concern in this
program to ensure high morale and productivity.
7 . OVERVIEW OF SERVICES PROVIDED
7a. Group Education Offered. A variety of group
services are provided by the Diversion Program
staff . These groups aim to improve skill
deficiencies, reinforce appropriate, productive
behaviors, and emphasize alternatives that are
socially acceptable . The groups are described
below.
A Shoplift Group is provided for those juveniles
whose offense includes a shoplifting (misdemeanor)
theft .
A Parent Orientation Group is mandated to the
parents of the juveniles in the Diversion program.
This group allows the parents to learn about the
Diversion Program and what is expected of them
while their juvenile is in the program. This group
also provides a supportive environment for parents
and to encourage a team approach with the
juvenile' s treatment goals and plans . This
mandatory group is a one-time meeting for all
parents of juveniles in the Diversion Program.
A Life Skills Group is mandated for all juveniles
participating in the Diversion program. This is a
series of seven topical groups including: trust
building, communication, refusal skills, anger
management, stress management, setting goals and
self-esteem. These group sessions are scheduled
either on a consecutive weekly basis or on an
every other week basis . Each group has
approximately 5-10 juveniles in each group with
the same group members throughout the seven week
period. Each group session lasts 1 1/2 hours;
meeting from 3 : 30-5 : 00 p.m.
8 . Supportive Education Services . During the intake
process, the counselor identifies and addresses academic,
behavioral, and attitudinal problem areas in the
juvenile' s educational setting. The program' s goal is
to maintain students in their present educational
settings or to prepare them for reintegration into a
public school setting, a vocational program such as Job
Corps or into a GED program.
9611°._38
-11-
8a. To assist the juvenile in attaining these
goals, the counselor may obtain overall progress
reports, achievement scores and ability scores
from the schools . The counselor may request
input in special educational staffings and may
also monitor attendance and act as an overall
liaison between the youth and his/her school .
9 . Restitution Services . Restitution forms are sent to
victims immediately after the offense report is received.
The victim has twenty days to complete the forms and to
document all requests with estimates or receipts
regarding repair or loss . The amount of loss for each
victim is divided among co-defendants and each youth is
responsible for paying 100% of his/her share of restitu-
tion. A payment schedule is developed by the counselor,
who may also advise ways of earning money. The juvenile
must purchase a money order, payable to the victim, which
the program sends to the victim. The restitution
component of the program is designed to be a learning
experience for the youth as well as a reimbursement
system for the victim.
10 . Community Service : Hours of community service work are
consistent with each juvenile where there is a minimum
of 16 hours of community service required for each
offense . An expansion of available community service
work sites provides a more varied and involved
community service program. If a juvenile reoffends while
on Diversion and it is deemed appropriate for that
juvenile to remain on the program, additional community
service hours will be imposed.
The hours may be altered only in a situation where the
juvenile is the caretaker of a family member or where
employment and school may present a problem for the
juvenile' s economic and/or academic survival .
11 . Counseling. All counselors on staff are required to
have masters degrees in the counseling field and at
least one year experience . The counseling staff is
well-equipped to provide short-term guidance and
counseling to troubled youth and their families/
guardians . As indicated above, the program provides
individual, group and family involvement, and counselors
are supervised according to state law by a qualified
expert . In addition, a number of juveniles and their
families are referred outside the agency for therapy
when it is assessed as necessary.
961138
-12-
12 . Referrals to Other Agencies . Counselors not only refer
juveniles to agencies outside the program. They also
maintain resources including a variety of Weld
County service providers as contacts for youth with
special needs . Those agencies utilized most frequently
include Partners, Department of Social Services, alter-
alternative schools, GED programs, Volunteer Resource
Bureau, Boys and Girls Club, Rodarte Center, Youth
Passages (North Colorado Psychcare Youth Treatment
Program) , and Island Grove Treatment Center (for
substance abuse evaluation and treatment) .
H. ANNUAL BUDGET (SEE ATTACHMENT B)
I . BUDGET NARRATIVE -- DIVERSION PROGRAM:
1 . STATE DOLLARS REQUESTED: The Nineteenth Judicial
District Attorney' s Juvenile Diversion Program is
requesting $26 , 678 in state funds to support one
Community Counselor III position which is critical
to the operation of the program. This amount is
75% of the total project cost with a local match of
25% (Weld County General Funds : cash and in-kind
operating costs) .
This amount is approximately 13% of the entire cost of
the Juvenile Diversion program, and state-criteria
juveniles have made up 46% (240 state + 271 other = 511
divided by 240) of the entire Juvenile Diversion caseload
during FY 1993-94 . By contracting to serve at least 185
(based on a 30% rejection rate) state-criteria youth
offenders, the program agrees to provide comprehensive
services at an extremely low cost to the state of $192
per youth. Local funding sources supplement state funds
at a high ratio. NOTE: above infor is based on 1992
figures .
As indicated in the proposal, a masters degree and one
year experience are required for the Counselor III
positions . All project staff exceed this requirement,
and it is necessary to have these qualifications in
order to provide quality services to such a difficult
population and to make assessments for more serious
family and individual needs . The District Attorney' s
Office is subject to positions and salary levels which
are determined by Weld County Personnel Services .
2 . LOCAL MATCH: The Weld County General Funds contribute
82% of the total cost of this Diversion Program FY 1997 .
The amount of $8 , 892 is designated as the local match for
reporting purposes . Weld County General Funds absorb the
annual cost of living raise as well as any step increases
96:11.38
-13-
in salary for each counselor position. This match also
includes in-kind operating expenses .
J. BUDGET OPTIONS :
1 . The Diversion Program is requesting funding for less than
one full-time counselor. It would be extremely difficult
to provide a quality service for the number of juveniles
in this program with less than the requested amount .
It should be noted that the Intensive Family Intervention
Program will address the needs for one full-time
counselor for juveniles who may not require court
intervention but rather intensive family services .
continued on next page
9611-38
-14-
RFP #BF-02994 PROPOSAL ADDENDUM
START-UP PROGRAM PROPOSAL FOR 1996-97
"INTENSIVE FAMILY INTERVENTION PROGRAM"
E. PROGRAM EVALUATION FOR FY 1995-96 : The objectives outlined
in the Nineteenth Judicial District Attorney' s Intensive
Family Intervention Program for FY 1995-96 are listed below,
with an eleven and one-half month report (July 1, 1995-May 31,
1996) .
