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Home My WebLink About992920.tiff RESOLUTION RE: APPROVE VOCA ASSISTANCE GRANT AWARD FOR DOMESTIC VIOLENCE AND SPECIAL POPULATIONS LIAISON PROJECT 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 VOCA Assistance Grant Award for the Domestic Violence and Special Populations Liaison Project between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the 19th Judicial District Attorney's Office, and the Colorado Department of Public Safety, Division of Criminal Justice, commencing January 1, 2000, and ending December 31, 2000, with further terms and conditions being as stated in said grant award, and WHEREAS, after review, the Board deems it advisable to approve said grant award, 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 VOCA Assistance Grant Award for the Domestic Violence and Special Populations Liaison Project between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the 19th Judicial District Attorney's Office, 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 grant award. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 13th day of December, A.D., 1999. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: 1)1410/ f i�I�T �� EXCUSED DATE OF SIGNING (AYE) �lti �J Dale K. Hall, Chair Weld County Clerk to the .s. ` u v ias� �.� is ��+ .&t4a / S ,2LL Chi• `'1% � �:arbar J. Kirkmeyer,' ro-Ter-ni BY: aril Deputy Clerk to the nut Geor axter r APPROVFD AS TO FORM: c > . J.. Geile County Attorney �I Glenn Vfi - 992920 �y, + �� DA0014 cdos 2 5 Division of Criminal Justice Q �� Raymond Slaughter,Director 700 Kipling St Suite 1000 Denver,CO 80215-5865 COLORADO (303)239-4442 DEPARTMENT FAX(303)239-4491 OF PUBLIC SAFETY November 22, 1999 Mr. Gary Rathke District Attorney's Office, 19th Jud. Dist. 915 10th Street Greeley, CO 80631 Re: VOCA Assistance Grant Award Grant Number:98-VA-19-63 Project Name: Domestic Violence & Special Populations L.P. Dear Mr. Rathke: The Victims'Compensation and Assistance Coordinating Committee recommendation for sin funding has been approved by the Governor,the Director ofthe Divis ion of Criminal Justice and kttlaaw.zavaias the Executive Director of the Department of Public Safety. *Please note your grant number hasvriveDlrtEcrofe changed. It now begins with 98. Please use this new number in all correspondence,reports,and DMclon of Crininal Justice cash requests for this award. Col ado Shb Patrol cobono&aeau The VOCA Assistance funds are generated from annual federal fines that fluctuate from year to dIne<eaaeoo a year. As such, subgrantees are well advised to seek other funding sources for their projects. DlNaicn Enclosed are two sets of the Statement of Grant Award(SOGA)for the above named project. Be sure to read all Special Conditions,Instructions,and Standard Conditions listed in your Statement of Grant Award. Compare the Approved Budget as shown on the Statement rJ of Grant Award with the budget pages of the application. Please note any changes made by DCJ staff to your Goals and Objectives and/or budget. Also check the grant duration dates. Make certain thatyour financial officer,bookkeeper or accounting office has only final,approved budget figures. Please read the following SOGA process and Administrative needs section carefully so thatyour SOGA is processed without delay. Home Page:www.state.co.us/gov_dir/cdps/dcj.htm E-Mail:raymond.slaughter@cdps.state.co.us 992920 �ADoiy Mr. Gary Rathke November 22, 1999 Page 2 Statement of Grant Award Process: 1. Both document sets (the blue Statement of Grant Award and white Statement of Grant Award plus the entire intact white grant application)must be signed by your Authorized Official and returned to this office no later than December 15, 1999. 2. This letter contains a section entitled Administrative Needs. Please return the requested information to this office with your Statement of Grant Award. Only then can your Statement of Grant Award be made available for signature by the Department of Public Safety. 3. After signatures of the Director of the Division of Criminal Justice and the Controller of the Department of Publi c Safety are obtained,the white set will beretumedto you.This document, including the attached application,comprises your VOCA contract. At that time,federal funds will be available for you to request. The signing authorities we have on file for this project are: Project Director: Mr. Gary Rathke Financial Officer: Mr. Donald Warden Authorized Official: Mr. Dale K. Hall If there have been changes,please retum two copies of DCJ Form 4-B Change in Signing Authority,to our office. A blank form is included in this packet. Enclosed is a Certification of Compliance with Regulations(grey form),concerning Equal Employment Opportunity Plans. This form must be completed by your Authorized Official and returned with your signed Statement of Grant Award.It is suggested you make a copy for your files and send a copy to the person in your agency identified on the form as being responsible for reporting civil rights findings of discrimination. The Division of Criminal Justice is required to forward the Certifications to the Office for Civil Rights, Office of Justice Programs. O ADMINISTRATIVE NEEDS • Enclosed is the Certification of Match Form. This form must be completed,signed by your Authorized Official, and returned with the Statement of Grant Award. Home Page:www.state.co.us/gov_dir/cdps/dcj.htm E-Mail:raymond.slaughter@cdps.state.co.us Mr. Gary Rathke November 22, 1999 Page 3 • Please send us a copy of your 1998 audit or independent financial review. • Please note your match went down one dollar. The match percentage of time has been recalculated to assist in your tracking this time for the VOCA project. Additional Enclosures A packet of DCJ reporting forms is enclosed. Please use this latest version of each form and destroy old forms. Submission of outdated forms may delay any requests made to DCJ. The Administrative Guide for Federal Justice Grant Programs has been revised. Two Guides are enclosed; one of the copies should be distributed to your financial officer. Please destroy any prior copies of the Guide you may have received. Please refer to Grant #98-VA-19-63 in all correspondence and reports. Questions about the information contained in this letter should to be directed to Rob Gallup(303.239.4529)or Nancy Johnson (303.239.5771). Sincerely, Rob Gallup VOCA Administrator enclosures Home Page:www.state.co.us/gov_dir/cdps/dcj.htm E-Mail:raymond.slaughter@cdps.state.co.us DIVISION OF CRIMINAL JUSTICE _ q- STATEMENT OF GRANT AWARD Federal Agency: Office for Victims of Crime,Office of Justice Programs, U.S. Dept. of Justice Federal Award: Victims of Crime Act(VOCA)Crime Victim Assistance,FY97,97-VA-GX-0008,FY 98, 98-VA-GX-0008,FY99, 99-VA-GX-0008 C.IY.D.A.Title and Number: Crime Victim Assistance,#16.575 Subgrantee Name: District Attorney's Office, 19th Jud. Dist. Address: 915 10th Street Greeley,CO 80631 Attention: Mr. Gary Rathke Grant Number: 98-VA-19-63 Project Title: Domestic Violence&Special Populations L.P. Grant Period: 01/01/2000 to 12/31/2000 Date Issued: November 22, 1999 In accordance with the provisions of the Victims of Crime Act, 1984,as amended,the Division of Criminal Justice hereby awards a grant to the above-named subgrantee. The attached grant application,including the Certified Assurances and Special Provisions are incorporated herein as a part of this document. APPROVED BUDGET Source of Funds Budget Category Federal Cash Match In-Sind Match Total Personnel $10,798 $2,701 $13,499 Supplies and Operating $500 $500 Travel $124 $124 Equipment $0 Professional Services $0 TOTAL BUDGET $11,298 $2,825 $0 $14,123 Special Conditions: 1. The applicant assures that it will comply with the nondiscrimination requirements of Title II of the Americans with Disabilities Act of 1990,42 U.S.C. 12101,et. seq. and Department of Justice Regulations on Disability Discrimination,28 CFR Part 35 and Part 39; Title IX of the Education Amendments of 1972;the Age Discrimination Act of 1975;the Department of Justice Nondiscrimination Regulations 28 CFR Part 42, Subparts C,D,E,and G;and Executive Order 11246,as amended by Executive Order 11375,and their implementing regulations,41 CFR Part 60.1 et. seq.,as applicable to construction contracts. 2. Except as otherwise provided by federal law,no recipient of monies under VOCA shall use or reveal any research or statistical information furnished under the program by any person and identifiable to any specific private person for any purpose other than the purpose for which such information was obtained in accordance with VOCA. Such information,and any copy of such information,shall be immune from legal process and shall not,without the consent of the person furnishing such information be admitted as evidence or used for any purpose in any action,suit,or other judicial,legislative,or administrative proceeding. See Section 1407(D)of VOCA codified at 42 U.S.C. 10604. 3. Computers purchased with this funding must be Year 2000 compliant. Rev.10/98 Page 1 of3 H:\KAREN\98sogas.wpd YOGA Assistance STATEMENT OF GRANT AWARD INSTRUCTIONS 1. Grant activities must be based on the approved budget in this document and grant activity must be based on the approved objectives in the attached grant application. The subgrantee must secure prior written approval from the Division of Criminal Justice if there is to be a change in any budget category. 2. The Financial Officer of the project must be provided a copy of this document in order to adequately prepare the necessary financial reports. 3. Review carefully the Certified Assurances and Standard Conditions contained on pages 16 through 20 of the attached grant application. 4. Review carefully the Administrative Guide Federal Justice Grant Programs from Division of Criminal Justice. The Administrative Guide includes procedures regarding this document, procedures for requesting grant funds and procedures for quarterly reporting. 5. This grant award may be voided without further cause if it is not signed by the Authorized Official and returned to the Division of Criminal Justice within 45 days of the date of issuance. 6. The signature of the Authorized Official below should be the same as the one on page 21 of the attached grant application. If there has been a change in the Authorized Official, please submit DCJ Form 4B with this document. 7. The subgrantee must notify the Division of Criminal Justice, in writing,of any changes in the Project Director, Financial Officer or Authorized Official. Standard Conditions: 1) Commencement within 60 Days. If a project is not operational within 60 days of the original starting date of the grant period,the subgrantee must report by letter to the Division of Criminal Justice the steps taken to initiate the project,the reasons for delay, and the expected starting date. 2) Operational Within 90 Days. If a project is not operational within 90 days of the original starting date of the grant period,the subgrantee must submit a second statement to the Division of Criminal Justice explaining the implementation delay. Upon receipt of the 90-day letter,the Division of Criminal Justice may cancel the project, or where extenuating circumstances warrant, extend the implementation date of the project past the 90-day period. 3) When issuing statements, press releases, requests for proposals, bid solicitations, and other documents describing projects or programs funded in whole or in part with federal money, all subgrantees receiving federal funds, including but not limited to state and local governments, shall clearly state (1)the percentage of the total cost of the program or project which will be financed with federal money, and (2)the dollar amount of federal funds for the project or program and (3) use the phrase: ...through the Division of Criminal Justice, Colorado Department of Public Safety." 4) Either party may terminate the grant with thirty days written notice of intent to cancel or terminate. The grant may be terminated if the services are not satisfactorily performed by the subgrantee or if it is in the best interest of the State of Colorado to terminate the grant. If the grant is terminated by either the subgrantee or the State,the subgrantee shall be paid the necessary and allowable costs incurred through the date of termination,but not exceeding a prorated amount based on the number of days of project operation prior to the date of termination. Any equipment purchased under this grant would revert to the Division of Criminal Justice upon termination of the grant. 