HomeMy WebLinkAbout20252434.tiffResolution
Approve Grant Closeout Check List for Various Workforce Innovation and
Opportunity Act (WIOA) Programs and Authorize Chair and 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 a Grant Closeout Check List for Various
Workforce Innovation and Opportunity Act (WIOA) Programs 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, 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 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 farther resolved by the Board that the Chair, Tanya Geiser and John Kruse,
Department of Human Services, be, and hereby are, authorized to sign said grant
closeout check list.
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 27th day of August, A.D., 2025:
Perry L. Buck, Chair: Aye
Scott K. James, Pro -Ten: Aye
Jason S. Maxey: Aye
Lynette Peppier: Aye
Kevin D. Ross: Aye
Approved as to Form:
Bruce Barker, County Attorney
Attest:
Esther E. Gesick, Clerk to the Board
cc : µ Sp, A CT
.R/og/A5
2025-2434
HR0097
U n a c+l %5(o
BOARD OF COUNTY COMMISSIONERS
PASS -AROUND REVIEW
PASS -AROUND TITLE: 2024-25 Workforce Innovation and Opportunity Act (WIOA) Grant Closeout
DEPARTMENT: Human Services DATE: August 19, 2025
PERSON REQUESTING: Jamie Ulrich, Director, Human Services
Brief description of the problem/issue: The Department is requesting approval of the 2024-2025
Workforce Innovation and Opportunity Act (WIOA) Grant Closeout. The Colorado Department of Labor
and Employment (CDLE) Annual Grant Closeout Report includes 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 State Fiscal
Year (SFY) 2024-2025.
What options exist for the Board?
• Approval of the 2024-25 WIOA Grant Closeout packet.
• Deny approval of 2024-25 WIOA Grant Closeout packet.
Consequences: The 2024-25 WIOA Grant Closeout packet 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 2024-2025 = $6,236,579.00
• WIOA Grant distributions are through the Colorado Department of Labor and Employment.
Recommendation:
• Approval of 2025-26 WIOA Grant Closeout Plan and authorize the DHS Director, Fiscal
Department and the Chair to sign.
Support Recommendation
Place on BOCC Agenda
Perry L. Buck
Scott K. James
Jason S. Maxey
Lynette Peppier
Kevin D. Ross
Schedule
Work Session Other/Comments:
Pass -Around Memorandum; August 19, 2025 - CMS - Not in 9856
2025-2434
$/Z-7
Ara, ,. 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
Workforce Region / Sub -Unit 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 August 2025 (Aug 29, 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 June 30, 2025 (please
create an attachment if applicable): Please list all the program code by the program year
accordingly starting from Py## to Fy##. Please see the example below:
Program
Year-
Program Code
Program Code Title/Grant
Budget
Actual
SFY25
WEF25WE
Workforce Enterprise Fund
$555,211.00
$555,211.00
PY24
4AP24WE
Adult
$101,013.00
$101,013.00
PY24
WAG24WE/WMSW
Wager Peyser-10% MSFW
$49,000.00
$49,000.00
PY24
WAG24WE-WSJH
Wager Peyser-10% GSJH
$21,000.00
$21,000.00
PY24
4DP24WE
Dislocated Worker
$106,291.00
$106,291.00
PY23
WAG23WE/WMSW
Wager Peyser-10% MSFW
$27,571.00
$27,571.00
PY23
WAG23WE-WSJH
Wager Peyser-10% GSJH
$21,000.00
$21,000.00
PY23
WAG23WE
Wagner-Peyser
$593,572.00
$593,572.00
PY23
4YP23WE
WIOA Youth
$675,243.00
$675,243.00
FY24
4AF24WE
Adult
$456,206.00
$456,206.00
FY24
JVSG24WE-DVOP
Jobs for Veterans State Grant (JVSG)
DVOP
$5,000.00
$5,000.00
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
oi.ir• - / Department of
Labor and Employment
Finance• 633 17th Street Suite 1100. Denver, CO 80202-3660
FY24
JVSG24WE-CONS
Jobs for Veterans State Grant (JVSG)
CONS
$5,000.00
$5,000.00
FY24
4DF24WE/10DC
Performance Incentive Funds(PIF)
$31,182.00
$31,182.00
FY24
4DF24WE
Dislocated Worker
$441,320.00
$441,320.00
$186,643.00
FY24
4DF24WE
EDW
$186,643.00
FY23
23RESE/28C3
RESEA
$164,170.00
$164,170.00
FY23
4XO2
DW25% State/Local Initiatives - Evaluation
$30,000.00
$30,000.00
FY22
1622
Foreign Labor Certificate
$6,400.00
$6,400.00
FY22
4CLA
CWDC Upskilling Admin
$40,800.00
$40,800.00
FY22
4FLP
Innovation Grant Program
$874,370.94
$874,370.94
FY22
4FLA
Innovation Grant Admin
$83,997.06
$83,997.06
FFY22
TCA22
TM Case Management
$6,637.00
$6,637.00
FFY22
4CLP
CWDC Upskilling Program
$1,546,872.00
$1,546,872.00
FFY22
4FCW/4FII/SLF1
Career Navigation and Coaching Staff
$208,080.00
$208,080.00
Total
$6,236,579.00
$6,236,579.00
ESF funds and WFD EXTRA ESF FUNDING (Major Program WEF25, Program WEF25##,
ACTIVITY - EETL,PACD,PACO,INNP) must be invoiced to CDLE by July 11`h, 2O25 in by
Journal Voucher UPLOAD.
II. All the PROGRAM CODES from the CLOSEOUT SUMMARYCHECKLIST (BUDGET/ACTUAL)
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.
III. 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.
IV. 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 Repost 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 anyy questions or need assistance, please do not hesitate to contact:
Email: pauld.chavez@state.co.us and leepoh.francis@state.co.us.
COLORADO
AsoLabor and Etnptoyment
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 Subrecipient-
Financial -Procedures-attach-02-Closeout Package.xls.
Please attach appropriate supportive documents with Attachment E, F, H, and I. It is o tional 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 e Friday of August. Please submit the electronic copy via email to
pa u Id .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:sr�c-
Title: Vi Sc,A, U1,1 Dt
Board of County Commissioners
Weld County, Colorado
'211i{ 12O7,s
Date
Attest: d.gr‘iw - `rL:„k,
Esther E. Gesick, Clerk to the Board
aker7LiGn
By:Nimdan
Deputy Clerk to the Board
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.
zo25-2434 (-0)
Psrt
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
EMPLOYMENT AND TRAINING PROGRAMS
PROGRAM INCOME EXPENSE REPORT FORM (PIERF)
SUBRECIPIENT:EmploymentServices of Weld County Calendar Orb End Dale: 07012026
1. CUMULATIVE PROGRAM INCOME CASH REPORTED ON CASH REQUEST THRU QUARTER END DATE:
Program code Amount
NET (Undlsbursed) LINE ITEM
2. BUDGET ALLOCATION:
Total
Program cede Program Income
Total 0.00
CERTIFICATION:
Disbursed
PK. Income
(Espendedl
Nat(Undlebureed)
Program Income
0.00
o.00
o.00
0.00
0.00
0.00
I certify to the best of my knowledge and bolter the above reported informs. is accurate and complete for the period reported.
Perry L
V4?..ad-A AUG 2 7 2025
, Ch air oele
Aulhodad ateneten
See instructions far completing this form on the next tab (Attachment E 2 of 2)
Zoi5-2434 Lt-)
SUBRECIPIENT:Employment Services of Weld County
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
EMPLOYMENT AND TRAINING PROGRAMS
STAND-IN COST REPORT FORM (SICRF)
Incurred During Program Year Ended: 613012025
Program code: CMS#105079
Closeout Part 2
Page 1of2
GRANTS
7,10717F71
Program
Year
of Funds
COST CATEGORYIIES)IBUDGET LINE ITEM(S)
Administration
T
Program I
Other: C
j
Other:
Total
Prior (
Year Before Prior
VWUA UIS/oCatedWorkers
HANr NAM!
Current
Prior..
Year Before Prior
KAN r NAME
VtevA Yduln
Current I
Prior I
Year Before Prior
!
