HomeMy WebLinkAbout20253041.tiff Resolution
Approve Revised. Grant Closeout Check List for Two (2) Quality Jobs, Equity,
Strategy, and Training (QUEST) Recovery Dislocated Worker Grant Programs for
2023-2024 State Fiscal Year, and Authorize Chair to Sign and Department of Human
Services to Submit
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, on August 21, 2024, the Board of County Commissioners of Weld County,
Colorado, approved Resolution #2024-2234, for the Grant Closeout Check List for
Various Workforce Innovation and Opportunity Act (WIOA) Programs between the
Department of Human Services, and the Colorado Department of Labor and Employment,
and
Whereas, the Department of Human Services desires to submit a revised Check List for
the 2023-2024 State Fiscal Year due to there being inaccurate financial amounts reported,
and
Whereas, the Board has been presented with a Revised Grant Closeout Check List for
Two (2) Quality Jobs, Equity, Strategy, and Training (QUEST) Recovery Dislocated
Worker Grant Programs for the 2023-2024 State Fiscal Year 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 Labor
and Employment, commencing upon full execution of signatures, with further terms and
conditions being as stated in said revised grant closeout check list, and
Whereas, after review, the Board deems it advisable to approve said revised 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 Revised Grant Closeout Check List for Two (2) Quality Jobs, Equity,
Strategy, and Training (QUEST) Recovery Dislocated Worker Grant Programs for the
2023-2024 State Fiscal Year 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 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 revised grant closeout check list, and John Kruse, Department of Human Services
be, and hereby is, authorized to submit said revised grant closeout check list.
ce: HS p, AcT(R,-)/cD} 2025-3041
I I/31.4 /9-5 HR0097
Revised Grant Closeout Check List for Two (2) Quality Jobs, Equity, Strategy, and
Training (QUEST) Recovery Dislocated Worker Grant Programs for 2023-2024 State
Fiscal Year
Page 2
The Board of County Commissioners of Weld County, Colorado, approved the above
and foregoing Resolution, on motion duly made and seconded, by the following vote on
the 5th day of November, A.D., 2025:
Perry L. Buck, Chair: Aye
Scott K. James, Pro-Tern: Aye j ` IL ira 44*
*,‘
Jason S. Maxey: Aye l
Lynette Peppier: Aye <Js
41211
Kevin D. Ross: Aye
.r.
NI vilc
Approved as to Form: ♦,,,,,,�,.,i►
Bruce Barker, County Attorney
Attest:
Esther E. Gesick, Clerk to the Board
2025-3041
HR0097
Corhvad-Ib I bozo
BOARD OF COUNTY COMMISSIONERS
PASS-AROUND REVIEW
PASS AROUND TITLE:Revised 2023-24 Colorado Department of Labor and Employment Annual
Grant Closeout
DEPARTMENT: Human Services DATE:October 28,2025
PERSON REQUESTING: Jamie Ulrich,Director,Human Services
Brief description of the problem/issue:On August 21,2024,the Board approved the 2023-24
Colorado Department of Labor and Employment(CDLE)Annual Grant Closeout,known to the Board
as Tyler#2024-2234. This Report included reporting on Program Income,Stand-In Costs,Grant
Closeout Reconciliations,Inventory Lists,Tax Certification,Refund Rebate Credits,Unclaimed
Checks and Grant Recipient Release Forms for all CDLE grants closed out in SFY 2023-2024.
The Department is now requesting approval to submit a correction to the 2023-24 Grant Closeout
packet.The budgeted and actual amount reported for two(2)QUEST programs were incorrect.To
address this,a revised version of the report must be submitted to CDLE.
What options exist for the Board?
• Approval of the revised 2023-24 CDLE Annual Grant Closeout.
• Deny approval of the revised 2023-24 CDLE Annual Grant Closeout.
Consequences:The revised 2023-24 CDLE Annual Grant Closeout will not be submitted.
Impacts:CDLE will not have correct information regarding the Weld County Department of Human
Services grant funding closeout.
Costs(Current Fiscal Year I Ongoing or Subsequent Fiscal Years):
• Prior reported Budget and Actual amounts=$200,000.00
• Correction to Budget and Actual amounts=$220,000.00
• Grant distributions are funded by CDLE.
