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Home My WebLink About20222385.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 ending during the period of July 1, 2021, through June 30, 2022, 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. cc:I-ISO, ACT(cP/Go) "(20/22 2022-2385 HR0094 GRANT CLOSEOUT CHECK LIST FOR VARIOUS WORKFORCE INNOVATION AND OPPORTUNITY ACT (WIOA) PROGRAMS PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 17th day of August, A.D., 2022. BOARD OF COUNTY COMMISSIONERS WELT COUNTY, COLORADO ATTEST: dia,A) W add0 ,,k, Weld County Clerk to the Board oun ttorney Date of signature: x/31 /22 Sc•tt K. James, Chair -g,..,.___. eman, Pro - 2022 -2385 HR0094 Cov\A-vacch1)4(pyi PRIVILEGED AND CONFIDENTIAL MEMORANDUM DATE: August 9, 2022 TO: Board of County Commissioners — Pass -Around FR: Jamie Ulrich, Director, Human Services RE: 2021-22 Workforce Innovation and Opportunity Act (WIOA) Grant Closeout Please review and indicate if you would like a work session prior to placing this item on the Board's agenda. Request Board Approval of the Department's 2021-22 Workforce Innovation and Opportunity Act (WIOA) Grant Closeout. The closeout packet is required by the Year -End Contract Closeout Procedures of the Colorado Department of Labor and Employment (CDLE), and in accordance with their Policy Guidance Letter #06-12-F1, for all programs that have Expenditure Authorizations ending during the period of July 1, 2021 through June 30, 2022. Revenues and expenditures are reconciled based on the Colorado Labor and Employment Accounting Resource (CLEAR) Fund Available Analysis Report, our internal spreadsheet, and the CLEAR billings. The grant obligations are released for those projects that are fully expended by the Division of Employment Services. This grant closeout is due to CDLE by Friday, August 26, 2022. I do not recommend a Work Session. I recommend approval and submission of this Grant Closeout and authorize the Chair to sign. Approve Recommendation Perry L. Buck Mike Freeman, Pro-Tem Scott K. James, Chair Steve Moreno Lori Saine Schedule Work Session Other/Comments: Pass -Around Memorandum; August 9, 2022 — CMS ID 6187 2022-2385 ©S/1.l COLORADO gg �/ 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 1805, Greeley, CO 80632 Director: Karina Amaya Phone Number: 970-400-6763 Fiscal Manager: Leonard Bottorff Phone Number: 970-400-6537 Master Grant/Contract Agreement Number: CMS#54599 Final Due Dates: The fourth Friday of August 2022 (Aug 26, 2022). 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 fupids from NFA's with the period of performance ending June 30, 2022 (please create an attachment if applicable): Please list all the program code by the program year accordingly startingjrom Py20 to Fy22. Program Year- Program Code CLEAR Program Code Title/Grant Budget Actual PY20 Admin 4A60 PY20 - WIOA ADULT LOCAL ADMIN $7,601.00 $7,601.00 PY20 Admin 4D60 PY20 - WIOA DW LOCAL/COUNTIES ADMIN $7,490.00 $7,490.00 PY20 Admin 4Y60 PY20 - WIOA 10%YOUTH LOCAL ADMIN $51,500.00 $51,500.00 PY20 GSJH Program 2S50 PY20-WP10% SJH $ 713,000 ONLY COUNTY ALLOCATION $42,000.00 $42,000.00 PY20 MSFW 2M50 PY20-WP10% MIGRANT $148,228 SSNL WRKR- COUNTY ONLY $47,068.00 $47,068.00 PY20 Program 4A80 PY20 - WIOA ADULT LOCAL PROGRAM $68,410.00 $68,410.00 PY20 Program 4D80 PY20- WIOA DW LOCAL/COUNTIES PROGRAM $67,415.00 $67,415.00 PY20 WIOA YIS 4Y80 PY20 - WIOA YOUTH MAX -25% -IN -SCHOOL LOCAL PROGRAM $115,880.00 $115,880.00 PY20 WIOA YOS 4Y70 PY20 - WIOA YOUTH MIN -75% -OUT -SCHOOL LOCAL PROGRAM $347,642.00 $347,642.00 If you have any questions or need assistance, please do not hesitate to contact: Email: pauld,chavez@state.co.us, (303-318-8102), CRWC Jerrid.havwood®state.co.us (303-318-8017), Laura Urbain (phone: 303-318-8106) or email: Bryce Green (phone: 303-318-8119) Bryce.Green®state.co.us COLORADO go Department of Labor and Employment Finance: 633 17th Street, Suite 1100, Denver, CO 80202-3660 PY20 WP Program 2050 PY20-WP COUNTY ALLOCATION $470,496.00 $470,496.00 PY21 Admin 4A61 PY21 - WIOA ADULT LOCAL ADMIN $9,372.00 $9,372.00 PY21 Admin 4061 PY21 - WIOA DW LOCAL/COUNTIES ADMIN $9,039.00 $9,039.00 PY21 ESF 2W22 ESF-SFY22 WFD ESF ONLY -NO CRWC $380,823.00 $380,823.00 PY21 ESF Supplemental 2W32 ESF-SFY22 WFD SUPPLEMENTAL $97,261.00 $97,261.00 PY21 PIF 4WA0 FY21 WIOA CWDC - 10%- ADULT ETP $21,818.00 $21,818.00 PY21 Program 4A81 PY21 - WIOA ADULT LOCAL PROGRAM $84,354.00 $84,354.00 PY21 Program 4081 PY21- WIOA DW LOCAL/COUNTIES PROGRAM $81,351.00 $81,351.00 FY19 TAA Case Mgmt 17C9 FY19-NON-WIOA-TAA CASE MANAGEMENT $65,977.00 $65,977.00 FY20 FLC 1640 FY20 Labor Certification $5,200.00 $5,200.00 FY21 Admin 46A0 FY21 - WIOA ADULT LOCAL ADMIN $37,929.00 $37,929.00 FY21 Admin 4600 FY21 - WIOA DW ADMIN LOCAL/COUNTIES $16,765.00 $16,765.00 FY21 Admin 4700 FY21- WIOA 25% DW ENHANCED ADMIN LOCAL/COUNTIES $12,571.00 $12,571.00 FY21 Admin 4BD0 FY21 WIOA DW-ADMIN TRANSFER TO ADULT LOCALS/COUNTIES $16,765.00 $16,765.00 FY21 FLC 1641 FY21 Labor Certification $5,800.00 $5,800.00 FY21 JVSG DVOP 2021 FFY2021-DISABLED VETS OUTREACH PROG $16,035.00 $16,035.00 FY21 Program 28C1 RESEA Expenditures - County $35,000.00 $35,000.00 FY21 Program 48A0 FY21 - WIOA ADULT LOCAL PROGRAM $341,368.00 $341,368.00 FY21 Program 48D0 FY21- WIOA DW PROGRAM LOCAL/COUNTIES $150,889.00 $150,889.00 FY21 Program 4900 FY21- WIOA 25% DW ENHANCED PROG LOCAL/COUNTIES $113,139.00 $113,139.00 FY21 Program 4ND0 FY21 - WIOA DW-PROGRAM TRANSFER TO ADULT LOCAL/COUNTIES $150,888.00 $150,888.00 FY21 Program 4X00 FY21- WIOA DW ReAllotment PROGRAM LOCAL/COUNTIES $53,355 $3,474.00 $3,474.00 FY21 WIOA WDP 4TD0 FY21 WIOA WDP-10% WFD Eval & Continuation $25,000.00 $25,000.00 FY22 Admin 4701 FY22- WIOA 25% DW ENHANCED ADMIN LOCAL/COUNTIES $7,095.00 $7,095.00 FY22 Program 48A1 FY22 - WIOA ADULT LOCAL PROGRAM $419,653.00 $419,653.00 Total $3,333,068.00 $3,333,068.00 I. ESF funds and WFD EXTRA ESF FUNDING (PROGRAM CODE 2W21 + 2W31) must be invoiced to CDLE by July 7th, 2022 in by Journal Voucher UPLOAD. If you have any questions or need assistance, please do not hesitate to contact: Email: pauld,chavez®state.co.us, (303-318-8102), CRWC Jerrid.haywood@state.co.us (303-318-8017), Laura Urbain (phone: 303-318-8106) or email: Bryce Green (phone: 303-318-8119) Bryce.Green®state.co.us COLORADO toDepartment of Labor and Employment Finance: 633 17th Street, Suite 1100, Denver, CO 80202-3660 II. 