HomeMy WebLinkAbout20242042.tiffRESOLUTION
RE: APPROVE EMPLOYMENT FIRST PROGRAM OPERATOR PLAN FOR FEDERAL
FISCAL YEAR 2024-2025 AND AUTHORIZE DEPARTMENT OF HUMAN SERVICES
TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with an Employment First Program Operator
Plan for Federal Fiscal Year 2024-2025 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, Office of Economic Security,
Division of Economic and Workforce Support, with further terms and conditions being as stated
in said plan, and
WHEREAS, after review, the Board deems it advisable to approve said plan, 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 Employment First Program Operator Plan for Federal Fiscal
Year 2024-2025 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, Office of Economic Security, Division of Economic and
Workforce Support, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that Jamie Ulrich, Director of the Department
of Human Services, and Lennie Bottorff, Department of Human Services, be, and hereby are,
authorized to sign said plan.
cc:HSD
OS/27/24
2024-2042
HR0096
EMPLOYMENT FIRST PROGRAM OPERATOR PLAN FOR FEDERAL FISCAL YEAR
2024-2025
PAGE 2
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 31st day of July, A.D., 2024.
BOARD OF COUNTY COMMISSIONERS
ATTEST: ✓. ,tx4Al
Weld County Clerk to the
Board
BY: cltn,L • �aJ1 lc)
Deputy Clerk to the Board
VED A
County t c ney
Date of signature:
Perry L. BucPro-Te
Ina&
reeman
ri Saine
2024-2042
HR0096
BOARD OF COUNTY COMMISSIONERS
PASS -AROUND REVIEW
PASS -AROUND TITLE: Weld County Employment Services 2024/2025 Employment First Program
Operator Plan
DEPARTMENT: Human Services DATE: July 23, 2024
PERSON REQUESTING: Jamie Ulrich, Director, Human Services
Brief description of the problem/issue: The Colorado Department of Human Services (CDHS) requires each
participating county or region to submit an Employment First (EF) Plan for review and approval on an annual
basis as outlined in 10 C.C.R. 2506-1 Rule Manual Volume 4.312.1.
The Weld County Employment First Program Operator Plan has been prepared for submission and outlines
participants in the EF program are engaged in activities designed to meet individual goals and assist participants
in obtaining full-time employment. Such activities may include providing case management services, providing
at least onq program activity, and offering supportive payments, and may be locally tailored based on resources,
community needs, and available community partnerships.
What options exist for the Board?
• Approval of the Weld County Employment Services 2024/2025 Employment First Program Operator
Plan.
• Deny approval of the Weld County Employment Services 2024/2025 Employment First Program Operator
Plan.
Consequences: Employment Services of Weld County will not have an Employment First Program
Operator Plan.
Impacts: Employment Services of Weld County will not be in compliance with 10 C.C.R. 2506-1 Rule
Manual Volume 4.312.1.
Costs (Current Fiscal Year / Ongoing or Subsequent Fiscal Years):
• Total Allocation Request: $634,110.72.
• Funded through Grants from the Colorado Department of Labor and Employment.
Pass -Around Memorandum; July 23, 2024 — (Not in CMS)
2024-2042
7/3 I
Recommendation:
• Approval of the Weld County Employment Services 2024/2025 Employment First Program Operator Plan
and authorize the Director and Senior Fiscal Advisor to sign.
Support Recommendation Schedule
Place on 8OCC Agenda Work Session Other/Comments:
Perry L. Buck, Pro -Tern
Mike Freeman
Scott K. James
Kevin D. Ross, Chair
Lori Saine
Pass -Around Memorandum; July 23, 2024 — (Not in CMS)
COLORADO
Office of Economic Security
Diviciarl cY Ecortorruw Workforce Si moor;
2024/2025 Employment First Employment Services of Weld County Plan
Overview and Purpose of This Plan
In Colorado, the SNAP E&T program, known as Employment First (EF), has operated in the CDHS since the
program's inception in 1985 and helps SNAP recipients and applicants in Colorado connect to meaningful
employment and succeed in the pursuit of economic well-being. EF is a voluntary program model, and Colorado
County DHS and TPPs are required to submit a plan for program operation to CDHS for review and approval on
an annual basis as outlined in 10 CCR 2506-1 Rule Manual Volume 4.312.1. Plans must adhere to all applicable
rules and regulations (such as providing case management services, providing at least one program activity, and
offering supportive payments) and may be locally tailored based on resources, community needs, and available
community partnerships. The program features outlined in the County DHS and TPP plans are consolidated into
a unified EF State plan which is submitted to USDA FNS every year.
Directions:
1. Each PO will make a copy of the 2024/2025 EF PO Plan Template, the EF PO Plan: Program Features 7-9
and Budget Template, and the EF PO Plan: Program Fca4urc 11 and Signature Page.
a. (The documents will ask you to make a copy, i.e.:
Google Sheets
Copy document
Vnuid you like to make .1 ropy al ON AF LET PO Plan, Program
Features 7-9 and Budget Template xlsa�
ter.. *ea
2. Fill out the yellow boxes within the 2024/2025 EF PO Plan Template, and the EF PQ Plan: Program
Features 7-9 and Budget Template. Please also update the header of the 2024/2025 EF PO Plan
Template with your PO name.
3. PO Plans are to be submitted in either a Word Doc or Google Doc format PDF submissions will not
be accepted. PO Plans must be submitted by May 31, 2024 CDHS DEWS Policy lnbox@state.co.us and
cc Melissa Merryman at melissa.merryman@state.co.us.
4. After submission, CDHS staff will review the contents of the plan and provide feedback and/or ask for
revisions. Feedback/revisions will need to be addressed by June 14, 2024.
5. The "Draft" watermark will be changed to "Final" after CDHS Staff and PO Staff finalize the Program
Operator Plan. Once finalized, the EF PO Plan: Program Feature 11 and Signature Page may then be
signed by the EF PO Director (or Designee) and EF PO Fiscal Reviewer and submitted to CDHS.
Note: If CDHS does not receive an updated EF Program Operator Plan, or CDHS cannot approve the PO's
submitted plan by May 31, 2024, CDHS will not be able to offer a contract extension for the new program year.
County
Department
of Human/Social
Services, or Third-
Weld
Employment
Human
Services,
County
County Department of
Services of Weld
Party
Partner:
Date
of Submission:
May
30, 2024
Program Operation Designation
For FFY 2025, Employment Services of Weld County, selects the following program operation:
® #1 EMPLOYMENT FIRST PROGRAM OPERATOR
Your agency/organization directly operates the program and receives the EF funding allocation directly from
CDHS. Your agency may choose to directly contract out the program with a sub -contractor or develop
partnerships with sub -contractors or TPPs when selecting this option. If your agency is contracting out services
with a sub-contractor(s) or TPP, please include them in the table below (you may add additional rows if needed):
Type
Name of Program Operator
Contract Amount*
N/A
N/A
N/A
#2 REGIONAL OPERATED EMPLOYMENT FIRST PROGRAM
Your agency chooses to partner with a neighboring county department of human services and/or TPPs for
program operations, becoming a regionally operated program. The operating agency will be known as the
Regional Operator. The Regional Operator receives the EF funding allocation for all county departments of human
services/TPPs in the region and ensures all partners adhere to all program requirements, including referrals.