Pass-Around Memorandum;October 28,2025—CMS ID 10026
2025-3041
11/5 ‘}►1aooc1"1
Recommendation:
• Approval of the revised 2023-2024 CDLE Annual Grant Closeout and authorize the Chair to sign
all pages.
Support Recommendation Schedule
Place on BOCC Agenda Work Session Other/Comments:
Perry L.Buck
Scott K.James
Jason S.Maxey 6)( �
Lynette Peppier C/ - op
oz,
Kevin D.Ross tit"
Pass-Around Memorandum;October 28,2025—CMS ID 10026
COLORADO
qp -Nor Department of
I Labor and Employment
Finance:633 17th Street,Suite 1100,Denver,CO 80202-3660
Colorado Department of Labor and Employment
Grant Closeout Checklist
Workforce Region/Entity Code:Employment Services of Weld County-5230
Address:PO Box A,Greeley,CO 80632
Director:Carol Salter Phone Number:970-400-6726
Fiscal Manager:Tanya Geiser Phone Number:970-400-6526
Master Grant/Contract Agreement Number:CMS#105079
Final Due Dates:The fourth Friday of October 2025(Oct 24,2025). 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 September 1,2025
(please create an attachment if applicable):Please list all the program code by the program year
accordingly starting from PY-22.Please see the example below:
Program Program Program Code Title/Grant Budget Actual
Year- Code
FY22 4Q23 FY23-DWG-LOCAL-ADMIN-QUEST DRG $22,000 $22,000
FY22 4Q33 FY23-DWG-LOCAL-PROGRAM-QUEST $198,000 $198,000
DISASTER RECOVERY GRANT
4Q43 FY23-DWG-STATE-ADMIN-QUEST DISASTER $0 $0
RECOVERY GRANT
QUESTCL QUESTCL-Quest Client-CRWC $0 $0
QUESTOP QUESTOP-Quest Operating-CRWC $0 $0
QUESTADM QUESTADM-Quest Admin-CRWC $O
QUESTOUT QUESTOUT-Quest Outreach-CRWC $0 $0
Total $220,000 $220,000
I. All the PROGRAM CODES from the CLOSEOUT SUMMARY CHECKLIST(BUDG ET/ACTUAL)
must be fully spent.There should not be any remaining balances.If there are any remaining balances,
If you have any questions or need assistance,please do not hesitate to contact:
Email:pautd.chaveastate.co.us,CRWC maria.hatim@state.co.us,kathteen.malcionado@state.co.us,
teepoh.francis@state.co.us.
202S-3 '-‘•
,y COLORADO
Department of
. C D L E Labor and Employment
Finance:633 17th Street,Suite 1100,Denver,CO 80202-3660
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.
II. 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 inventory purchased for the following grants:PY##-WDP-Local.
III. Each Program Year(PY)and funding stream listed above will have the following forms
completed:
• Form Attachments are E,F,H,I:
o Attachment E-Program Income Expense Report Form
o Attachment F-Stand-In Cost Repost Form
o Attachment H-Grant Closeout Reconciliation Worksheet
o Attachment I-Closeout Document Package-all I attachments
Please use the forms sent via email and do not reference the attachments from the PGL website.
All attachments E,F,H and I are in the spreadsheet named:ACCT-PGL-FIN-2019-08 Subrecipient-
Financial-Procedures-attach-02-Closeout Package.xls.
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 Checklist and Subrecipient Certification of Physical Inventory
(the first page of Attachment I)with Authorized Signature to Colorado Department of Labor and
Employment by the 24'Friday of October.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.
By:Tanya Geiser l 01,1‘
Dat
Title:Fiscal Division Director
ATTEST: � d.0oo64 BOARD OF COUNTY COMMISSIONERS
Clerk to the Board WELD COUNTY,COLORADO
BY:
Deputy Clerk to the Boar Perry L.B k,Chair NOV 0 j 2025
If you have any questions or need assistance,please do not hesitate to contact:
Email:pauld.chavez@state.co.us,CRWC maria.halim@state.co.us,kathleen.maldonado@state.co.us,
leepoh.francis@state.co.us.