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 Inquiry" from WFD report. Also, please work with your Regional Liaison with the remaining budget balances. III. CERTIFICATE PHYSICAL INVENTORY & PHYSICAL INVENTORY LIST: Please be sure to add Program year and program code & the descriptions for the purchases of physical inventories. If NO physical inventories were purchased, then, please use the verbiage below. See example Please identify the grant year accordingly. No physical inentory purchased for the following grants: PY20-FY22 WIOA-ADULT, DW, YOUTH. IV. Each Program Year (PY) and funding stream listed above will have the following forms completed: Form Attachments are E, F, H, I, and WFD Regional Report: o Attachment E - Program Income Expense Report Form o Attachment F - Stand -In Cost Repost Form o Attachment H - Grant Closeout Reconciliation Worksheet o Attachment I - Closeout Document Package - all I attachments o WFD Regional Report (Parameter: Period as of June or July 2021; Report Type - PJTD) 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 455 Friday of August. Please submit the electronic copy via email to pauld.chavez@state.co.us. I certify to the best of my knowledge and belief the following financial data reported in this closeout packet and the above statements are correctly reported along ry*th all the attachments. By: Scott K. James Title: Chair, Board of Weld County Commissioners Date AUG 1 7 2022 If you have any questions or need assistance, please do not hesitate to contact: Email: pauld,chavez@state.co.us, (303-318-8102), CRWC Jerrid.havwood@state.co.us (303-318-8017), Laura Urbain (phone: 303-318-8106) or email: Bryce Green (phone: 303-318-8119) Bryce.Green@state.co.us OZ8o2.2—I38 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: 6/30/2022 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(Undlsbursed) 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 . the best of my knowledge and belief the above reported information is accurate and complete for the period reported. A See instructions for completing this form on the next tab (Attachment E 2 of 2) 'AUG 1 7 2022 Date COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT EMPLOYMENT AND TRAINING PROGRAMS STAND-IN COST REPORT FORM (SICRF) SUBRECIPIENT: Employment Services of Weld County Incurred During Program Year Ended: 6/30/2022 Program code: CMS#54599 Closeout Part 2 Page 1 of 2 GRANTS Program Year of Funds COST CATEGORY(IES)/BUDGET LINE ITEM(S) Administration I Program I Other: I Other: I Total GRANT NAME WIOA Adult Current Prior Year Before Prior 0.00 0.00 0.00 GRANT NAME WIOA Dislocated Workers Current Prior Year Before Prior 0.00 0.00 0.00 GRANT NAME WIOA Youth Cunt _ Priorrre Year Before Prior 0.00 0.00 0.00 GRANT NAME WIOA 10% Statewide Acty. Current Prior Year Before Prior 0.00 0.00 0.00 GRANT NAME WIOA Local Admin. Current Prior Year Before Prior 0.00 0.00 0.00 GRANT NAME WIOA 25%Enh. DW Admin Current Prior Year Before Prior 0.00 0.00 0.00 GRANT NAME WIOA 25% Enh. DW Program Current Prior Year Before Prior 0.00 0.00 0.00 GRANT NAME WIOA 25% Innovate. Proj. Current Prior Year Before Prior 0.00 0.00 0.00 CERTIFICATION: I certify - the bes of my knowledge and belief the above reported information is accurate and complete for the period reported. Authorized Signature AUG 1 7 2022 Date o2v as -.23Y SUBRECIPIENT: Employment Services of Weld County COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT EMPLOYMENT AND TRAINING PROGRAMS STAND-IN COST REPORT FORM (SICRF) Incurred During Program Year Ended: 6/30/2022 Program code: CMS#54599 Closeout Part 2 Page 2 of 2 GRANTS Program Year of Funds COST CATEGORY(IES)/BUDGET LINE ITEM(S) Administration I Program I Other: I Other: I Total GRANT NAME Current Prior Year Before Prior GRANT NAME WIOA Wagner Peyser Current Prior Year Before Prior 0.00 0.00 0.00 GRANT NAME WP 10% SJH Current Prior Year Before Prior 0.00 0.00 0.00 GRANT NAME Vets DVOP Current Prior Year Before Prior GRANT NAME Vets LVER 0.00 111 0.00 0.00 Current Prior Year Before Prior 0.00 0.00 0.00 -114R41,11 GRANT NAME UI Reemployement Svc Current Prior Year Before Prior ti i 0.00 0.00 0.00 GRANT NAME Unemployment Ins. Current Prior Year Before Prior 0.00 0.00 0.00 CERTIFICATION: I certify to a best of my knowledge and belief the above reported information is accurate and complete for the period reported. "AUG 1 7 2022 Author) Signature Date See instructions for completing this form on the next tab (Attachment F 3 of 3) oZpaol a3 g �� COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part 3 GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box 1805, Greeley, CO 80632 EA/WORKPLAN START DATE 7/1/2020 PROGRAM INCOME START DATE Page 1 of 1 YEAR OF FUNDS PY20 TITLE/PROGRAM/PROJECT WIOA Adult Local Admin Program code 4A60 END DATE 6/30/2022 END DATE L 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 7,601.00 7,601.00 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 , t„ td ir'Ri Dqv a Ru 0.00 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 7,601.00 7,601.00 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 !, i p rP t. i 1R h R a Rk" 