5) The State will pay the subgrantee the reasonable and allowable costs of performance,in accordance with applicable financial OMB circulars and Colorado State Fiscal Rules,not to exceed the amount specified herein as the Total Award Amount. The State's requirements for invoice and cost reporting submissions are contained in the DCJ Fonn 3 Cash Request Procedures, which are hereby incorporated by reference. Rev. 10/98 Page 2 of 3 H:\robertg\CANDY\98va\SOGA\page2-3.frm VOCA Assistance STATEMENT OF GRANT AWARD THIS GRANT AWARD WHICH SERVES AS THE CONTRACT BETWEEN THE DIVISION OF CRIMINAL JUSTICE AND THE SUBGRANTEE SHALL NOT BE DEEMED VALID UNTIL IT SHALL HAVE BEEN APPROVED AND SIGNED BY THE DIRECTOR OF"I'HE DIVISION OF CRIMINAL JUSTICE OR SUCH DIRECTOR'S DESIGNEE AND BY THE CONTROLLER OF THE STATE OF COLORADO OR SUCH CONTROLLER'S DESIGNEE. Responsibility for narrative and fiscal reporting requirements are delegated to the designated Project Director,who will sign all such reports. This delegation is for purposes of reporting to the Division and for operational ease,and in no way limits the authority and responsibility of the Authorized Official. This grant is accepted by: 12/13/99 Signature of Authorized Offic al Date Dale K. Hall, Chai STATE OF COLORADO BILL OWENS,GOVERNOR By 1 a" aa--� 1 F Director,Divi 'on of Criminal Justice Date Colorado ment of Public Safety APPROVED STATE C E ART L. BA IA By �- 4\0P— IL40 I Cen#refffee' ' LAAn Date ty Return BOTH SETS of the Statement of Grant Award with ORIGINAL SIGNATURES to: Division of Criminal Justice,Office for Victims Programs,700 K ipling Street,Suite 1000,Denver,CO 80215. Rev. 10/98 Page 3 of 3 H:\robertg\CANDY\98va\SOGA\page2-3.fnn VOCA Assistance VAWA, VOCA, STATE VALE, AND SEXUAL ASSAULT PREVENTIOIjee'd by DC,' GRANT APPLICATION Grant Fund(Check One): If you are applying for more than one funding STATE USE ONLY source,you must fill out a separate application for each funding source. Only App # "I q i1M -/ /C:3 VOCA is accepting applications at this time. Grant # VA- i c-6 3 S.T.O.P. Violence Against Women Act(VAWA) ti / Z� Grant Period(April 1, 1999-March 31,2000) Award $ Sex Assault Prevention Funds(SAPF) -, Grant Period(April 1, 1999-March 31,2000) State Victim Assistance&Law Enforcement(State VALE) u«� Grant Period(July 1, 1999-June 30,2000) X VOCA Assistance(VOCA) Grant Period(January 1,2000-December 31,2000) Applications must be received no later than 5:00 p.m.,Tuesday,June 15, 1999. A complete application includes: agency information,project and administrative narratives,budget information, certified assurances,and appendix. Section A Agency Information I. Applicant Agency: 19th Judicial District Attorney's Office Division or Unit(if applicable): Victim Assistance Program Mailing Address: P. O. Box 1167, Greeley, CO 80632-1167 Street Address: 915 Tenth Street, Greeley, CO 80631 Telephone: (970-356-4010 U.S. Congressional District Fourth Fax:Q70)-352—8023 Judicial District in which Agency is located:Ni net eenth County: Wel d Federal Employer ID Number: 84-600081 3 19th Judicial District Attorney's Domestic Violence & Special Populations 2. Project Title:Liaison Project 3. Brief Project Description: Provide direct services to domestic violence victims & their children: enhance & expand direct services to elderly, disabled, and assault victims of crime 4. Project Director: Nancy I. Haffner Agency Position:Community Programs Administrator Telephone:(9j0-'156-4010 FAX Number:(9)0-352-8023 E-Mail Address:NHaffner@co.weld.co.us 5. Contact Person: Nancy T.11affner Agency Position: Telephone:( ) FAX Number:( ) E-Mail Address: 6. Funds Requested in this Application: (Fill out one line only) VOCA Funds Requested $11.298 Source of Match 282feash_in-kind VAWA Funds Requested $ Source of Match_cash in-kind State VALE Funds Requested: $ Sexual Assault Prevention Funds: $ H:\CANDY199VA\common-app.wpd Page 1 of 22 991120 Section A Agency Information 7. Purpose of Application: (Check only one) a. Start a new victim services project X b. Continue a project funded by these funds in a previous year. c. Expand or enhance an existing project not funded by these funds in the previous year. d. Start a new tribal project on a Native American reservation. e. Expand or enhance an existing Native American project. f. Start-up/Expand/Enhance Information Technology to serve crime victims. 8. Requested funds will be primarily used to:(Check only one) a. Expand services into a new geographic area _b. Offer new types of services _c. Serve additional victim populations X d. Continue existing services to crime victims _e. Training(State VALE,VAWA,and SAPF only) _f. Criminal Justice System Improvements(State VALE and VAWA only) g. Sexual Assault Prevention activities(SAPF only) h. Other 9. List the numbers of the judicial districts that will be directly served by the project: Nineteenth 10. Total population of the area to be served by this project: 157.873 *1998 est. census/Weld County 11. Current DCJ Funding-Do not include applications that are pending. Grant Number: 97-VA-19-63 Amount: S5551 Year:1998-99 VOCA Grant Number: 99000000018 Amount: $49.829 Year:1998-99 DCJ—Diversion Program Grant Number: 97—VA-19-63 Amount: $5551 Year:1997-98 VOCA Grant Number: 96—VA-19-63 Amount: $5287 Year:1996-97 VOCA 12. Description of Applicant Agency: STATE VALE ONLY VOCA/VAWA/SAPF State Criminal Justice Agency X 1. Criminal Justice/Government Victim Services Agency Law Enforcement Local VALE Board Prosecution Courts Corrections Probation Other 2. Non-Criminal Justice/Government Social Services Mental Health Public Housing Hospital Education/Schools Public Health Other H:\CANDY\99VA\common-app.wpd Page 2 of 22 Section A Agency Information : ? r:' 3. Private Non-Profit Organization Hospital VAWA and VOCA ONLY Rape Crisis Religious Organization Non-Profit Organization Shelter Mental Health Agency Domestic Violence Program Other Sexual Assault Program Dual Domestic Violence and Sexual Assault 4. Native American Tribe on reservation off reservation 13. Priority Categories and Purpose Areas State VALE PRIORITY CATEGORIES: The State VALE board members will assign priority consideration to projects or agencies in the following order(Check all that apply): _Projects that are statutorily mandated to implement the Victim Rights Act statewide. Projects designed to have statewide impact or a model project that can demonstrate success and a plan for statewide replication. Agencies or projects that are ineligible for federal Victims Of Crime Act(VOCA) Assistance funds. Agencies or projects that are ineligible for local VALE program funds. Each applicant's rating will then be enhanced in the following order. Projects that improve the coordination of victim services and crime victim systems. Projects that provide greater understanding of the Victim Rights Act. _Victim services projects that can demonstrate a long term crime prevention impact. VAWA(Check all that apply) FEDERAL PURPOSE AREAS: STATE PRIORITIES: Training Training Specialized Units Advocacy Policies,Protocols,Orders,and Services Restraining Orders Communication Systems Access Victim Services Programs Systems Improvement Stalking Judiciary Indian Tribes Please estimate the percentage of this project as it applies to the following categories: %Victim Services %Law Enforcement %Prosecution %Other= 100% Determine the percentage of the project services devoted to the following: %Domestic Violence± %Sexual Assault= 100 %TOTAL H:\CANDY\99VA\common-app.wpd Page 3 of 22 Section A Agency Information SAPF (Sexual Assault Prevention Funds) (Check all that apply) • Professional Education for individuals who work with youth Interagency task forces or coordinating councils Prevention/Education Programs VOCA(Check all that apply) Primary Types of Victims to be Served by this Project. The sum of all priority categories chosen must total 100%: Programs with combined services must estimate a percentage of total VOCA caseload for each type of victim served. PRIORITY CATEGORIES % Child Abuse: Sexual % Child Abuse: Physical 55 % Domestic Violence(includes child victims of domestic violence) % Sexual Assault(circle: adult sex assault victims and/or adults molested as children) % Previously Underserved(specify types&percentage) _%DUI/DWI Crashes 10 %Homicide Survivors 20 %Assault %Adults Molested as Children 15 %Elder Abuse %Robbery %Other Violent Crime(please specify) 100% Total Additional Priorities:(Check all that apply) Responding within 72 hours of the crime X Providing services to child victims of domestic violence or sexual assault X Providing services to underserved victim populations Providing services in under-resourced areas designated to be: 3'd,7th,9th, 12'", 13"', 15th,and le Judicial Districts and Colorado Indian Tribes Identify the SERVICES to be provided: X Crisis Counseling X Criminal Justice Support/Advocacy 1_Follow-up Contact _Emergency Financial Assistance _Therapy Emergency Legal Advocacy Group Treatment X Assistance in Referring Victims to Victim Compensation(required) Crisis Hotline Counseling X Personal Advocacy Shelter/Safehouse x Phone Contacts(Info. &Referral) X Information&Referral(in person) _Other H:\CANDY\99VA\common-app.wpd Page 4 of 22 Section B Project Narrative Questions 14-20 should be answered in narrative form. Please follow instructions to fill out the questions in the project narrative(REMEMBER TO TYPE EACH QUESTION BEFORE ANSWERING)Narrative should not exceed a total of 4 pages. Font size 10 pt or larger is required. Label the pages for the project narrative 5A, 5B,etc. 14. Agency Description and History 15. Statement of Need for the Proposed Project in the Community (Problem Statement) 16. Project Description 17. Goals and Objectives for this Project:List your goals and objectives for the project in the narrative. 18. Continuation Grantees Project Changes:For continuing grantees only. 19. Unduplicated Victims Served and/or Persons Trained: A. Calculate the percentage of the project supported by the requested funds,and any match(if required) in this grant: B. The number of people to be trained by this project is estimated to be: people. (VOCA applicants,read instructions carefully). C. The number of unduplicated victims(primary and secondary)served in a 12 month period is estimated to be: _ victims D. For VAWA only include a breakdown of the number of victims listed in C(above) Domestic Violence and/or SA Other Adult Female Victims 20. Project Staff and Volunteer Programs: For VOCA applicants only. Estimate: 2 number of PAID staff 2 number of DIRECT SERVICES VOLUNTEERS 4 number of hours worked by DIRECT SERVICES VOLUNTEERS each week 37 FTE of PAID staff .10 FTE of DIRECT SER VICES VOLUNTEERS I wish to apply for a waiver of the requirement to use volunteers in VOCA project. 21. Letters of Support: (Letters of support from directors of the agencies listed below) The District Attorney's Office works very closely with all agencies and each of us provide assistance and support to each other. A Woman's Place, Inc. Greeley Police Department Victim Services South Weld Victim Services SASI (Sexual Assault Survivor's Inc. H:\CANDY\99VA\common-app.wpd Page 5 of 22 5A 14. Agency Description and History: The 19th Judicial District Attorney's: Victim Assistance Program was established in May, 1980 by District Attorney Robert Miller. The primary purpose of this office is to enforce the law and to represent the People in the prosecution of crimes that occur within the area of the 19th Judicial District and to investigate criminal matters, represent the People in seizing property that has been used as a public nuisance, provide administrative and legal assistance for certain statutorily created boards, and to maintain a juvenile diversion program. In addition to our department, other departments include: trial division, clerical division, community programs division, investigation unit, and the consumer fraud unit. It is the belief of this office that crime victims have the right to be treated with dignity, fairness and respect. Therefore, the Victim Assistance Program supports the rights of crime victims to be informed, present and heard at critical stages of the criminal justice process as defined by the General Assembly (C.R.S. 24-1-302). 15. Statement of need for the proposed project in the Community: Domestic violence continues to grow in the 19th Judicial District(synonymous with Weld County). The statistics indicate the severity of domestic violence problems and the need for victim services within the District Attorney's Office,particularly at the critical early stages of the criminal justice process. There are 22 law enforcement agencies within our judicial district who may refer domestic violence cases to our office. During 1998, A Woman's Place, Inc. (the battered women's shelter)reported 4,362 nights of stay to 89 battered women and 137 children (note: 131 eligible women were turned away as there was no room). Their agency also served 705 clients in their outreach program in Fort Lupton, CO. These numbers impact our office as we provide education, legal liaison with the Deputy District Attorneys, community referrals, individual support and courtroom support services to these victims., Our program is the only one of its kind within our judicial district. During 1998, the County Court trial division within the District Attorney's Office had 1,054 domestic violence related cases referred to our office for prosecution. The Victim Assistance Program provides early contact with victims, personal and phone support,referral services within the community, courtroom support and legal liaison with all victims. The special populations of elderly, disabled and survivors of homicide are in great need of these same services. 