HomeMy WebLinkAbout20242234.tiffRESOLUTION
RE: APPROVE GRANT CLOSEOUT CHECK LIST FOR VARIOUS WORKFORCE
INNOVATION AND OPPORTUNITY ACT (WIOA) PROGRAMS, AND AUTHORIZE
CHAIR TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with a Grant Closeout Check List for Various
Workforce Innovation and Opportunity Act (WIOA) Programs 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, and the Colorado Department of Labor and Employment,
with further terms and conditions being as stated in said grant closeout check list, and
WHEREAS, after review, the Board deems it advisable to approve said grant closeout
check list, 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 Grant Closeout Check List for Various Workforce Innovation and
Opportunity Act (WIOA) Programs 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, 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 grant closeout check list.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 21st day of August, A.D., 2024.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, CO
ATTEST: ,4,,, .t Chi( %t
Weld County Clerk �tolthe Board
Bk.J M ' Ou 1,6i L
Deputy Clerk to the Board
APP =VED
n y orney
21
Date of signature: I '
0
Ke Ross, Chai
Perry L. B / k, Pro-Tem
Mike, reeman
K. James
on Saine
cc . HS D, A cT(1p/cot
og /06/9)4
2024-2234
HR0096
Cory va c+lDA8(oZ4-
BOARD OF COUNTY COMMISSIONERS
PASS -AROUND REVIEW
PASS -AROUND TITLE: 2023-24 Workforce Innovation and Opportunity AM (WIOA) Grant Closeout
DEPARTMENT: Human Services DATE: August 13, 2024
PERSON REQUESTING: Jamie Ulrich, Director, Human Services
Brief description of the prohlem/Issue: The Department is requesting approval of the 2023-24 Workforce
Innovation and Opportunity Act (WIOA) Grant Closeout. The Colorado Department of Labor and Employment
Annual Grant Closeout Report includes reporting of Program Income, Stand -In Costs, Grant Closeout
Reconciliations, Inventory Lists, Tax Certification, Refund Rebate Credits, Unclaimed Checks and Grant
Recipient Release Forms all for CDLE Grants closed out in SFY 2023-2024,
What options exist for the Board?
• Approval of the 2023-24 Workforce Innovation and Opportunity Act (WIOA) Grant Closeout.
• Deny approval of 2023-24 Workforce Innovation and Opportunity Act (WIOA) Grant Closeout.
Consequences: The 2023-24 Workforce Innovation and Opportunity Act (WIOA) Grant Closeout will
not be submitted.
Impacts: Weld County may lose Grant funding for WIOA Programs.
Costs (Current Fiscal Year / Ongoing or Subsequent Fiscal Years):
• Total Grant Award for 2022-2023 = $3,201,163.00
• WIOA Grant distributions are funded by CDLE.
Recommendation:
• Approval of the 2023-2024 WIOA Grant Closeout and authorize the Chair to sign all pages.
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
Vh�
(.1L _ -
Pass -Around, Memorandum; August 13, 2024 - CMS ID 8624
2024-2234
Y4Y2-C OR
AilW®COLORADO
Department of
Labor and Employment
Finance: 633 17th Street, Suite 1100, Denver, CO 80202-3660
Colorado Department of Labor and Employment
Grant Closeout Check List
Workfirce Region / Entity Code: Employment Services of Weld County -5230
Address: PO Box A, Greeley, CO 80632
Director: Karina Amaya Ragland
Phone Number: 970-400-6763
Fiscal Manager: Leonard Bottorff
Phone Number: 970.400.6537
Master Grant/Contract Agreement Number: CMSi1105079
Final Due Dates: The fourth Friday of August 2024 (Aug 29, 2024). The closeout package without
proper signature will not be accepted.
Please coordinate with your program liaison if you are unable to spend your NFA allocation.
CLOSEOUT SUMMARY CHECKLIST:
Please list all the funds from NFA's with the period of performance ending June 30, 2024 (please
create an attachment if applicable): Please list all the program code by the program year
accordingly starting from PyNN to FyNtt. Please see the example below:
Program
Year-
Program
Code
Program Code Title/Grant
Budget
Actual
PY22
29C2
UI RHEA
$3,585.00
$3,585.00
PY22
2062
WP_ County Allocation
$573,916.00
$573,916.00
PY22
2M62
Wagner Peyser 10% Migrant Seasonal Farm
Worker
$43,331.00
$43,331.00
PY22
2562
Wagner Peyser 10% Summer Job Hunt
$42,000.00
$42,000.00
PY22
4Y62
WIOA 10% Youth Local Admin ..
$76,721.00
$76,721.00
PY22
4Y72
WIOA Youth Min 75%YOS Prog and 25%YDS
$552,397.00
$552,397.00
PY23
4AP23WE
WIOA Adult
$111,691.00
$111,691.00
PY23_ __
4DP23WE
WIOA Dislocated Worker
$121,342.00
$121,342.00
PY23
4ND2
WIOA DW-Program TRF to Adult
$400,050.00
$400,050.00
PY23
WAG23WE-
WSJH
Wagner Peyser 10% Governor's Summer Job
Hunt
$21,000.00
$21,000.00
If you have any questions . need assistance, please do not hesitate to contact:
Email: pauld.chavezC�stat.co.us and leepoh.francsC�state.co.us.
zoig-2234
JewCOLORADO
Department of
Labor and Employment
Finance: 633 17th Street, Suite 1100, Denver, CO 80202-3660
SFY24
2ESFWE-
ESOP
ESF Supplemental/PACE Initiative
$164,009.00
$164,009.00
SFY24
2ESFWE
ESF
$412,648.00
$412,648.00
FY22
41223
Quest Recovery DWG Admin
$20,000.00
$20,000.00
FY22
42233
Quest Recovery DWG Program
$180,000.00
$180,000.00
FY23
2623
Jobs for Veterans State Grant (JVSG) DVOP
$10,000.00
$10,000.00
FY23
46A2
WIOA Adult Local Admin
$54,533.00
$54,533.00
FY23
4762
WIOA 25% DW Enhanced Admin
$20,738.00
$20,738.00
FY23
4862
WIOA DW Prog Local/Counties
$90,099.00
$90,099.00
FY23
4962
WIOA DW Enhanced Prog
$186,643.00
$186,643.00
FY23
4862
WIOA DW-Admin TRF to Adult
$44,450.00
$44,450.00
FY23
4TD2
WIOA 10% Eval & Cont-DW 10%
$25,000.00
$25,000.00
FY23
4WA2
Performance Incentive Funds(PIF)-WIOA
OW
$35,000.00
$35,000.00
FY23
FLBR23WE
FLC
$12,010.00
$12,010.00
Total
$3,201,163.00
$3,201,163.00
I. All the PROGRAM CODES from the CLOSEOUT SUMMARY CHECKL/ST/BUDGEVACTUAL,
must be fully spent. There should not be any remaining balances. If there are any remaining balances,
then, please provide an explanation with a screenshot of "Funds Available Inquiry" from WFD report.
Also, please work with your Regional Liaison with the remaining budget balances.
CERTIFICATE PHYSICAL INVENTORY & PHYSICAL INVENTORY LIST: Please be sure to
add Program year and program code & the descriptions for the purchases of physical inventories.
If NO physical inventories were purchased, then, please use the verbiage below. See example Please
identify the grant year accordingly.
No physical inentory purchased for the following grants: PY##-FY## WIOA-ADULT,
DW, YOUTH.
Each Program Year (PY) and funding stream listed above will have the following forms
completed:
• Form Attachments are E, F, H, I, and WFD Regional Report:
o Attachment E - Program Income Expense Report Form
o Attachment F - Stand -In Cost Repast Form
o Attachment H - Grant Closeout Reconciliation Worksheet
o Attachment I - Closeout Document Package - all I attachments
o WFD Regional Report (Parameter: Period as of June or July 2021; Report Type -
PJTD)
If you have any questions or need assistance, please do not hesitate to contact:
Email: pauld.chavez@state.co.us and leepoh.francis@state.co.us.
COLORADO
Department of
Labor and Employment
Finance: 633 17th Street, Suite 1100, Denver, CO 80202-3660
Please use the forms sent via email do not reference the attachments from the PGL website. All
attachment E, F, H and I are in the spreadsheet named: ACCT-PGL-FIN-2019.08 Subrecinient-
Financial-Procedures-attach-02-Closeout Package...
Please attach appropriate supportive documents with Attachment E, F, H, and I. It is optional to
transfer information to Attachment E, F, H, and I upon sub -recipients decision.
Please submit the Grant Closeout Check List and Subrecipient Certification of Physical Inventory
(the first page of Attachment I) with Authorized Signature to Colorado Department of Labor and
Employment by the 4`" Friday of August. Please submit the electronic copy via email to
pauld.chavez@state.co.us.