I
I
i -
HAN 1 NAME
WIUA TO% ware.. Ac v.
urren
Prior 1
Year Before Prior t
I
Il
) I
11
1
KAN r NAME
WIUA LOCaI Admin.
urren
Prior
Year Before Poor
KAN NAME
n �n
Current
Prior j
Year Before Priorf'
WIUA 2b16 Gin. Low Aver.
i
Current j
I
I
Year Before Prior t
WIUA dbA, lOnovaty pirol.
rT
KAN I NAME
Current I
J
)
Prior
Year Before Prior ii
f
_
CERTIFICATION:
I certify to the best of my knowledge and belief the above reported information is accurate and complete for the period reported.
/).p(4C1d14,A
V,4, Ch air
Parry L
Authorial Si
umoru
AUG 272025
Oate
zoZ5-2434(1 �
SUBRECIPIENT:Employment Services of Weld County
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
EMPLOYMENT AND TRAINING PROGRAMS
STAND-IN COST REPORT FORM (SICRF)
Incurred During Program Year Ended: 8130/2025
Program code: CMS/1105079
Closeout Part 2
Page 2 of 2
GRANTS
Program
Year
of Funds
COST CATEGORY(IESIIBUDGET LINE ITEM(S)
Administration
Program Other: Other: Total
l
GRANT NAME
Current
Prior
Year Before Prior
W1OA Wagner Peyser
GRANT NAME
Current
Prior
Year Before Prior
WP 1O96 SJM
i
f(
(
)
GRANT NAME
Current
Prior
Year Before Prior
Vets OVOP
jr
GRANT NAME
Current
Prior
Year Before Prior
Vets LVER
1
GRANT NAME
Current
Prior
Year Before Prior
GRANT NAME
Ul Reemployement SW
Current
Pngr
Year Before Prior
Unemployment InsCurrent
I
I
I
rI
GRANT NAME
Pnor
Year Before Priori
CERTIFICATION:
I certify to the best of my knowledge and belief the above reported information is accurate and complete for the period reported.
Perry L. duck, Chair
See inAructions for completing this form on the next tab (Attachment F 3 of 3)
AUG 2 7 2025
gate
Zon -ZA N -q)
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part 3
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT: Employment Services of Weld County
ADDRESS: PO Box A, Greeley, CO 80892
EAIWORKPLAN START DATE 3/1/2024
PROGRAM INCOME START DATE
YEAR OF FUNDS FY22
TITLE/PROGRAM/PROJECT Foreign Labor Certificate
Program cods 1622
END DATE 9/30/2024
END DATE
L CASH REQUEST
1. Total program and Admin Cash needs Preciously Reported
6.400.00
2. Current Program and Admin Cash Needs
3. FINAL Program and Admin Cash Needs Contract to Date
0.00
S. PROGRAM EXPENSE REPORT (ER)
1. Total Expenses+Accruals Previously Reported (Through Last Month)
6.400.00
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+Accnrals (Through End Date of Awards)
6. FINAL Administrative Expenses Contract to Date
0.00'
W. PROGRAM INCOME(PI) EXPENSE REPORT
1. Total Program Income Exoenses Reported (Last Quarter)
2. Current Program Income Expenses (Through End Dale of Contract)
3. TOTAL PI Expenses Through End Date of Contract
0.00
IV. RECONCILICATtoN
1. FINAL Cash Request Contract to Date
5.400.00
2. FINAL Expenses Through End of Contract
6.400.00
3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box)
Yes
PI /No
El
V. CASH REQUEST PROGRAM INCOME CASH REPORTED
1. Total P1 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
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
VII. MATCH RECONCILIATION
1. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract
6.400.00
3. Match Percentage of Expenditure Contracttual Requirement
4. Match Expenditure Requirement
0.00
5. Total Match Reported > or= to Match Expenditure Requirement? (Check Box)
Yes
/No
A
'The program Income Expense Report and Cash Request can only be extended through the availability of the Award andA3r Federal funding period
Preparers Signature
Date 6/13/2025
t� ���'/�>
Authorized Signature 1 �,.�
id://
Date AUG 2 7
2025
Perry L. Bucjy( Chair
Seelnseuctfon for completing this for on the next tab (Attachment H 2 of 2)
z l5-243ll Lt -5)
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part 3
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT: Employment Services of Weld County
ADDRESS: PO Box A, Greeley, CO 80632
EANYORKPLAN START DATE 1/1/2023
PROGRAM INCOME START DATE
YEAR OF FUNDS FY23
TITLE/ PROGRAM/ PROJECT RESEA
Program code 23RESE/28C3
END DATE 3/31/2025
END DATE
L CASH REQUEST
1. Total program and Admin Cash needs Preciously Reported
164.170.00
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)
164.170.00
2. Current Expenses + Accruals (Through End Date of Award)
3. FINAL Program Expenses Contract to Date
164,170.00
ADMINISTRATIVE EXPENSE (ER)
4. Total Expenses+Accruals Previously Reported (Through Last Month)
5. Current Expenses+Accruals (Through End Date of Awards)
6. FINAL Administrative Expenses Contract to Date
0.00
Ill. PROGRAM INCOME(PI) EXPENSE REPORT
1. Total Program Income Eooenses 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. RECONCILICAT/ON
1. FINAL Cash Request Contract to Date
164,170.00
2. FINAL Expenses Through End of Contract
164.170.00
3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box)
Yes Fl INo
V. CASH REQUEST PROGRAM INCOME CASH REPORTED
1. Total PI Cash Previously Reported on Cash Request
2. Current Program Income Cash (Through End Dale of Contract)
3. FINAL Program Income Cash Contract to Date
0.00
VL 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
VII. MATCH RECONCILIATION
1. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract
164.170.00
3. Match Percentage of Expenditure Contracttual Requirement
4. Match Expenditure Requirement
0.00
5. Total Match Reported > or= to Match Expenditure Requirement? (Check Box)
Yes ( j INo
()1
'The program Income Expense Report and Cash Request can only be extended through the availability of the Award andbr Federal funding period.
Preparers Signature
LAY" —Date
Date 8/13/2025
��� /
Authorized Signature 1X��' "x�`�%'�
AUG 2 7 2025
Perry L. Bu c(t' Chair
See instruction for completing this for on the next tab (Attachment H 2 of 2)
2025-2434(1-loi
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part 3
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT: Employment Services of Weld County
ADDRESS: PO Box A, Greeley, CO 80632
EAIWORKPLAN START DATE 7/1/2024
PROGRAM INCOME START DATE
YEAR OF FUNDS SFY25
TITLE/PROGRAM/PROJECT Workforce Enterprise Fund
Program code WEF25WE
END DATE 6/30/2025
END DATE
I. CASH REQUEST
1. Total program and Admin Cash needs Preciously Reported
555.211.00
2. Current Program and Admin Cash Needs
3. FINAL Program and Admin Cash Needs Contract to Date
555.211.00
H. PROGRAM EXPENSE REPORT (ER)
555,211.00
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
555.211.00
ADMINISTRATIVE EXPENSE (ER)
4. Total Expenses+Accruals Previously Reported (Through Last Month)
5. Current Expenses+Accruals (Through End Date of Awards)
6. FINAL Administrative Expenses Contract to Date
0.00
IN. PROGRAM INCOME(PI) 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 Dale of Contract
0.00
IV. RECONCILICATION
1. FINAL Cash Request Contract to Date
555.211.00
2. FINAL Expenses Through End of Contract
555,211.00
3. Cash Request to Dale = Expense reported Through End Date of Contract? (Check Box)
Yes Ti No
)1
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
HE 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
VX MATCH RECONCILIATION
1. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract
555,211.00 .
3. Match Percentage of Expenditure Contracltual Requirement
4. Match Expenditure Requirement
0.00
5. Total Match Reported > or = to Match Expenditure Requirement? (Check Box)
Yes ( /No
(
The program Income Expense Report and Cash Request can only be extended through the avallabia,/ of the Award and. Federal funding period.