1998 began a new program to provide services to elderly and disabled within our office. We hope to empower these victims to be invested in the court process and in their own recovery. 16. Project Description: This project is staffed with one .25 FTE Community Counselor II and one .15 FTE Community Services Technician position. These staff members work directly with domestic violence as well as the elderly, disabled, survivors of homicide and assault victims. Domestic Violence victims: Domestic violence victims are referred to this project by A Woman's Place, Greeley Police Victim Services (includes towns of Evans, LaSalle, Kersey, Johnstown, Milliken, and Windsor), South Weld Victim Services Program (all of south Weld County). At this time, we offer support services and education to the victim in any way related to the criminal justice process (including, court process information, bond/sentencing options, referrals to other agencies, victim compensation and crisis counseling). Staff have phone 5B contact with the victims and the referral agencies to coordinate prior and current needs of the victim. Individual appointments are held with victims and their families/children to review the Victim Impact Statement, provide information on immediate needs, personal support, community referrals, development of a safety plan, and case information. Elderly victims: A special packet of information is mailed to each identified elderly victim. Within one week, our volunteer staff make phone calls to each elderly victim to review the contents of the mailing with them, ensure that they understand each letter, review the victim compensation brochure and ask if they wish to complete an application form, community referrals, provide personal support, case status, and court information. We also coordinate services for child abuse and adult sexual abuse victims with our Deputy District Attorneys. In 1994, we developed a courtroom assistance program to provide victims with courtroom education, orientation,personal support and crisis counseling throughout the criminal justice process. This project will provide legal liaison, education, and personal support services to elderly, disabled, and survivors of homicide and assault victims. Referrals come from law enforcement, the District Attorney's Office, and all other agencies working with these special populations. As a part of this project, our staff continues to educate law enforcement, the deputy district attorneys, and the community agencies about the special services provided to victims of this project. Staff members providing the services listed are Karolyn Koeltzow and Kelly Ford. 17. Goals and Objectives for this Project. Goal 1: To enhance & expand direct services to victims of crime in the form of criminal justice support and education to victims of domestic violence in the 19th Judicial District. Objectives: • By December 31, 2000, the Project will provide liaison services to 800 domestic violence victims (i.e., case status, deputy district attorneys drop charge policy, bond conditions, disposition, safety plan). This will include courtroom assistance to victims of domestic violence. • By December 31, 2000, we will provide services to 20 child victims of domestic violence and their families. These services will include liaison services, individual and family support and education on the criminal justice process. • By December 31, 2000, we will provide victims of domestic violence with 800 referrals to other community agencies including victim compensation, A Woman's Place, legal aid, mental health services, social services, child advocacy and resource information, WIRS (Weld Info and Referral Services), and Weld Food Bank. Goal 2: To provide direct services early in the prosecution process to assist elderly, disabled, survivors of homicide and assault within our judicial district. This will include criminal justice support services and education in the form of DA liaison, community referrals, case status, disposition, and courtroom assistance. Objectives: • By December 31, 2000, to act as liaison to a total of 40 elderly, disabled and survivors of homicide and assault victims. This will include providing legal liaison between victim and the deputy district attorneys, referrals, support services and courtroom assistance. • By December 31, 2000, provide direct services and assistance to a total of 35 elderly, disabled, and survivors of homicide and assault victims in applying for victim comp. 5C By December 31, 2000, to assist with support services to 25 victims of Child and adult sexual assault within our office. These services will include liaison services between victim and deputy district attorneys, individual and family support and education on the criminal justice process. 18. Continued grantees project changes. The major change for our new project application is the addition of senior volunteer staff to provide services to elderly victims. This includes a senior packet that is mailed to each identified senior victim. Within one week, our volunteer staff make phone calls to each elderly victim to review the contents of the mailing with them, ensure that they understand each letter, review the victim compensation brochure that is enclosed, and ask if they wish to complete an application form, community referrals, provide personal support, case status, and court information. 19. Unduplicated victims served and/or persons trained. A. Calculate the percentage of the project supported by the requested funds, and any match in this grant: 27% B. The number of people to be trained by this project is estimated to be: 60 people. C. The number of unduplicated victims (primary and secondary) served in a 12 month period is estimated to be: 800 victims D. N/A to our VOCA Grant. 20. Projected Staff and Volunteer Programs (estimate): 2 number of PAID staff 2 number of Direct Services volunteers 4 number of hours worked by Direct .37 FTE of PAID staff Services volunteers each week .10 FTE of Direct Services Volunteers n/a I wish to apply for a waiver of the requirement to use volunteers in VOCA Project. Elderly victims: A special packet of information is mailed to each identified elderly victim. Within one week, our volunteer staff make phone calls to each elderly victim to review the contents of the mailing with them, ensure that they understand each letter, review the victim compensation brochure and ask if they wish to complete an application form, community referrals, provide personal support, case status, and court information. CM i'; :C a ii Li,:: AInformation/Donations 351-0476 Woman�p Y� Executive Director 351-6950 V1I�111U� C7 Ft. Lupton Office 857-2642 Crisis Calls 356-4226 Oboe, Inc. Domestic violence agency for Weld County May 5, 1999 Dear VOCA Board Members: A Woman's Place, Inc. and the Office of the District Attorney Victim/Witness Assistance Program collaborate on a weekly basis to assist domestic violence victims/survivors. The Victim/Witness Assistance Program plays an integral role with our domestic violence program in empowering women through the court system. The women are kept informed on their abusers' cases, and they receive legal advocacy and victim compensation services as needed by a very knowledgeable staff. Our counselors, legal advocates, and case manager work more effectively with domestic violence victims/survivors insuring them of their rights and helping them overcome their fears because of this program. It is the continual referring and networking of our two programs that makes this a very successful partnership. Funding the Victim/Witness Assistance Program gives many women the opportunity and the courage to follow through and take the necessary steps to end domestic violence in their lives and in their children's lives. I strongly recommend continual funding for this outstanding program due to the expertise of the staff and the needed services they offer to victims/survivors in Weld County. Sincerely, Sharon A. Mitchell Executive Director P.O. Box 71,Greeley, Colorado 80632 0 A United Way Agency P.O. Box 312, Ft. Lupton, Colorado 80621 , '99 APR 27 PM 2 34 CitGreeley April 27, 1999 VOCA Grant Committee To Whom It May Concern; This letter is being written is support of the 19th Judicial District Attorney's Office Victim Witness Program. This office provides a valuable service to victims of crime in this area. They are available to provide information to victims whose cases are handled through the District Attorney's Office. Many of the victims we serve are in such a state of crisis they are unable to take in the information we provide. It is therefore especially important for our law enforcement based advocacy program and this program to work together. Where we leave off they are able to takeo over, in many cases. Together we increase the chance that the victim will be able to take in the information provided to them and remember what was said to them. The Victim Witness Office within the 19th Judicial District Attorney's Office has worked cooperatively with our office within the Greeley Police Department for nearly six years. During that time we have valued the efforts of the Victim Witness staff to assist our office in training volunteer victim advocates. This information is used by our advocates to assist victims in understanding what will be done when their job is through. We are pleased to be able to refer the victims we work with to such a knowledgeable staff in the Victim Witness Office. We are confident when we make a referral to their office,the victim will continue to be treated with fairness, dignity and respect throughout the time their case is being worked on in the 19th Judicial District Attorney's Office. Working closely,yet seperately has ensured that the victims of crime served in this judicail district receive continuous and comprehensive care. This is accomplished through training and continued communication. This service is needed and valued within the community. I would highly recommend this program for continued funding. Sincerely, p� Shellie K. Larson Greeley Police Department Victim Services Program SIITS WEER VICTIM SERVICES • P.O. Box#389♦400 Grand Avenue♦ Platteville,CO 80651 ♦Weld County, USA Phone(970)785-2245 at#400• Fax(970)785-2476• Email RitaSWVS@aol.com May 5, 1999 Victims Of Crime Act Division Of Criminal Justice 700 Kipling Street, Suite 1000 Denver, Colo 80215 Dear VOCA Board; As Program Coordinator for the South Weld Victim Services Program I appreciate this opportunity to write a Letter of Support for the Victim Witness Program within the 19th Judicial District Attorney's Office. It continues to be a tremendous privilege in working in conglomeration with such an important program. Our two programs continue to compliment one another as we strive in seeing that proper attention is given to victims of crime within Weld County. A member of the Victim Witness Program has graciously attended our Advocate Training clacses for new volunteers whenever we have requested. Their services have been covered in great detail for our new advocates so that each are aware of how we can work in conjunction with one another. Nancy Haffner has been very attentive in seeing that we are always included in the planning of National Victims' Rights Week as well. Since this is one of the most valuable resources that's available to our program it is paramount that we work as cohesively together as possible. The Victim Witness Program continues to make an impressive impact within Weld County. I therefore strongly recommend that you give serious consideration to continual funding for this extremely effective program. incerely, Rita F. Ashlunan Program Coordinator South Weld Victim Services Program SEXUAL ASSAULT SWAM/ORS. INC. PO BOX 5135 OREELEY,CO 80631-0135 (970)352-RAPE(7273) It' 30 April 1999 To Whom This May Concern: As Director of Sexual Assault Survivors, Inc., I am pleased to write this letter of support for the 19th Judicial District's Victim Witness Assistance Program, which provides victim services to persons after respective court cases have been filed. The program's experience and dedication has a positive history in our area and continues to be a valuable, professional asset for victims, and other service organizations which may need information and referrals. We enjoy the professionalism and cooperation which exists between us, and collaborate to ensure that victims receive necessary but unduplicated services from both organizations. SASI and the Victim Witness Assistance Program also work well together in victim advocate and service provider training, and community awareness activities such as National Crime Victims' Rights Week. We are confident that services to our community are more comprehensive because of our efforts. I strongly support that the 19th Judicial District Victim Witness Assistance Program receive continued funding and I look forward to working with this program in the future. Sincerely, 'v, 1 ancy R n Director, SASI Section C BUDGET ,INFORMATION 22. Total Victim Services/Sexual Assault Prevention Fundine: 1. ! - Grant Number Funding Amount Start Date End Date Federal Funds: VAWA funds —0- $ / / / / VOCA funds 97—VA-19-63 $ 5551.00/yr 10 /1 / 98 9/30 /99 FVPSA(ACT)funds —0— $ / / / / Other US Dept. Of Justice $ / / / / funds such as Byrne(DCSIP), COPS,etc. —0— Sex Assault Prevention $ / / / / funds —0— Other federal funds_ —0— $ / / / / Non-federal funds: State VALE funds $ / / / / Local VALE funds J.D.19 $ 61,298 1 / 1 / 99 12 /31/99 1999 J.D.: $ / / / / J.D.: $ / / / / J.D.: $ / / / / Local government funds $ 54,126 1 /1 /99 12 /31 / 99 Weld County Gen Funds $ / / / / DAAP funds —0— $ / / / / Private funds —0— $ / / / / Other funds :Administrative$ 52,464 1 / 1 / 99 12 /31 /99 Funds: VALE and Victim Comp GRAND TOTAL: $173.439 Does your agency have an independent audit or financial review conducted on a regular basis?yes If yes,please provide the date of your last audit 12/97 financial review . If you have not had an audit or fmancial review please explain why. Does your agency receive over$300,000 in federal funds from combined federal sources in a year? no H:\CANDY\99VA\common-app.wpd Page 6 of 22 secfion C BUDGET INFORMATION • 23. Project Funds Requested Budget: Do not include matching fluids on this page. ROUND TO NEAREST WHOLE DOLLAR PERSONNEL(Employees of the applicant agency) Total Cost Cost Total Name of employee/Job Position Rate of Pay %of Time for this (Per Line Item) Project Karolyn Koeltzow Community Counselor II 28.872 /YR X 25 %= 7,218 Kelly Ford Community Services Terh 21,268 /YR x 15 %= 3. 