I certify to the best of my knowledge and belief the following financial data reported in this closeout
packet and the above statements are correctly reported along with all the attachments.
Prepared by
S4:oC�S 1 ✓� Cry/ s 14120 2
Title, and Date
o
Albs 2 12024
Kevin D. Ross, Chair,
Board of Weld County Commissioners
ATTEST: dare( onifs .erp;,,e
Clerk to the Board
Bv:
Deputy Clerk
the Br
Date
If you have any questions or need assistace, please do not hesitate to contact:
mail: pauld.chavezCastate.o.us and lepoh.francisC�state.co.us.
2oz.Ll -2234
Part 1
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
EMPLOYMENT AND TRAINING PROGRAMS
PROGRAM INCOME EXPENSE REPORT FORM (PIER,
SUBRECIPIENT: Employment Services a( Weld County
1, CUMULATIVE PROGRAM INCOME CASH REPORTED ON CASH REQUEST THRU QUARTER END DATE
Amoun[
NET (Untlisbemed, LINE ITEM
2. BUDGET ALLOCATION:
CERTIFICATION:
Olsbursetl
Tatel ProO Income
Progfam Income (E[pontled)
0 00
0.00
Nel (Untllsbufsetll
P(oRfam Income
0.00
0 00
0 00
0 00
000
0.00
0 00
aoo
0.00
0 no
AUG 2 1 2024
AumorleaE SlBeslura eeiu
zc z% —2234
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
EMPLOYMENT AND TRAINING PROGRAMS
STAND-IN COST REPORT FORM (SICRF(
Closeo ul Part
Page 1 a12
GRANTS
COST CATEGORYSESIIBG0GET LINE ITEMISI
al
ANT NAME WIOAA
ANT NAME
le
Curren)
Prlor
Before Prior
Yo
GRANT NAME
GRANT NAME
GRANT NAME
GRANT NAME
Pno:
Prior
ANT NA
ANT NAME
Curren
Prio
ear Before Prim
CERTIFICATION:
AUG 2 1 2024
utnonee0 Sinna Are
202.4 -2234
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
EMPLOYMENT AND TRAINING PROGRAMS
STAND-IN COST REPORT FORM (SICRF)
Program code: CMSk105079
COST CATEGORY(IES,BUDGET LINE ITEMISI
GRANTS
tr
Roo
tae
Cunene
Pno
r Before Pnor
GRANT NAME
AN
AME
ANT NAME
Cur
veo�
Before Prioi
ANT NAME
Cvrrem
Pria
ear Belpre Prmr
CERTIFICATION:
I terrify to Ibe bes/ kwry
0
nuNorlecU Slgnalure
AUG 2 1 2024
202g-7234
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Cmseout Part
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SU BRECIPIENT Employment Services of Weld County
ADDRESS PO Box A. Greeley, CO 80632
EA/WORKPLAN START DATE: 10/1/2022
PROGRAM INCOME START DATE
YEAR OF FUNDS FY23
TITLE/PROGRAM/PROJECT
END DATE 12/31/2023
END DATE
1. CASH RECUESi
1. Total program antl Atlmin Cash needs Preciously Reported
2..Current Program and Admin Cash Needs
3, FINAL Program antl Atlmin Cash Needs Contracl to Date
II. PR GRAM EXPENSE REPORT (ER)
10.000.00
10.000.00
e
rough Last Month)
rt Awartl)
10,000.00
10,000.00
es Cont
to
(Through Last Month)
of Awartls)
la!e_
0.00
M. PROGRAM /NCOME(PIJ EXPENSE REPORT -
1. Total Program Income Excenses Reported (Last Qarter)
2. Current Program Inwme Expenses (Through Entl Dale of Contract)
3.TOTAL PI Expenses Through Entl.Da!e of Contracl
V. RECONCILICATION
1. FINAL Cash Request Contract ie Date
2. FINAL Expenses Through End of Contracl
3. Cash Request to Dale = Expense reported Through End Date of Contract?. (Check Box)
V. CASH REOUESTPROGRAM INCOME CASH REPORTED
Total PI Cash Previously Reportetl on Cash Request
Current Program Income Cash (Through End Date o1 Contracl)
3. FINAL Program Income Cash Contract fo Dale
V1. RECONCILIATION
1. FINAL Program Income Cash
. Less Program Income Exeenses Through Contract End Date
. Total PI Cash Balance
7' CH
RECONCILIATION'
L Mateh Raporletl Through End d Contracl
2
0.00
Yes r. -It /No
0. 00.0
10.000 00
0.00
0.00
0.00
0.00
5. T¢lal I
alt
nd of Contracl
enure Cgntractlu9l Ragwremen!
10.000 00
Yes 17 /Nc (]
0.00
p�agiam Income Expense Report an, Casa Request pan only Ae eirenpeE rhmugh Me avai p., of Me A.'E andar EeOeml lu.. perad
Aulheezed Signature
Da' AUG ? 2! 2024
Date
Zoe-1-ZZ31
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services el Weld Conroy
ADDRESS PO Box A, Greeley, CO 60632
EA/WORKPLAN START DATE: 10/1/2022
PROGRAM INCOME START DATE
YEAR OF FUNDS FY23
TITLEIPROGRAMIPROJECT WIOA Adult Local Admin
END DATE 6/30/2024
ENO DATE
I,CASHREQUEST
7. Tplal program antl Admin Cash n
54.533.00
54.533.00
ll. PROGRAM EXPENS
1. Total ExpensesAccra
2 Current Expenses «F
3, FINAL Program Exol
ADMINISTRATIVE EXPENSE (ERJ
4, Total Ezpenses«Accruals PreviousP
5. Current Expenses«Accruals (Thrpul
6. FINAL Atlminis(rative Expenses C
Ill. PROGRAM INCOME(PIJ EXPENSE REPOR
1, Total Prpgram In<ome Expenses Repolletl (L.
2. Current Program Income Expenses (Through
J. TOTAL PI Ezpenses Through End Dale al Cc
IV. RECONCILICAPON
1. FINAL Cash Request Cpnvacl tp Dale
. FINAL Expenses Through Entl of Contract
. Cash fteauesl to Dave = Expense reported Through End Date of Contract? (Check Box)
V CASH REOUESiPROGRAMINCOME CASN REPORTED
1. Total PI Cash Previously Reportetl on Cash Request
2, Current Program Income Cash (Through End Date of ConlfacQ
]. FINAL Program Income Cash Contract 1p Date
VI. RECONCILIATION
1, FINAL Prpgram Income C.
2. Less Program Br
eE"e
3. Total PI Cash Balance
VII. MATCH RECONCILIATION
T (ER.1
d hrough Last Month)
Jate of Av�artl)
0.00
(Thrpugl
e of Awa
asl Month)
_ _ 54.533.00
54.533.00
r)
of Contract)
Yes /No 11 _
OAO
54.533.00
54.533.00
0.00
0.00
0.00
0.00
p nttacl
I
Preparer's Signatur�`!� \
heck B.
114e avaJa y 14e AwaN anO/or FeCeral lunE%nq penaO.
54,533 00
0.00
Date � I 1 I z7
Dale AUG 2 1 2024
2624-ZZ34
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County
ADDRESS PO Box A, Greeley, CO 80632
EAANORKPLAN START DATE: 10/1/2022
PROGRAM INCOME START DATE
YEAR OF FUNDS FY23
TITLE/PROGRAM/PROJECT WIOA 25, TWO Enhanced Admin
END DATE 6/30/202♦
END DATE
3.
ll.PROGRAM EXPENSEREPORT(E'
1. Total Exoenses•Accruals Previously
2. Current Expenses • Accruals (Thrcugt
3 FINAL Program Expenses Contract tc
ADMINISTRATIVE
I. clot xpenses•At
5 Curren) Expenses•
fi. FINAL Ad='
11
gram end Adm
Ne
20,738.00
20.738 00
(Through Last Month)
ife of Award)
ne
ugh Last Month)
wartls)
20.738.00
20.738.00
OGRAM/NCOME(PIJEXPENSEREPORT
II Program Income Expenses Reported (Last
2, Current Program Income Expenses (Through Entl
. TOTAL PI Expenses Through Entl Oate of Contra
IV. RECONCILICATION
1. FINAL Cash Request Contract I� Dale
2. FINAL Expenses Through E. of Contract
3 Cash Request b Date = Expense reportetl Through End Date c/Conlracl? {Check Boxl
V: CAS/1 REQNEST PROGRAM INCOME CASH REPORTED
1. Total PI Cash Previously Reportetl on Cash Request
2. Cuuent Program Income Cash (Through End Oate of Conlracl)
3. PI
r)
re Conlracl)
0.00
Pr
tra
Yes rj/Na �l
73
00
20.738 O0
0.00
IL
3. Total PI Cash
VII. MATCH ,CR°41CILIATION
1 FINAL Match Reported Through E. or Contract
—0.00
0.00
0.00
4 Malci
5 Total
•!ne program Income Eipense Repo, one cash Reguesl can only he extended Mrougn Ine availao,n, arine awn,' and/n, Federal luntling pen,
Repo ed
nt
to
tch Expenditure Requirement? (Check Box)
20.7?8.00
s ❑ /No ❑
0.00
Preparers s�gnamre �T�.
