HomeMy WebLinkAbout20233677.tiff RESOLUTION
RE: APPROVE GRANT AGREEMENT FOR KEY FUNDING INITIATIVES(KFI)FOR NOCO
WORKS TO DEVELOP AND MAINTAIN WORKFORCE RESOURCE-CENTERED
WEBSITE, AND AUTHORIZE CHAIR PRO-TEM TO SIGN ELECTRONICALLY-
THE WELD TRUST
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 Agreement for Key Funding
Initiatives (KFI)for NoCo Works to Develop and Maintain a Workforce Resource-Centered
Website between the County of Weld,State of Colorado,by and through the Board of County
Commissioners of Weld County,on behalf of the Department of Human Services,and The Weld
Trust,commencing January 1,2024,and ending December 31,2024,with further terms and
conditions being as stated in said agreement,and
WHEREAS,after review,the Board deems it advisable to approve said agreement,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 Agreement for Key Funding Initiatives(KFI)for NoCo
Works to Develop and Maintain a Workforce Resource-Centered Website between the County of
Weld,State of Colorado,by and through the Board of County Commissioners of Weld County,on
behalf of the Department of Human Services,and The Weld Trust,be,and hereby is,approved.
BE IT FURTHER RESOLVED by the Board that the Chair Pro-Tem be,and hereby is,
authorized to sign said agreement electronically.
The above and foregoing Resolution was,on motion duly made and seconded,adopted
by the following vote on the 13th day of December,A.D.,2023.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY,COLORADO
ATTEST: C. . tAij G1 EXCUSED
./1i an,Chair
Weld County Clerk to the Board
BOO:I&
nit (aAu, Perry L.Bu ,Pro-Tem
Deputy Clerk to the Board
Site .James
APP ED A ORM:
9,0 C Ross
County A orneyet,
p 7 i
17/161/Z ane
3 r
Date of signature: =
ACT(cP/ct) 2023-3677
HR0095 al/31/24
C,or va cfi tD4-7C2`1
BOARD OF COUNTY COMMISSIONERS
PASS-AROUND REVIEW
PASS-AROUND TITLE:Grant Agreement between Employment Services of Weld County(ESWC)and
The Weld Trust(TWT)
DEPARTMENT:Human Services DATE: December 5,2023
PERSON REQUESTING: Jamie Ulrich,Director,Human Services
Brief description of the problemlissue:The Department is requesting to enter into an Agreement with The Weld Trust
(TWT)for the creation of a resource centered website for workforce services.The Grant Agreement is a result of a Grant
Application for Key Funding Initiatives(KFI),on behalf of NoCo Works,to advance regional workforce efforts. The Board
approved the Department's request to submit an application on July 19,2023,known to the Board as Tyler ID#2023-2035
and received notice of the grant award of$75,000.00 on November 30,2023.
This grant will help develop and maintain a website by NoCo Works that will expand work-based learning opportunities,
enhance the talent pipeline,and develop an External Barriers Resource Guide for information on programs such as
affordable housing,childcare,and transportation for Weld County residents.The project will be accomplished through the
External Barriers subcommittee of NoCo Works.
The Grant Agreement has been reviewed and approved by Legal(Byron Howell).
The Grant Period term will begin January 1,2024,and go through December 31,2024.
What options exist for the Board?
• Approval of the Grant Agreement between ESWC and TWT.
• Deny approval of the Grant Agreement between ESWC and TWT.
Consequences:There will not be a Grant Agreement between ESWC and TINT.
Impacts:ESWC will not receive a grant for the creation of a website for the benefit of all Weld
County residents.
Costs(Current Fiscal Year l Ongoing or Subsequent Fiscal Years):
• Total Grant Award=$75,000.00.
• Grant funding from TWT.
Recommendation:
• Approval of the Key Funding Initiatives Grant Agreement and authorize the Chair to sign.
