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Home My WebLink About20232542.tiffRESOLUTION RE: APPROVE GRANT CLOSEOUT CHECK LIST FOR VARIOUS WORKFORCE INNOVATION AND OPPORTUNITY ACT (WIOA) PROGRAMS, AND AUTHORIZE CHAIR TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with a Grant Closeout Check List for Various Workforce Innovation and Opportunity Act (WIOA) Programs between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, and the Colorado Department of Labor and Employment, for all programs that have Expenditure Authorizations, with further terms and conditions being as stated in said grant closeout check list, and WHEREAS, after review, the Board deems it advisable to approve said grant closeout check list, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Grant Closeout Check List for Various Workforce Innovation and Opportunity Act (WIOA) Programs between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, and the Colorado Department of Labor and Employment, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said grant closeout check list. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 30th day of August, A.D., 2023. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: ��) .V;A Weld County Clerk to the Board Cou Attorney Date of signature: 0'07/23 Cc: HSt>, AcT(cP/cD) O.1/15/23 2023-2542 HR0095 GmIvae+ 11)1 733(4 BOARD OF COUNTY COMMISSIONERS PASS AROUND REVIEW PASS -AROUND TITLE: 2022-23 Workforce Innovation and Opportunity Act (WIOA) Grant Closeout DEPARTMENT: Human Services DATE: August 22, 2023 PERSON REQUESTING: Jamie Ulrich, Director, Human Services Brief description of the problem/issue: 2022-23 Workforce Innovation and Opportunity Act (WIOA) Grant Closeout. Colorado Department of Labor and Employment Annual Grant Closeout Report which includes: Reporting of Program Income, Stand -In Costs, Grant Closeout Reconciliations, Inventory Lists, Tax Certification, Refund Rebate Credits, Unclaimed Checks and Grant Recipient Release Forms all for CDLE Grants closed out in SFY 2022-2023. This grant closeout is required by CDLE to be completed annually and is due by Friday, September 8th, 2023. What options exist for the Board? Approval of the 2022-23 Workforce Innovation and Opportunity Act (WIOA) Grant Closeout. Deny approval of 2022-23 Workforce Innovation and Opportunity Act (WIOA) Grant Closeout. Consequences: Weld County could lose WIOA Grant funding. Impacts: Possible loss of Grant funding for services to Weld County clients. Costs (Current Fiscal Year / Ongoing or Subsequent Fiscal Years): Total Grant Award for 2022-2023 = $3,321,231.90. WIOA Grant distributions are funded by CDLE. Recommendation: • Approval of the WIOA Closeout and authorize the Chair to sign. Support Recommendation chedule Place on BOCC Aoenda Work Session Other/Comments: Perry L. Buck, Pro-Tem Mike Freeman, Chair Scott K. James Kevin D. Ross Lori Saine M Pass -Around Memorandum; August 22, 2023 - CMS ID 7334 2023-2542 8/30 Hp -0O95 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 / Entity Code: Employment Services of Weld County -5230 Address: PO Box A, Greeley, CO 80632 Director: Karina Amaya Ragland Phone Number: 970-400-6763 Fiscal Manager: Leonard Bottorff Phone Number: 970-400-6537 Master Grant/Contract Agreement Number: CMS#105079 Final Due Dates: The second Friday of September 8th,2023. 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, 2023 (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 PY22 4D82 PY22 WIOA DW LOCAL/COUNTIES PROGRAM $123,377.00 $123,377.00 PY22 4D62 PY22 WIOA DW LOCAL/COUNTIES ADMIN $13,708.00 $13,708.00 PY22 4Y82 PY22- WIOA YOUTH MIN -75% -In -SCHOOL LOCAL PROGRAM $103,545.84 $103,545.84 PY22 2M61 PY22 10% WP MSFW $36,694.00 $36,694.00 PY22 4Y82 PY22 - WIOA YOUTH MAX -25% -In -SCHOOL LOCAL PROGRAM -8200 $34,553.16 $34,553.16 PY22 4A82 PY22 - WIOA ADULT LOCAL PROGRAM $109,829.00 $109,829.00 PY22 4A62 PY22 - WIOA ADULT LOCAL ADMIN $12,203.00 $12,203.00 PY21 4Y71 PY21 WIOA Youth -Out School 20% $89,755.40 $89,755.40 PY21 4Y71 PY21 WIOA Youth -Out School $359,021.60 $359,021.60 PY21 4Y81 PY21 WIOA Youth -In School 20% $22,438.80 $22,438.80 PY21 4Y81 PY21 WIOA Youth -In School $89,755.20 $89,755.20 PY21 4Y61 PY21 WIOA Youth $62,330.00 $62,330.00 If you have any questions or need assistance, please do not hesitate to contact: Email: pauld,chavez®state.co.us, (303-318-8102), CRWC Dawn Robards dawn.robards@state.co.us or Shannon Scheffel shannon.scheffel@state.co.us, Wayne Hua wayneq.hua@state.co.us. COLORADO I*,/ Department of Ito Labor and Employment •633 17th Street, Suite 1100, Denver, CO 80202-3660 PY21 2061 PY21 Wagner Peyser Emp Svcs $506,007.00 $506,007.00 PY21 2S61 PY21 Summer Job Hunt $42,000.00 $42,000.00 FY23 2W23 SFY23 WFD ESF ONLY -NO CRWC $398,282.00 $398,282.00 FY23 48A2 FY23 - WIOA ADULT LOCAL PROGRAM $490,804.00 $490,804.00 FY23 2W33 ESF-SFY23 WFD SUPPLEMENTAL $101,743.00 $101,743.00 FY22 4TD1 FY22 WIOA WDP-10% Eval & Continuation $25,000.00 $25,000.00 FY22 4BD1 FY22 WIOA DW-ADMIN TRANSFER TO ADULT LOCALS/COUNTIES $41,087.00 $41,087.00 FY22 46D1 FY22 WIOA Dislocated Worker $19,230.00 $19,230.00 FY22 48D1 FY22 WIOA Dislocated Worker $175,382.00 $175,382.00 FY22 4ND1 FY22 WIOA Adult $148,913.00 $148,913.00 FY22 46A1 FY22 WIOA Adult $22,087.00 $22,087.00 FY22 2D22 FY22 VETS DVOP $21,378.90 $21,378.90 FY22 28C2 FY22 RESEA $35,242.00 $35,242.00 FY22 1622 FY22 Labor Certification $5,800.00 $5,800.00 FY22 4WA1 FY22 Performance Incentive Fund $26,415.00 $26,415.00 FY21 17C1 FY21 TAA Case Mgmt $14,659.00 $14,659.00 FY21 47D1 FY21 ENHANCED Dislocated Worker $7,094.00 $7,094.00 FY21 49D1 FY21 ENHANCED Dislocated Worker $127,710.00 $127,710.00 FY20 17C0 FY20 TAA Case Mgmt $55,187.00 $55,187.00 Total $3,321,231.90 $3,321,231.90 I. All the PROGRAM CODES from the CLOSEOUT SUMMARY CHECKLIST (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 balance from local google sheet balances." Also, please work with your Regional Liaison with the remaining budget balances. II. CERTIFICATE PHYSICAL INVENTORY & PHYSICAL INVENTORY LIST: Please be sure to add program year and program code & the descriptions for the purchases of physical inventories. If NO physical inventories were purchased, then, please use the verbiage below. See example Please identify the grant year accordingly. No physical inentory purchased for the following grants: PY##-FY## WIOA-ADULT, DW, YOUTH. III. 