it-i7jr1
2024
202U'zrz34
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT CLOSEOUT RECONCILIATION WORKSN EET
SUBRECIPIENT
ADDRESS
PO Box A. Greeley, CO 80632
EAIWORKPLAN START DATE: 10/1/2322
PROGRAM INCOME START DATE
YEAR OF FUNDS FY23
TITLE/PROGRAM/PROJECT WIOA DW Frog Local/Counties
END DATE 6/30/2024
END DATE
CASN REgUEST
Total program antl Atlmin Cash neetls Preciously Reporte
2 Current Program and Atlmin Cash Net:
7. FINAL Pfapram antl Atlmin Cash Needs Conlracl to Dale
ll. PROGRAM EXPENSE REPORT (ERJ
1. Total ExpenseseAccruals Previously RepOrt8d (Through last Momhj
2. Current Expenses +Atc': (Through Entl Date al Award)
FINAL Pr pram Expenses Conlracl le Date
AOMINISTRATI
4. Total Expenses
5. Current Expenst
6. FINAL Adminis
90,099 00
90.099.00
_ 90.099 00
90.099.00
xp
ex
tra
Last Month)
ptls)
0.00
DENSE REPORT
ses Reported (Last Oua
at of Con
0.00
0.00
TIO
eq
:nd of Contract
dense repaftetl Through End Dale of Contract? (Check Boet
Yes DTI INo
90.099.00
90.099.00
V CASH HE0UEST PROGRAM INCOME CASN REPORTED
1. Total PI Cash Previously Repartetl pn Cash Request
2. Current Program Income Cash (Through Entl Date at Conlracl)
7. FINAL Prapram Income Cash Contract to Dale
VI. RECONCILIATION
1. FINAL Program Income Cash
2. Less Program Income Expenses Through Contract Entl Date
7. Total PI Cash Balance
0.00
0.
0.00
0.00
°,: Contract
lact
90.099,00
Yes g INo
0.00
of the Awa N and/or £r.Neial IunTing pena0.
_
Date AUG 2 1 2024
2024-2231}
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County
ADDRESS PO Box A. Greeley. CO 80632
EAIWORKPLAN START DATE: 10/1/2022
PROGRAM INCOME START DATE
YEAR OF FUNDS FY23
TITLE/PROGRAM/PROJECT WIOA OW Enhanced Pmg
END DATE 6/30/2029
END DATE
CASN a
RE=ST
1. Total program and Admin Cash needs Preciously Reported
2 Current Program and Atlmin CaNeeds
3.. FINAL Preqram antl Atlmin Cash sh Needs Contract to Oale
II. PROGRAM EXPENSE REPORT (ERJ
1, Total Expenses.Accruals Previously Reported (Through Last Month)
2. Current Expenses . Accruals (Through End Date of Award)
3. FINAL Propmm Expenses Conlract to Date _
166.643.00
186.693.00
186,693 00
186.643.00
4.
INIS7RATIVE EXPENSE (ER)
xpenseT4I':als E5Frusly RepoRetl (Through Last Month)
n1 Expenses.Accruals (Through Entl Date of Awards)
L Ad ministrativ Expenses Conlract to Date
0.00
1111. PROGRAM lNCOMEiPIJ EXPENSE REPORT
t Total Program Income Ezoenses Reported (Last Ouarler)
2. Current Program Income Expenses (Through End Date of Conlract)
J, TOTAL PI Expenses Through Entl Date or Contract
IV. RECDNCILICATION
t. FINAL Cash Request Contract to Dale
2. FINAL Expenses Through End of Contr
0.00
Th
/No
186.693.00-
186.643.00
V CASN OUES
1. Tatpl PI RECash Pn
2. Current Program Income Cash (1
3. FINAL Program Income Cash Co
VI. RECONCILIATION
1. FINAL Program Income
2. less Program Income E
J,Total p7.7 Balance
V111. MATCH RECONCILIATION
1 FINAL Mach Reported Through End of Contract
3,
5.
'The 449994Inopme E,enze Rep49 949 Laah Regvesr can., En e9lena4e Mrovgn the aralah9/4 vl the 9,99,7 44944 Federal luntling penuC.
A
et to Dat
ED
0.00
D00
0.00
0.00
:h Expentliture Requirement
I Match Reported > or = to Match Expenditure Requirement'! (Check Box)
186.693.00
Yes n /No LI
0.00
Preparer's Siynalure..`3%L'�j/
Authorized Signature ate/
Daee ),Y
Date 6 2 1 2024
zuz4-2234
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT CLOSEOUT RECONCILIATION WORKSHEET
ADDRESS PO D. A, Greeley, CO 30632
EA/WORKPLAN START DATE: 10/1/2022
PROGRAM INCOME START DATE
YEAR OF FUNDS FY23
TITLE/PROGRAM/PROJECT WIOA DW-Admin TRF to Adult
Program code 4632
END DATE 6/30/2024
END DATE
1,
N REQUEST
Drogramantl Admin Cash needs. Pfeclously R"'"'ant Program and Admin Casn Needs
Program anD Admin Cash Needs Contract to Dale
44.450.00
44,450.00
11. PROGRAM EXPENSE REPOR
7. Total Expenses+Accruals Previl
2. Curtent Expenses «gccruals (T
3_FINAL Program Expenses Can
ADMINISTRATIVE EXPENSE (ER)
4. Toml Expenses+Accruals Previously Repoi
5. Current Expenses«Accruals (Through End
FINAL Administrative Expenses Conlratl
111. PROGR/IM INCOME(PIJ EXPENSE REPORT
1. Total Program Income Exnenses Reportetl (Last
2..Current Program Income Expenses (Through En
7. TOTAL PI Ezpenses Through End Data of Cony
IV RECONCILICA TION - "
1. FINAL Cash Request Conlratl to Date
2. FINAL' F_rpensea Through End or Conlratl
7. Cash Request to Dale = Expense reported Thrtugn End Date or Contra.„ (Check Box?
V CASR REOUESi PROGRAM INCOME CASN REPORTED
V Total PI Cash Previously Reported on Cash Request
2. Current Program Income Cash (Through End Date or Conlratl)
rte
at Meal,
0.00
at Month)
44 450.00
at
0.00
44,450.00
44.450.00
Ira
Da
0.00
VL RECONCILIATION
1. FINAL Program Income Cas
0.00
0.00
0.00
VII. MATCN RECONCILIATION
1. FINAL Match Reported Through End of Conlratl
2, FINAL Expenses Through End of Conlratl
3. Match Percentage o! Expentlilure Conlracttual Requirement
4 Match Expenditure
la
44.450.00
0.00
De areal.. Income Expense Report and Ca5D Reeve. can only De ea... eaDeDD (De Depilate'', DI !De AwaN andhrfedeDel funding Ceded
Date
Date AUG 2 1 2024
Authitaaed Signature
0
ZOZ.LI —ZZY4
enl Program Income Expenses (Through Entl C
TAL PI Expenses Through End Date of Contract
to of Contract,
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT _
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Service: of Weld County • YEAR OF FUNDS FY22 -
ADORESS PO Bon A. Greeley, CO 60632 TITLE/PROGRAM/PROJECT Quest Recovery DWG AOmin
EAIWORKPLAN START DATE: 9/26/2022
PROGRAM INCOME START DATE
END DATE 0/]7/2024
END DATE
20.000.00
20.000 00
20.000.00
20.000.0D
20.000,00
Reparletl on
Gash (Throw
sh Cantrac
st
2. Lesc Program Inca
], Total PI Cash Balai
Vll.'MATCH . RECONCfLlATfON
1. FINAL Match Reported Thrau
Requirement
ere Requrt t7Zie7
only ee earende0 throw
ily d the pwarOanOkr Fetle,e,.Oino pen.
