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Home My WebLink About20241289.tiffRESOLUTION RE: APPROVE REQUEST FOR PROPOSAL AND ATTESTATION OF COMPLIANCE FOR BACKGROUND CHECKS AND COLORADO ADULT PROTECTIVE SERVICES SYSTEM (CAPS) FOR 2024/2025 COLORADO RESPITE COALITION (CRC) GRANT, AND AUTHORIZE DEPARTMENT OF HUMAN SERVICES TO SIGN AND SUBMIT ELECTRONICALLY 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 Request for Proposal and Attestation of Compliance for Background Checks and Colorado Adult Protective Services System (CAPS) for the 2024/2025 Colorado Respite Coalition (CRC) Grant from 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, to the Colorado Department of Human Services, State Unit of Aging, commencing upon full execution of signatures, with further terms and conditions being as stated in said proposal and attestation, and WHEREAS, after review, the Board deems it advisable to approve said proposal and attestation, copies of which are attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Request for Proposal and Attestation of Compliance for Background Checks and Colorado Adult Protective Services System (CAPS) for the 2024/2025 Colorado Respite Coalition (CRC) Grant from 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, to the Colorado Department of Human Services, State Unit of Aging, be, and hereby are, approved. BE IT FURTHER RESOLVED by the Board that Kelly Morrison, Department of Human Services, be, and hereby is, authorized to electronically sign and submit said proposal and attestation. cc'. !-(S O, AG-MP/co) oVoq /2.4 2024-1289 HR0096 REQUEST FOR PROPOSAL AND ATTESTATION OF COMPLIANCE FOR BACKGROUND CHECKS AND COLORADO ADULT PROTECTIVE SERVICES SYSTEM (CAPS) FOR 2024/2025 COLORADO RESPITE COALITION (CRC) GRANT PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 22nd day of May, A.D., 2024. BOARD OF COUNTY COMMISSIONERS WELD COUNT ATTEST: Kew Ross, Chair Weld County Clerk to the Board BY: thril ' W 1 u ) cJL Deputy Clerk to the Board APPED ounty Attorney Date of signature: (1`` 51I Zq �rar, Perry L. ck, Pro-Tem Mike F eeman Scott . James Saine 2024-1289 HR0096 BOARD OF COUNTY COMMISSIONERS PASS -AROUND REVIEW PASS -AROUND TITLE: Colorado Respite Coalition 2024-25 State Respite Grant Request for Proposal (RFP) DEPARTMENT: Human Services DATE: May 14, 2024 PERSON REQUESTING: Jamie Ulrich, Director, Human Services Brief description of the problem/issue: The Department is requesting to apply for the Colorado Respite Coalition (CRC) 2024-25 State Respite Grant Request for Proposal (RFP). This grant opportunity is a program of Easterseals Colorado, which helps provide family caregivers with a break from caregiving. The intent of these funds is to increase access to respite care options for family caregivers and to help build the capacity to provide additional services. If approved, the Department will be requesting $30,000.00 in grant funds to continue to offer respite options for Weld County caregivers. The grant period will be from July 1, 2024 to June 1, 2025. What options exist for the Board? Approval to respond to the RFP for the 2024-25 State Respite Grant. Deny approval to respond to the RFP for the 2024-25 State Respite Grant. Consequences: The Department of Human Services' Area Agency on Aging will not be able to apply for the grant funding. Impacts: The Department of Human Services' Area Agency on Aging will not have additional funding to serve families in need of respite services. Costs (Current Fiscal Year / Ongoing or Subsequent Fiscal Years): Total grant request = $30,000.00 (No matching funds required). Funded through Colorado State General Funds and managed by CRC and the Colorado Department of Human Services, State Unit of Aging. Term: July 1, 2024 through June 1, 2025 Recommendation: Pass -Around Memorandum; May 14, 2024 - CMS TBD 2024-1289 5/22 Approval to respond to the State Respite Grant RFP and authorize the Department to sign a Cover Letter and Attestation of Compliance with Background Checks and CAPS and submit electronically. Support Recommendation Schedule Place on BOCC Agenda Work Session Other/Comments: Perry L. Buck, Pro-Tem Mike Freeman Scott K. James Kevin D. Ross, Chair Lori Saine cz. _ Pass -Around Memorandum; May 14, 2024 - CMS TBD A program of easterseals Colorado COLORADO RESPITE COALITION Colorado Respite Coalition 2024-2025 State Respite Grant - Application Template Instructions for use: Thank you for your interest in applying fora grant from the Colorado Respite Coalition. Please use this template to prepare your application. Once you have drafted your application, submit the application via this link. To submit, you will copy and paste the responses you include in this word document and upload applicable files. Application Checklist Use this checklist to ensure that you have all the elements of the application. Answers to Application Questions 1-25 (fill out form below) 1 -Page Cover letter signed by the Executive Director or another authorized signatory. Include the purpose of the grant request and a brief description of the respite program (uploaded as a PDF or Word Document) 5 -Page (double-spaced) Grant Application Narrative Response (uploaded