Preparers Signature
4 Y6
::::ohb32u6
2 7
2025
erry uatr
See instruction for completing this far on the next lab (Attachment H 2 of 2)
2675-2,434(1-1)
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part 3
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT: Employment Services of Weld County
ADDRESS: PO Box A, Greeley, CO 80632
YEAR OF FUNDS
TITLE/PROGRAMIPROJECT
Program code
EAANORKPLAN START DATE 10/112023
PROGRAM INCOME START DATE
FY24
Adult
4AF24WE
END DATE 613012025
END DATE
1 CASH REQUEST
1. Total program and Admin Cash needs Preciously Reported
456,206.00
2. Current Program and Admin Cash Needs
3. FINAL Program and Admin Cash Needs Contract to Date
456.206.00
II. PROGRAM EXPENSE REPORT (ER)
1. Total Expenses+Accruals Previously Reported (Through Last Month)
410,586.00
2. Current Expenses + Accruals (Through End Date of Award)
3. FINAL Program Expenses Contract to Date
410.586.00
ADMINISTRATIVE EXPENSE (ER)
4. Total Expenses+Accruals Previously Reported (Through Last Month)
45.620,00
5. Current Expenses+Accruals (Through End Date of Awards)
6. FINAL Administrative Expenses Contract to Date
45.620,00
111. 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
456,206.00
2. FINAL Expenses Through End of Contract
456,206.00
3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box)
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 Program Income Cash Contract to Date
0.00
VL 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
VII. MATCH RECONCILIATION
1. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract
456.206.00
3. Match Percentage of Expenditure Contracttual Requirement
4. Match Expenditure Requirement
5. Total Match Reported > or= to Match Expenditure Requirement? (Check Box)
0.00
Yes f'] /No
{Ii
'The pogrom Income Expense Report and Cash Request can only be extended Mrough the availability of the Award and/or Federal hrnding pedod
Preparers Signature
idtp ff ___"
Date 8/13/2025
Authorized Signature
Dote AUG 2 7
A�fC
2025
Perry L. Buck/, Chair
See Instruction for completing this for on the next tab (Attachment H 2 of 2j
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Pad 3
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT: Employment Services of Weld County
ADDRESS: PO Box A, Greeley, CO 80632
YEAR OF FUNDS
TITLE/PROGRAMIPROJECT
Program code
EAIWORKPLAN START DATE 7/1/2024
PROGRAM INCOME START DATE
PY24
Adult
4AP24WE
END DATE 6/30/2026
ENO DATE
I. CASH REQUEST
1. Total program and Admin Cash needs Preciously Reported
101.013.00
2. Current Program and Admin Cash Needs
3. FINAL Program and Admin Cash Needs Contract to Date
101.013.00
IL PROGRAM EXPENSE REPORT (ER)
101.013.00
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
101.013.00
ADMINISTRATIVE EXPENSE (ER)
4. Total Expenses+Accruals Previously Reported (Through Last Month)
5. Current Expenses+Accruals (Through End Date of Awards)
6. FINAL Administrative Expenses Contrail to Date
0.00
III. PROGRAM INCOME(PII 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
101.013.00
2 FINAL Expenses Through End of Contract
101,013.00
3. Cash Request to Dale = Expense reported Through End Date of Contract? (Check Box)
Yes rJ /No
(1
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 Dale
0.00
VL 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
VII. MATCH RECONCILIATION
1. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract
101.013.00
3. Match Percentage of Expenditure Contradtual Requirement
4. Match Expenditure Requirement
0.00
5. Total Match Reported 8 or = to Match Expenditure Requirement? (Check Box!
Yes f /No
8
'The program Income Expense Report and Cash Request can only be extended through the availability of the Award andbr Federal funding period
Preparers Signature v,,Lx...-
Date 8113/2025
�11j���-�%
Authorized Signature �!��4%ri "/�p�—�
Date AUG 2 7 2025
erry L. liucl6{l:hair
See instruction for completing this for on the nest lab (Attachment H 2 of 2)
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Pert 3
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT: Employment Services of Weld County
ADDRESS: PO Box A, Greeley, CO 80632
EAMfORKPLAN START DATE 6/1/2023
PROGRAM INCOME START DATE
YEAR OF FUNDS FFY22
TITLE/PROGRAM/PROJECT TAA Case Management
Program code TCA22
END DATE 9/30/2024
ENO DATE
L CASH REQUEST
1. Total program and Admin Cash needs Preciously Reported
6.637.00
2. Current Program and Admin Cash Needs
3. FINAL Program and Admin Cash Needs Contract to Date
6,637.00
IL PROGRAM EXPENSE REPORT (ER)
1. Total Expenses+Accruals Previously Reported (Through Last Month)
6.637.00
2. Current Expenses + Accruals (Through End Date of Award)
3. FINAL Pro ram Expenses Contract to Date
6,637.00
ADMINISTRATIVE EXPENSE (ER)
4. Total Expenses+Accruals Previously Reported (Through Last Month)
5. Current Expenses+Accruals (Through End Date of Awards)
6. FINAL Administrative Expenses Contract to Date
0,00
III. PROGRAM INCOME(P9 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
6.637.00
2. FINAL Expenses Through End of Contract
6,637.00
3. Cash Request to Date = Expense reported Through End Date of Contract, (Check Box)
Yes
1,1 /No
V. CASH REQUEST PROGRAM INCOME CASH REPORTED
t. 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
VI, RECONCILIATION
1. FINAL Program Inane Cash
0.00
2. Less Program Income Exoenses Through Contract End Date
0.00
3. Total PI Cash Balance
0.00
VU. MATCH RECONCILIATION
1. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract
6,637.00
3. Match Percentage of Expenditure Contracttual Requirement
4. Match Expenditure Requirement
0.00
5. Total Match Reported > or = to Match Expenditure Requirement? (Check Box)
Yes
I ( /No
[%1
'The program Income Expense Report and Cash Request can only be extended through the availability of the Award andbr Federal binding per od.
Preparers Signature
::::Eh1OR6
2 7 2025
Author,.Signature=rim ' Y
L-/
Z
Perry L. Buck hair
See instruction for completing this for on the next tab (Attachment H 2 of 2)
2on 2434 ( -i6)
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part 3
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUSRECIPIENT: Employment Services of Weld County
ADDRESS: PO Box A, Greeley, CO 80832
EAIWORKPLAN START DATE 10/1/2023
PROGRAM INCOME START DATE
YEAR OF FUNDS FY24
TITLE/PROGRAM/PROJECT Jobs for Veterans State Grant (JVSG) DVOP
Program code JVSG24WE-DVOP
END DATE 12/31/2024
END DATE
I. CASH REQUEST
1. Total program and Admin Cash needs Preciously Reported
5.000.00
2. Current Program and Admin Cash Needs
3. FINAL Program and Admin Cash Needs Contract to Date
5.000.00
II. PROGRAM EXPENSE REPORT (ER)
1. Total Expenses+Accruals Previously Reported (Through Last Month)
5.000.00
2. Current Expenses + Accruals (Through End Date of Award)
3. FINAL Program Expenses Contract to Date
5.000.00
ADMINISTRATNE EXPENSE (ER)
4, Total Expenses+Accxuals Previously Reported (Through Last Month)
5. Current Expenses+Accruals (Through End Date of Awards)
6. FINAL Administrative Expenses Contract to Date
0.00
III. PROGRAM INCOME(PN 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
5.000.00
2. FINAL Expenses Through End of Contract
5,000.00
3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box)
Yes
pi 'No
El
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
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
VII. MATCH RECONCILIATION
1. FINAL Match Reported Through End of Contract
2_ FINAL Expenses Through End of Contract
5.000.00
3. Match Percentage of Expenditure Contracttual Requirement
4. Match Expenditure Requirement
5. Total Match Reported > or = to Match Expenditure Requirement? (Check Box)
0.00
Yes
[1 INo
21
'The program Income Expense Repo, and Cash Request can only be extended through the availability of the Award endlor Federal funding period.
re-
preparers Signatu5,
,
/6.,...
Date 8/13/2025�!