0.00
0.00
0.00
0.00
20.000.00
0.00
Dale $1 1 0,-Y
Dale AUG 2 1 2024
Authorized Signature
2.02,1— 2264
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT CLOSEOUT RECONCILIATION WORKSHEET
YEAR OF FUNDS FY22
ADDRESS PO Sox A, Greeley, CO 60632
EA/WORKPLAN START DATE: 9/28/2022
PROGRAM INCOME START DATE
TITLE/PROGRAM/PROJECT Ouest Recovery DWG Program
END DATE 8/31/2027
END DATE
I. CASN T
1 Total progREOraUESm and Admin Cash needs Preciously Reportetl
2. Current Program and Admin Cash Needs
], FINAL Program and Admin Cash Needs Contract to Date
ll. PROGRAM EXPENSE REPORT (ERJ
1. Total Expenses�Accruals Previously Reportetl (Through Last Manlh)
2. Currant Expenses +Acct oats (Through Entl Date o/ Award)
0.000.0
180.000.00
AL Progfam Ex
es Conl
180.000.00
AOMIN/STRATIVE EXPENSE (ERJ
4. Total Expenses*Accruals Previous)
5. Current Expens.e,=, cruals (Thraul
6. FINAL Administrative Expenses
111. PROGRAM INCOME(P!1 EXPENSE REPORT
i. Total Program Income Exoenses Reportetl (Las
enl Program Income Expenses (Through Ei
AL PI Expenses Through End Dafe of Conl
ported (Through Last Month)
nd Dale of wards)
nt
0.00
3.
IV RECONCILICATlON
1, FINAL Cash Request Contract la Dale
2. FINAL Expenses Through Entl of Contract
]. Casn Request to Date = Expense reported Through End Date of Contract? (Check Box)
V CASN REQUEST PROGRAM INCOME CASN REPORTED
1. Total PI Cash Previously Reported on Cash Request
2. Current Program Inrame Cash (Through End Date a1 Contract)
]..FINAL Program Income Cash Contract to Dale
VI. RECONCILIATION
1. FINAL Program Income Cash
2. Less Progfam Income Exaenses Through Contract End Dale
3.. Total PI Cash Salante _
V/1. MATCH RECONCILIATION
1. FINAL Match Reportetl Through Entl o1 Contract
Contract)
180,000.00
180.000.00
Yes I-, /No fl
0.00
0.00
0.00
0.00
Match Expendlture Requirement
Total Match Reported > or = fo Match Expenditure Requlrement9 (Check Box)
180.000 00
INo
0.00
i pma in+ome E+pense Repo land Cash Reque l can only hee+leneee lh ouph lne availahAily ollne Awareane/or Feeelalluneing pence.
Dale B `119.-Y
Data AUG 2 1 2024
207,4- 2234
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT . Employment Services a/ Weld County YEAR OF FUNDS FY23
ADDRESS PO Doff A, Greeley, CO 50632 TITLE/PROGRAM/PROJECT WIOA 10%5,4 Cool-DW 10%
EA/WORKPLAN START DATE: 7/1/2023
PROGRAM INCOME START DATE
END DATE 6/30/2024
END DATE
PrwJrom and Atlinio
'rygrom antl Atlmin !
rouyn Lasl raonin)
of Award)
25 000 00
25.000.00
r Last Month)
tls)
FINAL A
0.00
2. urren) Frogram Income Expenses I'fhr
3 TOTAL PI Gpenses Tnrouyh Entl Date
o! Contract)
orina 444.a Or Fad,. I,
(Date AUG 2 1 2024
2025-1-7234
COLORADO_DEPARTMENT_OF LABOR AND EMPLOYMENT
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services al Weld County
, ADDRESS PO Box A, Greeley, CO fl0632
EAI W ORKPLAN START DATE: 12/1/2023
PROGRAM INCOME START DATE
YEAR OF FUNDS FY23
TITLE/PROGRAM/PROJECT Performance Ince.. Funds(PIF),,WIOA
END DATE 6/30/202,
END DATE
1. CASN REQUEST
1. Total program and Admin Cash
ee
35.000.00
11. PROGRAM EXPENSE REPORT (ER)' '
1 Total Expenses�Aceruals Previously Reported (Through Last Mcnlh)
2. Current Expenses • Accruals (Through End Dale of Av�artl)
3. FINAL Program Expenses Contract to Date
AOMINISTRATIV
d. Total E%penses�P
5. Current Expenses
fi FINAL Admin str
35.000,00
35,000.00
atl
pe
(
to
Last Month)
s)
0.00
Yrogrdm Income txoenses Reported(Last Ur
enl Program Income Expenses (Through End C
AL, Pi Expenses Through End Date of Contract
0.00
IL TI
2.
Iraq to Date
Contract
reported Through•End Date of Contract? ICheclr Box)
pe
V CASN REQUEST PROGRAM INCOME CASH kEPORTEO
1. Total PI Cash Previously Reposed on Cash ftequesl
2. Current Program Income Cash (Through End Date el Contract)
3. FINAL Preyram Income Cash Contract to Date
V1. RECONCILIATION
1. FINAL Program Income Cas
35,000 00
35,000.00
Yes 7 INo
0.00
0.00
0.00
0.00
VII. MA . CM RECONCILIATION
. FINAI. Match Reported Through End of Conl!act
2. FINAL Expenses Through End of Contract
3. Match Percentage o(ExpendiWre Conlracllual Requirement
5.
Ma
e Om9 am Income E�penae ReOort anJ cash Rep�ea! can only. exrendeJ lhraugh the availeEJily dMe AwaM and/or FeJaral /unomp PeneJ
35,000.00
Yes ❑ /No
0.00
Preparer's slGnalurPr�2/}�c
Authorized Sienalure 7 n
Leto fill,24
Dale AUG 2 1 2024
2.oz --Z23-
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT
ADDRESS
PO Box A, Greeley. CO 80632
ENWORKPLAN START DATE: 10/112023
PROGRAM INCOME START DATE
rogrem and Admin Cash neetls Preciously Repgrtetl
1 Program end Admin Cash Needs
Pragmm and Admin Cash Neetls Conlratt to Dale
.total txpenses.Accruao
Current Expenses
FINAL Program Experts
ADMINISTRATIVE EXPEL
M1. Total Expenses.Acen:als I
. Current E ,',76es�Accrua
6,FINAL Atlminlslralive Exi
111. PROGRAM INCOME(PIJ EXPENSE REPOT
1. Total Program Incpme Exoenses Reported (I
. Current Program Income Expenses (Through
TOlAL PI Expenses Through End Date or C
IV RECONCILICA /'ION
1. FINAL Cash Fiequesl Cgnlrac
2. FINAL Expert
sly
d (Through Last Month)
late or Awara)
ugh Last Mgnthl
warda)
of Contract)
YEAR OF FUNDS fV2]
TITLE/PROGRAMIPROJECT FLC
Program code FLBR23WE
END DATE 9/30/2024
END DATE
IDl P11)
oa,e AUG 2 1 2024
aed slanawre 7
Z02.4 -2Z34
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT-
closeout Pan 3
GRANT CLOSEOUT RECONCILIATION WORKSHEET
ADDRESS PO Box A. Greeley, CO 80632
EANVORKPLAN START DATE: 3/22/2023
PROGRAM INCOME START DATE
YEAR OF FUNDS PY22
TITLEIPROGRAM/PROJECT UI RESEA
ENO DATE 8/31/2023
END DATE
1. CASN REQUEST
1. Total proplam and Admin Cash needs Preciously Reported
2. Curfenl. Program and Admin Cash Needs
3 FWAL Program antl Atlmin Cash Neetls Coglracl to Oate
11. PROGRAenM
Total Exp
2, Current Exp
],FINAL Prog
1.585.00
1.58500
ns
PO
T (ERJ
Iuslv Reoorte
nt
.(Through Last Month)
ale of Awartl)
_ 1,58500
pre
IV
SE (ER,
nt
Awa
0.00
111. PROGRAM INCOME(PIJ EXPENSE REPORT
1. Total Program Income Expenses Reported (Last Quarter)
2, Current Program Inwme Expenses (Through Entl Oale of Contract)
7. TOTAL PI Expenses Thrwgh Entl Dale of Conlracl
0.00
CONC/LICATIO
to Date
nd
3.585.00'
3,585.00
V.