as a PDF or word document). Skip down to the grant narrative questions. • Respite Program Budget - Use the budget template provided here. • Current Agency Budget • Proof of Nonprofit Status if applicable (501(c)(3) Letter) • Most Recent Audited Financial Statements or Form 990 • Certificate of Good Standing from the Colorado Secretary of State (this requirement is for nongovernmental agencies only) Certificates of Insurance for the following: General Liability, Automobile Liability, and Protected Health Information Insurance policies OR written statement that your agency will add these insurance policies during the grant period. Signed policy and procedure statement that assures fingerprint -based background checks on all staff and volunteers and CAPS background checks if applicable. Skip down to the attestation. Only complete applications will be considered for review. Please use the above checklist to ensure your application is complete. Application Questions Use this template to gather the information needed to complete the online application. Once you are ready, you will copy and paste your responses into the online application. 1 A program of easterseals Colorado COLORADO RESPITE COALITION The questions below should be answered for the whole agency/organization. 1. Organization or Agency name: Weld County Area Agency on Aging 2. Organization or Agency address: 315 N. 11th Ave Bldg A. Greeley, CO 80631 3. Organization or Agency website: wwwweldaaa.org 4. Executive Director name: Kelly Morrison 5. Executive Director phone: 970-400-6786 6. Executive Director email: kmorrison@weld.gov 7. Respite Program Name: Caregiver Program 8. Grant Application Contact Name (Note: the grant application contact is the person who will be managing communication with Colorado Respite Coalition during the grant application, award notification, and reporting processes): Meredith Skoglund 9. Grant Application Contact Title: Community Outreach Coordinator 10. Grant Application Contact Phone: 970-400-6132 11. Grant Application Contact Email: mskoglund@weld.gov 12. Program Administrator Contact Name (Note: the program administrator contact is the person in charge of managing or administering the program funded by this grant. This is also the person who will be responsible for invoicing CRC for grant reimbursements. If this is the same person as the grant application contact, please leave this and the next three questions blank.): Jillian Broce 13. Program Administrator Contact Title: Caregiver Coordinator 14. Program Administrator Contact Phone Number: 970-400-6130 15. Program Administrator Contact Email: jbroce@weld.gov 16. Agency -wide, how many individuals do you serve annually? 2,500 unduplicated individuals 2 A program of easterseals Colorado COLORADO RESPITE COALITION The questions below should be answered only for the program applying for funds. 17. Amount of Grant Request $30,000.00 18. If we cannot grant your full request, will you accept a partial award (minimum of $5,000)? Yes 19. What percent of your total program budget does your grant request equal? 34% 20. How many families does your agency anticipate serving with the requested funds? 15 clients 21. Of the families you anticipate serving, about how many will be new families? All of them will be new. 22. How many hours of respite will you provide with the requested funds? 60 hours per client, 900 total hours 23. What is the staff -to -participant ratio? N/A 24. Does your program currently have a waitlist? Yes 25. If yes, how many families are on it? 15 Grant Narrative Template Limit your responses to narrative questions 1-7 to five double-spaced pages. When you are done drafting, you may delete the text of the questions and just keep the labels "Question 1," "Question 2," etc. to save space. Include page numbers! Question 1: About your organization and the population served (5 Points) • Please explain the organization's mission and vision. • Describe the population(s) served by age group, type of need/condition, and geographic location. The mission of the Weld County Area Agency on Aging (AAA) is to uphold the independence and dignity of individuals within their homes and communities. Situated within the Department of Human Services, our primary focus lies on providing services to Weld County residents aged 60 and above. The Weld County AAA operates under the Weld County Home and Community Supports Division, encompassing various entities such as the Case Management Agency, Long Term 3 A program of easterseals Colorado COLORADO RESPITE COALITION Care Eligibility Technicians, Aging and Disability Resources for Colorado, and Adult Protective Services. We collaborate with community partners to offer a comprehensive array of programs aimed at providing supportive services and opportunities for older and high -risk adults to enhance their health and maintain independence. Weld County AAA is one of 16 AAA agencies in Colorado and is part of a national network dedicated to assisting older adults in remaining in their homes and communities for as long as possible. Question 2: About your organization's current in -home or center -based respite services (15 points) • How long has the respite program