#2.A REGIONAL OPERATOR
Your agency will be the Regional Operator and will be operating on behalf of the following county
department of human services/TPPs: [Agency name(s) here].
#2.B PARTICIPATING IN A REGION, BUT NOT AN OPERATOR
Your agency will not be the Regional Operator for one or more other agencies and understands
only the regional operating agency will receive a funding allocation this year. Your agency is only
required to return a signed copy of the 2024/2025 EF PO Plan: Program Operation Designation and
Assurance Statements pages (pages 4-5), Program Feature 11 and Signature Awe, and your
agency's organization/staffing chart to CONS DEWS Policy Inbox@state.co.us. [Provide your Regional
Operator's name here].
#3: WAIVE OPERATING AN EF PROGRAM FOR FFY 2025
Your agency will not be operating an EF program and understands that your agency will not be receiving a funding
allocation this year. Your agency is only required to return a signed copy of the Program Feature 11 and Signature
Page or send an email to CDHS DEWS Policy lnbox@state.co.us informing CDHS thatyou will not be operating an
EF program.
Service Delivery Model
Please select the type(s) of service delivery model(s) for your agency/organization's Employment First program. If
you are unsure, please refer to the Employment First Program Service Delivery Model and Activity Description
Document:
Job Search Assistance Service Delivery Model
Education/Training Service Delivery Model
Work -Based Learning (WBL) Service Delivery Model
Page 4 of 12
Case Management -Only Service Delivery Model
Assurance Statements
Check the boxes in the Check column to indicate you have read and understand each assurance statement.
Assurance Statement
Check
I. The EF PO is accountable for the content and implementation of the EF PO plan and will provide
oversight of any sub -contractors.
•
II. The EF PO is fiscally responsible for EF activities funded under the plan, will adhere to the costs
outlined within this plan, and is liable for repayment for any unallowable costs.
•
III. County or TPP education costs will not be supplanted with Federal E&T funds.
•
IV. Cash or in -kind donations from other non -Federal sources have not been claimed or used as a
match or reimbursement under any other Federal program.
•
V. If in -kind goods and services are part of the budget, only public, in -kind services are included.
There are no private, in -kind goods or services claimed.
•
VI. Documentation of EF PO costs, payments, and donations for approved Employment First
activities are maintained by the EF PO and available for USDA review and audit.
•
VII. Contracts are procured through appropriate procedures governed by the county or TPP
procurement regulations.
•
VIII. Program activities are conducted in compliance with all applicable Federal laws, rules, and
regulations, including Civil Rights and Office of Management and Budget (OMB) regulations
governing cost issues.
•
IX. E&T education activities directly enhance the employability of the clients; there is a direct link
between education activities and job readiness.
•
X. Program activities and expenses are reasonable and necessary to accomplish the goals and
objectives of SNAP E&T.
•
XI. The local EF program is implemented in a manner that is responsive to the special needs of
American Indians on Reservations. The agency shall: consult on an ongoing basis about portions of
the EF PO plan which affect them; submit for comment all portions of the EF PO plan that affect the
ITO; if appropriate and to the extent practicable, include ITO suggestions in the EF PO plan. (This is
for agencies who operate within counties with Indian Reservations only.)
•
XII. The EF PO is responsible for ensuring timely and accurate data entry into the Employment
First's system of record, the Colorado Benefits Management System (CBMS), on all the Employment
First related pages, screens, and fields.
•
Program Feature 1; Type of EF PO
Please select the type of entity your organization is:
Workforce centers/County offices:
Employment Services of Weld County; A Division within Weld County Department of Human Services
Page 5of12
progrim Feature 2: Philosophy/Mission
Your organization's mission, vision, or philosophy should align with EF's philosophy: to promote long-term self-
sufficiency and independence by preparing SNAP recipients and applicants for meaningful employment through
work -related education and training activities.
Please share your organization's philosophy/mission/vision in the yellow text field below:
Mission Statement:
To keep the workforce system responsive to employers, employees and job seekers.
Philosophy:
To provide education, training, and supportive services to assist with obtaining employment and gaining self-
sufficiency.
Program Feature 3: Areas Served
a. Please list the specific street address(es), phone number(s), and fax number(s) (if applicable) for your
organization where EF services will be provided. You may add as many rows as needed:
Street Address(es)
Phone Number
Fax Number (if applicable)
315 N. 11th Ave. Bldg. B,
Greeley, CO 80631
970-400-6796
970-353-3800
970-346-7981
2950 9th Street, Fort
Lupton, CO 80621
303-857-2725
303-637-2436
b. Please list the specific mailing address for your organization if different from the street address(es)
listed above. If the mailing address for your organization is the same as listed above, please write N/A:
Mailing Address (if different from the street address(es) listed above
N/A
c. Please list the specific email address (if applicable) and website for your organization:
Email Address
Website
www.eswc.org
d. Please list the county/counties your EF program plans to serve. In other words, which county/counties
do your EF clients reside in?
Page 6 of 12
Weld County
e. Please describe the current relationships and/or communication processes that exist and/or will be
developed to ensure effective communication among the EF PO and the appropriate county departments
of human or social services SNAP eligibility teams.
The relationship between the Weld County Department of Human Services SNAP eligibility and Employment
Services of Weld County's Employment First teams is well established. We will continue our current practice
of communicating in -person, over -the -phone, through Microsoft Teams and email. SNAP eligibility team
currently sends a referral to Employment First via an email inbox. SNAP Eligibility have also established a
queue utilizing Compass Appointments which allows EF PO to communicate with SNAP Eligibility if an update
to work requirement status, or exemption is needed. This is a best practice that will continue going forward.
Program Feature 4: Populations Served
The EF PO can develop a plan to serve an estimated number of clients per year and have the ability to track the
number of clients served overall and those who belong to a priority population (such as single parents, veterans,
etc.), throughout the program year.
a. Please share the estimated number of clients expected to be served from October 1, 2024 - September
30, 2025 in the field below and provide a brief description of how the number of clients will be
tracked overall and by priority populatioak
Example: Organization A anticipates serving 200 clients over the program year. Clients will be
entered into the Colorado Benefits Management System (CBMS) and enrolled in EF immediately
following the first appointment AgencyA will enter the client's priority population on the program's
initial comprehensive assessment and in CBMS case comments. The agency will track the number of
clients in a priority population on the Employment First Priority Population Tracking sheet.
Employment Services of Weld County anticipates serving 250 participants during this program year.
Participants will be enrolled in Employment First immediately following their first appointment. ESWC will
identify the participant's priority population in the Comprehensive Assessment/Individual Employment Plan.