Authorized Signature
Oats AUG 2 7
A
2A25
erry t.. tlygex, rrna r
See Instruction for completing Ihts for on the next tab (Attachment H 2 of 2)
2a5-2434 0-10
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part 3
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT: Employment Services of Weld County
ADDRESS: PO Box A, Greeley, CO 80632
EAMORKPLAN START DATE 10/1/2023
PROGRAM INCOME START DATE
YEAR OF FUNDS FY24
TITLE/PROGRAMIPROJECT Jobs for veterans State Grant (JVSG) CONS
Program code JVSG24WE-CONS
END DATE 12/31/2024
END DATE
I. CASH REQUEST
1 Total program and Admin Cash needs Preciously Reported
5.000.00
2. Current Program and Admin Cash Needs
3. FINAL Program and Admin Cash Needs Contract to Date
5.000.00
II. PROGRAM EXPENSE REPORT (ER)
5,000.00
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
5.000.00
ADMINISTRATIVE EXPENSE (ER)
4. Total Expenses+Accruals Previously Reported (Through Last Month)
5, Current Expenses+Accruals (Through End Date of Awards)
6. FINAL Administrative Expenses Contract to Dale
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
1V. RECONCILICATION
1. FINAL Cash Request Contract to Date
5.000.00
2. FINAL Expenses Through End of Contract
5,000.00
3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box)
Yes
1 /No
O
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
VL RECONCILIATION
1. FINAL Program Income Cash
0.00
2. Less Program Income ERMINES Through Contract End Date
0.00
3. Total PI Cash Balance
0.00
VII. MATCH RECONCILIATION
1. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract
5.000.00
3. Match Percentage of Expenditure Conlractlual Requirement
4. Match Expend)lure Requirement
0.00
5. Total Match Reported o or = to Match Expenditure Requirement? (Check Box)
Yes
L] /No
The program lrreorae Expense Report and Cash Request can only be extended bumph the availability of She Award andlor Federal funding period
Preparers Signature
cfr. /
Date 8/1312025,1
Authorized Signature
A
/� G.`Z'&
A
I �/ �} Q
Dale AUG 2 r 2025
Perry L. Boc Chair
See instruction for completing this for on the next tab (Attachment H 2 of 2)
2aV3-213,4o-1I)
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part 3
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT: Employment Services of Weld County
ADDRESS: PO Box A, Greeley, CO 80832
YEAR OF FUNDS
TITLE/PROGRAM/PROJECT
Program code
EAIWORKPLAN START DATE 11/1/2024
PROGRAM INCOME START DATE
FY24
Performance Incentive Funds(PIF)
4DF24WE/10DC
END DATE 8/30/2025
END DATE
I. CASH REQUEST
1. Total program and Admin Cash needs Preciously Reported
31.182.00
2. Current Program and Admin Cash Needs
3. FINAL Program and Admin Cash Needs Contract to Date
31.182.00
II. PROGRAM EXPENSE REPORT (ER)
1. Total Expenses+Accruals Previously Reported (Through Last Month)
31.182.00
2. Current Expenses + Accruals (Through End Date of Award)
3. FINAL Program Expenses Contract to Date
31.182.00
ADMINISTRATIVE EXPENSE (ER)
4. Total Expenses+Accruals Previously Reported (Through Last Month)
5. Current Expenses+Accruals (Through End Date of Awards)
6. FINAL Administrative Expenses Contract to Date
0.00
IN. PROGRAM INCOME(PQ 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. RECONCILICAT/ON
1. FINAL Cash Request Contract to Date
31.182.00
2. FINAL Expenses Through End of Contract
31.182.00
3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box)
Yes 171 /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
VL RECONCILIATION
1. FINAL Program Income Cash
0.00
2. Less Program Income Exoenses Through Contract End Dale
0.00
3. Total PI Cash Balance
0.00
VII. MATCH RECONCILIATION
1. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract
31.182.00
3. Match Percentage of Expenditure Contracltuol Requirement
4. Match Expenditure Requirement
0.00
5. Total Match Reported 0 or = to Match Expenditure Requirement? (Check Box)
Yes [J /No
Val
'The program Income Expense Report and Cash Request can only be extended through Me availability or Me Award ardor Federal funding period.
�.I
Date 8/13/2025
��
::::::::
AUG 2 7
Date
2025
Perry L. 8uyj Char
See Instruction for completing this for on the next tab (Attachment H 2 of 2)
2uz5-214341('-13)
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part 3
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT: Employment Services of Weld County
ADDRESS: PO Box A, Greeley, CO 80632
EAIWORKPLAN START DATE 7/1/2021
PROGRAM INCOME START DATE
YEAR OF FUNDS FFY22
TITLEIPROGRAMIPROJECT CWDC Upskilling Program
Program code 4CLP
END DATE 12/31/2024
END DATE
I. CASH REQUEST
1.546.872.00
1. Total program and Admin Cash needs Preciously Reported
2. Current Program and Admin Cash Needs
3. FINAL Program and Admbl Cash Needs Contract to Date
1,546,872.00
It PROGRAM EXPENSE REPORT (ER)
1,546,872.00
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
1,546,872.00
ADMINISTRATIVE EXPENSE (ER)
4. Total Expenses+Accxuals Previously Reported (Through Last Month)
5. Current Expenses+Accruals (Through End Date of Awards)
6. FINAL Administrative Expenses Contract to Date
0.00
M. PROGRAM INCOME(PI)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
1.546.872.00
2. FINAL Expenses Through End of Contract
3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box)
1,546,872.00
Yes
Fl /No
Cl
V. CASH REQUEST PROGRAM INCOME CASH REPORTED
I. 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
VL RECONCILIATION
0.00
1. FINAL Program Income Cash
2. Less Program Income Expenses Through Contract End Date
0.00
3. Total PI Cash Balance
0.00
VII. MATCH RECONCILIATION
1. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract
1.546.872.00
3. Match Percentage of Expenditure Contracttual Requirement
4, Match Expenditure Requirement
5. Total Match Reported > or = to Match Expenditure Requirement? (Check Box)
0.00
Yes
j 1 INo
'The p,ogram Income Expense Report and Cash Request can only be and nded through the aveilabillry of Me Awafd an Fedeta f lurximg penod.
Preparer's Signature
Date 8/13/2025
Authorized Signature ‘S$142
j4e3ati
//U---
Date AUG 2 7
2025
Perry L Buck/. Chair
See instruction for completing this farm the next tab (Attachment H 2 of 2)
go -LS -2434 (1.-I L%)
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part 3
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT: Employment Services of Weld County
ADDRESS: PO Box A. Greeley, CO 80632
EAIWORKPLAN START DATE 7/1/2021
PROGRAM INCOME START DATE
YEAR OF FUNDS FY22
TITLE/PROGRAMIPROJECT CWDC Upskiliing Admin
Program code 4CLA
END DATE 12/31/2024
END DATE
I. CASH REQUEST
1. Total program and Admin Cash needs Preciously Reported
40,800.00
2. Current Program and Admin Cash Needs
3. FINAL Program and Admin Cash Needs Contract to Date
40,800.00
II. 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)
40.800.00
5. Current Expenses+Accruals (Through End Date of Awards)
6. FINAL Administrative Expenses Contract to Date
40.800.00
Ill. PROGRAM INCOME(PI) 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
40.800.00
2. FINAL Expenses Through End of Contract
40,800.00
3. Cash Request to Date - Expense reported Through End Date of Contract? (Check Box)
Yes
Ti /No
El
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
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
VII. MATCH RECONCILIATION
1 FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract
40.800.00
3. Match Percentage of Expenditure Contracttual Requirement
4. Match Expenditure Requirement
5. Total Match Reported 0 or = to Match Expenditure Regwrement? (Check Box)
0.00
Yes
[-1 /No
[j)
•The program Income Expense Report and Cash Request can only be extended Waugh Me availability of the Award andfor Federal funding perfod.
Preparer's Signature
i��L.----
Date B/13/2025
Authorized Signature
�%
'Gr1
i
/.4ei
Date AUG 2 7
2025
rry L. BugC Chair
See insltuction for completing ibis for on the next lab (Attachment H 2 of 2)
20ZS-24314 (I -15J
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part 3
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT: Employment Services of Weld County
ADDRESS: PO Box A, Greeley, CO 80632
EAIWORKPLAN START DATE 7/1/2021
PROGRAM INCOME START DATE
YEAR OF FUNDS FY22
TITLE/PROGRAMIPROJECT Innovation Grant Program
Program code 4FLP
END DATE 12/31/2024
END DATE
L CASH REQUEST
1. Total program and Admin Cash needs Preciously Reported
874,370.94
2. Current Program and Admin Cash Needs
3. FINAL Program and Admin Cash Needs Contract to Date
874.370.94
II. PROGRAM EXPENSE REPORT (ER)
874.370.94
1. Total Expenses+Accruals Previously Reported (Through Last Month)
2. Current Expenses + Accruals (Through End Dale of Award)
3. FINAL Program Expenses Contract to Date
874.370.94
ADMWISTRATIVE EXPENSE (ER)
4. Total Expenses+Accruals Previously Reported (Through Last Month)
5. Current Expenses+Accruals (Through End Dale of Awards)
8. FINAL Administrative Expenses Contract to Date
0.00
III. PROGRAM INCOME(PI) 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 Dale of Contract
0.00
IV. RECONCILICATION
1. FINAL Cash Request Contract to Date
874.370.94
2. FINAL Expenses Through End of Contract
874.370.94
3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box)
Yes
El /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 Exoenses Through Contract End Date
0.00
3. Total PI Cash Balance
0.00
VII. MATCH RECONCILIATION
1. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract
874,370.94
3. Match Percentage of Expenditure Contracltual Requirement
4. Match Expenditure Requirement
0.00
5. Total Match Reported > or = to Match Expenditure Requirement, (Check Box)
Yes
El /No
14
^The program income Expense Report and Cash Request can only he extended through the evade., of the Award andbr Federal funding period
Preparers Signature
i J/��"\M--
Dale 811312025
Authorized Slgnature
i.4%
.