been in existence? • What are the general staff provider qualifications? • What is the frequency of the program/respite services? • Describe the benefit to the caregivers of the clients. What type of relief/break do your services provide? • Describe the current funding of this program. The Weld County AAA Caregiver Respite Program has been serving since the 1990s. Our AAA Staff does not directly administer respite services; instead, we issue vouchers for caregivers to access care. All voucher coordinators current hold a bachelor's degree. Caregivers receive a voucher every six months per fiscal year, providing them with flexibility in its usage. Since this voucher program is consumer - directed, caregivers have the autonomy to select the type and timing of respite services that best meet their needs. For instance, some families use it on a routine basis (e.g., once a week), while others utilize it for adult day programs or during vacations or emergencies. Presently, all funding for this program is exclusively sourced from the Older American Act. Question 3: About how the grant will be used (40 points) • In detail, how will funds be used to support respite services? • How will clients be selected for services? How will you determine which clients are in most need? Will prioritization be given to caregivers with no other means of respite options? • What adaptations have been made or will be made to provide services safely in the event of a public health emergency? • if your proposal requests funds for multiple programs, all programs must be described. The funding allocated to the Weld County AAA will be utilized to enhance and expand the existing respite voucher program. Specifically, this includes removing 4 A program of ::easterseals Colorado COLORADO RESPITE COALITION individuals currently on our waiting list and increasing the availability of respite assistance throughout Weld County. All individuals, whether currently receiving respite funding through the Older Americans Act or funded by grant funds, will be closely monitored in accordance with the State Unit on Aging Policy and Procedures. Those drawn from the waitlist will be prioritized based on the Prioritization Worksheet, which has been recognized as best practice by the State Unit on Aging in 2024. This worksheet considers various factors such as rural residence, minority status, physical limitations, and low-income status to identify caregivers in greatest need. In the event of a public health emergency, communication with individuals receiving respite care will be intensified to ensure their needs are being met. Services will continue as the program remains consumer -directed, ensuring flexibility and autonomy for caregivers in selecting and utilizing respite services. Question 4: Objectives and expected outcomes (20 points) • What is your primary objective for this grant? • How does the organization specifically measure the respite outcomes? • Description of at least two measurable outcomes from this financial award. (More than two outcomes are welcome) For example, 88% of caregivers will report a reduction in stress as a result of respite provided through the grant, as measured by the organization's own survey. Our primary objective for the grant is to enhance and broaden respite options for caregivers in Weld County amidst impending budget cuts. Anticipating a 40% reduction in funding from Fiscal Year 24 to Fiscal Year 25, with the caregiver/respite program facing a budget decrease from $145,000 to $87,000, the grant award's fundamental aim is to mitigate the adverse impact on recipients and prevent potential cuts to voucher amounts. The organization will assess outcomes by monitoring the delivery of services to individuals requiring respite care throughout the county using our internal database. Simultaneously, we will track the reduction in our waitlist and the number of individuals on our unmet needs report. If the grant is fully funded, we anticipate being able to allocate an additional 900 hours of respite care to families in Weld County. Additionally, all recipients will be encouraged to participate in a Performance 5 A program of easterseals Colorado /COLORADO RESPITE COALITION Measure survey during FY 25 to evaluate their overall satisfaction with the program and identify areas for improvement. Our target is to achieve a satisfaction rate of 90% or higher among program participants. Question 5: Your organization's relationship with the community (5 points) • What is your organization's relationship with the community? • Does your organization partner with other organizations to deliver services? • Does your organization utilize community volunteers? • How will you provide outreach within the community to reach families in need of respite services? • How does your organization get feedback and input from the community? Weld County AAA maintains long-standing formal and informal partnerships with numerous providers across Weld County, and we are committed to sustaining these collaborations. We actively engage in multiple community outreach efforts, including participation in various resource fairs held throughout the year. These events serve as platforms to