1. Total PI Cash Previously Reportec
2. Current Program Income Cash (Th
]. FINAL Program Income Cash Con
fN
2. Less Program Income Ex
3. Total PI Cash Balance
VII. MATCH RECONCILIATION
1. FINAL Match Reportetl Through End of Contract
2, FINAL. Expenses Through End of ConVacl
3, Match Percentage or EzpendlWre Conlracllual Requirement
Match ExpentliWre Requirement
5. Total Match R o7;1 > ar. to Match Expenditure Requirement, (Check Bg.)
'The nrogran, Income,onse Report antl Cash Fen.. con on, LL cL,cnn. fnroogn!Lc evoLotnrty o/lne Awom, anNm Fedwal /Mg period
et
0:00
0.00
000
3,585.00
Yes Q INo
0.00
red 5i9nature
O
Data 9ISIzN
Data AUG 2 1 2024
zoz- —ZZ34
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUORECIPIENT Employment Services of Weld County
ADDRESS PO Oox A, Greeley, CO 80632
EAIWORNPLAN START DATE: 7/1/2022
PROGRAM INCOME START DATE
YEAR OF FUNDS PY22
TITLE/PROGRAM/PROJECT WP County Allocation
END DATE 6/30/2024
END DATE
CASH REQUEST
Total program and Admin Cash needs Preciously Reported
2. Current Program and Atlmin Cash Neetls
3. FINAL.Program and Admin Cash Needs Contract to Dale
Il. PROGRAM EXPENSE REPORT (EkJ
1. Total Expenses*Accruals Previously Report
2. Current Expenses � Attnials (Through End
]. FINAL Program Expenses Contract to Date
573
573.916.00
!Through Last Month)
le of Award)
_ 573.916.00
A
NI TS
EXTISE(ER)
roots Previously Repo
=xpenses.F
dministrati
nt to
0.00
111. PROGRAM /NCOME(P11 EXPENSE REPORT
1. iota! Program Income Expenses Reported (Last Ot
2 Current Program Income Expenses (Through End C
TOI AL PI Expenses Through End Date of Contract
I Contract)
0.00
;,ff. ATIO
ash Reques
.
gh End Date of Contract? (Check..)
V. LASN REQUEST PROGRAM INCOME CASH REPORTED
V Total PI Cash Previously Reported an Cash Reouesl
2. Current Program Income Cash (Through Entl Oale of Contract)
3. FINAL Program Income Cash Contract to Date
VI:RECONCILIATION
1. FINAL Program Income Casl
2. Less Program Income Exoen
3: Total PI Cash B=e
Vll. MATCH RECONCILIATION
1. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract
3. Match Percentage of Expenditure Contracltual Requirement
916.00
573,916.00
Yes ,No (]
0.00
0.00
0.00
0.00
5. Tc
573.916.00
Yes ❑ IN. ❑
— D�
pate s!?!zy
Date AUG 2 1 2024
zany -2 54
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT CLOSEOUT RECONCILIATION WORKSHEET
YEAR OF FUNDS PY22
ADDRESS PO Box A, Greeley, CO 80632
EA/WORKPLAN START DATE: 7/1/2023
PROGRAM INCOME START DATE.
TITLE/PROG RAMIPROJECT
END DATE
I. CASH REOI/EST
1. Total program antl Atlmin Cash needs
2. Current Program and Atlmin Cesh Nal
3. FINAL Program antl Ad min Cash Neel
ll. PROGRAM EXPENSE REPORT (ERJ
1. Total Expenses�Accry cr Previously Reporletl (Through Last Month)
2. Current Expenses � Accrvals (Through End Dale p( Award)
3: FINAL Program Expenses Contract to Date
ADMINISTRATIVE EXPENSE (ERJ
4. Total ExpenseseAccruals Previously Reporletl (Through last Month)
5. Current Expen:et::: [ruals (Throgh End Dale or Awards)
0 FINAL AtlTinistrative Expenses Contract to Date
111. PROGRAM /NCOME(P/J EXPENSE REPORT
1. Total Pragrnm Income Expenses Reporetl (Last
2. Current Program Income Ezpenses (Through En
3. TOTAL FlI Ezpenses Through Entl Date o! Conlr
IV RECONCILICATION
1: FINAL Cash Request Contract to Date
2. FINAL Ezpenses Through Entl of Contract
3.. Cash ftequesl to Dave = Ezpense reporietl Through End Date of Contract? (Check Box)
CASN REQUEST PROGRAM INCOME CASH REPORTED
Total PI Cash Previously Reporletl un Cash Request
2. Current Program Income Cash (Through End Dale of Contract)
3. FINAL Program Income Cash Contract to Date
Vl. RECONCILIATION
1 FINAL Program Income Ca
2, Less Program Income Expe
3. Total PI Cast) 9alance
VII. MATCH RECONCILIATION
1. FINAL Mach ReForled Through End of Cpnlracl
2..FI NAL Expenses Through End pl Cpnlracl
3. Match Percentage pt Expentlllure Conlracltual Requirement
4. Match Expenditure Requirement
5. Total Match Reported = pr = to Match Expenditure Repuiren
•Mc program Income Epense Feppr( and.. Fepuesl can Awaid and/or Federallunding periva
_ 43,331.00
93.331.00
43.331.00
43 331.00
0.00
al
Contract)
0.00
Yes /No [�
337.00
43.331.00
0,00
0.00
0.00
43,331.00
es /No
0.00
Pre •at rs Si!nalure
Data 19 i, Y
ere AUG 2 1 2024
Z 0 24-3L1
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT CLOSEOUT RECONCILIATION WORKSHEET
ADDRESS PO Box A, Greeley, CO 30632
EA/WORKPLAN START DATE: 1/1/2023
PROGRAM INCOME START DATE
YEAR OF FUNDS PV22
TIl'LE/PROGRAM/PROJECT Wagner Payser 10,4 Summer Jab Hunt
Program code 2562
END DATE 12/31/2023
END DATE
CASN REONES7
1, Tofal program and Admin Cash needs Preciously Repartetl
2, Current Program and Atlmin Cash Needs
3. FINAL Program and Atlmin Cash Neetls Contract to Dale
11. PROGRAM EXPENSE REPORT (El
Total ExpensesaAtcruals Previously Re
2. Current Expenses Attmals (Through
3 FINAL Program Eaper,ses Contract to
42.000.00
42,000 00
hrcugh Lasl Month)
of Award)
42.
42,000.00
Tot
6.
ll
INISTRATIVE EXPENS
0.00
aROGRAM INCzi:,E J EXPENSE REPORT
al I Program Income Exoenses Reported (last OuaM1er)
rent Program Income Expenses (Through End Dale of Contract)
OTAL PI Expenses Through End Date at Contract
0,00
IV: RECONCILICAi/ON
1. FINAL Cash Request CanVacl lO Dat
' FINAL Expenses gr,°"gh End al.ree„et
],.Cash Request to Date = xpense.reported Threugh.Entl Date of Contract? (check—
V CASN REQUEST PROGRAM INCOME CASR REPORTED
1. Total PI Cash Previously Reported on Cash Request
2. Cmrenl Program Income Cash (Through End Dale tI Conlracl)
3. FINAL Program Income Cash Conlracl to Date
Vl. REC
2-
. hlrvAl. Yrogmm IIICCm
2, Loss Program Income
3. (olal PI Cash Ralante
VIL MATCN RECONCILIATION
1, FINAL Match Repoded Through End of Corlfact
Yes /Ns _ �l
42,000.00
_ 0.00
ILIATIOI
0,00
0.00
aI
penditun
ch Repo
eq
42.000 00
Yes [PIN.
❑
0.00
eon gram Income E,penee Report.0 Ca. FM can only he ex...peal..
81O.2,
Date _ AUG _2 1.2024
TZ4—ZZ3q'
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County
ADDRESS PO Box A, Greeley, CO 60632
EA/WORKPLAN START DATE: 7/1/2022
PROGRAM INCOME START DATE
YEAR OF FUNDS PY22
TITLE/PROGRAM/PROJECT WIOA 10% Youth Local Admin
END DATE 6/30/2024
END DATE
an
76.721.0
76.721.00
ll. PROGRAM EXPENSE PORT (ERJ
t. Total Expenses.Accruals REPreviously Rep
2,
ea
ct
d (Through Last Month)
Jale of Award)
0.00
AONISTRATIVE
4, Total Expenses.Acc
6. Current ExpensesrF
6. FINAL Atlmi018lrati
Ill. PROGRAM /NOME(P/J EXPENSE REPORT
1. Total Program Income Exoenses Reported (Last Ouarler)
2. Current Program Income Expenses (Through End Dale of Co """
3 TOTAL PI Expenses Through End Date of Conlracl
PE
xp
eS
Iraq to Date
rd
sl Month)
76.721.00
CLICA TI
to
ale
nt
xp
to
of :di
se reportetl Through End Dale of Contract, (Check Box)
ate
/No
_ 76,721.00
76,721.00
V CASH REQUEST PROGRAM INCOME CASH REPORTED
1. Total PI Cash Previously Reporletl on Cash Request
2. Current Program Income Cash (Through End Date of Contract)
J. FINAL Program Income Cash Contract to Date
V!. RECONCILIATION
2V FINAL Program Inwme Cash
2; Less Program Income Exoenses Through Contract End Date
3_Total PI Cash Balance _. _ _ _ _
0.00
0.00
0.00
CH RECONCILIATION
Match Reported Through Entl of Contract
Expenses Through Entl of ConUact
al
76.721.00
Yes No
0.00
'TDe plpeiam Income Expense Rep. end Ca. Repueel can only De e.(enOepfDmuaD fDe avai]aDilly o/Ine AwarO anNrvletleral /undinp Penpd
Preparers Signalury
o-�
Date
Date AUG 2 1 2024
zc 4-2x54
ADDRESS PO Box A. Greeley; CO 60632
EAIWORKPLAN START DATE: 7/1/2022
PROGRAM INCOME START DATE.