Date AUG 2 7
2025
Perry L. B 1k, Chair
See instruction for completing this for on the next tab (Attachment H 2 of 2)
1025 -2u3( -I U —I Co)
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Goseout Part 3
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT: Employment Services of Weld County
ADDRESS: PO Box A, Greeley, CO 80632
EAIWORKPLAN START DATE 7/1/2021
PROGRAM INCOME START DATE
YEAR OF FUNDS FY22
TITLE/PROGRAM/PROJECT Innovation Grant Admin
Program code 4FLA
END DATE 4/30/2025
END DATE
L CASH REQUEST
1. Total program and Admin Cash needs Preciously Reported
83.997.06
2. Current Program and Admin Cash Needs
3. FINAL Program and Admin Cash Needs Contract to Date
83.997.06
IL 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)
83.997.06
5. Current Expenses+Actxuals (Through End Date of Awards)
6. FINAL Administrative Expenses Contract to Date
83,997.06
III. PROGRAM INCOME{PQ 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
83.997.06
2. FINAL Expenses Through End of Contract
3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Sox)
83.997.06
Yes a /No
Et
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
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
V/I. MATCH RECONCILIATION
1. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract
83,997.06
3. Match Percentage of Expenditure Contractlual Requirement
4. Match Expenditure Requirement
5. Total Match Reposed 0 or = to Match Expenditure Requiremenl7 (Check Box)
0.00
Yes [ /No
IJ
'The program Income Expense Report and Cash Request can only be extended through the availability or the Award andror Federal funding period.
1. .(
Date8/13{�9
:::::::::
�) C Date AUG 2 7 2025
8rry L. 5801f/f r
See helmet. for completing this for on the next tab (Attachment M 2 of 2)
615-243q U -ti)
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part 3
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT: Employment Services of Weld County
ADDRESS: PO Box A, Greeley, CO 80632
EA/WORKPLAN START DATE 7/1/2024
PROGRAM INCOME START DATE
YEAR OF FUNDS PY23
TITLE/PROGRAM/PROJECT Wager Peyser-10% MSFW
Program sods WAG23WE/WMSW
END DATE 6/30/2025
END DATE
/. CASH REQUEST
1. Total program and Admin Cash needs Preciously Reported
27.571.00
2. Current Program and Admin Cash Needs
3. FINAL Program and Admin Cash Needs Contract to Date
27,571.00
IL PROGRAM EXPENSE REPORT (ER)
1. Total Expenses+Accruals Previously Reported (Through Last Month)
27.571.00
2. Current Expenses + Accruals (Through End Date of Award)
3. FINAL Program Expenses Contract to Dale
27.571.00
ADMINISTRATIVE EXPENSE (ER)
4. Total Expenses+Accruals Previously Reported (Through Last Month)
5. Current Expenses+Accruals (Through End Date of Awards)
6. FINAL Administrative Expenses Contract to Date
0.00
NI. PROGRAM INCOME(P0 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
27,571.00
2. FINAL Expenses Through End of Contract
27.571.00
3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box)
Yes n /No
[l
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 Exoenses Through Contract End Dale
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
27.571.00
3. Match Percentage of Expenditure Conlractlual Requirement
4. Match Expenditure Requirement
0.00
5. Total Match Reported > or= to Match Expenditure Requirement? (Check Box)
Yes (i INC
(Ti
'Me program Income Expense Report and Grn Request can Doty 6e extended through Me awhlarity%of the Award and/or Federal funding period.
/1 /
Preparers Signature
L/
Oats 8/13/2025
Authorized Signature
.(AA���� L
"
Date AUG 2 7
2025
Perry L Bu c6( Chair
See inattention for completing this for on the next tab (Attachment H 2 of 2)
7(55-24344 CI At)
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part 3
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT: Employment Services of Weld County
ADDRESS: PO Box A, Greeley, CO 60632
EA/WORKPLAN START DATE 7/1/2024
PROGRAM INCOME START DATE
YEAR OF FUNDS PY24
TITLE/PROGRAM/PROJECT Wager Peyser-10% MSFW
Program code WAG24WE:/WMSW
END DATE 6/30/2025
END DATE
L CASH REQUEST
1. Total program and Admin Cash needs Preciously Reported
49,000.00
2. Current Program and Admin Cash Needs
3. FINAL Program and Admin Cash Needs Contract to Date
49.000.00
Il. PROGRAM EXPENSE REPORT (ER)
1. Total Expenses+Accruals Previously Reported (Through Last Month)
49,000.00
2. Current Expenses + Accruals (Through End Date of Award)
3. FINAL Program Expenses Contract to Date
49,000.00
ADMINISTRATIVE EXPENSE (ER)
4. Total Expenses+Accruals Previously Reported (Through Last Month)
5. Current Expenses+Accruals (Through End Date of Awards)
6. FINAL Administrative Expenses Contract to Date
0.00
Ill. PROGRAM INCOME(PI) 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
49.000.00
2. FINAL Expenses Through End of Contract
49,000.00
3. Cash Request to Date = Expense reported Through End Date of Contract? /Check Box)
Yes FA /No
I")
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
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
VII. MATCH RECONCILIATION
1. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract
49.000.00
3. Match Percentage of Expenditure Contracttual Requirement
4. Match Expenditure Requirement
0.00
5. Total Match Reported > or = to Match Expenditure Requirement? (Check Box)
Yes ['1 /No
P1
'rho program Income Expense Report and Cash Request can only be extended Mmugh the availability o/ Me Award and/or Federal funding period.