inform the public about the services offered by AAA and facilitate collaboration with local stakeholders. Examples of venues where we participate include local senior/recreation centers, churches, VA facilities, libraries, health care facilities, and home care agencies. Our agency relies on the support of multiple community volunteers to bolster our diverse programs. We will continue to promote the caregiver/respite program through our Information and Assistance team and leverage our connections with community partners. Additionally, we gather feedback from the community through various channels, including email, phone, comment cards at programming sites, and our annual satisfaction survey. Moreover, we maintain an active advisory board that provides valuable input, addresses concerns, and offers suggestions to enhance our programs. Question 6: Budget Narrative (budget and budget narrative together are 15 points) • Please describe the anticipated costs of this grant. • Please explain any unusual costs. Should the additional funds be granted, note that none of the grant funds will be allocated towards salaries, benefits, or indirect costs. All funds will be strictly dedicated to supporting caregiver recipients. The allocation for 'other expenses' serves as an approximate representation of this program's specific contribution to the overall expenses for the Older American Act programs. 6 A program of -'easterseals Colorado COLORADO RESPITE COALITION Question 7: Bonus points for rural counties (5 points) Programs serving families who live in a frontier county, rural county or rural part of a county (as determined by the State Office of Rural Health rural county map) are eligible for 5 bonus points. Frontier county: a county that has a population density of six or fewer residents per square mile. Frontier counties of Colorado: Baca, Bent, Cheyenne, Costilla, Custer, Delores, Gunnison, Hinsdale, Huerfano, Jackson, Kiowa, Kit Carson, Las Animas, Lincoln, Mineral, Moffat, Rio Blanco, Saguache, San Juan, San Miguel, Sedgewick, Washington, Yuma Rural county: a non -metropolitan county with no cities with over 50,000 residents Rural counties of Colorado: Alamosa, Archuleta, Chaffee, Conejos, Crowley, Delta, Eagle, Fremont, Garfield, Grand, Lake, Logan, La Plata, Montezuma, Montrose, Morgan, Otero, Ouray, Phillips, Pitkin, Prowers, Rio Grande, Routt, Summit Urban counties of Colorado with rural areas: Larimer, Park, and Mesa • Please indicate which counties you serve in and explain whether you are eligible for these bonus points. Despite being designated as urban according to the Colorado Rural Health Center, Weld County ranks as the third largest county in Colorado, spanning 3,987.24 square miles. This expansive geographical area poses significant challenges in accessing the formalized services required by our senior population. Budget Specifications & Template Please be very detailed (i.e., If including staff, list the number of staff, positions, rate, number of hours, etc.) Applicants must use the budget template or have the budget approved prior to submission. Applicants must also submit a complete annual organizational budget separately. Food & beverage are not eligible expenses. Link to budget template here. 7 Budget Income Expenses Compensation Salaries and Wages Benefits Taxes Total Compensation Other Expenses Supplies Professional Fees Travel and Transportation Printing and Advertising This Grant Request Total for Program Notes Total for Prgram budget reflectd what $30,000.00 $87,000.00 will be received in FY 25 from the Older American Funding The below numbers reflect a portion of one FTE's total salary that is currently charged to the Caregiver Respite program $- $40,574.92 $- $3,448.87 $- $- $- $44,023.79 $- $- $- $- $800.00 This is a small portion of the overall $1,251.00 This is a small portion of the overall $1,000.00 This is a small portion of the overall TOTAL spent on vouchers $30,000.00 $39,925.21 A program of •:.:easterseals Colorado COLORADO RESPITE COALITION Attestation of Compliance with Background Checks and CAPS You will need to have an agency representative sign this attestation as part of the online application. Here is the attestation itself: I attest that my agency is in compliance with C.R.S. § 26-3.1-111, which requires certain employers to obtain a CAPS check to determine if a person who will provide direct care to an at - risk adult is substantiated in a case of mistreatment of an at -risk adult. The full list of employers required to obtain CAPS checks are listed at C.R.S. § 26-3.1-111. I attest that my agency is in compliance with C.R.S. § 18-6.5-107, which requires state -funded contracting agencies that employ persons to serve in positions that involve direct contact with vulnerable persons in the homes and residences of such vulnerable persons, to complete fingerprint -based criminal history record check of such employees. I attest that my agency requires that any employees, volunteers, or contractors responsible for transporting clients possess a valid Colorado driver's license and have not had any alcohol or other substance -related driving offenses within the past three years, or two or more convictions or chargeable accidents within the past two years. 