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 If you have any questions or need assistance, please do not hesitate to contact: Email: pauld,chavez@state.co.us, (303-318-8102), CRWC Dawn Robards dawn.robards©state.co.us or Shannon Scheffel shannon.scheffel@state.co.us, Wayne Hua wayneq.hua@state.co.us. ,AL COLORADO IttorlYr Department of Labor and Employment Finance: 633 17th Street, Suite 1100, Denver, CO 80202-3660 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) 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 tp Tonal 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 2nd Friday of September. Please submit the electronic copy via email to pauld. chavez®state. co. us. Certification: By signing this document, 1 certify to the best of my knowledge and belief that the information is true, complete, and accurate, and the expenditures, disbursements and cash receipts are for the purposes and objectives set forth in the terms and conditions of the Federal award and based upon our official accounting records and in accordance with the terms of the Grant Agreement. I am aware that any false, fictitious, or fraudulent information, or the omission of any material fact, may subject me to criminal, civil or administrative penalties for fraud, false statements, false claims or otherwise. (2 CFR 200.415) Senior Fiscal Advisor, Human Services 811Y12PZ3 Prepare Signature, Title and Date Chair, Board of Weld County Commissioners Authorized they}itle�d Date ATTEST: G` •!C t� Weld •u'ty Clerk to the Board BY: Deputy C/er to / Board AUG 3 0 2023 If you have any questions or need assistant tate to contact: Email: auld chavez@state.co.us 303-318-81"*�., u0 C :n Robards dawn.robards@state.co.us or •�' Shannon Scheffel shannon.scheffel@state.co.us, Wayne Hua wayneq.hua@state.co.us. o2do23 0254e (1) Part 1 COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT EMPLOYMENT AND TRAINING PROGRAMS PROGRAM INCOME EXPENSE REPORT FORM (PIERF) SUBRECIPIENT: Employment Services of Weld County Calendar Qrtr End Date: 6/30/2023 1. CUMULATIVE PROGRAM INCOME CASH REPORTED ON CASH REQUEST THRU QUARTER END DATE: Program code Amount NET (Undisbursed) LINE ITEM 2. BUDGET ALLOCATION: Total Program code Program Income Total 0.00 CERTIFICATION: Disbursed Prog Income (Expended) Net(Undisbursed) Program Income 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 I certify to the best of my knowledge and belief the above reported information is accurate and complete for the period reported. See instructions for completing this form on the next tab (Attachment E 2 of 2) AUG 3 J 2?23 Date 02o a3 - o-) SUBRECIPIENT: Employment Services of Weld County Closeout Part 2 COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT EMPLOYMENT AND TRAINING PROGRAMS STAND-IN COST REPORT FORM (SICRF) Incurred During Program Year Ended: 6/30/23 Program code: CMS#105079 GRANTS GRANT NAME WIOA Adult Program Year of Funds COST CATEGORY(IES)/BUDGET LINE ITEM(S) Administration I Program I Other: I Other: I Total Current Prior Year Before Prior GRANT NAME WIOA Dislocated Workers Current Prior Year Before Prior GRANT NAME WIOA Youth Current Prior Year Before Prior GRANT NAME WIOA 10% Statewide Acty. Current Prior Year Before Prior GRANT NAME WIOA Local Admin. Current Prior Year Before Prior GRANT NAME WIOA 25% Enh. DW Admin Current Prior Year Before Prior GRANT NAME WIOA 25% Enh. DW Program Current Prior Year Before Prior GRANT NAME WIOA 25% Innovate. Prof.. Current Prior Year Before Prior CERTIFICATION: I certify to the best of my knowledge and belief the above reported information is accurate and complete for the period reported. Authorized Signature AUG 3 0 2023 Date GZo.23 - 025#„2.6) SUBRECIPIENT: Employment Services of Weld County Closeout Part 2 COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT EMPLOYMENT AND TRAINING PROGRAMS STAND-IN COST REPORT FORM (SICRF) Incurred During Program Year Ended: 6/30/23 Program code: CMS#106079 GRANTS GRANT NAME Program Year of Funds COST CATEGORY(IES)/BUDGET LINE ITEM(S) Administration I Program I Other: I Other: I Total Current Prior Year Before Prior GRANT NAME WIOA Wagner Peyser Current Prior Year Before Prior GRANT NAME WP 10% SJH Current Prior Year Before Prior GRANT NAME Vets DVOP Current Prior Year Before Prior GRANT NAME Vets LVER Current Prior Year Before Prior GRANT NAME UI Reemployement Svc Current Prior Year Before Prior GRANT NAME Unemployment Ins. Current Prior Year Before Prior CERTIFICATION: I certify to the best of my knowledge and belief the above reported information is accurate and complete for the period reported. Authorized Signature AUG 3 0 2g23 Date See instructions for completing this form on the next tab (Attachment F 3 of 3) atoa.3- a54.z O4-] COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box A, Greeley, CO 80632 EA/WORKPLAN START DATE 10/1/2022 PROGRAM INCOME START DATE Closeout Part 3 YEAR OF FUNDS PY22 TITLE/PROGRAM/PROJECT PY22 WIOA DW LOCAL/COUNTIES PROGRAM Program code 4D82 END DATE 6/30/2024 END DATE I. CASH REQUEST 123,377.00 1. Total program and Admin Cash needs Preciously Reported 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 123,377.00 II. PROGRAM EXPENSE REPORT (ER) 123,377.00 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 123,377.00 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(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. RECONCIL/CATION 123,377.00 1. FINAL Cash Request Contract to Date 2. FINAL Expenses Through End of Contract 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) 123,377.00 Yes (C /No fi 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 123,377.00 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 and/or Federal funding period. Preparer's Sign ure -.4::‹Date g W/7- /��J� Authorized Signature r 1 (��/" �� 3 s AUG 3 0 2023 Date See instruction for completing this for on the next tab (Attachment H 2 of 2) C6 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 10/1/2022 PROGRAM INCOME START DATE YEAR OF FUNDS PY22 TITLE/PROGRAM/PROJECT PY22 WIOA DW LOCAL/COUNTIES ADMIN Program code 4D62 END DATE 6/30/2024 END DATE I. CASH REQUEST 13,708.00 1. Total program and Admin Cash needs Preciously Reported 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 13,708.00 11. 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) 13,708.00 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 13,708.00 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. RECONC/L/CATION 1. FINAL Cash Request Contract to Date 13,708.00 2. FINAL Expenses Through End of Contract 13,708.00 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yes p) /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 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 13,708.00 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 and/or Federal funding period. -14;47 Preparer's Signature gigLf/ f Date Authorized SignaturefrilSta,-Date AUG 3 0 2023 See instruction for completing this for on the next tab (Attachment H 2 of 2) ot002.5 - 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 EA/WORKPLAN START DATE 7/1/2022 PROGRAM INCOME START DATE YEAR OF FUNDS PY22 TITLE/PROGRAM/PROJECT PY22- WIOA YOUTH MIN -75% -In -SCHOOL Local Program Program code 4Y82 END DATE 6/30/2024 END DATE I. CASH REQUEST t, y 1. Total program and Admin Cash needs Preciously Reported 103,545.84 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 103,545.84 II. PROGRAM EXPENSE REPORT (ER) 1. Total Expenses+Accruals Previously Reported (Through Last Month) 103,545.84 2. Current Expenses + Accruals (Through End Date of Award) 3. FINAL Program Expenses Contract to Date 103,545.84 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/L/CAT/ON 1. FINAL Cash Request Contract to Date 103545.84 2. FINAL Expenses Through End of Contract 103,545.84 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yes p. /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 t . 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 103,545.84 3. Match Percentage of Expenditure Contracttual Requirement 4. Match Expenditure Requirement 0.00 5. Total Match Reported O or = to Match Expenditure Requirement? (Check Box) Yes E /No E .