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Home My WebLink About970863.tiff RESOLUTION RE: APPROVE AGREEMENT FOR NON-RESIDENTIAL INTENSIVE SUPERVISION PROGRAM BETWEEN COMMUNITY CORRECTIONS AND THE VILLA AT GREELEY, INC., DBA THE RESTITUTION CENTER, 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 an Agreement for Non-Residential Intensive Supervision Program between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Community Corrections, and The Villa at Greeley, Inc., dba The Restitution Center, commencing July 1, 1997, and ending June 30, 1998, with further terms and conditions being as stated in said agreement, and WHEREAS, after review, the Board deems it advisable to approve said agreement, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Agreement for Non-Residential Intensive Supervision Program between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Community Corrections, and The Villa at Greeley, Inc., dba The Restitution Center, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said agreement. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 5th day of May, A.D., 1997. BOARD OF COUNTY COMMISSIONERS 'vs�� o W ELDY, COI,ORADO /i� a ��d� rAaift.1 `1881 (It Q'-'1 �. ,ty Clerk to the Board /� ,® ,�'i��` 2� it I. C tance L. Harbert, ro-Tem `moo deputy Cle 4 o the Board4 Dale K. Hall APP O FORM: EXCUSED Barbara J. Kirkmeyer p unty rney /Y ' �i( 1v % ?) W. H. Webster CC : Cpm.2c>rrecticns, Ott DA002 970002 AGREEMENT FOR NON-RESIDENTIAL INTENSIVE SUPERVISION SERVICES PROGRAM THIS AGREEMENT is made and entered into this J y� r day of May, 1997, by and between the County of Weld, State of Colorado, by and through the Board of County Commissioners of the County of Weld, on behalf of Weld County Community Corrections, whose address is 915 10th Street, Greeley, Colorado 80631, hereinafter referred to as "County," and the Villa at Greeley, Inc., dba, The Restitution Center, whose address is 555 18th Street, Greeley, Colorado, 80631, hereinafter referred to as "the Villa." WITNESSETH: WHEREAS, the County has entered into a contract with the State of Colorado Department of Corrections (Contract Routing Number 97-CAA01009) for a program to provide intensive supervision services for an approximately twenty two (22) Department of Corrections parolees (the exact number to be determined by the State of Colorado parole officer), a copy of which is attached hereto and referred to herein as Exhibit "A", and WHEREAS, said program is designed to comply with the directive for the provision of such non-residential intensive supervision program services made by the Colorado General Assembly through House Bill 96-1319, and WHEREAS, the County is in need of professional services for said program and the Villa has the staff and facilities necessary to provide such services, and WHEREAS, the parties hereto now desire to enter into this Agreement for the purpose of setting forth the relative duties and responsibilities of the parties with respect to services to be provided by the Villa for the non-residential intensive supervision program. NOW, THEREFORE, in consideration of the mutual promises and covenants contained herein, the parties hereto agree as follows: 1. TERM: This Agreement shall be effective for the term beginning July 1, 1997, and ending June 30, 1998, and may renew itself automatically for successive one year periods)unless sooner terminated by either of the parties hereto pursuant to the termination procedures contained in Section 5., below. 2. SCOPE OF SERVICES: Services shall be provided by The Villa to approximately twenty-five (25) Department of Corrections parolees, with such services being described in Exhibit "A." The Villa agrees to provide such services in compliance with all of the terms, conditions, and requirements stated in Exhibit Page 1 of 4 Pages 970863 3. PAYMENT FOR SERVICES: Payment for services rendered by The Villa pursuant to this Agreement shall be in accordance with the payment provisions set forth in Section II., 2. of Exhibit"A." The Villa shall submit an itemized monthly bill to the County's Community Corrections Board Administrator for all services provided pursuant to this Agreement. Said bill shall be submitted no later than the 15th day of the month following the month in which the services were provided. Failure to submit monthly billings in accordance with the terms of this Agreement may result in the Villa's forfeiture of all rights of being reimbursed for such services. Payment of all services performed pursuant to this Agreement is expressly contingent upon the availability of funds referred to in Exhibit "A." The County shall not be billed for, and reimbursement shall not be made for, time involved in activities outside of those defined in Exhibit "A". Such billing shall not exceed $28,945 for the term from July 1, 1997, to June 30, 1998, which amount may be modified for succeeding yearly terms. 4. COMPLIANCE WITH CONTRACT REQUIREMENTS: The Villa agrees to comply with all requirements of the "Contractor" stated in Exhibit "A", as if The Villa was standing in the place of the "Contractor," including the requirements set forth in the sections entitled: Notifications, Review and Inspection, Offender Files, Record Retention, Confidentiality of Records, and Information Provided. The Villa shall assist the County in complying with the "Fiscal Audit" requirements set forth in Exhibit"A." 5. TERMINATION: This Agreement may be terminated by either party as follows: a. Termination for default of performance: In the event either party defaults in the performance of its duties and responsibilities set forth in this Agreement, the other party shall notify the defaulting party of such default in writing at the addresses described in Section 9, below. The defaulting party shall then have 20 days in which to cure such default. In the event the default is not cured, the non-defaulting party may then consider this Agreement to be terminated with no further notice being necessary. b. Termination for reasons other than default: Either party hereto may terminate this Agreement upon providing written notice to the other party at the address set forth in Section 9, below, at least thirty (30) days prior to the intended date of termination. 6. INSURANCE: The Villa shall provide to the County proof of liability insurance maintained at all times during the term of this Agreement in the amount of $150,000 per person, $600,000 per occurrence, naming the County and its employees and agents as Additional Named Insureds. Page 2 of 4 Pages 970863 7. MODIFICATION OF AGREEMENT: All modifications to this Agreement shall be in writing and signed by both parties. 8. ENTIRE AGREEMENT/NO THIRD PARTY BENEFICIARY: This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other Agreements concerning the subject matter of this transaction, whether oral or written. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be deemed an incidental beneficiary only. 9. NOTICE: All notices required to be given by the parties hereunder shall be given by certified or registered mail by the individuals at the address as set forth below. Either party may from time to time designate in writing a substitute person(s) or addressed to whom such notices shall be sent: County: Jan Spangler, Community Corrections Board Administrator, 915 10th Street, Greeley, Colorado, 80631. The Villa: John Coppom, 1750 6th Avenue, Greeley, Colorado, 80631. 10. ASSIGNMENT: Neither this Agreement nor the rights or obligations hereunder shall be assignable without the prior written consent of both parties. 11. CONTROLLING LAW: This Agreement shall be construed and enforced in accordance with the laws of the State of Colorado. 12. NO WAIVER OF IMMUNITY: No portion of this Agreement shall be deemed to constitute a waiver of any immunities the parties of their officers or employees may posses, nor shall any portion of this Agreement be deemed to have created a duty of care that did not previously exists with respect to any person not a party to this Agreement. 