8 Easterseals Colorado Powered by Submittable U Title 0023 by oWEN10wAYLON15!!$$** M Skoglund in 2024- 2025 State Respite Grant Application 315 N. 11th Ave Building A Greeley, Colorado 80631 United States 970-400-6200 mskoglund@weldgov.com Original Submission Score 05/24/2024 id. 46591620 05/24/2024 Application Instructions for use: Thank you for your interest in applying for a grant from Instructions the Colorado Respite Coalition. Please use this template to prepare your application. Once you have drafted your application, submit the application using this form. If you have questions please reach out to Colorado Respite Coalition at CRCInfo@EastersealsColorado.Org. Application Checklist Answers to Application Questions 1-25 (fill out form below) - Use this checklist to 1 -Page Cover letter signed by the Executive Director or another authorized ensure that you have signatory. Include the purpose of the grant request and a brief description all the elements of of the respite program (uploaded as a PDF or Word Document) the application. . 5 -Page (double-spaced) Grant Application Narrative Response (uploaded as a PDF or word document). Most Recent Audited Financial Statements or Form 990 Respite Program Budget - Use the provided budget template. Current Agency Budget Certificates of Insurance for the following: General Liability, Automobile Liability, and Protected Health Information Insurance policies OR written statement that your agency will add these insurance policies during the grant period. Signed policy and procedure statement that assures staff providers supporting this grant complete the fingerprint -based background checks and CAPS background checks. Application The questions below should be answered for the whole Questions agency/organization. 1. Organization or Area Agency on Aging Agency Name 2. Organization or Agency Address 315 N. 11th Ave Bldg A 3. Organization or www.weldaaa.org Agency Website 4. Executive Director Kelly Morrison Name 5. Executive Director +19704006786 Phone 6. Executive Director kmorrison@weld.gov Email 7. Respite Program Caregiver Program Name 8. Grant Application Meredith Skoglund Contact Name 9. Grant Application Community Outreach Manager Contact Title 10. Grant Application +19704006200 Contact Phone 11. Grant Application mskoglund@weld.gov Contact Email 12. Program Jillian Broce Administrator Contact Name 13. Program Caregiver Coordinator Administrator Contact Title 14. Program +19704006130 Administrator Contact Phone 15. Program jbroce@weld.gov Administrator Contact Email 16. Agency -wide, 2,500 how many individuals do you serve annually? The questions below should be answered only for the program applying for funds. 17. Amount of Grant $30,000 Request 18. If we cannot Yes grant your full request, will you accept a partial award (minimum of $5,000)? 19. What percent of 34% your total program budget does your grant request equal? 20. How many families does your agency anticipate serving with the requested funds? 15 clients 21. Of the families all of them will be new you anticipate serving, how many will be new families? 22. About how many 60 hours per client, 900 total hours hours of respite will you provide with the requested funds? 23. What is the staff- N/A to -participant ratio? 24. Does your Yes program currently have a waitlist? 25. If yes, how many 15 families are on it? Please Upload Your 1 -Page Cover Letter Weld_Cover Letter CRC_Grant_Application.pdf Please Upload Your 5 -Page Grant Narrative CRC_2024_Region_2B_Grant_Application.docx Please Upload Your Program Budget Region_2B_Caregiver Program_Budget.xlsx Please Upload Your Agency Budget Region_2B_Agency_Budget.pdf Please Upload Your Proof of Nonprofit Status (501(c)3 Letter - this is a requirement for nongovernmental agencies only) Please Upload Your Most Recent Audited Financial Statements or Form 990 Weld_County_IRS_TIN_Ietter.pdf Please Upload Your Certificate of Good Standing from the Colorado Secretary of State (this requirement is for nongovernmental agencies only) Certificates of Insurance for the following: General Liability, Automobile Liability, and Protected Health Information Insurance policies OR written statement that your agency will add these insurance policies during the grant period. Region_2B_General_Liability.pdf Voucher_Application.2024.2025.docx Attestation of Easterseals Colorado and Colorado Respite Coalition Attestation of Compliance with Compliance with Background Checks and CAPS I attest that my agency is Background Checks in compliance with C.R.S. § 26-3.1-111, which requires certain employers and CAPS (Print to obtain a CAPS check to determine if a person who will provide direct Application to care to an at -risk adult is substantiated in a case of mistreatment of an at - complete and sign) risk adult. The full list of employers required to obtain CAPS checks are Include signed copy listed at C.R.S. § 26-3.1-111. I attest that my agency is in compliance with with additional C.R.S. § 18-6.5-107, which requires state -funded contracting agencies that documents upload. employ persons to serve in positions that involve direct contact with vulnerable