ESWC tracks participants in the Colorado Department of Labor and Employment's Connecting Colorado
database and can pull priority information there. If required by CDHS, the Employment & Training Supervisor
- Colorado Works & Employment First, can track the number of clients in a priority population on the
Employment First Priority Population Tracking sheet instead.
b. Please select the priority populations you plan to serve (this should align with your components and
participant reimbursements). Note: we want to know which clients your organization plans to prioritize;
this should not be used as an exhaustive list of the various clients your organization will serve.
Page 7 of 12
✓ Able -Bodied Adults without Dependents (ABAWDs)
✓ Individuals experiencing homelessness
✓ Single Parents
✓ Unemployed individuals
✓ Veterans
✓ Students
✓ Returning citizens (also known as ex -offenders)
✓ Individuals that reside in rural areas
✓ Individuals who are underemployed)
✓ Individuals who need a high school diploma or GED
✓ Individuals who need a credential or new skill to obtain employment
• Individuals with disabilities
✓ English language learners
✓ Other: If Other, please specify:
Aligning with WIOA Priority of Service and Groups with Barriers Categories:
Colorado Works recipients, former foster youth, individuals who are basic skills deficient, displaced
homemaker, Indian/Alaskan Native/Native Hawaiian, older individuals, long-term unemployed, individuals
with cultural barriers, New Americans, Hispanic ethnicity, unemployment insurance recipients, individuals
affected by a plant closure/layoff, military spouse, recently separated/transitioning Veteran, and social
security insurance recipients.
pram Feature 5: Partnerships
The EF PO must be able to work with multiple partner agencies, such as educational partners, county SNAP
eligibility teams, other EF program operators, workforce centers, business partners, and other industry partners.
Please share a list of current partner agencies and how you plan to convene partner agencies throughout the
year to serve EF clients.
Employment Services of Weld County (ESWC) has Memorandums of Understanding (MOU) with several
Workforce Innovation and Opportunity Act (WIOA), partners. This includes, Aims Community College (Carl D.
Perkins Career and Technical Education Act), Community Educational Outreach (ex -offenders and Adult
Education and Family Literacy Act), the Division of Unemployment Insurance, the Division of Vocational
Rehabilitation, Job Corps, Jobs for State Veterans program, Rocky Mountain Service Employment
Redevelopment (National Farm Worker Job Program), and Service Employment Redevelopment Jobs for
Progress National (Older Americans Act).
In addition to Employment First, the Employment Services Division houses AmeriCorps, Child Care, Colorado
Works, and the Workforce Innovation and Opportunity Act to include Discretionary Grants from the United
States Department of Labor, Reemployment Services and Eligibility Assessment, Migrant Seasonal Farm
Worker, Veterans Service Office, and the Wagner Peyser Act.
Additionally, ESWC partners with the Housing Navigation Center, Lutheran Family Services, several Chambers
1 Underemployed: individuals employed less than full-time who is seeking full-time employment; individuals who are employed in a position
that is inadequate with respect to their skills and training; individuals who are employed who meet the definition of a low-income individual.
Page 8of12
of Commerce, Economic Development agencies, and School Districts. Non -mandated partner MOU's include
High Plains Library District and Larimer County Economic and Workforce Development (MSFW and NoCo
Works).
The Weld County Workforce Development Board convenes every other month and is comprised of many of
the aforementioned partners. Although required under WIOA, the Board is aware of initiatives and programs
throughout ESWC. Front line staff participate in a quarterly Community of Practice, which is comprised of
partners that have a WIOA mandated MOU. NoCo Works encompasses members representing Weld and
Larimer Counties; this includes, chamber, city, secondary and post -secondary education, United Way,
Workforce Development Board members and Workforce Center Directors.
Weld County Department of Human Services houses Area Agency on Aging, Child Support, Child Welfare, and
the Community Service Block Grant The Human Services Advisory Committee meets quarterly.
Program Feature 6: Occupations and Industries
The EF PO must be able to work with key industry partners to support EF clients in obtaining employment in one of
the key industries identified in the 2023 Colorado Talent Pipeline Report
Please check each sector in the list below you will focus on throughout the program year. Please note, the
options listed below are the NAICS sector names and codes.
✓ Construction (23)
V. Manufacturing (31-33)
✓ Retail Trade (44-45)
✓ Professional, Scientific, and Technical Services (54)
✓ Administrative Support and Waste Management Remediation Services (56)
✓ Healthcare and Social Assistance (62)
✓ Accommodation and Food Service (72)
✓ Other Services (except Public Administration) (81)
✓ Public Admiristration (92) (shows as Government (90) in the Regional/Local Plan)
Other, if other. please specify in the boxes below:
As identified in the Regional/Local Plan approved by the Colorado Workforce Development Council,
ESWC has also identified the following three (3) industries as in -demand for Weld County:
✓ Mining, Quarrying, and Oil and Gas Extraction (21)
✓ Transportation and Warehousing (48-49)
✓ Agriculture, Forestry, Fishing and Hunting (11)
Please list employer partners, their industry, and the average starting wage for each of your current employer
partners. If you are unsure of an employer's industry code, you may use the NAICS Company Lookup Too( (you
may add additional rows as needed).
Name of Employer Partner I Employer's Sector
Average Starting Wage
ESWC has several employer partners especially in our five (5) Sector Partnerships (Construction, Healthcare,
Page 9 of 12
Hospitality, Manufacturing, and Non -Profit). Below are a few employers in Weld that employ 1,000 to 4,999
Banner Health
Healthcare and Social Assistance
(62)
$28.07/hr.
Hensel Phelps Construction Co
Construction (23)
$81k/yr.
JBS USA LLC
Retail Trade (44)
$19.75/hr.
Pilgrim's Pride Corp
Manufacturing (31)
$62k/yr.
University of Northern Colorado
Administrative Support and Waste
Management Remediation Services
(56)
$72k/yr.
Vestas Nacelles Factory
Manufacturing (33)
$23.06/hr.
Total Employer Partners
6 examples
Program Feature 7: Program Activities & Subsidized Work Basedlearning Details
In addition to case management services, the EF PO Plan documents program activities your agency will offer to
clients. Program activities provided will need to be recorded in the program systems of record, and substantiated
with supporting documentation in client case files.
Please review the list and definitions of each EF Employment and Training activity and complete the Program
Activities Details table in the bL�O Plan Program Features 7-9 and Budget Template (Program Feature 7:
Program Activities tab), for the activities your agency will provide to clients.
• Program Feature 7: Program Activities tab, Program Activities Details table has been completed and
sent as an attachment along with the 2024/2025 EF PO Plan template.
Subsidized Work Based Learning Details
Additional information is required for Subsidized Work Based Learning activities. Please complete the
Subsidized Work Based Learning Activities Details table in the EF PO Plan; Program Features 7-9 and Budget
Template (Program Feature 7: Program Activities tabl for the subsidized work based learning activities you will
provide and fund through the EF program.
• Program Feature 7: Program Activities tab, Subsidized Work Based Learning Activities Details table
has been completed and sent as an attachment along with the 2024/2025 EF PO Plan template.