13. INDEPENDENT CONTRACTOR: The Villa shall perform the services hereunder and the requirements set forth in Exhibit "A"as an independent contractor. Neither The Villa nor any agent or employee of The Villa shall be deemed an agent or employee of the County. 14. SEVERABILITY: If any provision of this Agreement should be held to be invalid, illegal, or unenforceable for any reason, the validity, legality, and Page 3 of 4 Pages 970863 enforceability of the remaining provisions shall not in any way be affected or impaired thereby. 5IN WITNESS WHEREOF, the parties have hereunto set there hands and seals this — day of May, 1997. std.E li THE COUNTY OF WELD, STATE OF .10;v > � �'' COLORADO, by and through THE l's81 ' ��' a44 BOARD OF COUNTY COMMISSIONERS OF THE COUNTY OF WELD, on behalf of W WELD COUNTY COMMUNITY % ((1l t"_10 /, CORRECTIONS BY: e '! Georg . Baxter, Chair d5/s/g7 THE VILLA AT GREELEY, INC. BY: ( / 7. ` f Coppom, President SUBSCRIBED AND SWORN to before me this a / day of 7)1 Cie 19Q7. WITNESS my hand and official seal. Notary P �� Public U (/ My commission expires: 9_ / '— 9 F M:\IAPFILES\AGREENAROLSUP.BTB Page 4 of 4 Pages 970863 The Restitution Center z...."..t.,:iii,:iitii.;,sics:?,:.!,,,,,...th.,4"+":„...,,,a,::!,,!,,,::,.,;,:,...::::: Submitted to The Colorado Department of Public Safety Division of Criminal Justice May, 1997 970863 Section III, (IV), V BOARD OF DIRECTORS ORGRANIZATIONAL CHART LIST OF STAFF MEMBERS 970863 The Villa at Greeley, Inc. Board of Directors Name Occupation Address John T.Coppom Chief Administrator 1750 6th Avenue Greeley,CO 80631 Harry Asmus Investor 4461 Pioneer Drive Greeley,CO 80631 Michael Brand Director of Corrections 555 18th Street Greeley,CO 80631 Weld County Community Corrections Board Board Member Function Address Phone Quammen,Thomas Chairperson Weld County 356-4010 Assistant District Attorney District Attorneys Office P.O. Box 1167 Greeley, CO 80632 West, William Vice Chairperson District Court,Division I 356-4000 Chief Judge 19th Judicial District extension 4575 Weld County Courthouse Box C Greeley,CO 80632 Strobel,Kevin Treasurer Weld County 353-8224 Public Defender Public Defender's Office 1100 10th Street,Suite 202 Greeley,CO 80631 Wommack,Jerry Member Probation Department 356-4000 Probation Supervisor 19th Judicial District 934 9th Avenue Greeley,CO 80631 Guthrie,Michael Member Evans Police Department 339-2441 Chief of Police 3700 Golden Evans,CO 80620 Gearheart,Susan Member do: Aims Community College 330-8008 Citizen Member 5401 W.20th Street extension 560 Greeley,CO 80634 McWilliams, Sylvia Member 2720 W. 15th Street 352-9537 Citizen Member Greeley, CO 80631 Dean,Cathy Member 20738 Cholla Court 587-5548 Citizen Member Johnstown,CO 80534 COMMUNITY CORRECTIONS CONTRACTS FY 97-98 List of Staff Members for EXHIBIT A The Restitution Center Brakel,Russ Corrections Technician 7/9/72 523-15-1423 Brand,Michael Director or Corrections 7/9/52 478-70-2988 Burton,Tracy Evaluations&Non-Res Services Manager 5/3/69 523-45-0366 Carter,Randy Field Technician 1/7/69 503-04-9404 Coppom,John Administrator 4/22/39 521-46-2988 Cordova,Jennifer Corrections Technician 4/1/76 523-41-9843 Erler,Douglas Director 9/14/62 523-04-7706 Gamez,Roger Field Technician 10/22/67 455-33-4737 Guzman,Amy Corrections Technician 6/19/73 522-61-1172 Hall, Cynthia Casemanager 6/25/71 522-57-7853 Haynes,Donna Casemanager Supervisor 9/15/55 524-86-9248 Johnson, Sam Corrections Technician 10/17/70 522-41-9669 McMahon,Mary Casemanager 7/31/70 502-96-5648 Morris,Mitzi Corrections Technician 1/11/74 523-17-7203 Pfitzer,Nathan Corrections Technician 1/3/71 521-21-8280 Prouty,John Non-Residential Casemanager 11/24/61 524-17-5150 Quiram,Alan Non-Residential Casemanager 2/11/48 521-68-0096 Richardson, Stephanie Office Manager 4/17/74 557-41-2252 Rogers,Hazel Office Assistant 6/10/51 522-64-7772 Sandoval,Dolores Corrections Technician II 12/29/70 054-70-8137 Shirley,Geoffrey Casemanager 1/9/66 562-73-1092 Sims, Greg Corrections Technician 6/10/64 454-51-3204 Tiffany,Phillip Assistant Director 2/3/64 523-27-3760 Whiteley,Rod Corrections Technician 12/31/68 521-37-9110 Williams, Stephanie Corrections Techncian 8/30/74 523-47-2667 - Wilson,Alissa Casemanager 10/1/70 523-27-5411 970863 Arnold,Pat Maintenance Supervisor 4/24/53 522-78-8336 Knespel,John Maintenance 6/18/39 521-50-1829 Miller, Steve Maintenance 9/10/53 524-82-2842 Johnson,Diane Fiscal Officer 5/20/49 506-60-5837 Kraft,Raylene Assistant Bookkeeper eP 8/22/66 514-72-6562 Karen Wood Bookkeeper 8/5/52 501-62-0554 Champlin,Maryanne Assistant Cook 12/20/48 522-74-8450 Elizalde,Socorro Food Service Worker 5/3/55 650-01-6241 Esparaza, Victoria Cook 1/22/49 523-68-9370 Garcia,Margie Assistant Kitchen Manager 11/11/36 523-44-3846 Gobeli,Elaine Food Service Worker 11/5/35 473-38-8113 Griffin,Patrick Assistant Cook 2/27/70 522-51-3168 Hart,Bernice Assistant Cook 12/2/35 468-34-5253 Hayes,Janice Assistant Cook 4/3/71 509-80-9512 Kalmar,Cindy Dietician/Kitchen Manager 5/1/64 316-84-0078 Love,Vanessa Assistant Cook 9/24/70 506-15-0258 Martinez, Carlos Food Service Worker 4/27/72 523-I5-0614 Miller, Cindy Food Service Worker 8/20/59 516-84-4450 _ Rios,Fabiola Assistant Cook 1/13/69 524-69-0692 Salazar,Marianne Cook 8/25/49 522-72-7637 Tyree,Karen Assistant Cook 11/15/58 563-29-4613 Webb,Julie Food Service Worker 5/1/56 523-92-0437 . 970863 THE RESTITUTION CENTER Organizational Chart c Board_ ofDirectors yA '}µ4,,'�? fia`i i 6 ',¢ 6 v "GZ:;4"nP y 3p 1 kt ManyAsmus'Dr T"C �`�l!- ogPporp.Nllc�iaai Brand Weld County Community: ,, 'Administrator f ` Corrections Board w. Mr. ohn I Coppom ' I Director of Corrections 1. ' ` Michael Brand'' I Director I/' Assistant Director Douglas Eder ) 1 Phil Tiffany Office Manager l Casemanager Supervisor l / Evaluations&Non- Corrections Technician II Stephanie Richardson J Donna Haynes Residential Services Lori Sandoval \ Manager J \ Tracy Burton i Office Assistant Residential Casemanager l Corrections Technician Hazel Rogers Alissa Wilson J Nate Kizer Non-Residential Casemanager Corrections Technician Alan Quiram Sam Johnson Residential Casemanager \ \ Geoffrey Shirley J .Corrections Technician Stephanie Williams: I Non-Residential Residential Casemanager l Casemanager Mary McMahon J John Prouty Corrections Technician Russ Brake] Residential Casemanager \ Corrections Technician Cindy Hall J Field TechnlWan Amy Guzman Roger Gamez CCorrections Techncian Mitzi Morris Field Technician Corrections Techncian Randy Carter Rod Whiteley( Corrections Technician Jennifer Cordova I ( Corrections Technician Greg Sims 970863 THE RESTITUTION CENTER Organizational Chart POLICY In order to provide all staff with clear lines of authority and agency structure, a current internal organizational chart that accurately lists all staff positions is maintained. PROCEDURE Each new employee shall be distributed a copy of the organizational chart during their pre-service orientation. Revisions and/or updates of the organizational chart will be reviewed with all staff on an annual basis,when an updated chart is completed for inclusion in the agency's Personnel Manual. The Director is responsible for the uninterrupted execution of this policy by reviewing orientation training checklists, and the annual Personnel Manual updates. ORGANIZATIONAL CHART The Villa at Greeley Board of Directors CWeld County Community / Corrections Board \ Administrator , ) Director,of Corrections ) I ( Director ) — Casemanager Supervisor Assistant Director Office Manager Casemanager Corrections Technician II Office Assistant Casemanager Corrections Technician ) Casemanager ) Corrections Technician Casemanager ) Corrections Technician Corrections Technician Corrections Technician Evaluations&Nan- a Residential Services J Corrections Technician , Manager Corrections Technician ) Non-Residential Casemanager ) Corrections Technician ) Non-Residential Corrections Technician ) Casemanager I C Field Technician ( Field Technician ) 970863 THE RESTITUTION CENTER, INC. Personnel Staff Education Level Experience Position and Degree(s) Corrections/Treatment Entry on Duty Date Acquired John Coppom M.A. Psychology Chief Probation Officer Chief Administrator Ph.D.Public Administration 11 Years 8/1/84 Administrator 12 Years Michael Brand B.A.Psychology/Sociology Corrections Director of Corrections 22 Years 9/8/87 Douglas Erler B.A. Speech Communication Corrections Director M.A. Sociology/Criminal Justice 10 Years 2/22/87 Phillip Tiffany B.A/A.A.Criminal Justice Corrections Assistant Director 8 Years 4/11/89 Donna Haynes, CAC III B.A.Human Rehabilitative Services Corrections/Treatment Casemanager Supervisor 7 Years 4/23/90 Tracy Burton B.A. Sociology Corrections Evaluations&Non-Res Services Manager M.A.Sociology 6 Years 7/15/91 (Expected p graduation in 1999) Stephanie Richardson 3 Years College Office Management/Secretarial Office Manager Medical Records Coding Specialist Degree 4 Years. 