persons in the homes and residences of such vulnerable persons, to complete fingerprint -based criminal history record check of such employees through the Colorado Bureau of Investigation (CBI) or another background check system that provides information at the same level of detail or higher than the CBI records check. I attest that my agency requires that any employees, volunteers, or contractors responsible for transporting clients possess a valid Colorado driver's license and have not had any alcohol or other substance -related driving offenses within the past three years, or two or more convictions or chargeable accidents within the past two years. By entering my name Kelly here, I agrees to the Morrison above attestation and certify that I am an authorized signator for this organization. May 22, 2024 DEPARTMENT OF HUMAN SERVICES PO BOX A GREELEY, CO 80631 Website: www.weld.gov Colorado Respite Coalition 393 S. Harlan St. Suite 250 Lakewood, CO 80226 Re: 2024-2025 STATE RESPITE GRANT APPLICATION Dear Members of the Selection Committee, Please find Weld County's enclosed proposal for the 2024-2025 State Respite Grant. The Weld County Area Agency on Aging (WCAAA), situated within the Department of Human Services focuses on maintaining the independence and dignity of older adults within their homes and communities. WCAAA's current Caregiver Respite Program, (exclusively funded by the Older Americans Act,) has been serving caregivers since the 1990s by issuing vouchers for caregivers to access consumer -directed care allowing them autonomy to select the type of respite service that would best fit their specific needs. Receiving the thirty -thousand dollars will allow for enhancement and expansion of the existing current caregiver program. WCAAA is anticipating a 40% reduction in funding for each of our programs, including respite services. This change equates to a decrease of $58,000.00 from Fiscal Year 24 to Fiscal Year 25. the waitlist has reached its capacity and individuals are being undeserved. These funds will enable WCAAA to remove individuals from the waitlist and increase the availability of respite assistance throughout Weld County. Individuals from the waitlist will be prioritized based on our Prioritization Worksheet which evaluates the various factors such as rural residence, minority status, physical limitations, and low-income status to identify caregivers in greatest need. The grant funds provided by the Colorado Respite Coalition will aim to mitigate the adverse impact on the recipients and prevent potential cuts to current voucher amounts. Thank you for the opportunity to better serve Weld County caregivers. We look forward to establishing a new partnership with The Colorado Respite Coalition and Easterseals Colorado. Thavr(c you, JamiejUlrich Director of Human Services Weld County Department of Human Services 3145 N 11th Ave Bldg. A Greeley, CO 80631 Colorado Respite Coalition, Grant Application Weld County Area Agency on Aging Question 1: The mission of the Weld County Area Agency on Aging (AAA) is to uphold the independence and dignity of individuals within their homes and communities. Situated within the Department of Human Services, our primary focus lies on providing services to Weld County residents aged 60 and above. The Weld County AAA operates under the Weld County Home and Community Supports Division, encompassing various entities such as the Case Management Agency, Long Term Care Eligibility Technicians, Aging and Disability Resources for Colorado, and Adult Protective Services. We collaborate with community partners to offer a comprehensive array of programs aimed at providing supportive services and opportunities for older and high -risk adults to enhance their health and maintain independence. Weld County AAA is one of 16 AAA agencies in Colorado and is part of a national network dedicated to assisting older adults in remaining in their homes and communities for as long as possible. Question 2: The Weld County AAA Caregiver Respite Program has been serving since the 1990s. Our AAA Staff does not directly administer respite services; instead, we issue vouchers for caregivers to access care. All voucher coordinators current hold a bachelor's degree. Caregivers receive a voucher every six months per fiscal year, providing them with flexibility in its usage. Since this voucher program is consumer - directed, caregivers have the autonomy to select the type and timing of respite services that best meet their needs. For instance, some families use it on a routine basis (e.g., once a week), while others utilize it for adult day programs or during vacations or emergencies. Presently, all funding for this program is exclusively sourced from the Older American Act. Question 3: The funding allocated to the Weld County AAA will be utilized to enhance and expand the existing respite voucher program. Specifically, this includes removing individuals currently on our waiting list and increasing the availability of respite assistance throughout Weld County. All individuals, whether currently receiving respite funding through the Older Americans Act or funded by grant funds, will be closely monitored in accordance