207S-36y I-1
Part 1
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
EMPLOYMENT AND TRAINING PROGRAMS
PROGRAM INCOME EXPENSE REPORT FORM(PIERF)
SUBRECIPIENT:Employment Services of Weld County Calendar Ctrtr End Date:8/31/2024
1.CUMULATIVE PROGRAM INCOME CASH REPORTED ON CASH REQUEST THRU QUARTER END DATE:
Program code Amount
NET(Undisbursed)LINE ITEM
2.BUDGET ALLOCATION:
Disbursed
Total Prog income Net(Undlsbursed)
Program code Program Income (Ex ended) Program Income
0.00
0.00
0.00
0.00
0.00
0_00
0.00
0.00
0.00
Total 0.00 0.00
CERTIFICATION:
I certif to the best of my knowledge and belief the above reported information is accurate and cornpiete for the period reported.
NOV 0 5 2025
Perry L Buck,C'ha Date
'M25-30441-2.
Closeout Part 2
•
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Page 1 of 3
EMPLOYMENT AND TRAINING PROGRAMS
STAND-IN COST REPORT FORM(SICRF)
SUBRECIPIENT:Employment Services of Weld County Incurred During Program Year Ended:8/31/2024
Program code:CMS#105079
GRANTS Program
Year COST CATEGORY(IES)/BUDGET LINE ITEMS)
of Funds Administration Program Other: Other: Total
GRANT NAME MA Adult
Current __
Prior
Year Before Prior -
GRANT NAME W1OA Dislocated Workers
Current
'GRANT NAME Prior
Year Before Prior
iMOA Youth
Current
Prior r,
Year Before Prior
GRANT NAME WIOA 10,Statewi d e Act,
Current •
Prior
Year Before Prior
GRANT NAME W10A Local Admin.
Current
Prior ,
Year Before Prior
GRANT NAME W1OA 25%En&DW Admin
Current
Prior,
Year Before Prior
[GRANT NAME MA 25.Enh.DW Prograrn
Current
Prior
Year Before Prior
GRANT NAME W10A 25%Innovat,
Current
Prior
Year Before Prior
CERTIFICATION:
i certify to the best of my knowledge and belief the above reported information is accurate and complete for the period reported.
NOV 2,p 2025
207s-aoqi
Closeout Part 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Page 2 of 3
EMPLOYMENT AND TRAINING PROGRAMS
STAND-IN COST REPORT FORM(SICRF)
SUBRECIPIENT:Employment Services of Weld County Incurred During Program Year Ended:8/31/2024
Program code:CMS#105079
Program COST CATEGORY(IES)/BUDGET LINE ITEM(S)
GRANTS Year
of Funds Administration Program Other: Other: Total
GRANT NAME
Current
Prior
Year Before Prior
LNTNABE W/OA Wagner Peyser
Current
Prior
Year Before Prior
GRANT NAME WP 10%SJH
Current
Prior
Year Before Prior
GRANT NAME Vets DVOP
Current
Prior
Year Before Prior
:GRANT NAME Vets LVER
Current ,
Prior
Year Before Prior
GRANT NAME U/Reemployement S.
Current
Prior
Year Before Prior ..
[GRANTNAME Unemployment Os.
Current
Prior
Year Before Prior
CERTIFICATION:
I certi to the best of my knowledge and belief the above reported information is accurate and complete for the period reported.
NOV 0 s 2025
Perry L.Buck,Ch Date
•
1,0l5-3b41—(4
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part 3
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT:Employment Services of Weld County YEAR OF FUNDS FY22
ADDRESS:PO Box A,Greeley,CO 30632 TITLE/PROGRAM/PROJECT Quest Recovery DWG
Program code 4Q23
EA/WORKPLAN START DATE 9/26/2022 END DATE 8/31/2024
PROGRAM INCOME START DATE END DATE
I.CASH REQUEST
1.Total program and Admin Cash needs Preciously Reported
2.Current Program and Admin Cash Needs
3.FINAL Program and Admin Cash Needs Contract to Date 0.00
!f.PROGRAM EXPENSE REPORT(ER)
1.Total Expenses+Accruals Previously Reported(Through Last Month)
2.Current Expenses+Accruals(Through End Date of Award)
3.FINAL Program Expenses Contract to Date 0.00
ADMINISTRATIVE EXPENSE(ER)
4,Total Expenses+Accruals Previously Reported(Through Last Month) 22.000.00
5.Current Expenses+Accruals(Through End Date of Awards)
6.FINAL Administrative Expenses Contract to Date 0.00
III.PROGRAM INCOME(PI)EXPENSE REPORT
1.Total Program Income Expenses Reported(Last Quarter)
2.Current Program Income Expenses(Through End Date of Contract)
3.TOTAL PI Expenses Through End Date of Contract 0.00
IV.RECONCILICATION
1.FINAL Cash Request Contract to Date 22.000.00
2.FINAL Expenses Through End of Contract 22,000.00
3.Cash Request to Date=Expense reported Through End Date of Contract?(Check Box) Yes r] /No
V.CASH REQUEST PROGRAM INCOME CASH REPORTED
1.Total PI Cash Previously Reported on Cash Request
2.Current Program Income Cash(Through End Date of Contract)
3.FINAL Program Income Cash Contract to Date 0.00
'W.RECONCILIATION
1.FINAL Program Income Cash 0.00
2.Less Program Income....noes Through Contract End Date 0.00
3.Total PI Cash Balance 0.00
VI►.MATCH RECONCILIATION
1,FINAL Match Reported Through End of Contract
2.FINAL Expenses Through End of Contract 22.000.00
3.Match Percentage of Expenditure Contracttual Requirement
4.Match Expenditure Requirement 0.00
5.Total Match Reported a or=to Match Expenditure Requirement?(Check Box) Yes /No
`The Pagram Income Expense Report and Cash Request can only be extended through the availability of the Award and/or Federal funding period.