Program Feature 8: Supportive Payments
The EF PO must be able to offer and provide supportive payments that are reasonable and necessary fora client to
engage in the program and/or attach to training or employment. If the EF PO does not directly provide supportive
Page 10 of 12
payments to EF clients, the EF PO must work closely with other community partners or EF program operators to
issue supportive payments to clients.
The EF PO must track the provision of all supportive payments (directly provided by the EF PO or by another
community partner or EF P0) in the program's system of record.
The EF PO must track and report the supportive payment cost per participant and can demonstrate that the
supportive payments are distributed to (or received by) clients.
Please complete the Supportive Payments Details table in the EF PO Plan: Program Features 7-9 and Budget
Template (Program Feature 8: Supportive Payments tab). for supportive payments you will provide and fund
through the EF program.
• Program Feature 8: Supportive Payments tab, Supportive Payments Details table has been completed
and sent as an attachment along with the 2024/2025 EF PO Plan template.
Program Feature 9: Funding.Sources and Requested Program Funding
The EF PO Plan must include program administration and participant reimbursement (aka supportive payment)
costs for all activities and supportive payments your organization will offer in FFY2025.
Please provide the funding sources and funding requests your agency is requesting for the program year. Note:
your funding request should be based on the prior year's expenditures and the anticipated number of clients to be
served in FFY2025. A list of types of non-federal funding to leverage (contribute) can be found on the Program
Feature 9: Budget & Funding Sources tab within the EF PO Plan: Program Features 7-9 and Budget Template.
Funding Sources
Please provide the funding sources for the agency's 50/50 funding contribution in the EF PO Plan: Program
Features 7-9 and Budget Template (Budget & Funding Sources tab). Please note: 100% Administrative funding
and 80/20 participant reimbursement funding is determined by the number of work registrants in a county and
distributed to the County Department of Human/Social Services.
• Program Feature 9: Budget & Funding Sources tab has been completed and sent as an attachment
along with the 2024/2025 EF PO Plan template.
Program Feature 10: Documents
Please provide copies of the following documents as part ofyour EF PO Plan submission:
• Organization Chart: The organizational chart must have full names for staff and position titles. The
organization chart also must clearly show who will work in the Employment First program.
• Initial Employability Assessment: The initial assessment must assess at least one of the following:
applied academic skills, interpersonal skills, critical thinking skills, communication skills, and challenges to
access employment
Page 11 of 12
• Individual Service Plan (ISP): The ISP must include short-term and long-term goals that focus on
employment, training, and/or education, action items for the client, action items for the case manager, and
coordination with and referrals to other employment and training service providers (when applicable).
• The Organizational Chart has been sent as an attachment along with the 2024/2025 EF PO Plan
template.
• The Initial Employability Assessment has been sent as an attachment along with the 2024/2025 EF PO
Plan template.
• Individual Service Plan (ISP) is utilized through CBMS. Should you require a Roadmap that is
completed with a participants information, please inform ESWC and one can be sent.
Program Feature 11: Program Outcome Measures (For Information -Purposes Only,
Note: This section has been moved to the Program Feature 11 and Signature Page Template. This link will be sent
out after the EF PO plan is finalized.
Page 12 of 12
COLORADO
Office of Economic Security
Om:.lot, it economic ! ViOiidOt c:c SLa ix
2024/2025 Employment First Program Operator Plan
Signature Page
By signing this page, I acknowledge that I have reviewed my agency's State -approved 2024/2025 Employment
First Program Operator Plan and agree to implement the Employment First program as prescribed by the
2024/2025 Employment First Program Operator Plan.
I acknowledge that any changes to my agency Program Operator Plan will require an update to the Colorado
SNAP Employment and Training State Plan for Food and Nutrition Services approval.
I certify that all the Assurance Statements on page 5 on the Employment First Program Operator Plan are met.
•
Vt
cB
1s4
EF PO Director (or Designee) Date
2hs/202-4/
EF PO Fiscal Reviewer Date
Page 1 of 2
COLORADO
Office of Economic Security
Dive .tor $ c ! Cr t nnor11OC 6 Wear kith L Si at)r o'1
2024/2025 Employment First Program Operator Plan
Program Feature 11: Program Outcome Measures
Program Feature 11: Program Optcome Measures (For Information -Purposes Only)
Colorado must indicate outcome measures for each component that EF will offer that is intended to serve at least
100 clients in the program year.
The table below provides initial outcome measures based on the prior program year's component data. An
updated component table will be shared with EF POs once all EF PO plans have been received and compiled into
the EF State plan.
Component
Outcome
Measure
Methodology
reported
including
(e.g., denominator
the
timeframes
and
numerator).
being
Post
-secondary
The
number
and
Numerator:
Unduplicated
number of
clients
who
Education
percentage
of
clients
who
completed
the component
in the
program year and
obtained
employment
after
obtained
employment
two quarters
after
program exit.
two
of
the
-quarters
component.
of completion
_
h
Denominator:
participated
in
Unduplicated
the
component
number
during
of
the
clients
program
that
year.
Career and/or
number
and
Numerator:
Unduplicated
number
of
clients
who
The
Technical
Education
percentage
of
clients
who
completed
the component
in the
program year and
Programs or Other
obtained
employment
after
obtained
employment
two quarters
after
program exit.
Vocational
Training
two
of
the
-quarters
component.
of
completion
Denominator:
participated
in
Unduplicated
the
component
number
during
of
clients
the
program
that
year.
Supervised
job
The number
and
Numerator:
Unduplicated
number
of
clients
who
Search
percentage
of
clients
who
completed
the component
in the
program
year and
obtained
employment
after
obtained
employment
two
quarters
after
program exit.
two
of
the
-quarters
component.
of completion
Denominator:
participated
in
Unduplicated
the
component
number
during
of
clients
the
program
that
year.
job
Retention
The
number
and
Numerator:
Unduplicated
number of
clients
placed
in
Services
percentage
of
clients
the
component
during
the program year who
retained
enrolled
in
the
component
their
employment
two quarters
after
entering
the
during
FFY23
who
retained
component.
their
quarters.
employment
after
two
Denominator:
the
component
Unduplicated
during
the
program
number of
year.
clients
placed
in
- - --
Work
Readiness
The
number
and
Numerator:
Unduplicated
number
of clients
who
percentage
of
clients
who
retained
employment
two quarters
after
completing
the
Training
retained
employment
two
component.
quarters
of
the
after
component.
completion
Denominator:
participated
Unduplicated
in
the
component
number
during
of
clients
the
program
that
year.
Page 2 of 2
Program Feature 7: Program Activities & Subsidized Work Based Learning Details
Directions: Please review the list and definitions on the Service Delivery Model and Activity Definition Document and complete the tables (the yellow cells) for the activities your agency will
EXAMPLE
Activity
Supervised Job Search
Career and/or Technical
Education Programs or
Other Vocational Training
Job Retention Services
(must be offered)
Acroynm
SJS
EPC
JR
Category
Non-Education/Non-
Work-Based Learning
Education/Training
Non-Education/Non-
Work-Based Learning
Is this activity on
Cost per client
the ETPL or RAP Number of clients Total cost
(Total)
Directory?