with the State Unit On Aging Policy and Procedures. Those drawn from the waitlist will be prioritized based on the Prioritization Worksheet, which has been recognized as best practice by the State Unit on Aging in 2024. This worksheet takes into account various factors such as rural residence, minority status, physical limitations, and low-income status to identify caregivers in greatest need. In the event of a public health emergency, communication with individuals receiving respite care will be intensified to ensure their needs are being met. Services will continue as the program remains consumer -directed, ensuring flexibility and autonomy for caregivers in selecting and utilizing respite services. Question 4: Our primary objective for the grant is to enhance and broaden respite options for caregivers in Weld County amidst impending budget cuts. Anticipating a 40% reduction in funding from Fiscal Year 24 to Fiscal Year 25, with the caregiver/respite program facing a budget decrease from $145,000 to $87,000, the grant award's fundamental aim is to mitigate the adverse impact on recipients and prevent potential cuts to voucher amounts. The organization will assess outcomes by monitoring the delivery of services to individuals requiring respite care throughout the county using our internal database. Simultaneously, we will track the reduction in our waitlist and the number of individuals on our unmet needs report. If the grant is fully funded, we anticipate being able to allocate an additional 900 hours of respite care to families in Weld County. Additionally, all recipients will be encouraged to participate in a Performance Measure survey during FY 25 to evaluate their overall satisfaction with the program and identify areas for improvement. Our target is to achieve a satisfaction rate of 90% or higher among program participants. Question 5: Weld County AAA maintains long-standing formal and informal partnerships with numerous providers across Weld County, and we are committed to sustaining these collaborations. We actively engage in multiple community outreach efforts, including participation in various resource fairs held throughout the year. These events serve as platforms to inform the public about the services offered by AAA and facilitate collaboration with local stakeholders. Examples of venues where we participate include local senior/recreation centers, churches, VA facilities, libraries, health care facilities, and home care agencies. Our agency relies on the support of multiple community volunteers to bolster our diverse programs. We will continue to promote the caregiver/respite program through our Information and Assistance team and leverage our connections with community partners. Additionally, we gather feedback from the community through various channels, including email, phone, comment cards at programming sites, and our annual satisfaction survey. Moreover, we maintain an active advisory board that provides valuable input, addresses concerns, and offers suggestions to enhance our programs. Question 6: Should the additional funds be granted, note that none of the grant funds will be allocated towards salaries, benefits or indirect costs. All funds will be strictly dedicated to supporting caregiver recipients' The allocation for 'other expenses' serves as an approximate representation of this program's specific contribution to the overall expenses for the Older American Act programs. Question 7: Despite being designated as urban according to the Colorado Rural Health Center, Weld County ranks as the third largest county in Colorado, spanning 3,987.24 square miles. This expansive geographical area poses significant challenges in accessing the formalized services required by our senior population. FY '25 Budget Summary Total Budget Estimate for Full Year: Contracts/Vouchers Salaries Cost Allocations Mileage Supplies/Other $ 2,869,354.00 1,651,060.00 1,135,217.24 60,818.16 16,238.94 46,853.19 'Remaining Available 40,833.531 FUNDING POT i0 I AL REVENUE FY '24 PART B $ 290,539.00 PART C-1 $ 388,073.00 PART C-1 Donations $ 228,000.00 PART C-1 Windsor $ 50,000.00 PART C-1 NSIP $ 60,000.00 PART C-2 $ 269,126.00 PART D $ 21,401.00 PART E $ 129,544.00 ADMIN FED $ 113,312.00 ADMIN FED County Match $ 12,351.00 ADMIN ELDER ABUSE $ 2,016.00 ADMIN SPEC OMB $ 12,456.00 PART E STATE MATCH $ 7,575.00 STATE $ 1,156,465.00 ADMIN STATE $ 128,496.00 OTHER CHF $ OTHER CCT OPTIONS $ - OTHER ADRC FFP Total Funding: $ 2,869,354.00 This Grant Request Total for Program Notes $30,000.00 $87,000.00 Total for Prgram budget reflectd what will be received in FY 25 from the Older American Funding $40,574.92 $3,448.BJ $44,023.79 $800.00 This is a small portion of the overall AAA Budget $1,251.00 This is a small portion of the overall AAA Budget $1,000.00 This is a small portion of the overall AAA Budget $30,000.00 $39,925.21 ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYI� 1 024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Arthur J. Gallagher Risk Management Services, LLC. 6300 South Syracuse Way, Suite 700 Centennial CO 80111 CONTACT NAME: Nathan Kathol PHONE FAX Exn: 303-889-2532 rap.: E MoAN,. Wass: Nathan_Kathol@ajg.com