190 /YR X %_ /YR X PICA,Retirement,Fringe Benefits 6,500 X 4 %of Salary= 390 10,798 • SUPPLIES AND OPERATING EXPENSES(communications,copying,rent,phone, registration tees and items under$5,000 to purchase) COVA conf registration fee ($140/ea) x 2 staff 280 _ Xeroxing (.30/each) x 400 copies J2O Domestic Violence training ($50/each) x 2 staff 100 500 IN-STATE TRAVEL(itemize transportation&subsistence) • -0- EQUIPMENT(items which cost over$5,000 each) -0- PROFESSIONAL SERVICES(itemize individuals and organizations) TOTAL FUNDS REQUESTED: $ 11,298 H:\CANDY\99VA\common-app.wpd Page 7 of 22 Section C BUDGET INFORMATION 1,;t> 24. Matching Funds Budget:This budget lists.the total matching funds(if required),see instructions. STATE VALE AND SAPF APPLICANTS ARE NOT REQUIRED TO PROVIDE MATCHING FUNDS. ALL VOCA PROJECTS MUST PROVIDE MATCH. VAWA APPLICANTS THAT ARE NON-PROFIT,NON-GOVERNMENTAL VICTIM SERVICE AGENCIES ARE NOT REQUIRED TO PROVIDE LOCAL MATCHING FUNDS FOR THIS PROJECT(unless dollars are being requested for law enforcement or prosecution agencies).Do not exceed the required match amount of 25%for VAWA,25%for VOCA-new programs,20%for VOCA and 5%for VOCA-Indian Tribes. ROUND TO NEAREST WHOLE DOLLAR PERSONNEL(Employees of the applicant agency) Total Cost Name of employee/Job Position Rate of Pay %of Time for this (Per Line Item) Cost Total Project Karolyn Koeltzow Community Counselor II 9023 /YR X 42 %= 1,805 Kelly Ford Community Services Tech 3988 /YR X �� °i= 798 /YR X %_ FICA,Retirement,Fringe Benefits X 4 %of Salary= 98 $ 2,701 SUPPLIES AND OPERATING EXPENSES(communications,copying,rent,phone, registration fees and items under$5,000 to purchase) $ IN-STATE TRAVEL(itemize transportation&subsistence) COVA Conf. lodging � Z/ EQUIPMENT(items which cost over$5,000 each) PROFESSIONAL SERVICES(itemize individuals and organizations) TOTAL MATCHING FUNDS: $ 743r H:\CANDY\99VA\common-app.wpd Page 8 of 22 26. Budget Narrative- Personnel: Salary figures for this project were determined by the Weld County Personnel Department and Board of Weld County Commissioners based on the 1999 figures. The County Commissioners take the responsibility to set salary ranges for equivalent positions and employee qualifications to be comparable to other counties in our area. (A) Karolyn Koeltzow, Community Counselor III: salary listed is based on Grade 26, Step 3 (the salary figure staff will receive at her one year anniversary (during 2000). Note. Her benefit package information is listed under the "FICA, Retirement, "area, (B) Kelly Ford, Community Service Technician: salary listed is for hill-time position at Grade 16, Step 1. It should be noted that this position is a 3/4 time position;there is no benefit package except that she is eligible for health insurance. Funding sources for each position. based on 2000 projections:: (A) Karolyn Koeltzow: VOCA (25%)= $ 8,750 VALE(60%)= $21,000 Admin Funds (15%) = $ 5,250 (B) Kelly Ford: VOCA(15%)= $ 2,850 VALE(72%) = $13,680 Admin Funds(13%) = $ 2,470 Detailed calculations for each staff position: (A) Karolyn Koeltzow: Salary: $28,872/annual x 25% (time dedicated to VOCA)= $7218. (B) Kelly Ford: Salary: $21,268/annual x 15% (time dedicated to VOCA)= 53190* (NOTE: per instructions (item 23), I have listed the annual full-time salary. However, this position is 3/4 time.) ©FICA, Retirement, etc.: Benefit package for Karolyn's position is approx. 4% of her salary: $6500 x 4% = $390. Supplies and Operating Expenses: COVA Conference Registration: 2 staff x $140/each=$280 Xeroxing: (30 cents/copy x 400 copies) = $120* This figure is based on notification letters sent to all domestic violence victims of cases our office is prosecuting. This is a "low" figure as we send approximately 200-300 letters each quarter. Domestic Violence training: 2 staff x $50/each =$100 In-State Travel: -0- Equipment: -0- Consultant/Professional Services (Contracts) -0- TOTAL: $11,298 27. FUTURE FUNDING: The 19th Judicial District Attorney's Office: Victim Assistance Program will continue to assess the needs and services to be offered to victims of crime within our judicial district. We will most likely continue to seek Local VALE grant funds and, working within the Colorado State Statute,utilize our portion of the VALE and Victim Compensation Administrative Funds as they apply to our office needs. For the year 2000 and the near future, we have plans to apply to Local VALE and to utilize the Administrative Funds. As the demands Budget Narrative Page 2 upon the District Attorney's Office change, we will research and seek alternative funding resources to financially meet these demands. As shown earlier in this grant project,the domestic violence numbers continue to soar within our judicial district. The District Attorney is continually addressing the needs in this area to determine the most cost effective methods to meet this demand as well as the needs of victims of this crime. TOTAL: $11,298 MATCHING FUNDS BUDGET (section C) This project will use Local VALE and Administrative Funds as our Cash Match. Personnel: Community Counselor III: $9023 x 20% time to VOCA= $1805 Community Service Tech: $3988 x 20%time to VOCA= $ 798 Benefit package: 4% _ $ 98 Supplies and Operating Expenses: -0- In-State Travel: COVA Conference lodging: = $ 125 Equipment: -0- Professional Services: -0- TOTAL: $2826 VOCA Budget Worksheet Determining Required Match. FEDERAL TOTAL PROJECT PROJECT REQUIRED DOLLARS COST(TPC) MATCH (Prj $ Real fFed$/Fed%l (TPC-Fed$) PERSONNEL Community Counselor II $ 7,218 $ 9,023 $ 1,805 Community Service Tech $ 3,190 $ 3,988 $ 798 FICA, Ret., Benefits $ 390 $ 488 $ 98 SUBTOTAL $10,798 $13,499 $ 2,701 SUPPLIES AND OPERATING EXPENSES COVA Registration $ 280 $ 350 $ 70 Copying $ 120 $ 150 $ 30 D V Training $ 100 $ 125 $ 25 SUBTOTAL $ 500 $ 625 $ 125 TOTAL $11,298 $14,124 $ 2,826 Matching Funds Budget. PERSONNEL Community Counselor II $ 9,023 /YR x 20% = $ 1,805 Community Service Tech $ 3,988 /YR x 20% = $ 798 FICA, Ret., Benefits ($ 488 x 20%)= $ 98 $ 2,701 4 176 SUPPLIES AND OPERATING EXPENSES $ 0 IN-STATE TRAVEL COVA Conference lodging $ 125 $ 125 EQUIPMENT $ 0 PROFESSIONAL SERVICES $ 0 TOTAL MATCHING FUNDS: $ 2,826 (Note: Source of matching funds is "cash match" from Local VALE grant and administrative funds.) Section C BUDGET ,INFORMATION 25. Budget Summary: This page summarizes all dollars by category. If your project does not have matching funds, leave match columns blank. Whenever possible, put match in one category, cash or in- kind in a single budget category. ALL VOCA APPLICANTS MUST COMPLETE THIS SHEET. STATE VALE AND SAPF APPLICANTS DO NOT HAVE TO COMPLETE THIS SHEET. VAWA APPLICANTS WHICH ARE NON-PROFIT,NON-GOVERNMENTAL VICTIM SERVICE ORGANIZATIONS ARE NOT REQUIRED TO PROVIDE LOCAL MATCHING FUNDS FOR THIS PROJECT UNLESS DOLLARS ARE BEING REQUESTED FOR LAW ENFORCEMENT OR PROSECUTION AGENCIES. THEY MAY DISREGARD THIS PAGE. ROUND TO THE NEAREST WHOLE DOLLAR Funding Cash Match In-Kind TOTALS Request Match Personnel 10,798 2,701 0 13,499 Supplies and Operating 500 0 0 500 t�vt Travel 0 T� " 0 125 Equipment 0 0 0 0 Professional Services 0 0 0 0 2£52s' ic �f lz TOTALS 11,298 '�0 - ' Funds Requested Match Total Total Project (cash match+ in-kind match) Cost 11,298 2 S i 411 7 `5 What is the source of the matching funds? l, < Cash Match: Local VALE grant and Administrative Funds: $2 In-Kind Match: Valued at H:\CANDY\99VA\common-app.wpd Page 9 of 22 Section C BUDGET INFORMATION 26. Budget Narrative: must be included after page 6,7,or 8 of the final budget page(s). 27. Future Funding: H:\CANDY\99VA\common-app.wpd Page 10 of 22 Section D Administrative Narrative • • Questions 28-34 should be answered in narrative form. You will need to refer to the instructions to answer these questions. (FOR QUESTIONS 28-32 TYPE EACH QUESTION BEFORE ANSWERING. FOR QUESTIONS 33-34 PLEASE TYPE THE NUMBER AND TITLE ONLY.) Administrative Narrative should not exceed a total of 4 pages. Font size 10 pt or larger is required. 28. Network/Coordination: 29. Racial,Cultural,Ethnic Minorities: 30. Financial Management: 31. Achievement of Goals and Objectives: 32. Evaluation(Effect of Project): 33. Victim Rights: The following information is included in the certified assurances: The applicant assures that the application signatories,staff, and all volunteers assigned to this project have read and understand the rights afforded to crime victims pursuant to section 24-4.1-302.5 CRS and the services delineated pursuant to sections 24-4.1-303 and 24-4.1-304 CRS, commonly known as the Victim Rights Act and enabling legislation. A. What training does your agency provide regarding victim rights to staff and volunteers? B. How do you notify victims of their rights under the Victim Rights Act? C. Does your agency have a Victim Rights brochure that is distributed to victims? yes . If yes,please attach one copy to the original grant application. Please include brochures in other languages,if available,from your agency. 34. Victim Compensation: Crime Victim Compensation funds are available to help any person who is victimized by a violent crime in Colorado pursuant to section 24-4.1-100 C.R.S. Victims may receive reimbursement for out of pocket expenses directly related to the victimization that are not covered by insurance or other collateral resources. Compensation funds are available to pay for medical,dental,mental health,lost wages,loss of support, funeral expenses and some property damage to residential dwellings. In addition,victims are eligible to receive$1,000 in emergency funds for immediate short-term needs. It is a federal requirement that VOCA Assistance services cooperate with and not duplicate Victim Compensation services. If you do not have a full understanding of Victim Compensation,please contact the Victim Compensation Administrator at the District Attorney's office in your judicial district. So that we can assure that all eligible crime victims are receiving information and assistance regarding compensation,please answer the following questions: A. Does your agency regularly inform victims of the VICTIM COMPENSATION PROGRAM and assist them in applying when appropriate? How? 13. Explain any major issues that hinder victim assistance programs in assisting crime victims in filing for compensation benefits and understanding eligibility. C. Are any of the services provided by your agency eligible for Victim Compensation reimbursement? Please describe how your agency ensures that it does not duplicate those Victim Compensation eligible services in this project. D. Does your agency regularly conduct or receive victim compensation training? H:\CANDY\99VA\cornmon-app.wpd Page 11 of 22 ADMINISTRATIVE NARRATIVE 28. Network/Coordination: Describe the network of victim services or sexual assault prevention activities in your service area, including how this project fits into that system. For VOCA applicants include any efforts to serve federal crime victims as listed in the instructions. Describe how your coordinate and collaborate with other agencies inyour area. Please list the name of the agencies with which you have interagency agreements. The 19th Judicial District Attorney's Office interacts with a number of agencies in order to provide support and coordination of services in response to victims of crime. We have an excellent working relationship with victim service providers and we rely upon each other for accurate information, community resources, training needs, transmittal of information, case status information, support and education. Our staff regularly attend meetings of the Weld County Domestic Violence Coalition (meets monthly; in the past, we have provided leadership to the Coalition); Domestic Violence--Women with Disabilities: meets monthly; TRIAD Senior Program with law enforcement agencies as well as senior service providers (we participate in community activities, developing written protocol and procedures, and interagency cooperation in many areas to provide services to seniors); Area Agency on Aging. We participate in trainings for A Woman's Place, Inc. (Battered women's shelter), law enforcement trainings, and for the Greeley Police Department Victim Services Program volunteer program. Our staff are frequently invited to provide presentations to schools, college classes, and service clubs. We feel it is an honor to participate in these presentations in order to provide education to the general public. Assistance to federal crime victims: The 19th Judicial District Attorney's Office: Victim Assistance Program would provide any direct services needed in the event of a federal crime occurring. Fortunately, our judicial district has not had any federal crime victims in need of services. Agencies with which we have verbal interagency agreements: • A Woman's Place, Inc. • Greeley Police Department Victim Services • South Weld Victim Services • All law enforcement agencies within the 19th Judicial District • SASI (Sexual Assault Survivor's Inc.) • Weld County Sheriffs Department/Victim Services • Fort Lupton Police Department Victim Assistance Program • Other agencies needing assistance *All agencies have had training and materials provided to inform victims of Crime Victim Compensation, eligibility, application forms, and to contact the District Attorney's Office: Victim Assistance Program for additional assistance and information. Other agencies that serve victims, type of victims served, and type of services offered include: 1) A Woman's Place, Inc: local battered women's shelter with facilities in both Greeley and in Fort Lupton; services include support, legal advocate, assistance with restraining orders, community referrals. 