1 . TO PROVIDE 40 STATE CRITERIA JUVENILES WITH INTENSIVE
FAMILY INTERVENTION TO PREVENT THAT JUVENILE WITH SEVERE
FAMILY PROBLEMS FROM ENTERING THE COURT SYSTEM (WITH
SPECIAL ATTENTION GIVEN TO MINORITY AND MONO-LINGUAL
(SPANISH SPEAKING) FAMILIES.
EVALUATION
Contracted Achieved as of 5-31-96
40 w/ 75% state criteria 28 (16 state + 12 Other)
40% state criteria
2 . THE PROJECTED AMOUNT OF RESTITUTION TO BE COLLECTED AS A
RESULT OF THE "IFI" PROGRAM WILL BE $3 , 000 TO 20 VICTIMS .
EVALUATION
RESTITUTION
Contracted Achieved as of 5-31-96
$3 , 000 $41 . 00
NUMBER OF VICTIMS
Contracted Achieved as of 5-31-96
20 victims 2 victims
3 . PROJECTED SHORT-TERM RECIDIVISM RATE FOR THE JUVENILES
INVOLVED IN THE "IFI" PROGRAM WILL BE 15% AND 30% FOR
LONG-TERM RECIDIVISM.
EVALUATION
SHORT-TERM RECIDIVISM
Contracted Achieved as of 5-31-96
15% 6%
961138
-15-
LONG-TERM RECIDIVISM
Contracted
30% NOTE: Not available at this time as we will need
at least three years to collect data.
F. PROGRAM OBJECTIVES FOR FY 1996-97 :
1 . TO PROVIDE 30 STATE CRITERIA JUVENILES WITH INTENSIVE
FAMILY INTERVENTION TO PREVENT THAT JUVENILE WITH SEVERE
FAMILY PROBLEMS FROM ENTERING THE COURT SYSTEM (WITH
SPECIAL ATTENTION GIVEN TO MINORITY AND MONO-LINGUAL
(SPANISH SPEAKING) FAMILIES .
la. State-criteria juveniles who are already
participating in the Diversion Program in addition
to newly accepted cases identified as IFI cases
identified as having difficulties in meeting
the requirements of the diversion program contract
related to community service, restitution, keeping
appointments, and family involvement will be
assessed for the "Intensive Family Intervention
Program" ( "IFI" ) . These juveniles very often end
up in the court system, due to criminal behavior
and family dysfunction.
lb. When a juvenile and family has demonstrated a lack
of participation in the diversion program due to
situations not involving violent behavior such as :
language barriers (monolingual Spanish-speaking
families) , emotional problems with juvenile and/or
parents/guardians, inability to comprehend the
system and/or expectations of the diversion
program, this family will be referred to the "IFI"
program counselor. If the language barrier
involves a language other than Spanish, efforts will
be made to provide for language interpretation .
lc . The " IFI" program counselor will assess the family
for intensive services to include : school visits/
staffings and coordination with school counselors
and teachers, assisting the family with language
interpretation, health needs, mental health needs,
and other referrals needed by that family to
continue to divert that juvenile from the court
system.
ld. At the cost of approximately $700 per juvenile in
the "IFI" program, the savings over the costly
involvement of the already over-crowded court
system and/or Department of Youth Services, it is
961.133
-16-
certainly a more economical way to address juvenile
and families who are disadvantaged by language
and/or emotional problems in the family.
2 . PROJECTED SHORT-TERM RECIDIVISM RATE FOR THE JUVENILES
INVOLVED IN THE " IFI" PROGRAM WILL BE 15% AND 30% FOR
LONG-TERM RECIDIVISM.
2a. Short-term recidivism is defined as a re-arrest
while on the Diversion program, which may result in
a case filing. The Juvenile D.A. , the Community
Programs Administrator, and the counselor consult
regarding further action. If the offense is minor
and the counselor is willing to continue working
with the juvenile, the juvenile is given
consequences for the offense . Consequences may
include : additional community service work,
additional restitution to pay, and/or added
contractual community service time .
Short-term recidivism will be measured by any
re-offense while on the Diversion program recorded
in the closing log.
2b. Long-term recidivism is defined as a re-offense
within five years after a juvenile' s case has been
closed in the juvenile Diversion program. The
Juvenile D.A. will determine to file or to offer
another opportunity with the Diversion program.
Long-term recidivism will be measured by tracking
all new police reports to determine if the juvenile
has had any prior involvement with the juvenile
diversion program over the past five years . If
tracking records show previous juvenile diversion
involvement, a notation will be made in the "New
Case" Log, along with a notation of whether the case
was closed "successful" or "unsuccessful . " The
number of juveniles, involved in the juvenile
diversion program, who have reoffended after his
or her case has been closed, will be tracked and
counted as this program' s long-term recidivism rate .
G. PROGRAM DESCRIPTION
1 . PROGRAM PHILOSOPHY: It is the goal of the Nineteenth
Judicial District Attorney' s Juvenile Diversion Program
to provide a community based alternative to the formal
court system for Weld County offenders who meet the
criteria for services . The program seeks to provide
a balanced approach which includes : protection to the
5614_38
-17-
public; holding youth accountable and responsible for
their behaviors; and helping youth to develop the
competencies and skills needed for them to live
productively and responsibly in the community.
2 . Each juvenile has a unique set of circumstances and
factors which have contributed to his or her offense
behavior. The response of the counselor will be to
develop an individualized case plan that is related to an
assessment of unique contributing factors . Justice is
best served in this program when the community, the
victim(s) , and the juvenile and the juvenile' s family
receive balanced attention and all gain tangible outcomes
from the interaction with this juvenile diversion
program. It is within this framework that all program
services are delivered.
In accordance with "The Balanced Approach, " it is our
goal that through community service, the youth will take
responsibility for their crime (s) by returning something
to the community of measurable value. Through
the restitution program, the juvenile will repay the
victim for damages/injuries resulting from their crime .
It is our hope that with the community and youth working
together, this experience will help the youth gain
meaningful skills and acquire respect toward self, and
others; thus, leading to more productive living, a safer
community environment, and lower recidivism.
With the "Intensive Family Intervention Program, "
juveniles and families who would otherwise have been
placed in the court system because of underlying
family problems can be given more intense, culture-
sensitive interventions . The over-representation of
minorities in the juvenile diversion program is of
serious concern to this judicial district and it is
hoped that the minority juveniles and families can be
helped in a specifically designed program for these
needs .
3 . ACCEPTANCE CRITERIA
3a. Commission of an illegal offense while between
the ages of ten and seventeen.