0.00 IV. RECONCILICAT/ON 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) 7,601.00 7,601.00 Yes G /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 i:'4a„ :f4,M ; mom ��n 0.00 VL RECONCILIATION 1. FINAL Program Income Cash 2. Less Program Income Expenses Through Contract End Date 3. Total PI Cash Balance 0.00 0.00 0.00 VII. MATCH RECONCILIATION 1. FINAL Match Reported Through End of Contract 2. FINAL Expenses Through End of Contract 3. Match Percentage of Expenditure Contracttual Requirement 4. Match Expenditure Requirement 5. Total Match Reported > or = to Match Expenditure Requirement? (Check Box) 7,601.00 0.00 Yes U /No U 'The program Income Expense Report and Cash Request can only be extended through the availability of the Award and/or Federal funding period. /41PPreparer's Si lure Date 8/3/2022 Authorized Signatur Alit"/ AUG 1 7 2022. Date See instruction for completing this for on the next tab (Attachment H 2 of 2) ,20,2,01- 023 COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part 3 GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box 1805, Greeley, CO 80632 EANVORKPLAN START DATE 7/1/2020 PROGRAM INCOME START DATE Page 1 of 1 YEAR OF FUNDS PY20 TITLE/PROGRAM/PROJECT WIOA DW LOCAL/COUNTIES ADMIN Program code 4D60 END DATE 6/30/2022 END DATE L CASH REQUEST 1. Total program and Admin Cash needs Preciously Reported 7,490.00 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 7,490.00 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) 7,490.00 5. Current Expenses+Accruals (Through End Date of Awards) 6. FINAL Administrative Expenses Contract to Date 7,490.00 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 7,490.00 2. FINAL Expenses Through End of Contract 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) 7,490.00 Yes O /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 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 ,.'Ati1 2. FINAL Expenses Through End of Contract 7,490.00 3. Match Percentage of Expenditure Contracttual Requirement 4. Match Expenditure Requirement 5. Total Match Reported > or = to Match Expenditure Requirement? (Check Box) 0.00 Yes LI /No U '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 "/ / ,ti `0v dc Date 8/3/2022 Authorized Signature itik---7 Date . AUG 1 7 2022 See instruction for completing this for on the next tab (Attachment H 2 of 2) ,20,71,? -02,3t COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box 1805, Greeley, CO 80632 EAIWORKPLAN START DATE 7/1/2020 PROGRAM INCOME START DATE Closeout Part 3 Page 1 of 1 YEAR OF FUNDS PY20 TITLE/PROGRAM/PROJECT WIOA 10°/ YOUTH LOCAL ADMIN Program code 4Y60 END DATE 6/30/2022 END DATE L 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 51,500.00 51,500.00 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 1( , 0' 's 0.00 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 1S,,,„awll 51,500.00 51,500.00 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 MINIMMINIMMIIIIE i'',a 0.00 IV. RECONCILICATION 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) 51,500.00 51,500.00 Yes 0 /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 zm t 0.00 W. RECONCILIATION 1. FINAL Program Income Cash 2. Less Program Income Expenses Through Contract End Date 3. Total PI Cash Balance vms;a 0.00 0.00 0.00 VII. MATCH RECONCILIATION 1. FINAL Match Reported Through End of Contract 2. FINAL Expenses Through End of Contract 3. Match Percentage of Expenditure Contracttual Requirement 4. Match Expenditure Requirement 5. Total Match Reported 0 or = to Match Expenditure Requirement? (Check Box) atedlifilliIIMONEC7 51,500.00 0.00 Yes 1,1 /No L 'The program Income Expense Report and Cash Request can only be extended through the availability of the Award and/or Federal funding period. te Preparer's Signature 2ifir'/' Date 8/3/2022 Authorized Signature it, Date 'AUG 1 7 2022 See instruction for completing this for on the next tab (Attachment H 2 of 2) ..2,o02a -a3 Y' COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box 1805, Greeley, CO 80632 YEAR OF FUNDS TITLE/PROGRAM/PROJECT Program code EA/WORKPLAN START DATE 1/1/2021 PROGRAM INCOME START DATE PY20 WP10% SJH 2S50 END DATE 12/31/2021 Closeout Part 3 Page 1 of 1 END DATE L 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 42,000.00 42,000.00 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 di VEai'ai. . 42,000.00 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 M ` u , a {IMMINIMPA __ _ S a M 0.00 IV. RECONCILICAT/ON 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) 1 1,I al ° ., ,H r t d 42,000.00 42,000.00 Yes O /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 2. Less Program Income Expenses Through Contract End Date 3. Total PI Cash Balance 0.00 42,000 00 0.00 VII. MATCH RECONCILIATION 1. FINAL Match Reported Through End of Contract 2. FINAL Expenses Through End of Contract 3. Match Percentage of Expenditure Contracttual Requirement 4. Match Expenditure Requirement 5. Total Match Reported > or= to Match Expenditure Requirement? (Check Box) '1111 0.00 0.00 Yes L /No LI '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 Signatu�7 Date 8/3/2022 Authorized Signature L., Date AUG 1 7 2022 See instruction for completing this the next tab (Attachment H 2 of 2) avaa - a3f� COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box 1805, Greeley, CO 80632 EA/WORKPLAN START DATE 7/1/2021 PROGRAM INCOME START DATE YEAR OF FUNDS PY20 TITLE/PROGRAM/PROJECT WP10% MIGRANT Program code 2M50 D DATE 6/30/2022 Closeout Part 3 Page 1 of 1 END DATE I. CASH REQUEST "' „ lv'( 1. Total program and Admin Cash needs Preciously Reported 47,068.00 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 47,068.00 II. PROGRAM EXPENSE REPORT (ER) 1. Total Expenses+Accruals Previously Reported (Through Last Month) 47,068.00 2. Current Expenses + Accruals (Through End Date of Award) 3. FINAL Program Expenses Contract to Date 47,068.00 ADMINISTRATIVE EXPENSE (ER) 4 Mil,w1' WMP.