HomeMy WebLinkAbout991167.tiff RESOLUTION
RE: APPROVE CONTRACT AMENDMENT#2 FOR JTPA OLDER WORKER PROGRAM
AND AUTHORIZE CHAIR TO SIGN - COLORADO DEPARTMENT OF LABOR AND
EMPLOYMENT
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 Contract Amendment #2 for the JTPA
Older Worker Program between the County of Weld, State of Colorado, by and through the
Board of County Commissioners of Weld County, on behalf of the Department of Human
Services, Area Agency on Aging, and the Colorado Department of Labor and Employment,
commencing July 1, 1999, and ending June 30, 2000, with further terms and conditions being
as stated in said amendment, and
WHEREAS, after review, the Board deems it advisable to approve said amendment, 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 Contract Amendment #2 for the JTPA Older Worker Program
between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Department of Human Services, Area Agency
on Aging, and the Colorado Department of Labor and Employment be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said amendment.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 12th day of July, A.D., 1999, nunc pro tunc July 1, 1999.
BOARD OF COUNTY COMMISSIONERS
ow
ATTEST: iff3tORA
11861 114 1041/2�leale,,K. Hall, Chair /
Weld County Clerk to th to-r' yl t -/
V. fW "4� , 41c--- �/ I_hii i 1)1,0 L-.
ae Barbara J. Kirkmeyer, P o-Tem U
BY:
Deputy Clerk to the Board ✓ EXCUSED DATE OF SIGNING (AYE)
George E. axter
APPROVE* TO FORM: 117Ci
/ Geile
— �? //
Co my Attorney A Z-1/4,/,,,/ C/ddi'c
/7 Glenn Vaad
cc. y ?.b 991167
HR0070
(sit,
fe MEMORANDUIi.:
' TO: Dale K. Hall, Chairperson
Weld County board of Commissioners (
e: DATE: July 1, 1999 timiy ,
COLORADO FROM: Walter J. Speckman
Executive Director Human Services
SUBJECT: Contract Amendment#Two, JTPA Older Worker
Program
Enclosed for Board approval is Contract Amendment# 2. The funding,is from the Department of
Labor and Employment for the third year of the Job training Partnership Act Program which began
in 1997. The request for $38,000.00 is to provide employment counseling, training, job
development, and job placement for low-income adults 55 years of age or older.
The funding is for Program Year beginning July 1, 1999 and ending June 30, 2000.
Questions may be directed to Linda Piper, Director,Weld County Area Agency on Aging, ext. 3320.
991167
DEPARTMENT OR AGENCY NAME
KAA
CONTRACT ROUTING NUMBER
00-0075
CONTRACT AMENDMENT# TWO
This AMENDMENT, made this 30th day of June, 19D, by and between the State of Colorado for the use
and benefit of the Department of LABOR AND EMPLOYMENT, 1515 Arapahoe Street, Tower 2, Suite
400, Denver, Colorado 80202-2117 hereinafter referred to as "the State", and the WELD COUNTY
AREA AGENCY ON AGING (a County Government Agency), whose address or principal place of
business is P.O. Box 1805, Greeley,Colorado 80632, hereinafter referred to as "the Contractor".
FACTUAL RECITALS
Authority exists in the Law and Funds have been budgeted, appropriated, and otherwise made available, and
a sufficient unencumbered balance thereof remains available for payment in Fund Number 100,
Appropriation Code 201, (Organizational Code 4111, Program Code 1100, Function Code 7500, and Grant
Budget Line Code 42)9) under Contract Encumbrance Number C981026. The parties entered into a
contract ("Original Contract") dated July 1, 1997, more fully described below.
The Original Contract provided for: providing the State services under the JTPA Title II-A, 5°/0 Older
vr'o,kc:f:,r employment and trai _s at.,ko5 to older wor::ers,and ::,e Title III, EDWAA, to provide
employment and training services to participants 55 years of age and older.
The Contract Amendment#ONE provided for: extending the period of performance for the PY97
funding for both the JTPA Title II-A,5% Older Worker,and Title III-EDWAA funding:, and,to add
funding for PY98 JTPA Title II-A,5% Older Worker.