Preparers Signature-
L,A
Dale 8/13/202
///�y
Signature�pr,f/}%jh,
�
AUGAuthorized
Date AG 2 7
2025
Perry L. Bt(¢k, Chair
Seeinslnrclion for completing this for on the next tab (AttachmentH 2 of 21
2075-24311(1-19)
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part 3
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUEIRECIPIENT: Employment Services of Weld County
ADDRESS: PO Box A, Greeley, CO 60632
EA/NIORKPLAN START DATE 7/1/2024
PROGRAM INCOME START DATE
YEAR OF FUNDS PY23
TITLE/PROGRAM/PROJECT Wager Peyser-10% GSJH
Program code WAG23WE-WSJH
END DATE 6/30/2025
END DATE
I. CASH REQUEST
1. Total program and Admin Cash needs Preciously Reported
21.000.00
2. Current Program and Admin Cash Needs
3. FINAL Program and Admin Cash Needs Contract to Date
21.000.00
II. PROGRAM EXPENSE REPORT (ER)
1. Total Expenses+Accruals Previously Reported (Through Last Month)
21.000.00
2. Current Expenses + Accruals (Through End Date of Award)
3. FINAL Program Expenses Contract to Date
21.000.00
ADMINISTRATIVE EXPENSE (ER)
4. Total Expenses+Accruals Previously Reported (Through Last Month)
6. Current Expenses+Accruals (Through End Date of Awards)
6. FINAL Administrative Expenses Contract to Date
0.00
lll. PROGRAM INCOME(PI) 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 Dale otContract -
0.00
IV. RECONCIL/CATION
1. FINAL Cash Request Contract to Date
21.000.00
2. FINAL Expenses Through End of Contract
21.000.00
3. Cash Request to Date = Expense reportedhro h End Date of Contract? (Check Box)
Yes /No
V. CASH REQUEST PROGRAM INOACASH 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
VL RECONCILIATION
1. FINAL Program Income Cash
O00
2. Less Program Income Exoenses Through Contract End Date
0.00
3. Total PI Cash Balance
0.00
VII. MATCH RECONCILIATION
1. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract
21,000.00
3. Match Percentage of Expenditure Contracllual Requirement
4. Match Expenditure Requirement
5. Total Match Reported > or= to Match Expenditure Requirement? (Check Box)
0.00
Yes 07 /No
[(
'The program income Expense Report and Cash Request can only be extended through the availability of the Award andror Federal Ibnding period
Preparer's Signature
Date 8/13/2025
Signature
4 p/ins,
�� ��j „S
.L��!/r
_Date G 2 7
AUGAuthorized
2025
Fry L. a r
See instruction for completing this for on the next lab (Attachment H 2 of 2)
2 ois-zo y U -2o)
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 7/1/2024
PROGRAM INCOME START DATE
Closeout Part 3
YEAR OF FUNDS PY24
TITLEIPROGRAM/PROJECT Wager Peyser-10%GS)H
Program code WAG24WE-WSJH
END DATE 6/30/2025
END DATE
I. CASH REQUEST
1. Total program and Admin Cash needs Preciously Reported
21,000.00
2. Current Program and Admin Cash Needs
3. FINAL Program and Admin Cash Needs Contract to Date
21.000.00
B. PROGRAM EXPENSE REPORT (ER)
21.000,00
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
21.000.00
ADMINISTRATIVE EXPENSE (ER)
4. Total Expenses+Accruals Previously Reported (Through Last Month)
5. Current Expenses+Accruals (Through End Date of Awards)
6. FINAL Administrative Expenses Contract to Date
0.00
'ill. PROGRAM INCOME(PI) 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. RECONC/LICATION
1. FINAL Cash Request Contract to Date
21.000.00
2. FINAL Expenses Through End of Contract
21.000.00
3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box)
Yes tT /No
n
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
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
VII. MATCH RECONCILIATION
1. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract
21.000.00
3. Match Percentage of Expenditure Contraclluel Requirement
s. Match Expenditure Requirement
5. Total Match Reported S or= to Match Expenditure Requirement? (Check Box)
0.00
Yes 11 INo
j, i
'The program loses Expense Report and Cash Request can only be extended through the availability of the Award and/or Federal funding period
Preparers Signature
Date 6113/2025±
% �j�K
Authorized Signature` )G,16/'.� i111/dI
7 gnQc
Date AUG 2 2025
erry L. But Jj; Chair
See Instruction for completing this for on the next tab (Attachment H 2 of 21
2 015-2434CI -21)
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part 3
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT: Employment Services of Weld County
ADDRESS: PO Box A, Greeley, CO 80832
EAIWORKPLAN START DATE 7/1/2023
PROGRAM INCOME START DATE
YEAR OF FUNDS PY23
TITLEIPROGRAMIPROJECT Wagner-Peyser
Program code WAG23WE
END DATE 6/30/2025
END DATE
I. CASH REQUEST
1. Total program and Admin Cash needs Preciously Reported
593.572.00
2. Current Program and Admin Cash Needs
3. FINAL Program and Admin Cash Needs Contract to Date
593.572.00
N. PROGRAM EXPENSE REPORT (ER)
1. Total Expenses+Accruals Previously Reported (Through Last Month)
593,572.00
2. Current Expenses + Accruals (Through End Date of Award)
3. FINAL Program Expenses Contract to Date
593.572.00
ADMINISTRATIVE EXPENSE (ER)
4. Total Expenses+Accruals Previously Reported (Through Last Month)
5. Current Expenses+Accruals (Through End Date of Awards)
6. FINAL Administrative Expenses Contract to Date
0.00
Ill. PROGRAM INCOME(PI) 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
593.572.00
2. FINAL Expenses Through End of Contract
593.572.00
3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box)
Yes r.",1 /No
Ft
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
Vl. 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 Report. Through End of Contract
2. FINAL Expenses Through End of Contract
593.572.00
3. Match Percentage of Expenditure CccIracllual Requirement
4. Match Expenditure Requirement
0.00
5. Total Match Reported > or = to Match Expenditure Requirement? (Check Box)
Yes L( /No
f J
'The program Income Expense Report and Cash Request can only be extended through the availability of the Award and/or Federal funding period.
Preparer's Signature
cA/X---
Date 8/13/2025
E
ulhorized SlgnatureC
��
�y//
{(PC, Ee'�GL ds"/
AUG2 7 na
Date G 2 2025
erry L. l3ucft/Cttair
See instruction forcompleting this la on the next lab (Attachment H 2 of 2)
2675-2434 (1-zz)
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part 3
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUBREGPIENT: Employment Services of Weld County
ADDRESS: PO Box A, Greeley, CO 80632
EAIWORKPLAN START DATE 6/3/2022
PROGRAM INCOME START DATE
YEAR OF FUNDS FFY22
TITLEIPROGRAMIPROJECT Career Navigation and Coaching Staff
Program code 4FCW/4FII/SLF1
END DATE 12/31/2024
END DATE
I. CASH REQUEST
1. Total program and Admin Cash needs Preciously Reported
208.080.00
2. Current Program and Admin Cash Needs
3, FINAL Program and Admin Cash Needs Contract to Date
208.080.00
It. PROGRAM EXPENSE REPORT (ER)
1. Total Expenses+Accruals Previously Reported (Through Last Month)
208.080.00
2. Current Expenses + Accruals (Through End Date of Award)
3. FINAL Program Expenses Contract to Date
208.080.00
ADMINISTRATIVE EXPENSE (ER)
4. Total Expenses+Accruals Previously Reported (Through Last Month)
5. Current Expenses+Accruals (Through End Date of Awards)
6. FINAL Administrative Expenses Contract to Date
0.00
IL PROGRAM INCOME(PI) EXPENSE REPORT
1. Total Program Income Exoenses Reported (Last Quarter)
0.00
2. Current Program Income Expenses (Through End Date of Contract)
3, TOTAL PI Expenses Through End Date of Contract
0.00
IV. RECONCILICATION
t. FINAL Cash Request Contract to Date
208.080.00
2. FINAL Expenses Through End of Contract
208,080.00
3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box)
Yes
/No
f"1
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
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
VII. MATCH RECONCILIATION
t. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract
208,080.00
3. Match Percentage of Expenditure Conlracttual Requirement
4, Match Expenditure Requirement
0.00
5. Total Match Repotted > or = to Match Expenditure Requirement? (Check Box)
Yes
/No
l
'The program Income Expense Report and Cash Request can only he extended through Me availability of the Award and/or Federal funding period.
% f, "C
::::::::�'�pAl2.07p� �
t
:::0t32
AU
Perry L. 8ucklthair
See ina.ctlon for completing lhls for on the next lab (Attachment H 2 of 2)
ZtLS= 2431-1 U-Th
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part 3
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPENT: Employment Services of Weld County
ADDRESS: PO Box A, Greeley, CO 80632
YEAR OF FUNDS PY23
TITLEIPROGRAM/PROJECT WIOAYouth
Program code
EAIWORKPLAN START DATE 7/1/2023
PROGRAM INCOME START DATE
4YP23WE
END DATE 6/30/2025
END DATE
I. CASH REQUEST
1. Total program and Admin Cash needs Preciously Reported
675,243.00
2. Current Program and Admin Cash Needs
3. FINAL Program and Admin Cash Needs Contract to Date
675243.00
IL PROGRAM EXPENSE REPORT (ER)
1. Total Expenses+Accruals Previously Reported (Through Last Month)
607.719.00
2. Current Expenses + Accruals (Through End Date of Award)
3. FINAL Program Expenses Contract to Date
607,719.00
ADMINISTRATIVE EXPENSE (ER)
4. Total Expenses+Accruals Previously Reported (Through Last Month)
67,524.00
5. Current Expenses+Accruals (Through End Date of Awards)
6. FINAL Administrative Expenses Contract to Date
67.524.00
III, PROGRAM INCOME(PI) 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
675.243.00
2. FINAL Expenses Through End of Contract
675.243.00
3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box)
Yes
Pi /No
fl
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
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
VII. MATCH RECONCILIATION
1, FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract
675.243.00
3 Match Percentage of Expenditure Contracttual Requirement
4. Match Expenditure Requirement
5. Total Match Reported o or = to Match Expenditure Requirement? (Check Box)
0.00
Yes
I /No
17]
'The pmgram Income Expense Report and Cash Request can only be extended through the availability of the Award and/or Federal funding pedod.
Preparer's Signature
CIA
Date 9/13/20225!(!
Authorized Signature
�— � 1
? Gam!'