2-3) Greeley Police Department Victim Services and South Weld Victim Services: respond to scene of crime, provide immediate support to victims, provide assistance with immediate needs of victim including safety needs, referrals to shelter, food, financial assistance, information on r. Crime Victim Compensation eligibility. 4-5) Twenty law enforcement agencies including Weld County Sheriff's Department: serve all victims of crime in our judicial district; services provided include immediate safety needs, community referrals, victim advocate support. 6) SASI: Sexual Assault Survivor's Inc: serve any sexual assault victim, child or adult; provide services for immediate medical needs, rape education and support, advocacy services to victim during medical treatment, follow-up services with victim. 7) Fort Lupton Police Department Victim Services: serves all victims of crime; services include respond to scene of crime, provide immediate support to victims,provide assistance with immediate needs of victim including safety needs, referrals to shelter, food, financial assistance, information on Crime Victim Compensation eligibility and where to apply, etc. Our office receives referrals from law enforcement officers, victim advocates, agency service providers and family/friends. We often receive phone calls to inform us of a victim's needs. We provide follow-up contacts with both written materials, applications, and with phone calls to offer information, support, case status information, and community resources. 29. Racial, Cultural, Ethnic Minorities. All of the funding programs place a high priority on meeting the needs of racial, cultural, and ethnic minority populations. Please describe both generally and specifically how your agency addresses these issues, including the recruitment of minority staff and volunteers. Please describe the number or percentage of minorities represented in victims served, staff, volunteers of board members. Our agency awareness of racial, cultural and ethnic minority needs is addressed on a daily basis. Both generally and specifically, all staff try to be sensitive to the needs of victims of crime, i.e., language needs (we have three Deputy District Attorneys, one Diversion Counselor, and several clerical staff that can provide assistance with the Spanish language),telephone calls, walk-in assistance, interpretation during appointments, translation of written documents, and interpretation when completing paperwork including the Crime Victim Compensation forms. Several staff members enroll in Spanish classes, offered at various levels, by Weld County in order to learn or improve their speaking skills); cultural needs (we have staff within our office who are both bicultural and bilingual). These staff provide education to other staff members to learn cultural sensitivity, and to be sensitive to the needs of crime victims when working with them); racial needs (staff members educate other staff members on awareness of racial sensitivity and sensitivity when working with the crime victims). Upon hiring new staff we give high consideration to applications who have skills in speaking the Spanish language. Volunteers: we also give high consideration of any volunteer who possesses the skills to speak Spanish and who understand the culture. Percentages of minorities represented in victims served, staff, volunteers and board members: a) victims served: According to the Educational Development Program in Weld County, the 1998 estimated census indicates that Weld County has a 23.8 %Hispanic population. Our office is unable to determine the percentage of minority victims served as the Hispanic ethnicity is categorized as Caucasian. b) staff within the 19th Judicial District Attorney's Office: 1) minority staff members: 9 of 50 staff 2) minority staff who speak Spanish (range is from bilingual to understanding-but-cannot-speak Spanish) language: 7 of 50 staff c) volunteers: Neither of two volunteers speak Spanish language d) Board members (VALE and Victim Compensation): 1) VALE Board: 2 of 5 Board members have Hispanic surnames; unknown if they speak Spanish language 2) Crime Victim Compensation Board: 2 of 3 Board members have Hispanic surnames; unknown if they speak Spanish language. 30. Financial Management: In responding to this question, it is the applicant's responsibility to describe the agency's ability to administer funds and comply with federal and state accountability requirements. Briefly address the following issues (both day-to-day and long-term management): financial record keeping; programmatic record-keeping; personnel policies; travel policies; checks and balances; board involvement, if a non-profit; line of authority, if a unit of government. a-b) financial record keeping and programmatic record keeping: The Project Director has the responsibility for daily/quarterly/yearly financial record keeping. A log sheet tracks quarterly deposits (the Administrator deposits the quarterly checks through the Weld County Computer system, makes a Xerox copy of the check and deposit sheet to keep in her files, takes the original deposit sheet and check in a locked money bag to the Weld County Accounting Department, quarterly report forms are prepared by a designated staff member in the Weld County Personnel Department--the Administrator and Accounting staff member meet quarterly to review the status of expenses; a copy of the quarterly report form is filed with the current grant proposal file. Line-item expenses are tracked as they occur, such as conference expenses, Xeroxing, etc. c-d-e) personnel policies, travel policies and line of authority: The 19th Judicial District Attorney's Office has specific personnel policies which must be adhered to by all staff in addition to the Weld County Personnel Policies. The District Attorney's Office personnel policy book also addresses travel policies and the line of authority within our office. The Administrator is responsible for the supervision of all staff members within the Victim Assistance Department. The Administrator reports directly to the District Attorney and the Assistant District Attorney. Travel policies include the following: Meal per diam allowances $5 breakfast, $7.50 lunch, and $12.50 dinner. When attending conferences, staff share hotel rooms and travel arrangements. A county car is available for the Victim Assistance staff to use for in-state travel. Gasoline is provided by Weld County and charged to our department. Staff must pay for meals, parking costs, mileage if applicable as their own expense, save receipts, and upon return to the office, they will complete a Personal Expense Form and attach appropriate receipts. This form is approved by the Administrator and submitted to the District Attorney for his approval. The form is then submitted to the Weld County Accounting Department and reimbursement is sent to the employee. f) checks and balances: The Administrator monitors the deposits and expenses of all monies related to the Project. Xerox copies of all documents are kept in the project file of the current grant. The Administrator meets quarterly with the Accounting staff member to review the personnel and line-item expenses. The Weld County Government is audited on a yearly basis. All audits result in outstanding accounting methods. g) board involvement: Both the VALE Board and the Crime Victim Compensation Board members are involved in that they are aware of the grant proposals, amounts of awards, and the purpose of the grant project (even though we are a government agency). The Administrator submits a yearly budget proposal to each Board to inform them exactly how the monies will be designated for the year. The Administrator also submits a written request to each Board when Administrative Funds will be spent. 31. Omit--as pertains to new projects only. 32. Evaluaticm If your project is funded, DCJ will utilize your goals and Objectives to evaluate the success of your project. However,the manner in which y_Qm will evaluate your project's effects and impacts is important and should be given the same advance planning as the project design itself. The evaluation design should provide detailed information regarding evaluation efforts and requirements (technical assistance is available from the DCJ upon request). The evaluation design must address the following areas: a) Efficiency measures(process): (1) Were the project's proposed activities accomplished in the time frame given? The two designated staff members for this project will be informed of the Goals and Objectives for 2000. They will be instructed on how to track numbers/contacts for each goal and objective on a daily, monthly and quarterly basis. (2) Cost effectiveness (cost/benefit) can be determined each quarter based on the amount of grant award and the numbers of crime victims served. This will be included within our quarterly report. b) Effectiveness measures (outcome): In order to determine the impact that our services have for crime victims, we are in the process of developing a Crime Victim Survey that will be mailed upon disposition of the case. 33. Victims Rights A) Our staff provide training to all new staff hired and volunteers within our department. The new persons must spend time with our Victims Rights staff person to have a working knowledge and first-hand knowledge of the Victims Rights Act and the responsibilities of our office. B) VRA notification letters are generated in our computer system. We receive the case files from the Deputy District Attorneys, note the designated critical stage, and the necessary letter is generated and sent. If there is insufficient time to send a letter, a phone call is made to the victim. Log sheets track ALL notifications sent to victims. The first notification is a packet of information which includes a VRA brochure. C) VRA brochure is attached to grant. 