The State and the Contractor have mutually agreed that changes to the Original Contract are now required
because of: the Federal government has awarded the State PY99 JTPA Title II-A money; the State
wishes to extend the PY98 JTPA Title II-A and PY97 JTPA Title III EDWAA funding; to continue the
services provided by this contract; and,it is the parties' intention to increase the amount payable and
the period of performance in exchange for additional services.
It is the intent of the parties in entering into this Contract Amendment# TWO to: extend the period of
performance to June 30,2000; add Thirty-eight Thousand Dollars ($38,000) of PY99 JTPA Title II-A,
5% Older Worker funds and enroll an additional 19 participants.
All required approvals, clearances and coordination have been accomplished from and with al I appropriate
agencies.
NOW,THEREFORE, it is hereby agreed that:
1. Consideration for this amendment to the Original Contract, CE number C.981026, Contract Routing
number KAA 981026, dated July 1. 1997, consists of the payments which shall be made pursuant to
Page 1 of 8
this Amendment and the promises and agreements herein set forth.
2. It is expressly agreed between the parties that this Amendment is supplemental to the Original
Contract, Contract Routing Number KAA 981026, dated July 1. 1997, Contract Amendment ft
ONE, Contract Routing Number KAA 990032, dated July 1, 1998, hereinabove referred to as the
"Original Contract,"which is, by this reference, incorporated, made a part hereof, and identified as
"Attachment A". All terms, conditions, and provisions the Original Contract, unless specifically
modified herein, are to apply to this Amendment as though such terms, conditions, and provisions
were expressly rewritten, incorporated, and included herein.
3. It is agreed by and between the parties that the Original Contract is and shall be modified, altered,
and changed in the following respects only':
A. EFFECTIVE, DATE AND TERM. The effective date of this Contract is July 1, 1997. The initial
term of this Contract shall commence on July 1, 1997 and end on l- ;949 June 30.2000.
C. STATEMENT OF WORK. The Contractor agrees to perform, in a professional and
workmanlike manner,the obligations and responsibilities set forth in the "Scope of Services"
(Section C.3.B., Section C.4.F.,and Section C.4.J.)
3. FUNDING AND BUDGET. The Contractor shall receive $40,000 from Program
Year 97, Title II-A, 5% Older Worker funds and $20,000 of Program Year 1997
Title III, EDWAA 40%Governor's Discretionary Funds. The Contractor shall
receive Fully-diicc Thousand Dolla. ,($43.OGG) from Program Year 98, Title i i_�ri
5% Older Worker JTPA funds. The Contractor shall receive Thirty-eight Thousand
Dollars($38.000)from Program Year 99, Title II-A.5%Older Worker JTPA
funds.
C. Budget Narrative. The funds provided under this Contract Amendment
#TWO of Thirty-eight Thousand Dollars($38,000)of PY99 Title II-A,
5%Older Worker will be used for:
ADMINISTRATION
$3,800 will be used for the following Administrative activities:
$1,727 (3%)will be used for a portion of the salary and fringe benefits of
the Director,Area Agency on Aging, for management of the grant,and for
assuring compliance with program requirements and evaluating outcomes.
$863 (1.5%)will be used for the salary and fringe benefits of the Fiscal
Deletions to the Original Contract appear in "strikeout" format. Additions to the Original
Contract appear in bold, italicized, capital letters or numbers or"redline" format.
Page 2 of 8
Officer for budgeting, reporting and audit of the grant.
$388 (1%)will be used for the salary and fringe benefits of the Accountant
to cost allocate and track expenditures to the grant.
$327(1%)will be used for the salary and fringe benefits of the Client
Services Technician for eligibility verification and MIS monitoring staff.
$495 will be used for the direct operating costs associated with the
Administrative Staff.
DIRECT TRAINING
$26,496 will be used for the following activities:
$11,006(30%)will be used for the salary and fringe benefits of the Client
Service Technician for objective assessments, ISS, skill level evaluations,
counseling,testing and case management.
$1,700 will be used for one On-The-Job contracts.
$4,200 will be used to enroll approximately seven(7) clients in secondary
education.