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 Signattl417 Date Authorized Signature Date AUG 3 0 2023 See instruction for completing this for on the next tab (Attachment H 2 of 2) C 7/ 02,0,23 - .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 EA/WORKPLAN START DATE 7/1/2022 PROGRAM INCOME START DATE YEAR OF FUNDS PY22 TITLE/PROGRAM/PROJECT PY2210% WP MSFW Program code 2M61 END DATE 6/30/2023 END DATE I. CASH REQUEST 1. Total program and Admin Cash needs Preciously Reported 36,694.00 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 36,694.00 II. PROGRAM EXPENSE REPORT (ER) 1. Total Expenses+Accruals Previously Reported (Through Last Month) 36,694.00 2. Current Expenses + Accruals (Through End Date of Award) 3. FINAL Program Expenses Contract to Date 36,694.00 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(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/L/CATION ` 1. FINAL Cash Request Contract to Date 36,694.00 2. FINAL Expenses Through End of Contract 36,694.00 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yes P( /No rJ 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 36,694.00 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 and/or Federal funding period. Preparers Signature 472/Pill3 Date Authorized Signature AUG 3 0 2023 Date See instruction for completing this for on the next lab (Attachment H 2 of 2) 02043 a= z° C�� COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box A, Greeley, CO 80632 YEAR OF FUNDS PY22 Closeout Part 3 TITLE/PROGRAM/PROJECT PY22 - WIOA YOUTH MAX -25 %-In-SCHOOL Local Program 4Y82 Program code EA/WORKPLAN START DATE 7/1/2022 PROGRAM INCOME START DATE END DATE 6/30/2024 END DATE I. CASH REQUEST 1. Total program and Admin Cash needs Preciously Reported 34,553.16 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 34,553.16 II. PROGRAM EXPENSE REPORT (ER) 1. YOGI Expenses+Accruals Previously Reported (Through Last Month) 34,553.16 2. Current Expenses + Accruals (Through End Date of Award) 3. FINAL Program Expenses Contract to Date 34,553.16 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(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. RECONCILICAT/ON 1. FINAL Cash Request Contract to Date 34,553.16 2. FINAL Expenses Through End of Contract 34,553.16 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yes n /No IT 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 34,553.16 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 o/ the Award and/or Federal funding period. 4:7 lt/Preparer's Signa Date Authorized SignatureCfr\---Date AUG 3 0 223 See instruction for completing this for on the next tab (Attachment H 2 of 2) COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box A, Greeley, CO 80632 EAIWORKPLAN START DATE 10/1/2022 PROGRAM INCOME START DATE Closeout Part 3 YEAR OF FUNDS PY22 TITLE/PROGRAM/PROJECT PY22 - WIOA ADULT LOCAL PROGRAM Program code 4A82 END DATE 6/30/2024 END DATE L CASH REQUEST 109,829.00 1. Total program and Admin Cash needs Preciously Reported 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 109,829.00 II. PROGRAM EXPENSE REPORT (ER) 109,829.00 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 109,829.00 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(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 109,829.00 1. FINAL Cash Request Contract to Date 2. FINAL Expenses Through End of Contract 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) 109,829.00 Yes R /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 0.00 1. FINAL Program Income Cash 2. Less Program Income Exoenses Through Contract End Date 0.00 3. Total PI Cash Balance 0.00 VIL MATCH RECONCILIATION 1. FINAL Match Reported Through End of Contract 2. FINAL Expenses Through End of Contract 109,829.00 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 E '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 Signat� ' Date 1/O1 TS Signature31 AUG 3 0 2023Authorized Date See instruction for completing this for on the next tab (Attachment H 2 of 2) COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box A, Greeley, CO 80632 EA/WORKPLAN START DATE 7/1/2022 PROGRAM INCOME START DATE Closeout Part 3 YEAR OF FUNDS PY22 TITLE/PROGRAM/PROJECT PY22 - WIOA ADULT LOCAL ADMIN Program code 4A62 END DATE 6/30/2024 END DATE I. CASH REQUEST 1. Total program and Admin Cash needs Preciously Reported 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date IItirs. , y. 12,203 00 12,203.00 II. PROGRAM EXPENSE REPORT (ER) 10:,,,,;;,,,, ' 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) 12,203.00 5. Current Expenses+Accruals (Through End Date of Awards) 6. FINAL Administrative Expenses Contract to Date 12,203.00 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 12,203.00 2. FINAL Expenses Through End of Contract 12,203 00 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yes 7 /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 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 .. . ,... . . a Il . d t .I V N`I(1 2. FINAL Expenses Through End of Contract 12,203.00 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 and/or Federal funding period. Preparers Signature /title Date VVV Authorized Signature TI'la.- Date AUG 3 0 203 See instruction for completing this for on the next tab (Attachment H 2 of 2) COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box A, Greeley, CO 80632 EA/WORKPLAN START DATE 7/1/2021 PROGRAM INCOME START DATE Closeout Part 3 YEAR OF FUNDS PY21 TITLE/PROGRAM/PROJECT PY21 WIOA Youth -Out School 20% Program code 4Y71 END DATE 6/30/2023 END DATE I. CASH REQUEST 89,755.40 1. Total program and Admin Cash needs Preciously Reported 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 89,755.40 II. PROGRAM EXPENSE REPORT (ER) 89,755.40 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 89,755.40 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(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 89,755.40 2. FINAL Expenses Through End of Contract 89,755.40 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yes .R /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 89,755.40 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 and/or Federal funding period. Preparer's Signature x,47/' 7 Date ii ik? Authorized Signature IfikrL, 22'P.e„__ AUG 3 0 2723 Date See instruction for completing this for on the next tab (Attachment H 2 of 21 oCo - �S*.Z 62) COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box A, Greeley, CO 60632 EA/WORKPLAN START DATE 7/1/2021 PROGRAM INCOME START DATE Closeout Part 3 YEAR OF FUNDS PY21 TITLE/PROGRAM/PROJECT PY21 WIOA Youth -Out School Program code 4Y71 END DATE 6/30/2023 END DATE I. CASH REQUEST 359,021.60 1. Total program and Admin Cash needs Preciously Reported 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 359,021.60 11. PROGRAM EXPENSE REPORT (ER) 1. Total Expenses+Accruals Previously Reported (Through Last Month) 359,021,60 2. Current Expenses + Accruals (Through End Date of Award) 3. FINAL Program Expenses Contract to Date 359,021.60 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 Id 1. FINAL Cash Request Contract to Date 359,021.60 