34. Victim Compensation A) Our office provides this information in the following ways: distribute CVC brochures, refer to Victim Compensation in VRA brochure, send letters to all VRA victims with Victim Compensation information, train staff and volunteers at victim service agencies, have all Deputy District Attorney's staff provide direct referrals to our office. Yes, our office assists victims in applying for Victim Compensation when appropriate in the following manner: sending compensation applications when requested,helping victims complete the forms, processing applications for submission to the Victim Compensation Board, sending notices and awards for processed claims, etc. B) There are no major issues that should hinder victim assistance programs in assisting crime victims in filing for compensation benefits and understanding eligibility. C) None of the services provided by the District Attorney's Office are eligible for Victim Compensation reimbursement. However, victims are helped to apply for Victim Compensation and are encouraged to seek compensation payment or reimbursement for all eligible services received. D) The Crime Victim Compensation Program in our office regularly conducts trainings concerning all aspects of the program for various victim service providers in the 19th Judicial District. diver/voca2000.nih Section E Certifications 35. Certified Assurances:The Certified Assurances and Special Provisions must be attached to the grant application. (The Certified Assurances for State VALE can be found in item 36) GRANT APPLICATION(Project applicant must check applicable governing legislation for this grant) S.T.O.P.Violence Against Women Act(VAWA),Title IV of the Violent Crime Control and Law Enforcement Act of 1994,Pub. L.No. 103-322, 108 Stat. 1796(Sep. 13, 1994),and Administrative Guide for Federal Justice Grant Programs. Sexual Assault Prevention Funds,Part A of Title XIX of the Public Health and Human Services Act(42 G.S.C. 300w et seq.),Section 1910 A,as set out in Title IV of the Violent Crime Control and Law Enforcement Act of 1994,Pub.L.No. 103-322, 108 Stat. 1796(Sep. 13, 1994),and Administrative Guide for Federal Justice Grant Programs. X VOCA Assistance(VOCA),Victims of Crime Act, 1984,as amended,and Administrative Guide for Federal Justice Grant Programs. The applicant hereby certifies that the project described in this application meets all the requirements of the applicable governing legislation as checked above,that all information contained in the application is correct,that there has been appropriate coordination with affected agencies and that the applicant will comply with all provisions of the governing legislation and all other applicable federal and state laws,rules and regulations that have been or may hereafter be established. The applicant further understands and agrees that any subgrant received as a result of this application shall incorporate this application into the subgrant award, and shall also be subject to the grant conditions set forth in the Statement of Grant Award and in the Division of Criminal Justice publication,Administrative Guide for Federal Justice Grant Programs. A. Financial and Administrative Management 1. The applicant assures that fund accounting,auditing,monitoring,evaluation procedures and such records as the Division of Criminal Justice shall prescribe shall be provided to assure fiscal control,proper management and efficient disbursement of funds received. 2. The applicant assures that it will comply with applicable financial and administrative OMB Circulars A-87,A- 102(Common Rule),A-110,and A-133,and will comply with the provisions of the Office of the Comptroller, Office of Justice Programs'publication,Financial Guide,current edition. For practical purposes,the requirements which are pertinent to the management of Victims of Crime Act funds,Sexual Assault Prevention funds,and V.A.W.A. funds have been extracted from the above documents and are contained in the Administrative Guide for Federal Justice Grant Programs referenced above. However,such a guide cannot cover every foreseeable contingency,and the applicant is ultimately responsible for compliance with applicable state and federal laws,rules and regulations. 3. The applicant assures that the Financial Officer of the subgrant shall maintain custody and control of all federal funds. 4. The Division of Criminal Justice will pay the subgrantee the reasonable and allowable costs of performance,in accordance with the applicable financial OMB circulars and Colorado State Fiscal Rules,not to exceed the amount specified herein as the Total Award Amount. H:\CANDY\99VA\common-app.wpd Page 12 of 22 Section E Certifications - The Division reserves the right to make and authorize modifications,adjustments,and/or revisions to the Subgrant Award for the purpose of making changes in budget categories,extensions of subgrant award dates,changes in goals and objectives,and other modifications which do not change the total amount of the Grant Award. The Division's requirements for such subgrant adjustments are contained in the procedures for DCJ forms 4a,4b,4c and 4d and the Administrative Guide for Federal Justice Grant Programs which are hereby incorporated by reference. The Division's requirements for invoice,advance payments and cost reporting submissions are contained in the DCJ 3 Cash Request/Reimbursement Request and DC)Form IA Subgrant Financial Report,which are hereby incorporated by reference. Advance payments cannot exceed 30 day operating expenses. 5. Pursuant to 24-30-202.4,Colorado Revised Statutes(as amended),the state controller may withhold debts owed to state agencies under the vendor offset intercept system for(a)unpaid child support debt or child support arrearage;(b)unpaid balance of tax,accrued interest,or other charges specified in Article 22,Title 39,CRS;(c)unpaid loans due to the student loan division of the department of higher education;(d)owed amounts required to be paid to the unemployment compensation fund;and(e)other unpaid debts owing to the state or any state agency thereof,the amount of which is found to be owing as a result of final agency determination or reduced to judgment as certified by the controller. B. Match and Non-Supplanting of State/Local Funds 1. The applicant assures that federal funds made available under this formula grant will not be used to supplant state or local funds but will be used to increase the amounts of such funds that would,in the absence of federal funds,be made available. 2. The applicant assures that matching funds,if applicable,required to pay the non-federal portion of the cost of this subgrant are in addition to funds that would have otherwise been made available for purposes of this project. C. Inspection, Record keeping, and Audit 1. The applicant assures that it will procure an audit by a CPA or licensed public accountant incorporating the subgrant,as required by state or federal guidelines. Audits must be performed in accordance with OMB Circular A-133 (States,Local Governments and Non-Profits).At such time as the audit is completed,ONE COPY OF THE AUDIT REPORT MUST BE FORWARDED TO THE DIVISION OF CRIMINAL JUSTICE for clearance. If the audit report does not meet the applicable A-133 standards or is not submitted in a timely manner,then the applicant accepts responsibility for the costs of a fmancial program audit to be performed by the Department of Public Safety. 2. The applicant assures that it will maintain all project records as will facilitate an effective audit for six years from the date of the final financial report or beyond the six year period if an audit is in progress and/or the findings of a completed audit have not been resolved satisfactorily. 3. The applicant assures that it will keep copies of all documents and correspondence related to this subgrant in a separate file bearing the project title and grant number. All expenditures must be supported by documentation and only actual approved expenditures will be permitted. 4. The applicant assures that the Division of Criminal Justice,the Department of Public Safety,the State Auditor and the Comptroller General of the United States Department of Justice or designee,shall have access for purposes of audit and examinations to any bonds,documents,papers and records of the subgrantee and to relevant books and records of subcontractors of the subgrantee. The applicant shall notify any subcontractor of the subgrantee of these provisions. • H:\CANDY\99VA\common-app.wpd Page 13 of 22 Section E Certifications 5. The applicant assures that signatories of the application and subgrant award and personnel employed through this subgrant will appear when requested at any administrative hearing,conference or meeting conducted by the Division of Criminal Justice. 6. The applicant assures that it shall maintain such data and information and submit such reports in such form,at such times,and containing such data and information as the Division of Criminal Justice may reasonably require to administer the program. The applicant further assures that quarterly financial and narrative reports shall be submitted within 30 days of the end of each calendar quarter and shall be current and actual;and that Final Reports shall be submitted on the form provided by the Division of Criminal Justice within 45 days of the end date of the subgrant. D. Discrimination Prohibited 1. The applicant assures that it will comply with the nondiscrimination requirements of the Omnibus Crime Control and Safe Streets Act of 1968,as amended;Title VI of the Civil Rights Act of 1964;Section 504 of the Rehabilitation Act of 1973,as amended;Title IX of the Education Amendments of 1972;the Age Discrimination Act of 1975;the Department of Justice Nondiscrimination Regulations 28 CFR Part 42, Subparts C,D,E,and G;and Executive Order 11246,as amended by Executive Order 11375,and their implementing regulations,41 CFR Part 60.1 et.seq.,as applicable to construction contracts. 2. The applicant certifies that it will comply with the letter and spirit of the Colorado Anti-Discrimination Act of 1957,as amended,and other applicable law respecting discrimination and unfair employment practices(24-34- 402,et. seq., CRS),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 subcontracts. 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 ensure that such applicants are employed,and that employees are treated during employment without regard to the above-mentioned characteristics. Such action shall include,but not be limited to the following: employment,upgrading,demotion,or transfer,recruitment or recruitment advertising;lay-offs or terminations;rates of pay or other forms of compensation;and selection for training,including apprenticeship. The contractor agrees to post these provisions in conspicuous places, available to employees and applicants for employment. 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 collective bargaining agreements or other contract or understanding,notice to be provided by the contracting officer,advertising 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. H:\CANDY\99VA\common-app.wpd Page 14 of 22 Section E Certifications 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 their books,records,and accounts by the contracting agency and the office of the Governor or 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 organizations,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 handicap,race,creed,color,sex,age,national origin,or ancestry. (24-34-402(1)(c)C.R.S.) f. 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 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. (24-34-402(1)(e) C.R.S.) 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 paragraph(a)through(h)in every sub-contract and purchase order,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. 3. The applicant assures that in the event a federal or state court or administrative agency makes a finding of discrimination after a due process hearing on the grounds of race,color,religion,national origin or sex against a recipient of funds,the recipient will forward a copy of the finding to the Division of Criminal Justice. 4. a. The applicant assures that if required to formulate an Equal Employment Opportunity Program (EEOP),in accordance with 28 CFR 42.301 et. seq.,it will maintain a current one on file and agrees to submit a copy of the current EEOP which meets the applicable requirements to the Division of Criminal Justice. b. If the parent organization of the subgrantee receives subgrants of$500,000 or more in federal funds; an equal employment opportunity program for women and minorities is required to be approved by the U.S.Department of Justice through the Division of Criminal Justice prior to the start of the project. 5. CERTIFICATION OF COMPLIANCE WITH CIVIL RIGHTS REGULATIONS The applicant assures that upon award of this subgrant it will certify, in writing,that it is in compliance with Civil Rights Regulations regarding an Equal Employment Opportunity Plan(EEOP)as summarized in the appropriate Certification description below, as it applies to this subgrantee agency during the period of the subgrant duration. a. CERTIFICATION(NO EEOP REQUIRED)if(a)or(b)and/or(c)apply H:\CANDY\99VA\common-app.wpd Page 15 of 22 Section E Certifications The prospective subgrantee certifies that it(a)is an educational,medical or nonprofit institution or an Indian Tribe;or(b)has less than 50 employees,and/or(c)receives through this subgrant less than $25,000 in federal U.S.Department of Justice funds. Also,it has not been awarded more than$1 million cumulatively from all programs administered by the U.S.Department of Justice over an 18- month period that includes the duration of this subgrant. Therefore,this agency is not required to maintain an EEOP,pursuant to 28 CFR 42.301,et seq. b. CERTIFICATION(EEOP ON FILE) The prospective subgrantee is a for-profit entity or a state or local unit of government having 50 or more employees,receiving through this subgrant more than$25,000,but less than$500,000 in federal U.S.Department of Justice funds. Also,it has not been awarded more than$1 million cumulatively from all programs administered by the U.S.Department of Justice over an 18-month period that includes the duration of this subgrant. Therefore,this agency certifies that it has formulated an EEOP in accordance with 28 CFR 42.301,et mg.,subpart E,that it has been signed into effect by the proper authority and disseminated to all employees,and that it is on file for review or audit by officials of the Division of Criminal Justice or the Office for Civil Rights,Office of Justice Programs as required by relevant laws and regulations. c. CERTIFICATION(EEOP SUBMISSION) • The prospective subgrantee is a for-profit entity or a state or local unit of government having 50 or more employees,receiving through this subgrant more than$500,000 in federal U.S.Department of Justice funds. Also,it has not been awarded more than$1 million cumulatively from all programs administered by the U.S. Department of Justice over an 18-month period that includes the duration of this subgrant. Therefore,this agency certifies that it will submit either an EEOP or an EEOP Short Form within 45 days of the award;whichever is submitted must include an analysis of any implementing arm of this subgrantee. OR, The prospective subgrantee,having 50 or more employees,has been awarded more than$1 million cumulatively from all programs administered by the U.S.Department of Justice(including this subgrant from the Colorado Division of Criminal Justice)over an 18-month period that includes the duration of this subgrant. Therefore,this agency certifies that it will submit an EEOP or an EEOP Short Form within 45 days of the award;whichever is submitted must include an analysis of any implementing arm of this subgrantee. E. Procurement and Contracts 1. The applicant assures that open,competitive procurement procedures must be followed for all purchases under the grant,including especially the purchase of equipment and professional services. All contracts for professional services,of any amount,and equipment purchases over five thousand dollars must receive prior approval by the Division of Criminal Justice. 