Date AUG 2 7
n r
2025
Perry L. f f lc. Chair
See Instruction for completing this for on the next tab (Attachment H 2 of 2)
2015-21134 LI-24)
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part 3
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUEIRECIPIENT: Employment Services of Weld County
ADDRESS: PO Box A, Greeley, CO 80632
EAIWORKPLAN START DATE 7/1/2024
PROGRAM INCOME START DATE
YEAR OF FUNDS FY23
TITLEIPROGRAM/PROJECT DW25%State/Local Initiatives- Evaluation
Program code 4XD2
END DATE 6/30/2025
END DATE
I. CASH REQUEST
1. Total program and Admin Cash needs Preciously Reported
30.000.00
2. Current Program and Admin Cash Needs
3. FINAL Program and Admin Cash Needs Contract to Date
30,000.00
Il. PROGRAM EXPENSE REPORT (ER)
30,000.00
1. Total Expenses+Accruals Previously Reported (Through Last Month)
2. Current Expenses + Accruals (Through End Date of Award)
3. FINAL Program Expenses Contract to DAe
30,000.00
ADMINISTRATIVE EXPENSE (ER)
4. Total Expenses+Accruals Previously Reported (Through Last Month)
5. Current Expenses+Accruals (Through End Date of Awards)
6. FINAL Administrative Expenses Contract to Dale
0.00
ill. PROGRAM INCOME(PI) 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
30.000.00
2, FINAL Expenses Through End of Contract
30,000,00
3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box)
YOU f%1 /No
f
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
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
V1I. MATCH RECONCILIATION
1. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract
30,000.00
3. Match Percentage of Expenditure Conlractlual Requirement
4. Match Expenditure Requirement
0.00
5, Total Match Reported > or. to Match Expenditure Requirement? (Check Box)
Yes 1:) /No
17
'The program Income Expense Report and Cash Request can only. extended through the availability of Me Award and/or Federal funding period
Preparers Stgnature..'r
:::wtt2Dus
2 7 2025
erry L. IPck, (:hair
See instruction for completing this for on the next lab (Attachment H 2 of 2)
2 oz5-2y3y (1-25)
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part 3
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT: Employment Services of Weld County
ADDRESS: PO Box A, Greeley, CO 80632
EAIWORKPLAN START DATE 10/1/2023
PROGRAM INCOME START DATE
YEAR OF FUNDS FY24
TITLE/PROGRAM/PROJECT Dislocated Worker
Program code 40F24WE
ENO DATE 6/30/2025
END DATE
L CASH REQUEST
1. Total program and Admin Cash needs Preciously Reported
441.320.00
2. Current Program and Admin Cash Needs
3. FINAL Program and Admin Cash Needs Contract to Date
441.320.00
IL PROGRAM EXPENSE REPORT (ER)
1. TAM Expenses+Accruals Previously Reported (Through Last Month)
397.188.00
2. Current Expenses + Accruals (Through End Date of Award)
3. FINAL Program Expenses Contract to Date
397,188.00
ADMINISTRATIVE EXPENSE (ER)
4. Total Expenses+Accruals Previously Reported (Through Last Month)
44.132.00
5. Current Expenses+Accxuais (Through End Date of Awards)
6. FINAL Administrative Expenses Contract to Date
44.132.00
M. PROGRAM INCOME(PI) 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
441.320.00
2. FINAL Expenses Through End of Contract
441.320.00
3. Cash Request to Date = Expense reported Through End Dale of Contract? (Check Box)
Yes n /No
11
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
VL 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
VII. MATCH RECONCILIATION
1. FINAL Match Reported Through End of Contract
2, FINAL Expenses Through End of Contract
441.320.00
3. Match Percentage of Expenditure Conlracttual Requirement
4. Match Expenditure Requirement
0.00
5. Total Match Reported > or = to Match Expenditure Requirement? (Check Box)
Yes ( ]/N10
[./1
'Um program Income Expense Report and Cash Request can only be extended through the availability of the Award andforFederal hmd'ng period.
Preparer's Signature
Authorized Signature.4i1.17M6�Gtil!
Perry L. B k, Chair
See tnsbuclton for completing this for on the next tab (Attachment H 2 of 2)
Date 8/13/2025
Dale AUG 2 7 2025
2oZ5— 149-1 (.1 —20
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part 3
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT: Employment Services of Weld County
ADDRESS: PO Box A, Greeley, CO 80832
YEAR OF FUNDS
TITLE/PROGRAM/PROJECT
Program code
EAIWORKPLAN START DATE 10/1/2023
PROGRAM INCOME START DATE
FY24
EDW
4DF24WE
END DATE 6/30/2025
END DATE
L CASH REQUEST
1. Total program and Admin Cash needs Prevously Reported
186.643.00
2. Current Program and Admin Cash Needs
3. FINAL Program and Admin Cash Needs Contract to Date
186.643.00
11. PROGRAM EXPENSE REPORT (ER)
1. Total Expenses+Accruals Previously Reported (Through Last Month)
167,979.00
2. Current Expenses +Accruals (Through End Date of Award)
3. FINAL Program Expenses Contract to Date
167.979.00
ADMINISTRATIVE EXPENSE (ER)
4. Total Expenses+Accruals Previously Reported (Through Last Month)
18.664.00
5. Current Expenses+Accruals (Through End Date of Awards)
6. FINAL Administrative Expenses Contract to Date
18.664.00
N. PROGRAM INCOME(PQ 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. RECONC/UCAT/ON
1. FINAL Cash Request Contract to Date
186,643.00
2. FINAL Expenses Through End of Contract
186.643.00
3. Cash Re nest to Date = Expense reported Throu h End Dale of Contract? (Check Box)
Yes
/No
II
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
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
VII. MATCH RECONCILIATION
1. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract
186.643.00
3. Match Percentage of Expenditure Contracttual Requirement
4. Match Expenditure Requirement
5. Total Match Reported > or= to Match Expenditure Requirement? (Check Box)
0.00
Yes
/No
r_)
'The program Income Expense Report and Cash Request can only be extended through the availabiliy or the Award and/or Federal fundng period
Preparers Signature
:::8u1tE
(�C�f� AUG 2 7 2025
erry L. Bt(L`I, Chair
See instruction far completing this for on the next tab (Attachment H 2 of 2J
Z 015 Z43c-111-Z1)
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part 3
GRANT CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT: Employment Services of Weld County
ADDRESS: PO Box A, Greeley, CO 80632
EAIWORKPLAN START DATE
PROGRAM INCOME START DATE
YEAR OF FUNDS PY24
TITLEIPROGRAM/PROJECT Dislocated Worker
Program code 4DP24WE
END DATE 6130/2026
END DATE
I. CASH REQUEST
1. Total program and Admin Cash needs Preciously Reported
106.291.00
2. Current Program and Admin Cash Needs
3. FINAL Program and Admin Cash Needs Contract to Dale
106,291.00
0. PROGRAM EXPENSE REPORT (ER)
95,662.00
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
95.662.00
ADMINISTRATIVE EXPENSE (ER)
10.629.00
4. Total Expenses+Accruals Previously Reported (Through Last Month)
5. Current Expenses+Accruals (Through End Date of Awards)
6. FINAL Administrative Expenses Contract to Date
10.629.00
N. PROGRAM INCOME(PI) 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 Dale of Contract
0.00
IV. RECONCILICATION
f . FINAL Cash Request Contract to Dale
106.291.00
2. FINAL Expenses Through End of Contract
106.291.00
3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box)
Yes
111 /No
11
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 Dale
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
VII. MATCH RECONCILIATION
1. FINAL Match Reported Through End of Contract
2 FINAL Expenses Through End of Contract
106,291.00
3. Match Percentage of Expenditure Contracttual Requirement
4. Match Expenditure Requirement
0.00
5. Total Match Reported > or = to Match Expenditure Requirement? (Check Box)
Yes
[] /No
[)
The program Income Expense Report and Cash Request can only be extended through the availability of the Award andror Federal 'twang period
Preparers Signaturel�
(1, /L..._ .
Dale 6/13/2025
Authorized Signature
q1
Date AN 2 7
2025
eny L Beta!: W1air
See instructIon for completing this for on the next teb (Attachment H 2 of 2)
2b?.5-2431-1 L I 2%°
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
SUBRECIPIENT CERTIFICATION OF PHYSICAL INVENTORY
iSubrecipient Name: Employment Services of Weld Countyr_lContact Person: Tanya Geiser
'Address: PO Box A Phone Number: 970400 4528
Greeley. CO 60632
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 (COLE) federally funded grant or transferred with the COLE'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.