* 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 a 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 " alib„ i "',_ , , A:i. 1. FINAL Cash Request Contract to Date 47,068.00 2. FINAL Expenses Through End of Contract 47,068.00 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yes d /No 0 V. CASH REQUEST PROGRAM INCOME CASH REPORTED Wll' ' ' 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 ri l "^ 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 47,068 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 L] /No LI .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 / DUE 8/3/2022 Authorized Signature Date 'AUG 1 7 2022 See instruction for completing this for on the next tab (Attachment H 2 of 2) 02.0,1,02 = a.3 g COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box 1805, Greeley, CO 80632 EA/WORKPLAN START DATE 7/1/2020 PROGRAM INCOME START DATE Closeout Part 3 Page 1 of 1 YEAR OF FUNDS PY20 TITLE/PROGRAM/PROJECT WIOA ADULT LOCAL PROGRAM Program code 4A80 END DATE 6/30/2022 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 !, 68,410.00 68,410.00 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 68,410.00 68,410.00 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 l ,a wy rtikul U,NI 0.00 10 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 ::elninilitialtriaiZartglaniiiiNg 0.00 IV. RECONCILICATION 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) 68,410 00 68,410.00 Yes E] /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 kattOliotOPAISfelationta 0.00 VI. RECONCILIATION 1. FINAL Program Income Cash 2. Less Program Income Expenses Through Contract End Date 3. Total PI Cash Balance <° 0.00 0.00 0.00 VIP MATCH RECONCILIATION 1. FINAL Match Reported Through End of Contract 2. FINAL Expenses Through End of Contract 3. Match Percentage of Expenditure Contracttual Requirement 4. Match Expenditure Requirement 5. Total Match Reported > or = to Match Expenditure Requirement? (Check Box) ,,M!!,,,R2!,,,igifaiRaretifirMittiglemat 68,410.00 0.00 Yes LI /No U `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 S' nature Date 8/3/2022 Authorized Signatur Date AUG 1 7 2022 See instruction for completing this for on the next tab (Attachment H 2 of 2) 02.00202-02�l�'� COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box 1805, Greeley, CO 80632 EAIWORKPLAN START DATE 7/1/2020 PROGRAM INCOME START DATE Closeout Part 3 Page 1 of 1 YEAR OF FUNDS PY20 TITLE/PROGRAM/PROJECT WIOA DW LOCAL/COUNTIES PROGRAM Program code 4080 END DATE 6/30/2022 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 r 67,415.00 67,415.00 11. PROGRAM EXPENSE REPORT(ER) P` nor 1. Total Expenses+Accruals Previously Reported (Through Last Month) 67,415.00 2. Current Expenses + Accruals (Through End Date of Award) 3. FINAL Program Expenses Contract to Date 67,415.00 ADMINISTRATIVE EXPENSE (ER) Le,9s 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 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 ,, ,+ G. �, s ,4i ,' '._ 1. FINAL Cash Request Contract to Date 67,415.00 2. FINAL Expenses Through End of Contract 67,415.00 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yes 0 /No 0 V. CASH REQUEST PROGRAM INCOME CASH REPORTED ,I*°( 1. Total PI Cash Previously Reported on Cash Request 2. Current Program Income Cash (Through End Date of Contract) 3. FINAL Program Income Cash Contract to Date 0.00 W. RECONCILIATION,ii, 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 f) 1. FINAL Match Reported Through End of Contract 2. FINAL Expenses Through End of Contract 67,415.00 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 L /No L7 `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 8/3/2022 Authorized Signatureifr Date AUG 1 ! 2022 See instruction for completing this for on the next tab (Attachment H 2 of 2) .2a- z3 8� COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box 1805, Greeley, CO 80632 YEAR OF FUNDS PY20 Closeout Part 3 Page 1 of 1 WIOA YOUTH MIN -25% -IN -SCHOOL TITLE/PROGRAM/PROJECT LOCAL PROGRAM Program code EANVORKPLAN START DATE 7/1/2020 PROGRAM INCOME START DATE 4Y80 END DATE 6/30/2022 END DATE I. CASH REQUEST 1. Total program and Admin Cash needs Preciously Reported 115,880.00 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 115,880.00 II. PROGRAM EXPENSE REPORT (ER) waa� 1. TUG Expenses+Accruals Previously Reported (Through Last Month) 115,880.00 2. Current Expenses + Accruals (Through End Date of Award) 3. FINAL Program Expenses Contract to Date 115,880.00 ADMINISTRATIVE EXPENSE (ER) 4. Total Expenses+Accruals Previously Reported (Through Last Month) 5. Current Expenses+Accruals (Through End Date of Awards) 6. FINAL Administrative Expenses Contract to Date 0.00 Ill. PROGRAM INCOME(PI) EXPENSE REPORT ;� 1. Total Program Income Exoenses Reported (Last Quarter) 2. Current Program Income Expenses (Through End Date of Contract) 3.. TOTAL PI Expenses Through End Date of Contract 0.00 IV. RECONCILICAT/ON n.,ii1, 1. FINAL Cash Request Contract to Date 115,880.00 2. FINAL Expenses Through End of Contract 3. Cash Request to Date = Expense reported Through End Date of Contract1 (Check Box) 115,880.00 Yes [l /No O V. CASH REQUEST PROGRAM INCOME CASH REPORTED, 1. Total PI Cash Previously Reported on Cash Request r , 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 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 115,880.00 3. Match Percentage of Expenditure Contracttual Requirement 4. Match Expenditure Requirement 5. Total Match Reported > or= to Match Expenditure Requirement? (Check Box) 0.00 Yes U /No L 'The program Income Expense Report and Cash Request can only be extended through the availability of the Award and/or Federal funding period. Pre arer's Si nature;..4'f''''' Date 8/3/2022 Authorized Signature / Date AUG 1 ! 