11/5/94 Hazel Rogers 3 Years College Secretarial/Office Management Office Assistant 11 Years 7/30/96 Alissa Wilson B.A. Sociology/Criminal Justice Corrections Casemanager 3 Years 6/20/94 Geoffrey Shirley kris Doctorate Corrections Casemanager 4 Years 8/7/95 Mary McMahon B.A. Sociology/Criminal Justice Corrections Casemanager 5 years 3/21/94 Cynthia Hall B.A. Sociology Corrections Casemanager 3 Years 8/24/95 Alan Quiram,CAC I B.A.Psychology Corrections Non-Residential Casemanager 9 Years 4/4/88 970863 John Prouty B.A. Sociology Corrections Non-Residential Casemanager 3 Years 4/4/95 Dolores Sandoval B.A.Elementary Education/English Corrections Corrections Technician II 2 Years 3/11/96 Nate Pfitzer 3 Years College Corrections Corrections Technician 3 Years Sam Johnson High School Graduate Corrections Corrections Technician 3 Years 12/18/95 Stephanie Williams B.A.Sociology Corrections Corrections Technician 2 Years 5/14/96 Russ Brake] B.A. Sociology Corrections Corrections Technician 2 Years 5/28/96 Amy Guzman B.A.Political Science Corrections Corrections Technican B.A.Sociology 2 Years Mitzi Morris B.A.Psychology Corrections Corrections Technician 1 Year Rod Whiteley 4 Years College Corrections Corrections Technician (Military Degree) 1 Year Jennifer Cordova 3 Years College Corrections Corrections Technician 1 Year Greg Sims A.A.Criminal Justice Corrections Corrections Technician 1 Year Roger Gamez High School Graduate Corrections Field Technician 7 Years 12/21/94 • Randy Carter 5 Years College Corrections Field Technician 3 Years 6/6/95 Diane Johnson B.S.Accounting Accounting Fiscal Officer 12 Years 5/18/94 Raylene Kraft B.S.Business Accounting Assistant Bookkeeper 10 Years 8/27/90 Karen Wood 3 Years College Accounting Bookkeeper 25 Years 7/23/96 37UCS63 Cindy Kalmar B.S.Nutrition Food Service/Dietician Kitchen Supervisor 10 Years 12/9/91 Pat Arnold High School Graduate Maintenance Maintenance Supervisor 22 Years 9/1/84 970863 Section VII PROGRAM DESCRIPTION (Mission Statement Only) 970863 ■ I a 0 ." O -, EF a 0 .R °: 3 0 c a. ° o '� 0 " . ba U 04) -0.. O y N y L7 'O y •O TC! a, N pp ° :. •I •g.:C. A be g .+ 0, .. .40 L. a) N U T 1, • aoy � 3) = .5 L 1O •- : IN o• . a s y v o !I d74 o 4. i�l a y N N atl ..+ d W y N C eaII O p yyy O y: �O}r� O 0 '. O N of �O N O. l0 �i Oq � ' � L O a v ti 6V{ r O O Ot �l E r. • + H -0 lite 'T�^^' y 4 3 .°.. O o oyi Vl . O co U a) .�.. 411 O O O K▪ bi) O o •r-1 �: ,Q O d V]cn .... .0 O 7 . rl y W y C t isk .a0. . � ..w O S 'IIIZ 4 O w l aai d 3 w 0 m o^.. 0 yea .. +'O•' y tea" O '�S.. L"'O .� p .y p 3 N• W G W N ,a' - C d i. + °j 0 0 G 'a = .bp .sa I`! > N 5 c ). qq C O / ..,b O t •p y. O: U - Gv • W .0 ytrt c tee • ty+ � �o d .. .'Y. O.'d . U C3 8 0 QE :' E O o U si G.... .G y out E ' G to t, 0 cV > W coo t to4 °_' t5t 00 2 es'� y 3 E e3 _ 'g 0 o -o y O 6 b .S .� o +Q .0 OA -t :ca. ca A4 970863 Section XI LOCAL LICENSING AND INSPECTIONS 970863 rOP Greeley Fire Department BUILDING ID ` �+�,'•` 919 7th Street-Greeley,Colorado 80631 - (970)350-951I JOB NUMBER Iliaill — City of BUILDING FIRE INSPECTION REPORT le STREET ADDRESS SUITE NUMBER MAP NUMBER ZIP CODE PLUS 4 r - ...... . '. . . .: :::i 1 BUSINESS NAME(IF NOT A BUILDING OR A COMPLEX) BUILDING OR COMPLEX NAME(IF APPLICABLE) 1.L I. t _: I I i l;'L:.I'' I I I;'., .I.N:.:., GROSS 1 BUSINESS MANAGER OR OWNER BUSINESS PHONE CONTACT FOR INSPECTION APPOINTMENT .;;..i I I .11'..r.'..:f.I I,. ., t.. I. �.,i .. BUSINESS PHONE ... FPU FIXED PROPERTY USE SQUARE FEET .5.... .I I ri_ ,L ' 1:):. I I.:. 1 :1.;l`; ;;'t. , ...._� FAX NUMBER i BUILDING OWNER'S NAME BUILDING MANAGER'S NAME BUILDING OWNER'S STREET ADDRESS BUILDING MANAGER'S STREET ADDRESS BUILDING QWNFR'S CITY.STATE,AND ZIP CODE BUILDING MANAGER'S CITY,STATE,AND ZIP CODE CONTACT PERSON FOR BUILDING QWNEB 0 BUSINESS PHONE CONTACT PERSON FOR BUILDING MANAGER BUSINESS PHONE ... ..r.:,•:.. I .,.....r. ,, FIRST EMERGENCY CONTACT HOME PHONE SECOND EMERGENCY CONTACT :r NC: • HOME o..PHONE r- . FIRE CODE VIOLATIONS VIOLATION (SEE BACK) I �1 LOCATION OF VIOLATION AND ADDITIONAL COMMENTS K 372I Irl{{1' I I Cf0c4 {.LQLt/h� Y\� / C / 3 (II (1-)J Cyl � TCt (J/A!/�Lt�� LO- J\� £l cfcro r. _�03 Al eJ _77 bMIli a it rY 4yi �- S 4) l dhAp S I hoc ra hi 4c. // A routine fire inspection has been made of these premises to determine it any fire or life hazards exist.The inspection also was made to determine it any violations of the Uniform Fire Code exist!!violations have been found,this shall serve as your official notice.All violations must be Corrected immediately,A re-inspection of the premises will be made al a future dale to verily the required corrections.Failure to correct violations shall cause the owner of the properly or other responsible person to be in possible violation of Greeley city ordinances,and a citation may be Issued which will require an appearance by you in Court.Should you need assistance regarding this inspection,contact the Greeley Fire Prevention Bureau at 350-9511.I,the undersigned,am in receipt 01 a copy of thIs inspection report,and am aware of the hazards noted.lam also aware that this Is a routine inspection,and may not encompass every possible violation. —1 SIGNATURE OF BUSINESS OWNER,MANAGER,OR'RESPONSIBLE PARTY TITLE ,;) Z ., /r DATE SIGNED I i / If �' ; /Ij��,,.t�,(iC l y6t,(.�,w�`-`-, ,72,,,,; ('0,,,, //, g. y L J IN PECTJOR'I NAME c, I15E 6 (A)) E.MI� atq)RESS Dq— COMPLETED3- I � itTI E O f rr Ntl/I� NO.OF M ASSIGNMENT DATE ISSUED LAST INSPECTION ROTATION l(,J( '--1I PAGE OF 'I. r••'I (:1'. IMMEDII-BUREAU ❑ ACTION REQUESTED 1 N COPYRIGHT(C)1991-93 HIGH PLAINS COMPUTER TECHNOLOGIES-ALL RIGHTS RESERVED-UNAUTHORIZED DUPLICATION STRICTLY PROHIBITED 9703 sg3 • Greeley Fire Department [ BUILDING ID � , 919 7th Street-Greeley,Colorado 80631 - (970)350-9511 I,, : _y+ JOB NUMBER City or BUILDING FIRE INSPECTION REPORT I A Greeley STREET ADDRESS ent: .. ;- .,. SUITE NUMBER MAP NUMBER ZIP CODE PLUS 4 ' BUSINESS NAME(IF NOT A BUILDING OR A COMPLEX) BUILDING OR COMPLEX NAME(IF APPLICABLE) C BUSINESS MANAGER OR OWNER BUSINESS PHONE CONTACT FOR INSPECTION APPOINTMENT ,:I:ri i) :,.)I"'" r I'"�• ., BUSINESS PHONE , D FPU FIXED PROPERTY USE _ .. . ... r SQUARE FEET:.r4' ITI):.N1 '.1 fir:.. 11.:.l.' i .It I,'_ (::114 j, FAX NUMBER :...';I•:: :.-r E BUILDING OWNER'S NAME BUILDING �'I'il•.l `::_II:i•i..lri MANAGFR'S NAME l BUILDING TIWNFR'C STREET ADDRESS BUILDING MANAGFR'S STREET ADDRESS ,STATE.AND ZIP CODE MANAGFR'R CITY.STATE,AND ZIP CODE G BUILDING OWNER'S CITY .., BUILDING H CONTACT PERSON FOR BUILDING 4YiGE9 BUSINESS PHONE CONTACT PERSON FOR BUILDING MANAGER BUSINESS PHONE FIRST EMERGENCY CONTACT iHOME PHONE SECOND EMERGENCY CONTACT .:. v f'•I ( '1 • i.