2. FINAL Expenses Through End of Contract 359,021.60 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yes 0) /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 359,021.60 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 and/or Federal funding period. Preparer's Signature 1.49" 5///z? Date Authorized Signature AUG 3 0 2023 Date See instruction for completing this for on the next tab (Attachment H 2 of 2) ,2o 025- a54z 03; COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box A, Greeley, CO 80632 EA/WORKPLAN START DATE 7/1/2021 PROGRAM INCOME START DATE Closeout Part 3 YEAR OF FUNDS PY21 TITLE/PROGRAM/PROJECT PY21 WIOA Youth -In School 20% Program code 4Y81 END DATE 6/30/2023 END DATE I. CASH REQUEST 1. Total program and Admin Cash needs Preciously Reported 22,438.80 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 22,438.80 II. PROGRAM EXPENSE REPORT (ER) 1. Total Expenses+Accruals Previously Reported (Through Last Month) 22,438.80 2. Current Expenses + Accruals (Through End Date of Award) 3. FINAL Program Expenses Contract to Date 22,438.80 ADMINISTRATIVE EXPENSE (ER) T' 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(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 22,438.80 2. FINAL Expenses Through End of Contract 22,438.80 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yes R /No R 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 II,, , rI, 71 .y 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 22,438.80 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 and/or Federal funding period Preparer's Signal eh/Date Authorized Signature ,� 1,2—,........._____- Date AUG 3 0 2023 See instruction for completing this for on the next tab (Attachment H 2 of 2) C/4) oZo A54-2- 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 7/1/2021 PROGRAM INCOME START DATE YEAR OF FUNDS PY21 TITLE/PROGRAM/PROJECT PY21 WIOA Youth -In School Program code 4Y81 END DATE 6/30/2023 END DATE 1. CASH REQUEST 89,755.20 1. Total program and Admin Cash needs Preciously Reported 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 89,755.20 II. PROGRAM EXPENSE REPORT (ER) 89,755.20 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 89,755.20 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(P1) EXPENSE REPORT 1. Total Program Income Expenses Reported (Last Quarter) 2. Current Program Income Expenses (Through End Date of Contract) 3. TOTAL PI Expenses Through End Date of Contract 0.00 IV. RECONCILICATION 1. FINAL Cash Request Contract to Date 89,755.20 2. FINAL Expenses Through End of Contract 89,755.20 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yes n /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 DXe 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 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 89,755.20 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 and/or Federal funding period. Preparer's Signature Date eb yip /9 Authorized Signature CYT\":Q— AUG 3 0 2023 Date See instruction for completing this for on the next tab (Attachment H 2 of 2) 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 7/1/2021 PROGRAM INCOME START DATE YEAR OF FUNDS PY21 TITLE/PROGRAM/PROJECT PY21 WIOA Youth Program code 4Y61 END DATE 6/30/2023 END DATE I. CASH REQUEST 62,330.00 1. Total program and Admin Cash needs Preciously Reported 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 62,330.00 II. PROGRAM EXPENSE REPORT (ER) 1. Total Expenses+Accruals Previously Reported (Through Last Month) 2. Current Expenses + Accruals (Through End Date of Award) FINAL Program Expenses Contract to Date 0.00 ADMINISTRATIVE EXPENSE (ER) 62,330.00 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 62,330.00 III. PROGRAM INCOME(PI) EXPENSE REPORT 1. Total Program Income Exoenses Reported (Last Quarter) 2. Current Program Income Expenses (Through End DUE of Contract) 3. TOTAL PI Expenses Through End Date of Contract 0.00 IV. RECONCILICATION 1. FINAL Cash Request Contract to Date 62,330.00 2. FINAL Expenses Through End of Contract 62,330.00 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yes n /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 DUE 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 62,330.00 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 and/or Federal funding period. PrepareSignature r14;r1 flf DUE yb Lf J'S Authorized Signature 2.-1-j"-- DUE AUG 3 0 2023 See instruction for completing this for on the next tab (Attachment H 2 of 2) (/6) aoa3 - 4254 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 7/1/2021 PROGRAM INCOME START DATE Closeout Part 3 YEAR OF FUNDS PY21 TITLE/PROGRAM/PROJECT PY21 Wagner Peyser Emp Svcs Program code 2061 END DATE 6/30/2023 END DATE I. CASH REQUEST 506,007.00 1. Total program and Admin Cash needs Preciously Reported 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 506,007.00 IL PROGRAM EXPENSE REPORT (ER) 506,007.00 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 506,007.00 ADMINISTRATIVE EXPENSE (ER) Ili 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(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 506,007.00 1. FINAL Cash Request Contract to Date 2. FINAL Expenses Through End of Contract 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) 506,007.00 Yes R /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 0.00 1. FINAL Program Income Cash 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 506,007.00 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 and/or Federal funding period. ,7Prepare, Signature �4 Date ��/M:g o f Authorized Signature ( p "�-� '.. 1 AUG 3 0 2023 Date See instruction for completing this for on the next tab (Attachment H 2 of 2) 0! 7) �oa3-ag4,a 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 1/1/2022 PROGRAM INCOME START DATE YEAR OF FUNDS PY21 TITLE/PROGRAM/PROJECT PY21 Summer Job Hunt Program code 2S61 END DATE 12/31/2022 END DATE I. CASH REQUEST 1. Total program and Admin Cash needs Preciously Reported 42,000.00 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 42,000 00 II. PROGRAM EXPENSE REPORT (ER) 1. Total Expenses+Accruals Previously Reported (Through Last Month) 42,000.00 2. Current Expenses + Accruals (Through End Date of Award) 3. FINAL Program Expenses Contract to Date 42,000.00 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 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 42,000.00 2. FINAL Expenses Through End of Contract 42,000.00 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yes ( ( /No f 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 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 42,000.00 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 ❑ /No ❑ 'The program Income Expense Report and Cash Request can only be extended through the availability of the Award and/or Federal funding period. Aki,Preparer's Signatur Date Authorized Signature �4 — Date AUG 3 0 2023 See instruction for completing this for on the next tab (Attachment H 2 of 2) 0(9 .20012 -.26W-2- COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box A, Greeley, CO 80632 EA/WORKPLAN START DATE 7/1/2022 PROGRAM INCOME START DATE Closeout Part 3 YEAR OF FUNDS FY23 TITLE/PROGRAM/PROJECT SFY23 WFD ESF ONLY -NO CRWC Program code 2W23 END DATE 6/30/2023 END