2022 See instruction for completing this for on the next tab (Attachment H 2 of 2) .2eaa-a.38� COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box 1805, Greeley, CO 80632 EA/WORKPLAN START DATE 7/1/2020 PROGRAM INCOME START DATE YEAR OF FUNDS PY20 Closeout Part 3 Page 1 of 1 WIOA YOUTH MIN -75% -OUT -SCHOOL TITLE/PROGRAM/PROJECT LOCAL PROGRAM Program code 4Y70 END DATE 6/30/2022 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 fi« 347,642.00 347,642.00 II. PROGRAM EXPENSE REPORT (ER),',`1.«Ta''t.ig.k I. Total Expenses+Accruals Previously Reported (Through Last Month) 2. Current Expenses + Accruals (Through End Date of Award) 3. FINAL Program Expenses Contract to Date „: 347,642.00 347,642.00 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 01. 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 n'� iM 0.00 IV. RECONCILICATION?�ecila 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) ,a� a iaax). 347,642.00 347,642.00 Yes E✓] /No ❑ V. CASH REQUEST Pi0OGRAM 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 , H!, 0.00 VI. RECONCILIATION 1. FINAL Program Income Cash 2. Less Program Income Expenses Through Contract End Date 3. Total PI Cash Balance ... .i 0.00 0.00 0.00 VII. MATCH RECONCILIATION 1. FINAL Match Reported Through End of Contract 2. FINAL Expenses Through End of Contract 3. Match Percentage of Expenditure Contracttual Requirement 4. Match Expenditure Requirement 5. Total Match, Reported > or = to Match Expenditure Requirement? (Check Box) rt 347,642.00 0.00 Yes Li /No Li "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 "7//:‘‘"1 Date 8/3/2022 Authorized Signature Date AUG 17 ;. See instruction for completing this for on the next tab (Attachment H 2 Of 2) .2,Oaa- 02311. COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part 3 GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box 1806, Greeley, CO 80632 EA/WORKPLAN START DATE 7/1/2020 PROGRAM INCOME START DATE Page 1 of 1 YEAR OF FUNDS PY20 TITLE/PROGRAM/PROJECT WP COUNTY ALLOCATION Program code 2050 END DATE 6/30/2022 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 470,496.00 470,496.00 IL PROGRAM EXPENSE REPORT (ER) , ., s 4 p,,.,S b, 1 1. Total Expenses+Accruals Previously Reported (Through Last Month) 470,496.00 2. Current Expenses + Accruals (Through End Date of Award) 3. FINAL Program Expenses Contract to Date 470,496.00 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 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 470,496.00 2. FINAL Expenses Through End of Contract 470,496.00 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yes 0 /No ❑ V. CASH REQUEST PROGRAM INCOME CASH REPORTED r; ,4,,,y t 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 g( r ' *"3� t asr 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 y° it , iil r!, I .. , r r 1. FINAL Match Reported Through End of Contract 2. FINAL Expenses Through End of Contract 470,496.00 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 LI /No Li *The program Income Expense Report and Cash Request can only be extended through the availability of the Award and/or Federal funding period. MPreparer's Signature%' Date 8/3/2022 /Authorized Signa Date AUG 1 / 2022 See instruction for completing this for on the next tab (Attachment H 2 of 2) aoaa-a3�� COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box 1805, Greeley, CO 80632 EA/WORKPLAN START DATE 7/1/2021 PROGRAM INCOME START DATE Closeout Part 3 Page 1 of 1 YEAR OF FUNDS PY21 TITLE/PROGRAM/PROJECT WIOA ADULT LOCAL ADMIN Program code 4A61 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 3. FINAL Program and Admin Cash Needs Contract to Date a ,",i!ira, w igL, 'h"!s alJl, q, 9372.00 9,372.00 II. PROGRAM EXPENSE REPORTER 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 ° ^"`n'1 ^tlu [ m ry 0.00 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 a " + 'OINAR kOJ1l 9,372.00 9,372.00 M. PROGRAM INCOME(PI) EXPENSE REPORT 1. Total Program Income Exoenses Reported (Last Quarter) 2. Current Program Income Expenses (Through End Date of Contract) 3. TOTAL PI Expenses Through End Date of Contract 0.00 IV. RECONCILICATION 1. FINAL Cash Request Contract to Date 2. FINAL Expenses Through End of Contract 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) v gi!>. 4i'! ilL a MIS 9,372.00 9,372.00 Yes 0 /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 UntefORMIMAR ' r' 0.00 VI. RECONCILIATION 1. FINAL Program Income Cash 2. Less Program Income Expenses Through Contract End Date 3. Total PI Cash Balance 0.00 0.00 0.00 VII. MATCH RECONCILIATION 1. FINAL Match Reported Through End of Contract 2. FINAL Expenses Through End of Contract 3. Match Percentage of Expenditure Contracttual Requirement 4. Match Expenditure Requirement 5. Total Match Reported > or= to Match Expenditure Requirement? (Check Box) 9,372.00 0.00 Yes LI /No U '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 8/3/2022 Authorized Si / Date 'AUG 1 7 2022 See instruction for completing this for on the next tab (Attachment H 2 of 2) 02.0.2,2 -.231 COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part 3 GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box 1805, Greeley, CO 80632 EA/WORKPLAN START DATE 7/1/2021 PROGRAM INCOME START DATE Page 1 of 1 YEAR OF FUNDS PY21 TITLE/PROGRAM/PROJECT ESF-SFY22 WFD ESF ONLY -NO CRWC Program code 4D61 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 3. FINAL Program and Admin Cash Needs Contract to Date "NI ,. .ta .