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIP!ENT Employment Services of W.! County YEAR OF FUNDS PY22
TITLE/PROGRAMIPROJECT W!OA Youth Min 75ah YOS Nog a. 25a.
END DATE 6/30/2024
END DATE
I. CASRREOUEST
1: Total program and A„.3. Cash
2. Current Program and
3. FINAL Program and A
EN SE R
552,397.00a
552.397 00
2.
ra
Da
gh Last Month)
ad)
552.397.00
552.397.00
57
pe
AL
TI
sha
XPENSE (ER)
ct
te
Last Month)
Is)
000
111. PROGRAM INCOME(PIJ EXPENSE REPORT
1. Total Program Income Excenses Repartetl (Last Quarter) _
2. Current Program Income Expenses (Through Entl Date of Contract)
3. TOTAL PI Expenses Through End Dale of Contrail
IV REC
_ 0.00
IL TI
Date = E
hrough End Date of Co.., (Check Box1
•-_-�-- -_- 552.397.00
s . IN.
552.397.00
V CASH REQUEST PROGRAM INCOME CASN REPORTED
t, Total PI Cash Previously RepoRetl on Cash Request
2, Current Program Income Cesh (Through Entl Oale of Contract)
3: FINAL Program Income Cash Contract to Dale
VI. RECONCILIATION
1, FINAL Program Income Cash
2. Less Program Incase Exoenses Thmugh ConVacl End
Dale
3. Total PI Cash Balance
0.00
_�...�. 0.00.
0.00
0.00
tr
gual Requirement
r=lo Match Exp endllure Fie qulrement7 (Check Box) _
gee. end ...guedcan my pe edeed.rmee. Ine eeregneexal. eAwaitl anE/ar FeOe�al tootling peno0.
552,397.00
Q.INo 0
00
Dale glIhq
Date AUG 2 1 2024
zoz4—x7,34
COLORADO DEPARTMENT OF_LABOR AND EMPLOYMENT
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services a( Weld County
ADDRESS PO Box A. Greeley, CO 60632
EA/WORKPLAN START DATE: 7/1/2023
PROGRAM INCOME START DATE
YEAR OF FUNDS PY23
TITLE/PROGRAM/PROJECT WIOA Adult
END DATE 6/30/2025
END DATE
1. CASH REQUEST
1: Totalprogramand Aon Casl
2. Curtenl Program antl Atlmin C3.
ll. PROGRAM EXPENSE REPORT (ER)
Total Expenses+Accrals Previously Reported (Through Last Month)
2, Current Expenses + Accruals (Through End Dale of Aware)
3. FINAL Pragram Ex
ADMINISTRATIVE EXPENSE (ERJ
4, Total ExpenseAccmals Previously Repprled (Thu
. Current Expenses+Accruals (Through End Date of
6. FINAL Administrative Expenses Contract to Date
Ill. PROGRAM INCOME(PIJ E
1. Total Program Income Exoe
2. Current Pragram Income Ex
gr
111,691.00
111,691.00
es tout
100.522.00
Last Month)
Is)
11.169 00
11.169.00
AL PI Expenses Through En
e of Contract
of Contact)
0.00
IV RECONCILlCATION
7. FINAL Cash Request Contract to Date
FINAL Expenses Through End al Contract
Cash Request to Dale = Expense reported Through End Dale o/ Canlrarta (Check Dox)
V. CASN REQUEST PROGRAM INCOME CASN REPORTED
1. Total PI Cash Previously Reported on Casn Request
2. Current Program Income Cash (Through End Date a/ Contract)
3, FINAL Program Income Cash Contract to Date
VI. RECONCILIATION
1. FINAL Program Income Cash
ess Program Income Exoenses
3. Total PI Cesh Balance
VII. MATCN RECONCILIATION
1. FINAL Match Reported Through
2. FINAL Expenses Through End of
3. Match Percentage o1 Expenditure
5. Match toendllure Requirement
5. Total Match Reported > ar = to Ma
'rhe prp9�am lnnpnie£�pense Report a. Cash Rep.. can only Oe e.entle..ough the availaeiliry o/fne AweiE... Federallun .ng pen.
Yes
111 691.00
0.00
0.00
0.00
0.00
111.691.00
Yes 0 /No ❑
0.00
Date 5 Il i y
Date AUG 2 1 2024
A
2024—zz34
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SURRECIPIENT Employment Services of Weld County
ADDRESS PO Box A, Greeley, CO80632
EAIWORKPLAN START DATE: 7/1/2023
PROGRAM INCOME START DATE
YEAR OF FUNDS PY23
TITLE/PROGRAMIPROJECT WIDA Dislocated Worker
Program code 4DP23WE
END DATE 6/30/2025
END DATE
I. CASH REQUEST
2. Curr
3, FINF
11. PROGRAM EXPENSE REPORT (ERJ
, Total Expenses CicSrA is Previously Reported (Through Last Month)
2, Current Expenses+ Accruals (Through End Dale of Award)
3. FINAL Program Expenses Contract to Dale
ADM/N/STRATIV
4. Total Expenses+A
5.,Current Expenses
6. FINAL Adminis[n
III. PROGRAM INCOM:2 EXPENSE REPORT
1. Total Program Income Expenses Reported (La!
2, Curren) Program Income Expenses (at
3. TOTAL PI Expenses Through End Dat
IV. R
antl Admin C
121,342.00
121,342,00
109.208 O0
109.208.00
ti
Dusty Reported (Through Last Month)
hrough End Date of AwaNs)
12,134.00
12,134.00
0,1
0,00
2. FIN
3. Cas
CASH REQUEST PROGRAM IN COME CASH REPORTED
1. Total PI Cash Previously Reported on Cash Request
Current Program Income Cash (Thr h End Date of Conlractl
FINAL Program Income Cash nl to to
IL ICA TIO
to
pe
le
rted Through End Date of Contract? (Check Box)
Co
Dug
tact
Da
Yes /No ❑
00
121,342.00
0,00
VI.
2,
RECONCILIATION
INAL PlOgram Income Cash
ss Program Income Exoenses Through Conlracl End Date
oral PI Cash Balance
0.00
0,00
0.00
VII. TLCM RECONCILIATION
1. FINAL Match Reported Through E
2. FINAL Expenses Through End o11
3: Match Percentage of Expenditure
4: Match Expenditure Requirement
121,342.00
Yes ❑ INo ❑
0.00
Date YHA?
gate AUG 2 1 2024
zoz4-l34
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County
ADDRESS PO Box A. Greeley. CO 00632
EA/WORKPLAN START DATE: 10/1/2022
PROGRAM INCOME START DATE
YEAR OF FUNDS PY23
TITLEIPROGRAMIPROJECT WIOA OW -Program TRF to Adult
END DATE 6/30/2024
END DATE
!. CASH REQUEST
1. Total program and Admin Cash r
2. Current Program and Admin Cas
3, FINAL Program and Admin Cash
II. PROGRAM EXPENSE REPORT (ERJ
1, 70(01 Expenses+Accmals Previously Reported (Through Lasl Month)
2. Current Expenses+ Accruals (Through End Oate of Award)
3.FINAL Pfogr
400.050.00
400.050.00
Ex
ra
400.050.00
400.050.00
fi.