DATE L CASH REQUEST 1. Total program and Admin Cash needs Preciously Reported 398,282.00 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 398,282.00 11. PROGRAM EXPENSE REPORT (ER) 1. Total Expenses+Accruals Previously Reported (Through Last Month) 398,282.00 2. Current Expenses + Accruals (Through End Date of Award) 3. FINAL Program Expenses Contract to Date 398,282.00 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(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/L/CATION 1. FINAL Cash Request Contract to Date 398,282.00 2. FINAL Expenses Through End of Contract 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) 398,282.00 Yes n /No jl 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 398,282.00 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 and/or Federal funding period MP/111_?Preparers Signatur Date \lh //�) _. Authorized Signature " `I — L1}�� AUG 3 0 2023 Date See instruction for completing this for on the next tab (Attachment H 2 of 2) COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box A, Greeley, CO 80632 EA/WORKPLAN START DATE 10/1/2022 PROGRAM INCOME START DATE Closeout Part 3 YEAR OF FUNDS FY23 TITLE/PROGRAM/PROJECT FY23 - WIOA ADULT LOCAL PROGRAM Program code 48A2 END DATE 6/30/2024 END DATE I. CASH REQUEST 1. Total program and Admin Cash needs Preciously Reported 490,804.00 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 490,804.00 II. PROGRAM EXPENSE REPORT (ER) 1. Total Expenses+Accruals Previously Reported (Through Last Month) 490,804.00 2. Current Expenses + Accruals (Through End Date of Award) 3. FINAL Program Expenses Contract to Date 490,804.00 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(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/L/CAT/ON 1. FINAL Cash Request Contract to Date 490,804.00 2. FINAL Expenses Through End of Contract 490,804.00 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yes n /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 490,804.00 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 and/or Federal funding period. Preparer's Signature .02-74gji17 Date V// / /tg Authorized SignatureTN-1424,-44.---Date AUG 3 0 2323 See instruction for completing this for on the next tab (Attachment H 2 of 2) 020023 - A54-9 COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box A, Greeley, CO 80632 EA/WORKPLAN START DATE 7/1/2022 PROGRAM INCOME START DATE Closeout Part 3 YEAR OF FUNDS FY23 TITLE/PROGRAM/PROJECT ESF-SFY23 WFD SUPPLEMENTAL Program code 2W33 END DATE 6/30/2023 END DATE I. CASH REQUEST 1. Total program and Admin Cash needs Preciously Reported 101,743.00 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 101,743.00 II. PROGRAM EXPENSE REPORT (ER) 1. TOO Expenses+Accruals Previously Reported (Through Last Month) 101,743.00 2. Current Expenses + Accruals (Through End Date of Award) 3. FINAL Program Expenses Contract to Date 101,743.00 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(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. RECONCIL/CATION 1. FINAL Cash Request Contract to Date 101,743.00 2. FINAL Expenses Through End of Contract 101,743.00 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yes (Y /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 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 101,743.00 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 and/or Federal funding period. ....27.'Date Preparer's Signaturelar e/Y' Authorized Signature11V—C2-.21.-a-Date AUG 3 0 2323 See instruction for completing this for on the next tab (Attachment H 2 of 2) COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box A, Greeley, CO 80632 EA/WORKPLAN START DATE 7/1/2022 PROGRAM INCOME START DATE Closeout Part 3 YEAR OF FUNDS FY22 TITLE/PROGRAM/PROJECT FY22 WIC. WDP-10% Eval & Continuation Program code 4TD1 END DATE 6/30/2023 END DATE I. CASH REQUEST 25,000.00 1. Total program and Admin Cash needs Preciously Reported 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 25,000.00 II. PROGRAM EXPENSE REPORT (ER) 1. Total Expenses+Accruals Previously Reported (Through Last Month) 25,000.00 2. Current Expenses + Accruals (Through End Date of Award) 3. FINAL Program Expenses Contract to Date 25,000.00 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 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. RECONC/LICAT/ON 1. FINAL Cash Request Contract to Date 25,000.00 2. FINAL Expenses Through End of Contract 25,000.00 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yes n /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 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 25,000.00 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 E /No ❑ 'The program Income Expense Report and Cash Request can only be extended through the availability of the Award and/or Federal funding period. Prepare,Signature Y.A� Date rhy /2' Authorized Signature ( I�'' �'� _ AUG 3 0 2323 Date See instruction for completing this for on the next tab (Attachment H 2 of 2) COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box A, Greeley, CO 80632 EA/WORKPLAN START DATE 10/1/2021 PROGRAM INCOME START DATE Closeout Part 3 YEAR OF FUNDS FY22 TITLE/PROGRAM/PROJECT FY22 WI0A DW-ADMIN TRANSFER TO ADULT Program code 4BD1 END DATE 6/30/2023 END DATE L CASH REQUEST 1. Total program and Admin Cash needs Preciously Reported 41,087.00 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 41,087.00 IL PROGRAM EXPENSE REPORT (ER) 1. TAG 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) 41,087.0O 5. Current Expenses+Accruals (Through End Date of Awards) 6. FINAL Administrative Expenses Contract to Date 41,087.00 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 41,087.00 2. FINAL Expenses Through End of Contract 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) 41,087.00 Yes n /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 41,087.00 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 and/or Federal funding period. Preparer's Signature - Date °/02,-2 Authorized Signature TN1,31-4"e4—..... Date AUG 3 0 2323 See instruction for completing this for on the next tab (Attachment H 2 of 2) caM oZoo23 -x542_ COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box A, Greeley, CO 80632 EA/WORKPLAN START DATE 10/1/2021 PROGRAM INCOME START DATE Closeout Part 3 YEAR OF FUNDS FY22 TITLE/PROGRAM/PROJECT FY22 WIOA Dislocated Worker Program code 46D1 END DATE 6/30/2023 END DATE I. CASH REQUEST 19,230.00 1. Total program and Admin Cash needs Preciously Reported 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 19,230.00 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) 19,230.0O 5. Current Expenses+Accruals (Through End Date of Awards) 6. FINAL Administrative Expenses Contract to Date 19,230.00 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. RECONC/LICATION 1. FINAL Cash Request Contract to Date 19,230.00 2. FINAL Expenses Through End of Contract 19,230.00 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yes p) /No E 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 19,230.00 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 and/or Federal funding period. %/.7 Preparer's Signature / Date e//y/2 Authorized Signature111;-.4)21.e.e--.--.