•.: .. .., . i , ... . :. : I HOME PHONE FIRE CODE VIOLATIONS VIOLATION (SEE BACK) LOCATION OF VIOLATION AND ADDITIONAL COMMENTS ' K 32 II bekIl dooV b1 CroA< Lek Uhri ei (� / 3Z-t lr 4I(I W1 rCyt -�-/II to ('a/III`1 io, l p-r' n) 6 1�Fu cY S--aro 4 P. 303 Aked 1 Hint 'la 4 d ,Cy: — s3CAl, " 1$ Y to J ra h'r 4c `� . /� A routine fire Inspection has been made of these premises to determine if any lire or life hazards exist.The inspection also was made to determine if any violations of the Uniform _Fire Code exist.If violations have been found,this shall serve as your official notice.All violations must be corrected immediately.A re-inspection of the premises will be made at a uture date to verify the required corrections.Failure to correct violations shall cause the owner of the property or other responsible person to be in possible violation of Greeley city irdinances,and a citation may be issued which will require an appearance by you in court.Should you need assistance regarding Ihis Inspection,contact the Greeley Fire 'revention Bureau at 350-9511.I,the undersigned,am in receipt of a copy of this Inspection report,and am aware of the hazards noted.I am also aware that this is a routine Inspection,and may not encompass every possible violation. 1- SIGNATURE OF BUSINESS OWN1ER.MANAGER,OR/RESPONSIBLE PARTY TITLE - DATE SIGNED 1IN PECTOR'S NAME//((PLEASE PRINT) E-MAIL ADDRESS ^'�' �)�r+� . / 4 (Arc, k (l(A.) bc(RCfn LI—qM-1+ 134TI OE I OE NO. INSPECTORS Jr ASSIGNMENT DATE ISSUED LAST INSPECTION ROTATION ./. I,.i! i'.:'. 'i , r• . PAGE OF .. .:._ .: ai :.I.•i :' !!'r"�r�_' BUREAU ❑ ACTIONATE REQUESTED 1 N OPYRIGHT(C)1991.93 HIGH PLAINS COMPUTER TECHNOLOGIES-ALL RIGHTS RESERVED-UNAUTHORIZED DUPLICATION STRICTLY PROHIBITED 9703 PREMISE IDENTIFICATION - EXTINGUISHERS AND EXTINGUISHING SYSTEMS 100 Improper or missing address numerals 101 Improper or missing unit numbers 550 Lack of required inspection of fire extinguisher FIRE HYDRANTS 551 Improper type or size of extinguisher 553 Improper maintenance of fire extinguisher 5ocoftxinushiippr55 54 Latin oetgiermroer or marked 151510 Improper fin maintenance fire hydrantextinguisher 152 Inoperative fire hydrant 556 Access toid xtinguisher in kitchen FIRE LANES 558 Lack of required fire extinguisher 560 Lack of required hood protection system 561 Inadequate coverage of extinguishing system 200 Fire lane obstructed 562 Operating instructions not posted for extinguishing sys. 201 Fire lane improperly or not posted 563 Improper maintenance of extinguishing system 202 Lack of proper fire department access 565 Improper maintenance of kitchen hoods and ducts KEYS AND KEY BOXES 566 Excessive travel distance to fire extinguisher • 250 Key box missing or not accessible SPRINKLER AND STANDPIPE SYSTEMS 251 Keys missing or do not work 252 Keys improperly marked 600 Obstructed fire department connection 602 Fir01 er department connectioner maintenance of simproperly ornot matrked EXITS AND CORRIDORS 610 Obstructed fire protection system control valve 612 Prohibited storage within 18"of sprinkler head 300 Improper maintenance of exit sign 302 Improper graphics on exit sign 620 Sprinkler controfvalve not monitored and locked open 303 Required exit signmissing or damaged 621 SprinklerImrroner or standpipe mainterance y sprinkler er standpipe system 309 Improper maintenance of exit illumination 622 Missigor inadequate deque sp inoperahe 312 Dead-end corridor in excess of 20 feet in lee th 624 Missing mingspare rin light gh or wrench 320 Designated exit obstructed or locked g 624 Damaged or missing outside horn or 321 Designated fire exit door not properly marked 625 Testa Streandpipe outlet not not properlyole sprinklere or standpipe 322 Improper locking device on exit door 630631 Ac essitostandpipe not utet iidentified 323 Improper operation of panic hardware Access to cap or e outlet i ssinged 324 Self-closing or automatic door blocked open 632 Standpipe fire or reducer missing 329 Lack of required exit(s) 633 Improper mproper m nose thread 330 Missing or incorrect stairway numbering system 634 Lack of re4qul maintenance controlva�lve signs 331 Stairway barrier to below grade damaged or missing 642 Test records not available for fire pump 340 Prohibited storage in or near exit 341 Lack of emergency signs in elevator lobbies FIRE ALARMS AND DETECTION SYSTEMS 651 Access to manual pull station impaired CONSTRUCTION FEATURES 652 Improper or missing fire alarm zone identification 660 Improper maintenance of fire alarm system 350 Fire door missing or damaged 351 Fire door hardware missing or damaged 665 Firefighteram improperly jack or missing monitored toopera8ve 370 Impaired operation of fire-rated assembly 680 Fire alarms not avail not alar 380 Improper maintenance of fire-resistive construction 680 Test records not available for fire alarm 381 Sign required:'Danger!Sudden area ` 391 Required guard rails missing PERMITS AND HAZARDOUS MATERIALS • ELECTRICAL 700 Required permit not obtained or displayed 400 Improper use of extension cord 750 Improper storage or use of compressed gas cylinder 401 Improper type of extension cord 751 Improper or lack of labeling of hazardous material 752 Improper storage of hazardous materials 403 Prohibited use of multi- lug ads ter 753 Lack of required Material Safety Data Sheet(MSDS) 410 Improper clearance in front of electrical 757 Lack of required hazardous materials inventory 411 Improper maintenance of electrical pane�nel 412 Circuit directory missing or not upddated PUBLIC ASSEMBLIES 420 Open,loo improper, 00rpbrokenrelectrical box or fixture 800 Improper or lackoor pcombustible sting of�occupant laoad materials 441 Improper maintenance of electrical motors 851 Overcrowding of place of public assembly GAS AND HEATING APPLIANCES 860 Use of open flame in place of public assembly 450 Improper protection of gas meter and/or piping FLAMMABLE AND COMBUSTIBLE LIQUIDS 453 Improper use of heating equipment 1000 Improper flammable liquid container 460 Improper maintenance of heating appliance 1020 Storage of empty flammable liquid container(s) 461 Boiler certificate not current 1040 Improper quantify of flammable or combustible liquids STORAGE AND HOUSEKEEPING 1050 Improper storage of flammable or combustible liquids 1051 Flammable liquids stored in basement 500 Accumulation of flammable or combustible material 1060 Improper flammable liquid cabinet 501 Improper housekeeping - SERVICE STATIONS 502 Improper storage of combustible materials 510 Improper placement of commercial dumpster 1130 Pump emergency shut-of sign missing 520 Storage too high—maintain 24"below ceiling or truss 521 Storage of combustibles In equipment rooms FLAMMABLE FINISHES 522 Storage of combustibles beneath structure 523 Storage of combustibles in attic or plenum 1181 Lack of required spray booth 530 Improperr cle of arance of us combustiblesbuildingnt t ling appliance inoperable 1182 Required spray booth interlocks 540 Prohibited storage under unprotected stairs 541 Prohibited storage in exit enclosure MISCELLANEOUS 1500 Required"No Smoking"sign missing or damaged 1501 Required"No Welding sign missing or damaged 1510 Required evacuation plan not posted 1520 Prohibited operation in occupancy 1530 Improper storage of LPG 970863 Greeley Fire Department BUILDING ID 919 7th Street-Greeley,Colorado 80631 -(970)350-9511 JOB NUMBER :I..` 'ii 1.6091` A City or BUILDING FIRE INSPECTION REPORT Greeley • — STREET ADDRESS SUITE NUMBER MAP NUMBER ZIP CODE. PLUS A. ,:- 1;1 00Ct<1 B BUSINESS NAME(IF NOT A BUILDING OR A COMPLEX) 'i• - BUILDING OR COMPLEX NAME(IF APPLICABLE) RE: .i i I r,..rr~r0;.4 CLE14'I':T.R, ' I • CROSS s 1ii l ..1.. • BUSINESS MANAGER OR OWNER BUSINESS PHONE CONTACT FOR INSPECTION APPOINTMENT BUSIN PHONE .il, 11 C"3� e+r. - t1 1 , , .r INSPECTION 1 s 'r� ,.. I,,�{J!'y�,a ;...,::3 L.,L.fl ;11tI�. LI) . , l �:avi ;1_ r„3 [ FPU FIXED PROPERTY USE •- • " • • . SOUARE FEET FAX NUMBER . . :•:(44- I itl:31 ' :'i Di: 1'LN i ION •CAMP .,,,- ., 2126'I ,:I. E — BUILDINGOIMEEG,NAME BUILDING MANAGER'S NAME ;.. n:,' d(:;11)'1 CYII'I'•(301 tICIKN t:.::P [ (.1P1 BUILDING OWt€ STREET R'S ADDRESS ' •" IN BUILDG MANAGER'S STREET ADDRESS 'Z11;3..., :-b... , laT I.1:a'r i_r)rI; ;'rrr.; :e:_(. BUILDING OVrINFR'c CITY,STATE,AND ZIP CODE BUILDING MANAGER'C CITY,STATE,AND ZIP CODE i_q.,..Y L.,. V 9 ..