#a ,..,i .e'a " 9,039.00 9,039.00 II. PROGRAM EXPENSE REPORT (ER) 1. Total Expenses+Accruals Previously Reported (Through Last Month) 2. Current Expenses + Accruals (Through End Date of Award) 3. FINAL Program Expenses Contract to Date 0.00 ADMINISTRATIVE EXPENSE (ER) 4. Total Expenses+Accruals Previously Reported (Through Last Month) 5. Current Expenses+Accruals (Through End Date of Awards) 6. FINAL Administrative Expenses Contract to Date 9,039.00 9,039.00 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 2. FINAL Expenses Through End of Contract 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) a,I11,V .6 9,039.00 9,039.00 Yes 2 /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 :TV,Wigiinall!!!!MISIIVInagneak 0.00 VI. RECONCILIATION 1. FINAL Program Income Cash 2. Less Program Income Expenses Through Contract End Date 3. Total PI Cash Balance ikautna`.+L�.ua)(��1 0.00 0.00 0.00 VII. MATCH RECONCILIATION 1. FINAL Match Reported Through End of Contract 2. FINAL Expenses Through End of Contract 3. Match Percentage of Expenditure Contracttual Requirement 4. Match Expenditure Requirement 5. Total Match Reported > or = to Match Expenditure Requirement? (Check Box) „Vm) E,, S' aMFA 9,039 00 0.00 Yes LI /No LJ .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 8/3/2022 Authorized Signatur Date AUG 1 7 2022 See instruction for completing this for on the next tab (Attachment H 2 of 2) a0Ra-0 SZ COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Bold County ADDRESS: PO Box 1805, Greeley, CO 80632 EA/VVORKPLAN START DATE 7/1/2021 PROGRAM INCOME START DATE Closeout Part 3 Page 1 of 1 YEAR OF FUNDS PY21 TITLE/PROGRAM/PROJECT ESF-SFY22 WFD ESF ONLY -NO CRWC Program code 2W22 END DATE 6/30/2022 END DATE L 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 = 380823.00 380,823.00 1L PROGRAM EXPENSE REPORT (ER) N , „ , ath' 380,823.00 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 380,823.00 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 380,823.00 2. FINAL Expenses Through End of Contract 380,823.00 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yes ty /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 Expenses Through Contract End Date 0.00 3. Total PI Cash Balance 0.00 VII MATCH RECONCILIATION �,k A� oil, 1. FINAL Match Reported Through End of Contract 2. FINAL Expenses Through End of Contract 380,823.00 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 (A) /No U '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 Sig ture Date 8/3/2022 Authori ignatots Date AUG 1 2022 7 See instruction for completing this for on the next tab (Attachment H 2 of 2) 024.1.2-a5 COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box 1805, Greeley, CO 80632 EA/WORKPLAN START DATE 7/1/2021 PROGRAM INCOME START DATE Closeout Part 3 Page 1 of 1 YEAR OF FUNDS PY21 TITLE/PROGRAM/PROJECT ESF-SFY22 WFD SUPPLEMENTAL Program code 2W32 END DATE 6/30/2022 END DATE I. CASH REQUEST 1. Total program and Admin Cash needs Preciously Reported 97261.00 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 97,261.00 II. PROGRAM EXPENSE REPORT (ER) 1. Total Expenses+Accruals Previously Reported (Through Last Month) 97,261.00 2. Current Expenses + Accruals (Through End Date of Award) 3. FINAL Program Expenses Contract to Date 97,261.00 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 0.00 110 PROGRAM INCOME(PI) EXPENSE REPORT 1. Total Program Income Expenses Reported (Last Quarter) 2. Current Program Income Expenses (Through End Date of Contract) 3. TOTAL PI Expenses Through End Date of Contract 0.00 IV. RECONCIL/CATION .E 1. FINAL Cash Request Contract to Date 97,261 00 2. FINAL Expenses Through End of Contract 97,261.00 3. Cash Request to Date = Expense reported Through AS Date of Contract? (Check Box) Yes /No ❑ V. CASH REQUEST PROGRAM INCOME CASH REPORTED 1. Total PI Cash Previously Reported on Cash Request 2. Current Program Income Cash (Through End Date of Contract) 3. FINAL Program Income Cash Contract to Date 0.00 VL RECONCILIATION 1. FINAL Program Income Cash 0.00 2. Less Program Income 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 97,261.00 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 LI /No L_I *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 17/450,' Date 8/3/2022 Authorized Sigr, / Date AUG 1 7 2022 See instruction for cUmpleting this for on the next tab (Attachment H 2 of 2) .2a - a3�� COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box 1805, Greeley, CO 80632 EA/WORKPLAN START DATE 11/1/2021 PROGRAM INCOME START DATE Closeout Part 3 Page 1 of 1 YEAR OF FUNDS PY21 TITLE/PROGRAM/PROJECT WIOA CWDC - 10%- ADULT ETP Program code 4WA0 END DATE 6/30/2022 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 , 21,818.00 21,818.00 II. PROGRAM EXPENSE REPORT (ER) it, yl! 1. Total Expenses+Accruals Previously Reported (Through Last Month) 21,818.00 2. Current Expenses + Accruals (Through End Date of Award) 3. FINAL Program Expenses Contract to Date 21,818.00 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 1. FINAL Cash Request Contract to Date 21,818.00 2. FINAL Expenses Through End of Contract 21,818.00 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yes 2 /No 0 V. CASH REQUEST PROGRAM INCOME CASH REPORTED Ig ' a, ' ° 4) a 4.0011 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 Expenses Through Contract End Date 0.00 3. Total PI Cash Balance 0.00 VII. MATCH RECONCILIATION G o K t o waa tteleMa, h I 1. FINAL Match Reported Through End of Contract 2. FINAL Expenses Through End of Contract 21,818.00 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 LJ /No L '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 „Ai/Date 8/3/2022 4/Authorized Signatur Date AUG 1 7 2022 See instruction for completing this for on the next tab (Attachment H 2 of 2) ap oza - G2 COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box 1805, Greeley, CO 80632 EA/WORKPLAN START DATE 7/1/2021 PROGRAM INCOME START DATE Closeout Part 3 Page 1 of 1 YEAR OF FUNDS PY21 