No
Yes
No
100
100
50
$150
$1,000
$100
$15,000
Narrative: Provide details that explain the "Cost per client" for the
activity.
The average time a client spends in supervised job search is 3 months. A
case manager will spend 3 hours with each client during their time in
Agency ABC partners with Emily Griffith to provide a 6 -week Information
$100,000 Technology training course, that certifies all clients in coding). The cost of
the course is $1,000 per client.
$5,000
The average time a client spends in job retention is 3 months. A case
manager will spend 3 hours with each client during their time in job
retention ($25x3). Overhead costs for job retention totals $25.00 per client.
Total cost = $100.00.
OGRAM ACTIVE CS DETAILS
IT
Activity
Acroynin
Category
Is this activity on
the ETPL or RAP Number of clients Cost per client Total Cost
Directory?
Narrative: Provide details
that explain the "Cost per
client" for the activity.
Supervised Job Search
Job Retention Services
(must be offered)
S JS.
JR
Non-Education/Non-
Work-Based Learning
Non-Education/Non-
Work-Based Learning
No
No
50
250
160
520
$8,000.00
$130,000.00
This estimation consists of the
assessments needed for job
search activites, which are WRC
($25), CareerScope ($25), Job
Seeking ($15), and Job Keeping
($15) = $80, plus time and effort
of the case manager.
Individuals needs will vary in
retention. Believe participants
may request one or some of the
following supportive services:
clothing (up to $200),
transportation assistance (up to
$200), equipment/tools (up to
$200), and childcare (up to
$250).
Self-employment training
Workfare
Adult Basic Education
and/or Foundational Skills
Instruction
(includes High School
Equivalency Programs and
GED, and Literacy
Instruction)
Post -secondary Education
Career and/or Technical
Education Programs or
Other Vocational Training
English Language
Acquisition
SET
W
EPB
EPC
EPC
EPEL
Non-Education/Non-
Work-Based Learning
Non-Education/Non-
Work-Based Learning
Education/Training
Education/Training
Education/Training
Education/Training
No
No
Yes
Yes
No
0
50
15
5
15
5
0
160
3120
8000
5500
0
$0.00
$8,000.00
$46,800.00
$40,000.00
$82,500.00
$0.00
N/A
Depending on the indivdual,
may support them with
transportation to get to and
from workfare sites (up to
$200), take assessments needed
for placements WRC ($25),
CareerScope ($25), Job Seeking
($15), Job Keeping ($15),
and/or purchase required
uniforms/shoes for workfare
site (up to $200).
Cost of initial testing for TABE
($25), 20 hours of ABE or HSE
weekly ($160), pre-test fees
($20), HSE Official Pre-test ($6),
HSE Official test ($45 each) x 4
subjects, HSE Official Retest
($20 each) x 4 subjects.
Depending on the individual,
may support them with
books/supplies (up to $160),
tuition cost (up to $5,500 for in -
demand industry),
transportation/parking (up to
$200) and housing (up to
$1,500).
Depending on the individual,
may support them with
books/supplies (up to $160),
tuition cost (up to $5,500 for in -
demand industry),
transportation/parking (up to
$200) and housing (up to
$1,500).
Will refer to external partner at
no -cost.
Employability (work
readiness training)
Internship, not subsidized
by EF
On -The -Job Training, not
subsidized by EF
Pre -apprenticeship, not
subsidized by EF
Apprenticeship, not
subsidized by EF
Transitional Jobs, not
subsidized by EF
Internship, subsidized by
EF
(provide details in the
second table)
On -The -Job Training,
subsidized by EF
(provide details in the
second table)
Pre -apprenticeship,
subsidized by EF
(provide details in the
second table)
EPWRT Education/Training No 50
WBLI Work -Based Learning
WBLOJT
WBLPA
WBLA
WBLTJ
WBLI-Sub
WBLOJT-Sub
WBLPA-Sub
Work -Based Learning
Work -Based Learning
Work -Based Learning
Work -Based Learning
Work -Based Learning
Work -Based Learning
Work -Based Learning
No
No
0
14
0
1
1
160 $8,000.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
$0.00 $0.00
$8,000.00 $8,000.00
$5,000.00 $5,000.00
Depending
would
assistance
readiness
$200)
such
Seeking
Responsibility
Readiness
testing
Skills,
&
to
Reasoning
name
provide
and
as Job
($15),
such
Computer
a
workshops
($25),
few
on
needed
pay
Keeping
as
Skills,
the
transportation
for
Personal
($25),
Basic
(each
and
Literacy,
individual,
assessments
to
and
attend
($15),
skills
Office
$10).
(up
Workplace
Typing
to
Job
Math
job
we
N/A
This
through
Training
or
cost would
another
program
Colorado Works.
be covered
Employment
such
&
as WIOA
This cost
through
Training
or Colorado
would
another
program
Works.
be covered
Employment
such
as WIOA
&
This
through
Training
or
cost
Colorado
another
program
would
Works.
be covered
Employment
such
&
as WIOA
This cost
through
Training
or Colorado
another
program
would
Works.
be covered
Employment
such
as
WIOA
&
N/A
This
please
right.
is purely
refer
an
to table
estimation,
on the
This
please
right.
is purely
refer
an
to table
estimation,
on the
Apprenticeship, subsidized
by EF
(provide details in the
second table)
Transitional Jobs,
subsidized by EF
(provide details in the
second table)
Case management
services (must be
provided)
This number should match
the anticipated number of
clients served in Program
Feature 4 Populations
Served)
WBLA-Sub
WBLTJ- SUB
CM
Work -Based Learning
Work -Based Learning
Non-Education/Non-
Work-Based Learning
1
20
$10,000.00
$8,000.00
250
800
$10,000.00
$160,000.00
$200,000.00
Activities Total: $506,300.00
This is purely an estimation,
please refer to table on the
right.
A typical work experience at
ESWC consists of up to 500
hours times that by minimum
wage ($14.46) that equals
$7,210. Not every placement
will last the full hours so there
is varience for increased wages.
Any additional time remaining
will supplement case manager's
time and effort.
Please refer to the Program
Feature 9 tab and Direct
Program Costs.
SUBSIDIZED WORK BASED LEARNING ACTIVITY DETAILS
Activity Detail
EXAMPLE Internship, subsidized by EF
(WBLI-Sub)
On -The -Job Training, sub-
sidized by EF (WBLOJT-Sub) ass
Pre -apprenticeship, sub-
sidized by EF (WBLPA-Sub)
Apprenticeship, sub-
sidized by EF (WBLA-Sub)
Transitional Job, subsidized
by EF (WBLTJ- SUB)
Target Population
Interest in
culinary for
school
programs
Target Industry Culinary
Is this activity on the ETPL or
RAP Directory?
Length of Activity (Months) 3
Number of clients 5
Hourly Wage Rate $20.00
Percentage of Wage to be
Subsidized (i.e. 100%, 75%, 100%
etc.)