(.i COD u.:$'n,_..l1fJl)li .. ., i11\1...4:.L..,.. i, Cr•"i .306311... . )`,(, H CONTACT PERSON FOR BUILDING DIMES • BUSINESS PHONE CONTACT PERSON FOR BUILDING MANACLES BUSINESS PHONE •- . ' 1 92r",/:35:1'-92•;::* I 9 r r,/ i5:il"9263 I , — FIRST EMERGENCY CONTACT - , HOME PHONE SECOND EMERGENCY CONTACT HOME PHONE ' • ;"'AT I':GL..I. ', i -,I NT) I:+ i(:i 336• 69 7-2, ,.1.,1',�.! Iv,l.:..,('r_c_. I -r 70/1.ici(),-w..,i•v J • - FIRE CODE VIOLATIONS • •VIOLATION ION • - LOCATION OF VIOLATION AND ADDITIONAL COMMENTS K (SEE 3 Z11 cj j1 dlo,r ICX1 6-o c< Let tt n ri Y J -. - 03 ueJ 1 iontlla'k J 1- W ii- j4.) iMrGts 0f°J rah, /C. // . V ( ul • -- A routine fire Inspection has been made of these premises to determine if any fire or life hazards exist.The inspection also was made to determine If any violations of the Uniform Fire Code exist.If violations have been Iound,Thls shall serve as your official notice.Ai violations must be corrected Immediately.A re-Inspection of the premises will.be made at a p. future date to verify the required corrections.Failure to correct violations shall cause the owner of the property or other responsible person to be In possible violation of Greeley city ordinances,and a citation may be Issued which will require an appearance by you in court.Should you need assistance regarding this Inspection,contact the Greeley Fire Prevention Bureau at 350-9511.I,the undersigned,am In receipt of a copy of this Inspection report,and am aware of the hazards noted.I am also aware that this is a routine — Inspection,and may not encompass every possible ylolatlon. ,: '1; :;: SIGNATURE OF BUSINESS OWN R,MANAG O tESPONSIBLE PARTY TITLE \ DATE SIGNED IN P 'S NAME(PLEASE PRINT) • -1 , E-MAIL ADDRESS DATE COMPLE�'� ! O I DE13 NO.OF INSPECTORS M I ( P 1n A tAD i 1l` 3 I I 3 ASSIGNMENT DATE ISSUED LAST INSPECTION ROTATION ' PAGE OF 'fr l I.il oil. 't;.1.Ali .I.1. /.I.'h/ri„ (i-Y-l.'i.: 0 IMMEDIATE BUREAU II N ACTONREOUESTED a ya��,-,y,, COPYRIGHT(C)1991-93 HIGH PLAINS COMPUTER TECHNOLOGIES•ALL RIGHTS RESERVED-UNAUTHORIZED DUPLICATION STRICTLY PROHIBITED 9 V It'03 Greeley Fire Department on I BUILDING ID 919 7th Street-Greeley,Colorado 80631 -(970)350-9511 roe NUMBER ;.;:, At., l 6Cleiva City of BUILDING FIRE INSPECTION REPORT Greeley _ STREET ADDRESS SUITE NUMBER MAP NUMBER ZIP CODE 'PLUS 4 1:2:? ) C/1 1 I A',.' A .3(371.94- 0<Y63:1. I-OUGi) BUSINESS NAME(IF NOT A BUILDING OR A COMPLEX) BUILDING OR COMPLEX NAME(IF APPLICABLE)I ,... , ,, .1 :. . . I ,.. - .�. ..:.._.P, ... .. . . ... . .. 1("._:)YC..{._ Aril..{...' BUSINESS MANAGER OR OWNER BUSINESS PHONE CONTACT FOR INSPECTION APPOINTMENT BUSINESS PHONE .)L)Fu (.:(7F'I"'(3t; . . I<' '?,., . t,�.r' 1r.:,u.c• PA (1 :341:31...r, ,..,,-n 353 9260 .FEU Fl%E[D PROPERTY USE SQUARE FEET.3 -� ,.... r .. r >' ,,X) FAX NUMBER ..,:. ,.,., .,._ or ��rr;:: • AGED, u(r:�rFlcn;r, ,turn Inc) �.r,v , ,_ BUILDING t))CL I S NAME BUILDING MANAGFWc NAME - O,.)Fr, ! r;l.)r'I-'c)M • ,rl:)F(rl (:.OI 'i t) 1 BUILDING Q7ppyE8'$STREET ADDRESS "'' BUILDING,.,...,,,., MANA., . ..1 STREET ADDRESS rC.3::: i. . ......,....>, ,. c',:: ,,., :.q:r• 1 ,+.l . . y. ..:...'J.,. ,:. i i' .., i ..r...,_. 1 J,.k.•.,. L'.�.r i l Gil 1'`.lii.{., - BUILDING latO1FRI CITY,STATE,AND ZIP CODE BUILDING MANAfFR c CITY,STATE,AND ZIP CODE (:,rill-L..I::'.'t„ CD £iO(,:i)ri'••'OOOO LI '1':I:'I..i.:Y., (11 £:3U•.:;3'r'.Orirli) CONTACT PERSON FOR BUILDING OWNER BUSINESS PHONE CONTACT PERSON FOR BUILDING MANAGES BUSINESS PHONE '.'i ... r ..... „ ..n-. ., ,,.-i r..53 ,�(3r...1; I > >J i ;.J:J,.S 11.E S..L roil.r 'd'.r.1C,l...l) I > .:), a....... . r..":i • 970HOME PHONEE1 r'lr SECOND EMERGENCY`ONIACT` f,wl.:t•"O I /J./HOMED i '.r1 FIRST EMERGENCY CONTACTPHONE� i I ,T (sr:N':II.A). S,hiL:r.i.J'i') I /3;:.5G•• . Ir , I 1 ^^T ) r ! t. c / O ,571 .FIRE CODE VIOLATIONS VIOLATION . (SEE BACK) • , • LOCATION OF VIOLATION AND ADDITIONALI COMMENTSN_[L JJ i • • ►Y141n4etlancr -S1'tvk�e ?err/ kii-1-GIn1Ehe7Ifi r . ' - - bc:PJ_;Jv • • A routine fire Inspection has been made of these premises to determine B any fire or life hazards exist.The Inspection also was made to determine if any violations of the Uniform — Fire Code exist.If violations have been found,IN*shall serve as your official notice.All violations must be corrected Immediately A re-Inspection of the premises will be made at a.;- future date to verify the required corrections.Failure to coned violations shall cause the owner of the property or other responsible person to be in possible violation of Greeley city ordinances,and a citation may be Issued which will require an appearance by you In court.Should you need assistance regarding this Inspection,contact the Greeley Fire Prevention Bureau at 350.8511.I,the undersigned,am o receipt of a copy of this Inspection report,and am aware of the hazards noted.I am also aware that this is a routine Inspection.and may not encompass every possible violation. . . � .c -;�::� SIONATUfjE"OF BUSI• 1.11WAGSp,OR RESPONSIBLE PARTY TI�Ie�JL�� ! ' 7a V"rn't.L 8NED ' • I SPECT R•S NAME(PLEASE PRINT) " E-MAIL ADDRESS DATE COMPLETED I,.,TIMENO.IN TIME OUT OF INSPECTORS - 1 r• ow l IblfRs1{e(J L{-3 -9� Si`3 , 3.,; . 1r ASSIGNMENT DATE ISSUED LAST INSPECTION ROTATION PAGE OF ::, ' II) ":I,c + .1 ' ,r:.` •.:1...,:;i': 0 IMMEDIATEBUR6IU I N . . .. ....i.:">,•� ,.../ .i.'r. i ,. , ,. ... ACTION REQUESTED COPYRIGHT(C)1991-93 HIGH PLAINS COMPUTER TECHNOLOGIES-AU.RIGHTS RESERVED-UNAUTHORIZED DUPLICATION STRICTLY PROHIBITED 97 0 86I3,ISED 593 Greeley Fire Department BUILDING ID I L� f 919 7th Street-Greeley,Colorado 80631 -(970)350-9511 JOB NUMBER City of BUILDING FIRE INSPECTION REPORT , Greeley ._ STREET ADDRESS SUITE NUMBER MAP NUMBER ZIP CODE PLUS 4 BUSINESS NAME(IF NOT A BUILDING OR A COMPLEX) ; BUILDING OR COMPLEX NAME(IF APPLICABLE) BUSINESS MANAGER OR OWNER BUSINESS PHONE CONTACT FOR INSPECTION APPOINTMENT BUSINESS PHONE U, rya70 3 1:�• 92 . ._ ., ,.., •_•..)r ,< .. .x' 'l.ri� . - �1.9 20!d..,,�� r moo,.; P�11 I Ar.fJ(7,... / 9120:3::`i:J..9cD6:] D FPU FIXED PROPERTY USE .d r -. r - SQUARE FEET FAX NUMBER :.?.'_:' I';:F... .JF 'T''rl, . ADD) tl f FtiC1l,T' l IF:Ci, IVG C:;''1"1i`F. 1 :L;i':L•r u: E BUILDING DWYFRS NAME BUILDING MANAAFR'5 NAME i 11 JOfHN (..tit- I'Oil ` %T IN L.LiT''I''OrI ' F BUILDING PWNFR'S STREET ADDRESS BUILDING MANArIFR•4 STREET ADDRESS ,..,:ie.:,1 :.i.:..1.;:,. ,r::•11,,l. ..r..,. . r. BUILDING PWNFR'S CITY STATE.AND ZIP CODE BUILDING MANAGFR'S CITY,STATE.AND ZIP CODE -. .: C;1:D:0.1.: (., co •oc)6:34ry- 000c' CI.F..1..1...EY•, co ifi:06 4.•-0000 H CONTACT PERSON FOR BUILDING O NER BUSINESS PHONE CONTACT PERSON FOR BUILDING MANARFB 4 BUSINESS PHONE U: f'<:•r 11.i`IL'11). I" 0 /^i;ia••(12.�A: A .. '-101 1) .-.e.,. :r5 r•,2r^ I .. _ r , i... PAT T AM'�..,... . I r /t). _l._,3-":._.;c3 , FIRST EMERGENCY CONTACT HOME PHONE SECOND EMERGENCY CONTACT.. -.i ,HOME PHONE 191• rr 1ii1 (..iZ.:',W1.1) _( hAIiJ.T') IJ 0/US6 1,. 7k: .10:IN I(Nl-BED_( ic;IN-i) . I1970l3,:.30-r45*3i 4J . 33°'.33(o • FIRE CODE VIOLATIONS VIOLATION ,...LOCATION OF VIOLATION AND ADDITIONAL COMMENTS : K (SEE BACK) , .. - 595 Sworno\/hreak Roo In rn : • . . b,= i. IU, A routine fire Inspection has been made of these premises to determine B any fire or life hazards exist.The inspection also was made to determine If any violations of the Uniform Fire Code exist.If violations have been found,this shall serve as your official notice.All violations must be corrected immediately A re-Inspection of the premises will.be made at a 4. future date to verily the required corrections.Failure to correct violations shall cause the owner of the property or other responsible person to be In possible violation of Greeley city ordinances,and a citation may be issued which will require an appearance by you In court.Should you need assistance regarding this inspection,contact the Greeley Fire Prevention Bureau at 350-9511.1,the undersigned,am In receipt of a copy of this Inspection report,and am aware of the hazards noted.I am also aware that this is a routine Inspection,and may not encompass every possible violation..; 2. , SIGNATUFF BUSINESS ER,MANAG ,OR RESPONSIBLE PARTY TITI DATE SIGNED INSPECTOR'S NAME(PLEASE PRINT) •• E-MAIL ADDRESS DATE COMPLETED TIME IN ( E OUT . • NO.OFJN.SECORS -D ‘P.TSV,ok,I >V1Sl6w 4—$ -91- I ;1 M ASSIGNMENT DATE ISSUED LAST INSPECTION ROTATION PAGE OF .',. t 1:): "•(. /(' , ..., ..I : " t, 4-.;1-' 0 HMMEDIATEBU STE I N . . .: � : ,r,..!