Su000rt Recommendation Schedule
Place on BOCC Agenda Work Session Other/Comments:
Perry L.Buck,Pro-Tern
Mike Freeman,Chair Mf
Scott K.James
Kevin D.Ross
Lori Saine
Pass-Around Memorandum;December 5,2023—CMS ID TBD 2023-3677
ZA 3 6-0(SIO
Esther Gesick
From: The Weld Trust<mail@grantapplication.com>
Sent: Friday,December 15,2023 12:05 PM
To: BOCC Contracts
Subject: The Weld Trust-Grant Agreement
Caution:This email originated from outside of Weld County Government,Do not click links or open attachments unless you recognize the
sender and know the content is safe.
Congratulations,your grant agreement has been successfully submitted.Here is a copy for your records:
Key Funding Initiatives Grant Agreement-Multiple Signatures
Confirmation:Your grant agreement has been submitted.
Grant Details
Grant Details
Organization Name:
Employment Services of Weld County
Tax 1D:
84-6000813
Grant ID:
G23592
Project Title/Purpose:
NoCo Works
Project Description:
NoCo Works goal is to have The Weld Trust(TWT)funding investment serve as a catalyst to impact nearly ALL Northern Colorado's residents.
NoCo Works is designed to align multiple systems and institutions to collectively address the most pressing challenges with talent and workforce
development.NoCo Works aims to support economic inclusion and equity;address barriers to employment;invest in training and education to
increase the talent pipeline for in-demand occupations;resource and system building for services;and create work-based learning
opportunities.
ESWC and regional stakeholders are convening to find solutions to the most vital workforce challenges in Northern Colorado,including the
following Key Funding Initiative(KFI)logic models:
1,Resource-Centered Website—providing a One-Stop shop with Northern Colorado resources,tangible services,and information to help local
schools,businesses,community development services grow and retain their workforce.By creating this streamlined system,Northern Colorado
community members will have a singular resource website for workforce development and will simultaneously help highlight and direct services
provided by local organizations.The target audience for this website is for both our businesses,industry leaders,and jobseekers.We are unable
to further unpack the demographics and quantity of individuals that will use this site but can ground off website analytics for the existing
regional work-based learning alliance website,NoCo Inspire.This past year,NoCo Inspire had 2,300 new users to the site and two of the top
utilized pages were"Resources"and"Services".Through this website and the alliance partners,they were able to develop over 300 new
business partnerships.
2.Talent Pipeline—creating a holistic strategy for attracting and retaining the future workforce,with the goal to increase the labor pool and
positively contribute to the local economy.Partners include industry sectors,community college,and PK-12 systems,to develop localized
career pathways.Outcomes from this would be to grow industry partnerships and grow local business engagement to help co-create localized
®�®o2e‘. Co7 7
career pathways through establishing thoughtful programs to reskill and upskill Northern Colorado's workforce.The quantity and demographics
are unknown,though we know we would partner alongside of the regions five sector partnerships-healthcare,manufacturing,construction,
hospitality and nonprofit-along with our training providers to enhance vocational and technical trainings.
3.Work-Based Learning—continuing to build upon our regional commitment to expanding internships,pre-apprenticeships,apprenticeships,
and more.This funding would directly support the expansion of the regional work-based learning alliance with the outcome to increase the
number of on-the-job work-based learning opportunities.To do this we will increase business engagement,enhance business education of what
work-based learning is including the existing resources to support the development of providing opportunities.The key audience for this
outcome is businesses and education providers.The number of placed internships and apprenticeships through the regional work-based
learning alliance in the'22-'23 academic year was 458.This funding will help increase that participation number.
4.External Barriers—streamlining advocacy and region-wide stakeholder alignment for long-term solutions to address Childcare,Housing,and
Transportation.The tangible next step for this effort is to establish a local resource guide to share with employers of how to support their
employees within those three key areas.This will also be shared with the regional 211 resource,supported by our local United Ways,and will be
shared on the resource-centered website.Another key goal of this work is to create a communication and outreach strategy for the region to
better understand the business narrative of how these external barriers directly impact our workforce.The demographics that will be served are
both our business partners as well as the jobseekers who are experiencing barriers to employment due to childcare,transportation,and
housing.There is no established quantity of individuals in Northern Colorado whom this would serve,though we know the impact could and
would be substantial.