3b. Taken into custody at least once or twice for a
misdemeanor offense or once for a felony.
3c . Offense report sent to District Attorney' s Office
for review.
3d. Review by Deputy D.A. , Juvenile Division, indicates :
-18-
sufficiency of evidence; offense is non-violent;
history of juvenile and circumstances of crime do
not require a court filing by D.A. standards . The
designated file is referred to the Juvenile
Diversion Administrator for program approval .
3e . The Community Programs Administrator determines the
appropriateness of the case and either returns the
case based on history of juvenile and/or the offense
itself, or assigns the case to the IFI counselor.
3f . The juvenile must accept responsibility for
participation in the criminal activity and agree
to the terms of the diversion contract .
3g. At intake, counselor deems juvenile appropriate for
diversion services . Very few juveniles would be
found inappropriate at this point . One factor which
might precipitate rejections at this point would be
the discovery of information regarding the
juvenile' s history that was available to the Deputy
D.A.
3h. After the juvenile has participated in the diversion
program and is assessed by the counselor as having
difficulties in complying to contractual agreements,
the counselor will staff the case with the Community
Programs Administrator for appropriateness of
referral to the "IFI" Program.
3i . If the juvenile has not reoffended and the juvenile
is having difficulties in the following areas, a
consideration for placement in the "IFI" Program
will ensue : language barriers, determined to have
serious family dysfunction (alcohol, domestic
violence, sexual and/or physical abuse, school
truancy, mental and/or physical problems with
juvenile and/or family.
3j . The juvenile and family will be interviewed and
have a final assessment by the counselor as to the
appropriateness of the family for the "IFI" Program.
4 . SEQUENCE OF ACTIVITIES FOR PROGRAM PARTICIPANTS :
4a. Referral Process : Juvenile offense reports are
received daily by the District Attorney' s Juvenile
Division. A "Names Inquiry" is conducted on each
juvenile to check for local prior offenses . File
folders are then made for the offenders and case
numbers are assigned. A repeat offender' s diversion
file is located and the new offense is noted with a
361.119
-19-
new file made for each new offense . Information
regarding the new offense is recorded on the
Tiburon Computer System (limited access) .
Restitution questionnaires are sent to all victims
listed in the offense report .
Reports are then reviewed by the Juvenile Deputy
D.A. All case files are then sent to
the Community Programs Administrator. She reviews
the offense report and the juvenile' s history,
assigns a funding source, and a counselor.
The Diversion secretary then enters new case
information on to the Tiburon computer system and
the program statistical information on to the LOTUS
system. Letters are sent to parents informing them
that they need to call for an appointment for an
intake assessment .
If parents do not call for an appointment within
ten days, they are contacted by registered mail .
If there is not subsequent response, the case is
returned to the Deputy D.A. to review for court
filing.
4b. Intake Assessment . At this time, the
counselor meets with the juvenile and at least one
parent/guardian. The police report is reviewed, and
information about the juvenile' s record is
explained. If the juvenile accepts responsibility
for his/her offense, the Diversion program is
explained and offered to the family as an option to
court .
If the family chooses Diversion over court, the
requirements of participation are explained. The
parent signs required Release Forms in order that
important information may be shared with school or
other appropriate agencies . A complete Family
History is then taken and discussion surrounding
specific problems may ensue . After the counselor
has gained insight into individual problems, an
individual case plan is written in contract form
and signed by the juvenile, the parent and the
counselor.
The counselor then completes a needs assessment
and prepares individualized treatment goals and a
related case plan including the frequency of
appointments and the variety and duration of
services to be provided. Schools, caseworkers,
therapists, and other appropriate agencies are
361.1. 38
-20-
contacted for further information. Contract
specifications always include regular school
attendance or employment, an apology letter to the
victim (s) , payment of restitution, community
service hours, and referrals as needed. Data base
information is entered into the computer.
5 . Counseling and Supervision. For six to nine months,
the juvenile (with intermittent family involvement) meets
with the counselor for regularly scheduled appointments .
These may be planned weekly for high risk youth, but
most commonly are scheduled twice monthly. The counselor
supervises the completion of the contract, discusses
concerns of the juvenile and family as indicated in the
needs assessment and plans sessions to work on the
treatment goals related to illegal and troublesome
behaviors .
The Diversion counselors receive twice-monthly
supervision from Scott Shannon, M.D. who is the Medical
Director at North Colorado Psychcare in Greeley.
Referrals to other agencies are made as indicated. Case
notes are maintained by the counselor in the juvenile' s
Diversion file .
As the counselor works with the juvenile and his/her
family, the counselor will assess the progress of each
juvenile and family. If, at some point in this process,
the family is not cooperating with the contractual
agreement for reasons other than re-offending, the
counselor will assess for special needs for this family.
If there is a case of non-compliance with a juvenile and
family, and it is resulting from a language barrier,
severe family dysfunction, or a problem with
comprehending the agreement, they are referred to the
" IFI" Program.
This assistance can involve assessing for mental health
needs, health problems, language needs, etc . The
case will be staffed with the Community Programs
Administrator, who, if case is determined appropriate,
will then assign that case to the "IFI" counselor.
The " IFI" counselor will then begin the intensive family
interventions in an attempt to provide services
appropriate for this family and thereby, continuing to
divert the juvenile from the court system.
6 . Termination. Youth are discharged or terminated either
successfully or unsuccessfully. Successful terminations
indicate that all terms of the contract were satisfac-
36 1:38
-21-
torily completed. The Termination Summary form is
completed and placed in the file and closed.
Unsuccessful terminations are then reviewed by the Deputy
D.A. and either filed in court or closed as unsuccessful .
An unsuccessful closing would eliminate a juvenile from
future consideration for Diversion should he/she be
detained on a future charge .
7 . Staff/Case Supervision: The Administrator reviews all
cases at referral and at termination. In addition, the
Administrator reviews individual cases on a regular
basis and provides comments to the counselors related
to content and direction. Counselors inform the
Community Programs Administrator of any incidents, crises
or high risk situations . Weekly staff meetings are held
with an agenda which involves case staffings, paperwork
updates and changes, and in-service training. Each
counselor is required to meet with the Community Programs
Administrator once per month on an individual basis for
individual andprogrammatic concerns . An evaluation of
the counselor' s performance is completed every six months
based upon the requirements of the program. Open
communication is a primary concern in this program to
ensure high morale and productivity.