-------Date AUG 3 0 2323 See instruction for completing this for on the next tab (Attachment H 2 of 2) COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box A, Greeley, CO 80632 EANVORKPLAN START DATE 10/1/2021 PROGRAM INCOME START DATE Closeout Part 3 YEAR OF FUNDS FY22 TITLE/PROGRAM/PROJECT FY22 WIOA Dislocated Worker Program code 48D1 END DATE 6/30/2023 END DATE I. CASH REQUEST 1. Total program and Admin Cash needs Preciously Reported 2. Current Program and Admin Cash Needs 175,382 00 3. FINAL Program and Admin Cash Needs Contract to Date 175,382.00 II. PROGRAM EXPENSE REPORT (ER) 1. Total Expenses+Accruals Previously Reported (Through Last Month) 175,382.00 2. Current Expenses + Accruals (Through End Date of Award) 3. FINAL Program Expenses Contract to Date 175,382.00 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(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 175,382.00 2. FINAL Expenses Through End of Contract 175,382.00 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yes n /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 175,382.00 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 and/or Federal funding period. 17/Preparer's Signature Date 61/0v Authorized Signature Date AUG 3 0 2323 See instruction for completing this for on the next tab (Attachment H 2 of 2) a 7a3 - ;454.2 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 10/1/2021 PROGRAM INCOME START DATE YEAR OF FUNDS FY22 TITLE/PROGRAM/PROJECT FY22 WIOA Adult Program code 4ND1 END DATE 6/30/2023 END DATE I. CASH REQUEST 1. Total program and Admin Cash needs Preciously Reported 148,913.00 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 148,913.00 11. PROGRAM EXPENSE REPORT (ER) 1. Total Expenses+Accruals Previously Reported (Through Last Month) 148,913.00 2. Current Expenses + Accruals (Through End Date of Award) 3. FINAL Program Expenses Contract to Date 148,913.00 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(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 148,913.00 2. FINAL Expenses Through End of Contract 148,913.00 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yes [,1 /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 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 148,913.00 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 ❑ program Income Expense Report and Cash Request can only be extended through the availability of the Award and/or Federal funding period. Preparer's Signatua l� 4 Date tri/Y1 `—? Authorized SignatureINC4-21.24'— AUG 3 0 2323 Date See instruction for completing this for on the next tab (Attachment H 2 of 2) Chi .23- ,25-i/-.2. 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 10/1/2021 PROGRAM INCOME START DATE YEAR OF FUNDS FY22 TITLE/PROGRAM/PROJECT FY22 WIOA Adult Program code 46A1 END DATE 6/30/2023 END DATE I. CASH REQUEST 22,087.00 1. Total program and Admin Cash needs Preciously Reported 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 22,087.00 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) 22,087.00 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 22,087.00 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 22,087.00 1. FINAL Cash Request Contract to Date 2. FINAL Expenses Through End of Contract 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) 22,087.00 Yes rj /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 22,087.00 3. Match Percentage of Expenditure Contracttual Requirement 4. Match Expenditure Requirement 0.00 5. Total Match Reported 4 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 and/or Federal funding period. Preparer's Signature Date g//43 Authorized Signature AUG 3 0 223 Date See instruction for completing this for on the next tab (Attachment H 2 of 2) o2oa5 - a�-2- 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 10/1/2021 PROGRAM INCOME START DATE YEAR OF FUNDS FY22 TITLE/PROGRAM/PROJECT FY22 VETS DVOP Program code 2D22 END DATE 12/31/2022 END DATE I. CASH REQUEST 1. Total program and Admin Cash needs Preciously Reported 21,378.90 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 21,378.90 II. PROGRAM EXPENSE REPORT (ER) 1. TOO Expenses+Accruals Previously Reported (Through Lot Month) 21,378.90 2. Current Expenses + Accruals (Through End Date of Award) 3. FINAL Program Expenses Contract to Date 21,378.90 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(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. RECONCIL/CATION 1. FINAL Cash Request Contract to Date 21,378.90 2. FINAL Expenses Through End of Contract 21,378.90 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yes (7j /No rl 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 21,378.90 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 and/or Federal funding period. "Z":7 Preparer's Signature4979 Date /yI 22 Authorized SignatureTill"--‘243%—.......------Date AUG 3 0 2323 See instruction for completing this for on the next tab (Attachment H 2 of 2) aoa3- a5Lz- Cog) 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 1/1/2022 PROGRAM INCOME START DATE YEAR OF FUNDS FY22 TITLE/PROGRAM/PROJECT FY22 RESEA Program code 28C2 END DATE 9/30/2023 END DATE I. CASH REQUEST 1. Total program and Admin Cash needs Preciously Reported 35,242.00 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 35,242.00 II. PROGRAM EXPENSE REPORT (ER) 1. Total Expenses+Accruals Previously Reported (Through Last Month) 35,242.00 2. Current Expenses + Accruals (Through End Date of Award) 3. FINAL Program Expenses Contract to Date 35,242.00 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(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 35,242.00 2. FINAL Expenses Through End of Contract 35,242.00 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yes n /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 35,242.00 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 and/or Federal funding period. Z/Z7Preparer's Signature97 Date leftlf/7_f Authorized Signature 'A`r -2,.1 D _ Date AUG 3 0 2323 See instruction for completing this for on the next tab (Attachment H 2 of 2) 020 3 - a5'RQ 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/VVORKPLAN START DATE 10/1/2022 PROGRAM INCOME START DATE YEAR OF FUNDS FY22 TITLE/PROGRAM/PROJECT FY22 Labor Cenificabon Program code 1622 END DATE 9/30/2023 END DATE I. CASH REQUEST 1. Total program and Admin Cash needs Preciously Reported 5,800.00 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 5,800.00 IL PROGRAM EXPENSE REPORT (ER) 1. Total Expenses+Accruals Previously Reported (Through Lot Month) 5,800.00 2. Current Expenses + Accruals (Through End Date of Award) 3. FINAL Program Expenses Contract to Date 5,800.00 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(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. RECONCIL/CATION 1. FINAL Cash Request Contract to Date 5,800.00 2. FINAL Expenses Through End of Contract 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) 5,800.00 Yes pi /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 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 5,800.00 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 E 'The program Income Expense Report and Cash Request can only be extended through the availability or the Award and/or Federal funding period. Preparer's Signature 4 