Preparers Signature Dale f G� (�(!`
Authorized Signature ` Date NO• 0 S 2025
Perry L.Buck
Jeito
ATTEST: ;6k .��+►.
Cler to the and Igsl t
/14111
.Deputy Clerk to the Boar,/
z us-30y1-5
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part 3
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUARECIPIENT:Employment Services of Weld County YEAR OF FUNDS FY22
ADDRESS:PO Box A,Greeley,CO 80632 TITLE/PROGRAM/PROJECT Quest Recovery DWG
Program code 4033
EA/WORKPLAN START DATE 9/26/2022 END DATE 8/31/2024
PROGRAM INCOME START DATE END DATE
1,CASH REQUEST
1.Total program and Admin Cash needs Preciously Reported
2.Current Program and Admin Cash Needs
3.FINAL Program and Admin Cash Needs Contract to Date 0.00
IL PROGRAM EXPENSE REPORT(ER)
1.Total Expenses+Accruals Previously Reported(Through Last Month) 198.000.00
2.Current Expenses+Accruals(Through End Date of Award)
3,FINAL Program Expenses Contract to Date 0•00
ADMINISTRATIVE EXPENSE(ER)
4.Total Expenses+Accruals Previously Reported(Through Last Month) 0.00
5.Current Expenses+Accruals(Through End Date of Awards)
6.FINAL Administrative Expenses Contract to Date 0.00
III.PROGRAM INCOME(P1)EXPENSE REPORT
1.Total Program Income Exoenses Reported(Last Quarter)
2.Current Program Income Expenses(Through End Date of Contract)
3.TOTAL PI Expenses Through End Date of Contract 0.00
IV.RECONCILICATION
1.FINAL Cash Request Contract to Date 198,000.00
2.FINAL Expenses Through End of Contract 198,000.00
3.Cash Request to Dale=Expense reported Through End Date of Contract,(Check Box) 0 Yes❑ /No
V.CASH REQUEST PROGRAM INCOME CASH REPORTED
1.Total PI Cash Previously Reported on Cash Request
2.Current Program Income Cash(Through End Date of Contract)
3.FINAL P••ram Income Gash Contract to Date 0.00
VI.RECONCILIATION
1.FINAL Program Income Cash 0.00
2.Less Program Income Exoenses Through Contract End Date 0.00
3.Total PI Cash Balance 0.00
VIL MATCH RECONCILIATION
1.FINAL Match Reported Through End of Contract
2.FINAL Expenses Through End of Contract 198,000.00
3.Match Percentage of Expenditure Contracttual Requirement
4.Match Expenditure Requirement 0.00
5.Total Match Reported>or=to Match Expenditure Requirement?(Check Box) LI Yes LI /No
'The program Income Expense Report and Cash Request can only be extended through the availability of the Award and/or Federal funding period.
1 -
Prepare.Signature Date/0-l�l/'+.y-�s
Authorized Signature l Date NOV 0'a 2025
Pe L.Buck
WagfrAgA) X-1-60;4
ATTEST: �Isbl
Cleb�'r to the eraI
BY: tA�C7 ak .