Grant Period Start Date:
1/1/2024
Grant Period End Date:
12/31/2024
Grant Amount:
75000.00
DN 4053369.1
Grant Agreement
The Weld Trust Triannual Key Funding Initiatives Grant Agreement
Due Date
12/18/2023
The grant of funds in the amount set forth above(the"Grant')from The Weld Trust("TWT")to the organization
named above(the"Grantee")as described herein,is conditioned upon Grantee agreeing to each.of the following
terms and conditions of this Grant Agreement(the"Agreement").
1.Grantee Representations and Warranties;Tax-Exempt Status:Grantee represents and warrants that(a)it has full
right,power and authority and has received all authorizations necessary to accept the Grant from TWT on the terms
and conditions contained in this Agreement and to enter into and fully perform this Agreement and that this
Agreement,when executed by a representative of Grantee,will be binding on Grantee;(b)Grantee is either(i)
recognized by the Internal Revenue Service'as a tax-exempt organization within the meaning of Section 501(c)(3)of
the Internal Revenue Code of 1986,as amended(the"Code"),or(ii)a governmental unit described in Section
170(c((1(of the Code,and(c)Grantee is a publicly supported organization described in Code sections 509(a)(1)or
509(a((2).Grantee agrees to immediately notify TWT of any change or proposed change in Grantee's tax-exempt
status or purposes.Grantee further understands and agrees that if Grantee's tax-exempt status changes or is
terminated or if Grantee's tan-exempt purposes change,TWT reserves the right to terminate the Grant.
2.Use of Funds:
2
Grantee agrees that the use of the Grant is restricted solely for the specific purpose as described below:
Funding to support NoCo Works in their efforts to find solutions to the most vital workforce challenges in Northern Colorado.Funding will
support the development of several priorities,including a resource-centered website.
The above described Grant Purposes shall be used only for charitable,educational,or scientific purposes within the
meaning of Section 170(c)(2)(B)of the Code.The funds shall be designated as Restricted Funds for accounting
purposes.The Grant funds may not be used(1)to carry on propaganda,or otherwise to attempt to influence any
legislation(within the meaning of Section 4945(d((1)of the Code);(2)to participate or intervene in any political
campaign on behalf of,or in opposition to,any candidate for public office by publishing or distributing statements,or
in any other way;or(3)to support any activity that is prohibited to(i)a corporation exempt from federal income tax
under Section 501(c((3)of the Code;or(ii)a corporation,contributions to which are deductible under Section 170(c)
of the Code.Any income earned from the investment of the Grant funds must be utilized for the Grant Purposes.
Grantee shall not apply any of the funds advanced under this Grant to the payment of general or unallocated
overhead,whether imposed as a percentage of direct expenditures or otherwise,unless TWT,in writing,expressly
permits Grantee to do so.Grantee will notify TWT in the event any portion of the Grant funds are unable to be used
for the Grant Purposes within the Grant Period(defined below).Grantee understands and agrees that if it is unable to
expend the Grant funds for the Grant Purposes within the Grant Period,any unused portion of the Grant funds must
be returned to TWT within 60 days of the final day of the Grant Period unless TWT authorizes an alternative use of
such funds,which authorization shall be in writing and agreed upon in an addendum to this Agreement.
Grantee agrees Grantee shall not jeopardize the tax-exempt status of TWT in its use of grant funds and shall comply
with the following:
a.Grantee shall use the funds provided under the Grant consistent with the purposes of TWT;and
b.Grantee covenants and agrees that its use of the funds shall not constitute private inurement as that term is
defined under the Code;and
c.If Grantee uses the Grant funds to purchase services from others the services purchased will be at Fair Market Value
in an arm's length transaction.