INSURER(S) AFFORDING COVERAGE NAIL # INSURER A : Colorado Counties Casualty & Property Pool INSURED Weld County P.O. Box 758 Greeley, CO 80632 INSURER B : Various (See Attached) INSURER C : INSURER D: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 937445188 REVISION NUMBER: THIS IS TO CERTIFY 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 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IS: LTR TYPE OF INSURANCE ADDL SUER INSD WVD POLICY NUMBER POLICY mm (MM/DD/WYY) POLICY EXP (MM/ITDVAIY) LIMITS A X COMMERCIAL GENERAL LIABILITY X I CLAIMS -MADE E OCCUR PER PARTICIPATION CERT 1/1/2024 1/1/2025 EACH OCCURRENCE $ 1,500,000 PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL 8, ADV INJURY $1,500,000 GENERAL AGGREGATE $1,500,000 GEN'LAGGREGATE LIMITAPPLIESPER: X POLICY O ❑ LOC JEPRCT X OTHER: Per Member PRODUCTS - COMP/OP AGG $ 1,500,000 Law Enforcemnet Liab $ 1,000,000 A AUTOMOBILE LIABILITY X ANY AUTO =OWNED ONLY X HIRED AUTOS ONLY X Claims Made SCHEDULED AUTOS X NON -OWNED AUTOS ONLY PER PARTICIPATION CERT 1/1/2024 1/1/2025 COMBINED SINGLE LIMIT (Ea accidenU $1,500,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ B UMBRELLA LIAR X EXCESS LIAR OCCUR X ci vios-MADE VARIOUS 1/1/2024 1/1/2025 EACH OCCURRENCE $10,000,000 AGGREGATE $ 10,000,000 $ DED I X I RETENTION $ 1 nnn flnn WORKERS COMPENSATION AND EMPLOYER& LIABILITY Y / N ANYPROPRIENTI'I ARTNEDREVECUTIVE ❑ OFFICER/MEMBEREXCLUDED? (Mandatory in NH) If yes, describe 'OPERATIONS OF OPERATIONS below N/A I STATUTE I I ERH E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A B Prop, Mab Eq, Auto PD, xs Excess Property PER PARTICIPATION CERT See Attached 1/1/2024 1/1/2024 1/1/2025 1/1/2025 DEDUCTIBLE 3500 Layered $150,000 See Attachment DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Casualty Program includes General Liability, Auto Liability, Law Enforcement Liability, & Pubic Officials Liability Umbrella Liability coverage includes E&O coverage for alleged violations for privacy rights. Coverage for Registed Dieticians/Nutritionists is included in the above. RE: Area Agency on Aging contract witht he State of Colorado. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN State of Colorado, Division of Aging & Adult Services ACCORDANCE WITH THE POLICY PROVISIONS. 1575 Sherman, 10th Floor Denver CO 80203 AUTHORIZED REPRESENTATIVE USA ,P,/ K.caa� ACORD 25 (2016103) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COLORADO COUNTIES CASUALTY AND PROPERTY POOL 1/1/2024 TO 1/1/2025 CASUALTY - LAYERED PROGRAM - POLICY NUMBERS, PARTICIPATION Layer Carrier Policy Number Limit Retention Primary GL, AL, POL Law Enforcement Liability Excess Layer $5M xs $5M Ambridge (Lloyd's) Lexington Insurance Co. Allied World Assurance Co. PK1041524 03824686101 03136790 $4,500,000 $4,000,000 $1,000,000 $5,000,000 $1,500,000 COLORADO COUNTIES CASUALTY AND PROPERTY POOL 1/1/2024 TO 1/1/2025 PROPERTY - LAYERED PROGRAM - POLICY NUMBERS, PARTICIPATION Attachment Clause for Master Policy Layer Carrier Policy Number Participation % Limit Participation Authorized Siganture Primary Layer Total Excess Layer $15M xs $10M Total Excess Layer $25M xs $25M Total Excess Layer $50M xs $50M Uws at Lloyds (various) - LEAD CV Starr Westchester Surplus Munich Re Allied World UW at Lloyds (various) CV Starr Evanston (Markel) Eagle Munich Re Westchester Surplus Lines PW0330024, PW0330124 SLSTPTY11929924 D38095432007 R1A3PP000000601 031216751A PW0330024 SLSTPTY11929924 MKLV2XPR001879 EAGLE110568AREFWX01 R1A3PP000000601 D38095432007 Spectrum TBD Aspen Specialty Vs. Co. PXOOK6224 Munich Re 78A3XP000096101 Lexington Ins. Co. 6893563 Sompo BPD30000376001 Westfield XAR00018K901 Starstone Q87959240CSP RSUI Indemnity Co. Mitsui Munich Re Excess Automobile Physical Damage - Endurance over the Road NHD928943 EXP7000992 78A3XP000096101 I M U 10012212606 $4,500,000 $2,000,000 $1,000,000 $1,000,000 $1,500,000 $4,500,000 $3,000,000 $2,500,000 $2,000,000 $1,500,000 $1,500,000 45% 20% 10% 10% 15% 30% 20% 17% 13% 10% 10% $3,750,000 15% $2,500,000 10% $3,750,000 15% $5,000,000 20% $2,500,000 10% $3,750,000 15% $3,750,000 15% $27,500,000 55% $15,000,000 30% $7,500,000 15% $4,000,000 xs $1,000,000 100% 02/28/2023 6:46:24 PM -0500 IRS PAGE 2 OF 2 Department of the Treasury Internal Revenue Service Ogden, UT 84201 COUNTY OF WELD BOARD OF COUNTY COMMISSIONERS % OFFICE OF THE CONTROLLER 1150 0 ST GREELEY CO 80631-0000 000 Taxpayer Identification Number: 84-6000813 Form(s): Dear Taxpayer: In reply refer to: 0440429483 Feb 28, 2023 LTR 147C 84-6000813 Thank you for your telephone inquiry of February 28th, 2023. Your Employer Identification Number (EIN) is 84-6000813. Please keep this letter in your permanent records. Enter your name and your EIN on all business federal tax forms and on related correspondence. If you have any questions regarding this letter, please call our Customer Service Department at 1-800-829-0115 between the hours of 7:00 AM and 10:00 PM. If you prefer, you may write to us at the address shown at the top of the first page of this letter. When you write, please include a telephone number where you may be reached and the best time to call. Sincerely, Ms. Johnson 1004656369 Customer Service Representative Hello