Deputy Clerk to the Boars
•
207.5-304 -1D
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part
Page 1 of 6
SUBRECIPIENT CERTIFICATION OF PHYSICAL INVENTORY
Subrecipient Name: Employment Services of Weld County Contact Person: Tanya Geiser
Address: PO Box A Phone Number: 970-400-6526
Greeley.CO 00632
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
funded grant or transferred with the CDLE's approval is included in the attached listing for the above-
noted subrecipient.
The attached listing has been verified by a physical inventory.Changes/revisions are:
0 Noted 0 Not 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 CDLE,in order to return the proceeds to the U.S.Department of Labor.
NOV 052025
Perry L.-,r k Date
Board of'erd County commissioners
ATTEST' '. �®cA
Cler to the'�and +nr
BY: ���Vim'` /1) 7 (fbi( .` g
Deputy Clerk to the Boar n
oZ5-304I-1
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part 4
Page 2 of 6
GRANT CLOSEOUT TAX CERTIFICATION
...I the performance of WDP Master Agreement Number CMS#105079 ,including the
Cxpenditure Authorizations(EAs)NVorkplan allocated under above Agreement number
as Program Code 4Q23 4033
certify that I have complied with requirements of the law and the Colorado Department of Labor and Employment,regarding the obtaining of
employer identification/account numbers;collection,payment,deposit,and reporting of federal,state,and local taxes;and the provision of W-2
forms to employees/enrollees who are not now my employees.For present employees/enrollees(formerly employed under the contract),W-2
forms will be furnished as specified in Circular E.Employer's Tax Guide.
Grant Recipient Name: Employment Services of Weld County
Grant Recipient Address: PO Box A
Greeley,CO 80632
Grant Recipient Employer: Weld County Department of Human Services
Employees Identification Number: 84-6000813
5th
This certification has been executed this day of b\le ,2025
Closeout Part 4
GRANT RECIPIENT'S ASSIGNMENT OF REFUNDS,REBATES,AND CREDITS Page of
I Grant Repin's Name:PO Box A Employment Services of Weld County _ WDP Master
Agr ement
StreetN
City and State:Greeley,CO 80632
Pursuant to the terms of WDP Master Agreement Number CMS#105079 ,including the
Expenditure Authorizations(EAs)/Workplan awarded under Agreement,identified as
Program code(s): 4Q23 4Q33
•
and in consideration of the reimbursement of costs and payment of fee,as provided in the said WDP Master Agreement and any assignment
thereunder,the Grant Recipient's Name and Address(hereinafter called the Grant Recipient)does hereby:
1. Assign,transfer,set over and release to the Colorado Department of Labor and Employment(hereinafter called
CDLE),all right,title and interest to all refunds,rebates credits or other amounts(including any interest 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 thereunder.
2, Agree to take 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 forward promptly to
CDLE.
3. Agree to cooperate fully with CDLE as to any claim or suit in connection with such refunds,rebates,credits or
other amounts due(including an interest thereon):execute any protest,pleading,application,power of attorney or
other papers in connection therewith;and to permit CDLE to represent it at an hearing,trial or other proceeding
arising out of such claim or suit.
This assignment has been executed this 514-'day of Nu erYlbe,V ,2025
By LAZIC4elil,f/X
Authorized Signature
Title Chair,Board of Weld County Commissioners
ATTEST±� 1 =0a `0
Clerk o the B d ' 0.4v
BY:.
Deputy Clerk to the Board y•
: a,
zas-30q1-
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part 4
Page 4of6
SCHEDULE OF UNCLAIMED CHECKS
Grant Recipient Name:Employment Smokes of Weld County
WDP Master Agreement Number: CMS#105079
Release Date:
Check Check Payee's Last Known
Program code Number Payee Amount Address
•
Total Amount Unclaimed
This schedule has been executed this 5H t day of t4b rnbea(,2025
By aeA91j_C4211 ,,It
orized Signature
Title Chair,Board of Weld County Commissioner
AV/4 a
ATTEST: ,k) -A (01
Cler to the and '' ,
BY: � "�
Deputy Clerk to the Boar ", `�
2 07.s 30,-11'8'
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part 4
Page 5 of 6
GRANT RECIPIENT'S RELEASE
Grant Reclpient's Name: Employment Services of Weld County
Address PO Box A.Om..CO 80632
PALulltITIlato:thsefrA":)Ufork7lia'n'at:OZru7drsitol=rMaster Agreement,as CLEAR Program code(s, CMS1105079 .including the Expenditure .