2. The applicant assures that no contract or agreement will be made for execution of project activities or provisions of services(other than purchase of supplies or standard commercial or maintenance services)which is not incorporated in the approved application or approved in advance by the Division of Criminal Justice. 3. The applicant assures that contractors/vendors who assist the subgrantee to develop specifications, requirements,statements of work and/or Request For Proposals for a proposed procurement shall be excluded from bidding or submitting a proposal to compete for the award of such procurement. H:\CANON\99VA\common-app.wpd Page 16 of 22 Section E Certifications • 4. The applicant assures that where activities supported by this subgrant produce any discovery or invention, original computer programs,writings, sound recordings,pictorial reproductions,drawing or other graphical representation and works of any similar nature,the Division of Criminal Justice has the right to use,duplicate and disclose,in whole or in part in any manner for any purpose whatsoever and authorize others to do so. If the material or invention is copyrightable,the subgrantee may copyright such,but the Division of Criminal Justice reserves royalty-free non-exclusive and irreversible license to practice,reproduce,publish and use such materials in whole or in part,and authorize others to do so. 5. The applicant assures that no rights or duties under this contract shall be assigned without the prior written consent of the Division of Criminal Justice. F. Indemnification To the extent authorized by law,the subgrantee 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 subgrantee,or its employees,agents,subcontractors,or assignees pursuant to the terms of this subgrant. G. Prohibited Acts 1. The signatories hereto aver that they are familiar with 18-8-301,et.seq.,(Bribery and Corrupt Influences)and 18-8-401,et.seq.,(Abuse of Public Office),CRS, 1986 Replacement Vol.,and that no violation of such provisions is present. 2. The signatories aver that to their knowledge,no state employee has personal or beneficial interest whatsoever in the service or property described in the application/proposal. H. Other Federal and State Requirements 1. The laws of the State of Colorado and rules and regulations issued pursuant thereto shall be applied in the interpretation,execution and enforcement of this subgrant. Any provision of this subgrant 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 or condition in whole or in part shall be valid or enforceable or available in any action at law whether by way of complaint,defense or otherwise. Any provision rendered null and void by the operation of this provision will not invalidate the remainder of this subgrant to the extent that the subgrant is capable of execution. 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. 3. The Division of Criminal Justice grant managers reserve the right to make and authorize adjustments to the Grant Award for the purpose of making changes in budget categories,extension of grant award dates,changes in goals and objectives,and other modifications which do not change the total amount of the grant award. DCJ Forms 4A,4B,4C,4D,which must be completed for these changes to occur,are hereby incorporated by reference into the grant. 4. Any subgrant award is subject to and contingent upon the continuing availability of federal funds for the purposes hereof. H:\CANDY\99VA\common-app.wpd Page 17 of 22 Section E Certifications 5. Either party may terminate the subgrant with thirty days written notice of intent`to cancel or terminate. The subgrant may be terminated if the services are not satisfactorily performed by the subgrantee or if it is in the best interest of the state of Colorado to terminate the subgrant. If the subgrant is terminated by either the subgrantee or the state,the subgrantee shall be paid the necessary and allowable costs incurred through the date of termination,but not exceeding a prorated amount based on the number of days of project operation prior to termination. Any equipment purchased under this subgrant would revert,at the option of the Division of Criminal Justice,to the Division of Criminal Justice upon termination of the subgrant. 6. The subgrant may be suspended or terminated at any time by the Division of Criminal Justice if the subgrantee fails to comply with the applicable governing legislation or any of the Certified Assurances and Special Provisions. 7. Any inconsistency or conflict in this contract shall be resolved by giving precedence in the following order: a) Certified Assurances and Special Provisions,b)Statement of Grant Award,c)Subgrant Application. 8. The applicant assures that the application signatories,all staff and all volunteers assigned to the funded project have read and understand the rights afforded to crime victims pursuant to§ 24-4.1-302.5 C.R.S.and the services delineated pursuant to§§24-4.1-303 and 24-4.1-304 C.R.S.,commonly known as the Victim Rights Act and enabling legislation. Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion for Lower Tier Covered Transactions(Subgrantees receiving$100,000 or more) 1. The prospective subgrantee certifies,by submission of this proposal,that neither it nor its principals, subcontractors or suppliers are presently debarred,suspended,proposed for debarment,declared ineligible,or voluntarily excluded from participation in this transaction by any Federal department or agency. By signing and submitting this proposal,the prospective subgrantee is providing the certification set out below. a. The certification in this clause is a material representation of fact upon which reliance was placed when this transaction was entered into. If it is later determined that the prospective subgrantee knowingly rendered an erroneous certification, in addition to other remedies available to the Federal Government,the department or agency with which this transaction originated may pursue available remedies, including suspension and/or debarment. b. The prospective subgrantee shall provide immediate written notice to the person to whom this proposal is submitted if at any time the prospective subgrantee learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances. c. The terms"covered transaction," "debarred," "suspended," "ineligible," "lower tier covered transaction," "participant," "person," "primary covered transaction," "principal," "proposal,"and "voluntarily excluded,"as used in this clause,have the meanings set out in the Definitions and Coverage sections of rules implementing Executive Order 12549. d. The prospective subgrantee agrees by submitting this proposal that,should the proposed covered transaction be entered into,it shall not knowingly enter into any lower tier covered transaction with a person who is debarred,suspended,declared ineligible,or voluntarily excluded from participation in this covered transaction,unless authorized by the department or agency with which this transaction originated. e. The prospective subgrantee further agrees by submitting this proposal that it will include the clause titled"Certification Regarding Debarment, Suspension,Ineligibility and Voluntary Exclusion--Lower Tier Covered Transactions,"without modification,in all lower tier covered transactions and in all solicitations for lower tier covered transactions(i.e., contracts for services). H:\CANDY\99VA\common-app.wpd Page 18 of 22 Section E Certifications f. A participant in a covered transaction may rely upon a certification(OW Form 4061/1)of a prospective participant in a lower tier covered transaction that it is not debarred,suspended,ineligible, or voluntarily excluded from the covered transaction,unless it knows that the certification is erroneous. A participant may decide the method and frequency by which it determines the eligibility of its principals. Each participant may check the Non-procurement List. g. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification required by this clause. The knowledge and information of a participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. h. Except for transactions authorized under paragraph d of these instructions,if a participant in a covered transaction knowingly enters into a lower tier covered transaction with a person who is suspended, debarred,ineligible,or voluntarily excluded from participation in this transaction, in addition to other remedies available to the Federal Government,the department or agency with which this transaction originated may pursue available remedies,including suspension and/or debarment. 2. Where the prospective subgrantee is unable to certify to any of the statements in this certification,the prospective subgrantee shall attach an explanation to this application. J. Certification Regarding Lobbying(Subgrantees receiving$100,000 or more) 1. The prospective subgrantee certifies by submission of this proposal that no federal funds received through this subgrant will be paid to any person for influencing or attempting to influence an officer or employee of any agency,a member of Congress, an officer or employee of Congress,or an employee of a member of Congress in connection with the making of any federal grant,the entering into of any cooperative agreement,and the extension,continuation,renewal,amendment,or modification of any federal grant or cooperative agreement. 2. If any funds other than funds through this subgrant will be paid to any person for influencing or attempting to influence an officer or employee of any agency,a member of Congress,an officer or employee of Congress,or an employee of a member of Congress in connection with this subgrant,the prospective subgrantee shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities." K. Victim Assistance Services-For VOCA applicants only. 1. The VOCA applicant assures that victim assistance grant funds shall be used only to provide direct services to victims of crime. 2. The VOCA applicant assures that it will assist victims in seeking available crime victim compensation benefits. 3. The VOCA applicant assures that it will promote,within the community served,coordinated public and private efforts to aid crime victims. H:\CANDY\99VA\common-app.wpd Page 19 of 22 • Section E Certifications dl � -, PLEASE TYPE THE APPROPRIATE INFORMATION FOR NUMBER 37. 37. Signature Page Applicant Agency Project Director: Agency:19th ,Tudicial District Attorney's Ofc. Name: Nancy I. Haffner Street: 915 10th St. (P.0.Box 1167) Position: Community Programs Administrator City, State,Zip: Greeley, CO 80632-1167 Agency:19th Judicial District Attorney's Of( Telephone: (979 356-4010 Street: 915 Tenth St. (P.O.Box 1167) FAX#:(979 352-8023 City, State,Zip: Gree]ey. CO 80632-1167 Telephone:?la) 356-4010 Federal Tax ID Number: 84-6000813 FAX#: (970) 352-8023 Financial Officer: Authorized Official: Name: Donald D. Warden Name: Dale K. Hal] Position: Director of Finance and Administration Title: Chair, Board of County Commissionei Agency: Weld County Government Agency: Board of Commissioners—Weld County Street: 915 10th St. (P.O.Box 758) Street: 915 10th St. , (P.0.Box 758) City,State,Zip: Greeley,CO 80632 City,State,Zip: Greeley, CO 80632 Telephone:( 97p 356-4000 ext. 4218 Telephone:(970 356-4000 ext. 4200 FAX#:(979 352-0242 FAX#:( 979 352-0242 THE APPLICANT,through the following signatories,understands and agrees that any grant received as a result of this application shall incorporate and be subject to the statements made herein. The signatories certify that we have read the appropriate Application,Certified Assurances and Special Provisions(as checked below),and the instructions for item 36 above,and are fully cognizant of our duties and responsibilities for this project. Cash and/or in-kind funds in the amount to match federal funds have been earmarked with the appropriation of budget process,for use as matching funds for this application. (Original signatures of each required;please use blue ink to distinguish the original from copies). Please see instructions for further information if a signing authority is unavailable. 