`J: :I.ii./ ,�. �_ J , i... ACTION REQUESTED COPYRIGHT(C)1991-03 HIGH PLAINS COMPUTER TECHNOLOGIES-ALL RIGHTS RESERVED-UNAUTHORIZED DUPLICATION STRICTLY PROHIBITED U.l Ili rib dVISED 5/93 Greeley Fire Department BUILDING ID I I 919 7th Street-Greeley,Colorado 80631 -(970)350-9511 1.i_:;7 yn� JOB NUMBER City or BUILDING FIRE INSPECTION REPORT 1 bi.t a Greeley STREET ADDRESS :i."r'7 S _(' I i eve SUITE NUMBER MAP NUMBER -ZIP CODE,':''PLUS 4 . C f.:3829 3CL31°IOO'Ji2 E e_ -r BUSINESS NAME(IFp NOT A BUILDING OR A COMPLEX) BUILDING OR COMPLEX NAME(IF APPLICABLE) .Tl it ..L.i..1'a HAI)01.::N HALL. 0 BUSINESS MANAGER OR OWNER BUSINESS PHONE �", ,, CO PP CONTACT FOR AltNINSPECTION Li) APPOINTMENT ( t.,l u! „(.,r .,r1 '', , � �.•, �^; PAT �iii�N_ll.:.]) ...,�USINESSPHONE ; C I > /� fJ.,c, e..u.. `wi r Yi .)1 C1 ul..i._ri w.�,r; FPU FIXED PROPERTY USE .. • SOUARE FEET FAX NUMBER :34 ,. 1 tir.:.t4 e s n,-TE N r:EON CAMP .: _ 1.!7tia, .I. _ E BUILDING OWNFR'S NAME BUILDING MANAGER'S NAME {.;lit! t....ti ,.;r1 „C11 iP! t. 11'' 'Cir1 p l ;id'IN:. F BUILDING OWNER'S STREET ADDRESS BUILDING MANAGER'S STREET ADDRESS BUILDING OWNER'S CITY,STATEAND ZIP CODE BUILDING MANAGER'S CITY.STATE,AND ZIP CODE r_ •.r I. Y., CO il()s3 ._.•:)�'co ...REEL .... • .r Co e ., CONTACT PERSON FOR BUILDING MUER BUSINESS PHONE CONTACT PERSON FOR BUILDING :--• ^ I e L MANAGES B./Ot5SPLION` r r:, e a:r:{.)i_), 19'7p. :.;rs::3 9E2' .. PAT r n :r {:1,..0 9 n ./ ;: a..f/ >t, I a—..ti. 0,'3u21- FIRST EMERGENCY CONTACT HOME PHONE SECOND EMERGENCY CONTACT n r I .. HOME NONE rgr �.. �i r. �Cl. • ( MnF ' � T) 9;15)//rJ,:+` ,7/fir ;Cli d 3� 1(. •,. , L C mn, , '7 i/<); 3.:Cr•457; J • FIRE CODE VIOLATIONS VIOLATION (SEE BACK) LOCATION OF VIOLATION AND ADDITIONAL COMMENTS - K , W '. _. • - A routine fire inspection tab been made of these premises to determineifany fire or life hazards exist.The Inspection also was made to determine If any violations of the Uniform Fire Code exist.If violations have been found,this shall serve as your official notice.Ali violations must be corrected immediately.A re-Inspection of the premises will be made at se. future date to verity the required corrections.Failure to correct violations shall cause the owner of the property or other responsible person to be in possible violation of Greeley city ordinances,and a citation may be issued which will require an appearance by you in court.Should you need assistance regarding this inspection,contact the Greeley Fire Prevention Bureau at 350-9511.I,the undersigned,am in receipt of a copy of this Inspection report,and am aware of the hazards noted.I am also aware that this Is a routine _ inspection,and may not encompass every possible violation. .• . SIGNA E OF BUSINE OWNER MAN ER,OR RESPONSIBLE PARTY TITLE ' DATE SIGNED �SPE OR'S NAME.( FACE P�1 E-MAIL ADDRESS DATE COMPLETED TIME IN TIME OUT NO OF INSPECTORS ! ?ien,kat° �MfNAN() 4- S-17 �i33a 13y� 3,. ,.,:: M ASSIGNMENT DATE ISSUED LAST INSPECTION ROTATION PAGE OF 4. t. ).e; 0/1 /C:l./77 IL') /1.4/96 ()it-'Vt, ❑ ACTIONREOUESTED N COPYRIGHT(C)1991.93 HIGH PLAINS COMPUTER TECHNOLOGIES-ALL RIGHTS RESERVED-UNAUTHORIZED DUPLICATION STRICTLY PROHIBITED 970863 REVISED 593 �._ Greeley Fire Department BUILDING ID 919 7th Street-Greeley,Colorado 80631 -(970)350-9511 l:.:!C.. 1 ®i+ l JOB NUMBER �' I�t3•�� " City of BUILDING FIRE INSPECTION REPORT Greeley _ STREET ADDRESS . . i".ro( :�.1 :i A I�! I SUITE NUMBER I MAP NUMBER 'ZIP CODE [,PLUS{ BUSINESS NAME(IF NOT A BUILDING OR A COMPLEX) - 1''�f ' ' OFF•• BUILDING OR COMPLEX NAME(IF APPLICABLE) r-Mir I :,rt;arr :Ira (I; IT.rCU. BUSINESS MANAGER OR OWNER - - ,•i;I.,I! COP::'CM `r.• BUSINESS PHONE CONTACT FOR INSPECTION APPOINTMENT r, BUSINESS PHONE FPU FIXED PROPERTY USE r l): 5MB rJI:_�rl.; D • .72..1 I(il.:r: ,:i AI... 1JLlr.i S.t4ES:3.(1 1' F.3:CL_ ;. . SQUARE FEET FAx NUMBER • __ BUILDING fIWNFR'R NAME .:Or';I',! �.)i.':, c;r'I BUILDING MANAGFWS NAME JOHN -C11'F CS 1 Or' BUILDING LTYIl MS STREET ADDRESS • • • - 15.31,) o. r'.,i (I-, l.i7 BUILDING E7ANAf'.FRT:STREET ADDRESS BUILDING OWNFR'C CITY,STATE,AND ZIP CODE ' G l:H`:i:_i:i...i:. ':T (;(.i Gir)iJ:i 1. BUILDING MANARFR'Q CITY,STATE,AND ZIP CODE CONTACT PERSON FOR BUILDING l?.tlQtEa ;,. BUSINESS PHONE CONTACT PERSON FOR BUILDING MANArLFB . . /10. ..1_c.t...rr H.c,'.,.. f�'�dl Fu.l'.:1�...1) 1„-n- ,: ,.BUSINEuPHONE2 s FIRST EMERGENCY CONTACT `+ , ' • ` :(r k 1`�i HOME PHONE I SECOND EMERGENCY CONTACT .^lI\i1(il. 0 i,(�i :Nr„ ) I :Trip .,.u:: _• HOME PHONE i: :.'i: .. �., .., C1111'd '771...;.,i'CL I .:IO '3O•<)^45:711• J FIRE CODE VIOLATIONS VIOLATION (SEE BACK) LOCATION OF VIOLATION AND ADDITIONAL COMMENTS K J• • _ A routine fire Inspection has been made of these premises to determine if any fire or life hazards exist.The Inspection also was made to determine II any violations of the Uniform Fire Code exist.If violations have been found,this shall serve as your official notice.All violations must be corrected immediately.A re-Inspection of the premises will be made at a future date to verily the required corrections.Failure to correct violations shall cause the owner of the property or other responsible person to be in possible violation of Greeley Gty' ordinances,and a citation may be blued which will require an appearance by you In court Should you need assistance regarding this Inspection,contact the Greeley Fire Prevention Bureau at 350-9511.1,the undersigned,am in receipt of a copy of this inspection report,and am aware of the hazards noted.I am also aware that this is a routine _ Inspection,and may not encompass every possible violation.. SIGNATURpOF BUS SS pWNER,MANAGER,OR RESPONSIBLE PARTY TITLE \ qqq 7T''JJ /!//t// 11/2 //(// - ��,y,�� I DATEXSSIGN��E/jD INSPEC OR'S NAME(PLEASE PRINT) �� ME IN " Ti IN �/ _ �\ I _ E-MML ADDR�E�S,S" ,DAITE COMPLETED /TIME IN 1/�TIME/W�T •NO.OF INSPECTORS 1 7 1 r Y �V\� ItJ ��,1'e✓Y�(AAJ 4 — 71 i4 I I�V0 II I /l/ 3.,.: "��,. M ASSIGNMENT DATE ISSUED I LAST INSPECTION ROTATION �. 9 Jr PAGE Of0 is ,I r !C) %rl'-(,(: ACTION REWESTED N COPYRIGHT(C)10e1.93 HIGH PLAINS COMPUTER TECHNOLOGIES-ALL RIGHTS RESERVED-UNAUTHORIZED DUPLICATION STRICTLY PROHIBITED 1 SFUS63 REVISED 5413 iR00topwwl STATE OF COLORADO • - DEPARTMENT OF HEALTH LICENSE TO OPERATE A FOOD SERVICE ESTABLISHMENT USE ACCOUNT NUMBER LIABILITY INFORMATION .. ISSUE DATE LICENSE VALID for all references TO COUNTY CITY INDUIST TYPE. LInn1U'ry DATE. ',no day year DECEMBER 31 14244010000 62 3 051384 01 01 97 1997 THIS LICENSE MUST BE POSTED AT"filE FOLLOWING LOCATION: THE VILLA AT GREELEY, INC This certifies that licenses shown hereon 1750 6TH AVE: is authorized and licensed to engage in GREELEY CO'80631 business in accordance with the provisions of the law and regulations of OWNER:JOHN T COPPOM the Colorado Department of Health., LICENSING AGENCY; Any alterations nmdc on this license will automatically make it null and void CO TY HEALTH DE LTMENT . �� QC • POST IN A —JE: RT®LL,M.P.H., DIREC OR CONSPICUOUS ENVIRONMENTAL PROTECTION SERVICES PLACE -, r.-7!nenrr�viPXmv 970863 t WELD COUNTY HEALTH DEPARTMENT FOOD SERVICE ESTABLISHMENT INSPECTION REPORT Based on an inspection this day,the items circled below identify the violation in operation or facilities which must be corrected by the next routine inspection or such short- y period of time as may be specified in writing by the regulatory authority. Failure to comply with any time limits for corrections specified in this notice may result in cessa- on of your food service operations. An opportunity for appeal of the inspection findings and time limitation will be provided if a written request for an administrative hear- 'ing is filed with the department within(5)days following the date of inspection. ESTABLISHMENT DATE: VILLATHE01 '- WATER SUPPLY: SEWAGE: 1 1/5J :S 6THf.,;'-It`C,' TIME: SMOKING REGULATION U.r..f.l`EL l• S •�: i,63 I INSPECTED BY: COMPLIANCE: Y N 1ECEIVED BY: PURPOSE. ( 1--REGULAR L 41 -1YJX CIIT.