TITLE/PROGRAM/PROJECT WIOA ADULT LOCAL PROGRAM Program code 4A81 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 3. FINAL Program and Admin Cash Needs Contract to Date 84,354.00 84,354,00 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 84,354.00 84,354.00 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 OIL 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 1 ! ! i" , a . , 0.00 IV. RECONCILICATION 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) n,;:':,,..'Nn!Egg,,,,ngaliiteigattS 84,354.00 84,354.00 Yes ❑ /No 0 etadMISNINISHNIAME 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 2. Less Program Income Expenses Through Contract End Date 3. Total PI Cash Balance , y L it 0.00 0.00 0.00 VII. MATCH RECONCILIATION 1. FINAL Match Reported Through End of Contract 2. FINAL Expenses Through End of Contract 3. Match Percentage of Expenditure Contracttual Requirement 4. Match Expenditure Requirement 5. Total Match Reported > or= to Match Expenditure Requirement? (Check Box) 84,354.00 0.00 Yes IA /No U "The program Income Expense Report a. Cash Request can only be extended through the availability of the Award and/or Federal funding period. Preparer's Signature Date 8/3/2022 Authorized Signature Data AUG 1 7 2022 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 1805, Greeley, CO 80632 EA/WORKPLAN START DATE 7/1/2021 PROGRAM INCOME START DATE Closeout Part 3 Page 1 of 1 YEAR OF FUNDS PY21 TITLE/PROGRAM/PROJECT WIOA DW LOCAL/COUNTIES PROGRAh Program code 4D81 END DATE 6/30/2023 END DATE I. CASH REQUEST AL aY lam. 1. Total program and Admin Cash needs Preciously Reported 81,351.00 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 81,351.00 II. PROGRAM EXPENSE REPORT (ER) ' 4 i lb 1. Total Expenses+Accruals Previously Reported (Through Last Month) 81,351.00 2. Current Expenses + Accruals (Through End Date of Award) 3. FINAL Program Expenses Contract to Date 81,351.00 ADMINISTRATIVE EXPENSE (ER) , ' yid A b" 1 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. RECONC/LICAT/ON 1. FINAL Cash Request Contract to Date 81,351.00 2. FINAL Expenses Through End of Contract 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) 81,351.00 Yes 0 /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 'noodle 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 81,351.00 3. Match Percentage of Expenditure Contracttual Requirement 4. Match Expenditure Requirement 5. Total Match Reported > or = to Match Expenditure Requirement? (Check Box) 0.00 Yes Ll /No LI "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 1Z.../.417 Date 8/3/2022 AuthorizsileV Date AUG 1 7 2022 See instruction for completing this for on the next tab (Attachment H 2 0( 2) eta -231 COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box 1805, Greeley, CO 80632 EA/WORKPLAN START DATE 10/1/2019 PROGRAM INCOME START DATE Closeout Part 3 Page 1 of 1 YEAR OF FUNDS FY19 TITLE/PROGRAM/PROJECT NON-WIOA-TAA CASE MANAGEMENT Program code 17O9 'END DATE 9/30/2021 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 KlA,n d,_,., , t K I 65,977.00 65,977.00 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 41rdA ;,x1s1 65,977.00 65,977.00 ADMINISTRATIVE EXPENSE (ER) t u �a b 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 x 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 65977.00 2. FINAL Expenses Through End of Contract 65,977.00 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yes O No ❑ V. CASH REQUEST PROGRAM INCOME CASH REPORTED ,i 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 L t1, 0.00 2. Less Program Income Expenses Through Contract End Date 0.00 3. Total PI Cash Balance 0.00 WO MATCH RECONCILIATION 3 nik '''1 1. FINAL Match Reported Through End of Contract 2. FINAL Expenses Through End of Contract 65,977.00 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 Lt /No L `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 iegi Date 8/3/2022 AUG 1 7 2022 Authorized Si re 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 1805, Greeley, CO 80632 EA/WORKPLAN START DATE 10/1/2020 PROGRAM INCOME START DATE YEAR OF FUNDS FY20 TITLE/PROGRAM/PROJECT Labor Certification Program code 1640 END DATE 9/30/2021 Closeout Part 3 Page 1 of 1 .END DATE I. CASH REQUEST gllatv vwl M 1. Total program and Admin Cash needs Preciously Reported 5,200.00 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 5,200.00 II. PROGRAM EXPENSE REPORT (ER) I wri1t:�ti 1. Total Expenses+Accruals Previously Reported (Through Last Month) 5,200.00 2. Current Expenses + Accruals (Through End Date of Award) 3. FINAL Program Expenses Contract to Date 5,200.00 ADMINISTRATIVE EXPENSE (ER) 4, TUG 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 4 , c r ,, ,, , 1. FINAL Cash Request Contract to Date 5,200.00 2. FINAL Expenses Through End of Contract 5,200.00 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yes [] /No 0 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 „v fE eaa 1. FINAL Program Income Cash 0. 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 5,200.00 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 L /No LI *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 Signa re M/i Date 8/3/2022 Authorized ure Date AUG 1 7 2022 See instruction for completing this for on the next tab (Attachment H 2 of 2) aD,u_ O238� COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part 3 GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box 1805, Greeley, CO 80632 EA/WORKPLAN START DATE 10/1/2020 PROGRAM INCOME START DATE Page 1 of 1 YEAR OF FUNDS FY21 TITLE/PROGRAM/PROJECT WIOA ADULT LOCAL ADMIN Program code 46A0 END DATE 9/30/2022 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 ttPA '"I:" " " 87,929.00 37,929.00 II. PROGRAM EXPENSE REPORT (ER) ! _ ,,,,MV 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) 37,929.00„ 5. Current Expenses+Accruals (Through End Date of Awards) 6. FINAL Administrative Expenses Contract to Date 37,929.00 111. PROGRAM INCOME(PI) EXPENSE REPORT ! I 4, , R, w ad° , 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 R,'„„;, r .ts,T 1. FINAL Cash Request Contract to Date 37,929.00 2. FINAL Expenses Through End of Contract 37,929.00 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yes Cl /No 0 V. CASH REQUEST PROGRAM INCOME CASH REPORTED ¢L '' v 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 q,„ ?