111. PROGRAM INCOME(PIJ EXPENSE REPORT
1. Total Program Income Exoenses Reported (Last
2. Current Program Income Expenses (Through En
3. TOTAL PI Expenses TMpugh End Date of Contr
1V. RECONCILICATION
1. FINAL Cash Reguest Contra
2. FINAL Expenses Through Er
ADMIN/STRATIVE EXPENSE (ERJ
Total Expenses+Accruals Previously
AL
ati
pe
1r
rte
oogh Last Month)
Awards)
0.00
0.00
;ontracl
reported Through End Dale of Contract? (Check Box)
Yes
400.050.00
V. CASH REQUEST PROGRAM INCOM
1. Tptal PI Cesh Previously Reported on 1
2. Current Program Income Cash hrou5
3. FIIJAL Program Income Cash Contratl
VL RECONCILIATON
7. FINAL Program Income
2. Less Program Income E
Total PI Cash Balance
VII. MATCH RECONCILIATION
1. FINAL Match Reportetl Through End of Contratl
2. FINAL Expenses Through End of Contratl
3. Match Peltentage pl Expenditure Conlracttual Requirement
4. Match Expenditure Requirement
5. Total Match Reportetl > or = to Melch Expenditure Requirement? (Check Box) _
at
0.00
0.00
0.00
400.050.00
Yes ] /No
0.00
pe pmgrzm Income Ereense Report eel Cash Renuesr can enly pe evlenpe4 eeeeee IAe availapilify Yee, ewertl anNor Fe6eral/unping periee
Date 11112,
Dale AUG 2 1 2D2' _ _
Authorized Signature _
2024 —2Z 34
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County
ADDRESS PO Box A, Greeley, CO 00632
EA/WOW/LAN START DATE: 1/1/2024
PROGRAM INCOME START DATE
YEAR OF FUNDS PY23
TITLE/PROGRAM/PROJECT Wagner Payser 70. Governor's Summer
Program code WAG23WE-WSJH
END DATE 6/30/2024
END DATE
I. CASH "se
. Talal program and Admin Cash
A
g-
21.000.00 21.000.00
11. PROGRAM EXPENSE REPORT (ERf
. Total Expenses•Ac<ruals Previously F
2. Current Expenses r Attruals (Througl
ro
Ex
nl
(E
to
(Through M
ale of Award)Lastonth)
21.000.0
21.000.00
INISTRATIVE EXPE
Expenses•Accruals
xp
R"'",;:,(Through Last Month)
t End e of Awartls)
nlracl to Date
111. PROGRAM INCOME(PIJ EXPENSE REPORT
1. Total Program Intpme Exoenses Repodetl (Last Quarter)
. Current Program Income Expenses (Trough End Date o7 Contract)
. TOTAL PI Expensss Through End Dale of.Contracl
IV. RECONCILICA iION
1. FINAL Cash Request Contract to Date
2. FINAL Expenses Through End of Contract
3. Cash Request to Dale = Expense reported Through End Date of Contratl? (Check Soz)
V CASH REQUEST PROGRAM INCOME CASH REPORTED
1, total PI Cash Previously Reporletl an Cash Request
2. Current Program Income Cash (Through End Oate p( Contract)
3. FINAL Program Income Gash Contratl b Date
0.00
Yes n /No
zt.000.liti
21.000.00
0.00
2.
asn Sala„
0.00
Vll. MATCH RECONCILIATION- -
. FINAL Match Reported Through End of Contratl
2 FINAL Expenses Through End of Contratl
J. Match Percentage of Ezpendilure Conlracllual Requirement
ota
21.000.00
Yes ❑ /No I]
o0a
Date 8(R /lY
Date AUG 2 1 2024
Author,. Senators
See inz!ruclion lar comnlern„lais for on Tae neat !ea IAilecamen! M a of 21
2024-2231}
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT
ADDRESS
PO Box A, Greeley, CO 80632
EAIWORKPLAN START DATE: 7/1/2023
PROGRAM INCOME START DATE
YEAR OF FUNDS SFY24
TITLEIPROGRAMIPROJECT ESF Supplemental/PACE Initiative
Program code 2ESFWE-ESOP
END DATE 6/30/2024
END DATE
1. CASH REQUEST
sh
hogram an
ogram and
4.
_ 164.009.00
ll. PROGRAM EXPENSE REPORi(ERf
Total xpenses+Actruals Previously Reported (Through Lasl Month)
2. Current Expenses � Accruals (Through End Date el Award)
3. FINAL Program Expenses Cpntratt to Date
AOMI NISTRATIVE EXPENSE,
4. Total Expenses�Atcruals PrevieusP
3. Current Expenses ti
6. FINAL Adminlstratl
III. PROGRAMINCOME(PIJ EXPENSE REPORT
1. Total Program Income Exnenses Reported (Last Quarter)
(Through End Dale of Contract)
e el Conlracl _ _
164.009.00
- 164.009,00
NP
ed (Through Last Month)
late of wards)
- 0.00
2. Cunene Program Income Exoenses
J, TOTAL PI Expenses Through End
IV. RECONCIL/CATIOM
1: FINAL Cash Request Contract 1p Dale
2. FINAL Expenses Through End of Contract
3..Cash Request to Oate =_Expense reported T,OO0„End Date
of Contract? (check
Box)
V.
0.00
3.
VI.REOCIUATION
1.. FINAL Program Income Cash
2. Less Program Income Exoenses Through Contract End Dafe
J. Total PI Casn Balance - _ _
SH REQUEST PRO,?1Z: COME CASH REPORTED
al PI Cash Previously Reported an Casn Request
1 Program Income Cash (Through End Date of Conlracl)
AL Program Income Cash Contract
Yes F., /No CI
164000,00
164.009.00
0.00
0.00
0 00
0.00
Requirement
164,009.00:
/No
0.00
eveilaEi4ly oIlae A.,. andkr Federal landing 0edad
Authorized Signature
Dale ,1?211__
Date AUG 2 12024
zsYZ — 2234
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County
ADDRESS PO Box A. Greeley, CO 60632
EA/WOREPLAN START DATE: 7/1/2023
PROGRAM INCOME START DATE
YEAR OF FUNDS SFY24
TITLEIPROGRAM/PROJECT ESF
Program code 2ESFWE
2ESFWE 6/30/2024
END DATE
I. CASHESL
1, Tgtal pRrogram and Atlmin
og
412,648.00
412 646.00
II. PROGRAM EXPENSE REPORT (ERJ
t. Total Expenses*Accruals Previously Rep
2. Curren) Expenses + Accmals (Through E
3. FINAL Program oenses Contract to D;
Ex
hrough Last Month)
o(Award)
412,648.00
ADMIN/STRA7IVE E%PENSE (ERJ
4.,Total Expenses+Accruals Previously Reporletl (Through Last Mon N)
5. Current Expenses+Accruals (Through Entl Date o(Awards)
fi. FINAL Atlminiatrative Expenses CpnVact to Dale
III. PROGRAM INCOME(PIJ EXPENSE REPOR
7, TOlel Program Income Exoenses Reported (L.
2 Current Program Income Expenses (Through
3, TOTAL PI. Expenses Through End Dale of Ca
IV REONCILICA71ON
1. FINAL Cash Request Contract to Date
2. FINAL Expenses Through End of Canlracl
Cash Request to Date = Expense reported Tnro
V. CASH REQUEST PROGRAM INCOME CASH REPORTED
1, Total PI Cash Previously Reported On Caslt Request
. Current Program Inceme Cash (Throuh End Dale of Contract)
. FINAL Program Income Cash Contract to Date
Vl. RECONCILIAflON
1. FINAL Program Income Cash
2. Less Program Income Expenses Through Contract End Date
3, Total PI Cash Balance
Vll. MATCH RECONCILIATfON
1. FINAL Match Reported Through End of Contract
2..FINAL Expenses Through End of Contract
J. Match Percentage al Expenditure Contrachual Requirement
4. Match Expenditure Requirement
5, Total Match Reported > or = to Match Expenditure Renal... nl7 (Check Box)
'Toe program Income Expense Report an, C., Rexuesl can only De wlended MmugD IM1e availaDi4ly MfDe Award aM/or Federallondrng penol
0.00
11r
r)
of Contract)
0.00
/No Fl.
412.646.00
0.00
000
0.00
412,648.00
Yes q /No
0.00
Date 819111
Dale AUG 2 1 2024
2024 —2234
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
SUBRECIPIENT CERTIFICATION OF PHYSICAL INVENTORY
Subrecipient Name:
Address:
CO
60032
Contact Person:
Phone Number:
Leonard Bottorff
970-400-6537
I hereby certify that all property/equipment previously purchased with or transferred from the
Workforce Investment Act (WIA;: Comprehensive Employment and Training Act (CETA), or the Job
Training Partnership Act (JTPA) program to the Workforce Innovation and Opportunity Act (WIOA)
programs or purchased under any Colorado Department of Labor and Employment (CDLE) federally
fud grantor transferred with the COLE, approval is included in the attached listing for. the above-
nondeted subrecipient.
The attached listing has been verified by a physical inventory Changes/revisions are:
Doted Dot Applicable
I certify that this property is being used for purposes that it was originally purchased for and will be
repaired or replaced by my insurance if damaged, lost, or stolen.
I certify that all property/equipment previously purchased with or transferred from the WIA, CETA, or
the JTPA programs to WIOA program or purchased under a CDLE federally funded grant or
transferred with the CDLE's approval with a fair market value (FMV), established by our existing local
procedures, of $5,000 or more, has been identified.
I further certify that the proceeds of all property/equipment previously purchased with or transferred
from the WIA, CETA, or JTPA program to the WIOA program, with a FMV of $5,000 or more, will be
returned to COLE, in order to return the proceeds to the U.S. Department of Labor.