�'IJ: Aijl )].LLD) L/j�,AY�L}.ED •_) I- -.- 2.. .FOLLOW-UP 3 COMPLAINT 4 INVESTIGATION CRITICAL ITEMS: These Items relate directly to factors which lead to foodbom Illness. OTHER ITEMS: II left uncorrected,these Items can become a serious problem.THESE LT'HESE ITEMS MUST RECEIVE IMMEDIATE ACTION. ITEMS SHALL BE CORRECTED BY THE NEXT INSPECTION OR AS OTHERWISE SPECIFIED. OOD.PROTECTION FOOD PROTECTION 01 FOOD 02 Original Container,Properly Labeled a Approved Source c. Wholesome 05 Thermometers Provided and Conspicuous;Accurate;Probe-type b. Denied,Swollen,Damaged Containers d. Other 06 Potentially Hazardous Food Properly Thawed 03 FOOD TEMPERATURE REQUIREMENTS DURING SERVING,STORAGE, oe Food Protection During Serving,Storage,Transportation.Display,and Preparation l TRANSPORTATION,DISPLAY,AND PREPARATION 09 Handling of Food Minimized,Proper Utensils Provided and Used a. Cooling Procedures • c. Hot Holding Temp.(140°Fl 10 Food Dispensing Utensils Properly stored NTen In Use b. Potentially Hazardous Foods d. Required Cooking Temp. PERSONNEL Rapidly Reheated 10 165°F e. Refrigeration Temp.(45°Fl i 13 Clean Clothes,Hair Restraints 04 ADEQUATE EQUIPMENT TO MAINTAIN FOOD TEMPERATURE FOOD EQUIPMENT AND UTENSILS 07 PREVENTION OF CROSS-CONTAMINATION 14 Food(Ice)Contact Surfaces:Designed,Constructed,Maintained,Installed,Located a- Unwrapped&Potentially Hazardous Foods Not Re-served 15 Non.Food Contact Surfaces;Designed.Constructed,Maintained,Installed.Located L b. No Contamination of Cooked with Raw , 16 Dishwashing Facilities:Designed.Constructed.Maintained,Installed,Located e. Damaged/Detained Foods Separated 17 Accurate Thermometers,Chemical Test Kits Provided.Gauge Cock(1/41PS Valve) ERSONNEL' 18 Utensils,Equipment Pre-Flushed,Scraped,and Soaked L 11 PERSONNEL WITH INFECTIONS RESTRICTED 19 Wash,Rinse Water,Clean,Proper Temperature - 12 HYGIENIC PRACTICES 21 Wiping Cloths:Clean,Stored,Pro per Use j a. Hands Washed as Needed c. Smoking,Eating,Drinking Restricted 22 Food Contact Surfaces of Equipment Eqipaceri and Utensils sill Clean,Frecan of Abrasives.Detergents b. Hands Properly Odad,No Common Towel d. Good Hygienic Practices 23 Non-Food Contact Solaces of Equipment FOOD EQUIPMENT AND UTENSILS q pmem and umnsds Clean 24 Storage and Handling of Clean Equipment end Utensils .'20 SANITATION temperature concentration exposure 25 Single Service Ankles,Storage,Dispensing,Used a. Manual 26 No Re-Use of Single Service Articles I. b. Mechanical PLUMBING e. N Place 29 Prop erly Installed,Maintained Chlorine 50.200 ppm Quaternary Ammmonl. 100-200 ppm TOILET AND HANDWASHING FACILITIES • Other Approved Sanlllzera 32 Toilet Room/Fixtures/Handwash Sink WATER i a. Clean c. Proper Waste Receptacles 27 Water Source,Safe;Hot and Cold Under Pressure b. Seep/Drying Devices O. Toilet Room Enclosed,Doors Closed +cWAOE GARBAGE AND REFUSE 211 Approved Sewage and Waste Water Disposal 33 Containers or Receptacles: Clean.Adequate Number, .UMBINO Insect/Rodent Proof.Frequency,Covered 30 No Cross-Connection Between Potable&Waste Water. 34 Outside Garbage Areas: Clean.Enclosures Property Constructed Baekiow Devices Installed FLOORS.WALLS AND CEILINGS ",ILET AND HANDWASHING FACILITIES 36 Fkars;Constructed,Drained,Clean,Good Repair, 31 FACILITIES COMPLY WITH CODE Covering.I on,Coveds 37 Walls.Ceiling,Attached Equipment,Constructed,Good Repair,Clean Surfaces a. Hendwesh sink•number/location c. Flandwash sink-accessible OTHER OPERATIONS __ b. Hamdwash sink•designed/Instated d. Toilet room and fixture 35 Lighting Provided as Required; Fixtures Shielded,Endcaps SECT AND RODENT CONTROL 39 Rooms and Equipment; Vented as required 35 a. Evidence of Rodents 40 Rooms,Lockers;Provided.Located,Used b. Evidence of Insects 42 Premises Maintained;Free of Litter,Unnecessary Articles,Cleaning/Maintenance, e. Outer Openings Protected Equipment q pment Properly Stored,Authorized Personnel d. Other 43 Complete Separation From Living/Sleeping Quarters.Laundry 44 Clean and/or Soiled Linen Properly Stored I'MSPECTED BY:\ :71i I RECEIVED BY:- j 9'1dtc6:3 Section XII LIABILITY INSURANCE 970863 ACORD. CERTIFICATE OF INSURANCE �ATE(MM,DD,YY) 'PRODUCERTHIS CA 04/28/97 Flood & Peterson Ins. Inc. ONLY�AND IFI ONNFFERSI NOFRIGHTS D MAS AAT RT EF ICERTIFFIICTI ATE P. O. BOX 578 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR '4687 W. 18th Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Greeley, CO 80632 COMPANIES AFFORDING COVERAGE COMPANY 'NSURED ASt . Paul Ins. Co. I The Villa at Greeley COMPANY 1750 6th Avenue B Greeley, CO 80631 COMPANY LCO PANY 1 D :OVERAGES 1 THIS IS TO CERTFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILA TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE PoUC(EXPIRATTIIOY)N ( M) DATE MM/DD LIMITS A GENERAL LIABILITY FK06601633 09/01/96 09/01/97 GENERAL AGGREGATE $1, 000, 000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGO $1, 000, 000 1 ICLAIMS MADE X OCCUR PERSONAL&ADV INJURY e1, 000, 000 OWNERS&CONTRACTOR'S PROT EACH OCCURRENCE $1, 000, 000 FIRE DAMAGE(Any one Ike)$10 0, 000 MED EXP(Any one person) 6, 000 AUTOMOBILE UABIUTY ANY AUTO COMBINED SINGLE LIMIT S [ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY S (Per person) HIRED AUTOS NON-OWNED AUTOS BODILY INJURY $ I (Per accident) L PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S t ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ EXCESS LIABIUTY AGGREGATE S I_ EACH OCCURRENCE S UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND II EMPLOYERS LIABILITY IS LIMITS THE PROPRIETOR/ ACCIDENT IS PARTNERS/EXECUTIVE INCL DISEASE-POLICY LIMIT S OFFICERSARE EXCL I A OTHER Prof. Llab. FK06601633 DISEASE-EACH EMPLOYEE $ 109/01/96 09/01/97 $1, 000, 000 ea. pers . Claims Made $3 , 000, 000 total lira. I I_ 1 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS 11-Certificate Holder also named additional insured. 2etro date 9/1/86 `CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 1 Division of Criminal Justice 100 Kipling, Suite 3000 EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 1 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Denver, CO 80215 BUT FAI.L.URE TO MAIL SUCH NOTICE SHALLIM SE NO OS TION OR LIABILITY t lor ANY I ERiESENTATiVE& UTHORIZED nETD.UPESET\E�OMPA ITS AGE OR %CORD2B.s(3/9a)1 of 1 #884279/M84276 Vgp o ACORDCORPOR Tie' 1993 S7UtJ6 STATE FARM INSURANCE April 28, 1997 The Villa 1750 6th Avenue Greeley, CO 80631 To Whom It May Concern: This letter serves as verification of auto insurance for the following vehicles: 1996 Buick Regal 4dr Policy#664-0899-E06-06 Renewal Dates are May 6th and November 6th Coverages: Liability 1MM/1MM/500; Medical $50,000, Comprehensive Ded. $100; Collision Ded. $250, Emergency Road Service;UM 100/300 1995 Ford Club Wagon Van Policy#660 8385-CO1-06A Renewal Dates are March 1st & September 1st Coverages: Liability 1MM/1MM/500; Medical $50,000, Comprehensive Ded. $100; Collision Ded. $250; Emergency Road Service; UM 100/3,00 Thank you and if you have any questions about the above information, please do not hesitate to contact our office at any time. Sincerely, Mark Larson ML/amh 97086E STATE FARM 6 CHUCK BUTZINE 'MR°R•"cc Auto-Life-Health-Home and Business 3527 W 12TH ST GREELEY, CO 80634 PHONE (970) 356-8502 April 28, 1997 THE VILLA AT GREELEY INC 1750 6TH AVE GREELEY, CO 80631-5814 FOLLOWING IS THE LIST OF YOUR CURRENT VEHICLES AND THEIR COVERAGES: VEHICLE: 1992 FORD CROWN VICTORIA 4DR POLICY #627 9242-A13-O6B RENEWAL 01/13/97-07/13/97 COVERAGES: A 1MM/1MM/500 P1 D1OO G2OO H U 100/300 VEHICLE: 1992 GMC G25O0 VAN POLICY #622 4320-C21-06F RENEWAL 03/21/97-09/21/97 COVERAGES: AP11MM/1MM/500 D1OO G200 H U 100/300 PLEASE CALL OUR OFFICE AT 356-8502 IF WE CAN ANSWER ANY QUESTIONS. RESPECTFULLY, e_iti.ucicci CHUCK