$1,125 will be used to enroll approximately five participants into the
computer lab: , hard skills training.
$7,200 will be used for work experience for approximately three
participants.
$400 will be used for staff training.
$865 will be used for direct costs associated with training activities.
TRAINING RELATED
$7,704 of Training Related funds will be used for the following:
$7,337(20%)will be used for the salary and fringe benefits for the client
Services Technician for outreach, intake initial assessment, orientation,
referral,job search assistance, and follow-up.
$200 will be used for Supportive services for.participants.
$167 will be used for Direct costs associated with training related activities.
4. J. Scope of Services. In consideration of the PY 99 funds to be received from
the State,the Contractor shall do the following:
Page 3 of 8
1. Recruit, Identify and Enroll a total of nineteen (19) new JTPA,
Title II-A eligible participants who are 55 years of age and
older.
Place 14 new and 4 carry in participants into unsubsidized
employment, for no less than 20 hours per week, and at an
average wage of$5.15 per hour, but not less than minimum
wage.
2. Advertise and recruit through the use of Newspaper
Advertisements, Brochures and Posters, Agency referrals and
outreach to the Community, Direct mailing, radio advertising
and Television advertising.
3. Provide an objective assessment of the skill levels, interests
and aptitude of 19 participants. The assessment will consist of
the following:
a. Aptitude, Education, and Vocational interest will be
assessed by an independent agent, the Learn to Learn
Center, utilizing the Apticom.
b. Learning-Working Style will be assessed by the Learn
to Learn Center, to determine the participants best
method for learning or working.
4. Monitoring of the participant's progress will be on-going
throughout the program year. The results will be recorded in
the participant files.
5. Provide the following training components: classroom
training; On-The-Job Training; Basic Skills; Job Specific
Skill,i.e. computer skills, keyboarding,certified nursing
assistant, security guard and other technological classroom
training that will provide marketable skills.
6. Assure that a staff person attend the Senior Employment
Network, and Older Worker contractor meetings.
7. Provide a quarterly report to the State regarding the status of
the program.
Page 4 of 8
4. K. Planned Expenditure Information for the PY 99 Title II-A funds.
PROJECTIONS BY QUARTER PROJECTED
CARRY TOTAL
1ST 2ND 3RD 4TH OUT
Administration $950 $950 $950 $950 $3,800
Training $6,978 $6,270 $6,978 $6,270 $26.496
Training Related/Supp. Serv. $1,541 $2,311 $1,541 $2,311 $7,704
TOTAL $9,469 $9,531 $9,469 $9,531 $38,000
4. L. Planned Participant Information for the PY 99 II-A,funds.
PROJECTIONS BY QUARTER TOTAL
1st 2nd 3rd 4th
Number of Enrollments Carrying in from Other 4 0 0 0 4
Contracts with the Same Agency&Funding
Number of New Enrollments 6 12 18 l9 19
4. M. Planned Activity Information for the PY 99 Title II-A program.
The figures below indicate the number of participants who will start training
in:
PROJECTIONS BY
QUARTER
OLDER WORKER PROGRAMS 1st 2nd 3rd 4th TOTAL
AA Job Search Assistance V/C 6 12 18 19 19
AB Stand Alone Job Search V/C 0 0 0 0 0
BA Basic Skills Training Category V/C 0 0 0 0 0
BB GED Training V/C 0 0 0 0 0
CA Occupational Skills Training Category V/C 4 8 12 12 12
DA Objective Assessment V/C 6 12 18 19 19
DB Case Management V/C 6 12 18 19 19
EA OJT V/C I 1 1 I 1
JA Work Experience V/C 2 4 6 6 6 1
Page 5 of 8
4. N. Planned Outcomes for the PY 99 Title II-A program. The figures below
indicate the number of participants who, upon terminating enrollment,
are projected to:
OLDER WORKER PROGRAMS(PY98) PROJECTIONS BY QUARTER TOTAL.