3.Restricted to Use in Weld County:Grantee agrees that grant funds shall be used exclusively for the benefit of Weld
County residents or inside Weld County.
4.Outcomes:Grantee agrees that they will in good faith pursue the following outcomes:
Outcomes#1
Create a website for workforce services coordination.Number of individuals impacted is hard to quantify right now because the audience is so
broad.NoCo Works will be responsible for the ongoing maintenance of the website.
Outcomes#2
Expansion of Work-based Learning Opportunities--The number of placed internships and apprenticeships through the regional work-based
learning alliance in the'22-'23 academic year was 458.This funding will help increase that participation number by at least 5%
Outcomes#3
Enhance talent pipeline(building/enhancing career pathways)that result in a 5%increase in labor participation and individuals enrolled WIOA
(Workforce Innovation and Opportunity Act).
Outcomes#4
Develop External Barriers Resource Guide(Affordable Housing,Childcare,Transportation);Asset map the long-term goals and actions across the
region within the identified barriers.This project is set to begin in January of 2024 with the goal of completion in December 2024;however,this
project,unlike other asset maps,is designed to be a systems strategy that is on-going rather than a"point in time."This project will be
accomplished through the External Barriers subcommittee of NoCo Works;United Way of Weld County is heavily involved in this effort.
Outcomes#5
5.Budget:Expenditures of Grant funds must adhere to specific line items in the budget submitted by Grantee.Slight
deviations of specific line items are permitted,but changes of 15 percent or greater to a line item must be approved.
3
in advance by TWT.
6.Grant Period:The Grant Period will be identified above and Grantee agrees that all funds must be expended during
the"Grant Period".
7.TWT's Status as a Supporting Organization:Grantee understands and agrees that it is the intent of the parties that
the Grant will not adversely affect TWT's status as a supporting organization of The North Colorado Medical Center
Foundation,within the meaning of Section 509(a)(3)of the Code,and that the Grant will be used to further the
purposes and mission of TWT.The Parties agree that this Agreement shall be read and understood to further the
purposes and mission of TWT.Grantee understands that it is eligible for funding from TWT because it is part of a class
of organizations which provide health and/or education in Weld County.
8.Reports:Grantee shall provide written reports to TWT,an interim report,(6 months into the Grant Period and for
multi-year grant awards every 6 months when applicable)which shall be provided by the Organization and a final
report(at the conclusion of the Grant Period),which shall be provided by the Organization.These reports shall be
provided on report forms provided by TWT to Grantee,and Grantee will provide conclusions,share progress toward
the measurable goals defined in the application,report on outcomes listed above,and describe how funds were
expended to achieve the Grant Purposes.
9,Quality of Performance.If,as the result of the consideration of reports and information submitted to it by Grantee
or from other sources,TWT,in its sole discretion,determines that continuation of the Grant Purposes is not
reasonably in the interest of the general public or that the Grant Purposes are not being carried out in substantial
compliance with this Agreement or that Grantee is incapable of satisfactorily completing the work of the Grant
Purposes,TWT may,in its sole discretion(i)withhold payment of funds until in its opinion the situation has been
corrected,and/or(ii)terminate the Grant in which case Grantee shall return all unexpended Grant funds to TWT.It is
understood and agreed that all such determinations by TWT under this paragraph are in its sole and absolute
discretion and will be final,binding and conclusive upon Grantee,without recourse by the Grantee td TWT.
10.Publicity:Grantee agrees to provide a minimum of three high resolution(300dpi or greater)images of work in the
field.These images may be sent to TWT at any time during the Grant Period but no later than the end of the Grant
Period.Grantee agrees that TWT may use,with the completed release of information form signed by photo subjects
or their parent or guardian,these images to educate the public about the activities of TWT.TWT agrees that Grantee
may publish news about the Grant to media,social channels,and via internal and external avenues as long as TWT
provides its prior approval of content and name and logo usage.If Grantee or any of its employees submits for
publication,or publishes any information concerning the Grant or the outcomes obtained from the Project funded by
the Grant,Grantee shall acknowledge TWT as having provided funds to support the Project.