9n accordance with the Colorado Revised Statutes 24-72-202.6,information supplied in this application is considered a public record. Check One _S.T.O.P Violence Against Women Act(VAWA) _Sexual Assault Prevention Funds(SAPF) X VOCA Assistance ) _State VALE Project Director: ?,. �' " y _[� �`� Date: May 21, 1999 Sign 9 Financial Officer: :11j l;i'�.i ; } Date: May 24, 1919 re Authorized Official: \ 'a.aL 4 ;_�� Date: May 24, 1999 Signature H:\CANDY\99VA\common-app.wpd Page 21 of 22 Section F Appendix ATTACH APPENDIX TO THE ORIGINAL AND ALSO TO THE 2 FULL COPIES OF YOUR APPLICATION;YOU ONLY NEED TO INCLUDE ONE AUDIT OR FINANCIAL REVIEW. DO NOT INCLUDE APPENDIX WITH ADDITIONAL COPIES FOR BOARD MEMBERS. ALL SECTIONS ARE REQUIRED. IF ANY SECTION IS NOT INCLUDED,EXPLAIN THE REASONS and be certain to forward those materials to DCJ as soon as possible. Attach the following items: V 38. Organizational Chart-Highlight all positions included in your proposed budget's personnel category. ✓✓✓ 39. Job Descriptions-Include for all paid or volunteer positions in your proposed budget personnel category. Nip 40. List of Agency's Board Members-If applicant is a non-profit rather than a government agency,include names,addresses, phone numbers and elected office positions. /41. Audit or Financial Review Report-Include ONE COPY of your most recent report with the original application. You do not need to send additional copies. Please note that subgrantees are requested to submit one such report every year. Agencies receiving$300,000 or more from combined federal sources(in a year)must meet guidelines of OMB Management Circular A-133. AIM 42. Verification of Applicants Ability to Accept State Funds(State VALE applicants only): If the applicant is a state government agency,the submission of this application certifies the applicant agency has obtained through the state budget process the spending authority and FTE approval(if FTE is requested)required to accept these "state"grant dollars. In addition,state agencies applying for these grant funds must enclose in the appendix a letter or memorandum from the appropriate fiscal officer verifying the applicant's ability to accept these state funds. If you are unable to comply with this condition,please contact DCJ prior to the submission of this application. ✓ 1/CA- —6k be-otter H:\CANDY\99VA\common-app.wpd Page 22 of 22 I > > I> Z Z i— ''Z Zo - Z - U _----- -- - 0 - 2 _ I- � U0 a j 012 [ CC O -I — !J; W — W — 2r,U `T — Wc�F- F- ONF- F-'- U O O ji U O O 1 I ' a> ¢ a 25 0 0 0 0 cc cc CC x U O J - _ H -J - w \D O U 0 -) , I 0 I- UE ¢ — 1¢ < 0 U - o 0 — 0 z < < a a O... H O U 70 U 0 a U O U i - H K ¢ ¢ — 0 w -WUZ < — °UZ — 0 U N O 0 0 5U _win, 0 OZ, 0 - 0 -- i is, x x x wa wa FO FO UN U U U O O 7H — H — H — 2x — wW — I- /U O O O [CH [CH O J_. _- - H ¢ I I d' 0> - 2 > W _ W x w 0 — — -9F_ F- J 0 0 U OJ rn _ _ Z _ i— _ \F- F- H I-.-I ¢~ F-w ow j U. LL p O 0 OLL ww Ore ct 2 JO13'DESCRIPTION Position: Community Counselor II (Victim Assistance Program) Department: Community Programs, District Attorney's Office Immediate Supervisor: Community Programs Administrator. In the absence of the Community Programs Administrator's absence, the Assistant Community Programs Administrator is the immediate supervisor. General Supervisors: The District Attorney and the Assistant District Attorney Supervisory Functions: None Job Qualifications: Must have a Bachelor of Arts or Bachelor of Science degree; knowledge of the criminal justice system; be acquainted with the various community services available to victims of crime; speak and write in a professional manner; have and maintain a current valid Colorado driver's license; have some counseling background; work well with people in crisis; have some computer background; work well with statistic gathering and reporting; some knowledge of grant management; knowledge of and experience with direct services related to victims of domestic violence. Date of Job description: February 1999. Job Duties: 1) Provide information to victims and witnesses concerning the status and progress of cases in which they have an interest. This includes calling off witnesses from various hearings or trials as needed. 2) Offer information and education to crime victims and witnesses concerning the criminal justice system. 3) Referral assistance and limited crisis response to crime victims and their families. Keep in mind that as employees of the District Attorney's Office, rules of Discovery apply to your conversations and communications with witnesses to crimes that the office prosecutes. Limit the amount of information you obtain from victims about the crimes themselves. Maximize referral of services to existing outside community programs and limit actual counseling. 4) Obtain restitution information for the Attorneys on specific cases. 5) Assist eligible victims in applying for Crime Victim Compensation. This includes explaining eligibility and assisting in completing forms as needed. 6) Coordinate the Courtroom Assistance Program (CAP). This includes keeping accurate court/trial information posted in your office, interaction with Attorneys regarding upcoming trials, keeping accurate log records of contacts needed to coordinate the trial with CAP, keeping accurate computer information regarding each trial, coordinating CAP schedules with staff to cover the courtroom/waiting room. 7) Coordinate the Senior Volunteer Program. This includes seeking and training of volunteers, providing in service trainings as needed, providing daily assistance to staff to keep them updated on procedures and office policy as well as updated lbllow-up information to pass on to victims/witnesses they contact by phone. 8) Speak to public and professional groups concerning the various services provided by the Victim Assistance Program within the Community Programs Department. 9) Active participation in the Domestic Violence Coalition, the Domestic Violence Coalition for Women with Disabilities, etc. Job Description Position: Community Services Technician I Department: Community Programs, District Attorney's Office Immediate Supervisor: Community Programs Administrator General Supervisors: The District Attorney and the Assistant District Attorney Supervisory Functions: None Job Qualifications; Considerable knowledge of spelling, punctuation and grammar, office practices and procedures,reception duties and telephone skills. Typing speed and accuracy as well as proofreading skills are extremely important. Skill in operation of office equipment including word processing, personal computer, copiers,and calculator. Ability to learn legal terminology. Ability to exercise independent judgment. Ability to follow verbal and written instructions. Ability to communicate effectively verbally and in writing. Establish and maintain effective working relationships with employees, agencies and the public. Must have high school diploma or related work experience as it relates to this position. Date of Job Description: March 17, 1998 Job Duties: A) County Court Docket. Duties include the following: prepare the docket for the following week (this includes computer work); locating case files and reading police reports; obtain witness list including phone numbers; verify that all call-offs have been made where applicable; obtain court docket; staff cases as needed with Deputy District Attorney to assist with witness coordination. B) Courtroom Assistance Program. Duties include the following: assist Deputy District Attorney with witness coordination; familiarize yourself with the case file; interaction with victims and witnesses involved in case. C) Call-Offs. Duties include the following: call-off of witnesses in District, County and Juvenile Court cases which have been vacated. Document all contacts made. D) Victims' Rights Amendment Assistance. Duties include knowledge and assistance in the following: maintaining log books; document all contacts made; data entry of information from case files for log sheets; generate correspondence to victims; assist with mailings; greet and direct clients and walk-in traffic. E) Other duties include: cross train with receptionist; be familiar with and conform behavior to office policies and the contents of the District Attorney's Handbook. Hafficomserv.nih JOB DESCRIPTION Position: (Volunteer) Senior Project Assistant, Victim Assistance Office Range of Hours: 2- 10 hours per week Department: Community Programs, District Attorney's Office Immediate Supervisor: Community Programs Administrator and the Assistant Community Programs Administrator General Supervisors: The District Attorney and the Assistant District Attorney Supervisory Functions: None • Job Qualifications. This position will be working with the senior population (age 60 and above) and must have good interpersonal skills. Considerable knowledge of spelling,punctuation and grammar,general office practices and procedures, good communication(verbal and written)skills, good telephone skills. General knowledge of computer skills to include word processing,personal computers helpful but not required. Must have good organizational skills with attention to accuracy and details. Knowledge of community resources specific to senior needs. Ability to follow verbal and written instructions. Establish and maintain effective working relationships with employees, agencies and the public. Must have high school diploma or equivalent course work in general office procedures as it relates to this position. Experience working with the public is helpful. Date of Job Description: August, 1998 Job Duties. Contacts with seniors (telephone, in person and letters). Compile and send out special VRA (Victims' Rights Amendment)/senior information packets. Document all correspondence, phone calls made and received,change of address,etc. Identify community resources and provide information for the victim regarding areas including housing, transportation,medical,etc. and make referrals when appropriate. Provide information, education and support to victims regarding involvement in the criminal justice system. Work with staff to provide/arrange for personal appointments and/or case follow-up. Provide outreach to the local community to educate as to the services provided to seniors through the District Attorney's Victim Assistance Program. Be familiar with and conform behavior to the office policies and the contents of the"DA Handbook." DIVFRNOLPOS.NIH C,ertificate of Participatio ° - y Colorado Counties Casualty and Property Pool For the Coverage Period July 1, 1998 Through June 30, 1999 WELD COUNTY Colorado Counties Casualty and Property Pool (CAPP)hereby certifies that Weld County is a participating Member of CAPP for the period beginning July I, 1998 through June 30, 1999. 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, Policy Statements 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 through membership 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. I. 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. Bodily Injury, Property Damage(General Liability, Auto Liability) 2. Wrongful Acts committed in the conduct of duties(Public Entity Management Liability) 3. Bodily Injury, Property Damage, Personal Injury(Law Enforcement Liability) 4. Errors or omissions in the administration of an insured's employee benefits (Employee Benefits Liability). 5. Injury resulting from healthcare professional services rendered by EMTs (Emergency Medical Professional Liability). C. Crime I. 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 shall be liable only for payment of the self-insured retention 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. CAPP's per claim/occurrence retention are limited to the following for the foregoing coverages: A. $150,000 per claim/occurrence property. B. $250,000 per claim/occurrence liability (per coverage line). C. $150,000 per claim/occurrence crime. D. $ 5,000 per loss boiler and machinery. Certification of Appropriation of Match Date: December 13, 1999 Division of Criminal Justice 700 Kipling Street, Suite 1000 Denver, CO 80215 To Whom It May Concern: RE: Certification of Appropriation of Match Please be advised that District Attorney's Office, 19th Jud. Dist.has appropriated (Applicant Agency) cash and/or in-kind funds in the amount of$ 2,825 to match federal funds for the Domestic Violence & Special Populations Liaison Project proposed VOCA project. Execution of this document represents a certification that said funds have been earmarked within appropriation of budget process, for use as matching funds for this VOCA Assistance application. Sincerely, Tha / Signature of Authorize Official Dale K. Hall (12/13/99) Typed Name Chair, Board of County Commissioners Weld County, Colorado Title H. .4Cvf9r a,SJG.\Letters\Appropriarionl_`.Iaroh.wpd Hello