SfiyI S Date Authorized SignatureTO:A{?3,—C4,______Date AUG 3 0 2323 See instruction for completing this for on the next tab (Attachment H 2 of 2) COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box A, Greeley, CO 80632 EA/WORKPLAN START DATE 12/1/2022 PROGRAM INCOME START DATE Closeout Part 3 YEAR OF FUNDS FY22 TITLE/PROGRAM/PROJECT FY22 Performance Incentive Fund Program code 4WA1 END DATE 6/30/2023 END DATE L CASH REQUEST 1. Total program and Admin Cash needs Preciously Reported 26,415.00 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 26,415.00 10 PROGRAM EXPENSE REPORT (ER) 1. Total Expenses+Accruals Previously Reported (Through Last Month) 26,415.00 2. Current Expenses + Accruals (Through End Date of Award) 3. FINAL Program Expenses Contract to Date 26,415.00 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(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/L/CAT/ON 1. FINAL Cash Request Contract to Date 26,415.00 2. FINAL Expenses Through End of Contract 26,415.00 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yes Cl /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 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 26,415.00 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 and/or Federal funding period. Preparer's Signature AV 41 Date Cr/,Y/42 Authorized Signature Date AUG 3 0 2323 See instruction for completing this for on the next lab (Attachment H 2 of 2) 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 7/1/2021 PROGRAM INCOME START DATE YEAR OF FUNDS FY21 TITLE/PROGRAM/PROJECT FY21 TAA Case Mgmt Program code 17C1 END DATE 9/30/2023 END DATE I. CASH REQUEST 1. Total program and Admin Cash needs Preciously Reported 14,659.00 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 14,659.00 IL PROGRAM EXPENSE REPORT (ER) 14,659.00 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 14,659.00 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(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. RECONCILICAT/ON 1. FINAL Cash Request Contract to Date 14,659.00 2. FINAL Expenses Through End of Contract 14,659.00 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yes ) /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 14,659.00 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 E /No ❑ "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 Date OV12-_? r�j/�r, Authorized Signaturenrn-ZL1-e.,Z+---.--,Date AUG 3 0 2323 See instruction for completing this for on the next tab (Attachment H 2 of 2) a,3- a5�E COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box A, Greeley, CO 80632 EA/W0RKPLAN START DATE 10/1/2021 PROGRAM INCOME START DATE Closeout Part 3 YEAR OF FUNDS FY21 TITLE/PROGRAM/PROJECT FY21 ENHANCED Dislocated Worker Program code 47D1 END DATE 6/30/2023 END DATE I. CASH REQUEST 1. Total program and Admin Cash needs Preciously Reported 7,094.00 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 7,094.00 II. PROGRAM EXPENSE REPORT (ER) 1. TAG 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) 7,094.00 5. Current Expenses+Accruals (Through End Date of Awards) 6. FINAL Administrative Expenses Contract to Date 7,094.00 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. RECONCILICAT/ON 1. FINAL Cash Request Contract to Date 7,094.00 2. FINAL Expenses Through End of Contract 7,094.00 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yes Fl /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 7,094.00 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 and/or Federal funding period. Preparer's Signature d41/7,≥‹ Date fj/V/72 Authorized Signature T L ^,•e ,+ o Date AUG 3 0 2323 See instruction for completing this for on the next tab (Attachment H 2 of 2) 020,2_8 - 02 502 COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box A, Greeley, CO 80632 EA/WORKPLAN START DATE 10/1/2021 PROGRAM INCOME START DATE Closeout Part 3 YEAR OF FUNDS FY21 TITLE/PROGRAM/PROJECT FY21 ENHANCED Dislocated Worker Program code 49D1 END DATE 6/30/2023 END DATE I. CASH REQUEST 1. Total program and Admin Cash needs Preciously Reported 127,710.00 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 127,710.00 II. PROGRAM EXPENSE REPORT (ER) 1. Total Expenses+Accruals Previously Reported (Through Last Month) 127,710.00 2. Current Expenses + Accruals (Through End Date of Award) 3. FINAL Program Expenses Contract to Date 127,710.00 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(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 127,710.00 2. FINAL Expenses Through End of Contract 127,710.00 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yes n /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 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 127,710.00 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 ❑ Preparer's Signature ,?4 Date / J _f Authorized Signature Date AUG 3 0 223 See instruction for completing this for on the next tab (Attachment H 2 of 2) 04) ao,43-a5 4.z 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 7/1/2020 PROGRAM INCOME START DATE YEAR OF FUNDS FY20 TITLE/PROGRAM/PROJECT FY20 TAA Case Mai -at Program code 17C0 END DATE 9/30/2022 END DATE I. CASH REQUEST 1. Total program and Admin Cash needs Preciously Reported 55,187.00 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 55,187.00 I1. PROGRAM EXPENSE REPORT (ER) 1. TOG Expenses+Accruals Previously Reported (Through Last Month) 55 187.00 2. Current Expenses + Accruals (Through End Date of Award) 3. FINAL Program Expenses Contract to Date 55,187.00 ADMINISTRATIVE EXPENSE (ER) 4. Total Expenses+Accruals Previously Reported (Through Lot Moth) 5. Current Expenses+Accruals (Through End Date of Awards) 6. FINAL Administrative Expenses Contract to Date 0.00 III. PROGRAM INCOME(PI) EXPENSE REPORT 1. Total Program Income 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 55,187.00 2. FINAL Expenses Through End of Contract 55,187.00 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yes R /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 55,187.00 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 and/or Federal funding period. Preparer's Signature A,f9.7./ Date `� //��. Authorized Signature ITL:(24. , AUG 3 0 2323 Date See instruction for completing this for on the next tab (Attachment H 2 of 2) eoa.,3 - a5Vz COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part 4 SUBRECIPIENT CERTIFICATION OF PHYSICAL INVENTORY Subrecipient Name: Employment Services of Weld County Address: PO Box A Greeley, CO 80632 Contact Person: Leonard Bottorff Phone Number: 970-400-6537 I hereby certify that all property/equipment previously purchased with or transferred from the Workforce Investment Act (WIA), Comprehensive Employment and Training Act (CETA), or the Job Training Partnership Act (JTPA) program to the Workforce Innovation and Opportunity Act (WIOA) programs or purchased under any Colorado Department of Labor and Employment (CDLE) federally funded grant or transferred with the CDLE's approval is included in the attached listing for the above - noted subrecipient. The attached listing has been verified by a physical inventory. Changes/revisions are: doted Dlot Applicable I certify that this property is being used for purposes that it was originally purchased for and