Oaoted Qaot 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 COLE 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 mom, 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
retum the proceeds to the U.S. Department of Labor.
y
Board of Weld Count Commissioners
Attest:
Esther E Gesick, Clerk to the Board
Low
Clerk to the Boar
By:
Deg y d
Closeout Pert 0
Page 1 of 6
202.5-245(4 1--zet)
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT CLOSEOUT TAX CERTIFICATION
In the performance of WDP Master Agreement Number CMS#105079
Expenditure Authorizations (EAs)/Workplan allocated under above Agreement number
as Program Code : wEF25WE 4Aa24wE
4OP24WE WAG23WEANAASW VVAG23WE-WSJH
4AF24WE JVSG24wE-OVOP JVSG24WE-CONS
4DF24WE 23RESE/26C3 4.2
4FLP 4FLA
'rCA22
including the
WAG24WElWMSW WAG24WE-WSJH
WAG23WE 4YP23wE
4DF24wE/10OC
1622
4OF24WE
4CLA
4CLP 4FCW/4Fl1(SL F'1
I certify that I have complied with requirements of the taw 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 Errlpleyer: Weld County Oepart meet of Human Service s
Employer's Identification Number_
This certification has beer exec,iee this 27th
84.60 00 83
August
.2025
Closeout Part 4
Page 2 of e
GRANT RECIPIENTS ASSIGNMENT OF REFUNDS, REBATES, AND CREDITS
Grant Recipient's Name: Empployment S etvice of Weld County
Street Address: PO Box A
City and State: Greeley, CO
rWDP Master Agreement
No: CMS#105079
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) : WEF25WE 4AP24WE
4OP24WE WAG23WEIWMSW WAG23WE-WSJH
4AP24WE JVSG24WE-OVOP JVSG24WE-CONS 40F24WEH0OC
WAG24WEMIMSW
WAG23WE
4DF24WE 23RESE126C3 4x02
4FLP 4FLA TCA22
1622
4CLP
WAG24WE-WSJH
, 4VP23WE
, 4OF24WE
4C. ,
4FCWMFIVSLFI ,
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:
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 attomey 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
By
Perry L. Buc
27th day of
August
Title _Chair,
Board of Weld County Commissioners
Wderja.") JeL;,,k.
Attest:
Esther E. Gesick. Clerk to the Board
By:
Deputy Clerk to the Board
, 2025
Closeout Part 4
Page 3 of 6
2 5-2( 4 <<-36)
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
SCHEDULE OF UNCLAIMED CHECKS
Grant Recipient Name:
WDP Master Agreement Number:
Release Date:
Employment Services of Weld County
CMS#105079
Program code
Check
Number
Payee
Check
Amount
Payee's Last Known
Address
•
Total Amount Undaimed
This schedule has been executed this 27th day of gust , 2025
By ia.'6
Perry L.L. Bucy�
Title: Chair,
Board of ;Awe;jissi •�
Attest:
Esther E. Gesick, Clerk to the Board
By:
Deputy Clerk to the Board
Closeout Part 4
Page 4 of 6
2o7.5- 243011-30
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT RECIPIENTS RELEASE
Grant Recipient's Name: Employment services of weld county
Address: PO Box A. Greeley. CO 80632
Pursuant to the terms o/ WOP Master Agreement Number CM50f05070
Authorizations (EAsyMforkplan girded under said WDP Master Agreement, as CLEAR Program code (sj;
4AP24WE WAG24WEAVMSW WAG24WE•WSJIr 40P24WE WAG23WE1WMSW
4VP23WE 4AF24WE JVS1324ve-0VOP JVSG24WE-CONS
23RES50.3 4.2 1522 4CLA
4CLP 4FCW/aftlf5LFS
and in consideration of the sum of Total amount paid of
40F24WEI10DC
4FLP
10F24WE
4FU
Including the Expenditure
WEF25WE_,
WAG23WEWSJH WAG23WE
4OF24WE_
TCA22 ,
and payable of
(Sol Und4umed Checks Toreq under (hc 1" 'gig'
((Contractor's Name and Address)
herealler called the Grant
Re'ent or to its assignees, If any, Me Grant Recipient upon payment of the said sum by Me COLORADO DEPARTMENT OF LABOR ANO EMPLOYMENT,
arising from called COLE, does remise, its end dacharge COLE, its officers, agents, and employees, of and ham all liabilities, obygations, claims, and demands whatsoever under ar
arising from said ContracUGrent Agreement except:
Specified claims in stated amounts or in estimated amounts where the amounts are not susceptible of exact statement by the Grant Recipient, es follows( if none, so state,
CLEAR
Program
Code
tnvaRe
Daq
(If Known)
Vendor
Invoice
er P.O.1
Cast
Caggory
Payment
Amount
2.
Claims, together wtM reasonable expenses incidental thereto, based upon the liabilities of the Grant Recipient to third parties arising out of the performance of the said
contract, which are not known to the Grant Recipient on the date of the execution of this release and of which the Grant Recipient gives notice in writing to the COLE wahin
the period specified in the said Contract/Grant Agreement
3. Claims after closeout, for costs which recut. from the liability to pay Unemployment insurance costs under a reimbursement system or to settle Workers Compensation
claims.
This release has been executed this
27th
day of August , 2025
By
Perry L. AuMor zed SigneWre
Chair,
Tine BO d of Weld Gounntty Co(m/misss_oners
Attest: .tip t$ • JettO;
Closeout Parte
Page 5 06
Zot5 3,4 0-32)
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
PHYSICAL INVENTORY LIST
Grant Recipient Name: E mp loy mbvSry ices of W eQ Wray
WDP Master Agreement Number:
Release Date:
No physical inventory purchased for all grants: PY-FY WIOA-Adult, OW, Youth.
C fuG#10507 9
Closeout Part 4
Page 6 of B
Program code
Purchase
Date
Description of Property
Property
Costs
Program Funding
Sources
SERIAL 0
if applicable
Property
Location
Property
Condition
Total Amount
I cettifyto the best of my knowledge and belief the above reported Information is accurate and complete
for the period reported.
This Physical I nventoryList has been executed this
27th
day of August 2025
Perry L. Buck
Title Chair, Board of Weld County Commissioners
Attest: " 1
2b22434 C1-35)
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 9856
(WIOA) GRANT CLOSEOUT FOR 2024-2025
Contract Status
CTB REVIEW
Contract Lead *
WLUNA
Contract Lead Email
wluna@weld.gov;cobbxxl
k@weld.gov
Parent Contract ID
Requires Board Approval
YES
Department Project #
Contract Description*
THE WIOA GRANT CLOSEOUT PACKET IS REQUIRED BY THE YEAR-END CONTRACT CLOSEOUT PROCEDURES OF
CDLE AND IN ACCORDANCE WITH PGL06-1 2-F1 FOR ALL PROGRAMS THAT HAVE EXPENDITURE
AUTHORIZATIONS ENDING DURING THE PERIOD JULY 1, 2024 TO JUNE 30, 2025.
Contract Description 2
PA ROUTING WITH THIS CMS/OBASE ENTRY. ETA TO CTB: 08/22/2025. BOCC SIGNATURE REQUIRED ON MOST
PAGES.
Contract Type*
GRANT
Amount*
$0.00
Renewable*
NO
Automatic Renewal
Grant
IGA
Department Requested BOCC Agenda Due Date
HUMAN SERVICES Date* 08/23/2025
08/27/2025
Department Email
CM-
HumanServices@weld.gov
Department Head Email
CM-HumanServices-
DeptHead@weld.gov
County Attorney
GENERAL COUNTY
ATTORNEY EMAIL
County Attorney Email
CM-
COUNTYATTORNEY@WEL
D.GOV
Will a 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
Termination Notice Period
Contact Information
Review Date*
04/30/2026
Committed Delivery Date
Renewal Date
Expiration Date*
06/30/2026
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 CHERYL PATTELLI BYRON HOWELL
DH Approved Date Finance Approved Date Legal Counsel Approved Date
08/25/2025 08/25/2025 08/25/2025
Final Approval
BOCC Approved Tyler Ref*
AG 082725
BOCC Signed Date Originator
WLUNA
BOCC Agenda Date
08/27/2025
Hello