8 . OVERVIEW OF SERVICES PROVIDED
8a. Group Education Offered: A variety of group
services are provided by the Diversion program
staff . Each counselor provides seven weeks of
group experience for the juveniles in their
caseload in order to enhance the individual case
plan. Groups will meet weekly and address and
improve skill deficiencies; reinforce appropriate,
productive behaviors; and emphasize alternatives
that are socially acceptable .
A Shoplift Group is provided for those whose
offenses include shoplifting (misdemeanor theft) .
A Parent Orientation Group is mandated to the
parents of the juveniles in the Diversion program.
This group allows the parents to learn about the
Diversion program and what is expected of them
while their juvenile is in the program. This
group also provides a supportive environment for
parents and to encourage a team approach with
parents to the juvenile' s treatment goals and
plans . This mandatory group is a on-time meeting
for all parents of juveniles in the Diversion
program.
96 . 63
-22-
9 . Supportive Education Services . During the intake
process, the counselor identifies and addresses academic,
behavioral, and attitudinal problem areas in the
juvenile' s educational setting. The program' s goal is to
maintain students in their present educational settings
or to prepare them for reintegration into a public school
setting, a vocational program such as Job Corps or into
a GED Program.
9a. To assist the juvenile in attaining these goals,
the counselor may obtain overall progress reports,
achievement scores and ability scores from the
schools . The counselor may request input in
special educations staffings and may also monitor
attendance and act as an overall liaison between
the youth and his/her school .
10 . Restitution Services . Restitution forms are sent to
victims immediately after the offense report is received.
The victim has twenty days to complete the forms and to
document all requests with estimates or receipts
regarding repair or loss . The amount of loss for each
victim is divided among co-defendants and each youth
is responsible for paying 100% of his/her share of
restitution. A payment schedule is set up by the
counselor, who may also advise regarding ways of earning
money. The juvenile must purchase a money order, payable
to the victim, which the program sends to the victim.
The restitution component of the program is designed to
be a learning experience for the youth as well as a
reimbursement system for the victim.
11 . Community Service . Hours of community service work are
consistent with each juvenile where there is a minimum of
16 hours of community service required for each offense .
An expansion of the available community service sites has
provided a more varied and involved community service
program. If a juvenile re-offends while on Diversion
and it is deemed appropriate for that juvenile to remain
on the program, additional community service hours will
be required.
The hours may be altered only in a situation where the
juvenile is the caretaker of a family member or where
employment and school may present a problem for the
juvenile' s economic and/or academic survival .
12 . Counseling. All counselors on staff are required to
have master' s degrees in the counseling field and at:
least one year experience . The counseling staff is
well-equipped to provide short-term guidance and
counseling to troubled youth and their
96V.33
-23-
families/guardians . As indicated above, the program
provides individual, group and family involvement,
and counselors are supervised according to state law
by qualified expert . In addition, a number of juveniles
and their families are referred outside the agency for
therapy when it is assessed as necessary.
13 . Referrals to Other Agencies . Counselors not only refer
juveniles to agencies outside the program. They
maintain resources including a variety of Weld
County service providers as contacts for youth with
special needs . Those agencies utilized more frequently
are Partners, Department of Social Services, alternative
schools, GED Programs, Volunteer Resource Bureau,
Psychcare Youth Treatment Program, Rodarte Center, and
Island Grove Treatment Center (for substance abuse
evaluation and treatment) .
H. ANNUAL BUDGET (SEE ATTACHMENT B)
I . BUDGET NARRATIVE: INTENSIVE FAMILY INTERVENTION PROGRAM
1 . STATE DOLLARS REQUESTED: The Nineteenth Judicial
Attorney' s Juvenile Diversion Program is requesting
$23 , 151 in state funds to support Community Counselor
III position which is needed to provide a counselor
for the " Intensive Family Intervention Program. " This
amount is 75% for the total project cost with a cash
and in-kind match of 25% ($7, 718) . NOTE: These match
monies are explained in detail below.
This amount is approximately 15% of the entire cost of
the Juvenile Diversion Program, and state-criteria
juveniles have made up 35% of the entire Juvenile
Diversion Program caseload during FY 1993-94 . By
contracting to serve 30 state-criteria Intensive
Family Intervention juveniles, the program agrees to
provide comprehensive services at an extremely low cost
to the state at $580 per juvenile . Local funding
sources supplement state funds at a high ratio.
NOTE : above information is based on 1992 figures .
As indicated in the proposal, a master' s degree and
one year experience are required for the Counselor III
position, with Spanish bilingual skills . This program
has hired a skilled bilingual counselor for this
position, with at least two years of experience with
adolescents and families .
2 . MATCHING FUNDS : The IFI program began charging for
services effective March 1, 1994 . Fees were increased
effective January 11, 1996 in order to attempt to meet
96.1 c'IS
-24-
the required program fee match. Weld County General
Funds absorb the annual cost of living raise as well
as any step increases in salary for each counselor
position. Weld County General Funds also provide
in-kind operating expenses for this program.
Program fees to be generated for match for 1996-97
are listed below:
*Juvenile Diversion Program Fee :
($50 x 109 cases per year) = $ 5, 450
*Shoplift Group Participation Fee :
($20 x 40 cases per year) = 800
Weld County General Funds (cash and
in-kind operating funds) = 1, 468
Total : $7, 718
Matching Funds needed per grant : $ 7, 718 .
*These monies will be collected and deposited in
an account with Weld County, to be withdrawn for
the funding of this program only.
COMBINED BUDGET FOR DIVERSION PROGRAM AND
INTENSIVE FAMILY INTERVENTION PROGRAM
A. BUDGET NARRATIVE :
1 . STATE DOLLARS REQUESTED: The 19th Judicial District
Attorney' s Juvenile Diversion Program and the Intensive
Family Intervention Program is requesting $49, 829 in
state funds to support two Community Counselor III
positions which is critical to the operation of the
program. This amount is 75% of the total cost with a
cash match of $16,610 or 25% of total project cost .
This amount is approximately 13% of the entire cost
of the Juvenile Diversion/IFI Program, and state-
criteria juveniles have made up 47% of the entire
9644 3x3
-25-
Juvenile Diversion caseload during FY 1993-94 . By
contracting to serve at least 185 (based on a 30%
rejection rate) state-criteria youth offenders, the
program agrees to provide comprehensive services at
an extremely low cost to the state at $192 per youth.
Local funding sources supplement state funds at a high
ratio. NOTE : above information is based on 1992
figures .