BUTZINE, AGENT 970863 Section XIiI EQUIPMENT 970863 Section XIII Fiscal Year: 1997-1998 Equipment A. Direct Supervision: 1. Caller I.D. 2. Pager 3. Cellular Phones (2) 4. Vehicle (Buick Regal) 5. Behring Drug Testing Analyzer(partial year use) 6. Norchem Drug Testing Laboratory(current provider) 7. Office Phones: Toshiba 8. Four Breath Machines (Intoximeter III & IV) B. Management Information System 1. Five Computers 2. Windows 3.1 3. WordPerfect 6.1 4. Excel 970863 Section XIV BUDGET FORMAT 970863 COMMUNITY CORRECT7ONS EXHIBIT A • FY 97-98 ATTACHMENT 1 • BUDGET FORMAT(REVENUE) r REVENUE FROM CONTRACTUAL REIMBURSEMENTS AVG.DAILY X RATE X 1 YEAR - TOTAL POPULATION IIIMMII DCJ Per Diem Reimbursements 80 X 34.34 X 355 - 1,002,728 (Residential) DCJ Per Diem Reimbursements X 5.12 X 355 - (Non-Residential) 37 69,146 - TOTAL CONTRACTUAL REIMBURSEMENTS A j �071,8 � (y SUBSISTENCE COLLECTIONS AVG. DAILY X RATE X 1 YEAR X % COLLECTABLE 1 - TOTAL POPULATION Subsistence Fees 80 X 10 X 355 X 96 280,320 (Residential) 1tSubsistence Fees X X 355 X - (Non-Residential) 37 1 0 13,505 IL TOTAL SUBSISTENCE COLLECTIONS . B 293,825 ' OTHER PROGRAM INCOME LAll other income related and/or proportionate to DCJ billed clients, e.g., special DCJ offender fund, interest, vending machine, etc. (List Source of Income And Projected Amounts for Each Separate Item) Collection of Offender Fees (entire sum of column G from attacment IA) ftOther(List Specifically) Vending Income 8,806 IL Day Reporting 62,952 • TOTAL OTHER'INCOME . C 71,758 I TOTAL REVENUE EXPECTED IN FY 97-98 (Sum of A.B.& C) 1,437,457 • T Base this figure on the most recent fiscal year. 970863 COMMUNITY CORRECTIONS EXHIBIT A • FY 97-98 ATTACHMENT 1 • BUDGET FORMAT(EXPENDITURES) Y ♦1 C Ny �..: k r 1 Facility Mortgage(Outflow Expected/n FY 97-981 1 Debt Payment-Fecifity Renovation(Outflow Expected in FY 97-98/ 3 Debt Payment-Vehicle(Outflow Expected In FY 97-981 5,080 4 Debt Payment-Equipment.Capital Assets(Outflow Expected in FY 97-981 5 Debt Payment-Other(List Specifically'(Outflow Expected in FY 97-981 . Union Colony Bank-Operating Line of Credit 16,000 6 . Minolta Copier Lease 3,017 7 TOTAL FINANCING OUTFLOW. .Z){s97 .. .. .'INVESTING ACT)V177ES ... 8 Facility Acquisition(Outflow Expected in FY 97.981 9 Facility Renovation(Outflow Expected in FY 97.981 10 Vehicle Acquisition(Outflow Expected In FY 97.981 11 Equipment, Capital Asset Acquisition(Outflow Expectellin FY 97-981 12 Other(List Specifically)(Outflow Expected In FY 97.981 13 . 14 TOTAL INVESTING OUTFLOW. OPtRA77NG EXPENSES _._. Administrative/General 75 Facility Rent 232.022 16 Utilities 37,218 17 Food Service 181 47R 18 Insurance 19,307 19 Building Maintenance/Routine Repairs 83,098 20 Vehicle Maintenance/Routine Repairs 9,515 21 Equipment Maintenance/Routine Repairs 5,227 22 Computer Software 0 23 Travel 2,592 24 Supplies 2.193 25 Printing&Postage 4.411 26 Dues& Memberships 2,437 27 Staff Development& Training 4,752 28 Telephone 8,493 29 Drug Testing&Related Supplies 41,931 30 Contracted Services(sae attachment 181 8,612 31 Miscellaneous Services(see attachment IA-misc.tuts:column FI 32 Other(List Specifically). minor equipment, advertising, client 33 supplies 12,344 34 TOTAL ADMINISTRATIVE EXPENSES 970863 Attachment 1;Expenses (con?) OPERAT/NG EXPENSES Perswnxt 35 Salary& Wages 585,761 36 Benefits 87.607 37 TOTAL PERSONNEL EXPENSES• - 673,368 — Taxes 38 Income Tax 39 Property Tax 3,909 40 Payroll Taxes (FICA. FUTA. SUCT) - 46,989 41 Other(List Specifically) . 42 TOTAL TAX EXPENSES. - 50,898 - j Deprurxtton 43 Depreciation-Building leasehold improvements 11,892 - 44 Depreciation-Equipment 8,510 45 Depreciation-Other/list)• auto 12,410 46 TOTAL DEPRECIATION EXPENSE. 12,812 - --- Outside TreatmenUProgtamming Sorriest 47 Expenditures For Outside Treatment1Programming (See attschement IA-total of heatment column NV 48 Other Treatment/Programming Expenses(list specifically) 1. Client Activities 514 49 50 TOTAL OUTSIDE TREATMENT/PROGRAMMING SERVICES. 514 i 51 TOTAL EXPENDITURES.EXPECTED:/NFY97-98 - 1,439,269 ''. 970863 W 00 Q �' mO � ^ ON O W -Otis (.1 Q y O O O O O O O O 0 O 2 W 0 Z Lau J O L4 H H H co, H H H H H Z 2 CC Z Q w OQ'..:... O24 O I, O 4 C p I '. 5. 8 C 8 a04 0 W 8 0 n ply 0 c. Lc p O a n 2 z el Z 4 LL ea- ti , f.On N idn a Vd9 H H H V H ? �.O 2 Z Q m 2 ¢ y ..V.Z. `v (3W e et ¢ 4 Q � Q to . Q Lai o — 0 C it m > s g 8 8 g 8 8 g 8 8 OD e � o $ 8 1 ' Q W 4 ,n eV C n h 0 O\ y W :r'.tn ti C O H H H a a H a a V Q. ki y Z ¢ u e N." � � i � ope� Q I_ V CO a p p C y km Q 4 O O o O 8 8 C V W ~ v > O pp0. O p d S a :a N.▪ N W O h h O O � n h Q. • W 0 co0 '.0 o vl U > k a a a a a a H a V • : j :. CC O ` SN 8 8 y `m y « i .14 � V V ., C1 edit' a a a a a a H H V 0 t n 0 114 • !� Q O IaQ •; V `a WN. C 2 a ! y W e ,i' 0 u to 2j � ; 2: $ W Q p ti l` m 0 W of O — O� vdi h M .r. 'S F. o V o N Z 4 Is W H U a d - U A e m y d a A 2 a L� • v 0 u d $ F d• cc pp o C T, iF C7 u § 1 a `a o = a a a`' a 3 0 a 4 s s — - 9 QQfa ■ % IA / / 0 ( \ g 4 st § 13, +34 ■ g • k v : I H a: _ _ . ■ { \ � ; ; ■ $ § _ � • - § \ / _ _ k § % % / \ \ § f k © § / j \ ƒ ) ) talZg ` 3 $ : \ � ) / / k § ■ al C) . a ) ƒ � o \ \ k a { \ i 41 0 Q � } / S a / ) / 1. \ | 8 ) _ P. . t / . ! : ! co • \ 0 m \/ / @ z % ) 2 ) \ e k { \ ) \ § § ) i / / { , t . / u . ) / ) \ k \ 1 » . 9?#ss3 COMMUNITY CORRECTIONS EXHIBIT A • FY 97-98 ATTACHMENT 3 • SALARY RANGES .65.0441NAMEMegageongdom aRiSiatittAaRaggi'IM "%;:trigaggpop.wingigaggiamo operrampt aftifiANNOAL:TSALAIWRANGE:i;SM "mama 12 SECURITY TECHNICIAN 10.5 $15,000- $25,000 awn(' 1 EXECUTIVE DIRECTOR 1 $45,000- $60,000 1 Director 1 38,868 - 47,352 1 Director of Corrections .4 ' 65,625 - 72,875 1 Ass' t Director 1 25,536 - 31,116 1 Case manager Supervisor 1 22,572 - 27,504 1 Corrections Tech II 1 16,380 - 20,448 10 Corrections Techs 10 15,588 - 19,464 1 Office Manager 1 17,640 - 21,492 • 1 office Assistant 1 14,472 - 17,640 2 Field Technicians 2 16,380 - 19,956 4 Resident Case Managers 4 19,956 - 24,312 2 Non-Resident Case Managers 2 19,956 - 24,312 1 Evaluations & Non-Res Mgr 1 22,020 - 26,832 • • • t FTE is defined as Full-Time Equivalent. It is the number of hours worked per week divided by 40. In the first example, there are four Case Manager employees, two work full-time (40 hours per week), one works half-time (20 hours per week), end one works 40% time (16 hours per week). These four employees work a total of 116 hours per week + 40 -t 2.9 FTE. In the second example, one Administrative Assistant works 24 hours per week + 40 - FTE. 970863 COMMUNITY CORRECTIONS EXHIBIT A • FY 97-98 ATTACHMENT 3 • SALARY RANGES r, 4 & 1 - �y k i-A a ».c•�r,1 F.a^� YEAS;^ v� �nv",.k 2� Y�, t•F; 4** -, .v ' ih.{ �xg^ n. k f,vf 'iVVn�'� `5 *Al >: 704 .F"-N: �• . 'F � �0 i Y a AR"✓3?xvy�av'4"4.�� . n3. P 5� ;�., 'Vv `'*t 6 ,... (: A,OFSTAF. �,A,*. .>" asacr gno q FT fib t4. ANNUA08.4 igiANNGE h, s E �i t < •pk '* R'�^..r '+.•kYRa • .741 m 4^. S r. ik s 5^. c ^�.A°� �v�.�'�"L.k 3 txwno 12 SECURITY TECHNICIAN 10.5 S 15,000- S25,000 arzu,,,o 1 EXECUTIVE DIRECTOR 1 $45,000- S60,000 1 Maintenance Supervisor ,4 28,188 - 34,356 I 1 Maintenance Worker II .4 13,116 - 15,972 [ 1 Maintenance Worker III .4 18,072 - 22,020 .3 Bookkeeper .12 18,072 - 22,020 II 1 Bookkeeper/Personnel .4 18,072 - 22,020 IL 1 Fiscal Officer .4 36,996 - 45,073 II 1 Director of Food Services .4 27,504 - 33,516 • II 1 Ass' t Food Director .4 17,208 - 20,964 IIII 4.5 Cooks 1.8 13,116 - 15,972 1 5 Ass't Cooks 2.0 11,592 - 14,124 I Food Service Workers 1.8 10,764 - 13,116 1 Administrator .4 68,250 - 77,600 I I • 1 FTE is defined as Full-Time Equivalent. It is the number of hours worked per week divided by 40. In the first example, there are — four Case Manager employees, two work full-time (40 hours per week), one works half-time (20 hours per week), and one works 40% time (16 hours per week). These four employees work a total of 116 hours per week + 40 - 2.9 FTE. In the second example, one Administrative Assistant works 24 hours per week + 40 - .6 FTE. 970863 Hello