11.Records and Review:Grantee will maintain its books and records in such a manner that the receipts and
expenditures of the Grant funds will be shown separately on such books and records in any easily checked form.
Grantee will keep records of receipts and expenditures made of Grant funds as well as copies of the reports submitted
to TWT and supporting documentation for at least three(3)years after completion of the use of the Grant funds,and
will furnish or make available such books,records,and supporting documentation to TWT for inspection at reasonable
times from the time of Grantee's acceptance of the Grant through such period.TWT may,at its expense and on
reasonable notice to Grantee,audit or have audited the records of Grantee insofar as they relate to the activities
funded by this Grant.
12.Gifts:Grantee warrants and represents that it has not and will not give any gifts or gratuities above a nominal
amount of any kind to TWT,its board members,or staff.(This restriction includes certificates,plaques,or similar
mementos.)
13.Relationship:Grantee agrees that the acceptance of this Grant does not create any relationship with TWT
(including a joint venture or employment relationship)other than Grantee's status as a recipient of a voluntary grant
4
made by TWT.
14.Obligations:Grantee acknowledges and agrees that TWT's making of this Grant does not create any right,
expectation,or contractual obligation on the part of TWT to make any future grants.
15.Agreement;Amendment:This Agreement sets forth all terms of the Grant and replaces all prior understandings
and agreements.Any modification or amendment will be made only in writing signed by an authorized officer of
Grantee and TWT.
16.Applicable Law:This Agreement will be construed in accordance with the laws of the State of Colorado.
17.Termination;Return of Funds:Grantee agrees that if it fails to satisfy any of the terms or conditions of this
Agreement,or if sponsored event is not held,TWT may terminate the Grant.If TWT terminates the Grant,it shall so
notify Grantee,whereupon Grantee,if so requested by TWT,shall promptly refund any unexpended balance of the
Grant funds in Grantee's hands or under its control and/or pay back any funds that were spent in violation of this
Agreement.Alternatively,TWT reserves the right to discontinue,modify,or withhold funds if Grantee is not in full
compliance with this Agreement.
18.Contingencies:
Disbursements for this grant will be quarterly,beginning December 29,2023,and on or about the last day of every calendar quarter thereafter
(March,June,September),paid via check,or electronically to the account and financial institution designated by Grantee.Upon termination of
the grant as stipulated in this agreement,disbursements will discontinue.
This Agreement must be agreed to and signed by a duly authorized officer of Grantee.
Electronically Signed
Jeff Carlson,Chief Executive Officer
The Weld Trust
Electronic Signature
Perry L.Buck
Title
Chair Pro-Tem,Weld County Board of Commissioners
Additional Electronic Signature
Esther E.Gesick
Title
Attest:Clerk to the Board
Additional Electronic Signature
Title
Attachments
Attachments
Upload Instructions:
1.Click Browse
5
2.Select the file from your computer
3.Click Upload
Current Year W-9 Form
Weld County W-9.pdf
Tax Determination Letter
Form 147cTIN Verification.pdf
Thank you,
The Weld Trust
6
POLITICAL SUBDIVISION SALES TAX EXEMPTION CERTIFICATE
(For use by States,Territories or Political
Subdivision thereof,or the District of Columbia)
The undersigned hereby certifies that he is the Controller of Weld County Government and that he is
authorized to execute this Certificate and that all taxable articles/services purchased from
are for the exclusive use of Weld County Government,State of Colorado.