1st 2nd 3rd 4th
ENTER UNSUBSIDIZED EMPLOYMENT 3 7 t I 14 14
Complete Training in:
Basic Education 0 0 0 0 0
Occupational Skills 0 8 10 12 12
Other Occupational Skills I 1 t 1 I
Attain a GED 0 0 0 0 0
5. C. Equal Employment Opportunity Benchmarks for Title II-A
participants enrolled under PY 99 as stated in this contract.The
benchmarks stated below are the minimum goals for the enrollment
and placement of each specified target group:
rTARGET GROUP ENROLLMENTS PLACEMENTS
Female I 14 I0
Hispanic 2 2
Native American 0 0
Asian 0 0
Disabled 1 1
Veterans 5 4
ATTACHMENTS:
A. The replacements of Attachment 2 (page 2 only)and Attachment 4 to include the "Revised
Period of Performance."
B. The addition of Attachment 5 to reflect the PY99 JTPA Title II, 5% Older Worker funding.
4. The effective date of this Amendment is July 1, 1999.
5. Except for the "Special Provisions" contained in the Original Contract, in the event of any conflict,
inconsistency, variance, or contradiction between the provisions of this Amendment and any of the
Page 6 of 8
provisions of the Original Contract, the provisions of this Amendment shall in all respects supersede,
govern and control. The "Special Provisions" shall always be controlling over other provisions in
the Original Contract or any amendments thereto. The representations in the Special Provisions
concerning the absence of bribery or corrupt influences and personal interest of State employees are
presently reaffirmed.
6. FINANCIAL OBLIGATIONS OF THE STATE PAYABLE AFTER THE CURRENT FISCAL
YEAR ARE CONTINGENT UPON FUNDS FOR THAT PURPOSE BEING APPROPRIATED,
BUDGETED, AND OTHERWISE MADE AVAILABLE.
7. THIS AMENDMENT SHALL NOT BE DEEMED VALID UNTIL IT SHALL HAVE BEEN
APPROVED BY THE CONTROLLER OF THE STATE OF COLORADO OR SUCH ASSISTANT
AS HE MAY DESIGNATE.
Page 7 of 8
IN WITNESS WHEREOF, the parties hereto have executed this Amendment on the day first above
written.
CONTRACTOR: STATE:
WELD COUNTY AREA AGENCY ON AGING STATE OF COLORADO
(a County Government Agency) Bill Owens,Governor
-2
'1 ICo
By: 77it.y-ea;?-" e 't '79 By: ( ,: �, :� z r, , �/ ij
Linda Piper /Date Vickie L.Armstrong Date
Director of Area Agency on Aging Executive Director -
Department of Labor and Employment
FEIN: 84-6000813
Attestation (Seal) 111WitiaC //
art
A11tSt: t I'!,•�i . Le
By: WELD COUNTY CLERK TOM-k'r'. eare
Corporate Secretary or Equivalent
BY: U✓C/ , v . a
DEPUTY CLERK TO THE S r`fiRt n
APPROVALS: ��=� � ?
DEPARTMENT OF LAW DEPARTMENT OF PERSONNEL
OFFICE OF THE ATTORNEY GENERAL OFFICE OF THE STATE CONTROLLER
Ken Salazar,Attorney General Arthur L.Barnhart, State Controller
By: _ B 71 / ( ;_ ,� 1,171,‘)
Date M vin Madden Date
Stale Controller Designee
Page 8 of 8
Attachment 2 (Revised)
JTPA BUDGET INFORMATION SUMMARY (BIS)
(Title III/EDWAA 40%)
❑ Original XX Modification # 2
Subgrantee: Weld County Area Agency on Aging Title of Funds: III-EDWAA. 40%
Project: Seniors in Industry Year of Funds: PY97
Reference Code: D8WAA Vax ER#:
Current Period of Performance: From 07/01/97 To 06/30/98
Revised Period of Performance: From 07/01/97 To 06/30/00
Cost Category Current Changes Revised.