Total Number of Hours per 500
Client
EF Funds to be Used (50% or 50%
100%)
Total Wages to be Paid to
Clients (Hourly Wage Rate x #VALUE!
Total number of hours per
client)
Total Projected Subsidized
Wages
(Estimated number of Clients $10,000.00
x Total Wages to be Paid to
Clients)
Total Projected Wages
Covered/Reimbursed by EF
(EF Funds to be used x Total
Projected Subsidized Wages)
$5,000.00
Dependent on participant's
aptitudes and interests
Government; Construction;
Accommodation and Food
Service; Health Care and Social
Assistance; Other Services (except
Public Administration); Retail
Trade; Manufacturing;
Professional, Scientific, and
Technical Services;
Administrative, Support, Waste
Management and Remediation;
Mining, Quarrying, and Oil and
Gas Extraction; Transportation
and Warehousing; and
Agriculture, Forestry, Fishing and
Hunting.
No
3
0
Unpaid
Up to 240 hours
$0
Dependent on participant's aptitudes and
interests
Government; Construction; Accommodation
and Food Service; Health Care and Social
Assistance; Other Services (except Public
Administration); Retail Trade;
Manufacturing; Professional, Scientific, and
Technical Services; Administrative, Support,
Waste Management and Remediation;
Mining, Quarrying, and Oil and Gas
Extraction; Transportation and
Warehousing; and Agriculture, Forestry,
Fishing and Hunting.
No
3
1
Varies by employer
50%
Up to 500 hours
50%
Estimating $8,000
Based on estimation $8,000
$8,000.00
Dependent on participant's aptitudes
and interests
Government; Construction;
Accommodation and Food Service;
Health Care and Social Assistance; Other
Services (except Public Administration);
Retail Trade; Manufacturing;
Professional, Scientific, and Technical
Services; Administrative, Support, Waste
Management and Remediation; Mining,
Quarrying, and Oil and Gas Extraction;
Transportation and Warehousing; and
Agriculture, Forestry, Fishing and
Hunting.
Yes
1
Varies by employer
50%
Varies by Provider
50%
Unknown
Unknown
Unknown
Dependent on participant's aptitudes and Dependent on participant's aptitudes
interests and interests
Government; Construction;
Government; Construction; Accommodation and Food Service;
Accommodation and Food Service; Health Health Care and Social Assistance;
Care and Social Assistance; Other Services
Other Services (except Public
(except Public Administration); Retail
Trade; Manufacturing; Professional,
Scientific, and Technical Services;
Administrative, Support, Waste
Management and Remediation; Mining,
Quarrying, and Oil and Gas Extraction;
Transportation and Warehousing; and
Agriculture, Forestry, Fishing and
Hunting.
Administration); Retail Trade;
Manufacturing; Professional,
Scientific, and Technical Services;
Administrative, Support, Waste
Management and Remediation;
Mining, Quarrying, and Oil and Gas
Extraction; Transportation and
Warehousing; and Agriculture,
Forestry, Fishing and Hunting.
Yes No
1
Varies by employer
3
20
20% below the prevailing wage.
50% 100%
Varies by Provider Up to 500 hours
50% 100%
Unknown
Unknown
Unknown
Estimating $8,000
Based on estimation $160,000
$160,000.00
Will the activity cover other
costs associated with wages
such as Workers
Compensation or Payroll
Taxes. If Yes, Indicate those
items
Amount of Workers
Compensation or Payroll
Taxes Covered/Reimbursed
by EF
Total amount x EF Funds to
be used)
Amount of Other
Administrative Costs
associated with the activity
covered/reimbursed by EF,
if any
Yes, workers
compensation
and payroll
taxes
$7,200
none
Total Cost of activity to be
Covered/Reimbursed by EF $25,000
(all costs included in wages)
$240 (workshops: job search;
knowledge, skills, and attitudes;
interviewing; two pt. resume; self-
confidence)
No.
N/A
$240 (workshops: job search; knowledge,
skills, and attitudes; interviewing; two pt.
resume; self-confidence)
No.
N/A
$240 (workshops: job search;
knowledge, skills, and attitudes;
interviewing; two pt. resume; self-
confidence)
No.
N/A
Yes, Workers Comp and Payroll taxes
$11,200
$240 (workshops: job search;
$240 (workshops: job search; knowledge, knowledge, skills, and attitudes;
skills, and attitudes; interviewing; two pt.
interviewing; two pt. resume; self -
resume; self-confidence)
confidence)
$8,240.00
$5,240.00
$10,240.00
$176,000.00
Program Feature 8: Supportive Payments
Directions: Please review the list of EF Allowable Participant Reimbursements within the EF Program Handbook and complete the table (the yellow cells) below for the supportive payments your agency will offer to clients. Examples have been provided
EXAMPLE
Supportive Payment Type
Automobile Repairs
Background Checks/ Drug Test/Fingerprinting needed for
employment or training
Acroynm
AR
BDF
Provided By Your Agency or
Other Community Partner?
Our Agency
Other Community Partner
Number of clients Maximum limit per client
15 $1,000
100 $0.00
Total Cost
$15,000.00
$0.00
Method of disbursement (in advance or a reimbursement)
In advance via a check or credit card payment to the business.
N/A
PAS LS
Supportive Payment Type
Acroynm
Provided By Your Agency or
Other Community Partner?
Number of clients Maximim limit per client
Total Cost
If Other Community
partner; please change
total to $0.
Method of disbursement (in advance or a reimbursement)
Dependent care
DC Our Agency
10
Must work with CCCAP- then
up to $250/month
$2,500.00
Reimbursement to provider through CBMS or invoice.
Automobile Repairs
Background Checks/ Drug Test/Fingerprinting needed for
employment or training
Cell Phone Bill
Clothing for job interviews/required for a job/ uniforms
Course/ registration fees/student activities fees
School supplies/ books
Equipment for work/ Personal safety items
AR Our Agency
BDF Our Agency
CPB Our Agency
CL Our Agency
RF Our Agency
SS Our Agency
PSI Our Agency
5
15
$1500.00- One time only.
May seek Workforce Director
approval to go above this
amount
Up to $100.00 per program
year
15 Up to $80.00/month
50 Up to $200 per program year
40
Will be determined on a case-
by- case basis
40 $160 per semester
25 Up to $200 per program year
$7,500.00
$1,500.00
$1,200.00
$10,000.00
$6,400.00
$5,000.00
Reimbursement to provider through CBMS. Reimbursement to
EBT card upon receipt of proof of payment.
If the provider is in CBMS, reimbursement is the preferred
method. May pay in advance via a P -Card.
Reimbursement to EBT card upon receipt of proof of payment.
In advance via a P -Card Purchase. Reimbursement to EBT card
upon receipt of proof of purchase.
Reimbursement to provider through CBMS or invoice.
In advance via a P -Card Purchase.
In advance via a P -Card Purchase. Reimbursement to EBT card
upon receipt of proof of purchase.