As indicated in the proposal, a masters degree and one
year experience are required for the Counselor III
positions . All staff exceed this requirement
and it is necessary to have these qualifications in
order to provide quality services to such a difficult
population and to make assessments for moreserious
family and individual needs . The District Attorney' s
Office is subject to positions and salary levels which
are determined by Weld County Personnel Services .
2 . LOCAL MATCH: The Weld County General Funds contribute
$8, 892 in matching funds for the Diversion Program
counselor position. Matching fund amount for the IFI
Program counselor position is $7, 718 . This match amount
will be generated in part by "program fees" as well as
Weld County General Funds which provide in-kind operating
costs, annual cost of living raise as -well as step
increases in salary for each counselor position.
The program fee schedule is as follows :
*Juvenile Diversion Program Fees : $5, 450
($50 x 109 cases per year)
*Shoplift Group Program Fees : 800
($20 x 40 cases per year)
Weld County General Funds (cash and
in-kind operating funds) 1, 468
TOTAL: $7, 718
Matching Funds needed for IFI counselor: $7, 718
*These monies will be collected and deposited in an
account with Weld County, to be withdrawn for the
funding of the IFI Program only.
96:t a&
APPENDIX A
WELD COUNTY CERTIFICATE OF PARTICIPATION
AND
INFORMATION RE: ENDORSEMENT LETTER
961138
Certificate of Participation
Colorado Counties Casualty and Property Pool
CAPP
For the Coverage Period July 1, 1995 Through:June 30, 1996
ISSUED TO WELD COUNTY
CAPP hereby certifies that Weld County is a participating member of CAPP for the period beginning July 1, 1995
through June 30, 1996. The coverages, conditions of membership, and other provisions applicable to members of
CAPP are as described in CAPP's Bylaws and Intergovernmental Agreement and in the applicable excess policies
and endorsements thereto, copies of which have been or will be provided to Weld County.
The types and monetary limits of the coverages provided to Weld County throughmembership in CAPP, in
consideration of the payment of its contributions, are limited, as of the date of this certificate, to those which are
shown below. The scope, terms, conditions, and limitations of coverages are governed by the aforementioned
agreement and policies.
L The types of-coverages, subject to the limit on CAPP's liability in Section II below, are as follows:
A. Property (including EDP, mobile equipment, and auto physical damage).
B. Liability:
1. General Liability (Bodily injury/Property damage).
2. Auto Liability:
a. Bodily Injury/Property Damage.
b. Personal Injury Protection.
3. Errors and Omissions.
4. Excess Liability (Federal and out-of-state only).
C. Crime:
1. Monies and Securities (inside).
2. Monies and Securities (outside).
3. Employee Fidelity.
D. Boiler and Machinery.
II. CAPP Retention, Aggregate Limits,and Member Deductibles.
For the coverages described in Section I, CAPP shallbe liable only for payment of the self-insured retentions and
only to a total annual aggregate amount for members of CAPP as a whole of the amount of the CAPP loss fund
for the coverage period. There is no aggregate excess coverage over said loss fund. CAPP's per claim/occurrence
retentions are limited to the following for the foregoing coverages:
A. $150,000 per claim/occurrence property.
B. $250,000 per claim/occurrence liability.
C. $150,000 per claim/occurrence crime.
D. $ 5,000 per loss boiler and machinery.
In addition, there is a maintenance -deductible of $500.00 which applies to each of the County's first party
claims/occurrences/losses. Payment of the deductible reduces the amount otherwise payable under the applicable
CAPP retention.
Coverages in excess of the foregoing retentions are provided only by the excess insurers in applicable
excess policies,and are payable only by those excess insurers. The limits of coverage provided by the
excess insurers are as follows:
A. Liability: from $250,000 per claim/occurrence/retention to $1 million per
claim/occurrence, subject to the following:
All liability coverages are provided on"a claims-made coverage form. In no event shall
the maximum per claim/occurrence payment exceed the following for general liability,
auto liability, or errors and omissions liability claims subject to the Governmental
Immunity Act: $150,000 per person and $600,000 per occurrence. Excess errors and
omissions coverage is subject to a $750,000 annual aggregate limit per member.
Additional limits, sublimits and aggregates apply as provided in the applicable excess
policies.
• B. Crime: none.
C. Boiler and Machinery: from $5,000 to the cost of repair/replacement for each actual
loss sustained.
D. Property: from $150,000 to $50,000,000 each occurrence
"All Risk" basis with sublimits of$1,000,000 newly acquired property and $1,000,000
new construction each-occurrence. $500,000 unscheduled locations. Newly acquired
property must be reported within 60 days.
The excess insurers for the coverage period are:
National Union Fire - MG
St. Paul Fire and Marine
The Travelers Co.
Information concerning the CAPP loss fund for the coverage period may be obtained by contacting
CAPP.
Colorado Cou ties C ualty and Property Pool
By:
Warren G. Behm, CTSI Manager
Dater July 1, 1995
CAPP Certificate of Participation 95/96
96Q?:38
APPENDIX B
BUDGET OUTLINE (2 PAGES)
961?.3L3
\Gl ATTO
A•� €ut'J ,p District Attorney's Office
o -� ' ; � Nineteenth Judicial District
cc lir-)
A.M. Dominguez, Jr. - District Attorney
A Thomas Quammen - Assistant District Attorney
✓UD\G
July 1, 1996
Mr. Larry Linke
Division of Criminal Justice
700 Kipling Street, Suite 3000
Denver,-CO 80215
RE: Weld County Juvenile Diversion Program
Dear Mr. Linke:
The Nineteenth Judicial District Attorney's Office grant proposal Exhibit A/Contract does not
include the additional "Endorsement Letter" as required for proof of insurance at this time. Due to
the FY 1995-96 end of year closure and the beginning of FY 1996-97 occurring at the time of this
request, Weld County will not have the new information until early July, 1996. Mr. Don Warden,
Financial Administrator for Weld County, has assured me that he and the insurance company will
forward this Endorsement Letter as soon as they are able.
If you have any questions regarding this matter, please contact me at 970-356-4010 ext. 4730.