Budget In (+)/Out (-) Budget
Rapid Response n/a n/a $0.00 0.0%
Basic Readjustment
Services $6,422.00 $0.00 $6,422.00 32.0%
Retraining $11,065.00 $0.00 $11,065.00 55.0%
Supportive Services $513.00 $0.00 $513.00 3.0%
Needs-related $0.00 $0.00 $0.00 0.0%
Payments
Administration $2,000.00 $0.00 $2,000.00 10.0%
TOTAL $20,000.00 $0.00 $20.000.00 100.0%
Attachment 4 (revised)
EPA BUDGET INFORMATION SUMMARY (BIS)
(Older Worker, Performance Incentive, Capacity Building, Education/Coordination Funds)
❑ Original XX Modification # 1
Subgrantee: Weld County Area Agency on Aging Title of Funds: uA - 5%a
Project: Seniors in Industry Older Worker Program Year of Funds: PY98
Reference Code: O7WAA Vax ER#:
Current Period of Performance: From 07/01/98 To 06/30/99
Revised Period of Performance: From 07/01/98 To 06/30/00
Cost Category Current Changes Revised
Budget In (+)/ Out (-) Budget
Administration $4,300.00 $0.00 $4,300.00 10.0%
Direct Training $32,590.00 $0.00 $32,590.00 76.0%
Trg Related and
Support Services $6,110.00 $0.00 $6,100.00 14.0%
Coordination $0.00 $0.00 $0.00 0.0%
(Educ/Coord funds only)
TOTAL $43,000.00 $0.00 $43,000.00 100.0%
Attachment 5
CPA BUDGET INFORMATION SUMMARY (BIS)
(Older Worker, Performance Incentive, Capacity Building, Education/Coordination Funds)
XX Original ❑ Modification #
Subgrantee: Weld County Area Agency on Aging Title of Funds: IIA - 5%OW
Project: Seniors in Industry Older Worker Program Year of Funds: PY99
Reference Code: O7WAA Vax ER#:
Current Period of Performance: From 07/01/99 To 06/30/00
Revised Period of Performance: From To
Cost Category Current Changes Revised ado
Budget In(+) /Out (-) Budget
Administration
$3,800.00 $0.00 $3,800.00 10.0%
Direct Training $26,496.00 $0.00 $26,496.00 69.0%
Trg Related and
Support Services $7,704.00 $0.00 $7,704.00 21.0%
Coordination $0.00 $0.00 $0.00 0.0%
(Educ/Coord funds only)
TOTAL $38,000.00 $0.00 $38,000.00 100.0%
BILL OWENS ,N DEPARTMENT OF LABOR AND EMPLOYMENT
Governor e�
VICKIE L.ARMSTRONG I*fin v �; EMPLOYMENT AND TRAINING PROGRAMS
Executive Director + 7+j Two Park Central,Suite 400
f Via_ . 1515 Arapahoe Street
JEFFREY M.WELLS Denver,Colorado 8 0 20 2-211 7
Deputy Executive Director
J.DWIGHT STEELE
Director of Employment
and Training Programs
August 25, 1999
WELD COUNTY AREA AGENCY ON AGING
LINDA PIPER, DIRECTOR
P O BOX 1805
GREELEY CO 80632
Re: Transmittal of Fully Executed Contract
Dear Linda:
I enclose herewith one (1) fully executed original of the Contract Amendment # TWO ("Contract")
between the Colorado Department of Labor and Employment and the Weld County Area Agency on
Aging. Also, enclosed are the computer reports that relate to this contract.
If you have any questions, please call me at your convenience at (303) 620-4217.
Sincerely,
7
Chrystalynn
Contract Coordinator
Employment and Training Programs
end.