It is understood that the exemption from tax in the case of sales of articles under this Exemption
Certificate to the State,Territory,or Political Subdivision or District of Columbia is limited to the sale of
articles purchased for their exclusive use,and it is agreed that if articles purchased tax-free under this
Exemption Certificate are used otherwise or are sold to employees or others,such fact must be reported
to the manufacturer or the articles covered by this Certificate.It is also understood that the fraudulent
use of this Certificate to secure exemption will subject the undersigned and all parties making use of this
Certificate to all applicable criminal penalties under the Internal Revenue Code.
COLORADO SALES TAX CERTIFICATION OF EXEMPTION NUMBER-98-03551-0000
FEDERAL TAX EXEMPTION NUMBER-84-6000813
STATE TAX IDENTIFICATION NUMBER-14-02101
By
Controller
Colorado statute exempts from state and state-collected sales tax all sales to the United States government and the State of
Colorado,it's departments and institutions,and it's political subdivisions(county and local governments,school districts and
special districts)in their governmental capacities only.{C.R.5.39-26-114)1)(a)(I)}.
Some governmental entities have a Colorado-issued tax-exemption number,although they are not required to have one.
Following is a copy of Weld County Government's most recent Colorado-issued Certificate of Exemption for Sales and Use Tax
Only.
pRa�sototi��ttj.., .
CERTIFICATE OF EXEMPTION FOR STATE SALES/USE TAX ONLY
'tlEtYyERC6$p281-tli14
USE ACCOUNT NUMBER for LIABILITY INFORMATION ISSUE DATE
Tfii4icensa is
al(references
prVels'FERAExe 09$03551 G 010181 Feb 15 2022
o10181
•
IIIIe iI VIrIIHrili INIah.V1144 I pl IIrIII
.COUNTY OF WELD
•PO BOX 75804WLEY CO 80632.0758
d!G
Executive Director
Department of Revenue
Farm W-9 Request for Taxpayer Give Form to the
(Rev.October 2018) Identification Number and Certification requester.Do not
Department of the Treasury send to the IRS.
Internal Revenue Service ►Go to www.lrs.gov/FormWO for instructions and the latest information.
1 Name(as shown on your income tax return).Name is required on this line;do not leave this line blank.
COUNTY OF WELD
2 Business name/disregarded entity name,if different from above
c, 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1.Check only one of the 4 Exemptions codes apply only to
yP Y P ( PP Y Y
g following seven boxes. certain entities,not individuals;see
a instructions on page 3):
p ❑Individual/sole proprietor or ❑C Corporation ❑S Corporation ❑Partnership ❑Trust/estate
E single-member LLC Exempt payee code(if any)
v ❑Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=Partnership)►
« Note:Check the appropriate box in the line above for the tax classification of the single-member owner.Do not check Exemption from FATCA reporting
rn LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is code(anY)
C another LLC that is not disregarded from the owner for U.S.federal tax purposes.Otherwise,a single-member LLC that if
d v is disregarded from the owner should check the appropriate box for the tax classification of its owner.
E. ❑✓Other(see instructions)► GOVERNMENT Wpties to accounts maintained o�fside me u s.
co 5 Address(number,street,and apt.or suite no.)See instructions. Requester's name and address(optional)
1150"O"STREET
6 City,state,and ZIP code
GREELEY,CO 80632
7 List account number(s)here(optional)
ran Taxpayer Identification Number(TIN)
Enter your TIN in the appropriate box.The TIN provided must match the name given on line 1 to avoid I Social security number
backup withholding.For individuals,this is generally your social security number(SSN).However,fora I —
resident alien,sole proprietor,or disregarded entity,see the instructions for Part I,later.For other —
entities,it is your employer identification number(EIN).If you do not have a number,see How to get a
TIN,later. or
Note:If the account is in more than one name,see the instructions for line 1.Also see What Name and Empioyeridentification number
Number To Give the Requester for guidelines on whose number to enter.
8 4 - 6 0 0 0 8 1 3
rEM Certification
Under penalties of perjury,I certify that:
1.The number shown on this form is my correct taxpayer identification number(or I am waiting fora number to be issued to me);and
2.I am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue
Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am
no longer subject to backup withholding;and
3.I am a U.S.citizen or other U.S.person(defined below);and
4.The FATCA code(s)entered on this form(if any)indicating that l am exempt from FATCA reporting is correct.
Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because
you have failed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage interest pad,
acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and generally,payments
other than interest and dividends,you are not required to sign the certification,but you must provide your correct TIN.See the instructions for Part II,later.
Sign Signature of + l J 'ant
, t
Here U.S.person► {l 1 Date► t 1t`t �.
4 ( •Form 1099-DIV(dividends,including ing those from stocks or mutual
General Instructions l\) •
funds)
Section references are to the Internal Revenue Code unless otherwise •Form 1099-MISC(various types of income,prizes,awards,or gross
noted.
proceeds)
Future developments.For the latest information about developments •Form 1099-B(stock or mutual fund sales and certain other
related to Form W-9 and its instructions,such as legislation enacted transactions by brokers)
after they were published,go to www.irs.gov/FormW9. •Form 1099-S(proceeds from real estate transactions)
Purpose of Form •Form 1099-K(merchant card and third party network transactions)
An individual or entity(Form W-9 requester)who is required to file an •Form 1098(home mortgage interest),1098-E(student loan interest),
information return with the IRS must obtain your correct taxpayer 1098-T(tuition)
identification number(TIN)which may be your social security number •Form 1099-C(canceled debt)
(SSN),individual taxpayer identification number(l IN),adoption •Form 1099-A(acquisition or abandonment of secured property)
taxpayer identification number(ATIN),or employer identification number
(EIN),to report on an information return the amount paid to you,or other Use Form W-9 only if you area U.S.person(including a resident
amount reportable on an information return.Examples of information alien),to provide your correct TIN.
returns include,but are not limited to,the following. If you do not return Form W-9 to the requester with a TIN,you might
•Form 1099-INT(interest earned or paid) be subject to backup withholding.See What is backup withholding,
later.
Cat.No.10231X Form W-9(Rev.10-2018)
Contract For
Entity Information
Entity Name* Entity ID* Q New Entity?
THE WELD TRUST @00047401
Contract Name* Contract ID Parent Contract ID
THE WELD TRUST KEY FUNDING INITIATIVES(KFI) 7674 20232035
NOCO GRANT AGREEMENT
Contract Lead* Requires Board Approval
Contract Status WLUNA YES
CTB REVIEW
Contract Lead Email Department Project#
wluna@weldgov.com;cob
bxxlk@weldgov.com
Contract Description*
THE WELD TRUST KEY FUNDING INITIATIVES(KFI)NOCO GRANT AGREEMENT. GRANT ID#G23592. TERM:
JANUARY 1,2024 THROUGH DECEMBER 31,2024.AMOUNT:$75,000.00.
Contract Description 2
PA ROUTING WITH THIS GRANT AGREEMENT.
Contract Type" Department Requested BOCC Agenda Due Date
GRANT HUMAN SERVICES Date* 12/09/2023
12/13/2023
Amount* Department Email
$75,000.00 CM- Will a work session with BOCC be required?*
HumanServices@weldgov. NO
Renewable*
com
NO Does Contract require Purchasing Dept.to be
Department Head Email included?
Automatic Renewal CM-HumanServices-
DeptHead@weldgov.com
Grant
County Attorney
GENERAL COUNTY
IGA ATTORNEY EMAIL
County Attorney Email
CM-
COUNTYATTORNEY@WEL
DGOV.COM
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
10/31/2024
Termination Notice Period Committed Delivery Date Expiration Date*
12/31/2024
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 CHERYL PATTELLI BYRON HOWELL
DH Approved Date Finance Approved Date Legal Counsel Approved Date
12/11/2023 12/11/2023 12/11/2023
Final Approval
BOCC Approved Tyler Ref#
AG 121323
BOCC Signed Date Originator
WLUNA
BOCC Agenda Date
12/13/2023
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