Sincerely,
ancy `Halter
Community Programs Adminis for
19th Judicial District Attorney's Office
Post Office Box 1167•915 Tenth Street•Greeley, CO 60632 • (970) 356-4010• FAX (970) 352-8023
96:x?38
EXHIBIT A
Attachment B - Budget Outline - FISCAL YEAR 1996-97
A. BUDGET SUMMARY
Program/Agency Name 19th Judicial District: Juvenile Diversion Program
Other Diversion Local Local
State Cash In-Kind . TOTALS
Personnel 49,829 6,250 ( 10,3b0\ 66,439
Supplies/Operating ` /)
Travel
Equipment
Professional Services
TOTALS 49,829 6,250 10,360 66,439
Restitution Local Local
State Cash hi-Kind TOTALS
Personnel
Supplies/Operating
Travel
Equipment
Professional Services
TOTALS -0-
Victim Offender Local Local
Mediation State Cash In-Kind, TOTALS
Personnel
Supplies/Operating
Travel
Equipment
Professional Services
TOTALS -0-
961138
EXHIBIT A
Attachment B -Budget Outline - FISCAL YEAR 1996-97
B. DETAILED PROGRAM BUDGET
Program/Agency Title 19th Judicial District: Juvenile Diversion Program
Include the estimated cost of all resources needed to provide Juvenile Diversion program services. (Attach
additional pages if necessary.)
% Total Catogoty Total
PERSONNEL(Employees)
Salaries(list each position with salary rate and percentage of time devoted).
Community Counselor III /YR
Community Couselor III /YR 75% 49,829
/YR
Local cash & In-kind match /YR 25% 16,620
/YR
Subtotal of Personnel 66,439
FICA, Retirement, Fringe Benefits
Total Personnel Costs
SUPPLIES AND OPERATING EXPENSES(communications, copying, etc.)
Total Supplies &Operating Expenses
TRAVEL (itemize transportation &subsistence)
Total Travel Costs
EQUIPMENT(itemize)
Total Equipment Costs
PROFESSIONAL SERVICES (itemize individuals and organizations)
Total Professional Services
TOTAL PROJECT COST 66,439
xr�d 1/96
36:1..',.38
APPENDIX C
FLOWCHART OF STAFF
19TH JUDICIAL DISTRICT ATTORNEY'S OFFICE
361?38
anrIpaa.aa
!i
iow F
O
di R g s -R-----Ii
p
►;
HR HR ki k
C.
. b _____E
fral
h _ h_- -
I � e''.~ A q [--11A
p - P A - P
p6
RN E n � n n
OO O O � O � -
6-9 abea HONVH 'K'O
9611.38
APPENDIX D
LETTER OF SUPPORT
19TH JUDICIAL DISTRICT ATTORNEY'S OFFICE
361?.38
rA.S441.
K.,tO,p District Attorney's Office
o ; Nineteenth Judicial District
r,ts*
�vA.M. Dominguez, Jr. - District Attorney
/Q- Thomas Quammen - Assistant District Attorney
J U DNG\
July 1, 1996
Mr. Larry Lithe
Division of Criminal Justice
700 Kipling Street, Suite 3000
Denver, CO 80215
RE: Weld County Juvenile Diversion Program
Dear Mr. Linke:
We are writing to support the Exhibit A proposal concerning the Juvenile Diversion Program in the
19th Judicial District. It is our projection that we will refer at least 250 felony and multiple
misdemeanant juvenile cases to the Juvenile Diversion Program during FY 1996-97.
The services provided by this program are unique to this Judaical district, do not duplicate any other
programs available and are successful in diverting most of the juvenile participants from further
involvement in the court system
Sincerely
A. M. minguez
Dws�trict Attorney
aE. S
Chief Deputy District Attorney
Juvenile Division
Post Office Box 1167•915 Tenth Street•Greeley, CO 80632• (970) 356-4010• FAX (970) 352-8023
961'.1,39
APPENDIX E
IFI PROGRAM: CONTRACT AND
OUTLINE OF FAMILY GROUPS
961 .38
19TH JUDICIAL DISTRICT JUVENILE DIVERSION
INTENSE FAMILY INTERVENTION
CHILD AGREES TO:
1. Meet with my counselor or assigned group as scheduled.
2. Make restitution in the amount of$
3. Apologize(written)to
4. Complete the assigned papers and discuss them.
5. Be enrolled in school and provide copies of grade reports
OR
6. Maintain employment(at least 30 hrs per week) and provide payroll verifications.
7. Community Service hours: Worksite:
8. Attend Family Group 10. Attend Shoplift Group
9. Attend Life Skills Group 11. Other
PARENT AGREES TO:
1. Attend Parent Orientation •
13. Attend Family Group
2. Notify counselor of problems/concems 4. Other
COUNSELOR AGREES TO:
1. Notify parent of problems/concerns 4. Other
2. Monitor school/employment
3. Assess family situation and make appropriate referrals.
NOTE: FOUR MISSED APPOINTMENTS WILL RESULT IN TERMINATION FROM THE PROGRAM AND
REFERRAL BACK TO THE DEPUTY DISTRICT ATTORNEY FOR REVIEW FOR COURT FILEING.
I have had an opportunity to discuss this contract and agree to fulfill all of the above listed requirements. lam aware
that a court appearance may be necessary if I do not complete this contract.
Juvenile's Signature Date
Parent/Guardian Signature Date
Diversion Counselor Signature Date
9614.38
INTENSIVE FAMILY INTERVENTION
FAMILY GROUPS
GROUP I -PARENTING
I. INTRODUCTION
A. General Overview of Family Groups
1. Informed Consent and Disclosure Statement
2. Explanation of upcoming groups
a)parenting
b)communication/negotiation
c)children in healthy families
d)discipline
3. Tool Box Analogy -tools for healthy families.
a)parenting skills come from our own parents, a chain is created.
b)the goal of these groups is to increase our skills as family members
II. PARENTING STYLES
A. Label parenting styles
1. Permissive- parent has no power- Child in control
2. Autocratic- parent has absolute power Parent in control
3. Democratic-parent shares power- Parent-Child negotiation
B. Group Discussion on Three Scenarios
1. Write down group responses
2. Discuss observations
C. Group discussion on parenting styles
1. empowerment vs. power
2. win/win vs. win/lose situations
3. natural/logical consequences vs. punishment
** Handout: Comparison of Parenting Styles
361.1-38
III. WHAT IS A PARENT?
A. Group discussion
1. What makes a good parent?
2. Ask kids- Who is in charge?
B. Parent roles
1. Leader
a)make rules
b)stick together
c) stay in charge
d)know what you want, saying what you want, getting what you want.