cc: CDLE Contract File No. 00-0075
Block year: 99 Name:WA WELD AGENCY/AGING Balance = $ 38, 000. 00CR
On 08/24/99 at 12:27 PM
Batch key: Type: Class: 8 Subclass : FYF: PP98 LUP: 08/24/99
Account Report Description (abb) Debit Credit Balance
NNO1 NFA.#99-1 0. 00 0. 00 0. 09
NN02 CASH REQUEST 3797 0. 00 0. 00 0. 00
7N01 PY97 0. 00 0. 00 0. 00
7301 OW 6/99 4340 0.00 0. 00 0. 00
7M014 ED 40% 6/00 4341 20, 000. 00 20, 000. 00 0. 00
8N01 PY98 0. 00 0. 00 0. 00
8301 OW 6/00 4474 43, 000. 00 43, 000. 00 0. 00
9N01 PY99 0. 00 0. 00 0. 00
9301 OW 6/00 4578 0. 00 38, 000. 00 38, 000. 00CR
Signature: /7Th.). , . yk Date (2)
Bnm:
G
POT OH/29/L999 at 1':l0 PM EXPENSE REPORT FORM VAX k: 4141 dale I of _
GRANTOR: OIDANTEE: CRC::IM PRO WA EVP:PP'R
COLORADO DEPT OF LABOR & EMPLOYMENT WELD COUNTY AREA AGENCY ON AGING—EXPENSE
1515 ARAPAIIOE ST, TOWER 3,9660 PETE ARCHULETA - FINANCIAL CAN'Amt CrP. AL^ 5.10
DENVER CO 8020J_ P.O. 1300 1505 N0P:3f9T LEDA:Lo.24t
CONTACT: SANE? TSAT O031 620-4F.'9 GREELEY CO H0612 ITN:
FONDA PIPER, DIRECTOR 13031 SL', 3E1'o L cal k' IWAT ca_- 0:
WELD AREA/AGING - IFDWAA OILER WORK P.
Contract Start:0L0 '1997 Award: D,Otte.60 For F era cd From: Cheek if: 1 I Expente Adl. 65tm'n.
End:06/30/20on Eta_nice: 39,00C.,.0 I 1 float Reoor
Total ______ ___.. _. ___. I- _. (sr r,nt
Ecdgo- I be ii At ter ued Expeodec
IC8123 ❑escript " IA; 1FO) IC) (O=EI(7) (E-AJ1
7ENN14 ERS 6,422.00 022.01 0.00 15,422.DC 1 'a
7TNN19 RETRNG :1,065.00 ,DE5.DJ 0_00 11,065.)0 D.07
7PNN14 SUPP SACS 513.00 513.O3 0.00 LI3.30 0.0J I
/ANN19 ADMIN 2,OL0.00 ,000.21 0.00 2,000.J0 0.01 I
TOTAL TO,COO.0o ',000.De 0.D0 20,000.A) 0 00 I
1 certiterrify to the bent of by ke nledle and beL f The [inane'-al data above ere reported correct Ly .Ind ' _ 'ca.rreI to.
allowable contract/q:ant put poses.
d ignature: Tit Le: Date:
PCT OH/24/1929 at 12:10 PM EXPENSE REPORT FORM VAX H: 4471 :.tqe I o- I
GRANTOR: GRANTEE_ CRI'::IN PRO WA 1011:PPi-
COLORADO DEFT OF LABOR EISPIrJYMENT WELD COUNTY AREA AGENCY ON AGING -IXFEN:-1;
1515 ARAPAHOE ST, TOWER 3,W6E0 PETE ARCH..NTA FINANCIAL CONTACT
DENVER CO E0201 P.O. I3Ox 1E05 12E r;J')1 lILA:I'.14 C.
CONTACT: SANDY SA: (3031 C20 In 9 GREEI,EY CO 2(.632 IDS':
LINDA PIPER, DIREC'TO]) )3031 353-331E .,Deal 4:1700.., to B:
WELD - OLDER WORKER
Contr. Star',09/0 /I 298 Award: 4.I,COO.nC Err- Fe : 12 Check if: 1 1 Expert, Ad+'ctm-n.
End:CE/30/1000 BaLmce: C.11 To: I 1 Find R:p:':r
Total
Hodge .burred Ac:;pcod Expended
FCS123 Lescript " ,A) IN) (C) (D-RC:)
RANOI AJMIN 4,300.00 +JO.CC 1.00 9,_"IO.CC i )/ I
ETNO'_ DIR 'PRH '2,590.00 r03.0C 1.0C
OPNC7 TR/SUPS ,:10.00 ..,I10.10 0.00 6,110.DC l ,I I
TOTAL 4 ,ICC.00 .000.')1 0.00 43,000.00 0.04 I
I certify to 'he beet cf my knowledge and belie` the finnndal data above ore reported cornet,' I y and mere inc..rreI Is.
allowable cord ract/grant purpoae3.