, .
• .
and In consideration of the sum of Total amount paid of . anieayable of
CS of Unclaimed Checks Total)under the said Contract to coo, tor and Addrasa)
!Teealrecnablit:eartrg;Lrr:ftfilnsg:Issi=lid'yeets7o%and goen=b1VIZnsTgeaTotTaisnainneYrnirlCs'w=Qu=Tr=nrg'frorin'srtRC::ractraTA=Tehn't're'iXte:r c'e:=de's rernise*
,
Specified claims In slated amounts or in estimated amounts where the amounts are not susceptible of exact statement by the Grant Recipient,as follows,if none,so state,
CLEAR Involce rs'yenci leen dt
PrZtleem Date
Of Known, Vendor :NZ'S = C:t;t:ry Amount Amount
2.
3.
Claim after closeout,for costs which results from the liability to pay Unemployment Insurance costs under a reimbursement system or to settle vVorker's Compensation claims.
5m day: iymi_ ,,.V
TNs:elease has been executed this .2025
By I( al'i'e/4
Title air.Board of Weld County Commissioner i OELa
ATTEST. .., , • ,,,,, :;,,
Cler to the ard ,
BY: .9krill,
eputy Clerk to the Boar
2015-SOL1\-1
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT closeout Part
Page 6 of 6
PHYSICAL INVENTORY LIST
Grant Recipient Name: Employment Services of Weld County
WDP Master Agreement Number: CMS#105079
Release Date:
Purchase Property Program Funding SERIAL# Property Property
1,Program code Date Description of Property Costs Sources if applicable Location Condition
iF
Total Amount
I certify to the best of my knowledge and belief the above reported information is accurate and complete
for the period reported.
This Physical Inventory List has been executed this 5141 day of t'kV, 2025
By avv��i�Ys"�
thorized Signature
Title Chair,Board of Weld County Commisioners
A' Lca
ATTEST i
Cler to thy. and (1,,6,1(t
BY: 9
Deputy Clerk to the Boar
•
ZoZS-30°4)-I 0
Contract
t ,,S
Entity Information
Entity Name* Entity ID* Q New Entity?
COLORADO DEPARTMENT OF @00010497
LABOR&EMPLOYMENT
Contract Name* Contract ID Parent Contract ID
COLORADO DEPARTMENT OF LABOR&EMPLOYMENT 10026 20242234
GRANT CLOSEOUT FOR 2023-2024-REVISED
Contract Lead* Requires Board Approval
Contract Status SADAMS YES
CTB REVIEW
Contract Lead Email Department Project#
sadams@weld.gov;cobbx
xlk@weld.gov
Contract Description*
THIS IS A CORRECTION TO THE GRANT CLOSEOUT PACKET THAT WAS SUBMITTED IN 8/24.TWO OF THE
PROGRAMS BUDGETS NEED TO BE CORRECTED.
Contract Description 2
PA ROUTING THROUGH THE NORMAL PROCESS. ETA TO CTB IS 10/28/25.
Contract Type* Department Requested BOCC Agenda Due Date
GRANT HUMAN SERVICES Date* 11/01/2025
11/05/2025
Amount* Department Email
$0.00 CM- Will a work session with BOCC be required?*
HumanServices@weld.gov NO
Renewable*
NO Department Head Email Does Contract require Purchasing Dept.to be
CM-HumanServices- included?
Automatic Renewal DeptHead@weld.gov
Grant County Attorney
GENERAL COUNTY
ATTORNEY EMAIL
IGA
County Attorney Email
CM-
COUNTYATTORNEY@WEL
D.GOV
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* Renewal Date
04/30/2026
Termination Notice Period Committed Delivery Date Expiration Date*
06/30/2026
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 Finance Approver Legal Counsel
JAMIE ULRICH RUSTY WILLIAMS BYRON HOWELL
DH Approved Date Finance Approved Date Legal Counsel Approved Date
10/30/2025 10/30/2025 10/30/2025
Final Approval
BOCC Approved Tyler Ref#
AG 110525
BOCC Signed Date Originator
SADAMS
BOCC Agenda Date
11/05/2025
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