2. Model
a)plan time to be with your child
b) involve your child in family life
c) encourage your child to talk with you
**Handout: Parents in Healthy Families
IV. HOMEWORK
A. Review handout on parenting
B. Written work
1. Give one example for each characteristic of a leader
2. Give one example for each characteristic of a model
C. Have teens think of something they would like their parent(s)to do differently
9614:T.3
INTENSIVE FAMILY INTERVENTION
FAMILY GROUPS
GROUP II - COMMUNICATION/NEGOTIATION
I. REVIEW
A. Discuss/review parenting styles and roles
1. Did you try anything different this week in your parenting?
2. Were your new efforts successfid/unsuccessful? Explain.
B. Discuss homework assignments
1. What are some examples of a "leader" and"model"?
2. To teens- What would you like to see your parent(s)do differently?
a) Have you communicated this to you parent(s) in the past?
b)Was your attempt successful/unsuccessful? Why?
II. EFFECTIVE COMMUNICATION
A. Listening Skills
1. Try to understand the other's perspective
2. Let the person talk(do not interrupt)
3. Reflect their messages
4. Wait before solving or fixing
B. I Statements vs. You Statements
1. Express our feelings and reactions
2. Avoid blaming, lecturing and nagging
C. Attending Nonverbal Communication
1. Face the person speaking to you
2. Give the person your full attention
3. Make eye contact
4. Avoid setting physical barriers
5. Use open body language
6.Nod to relay understanding
**Handouts: Family Communication
Barriers to Listening
**Activity: Geometric Shapes
9611.:18
III. PROBLEM SOLVING AND NEGOTIATION
A. Define the Problem(growth potential)
B. Clarify Dimensions
1. Who
2. What
3. Why
4. Where
5. When
6. How
7. How Much
C. Brainstorm Solutions
1. Rainbow of alternatives
2.No evaluation
3. Write down every idea
4. Quantity not quality
D. Explore Consequences
1. Pros
2. Cons
E. Choose Mutually Agreeable Solution
F. Evaluate Solution and Modify
**Handout: Problem Solving Model
**Exercise:
IV. HOMEWORK
A. Read the handouts from this group
B. Complete the Family Wellness Rule Sheet and bring to the next group
961'_38
INTENSIVE FAMILY INTERVENTION
FAMILY GROUPS
GROUP III -CHILDREN
I. REVIEW
A. Discuss homework assignment
1. What you liked/disliked regarding assignment
2. How well did this assignment work in negotiation rules
B. Discuss/review communication handouts
1. Have you been using these skills?
2. Has there been a change as a result of using these skills?
II. ROLES OF CHILDREN
A. Present the Two Roles of Children in Families
1. To be somebody
a) get good at something
b) learn rules outside your home
2. To belong
a)bring good things home
b) follow family rules
c)talk over rules
III. NEGOTIATION AND TALKING OVER THE RULES
A. Preparation
1. Think of what you want.
2. Think of what your parents want.
3. Think about what you and your parents agree on.
B. Set the scene.
C. Negotiate with both your parents when possible.
D. Agree that your parents have the final say.
E. Say what you want to do now.
1. Be specific, and describe what you want.
2. Say the rule that you think would be good.
3. Say the reasons that the new rule would work better.
4. Stick to one subject.
961138
F. Avoid blaming
G. Listen to your parents point of view and let them know that you heard it.
H. Offer trades and compromises.
I. Thank your parents for listening to you.
IV. TEENAGE YEARS -A TIME OF GROWTH AND CHANGE IN SEARCH OF IDENTITY
A. Physical
1. Growth spurts
2. Puberty and maturation of reproductive system and secondary sexual characteristics
B. Thinking
I. A shift from concrete to abstract thinking
2. Youngsters become capable of creative and flexible thought.
C. Emotions
1. An increase in depth, intensity, and complexity of experienced feelings
D. Social
1. Peer relationships become important
2. Peers influence decision making and risk taking
E. Change
1. Stress is a result of change.
2. Stress will take place for both juvenile and parent.
IV. Homework
1. Review nine steps to successful negotiation with your parents
2. Complete "Talk Over Rules" packet
3. Negotiate a rule you wish to change with your parent
a)follow nine steps
b)record outcome of the negotiation
**Handout:Nine Steps to Successful Negotiation with Your Parents
961'38
INTENSIVE FAMILY INTERVENTION
FAMILY GROUPS
GROUP IV - RESPONSIBILITY AND DISCIPLINE
I. REVIEW
A. Discuss/review the nine steps of negotiation for teens
1. Questions/concerns about these steps
2. Suggestions for improvement regarding these steps
B. Discuss homework assignment
1. What did you negotiate with your parent
2. Did you use the nine steps?
3. Were they effective? Were you effective in your negotiation?
4. What was your parent's response when you used these?
II. FREEDOM AND CHOICES
A. It's important to know what the limits are as defined by parents
1. Give children freedom to choose within the limits you have defined
2. Allowing them to make choices gives feeling of empowerment
3. Give yourself permission to expand limits as situation dictates
4. Choices allows for children to learn responsibility/accountability
B. Don't make everything a choice
1. Use 'I' statements when setting limits without choice
2. State clearly what you want/need/feel
3. Give clear consequence of what will occur if limit is not adhered to
a) State "either, or"
b) State "if, then"
C. Using natural, logical consequences
1. Outline choices using either-or, or when-then choices
2. Give the choice ONE time, then act
3. Allow your teen to try again later(after teen has experienced consequence)
4. Avoid turning logical consequences into punishment
D. Eight "Do's" of Logical consequences
1. Give a choice (either/or) (when/then)
2. Make sure the consequence is logical
3. Ask your teen to help
4. Give choices you can live with
5. Keep your tone firm and friendly
6. Give the choice only ONCE, then act
961138
_ 2 _
7. Expect testing
8. Allow the child to try again later
E. When Misbehavior Pays Off
1. When children receive benefits from the consequences of misbehavior,they will
continue that misbehavior
2. If children receive no benefits from the consequence of misbehavior, they will
change the behavior
3. Ask "how can I avoid making his misbehavior pay off?"
a)Use I messages instead of nagging
b) Remove yourself from the situation
c) Set up a logical consequence instead of issuing a threat
F. Parents present situations/questions for discussion
1. Brainstorm with other parents/teens
2. Use role playing
9611.38
INTENSIVE FAMILY INTERVENTION
FAMILY GROUPS
GROUP 5 - CHANGE AND PROBLEM SOLVING
I. REVIEW
A. Discuss/review responsibility and discipline
1. Questions or concerns about limit setting,using statements,and consequences
2. Suggestions for improvement regarding these methods
3. What tool were succnsful/unsuccessful?Explain.
II. CHANGE IN HEALTHY FAMILIES
A. General rules for change
1. Expect change.
2. Stress is the signal that a change is needed.
3. Change means making new decisions.
4. Expect to feel resistance.
5. Take one-step at a time.
6. Act in a new way.
7. Use outside help when you get stuck.
B. Rules for using outside help
1. Use your relatives as resources
2. Involve yourself in friendships
3. Use friends and relatives to connect you with resources
4. Use resource people as equals.
a. Know what you want
b. Say what you want
c. Get what you want
III. SOLVING FAMILY PROBLEMS (Growth Opportunity)
A. Work together
1. Tell family members or a good friend.
a. If you could solve the problem alone you would have.
b. Encourage and expect family members with problems to speak up.