Signature: - _ Title: Dote:
POT 0E/24/19N9 at I.':IC rE IxPENSE REPORT FORM VAS p: Udit rnye . of _
GRANTOR: tRANTEE:
COLORADO DEL'T OP 1AB0R a LMP_OYMNNT WELD COUNTY AREA AGENCY ON A0ING CASH REQUlS7
1515 ARAPAHOE ST, TOWER 3,966C PETE ARCHULETA FINANCIAL CO0TAST � 9
DENVER CO 30202 P.O. BOX 1E1s REGUAlleit I'DA:1 I.LLC
CONTACT: SANDY TSAI 13`3) 620-4E'4 GREEL:Y CO E0632 ION:I460 00I '
LINDA F1PER, DIRECTOR (3J3) .157.3E:n Local ft 'Wei .tot.: pt
WELD AGEA AGENCY ON AGING Peen
Contract Start:D"I/J /133e Award: 31,00E Po- ten :-1 Prom: _ 'Gluck IC: I i Exper e AEG'-. tra ct
Leo:DE/i / 21 Balance: 30,000.'9 To:
'__ _____ __ __________ Total ______. _ I_.. __. 'urn tit
3.udgot 1IFLurned Accrued Expended Dalu� t Grange To Di:b. to Lie:'I'o-Ad)nul
6C5123 Deseript ^ ,ei ID) ICJ (�B*l) IE=A-0;
9AN01 ADMIN 3,E00.00 1E C.00 C.00 0.0 ...: _
9TND1 DIR TONG 21,4el_DO C_CO
9PN01 TR/SUOP :,70A.00 3.CC 0.00 0_00
TOTAL 38,000.00 3.e) 0.00 0_30 iiii,10O 10 I
I certify tc the beet of py krewledac an:) beLie`_ Lbc financial date above err.. rcported ccGrectly :nd wure Lid: LE, I f-.
allowable contract/Grant paper en.
Signature: Tit Le: Da,m
PCN On/2451989 at 1Z:17 PM CASH REQUEST PONM VAX p: Sl9` Smle I of I
GRANTOR: -RANTBE: CRP:. 1M PRO:WA FTF:PY,
COLORADO DEPT OF LABOR b EMPLOYMENT WELD COUNTY AREA AGENCY ON AGING i CASH RLQ'CPS]'
1515 ARAPAHOE ST TOWER 2, P100 PETE ARCHULE:A - FINANCIAL CONTACT CTI':
DENVER CO 80202 P.O. BOX 1005 RF,F:C/A
DANNY CHAVE"[ 3LR LGJ 94 6 GREELEY CO 0063E IO 850.D61 '
LINDA PIPER, DIRECTOR (3031 .53 3815
WELD AGENCY/AGING CASH REQU`_SI
Contract Start:OB/20/1993 Pmo.nt:899,999,999.99 For Period From: Cash Rogrest 8:
End:06/30/199B Sole(er:999,2C8,660.26
Total _. _.___ __ _
SFend_n9 Program Program Cash Uedraw:, Progro.u'. P.ogt.,m Carl,
]i hcrl_y r rn Needs Income Drawn t h Neecs Draw
FC5123 Description "-XX :A1 (5) (C (D=B+C) (E A-0o 01 16=E1S1
9NNN1 PO 981C26 0.00 O.:1C 0.0C
]N301 1-9340 6/99 00,000.00 10,C00.00 O.JL 40,CCC.00 0,Cn
9N14014 2 4341 6/OP :C,000.00 0.0'" 20,000.O2 0.11"
8N301 3-4474 6/OC II, C..CD 3,OOC.00 0.01 f,000.00 9.00 I
9NNN1 PO 000075 :i.13 0.00 C.CO 0.00 0.0] I I
9NC01 1-4578 6/09 3E,003.90 O.00 0.00 0.00 0.C:
NNZOl COMP. G0EENOE 0_00 N.00 0.0I0 0.00 2.01 I I
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TOTAL 1(11,000.00 III,OCc.00 0.00 1)1,000.00I
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