will be repaired or replaced by my insurance if damaged, lost, or stolen. I certify that all property/equipment previously purchased with or transferred from the WIA, CETA, or the JTPA programs to WIOA program or purchased under a CDLE federally funded grant or transferred with the CDLE's approval with a fair market value (FMV), established by our existing local procedures, of $5,000 or more, has been identified. I further certify that the proceeds of all property/equipment previously purchased with or transferred from the WIA, CETA, or JTPA program to the WIOA program, with a FMV of $5,000 or more, will be returned to CDLE, in order to return the proceeds to the U.S. Department of Labor. Su t irector's Signature AUG 3 0 2323 Date COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT PHYSICAL INVENTORY LIST Grant Recipient Name: Employment Services of Weld County WDP Master Agreement Number: CMS#105079 Release Date: Closeout Part 4 Program code Purchase Date Description of Property Property Costs Program Funding Sources SERIAL # if applicable Property Location Property Condition Total Amount I certify to the best of my knowledge and belief the above reported information is accurate and complete for the period reported. This Physical Inventory List has been executed this By 2o -T4 day o Authorized Signature Mike Freeman, Chair, Board of Weld County Title Commissioners 023 2,0 - 02544. (3 7) COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT TAX CERTIFICATION In the performance of WDP Master Agreement Number Expenditure Authorizations (EAs)/Workplan allocated under above Agreement numbers: as Program Code : 4D82, 4D62 •_CMS#105079 , including the 4A82 4A62 4Y71 4Y81 2061 , 2S61 2W23 , 48A2 4TD1 4BD1 46D1 48D1 46A1 , 2D22 28C2 1622 17C1 47D1 49D1 17C0 4Y82 4Y61 2W33 4ND1 4WA1 2M61 I certify that I have complied with requirements of the law and the Colorado Department of Labor and Employment, regarding the obtaining of employer identification/account numbers; collection, payment, deposit, and reporting of federal, state, and local taxes; and the provision of W-2 forms to employees/enrollees who are not now my employees. For present employees/enrollees (formerly employed under the contract), W-2 forms will be furnished as specified in Circular E. Employer's Tax Guide. Grant Recipient Name: Grant Recipient Address: Employment Services of Weld County PO Box A Greeley, CO 80632 Grant Recipient Employer: Employer's Identification Number: This certification has been executed this 30T� day of Weld County Department of Human Services 84-60000813 , 2023 Closeout Part 4 Closeout Part 4 GRANT RECIPIENTS ASSIGNMENT OF REFUNDS, REBATES, AND CREDITS Grant Recipient's Name: Employment Services of Weld County Street Address: PO Box A City and State: Greeley, CO 80632 Pursuant to the terms of WDP Master Agreement Number Expenditure Authorizations (EAs)/Workplan awarded under Agreement, identified as Program code(s) . 4D82 2M61 , 4A82 4A62 4Y61 , 2061 , 2S61 2W33 , 4TD1 4BD1 4ND1 , 46A1 2D22 4WA1 , 17C1 47D1 WDP Master Agreement No: CMS#105079 CMS#105079 , including the 4D62 4Y82 4Y71 4Y81 2W23 48A2 46D1 48D1 28C2 1622 49D1 17C0 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 attorney or other papers in connection therewith; and to permit CDLE to represent it at an hearing, trial or other proceeding arising out of such claim or suit. This assignment has been executed this &r41 day of By Authorized Signature Title Chair, Board of Weld County Commissioners 2023 COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part 4 SCHEDULE OF UNCLAIMED CHECKS Grant Recipient Name: Employment Services of Weld County WDP Master Agreement Number: CMS#105079 Release Date: Program code Check Number Payee Check Amount Payee's Last Known Address Total Amount Unclaimed This schedule has been executed this 397il day of L W.' , 2023 BY 1141:12-4.?(Lel—..---- Authorized Signature Title Chair, Board of Weld County Commissioners 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 of WDP Master Agreement Number Authorizations (EZ/Workplan awarded under said WDP Master Agreement, as CLEAR Program code (s): 4D62 4Y82 2M61 - 4Y82 4Y61 2061 4BD1 46D1 1622 :AM and in consideration of the suof Total amount paid of 2S61 48D1 17C1 CMS#105079 2W3 4ND1 47D1 4A62 48A2 46A1 49D1 , including the Expenditure 4D82 4Y1 W33 2D22 17C0 ($ of Unclaimed Checks Total) under the said Contract to 4Y81 4T1 282 and payable of (Contractor's Name and Address) hereafter called the Grant Recipient or to its assignees, if any, the Grant Recipient, upon payment of the said sum by the COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT, hereinafter called CDLE, does remise, release, and discharge CDLE, its officers, agents, and employees, of and from all liabilities, obligations, claims, and demands whatsoever under or arising from said Contract/Grant Agreement except: Specified claims in stated amounts or in estimated amounts where the amounts are not susceptible of exact statement by the Grant Recipient, as follows( if none, so state): CLEAR Program Code Invoice Date (If Known) Vendor Invoice or P.O.# Cost Category Amount Expected Payment Amount Claims after closeout, for costs which results from the liability to pay Unemployment Insurance costs under a reimbur me't system or to settle Worker's Compensation claims. e has been executed this This releas Claims, together with 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 CDLE within the period specified in the said Contract/Grant Agreement. day of By 1 Authorized Signature ,2023 Title Chair, Board of Weld County Commissioners Closeout Part 4 .20,23- .2574- `3Q) New Contract Request Entity Information Entity Name COLORADO DEPARTMENT OF LABOR & EMPLOYMENT Entity ID* @00010497 Contract Name* Contract ID WORKFORCE INNOVATION AND OPPORTUNITY ACT 7334 (WIOA) GRANT CLOSEOUT FOR 2022-23 Contract Status CTB REVIEW Contract Lead * WLUNA ❑ New Entity? Parent Contract ID Requires Board Approval YES Contract Lead Email wluna@weldgov.com;co Department Project # bbxxlk@weldgov.com Contract Description* THE WIOA GRANT CLOSEOUT PACKET IS REQUIRED BY THE YEAR-END CONTRACT CLOSEOUT PROCEDURES OF CDLE AND IN ACCORDANCE WITH PGL06-12-F1 FOR ALL PROGRAMS THAT HAVE EXPENDITURE AUTHORIZATIONS ENDING DURING THE PERIOD JULY 1, 2022 TO JUNE 30, 2023. Contract Description 2 PA IS ROUTING THROUGH THE NORMAL PROCESS. ETA TO CTB 08/24/2023. Contract Type* Department GRANT HUMAN SERVICES Amount* $0.00 Renewable NO Automatic Renewal Grant IGA Department Email CM- HumanServices@weldgo v.com Does Contract require Purchasing Dept. to be Department Head Email included? CM-HumanServices- DeptHead@weldgov.com Requested BOCC Agenda Due Date Date* 08/26/2023 08/30/2023 Will a work session with BOCC be required?* NO County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COUNTYATTORNEY@WE LDGOV.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 Termination Notice Period Contact Information Review Date* 07/08/2024 Committed Delivery Date Renewal Date Expiration Date* 09/08/2024 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 08/21/2023 08/21/2023 08/21/2023 Final Approval BOCC Approved Tyler Ref # AG 083023 BOCC Signed Date BOCC Agenda Date 08/30/2023 Hello