2. Talk things over, it helps you think more clearly.
a. Think out clearly what you want.
b. Say what you want for your self.
c. Get the other person's response.
d. Acknowledge all feelings,thoughts and fears.
961.'_38
B. Commit yourself to making a change.
1. Include everyone who is needed to solve the problem.
2. Expect resistance from yourself and others.
3. Reach agreement on one problem you will focus on and solve.
4. State the results you want if the problem is solved.
5. Set aside 45 to 60 minutes to complete your problem solving.
C. Make a plan
1. State the problem.
2. Write the result you want.
3. List all possible solutions to get the result.
4. Review the list together.
5. Have each person choose two solutions that they are willing to carry out.
6. Decide together on the solution to implement.
D. Carry out the plan
1. Decide:
a. What tasks need to be done.
b. Who will handle each task.
c. By what time or day will it be done.
d. Get help outside your family when your solutions aren't solving the problem.
IV. FAMILIES WITH ADOLESCENTS
A. Parents to work more cooperatively.
1. Bea team.
2. Single parents,have a close friend to help in times of need.
3. Couples in blended families often have to work harder to preserve their life together.
B. Make room for teenagers to work in and out of the family.
1. Adolescents is a time of creating ones own identity.
C. Gradually share more decision making with-your teenager.
D. Couples begin to refocus more on themselves,careers,marriage, and less on teenager.
** Handout: Format for Solving Family Problems
961138
A T� n
QS�a K��tg9 District Attorney's Office
`?f �-m Nineteenth Judicial District
o -c .. in f, ?7
‘/ »v A.Mrpommguez, Jr. -District Attorney
670� \P Thomas Quammen - 96tsrtnt District Attorney
TO TIC
TO: Ms. Barbara J. Kirkmeyer, Chair
Board of County Commissioners
Mr. Don Warden
Financial Administrator
FROM: Nancy I. Haffner 1/41, -
Community Programs administrator
DATE: June 20, 1996
SUBJECT: Renewal of 1996-97 DCJ Grant
I am submitting four copies of the 1996-97 renewal contracts for the Juvenile Diversion Program
grant with the Division of Criminal Justice.
Each of the four copies of the contract need to be signed by (1) Ms. Barbara J. Kirkmeyer and
(2)Mr. Don Warden on the pages indicated. Please sign copies in BLUE ink. I will need all four
copies returned to me as all four copies must be sent to DCJ.
I am also submitting one copy of"Exhibit A and Appendix" for your records.
I will be present at the June 24, 1996 Board of County Commissioners meeting to answer any
questions that you may have.
Attachments
961138
Post Office Box 1167•915 Tenth Street•Greeley, CO 80632• (970) 356-4010• FAX (970) 352-8023
EXHIBIT "B"
COLORADO DIVISION OF CRIMINAL JUSTICE
JUVENILE DIVERSION CASH REQUEST
Contractor Name Contract Number Date of Request
19th Jud. Dist: Juvenile Diversion P:og. #BF-02994
Make warrant payable to:
Agency Name:
Street:
City, State, Zip:
1. Total Amount of State Contract $
2. Total Amount Received to Date $
3. Total Amount Requested, Not Received $
4. Total Amount of This Request $
5. Total of Lines 2, 3 &4 $
6. BALANCE OF STATE CONTRACT (Line 1 less Line 5) $
7. Estimated Expenditures for Next Quarter $
8. Less Estimated Cash on Hand $
9. Total Cash Needs
(Line 7 less line 8) (Must equal line 4) $
Project Director's Signature
Phone#: ( )
TWO signed copies of this form mast be submitted to DCl with ORIGINAL signatures. I
DCJ Approval Program Admuilstrator Date
$ Amount
Vendor Number (For DCJ Use Only):
1763 $ I764 $ 1765 $
Rwiwd 5/95
961133
EXHIBIT "C"
COLORADO DIVISION OF CRIMINAL JUSTICE
JUVENILE DIVERSION FINANCIAL REPORT
CONTRACTOR NAME CONTRACT NUMBER
DATE
Time Period Covered by this Report Report Number
From To 1 2 3 4 Final
In-kind Match
Contract Status State Funds Local Cash Match (in $) Total Funds
Total Award
Less $ Rec'd.
Balance
A B C
STATE FUNDS Expenditure
Total ;' Beg. of Total
Approved Quarter (C Expenditure
Budget (See on Prev. Expenditure to Date ;Unpaid
Budget Category Ex. A) Report) This Quarter (A + B) Obligations
Personnel
Supplies/Operating
Travel
Equipment
Professional Services
TOTAL
LOCAL CASH Expenditure
MATCH Total Beg. of Total
Approved Quarter (C Expenditure
Budget (See on Prey. Expenditure to Date Unpaid
Budget Category Ex. A) Report) This Quarter (A + B) Obligations
Personnel
Supplies/Operating
Travel
Equipment
Professional Services
TOTAL
9611:38
A B C
LOCAL IN-KIND Expenditure
MATCH Total Beg. of Total
Approved Quarter (C Expenditure
Budget (See on Prey. Expenditure to Date Unpaid
Budget Category Ex. A) Report) This Quarter (A + B) Obligations
Personnel
Supplies/Operating
Travel
Equipment
Professional Services
TOTAL
If calculations for in-kind services differ from your explanation in Exhibit A, please describe changes in detail.
Attach additional sheets, if necessary.
I certify that to the best of my knowledge and belief this report is correct and complete and that all
expenditures and unpaid obligations are for the purposes set forth in the contract.
Report Prepared By: Phone: Project Director's Signature
Mail TWO copies of this form to DCJ within 15 days following the end of each quarter.
All signatures must be ORIGINAL.
Revised 5195
961'`38
Hello