I AUG 2 1 2024
Date 1
Closeout Part 4
Page t of 6
Zc 2 - —2Z3`}
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT CLOSEOUT TAX CERTIFICATION
In the pedarmance of WOP Master Agreement Number
Expenditure AuNorizalians (EAs)IWorkplan allocalea under above Agreement number
as Program Cade:
4802
4TD2
2M62
40P23WE
4902
4WA2
2562
4 NO2
2023
4BD2
F Lfi fl2]WE
Y62
402a
2Y72
4702
gAP23K4
2E SF KE
I cenily that I have complied with reeulremonts cl the law end the Colorado Oepanmenl of Lobar end Employmem, regard:rg the oblainin0 of employer
idenlificalionlaccounl numoers: colleclidn, payment, deposit, and reporlin0 0l fetlerel, slate, and local taxes antl the provision of W2lartns to employaes�enrollees
wno ere not now my employees, For present employees/enrollees (formerly employed uiMer the wnlracl), W-2 loans will pe Iurnishetl es specified m Circular E
Employees Tea Guke.
PO box A
Greeley, CO 80632
Grant Raclpient Employer: Weid Ca only 0epmmanl o!
er's Identllicatlnn Number: 84-6000813
T....on has been eaeculed Nts 215.1— eey or �, �Q USA—.
, 2pN
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT CLOSEOUT TAX CERTIFICATION
In the peRarmenca a1 W0P Master Agreement Number
ExpentliWre Aulhodzalions (EAs)7,,A.Zlan elloc mad antler above Agreement number
es Pragrem Catle: 2023 ,
4802 4902 4902 ,
4T02 4WA2 FLBR. ,
2M62 2562 4V62 _
2Y,
2C62
aGP23WE
WAG23WENWSJH
2ESFWEFSGp 2ESFWE
I certify Ihal I have complied with requirements of the law antl Iha L¢loredo Oeparlmenl al Labor and Employment, mparding the obtaining of ompl¢yer
idenlifinelionlaccounl numbem: ccUeclion, paym¢nl, deposit, an0 reposing cl letlerel, slate, and Iocel taxes; antl me provision of W2 loans Ip omployeasl¢nroltees
wno are not now my employees. For present employeeslenrollees (formerly employ¢d under Ise contract), W-2 forms wilt be furnished as specRied in Cirwlar E
Employefs Tex Guitle.
PO Box, A
Greeley, CO 86632
846000813
1-1U-Q1AS'F .2gza
GRANT RECIPIENT'S ASSIGNMENT OF REFUNDS, REBATES, AND CREDITS
2Mfi2
4DP23WE
arms of WDP Master Agreement Numher
orizations (AsjlWorkplan awarded under Agreement, identified as
2O23 ,
49O2
4WA2
4ND2
48O2
FLBR23WE
4Yfi2
WAG23WE-WSJH
CMS#705079
46A2 ,
4O23 ,
29C2 ,
4Y72
2ESFWE-ESUP
7O2
4O33
2CO2
4AP23WE
2ESFWE
and in cbnsideralion of the reimbursement of costs antl payment of fee, as provided in the said WDP Master Agreement and any assignment
(hereunder, the Grant Recipient's Name and Address (hereinafter called the Grant Recipient) does hereby:
Assign, transfer, set over and release to the Colorado Department of Lahor and Employment (hereinafter coiled
COLE), all right, title and inleresl to all refunds, rebates credits or other amounts (including any inleresl thereon)
arising out of the performance of the said WDP Master Agreement, together with all the rights of action accrued
on which may hereafter accrue (hereunder.
Agree to lake whatever action may be necessary to effect prompt collection of as such refunds, rebates, credits
or other amounts (including any interest thereon due or which may become due, and to lorward promptly to
COLE.
Agree to cooperate fully with CDLE as to any claim c suit in wnnection with such refunds, rebates, credits or
other amounts due (including an inleresl thereon): execute any Droesl, pleading,application,power of attorney or
other papers in connection therewith; and to permit CDLE to represent it at an hearing, trial or other proceetling
arising out or such claim or suit
By
Title
2. s' day of
, 2024
Closeout Part 4
Paga ] of 6
202,1—Z234-1-
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
SCHEDULE OF UNCLAIMED CHECKS
Grant Recipient Name: Employment Services of Weld County
WDP Master Agreement Number: CMS#105079
Release Date:
Program code
Check
Number
Payee
Check
Amount
Payee's Last Known
Address
Total Amount Unclaimed
This schedule has been executed this _21ST day of pt"6 1 2024.
By
O
Authorized Signature
BOCC CHAIR
Title
Closeout Part 4
Page 4 of
Zozq -2234
COLORADO DEPARTMENT OF LABOR ANO EMPLOYMENT
GRANT RECIPIENT'S RELEASE
Grant Reciplent'3 Nama: onm ymame.,vle.. ol�uriarwnry
AGGress: vo eoaq erem.r. ea eaz33
WDv Maser aNcemonrlvompe•
iursnlEnai`h'arlplan nvaraea uoaer s.la wDv Masser nareemenr. as eLEnR vrovr.m cme
aLan
IS or unna�m.e en paym
enensi laSoon.an. sam Con ea.,. eor
M e GLeSaom•e a. oCaers.anloelspasupleos.a^anY. ine Grnni'R«Iplenaueoaip.ymeenor'emsnis=syev =aCi Rn UEvomsa Oot LneoRnrinmecnv[o`M[rvi nereinaner cnAer iol.[rae..,arem.s.,ar aicase, acal
p t..in',naulea.moums orn esumaree amounts ol.aes slsnmzn orm Grant Recvenl.a+Ionnwlilnme..o vinrel
m A.... I nm..m
i I
aaboiue emcwao alnadease,ne or vmlm me Grant eopien am:a once ntiv.amP�o me O�lE wllnrnnenM•ou:penten nm: uliEOmrmr�Gmn Aeneemm�onuu. wnun are not knwmmma Gum µem on lne
BOCC Chair
2024-Z23y-
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
PHYSICAL INVENTORY LIST
Grant Recipient Name:- Employ med Sevices of Weld County
Release Date:
CNIS4105079
Closeout Part 4
Page 6 of 6
Purchase
Program code Date
Description of Property
Property
Costs
Program Funding
Sources
SERIAL 4 ( Property
if applicable I Location
Property
Condition
Total Amount
I certify to the best o(my knowledge and belief the above reported information is accurate and complete
for the period reportetl.
This Physical Inventory List has been executed this
day of:•i11Q024
BY x n ✓
Authorized Signature
Title BOCC Chair •
2clI—ZZ3{
Amount
$ 0.00
Renewable
NO
Automatic Renewal
Grant
IGA
Contract Form
Entity Information
Entity Name*
COLORADO DEPARTMENT OF
LABOR & EMPLOYMENT
Entity ID
@00010497
❑ New Entity?
Contract Name* Contract ID
WORKFORCE INNOVATION AND OPPORTUNITY ACT 8624
(WIOA) GRANT CLOSEOUT FOR 2023-2024
Contract Status
CTB REVIEW
Contract Lead
WLUNA
Parent Contract ID
Requires Board Approval
YES
Contract Lead Email Department Project
wl una@weld.gov; cobbxxl
k@weld.gov
Contract Description*
THE WIOA GRANT CLOSEOUT PACKET IS REQUIRED BY THE YEAR-END CONTRACT CLOSEOUT PROCEDURES OF
CDLE AND IN ACCORDANCE WITH PGL06-12-F1 FOR ALL PROGRAMS THAT HAVE EXPENDITURE
AUTHORIZATIONS ENDING DURING THE PERIOD JULY 1, 2023 TO JUNE 30, 2024.
Contract Description 2
PA ROUTING WITH THIS CMS/OBASE ENTRY.
Contract Type* Department Requested BOCC Agenda Due Date
GRANT HUMAN SERVICES Date* 08/10/2024
08/14/2024
Department Email
CM -
Hu manServices@weldgov.
com
Department Head Email
CM-HumanServices-
DeptHead@weldgov.com
County Attorney
GENERAL COUNTY
ATTORNEY EMAIL
County Attorney Email
CM-
COUNTYATTORNEY@WEL
D.GOV
Willa work session with BOCC be required?*
NO
Does Contract require Purchasing Dept. to be
included?
If this is a renewal enter previous Contract ID
If this is part of a MSA enter MSA Contract ID
Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts
are not in OnBase
Contract Dates
Effective Date Review Date*
04/30/2025
Termination Notice Period Committed Delivery Date
Renewal Date
Expiration Date*
06/30/2025
Contact Information
(Contact Info
Contact Name
Contact Type Contact Email Contact Phone 1 Contact Phone 2
Purchasing
Purchasing Approver
Purchasing Approved Date
Approval Process
Department Head
JAMIE ULRICH
DH Approved Date
08/13/2024
Finance Approver
CHERYL PATTELLI
Finance Approved Date
08/14/2024
Legal Counsel
BYRON HOWELL
Legal Counsel Approved Date
08/14/2024
Final Approval
BOCC Approved
BOCC Signed Date
BOCC Agenda Date
08/21/2024
Tyler Ref #
AG 082124
Originator
WLUNA
Hello