Personal hygiene items
Housing assistance
Internet services
Laptops/Computers/Tablets/Phones
Legal services/ Documents required for employment or
education
Licensing and bonding fees for work
Medical services needed/ required for employment (dental
needs, tattoo removal, vision needs; eye glasses or exam)
Test fees
Training materials for short-term, technical, and other training
(such as WBL and vocational training)
Tuition/Fees for short-term, technical, and other training (such
as WBL and vocational training) that result in a new skill,
credential, or certificate
Transportation (bus passes, gasoline and costs associated with)
Union dues
PHI Our Agency
HA Our Agency
IS Our Agency
LCT Our Agency
LD Our Agency
LS Our Agency
MS Our Agency
TF Our Agency
TM Our Agency
TUF Our Agency
TR Our Agency
UD Our Agency
40
40
20
25
5
$1,500 - a maximum of three
months. May seek Workforce
Director approval to go
15 Up to $80/month
Up to $1,500 -one time
purchase. May include
15 Microsoft Office, an anti-
virus software and
protection time.
10 Up to $100- one time only.
10 Up to $100- one time only.
Job related, up to $100.00
15 per program year. Training
related, up to $525 - one
Will be determined on a case -
by -case basis
Will be determined on a case -
by -case basis
$5,500
50 Up to $200/month
5
Will be determined on a case -
by -case basis
$0.00
$7,500.00
$1,200.00
$22,500.00
$1,000.00
$1,000.00
$9,375.00
$110,000.00
$10,000.00
Have travel sized hygiene items available onsite.
Reimbursement to provider through CBMS or invoice.
Reimbursement to EBT card upon receipt of proof of payment.
In advance via a P -Card Purchase. Reimbursement to EBT card
upon receipt of proof of purchase.
If the provider is in CBMS, reimbursement is the preferred
method. May pay in advance via a P -Card.
If the provider is in CBMS, reimbursement is the preferred
method. May pay in advance via a P -Card.
If the provider is in CBMS, reimbursement is the preferred
method. May pay in advance via a P -Card.
Reimbursement to provider through CBMS or invoice.
Reimbursement to provider through CBMS or invoice.
Reimbursement to provider through CBMS or invoice.
Reimbursement to EBT card or paper voucher.
Reimbursement to provider through CBMS or invoice.
Exhibit
B Program Operator
Name:
Employment Services of
Weld
County
Fiscal Year:
FFY2025
Operating
Budget
ANTICIPATED
# OF CLIENTS SERVED:
250
AVERAGE
COST PER CLIENT*:
$1,737.56
TPP FUNDS REQUESTED (Total
CDHS Encumbrance):
$121,357.86
FUNDS ORGANIZATION
WILL
CONTRIBUTE (From
Non -Federal sources):
$434,390.72
Expense Category
g
Narrative
Non -Federal
Contribution**
Funding
Federal
Reimbursement
(E50)***
CDHS
Reimbursement****
Total
I. Direct
Program
Costs
Sala
Wa es
�'� g
Salary and
50% wages
Employment
Director and
Wages
for
for 3 Employment
Employment and Training
First 25% salaries and
Director o Em s loyment
First Case managers and
Supervisor over$
wages of the Deputy
Services.
141,645.10
$
70,822.5 r
,
`� 70,822.55
Option
fringe
Otherwise,
1:
benefit
Fringe Benefits:
rate percentage
leave as 0%.
If selecting
(22.01%)
this
option,
in line
11
provide
below
the
(cell
approved
All).
$64,814.62
$
32,407.31
$ 32,407.31
Option
multiple
approved
2: Fringe Benefits:
rates are used.
fringe benefit
The
rate
Provide
total
percentage
total
fringe
fringe benefits
benefits cannot
of 22.01%.
in line C12
exceed the
if
N/A
$
-
$ -
Non -capital
equipment
N/A
$
-
$ -
Materials
N/A
$
-
$ -
Travel
Cost of staff traveling to and from
person staff development and training.
EF Launch Party and other in
$ 250.00
$
125.00
$
125.00
Subtotal
$
206,709.72
$
103,354.86
$
103,354.86
Contractual
Costs:
N/A
$
-
$
-
Total
Direct
Program Costs
$
206,709.72
$
103,354.86
$
103,354.86
leave
Option 2:
as a
Indirect
0%.
You
Costs
must
using
provide
Federally
a
current
Negotiated
copy
of your
Indirect
Cost
Federally
Rate:
Negotiated
If
selecting
Indirect
this
option,
Cost
Rate
provide
Agreement
the
Federally
with
your
Negotiated
Federal
CognizantAgency
Indirect
Cost Rate
in
percentage
order
for
the
in Row
Department
23; otherwise,
to accept
Option 1:
2 below.
If
Indirect
selecting
Costs
the
using
De Minimis
De
Minimis
option,
please
Cost Rate:
input
De
10%
Minimis
in
Indirect
line 21
below.
Cost
Otherwise,
Rate percentage is 10% and
leave as 0%.
if selected, should
be provided in Row 21. If your organization has a Federally
Negotiated
Indirect
Cost Rate you must use Option
15.00%IN/A
$ 31,006.00
$
15,503.00
_
$ 15,503.00
Option
Federally
2: Indirect
Negotiated
Costs
Indirect
using Federally
Cost Rate
Agreement
Negotiated
with
Indirect
your
Cost Rate:
Federal Cognizant
If
selecting
Agency
this
option,
in order
for
provide
the
the
Department
Federally
to
accept
Negotiated
the Federally
Indirect
Negotiated
Cost
Rate percentage
Indirect
in Row 23;
Cost Rate indicated
otherwise,
in Row
leave as a 0%. You must provide
23.
a current copy
of your
0.00%
Indirect
purchases,
printing,
allocated
within
costs are allocated
such as rent,
computer
out within
each •rogram,
services,
cost
out
phones,
pools,
by month.
for
supplies,
maintenance,
based
shared
on
programmatic
postage,
etc.
regular
Indirect
interpretation,
hours
costs are
worked
-. _ -•
$
-
$ -
Total
Indirect
Costs
di:
31,006.00
$ 15,503.00
$ 15,503.00
... - _ - ___ -
,a - 37,715.72
�. 72
$
11
B X5786
,B
'
118,857.86
gotal
Administrative
Costs
._ _ ... _ _
`
CDHS
Holdback
Part
1
of
2 (Federal
funds):
0.00%
$
4,754.31
HI.
Participant
Reimbursements
Dependent
Cell
Supportive
C28
will
Care
prepopulate
Payments
from cell
tab.
F12
on
the
Program Feature
8:
Details
each
Feature
Participant
for number
8: Supportive
of clients,
Reimbursement
maximum
can
Payments tab.
limit,
be
found
and
on
total
the
cost
Program
for
$2,500.00
$ 1,250.00
$
1,250.00
Transportation
Cell C29
Su ortive
will
Pa
&
prepopulate
Other
ments
costs
tab.
from cell
F33 on the
Program
Feature
8:
Details
each
Feature
for number
Participant
8: Su
of
Reimbursement
ortive
clients,
Pa
maximum
can
ments tab.
be
limit,
found
and
on
total
the Program
cost
for
$194,175.00
$ 1,250.00
$
1,250.00
_
a
an
..'e
'ure
e
s
$, , .. 196,675.00
$
2,500.00
ta 2,500.00
1HS
Holdback
Part
2 of
2 (Federal
funds). _ - ...
_ . _ _ _.. _ ..
0.00%
$
100.00
IV.
Total
Costs
I
Total
Costs
(Total
Administrative
Costs
+
Participant
Reimbursement
Costs)
$
434,390./2
$
121,357.86
$ 121,357.86
Total
CDHS
Encumbrance.
$
121,357.86
•
'total
%o
C.DHS
Holdback.
to State
Adniinistr�ation
(Federal
Iunds'!
0.00 /o
.
I',
�5 I
. 3 1
NIAXIMUM.AMOUN"-I
PAYABLE
BY STATE
I
E TO
CON.
RAC
1QIU
PROGRAM
OPERATOR
-_ - -- 116,503.)
5
Please note: providers whose CDHS Encumbrance exceeds $750,000 will be will be subject to an annual Management Evaluation by the Department.
Please note: providers whose CDHS Encumbrance exceeds $250,000 will be will be subject to a holdback by the Department (see Holdback table below).
Definitions:
*Average Cost per Client: The average cost of client is Total Costs (cell C33) / Anticipated # of Participants Served (cell C3).
**Non -Federal Funding Contribution: Private, foundational, non-profit, or any other non-federal funding source the Organization is contributing to the program, and is seeking federal
***Federal Reimbursement: The federal reimbursement the Organization is eligible to receive. Cell D33 should match the Total Funding Request on the EF PO Plan.
****CDHS Total Reimbursement: The amount of funding the contractor is eligible to seek reimbursement for, before #% CDHS Holdback is applied. Cell E33 should match the Total Funding
*****MAXIMUM AMOUNT PAYABLE BY STATE TO CONTRACTOR: The maximum amount of funding the contractor is eligible to seek reimbursement for (Total Administrative Costs +
CDHS
Encumbrance
Holdback Percentage
$0
- $250,000
0%
$250,00.01-
$750,000
1%
$750,000.01
- $1,500,000
2%
$1,500,000.01
and
higher
3%
Sources
Funding
Types of
Non
-Federal
Funding
to
Leverage (Contribute)
to Take
Advantage of SNAP
E&T
Reimbursement:
50/50
- State,
- Donations
- Foundation
- Social
- In
- Community
- State
- State
- State
- Tuition
- Other
- Reutilizing
-kind
county,
venture
Need
Worker
Opportunity
state
donations
set
-aside
from
Grants
training
SNAP
funds
Development
or
funds
Retaining
city
private
(government
(e.g.
resources
E&T
funds
(e.g.
Grants
funds
reimbursement
firms
help
Dollars
Goodwill
Block
(e.g.
or
for
low-income
ex
non
entities
Grants
-offender,
store
-profits
revenues)
only)
(CDBG)
college
homeless,
students)
non -custodial
parents)
Name of Contributing
Non
-Federal
Funding Source
Type of Contributing Non -Federal
Funding
Source
Amount
of
Non
-Federal
Funding
Source
County General
Funds
[select
type]
$421,427.72
County
General
Funds
[select
type]
The total
here must match cell
TOTAL:
$421,427.72
C33
vrogram operator weld
Operating Budget
Anticipated
# of
clients
served
250
Average
cost
per
client
$ 2,536.44
Total
funds
requested
$ 634,110.72
Expense Category
Amount requested
Salary/Wages
$ 141,645.10
Fringe
Benefits
$ 64,814.62
Non
-capital
equipment
Materials
Travel
$
250.00
SBWL
$ 199,720.00
Contractual
costs
Total
Direct
Program
costs
$ 406,429.72
Indirect
costs
(10°/0)
$ 31,006.00
$ 31,
006.00
Total
Indirect
Costs
Total
Administrative
Costs
$ 437,435.72
Dependant
Care
$ 2,500.00
Transportation
and
other
costs
$ 194,175.00
$ 196,675.00
Total
Participant
Reimbursem
$ 634,110.72
Total
Allocation
Request
County Contributior
$ 218,717.86
County Contributior
$ 98,337.50
$ 317,055.36
E&T Component and Participant Reimbursement (Supportive Payments) Acronyms
E&T Components
Acronyms
CM
SJS
JR
SET
W
EPB
EPC
EPEL
EPWRT
WBLI
WBLI-Sub
WBLOJT
WBLOJT-Sub
LOJT-S u b
WBLPA
WBLPA-Sub
WBLA
WBLA-Sub
Component Name
Case Managemnet
Supervised Job Search
Job Retention Services
Self-employment training
Workfare
Educational Program- Basic Education and/or Foundational Skills Instruction (includes High School Equivalency Programs)
Educational Program- Career and/or Technical Education Programs or Other Vocational Training
Educational Program - English Language Acquisition
Educational Program - Work Readiness Training
Work -based Learning - Internship
Work -based Learning - Internship, subsidized by E&T
Work -based Learning - On -the -Job Training
Work -based Learning - On -the -Job Training, subsidized by E&T
Work -based Learning - Pre -apprenticeship
Work -based Learning - Pre -apprenticeship, subsidized by E&T
Work -based Learning - Apprenticeship
Work -based Learning - Apprenticeship, subsidized by E&T
Refer to the Service Delivery Model and Component Definition Document for full definitions for each component.
E&T Participant Reimbursement (aka Supportive Payments)
Participant Reimbursement Name
Dependent care
Automobile Repairs
Background Checks/ Drug Test/Fingerprinting needed for employment or training
Cell Phone Bill
Clothing for job interviews/required for a job/ uniforms
Course/ registration fees/student activities fees
School supplies/ books
Equipment for work/ Personal safety items
Housing assistance
Internet services
Laptops/Computers/Tablets/Phones
Legal services required for employment
Licensing and bonding fees for work
Medical services needed/ required for employment (dental needs, tattoo removal, vision needs; eye glasses or exam)
Test fees
Training materials for short-term, technical, and other training (such as WBL and vocational training)
Tuition/Fees for short-term, technical, and other training (such as WBL and vocational training) that result in a new skill, credential, or certificate
Transportation (bus passes, gasoline and costs associated with)
Union dues
Acronyms
DC
AR
BDF
CPB
CL
RF
SS
PSI
HA
IS
LCT
L
LS
MS
TF
TM
TUF
TR
UD
Refer to the EF Allowable Participant Reimbursements within the EF Program Handbook for full descriptions for each supportive payment.
Refer to the x document for full descriptions for each participant reimbursement.
Index Function
CDHS Encumbrance Range
$0.00
$250,000.01
$750,000.01
$1,500,000.01
$250,000.00
$750,000.00
$1,500,000.00
Holdback Percentage
0%
1%
2%
3%
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