�(fp 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 37,929.00 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 Ll /No Li `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 /7 Date 8/3/2022 Authorized Signet Date AUG 1 7 2022 See instruction for complEting this for on the next tab (Attachment H 2 of 2) �oaa - D 3S COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box 1806, Greeley, CO 80632 YEAR OF FUNDS FY21 Closeout Part 3 Page 1 of 1 TITLE/PROGRAM/PROJECT WIOA DW ADMIN LOCAL/COUNTIES Program code EA/WORKPLAN START DATE 10/1/2020 PROGRAM INCOME START DATE 46D0 END DATE 6/30/2022 END DATE 1. CASH REQUEST 1. Total program and Admin Cash needs Preciously Reported 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 16765.00 16,765.00 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 IGNIIIMMEBISME 0.00 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 16,765.00 16,765.00 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 f , 0.00 IV. RECONCILICAT/ON 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) 16765.00 16,765.00 Yes El /No ❑ V. CASH REQUEST PROGRAM INCOME CASH REPORTED 1. Total PI Cash Previously Reported on Cash Request 2. Current Program Income Cash (Through End Date of Contract) 3. FINAL Program Income Cash Contract to Date MERIUMMINO 0.00 V/. RECONCILIATION 1. FINAL Program Income Cash 2. Less Program Income Expenses Through Contract End Date 3. Total PI Cash Balance 0.00W 0.00 0.00 VII. MATCH RECONCILIATIONr 1. FINAL Match Reported Through End of Contract 2. FINAL Expenses Through End of Contract 3. Match Percentage of Expenditure Contracttual Requirement 4. Match Expenditure Requirement 5. Total Match Reported > or= to Match Expenditure Requirement? (Check Box) yd�' { 16,765.00 0.00 Yes Ll /No C) Preparer's Signa e;11-1/- Date 8/3/2022 Authorized i ture Date AUG 1 7 2022 See instruction for completing this for on the next tab (Attachment H 2 of 2) aPaa-.2386- COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box 1805, Greeley, CO 80632 EA/WORKPLAN START DATE 10/1/2020 PROGRAM INCOME START DATE YEAR OF FUNDS FY21 Closeout Part Page 1 of 1 WIOA 25% DW ENHANCED ADMIN TITLE/PROGRAM/PROJECT LOCAL/COUNTIES Program code 47D0 END DATE 6/30/2022 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 12,571.00 12,571.00 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 rz 7 0.00 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 pagegaggialtiallaggenatal 12,571.00 12,571.00 III. PROGRAM INCOME(PI) EXPENSE REPORT 1. Total Program Income Expenses Reported (Last Quarter) 2. Current Program Income Expenses (Through End Date of Contract) 3. TOTAL PI Expenses Through End Date of Contract REMEMINININk�)� 0.00 IV. RECONCILICATION 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) t ,u 12,571.00 12,571.00 Yes /No ❑ V. CASH REQUEST PROGRAM INCOME CASH REPORTED 1. Total PI Cash Previously Reported on Cash Request 2. Current Program Income Cash (Through End Date of Contract) 3. FINAL Program Income Cash Contract to Date x f i„ 0.00 VI. RECONCILIATION 1. FINAL Program Income Cash 2. Less Program Income Expenses Through Contract End Date 3. Total PI Cash Balance 0.00 0.00 0.00 VIL MATCH RECONCILIATION 1. FINAL Match Reported Through End of Contract 2. FINAL Expenses Through End of Contract 3. Match Percentage of Expenditure Contracttual Requirement 4. Match Expenditure Requirement 5. TUG Match Reported > or= to Match Expenditure Requirement? (Check Box) MIEVANDIMMINEdyg� 12,571.00 0.00 Yes 0 /No ❑ "The program Income Expense Report and Cash Request can only be extended through the availability of the Award and/or Federal funding pehod. Preparer's Sign ure ""9-1/./1 Date 8/3/2022 Authorize ature Date AUG 1 7 2022 See instruction for completing this for on the next tab (Attachment H 2 of 2) 020.2.2-62,316- COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box 1805, Greeley, CO 80632 EAIWORKPLAN START DATE 10/1/2020 PROGRAM INCOME START DATE YEAR OF FUNDS FY21 Closeout Part 3 Page 1 of 1 WIOA DW-ADMIN TRANSFER TO TITLE/PROGRAM/PROJECT ADULT LOCALS/COUNTIES Program code 4BD0 END DATE 6/30/2022 END DATE L CASH REQUEST ;r r 1. Total program and Admin Cash needs Preciously Reported 16,765.00 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 16,765.00 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) ,r i _, ,. _ _ a r 4. Total Expenses+Accruals Previously Reported (Through Last Month) 16,765.00 5. Current Expenses+Accruals (Through End Date of Awards) 6. FINAL Administrative Expenses Contract to Date 16,765.00 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 ��f 1ta 1. FINAL Cash Request Contract to Date 16,765.00 2. FINAL Expenses Through End of Contract 16,765.00 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yes E] /No ID V. CASH REQUEST PROGRAM INCOME CASH REPORTED t al,y i i a r, ,, .N t k ri, , j, 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 le, 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 16,765.00 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 [Ni /No U '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 S' ature "?4:1-211.,c, Date 8/3/2022 Author' gnature Date AUG 1 7 2022 See instruction for completing this for on the next tab {Attachment H 2 of 2) o2o.2a- a3 '� COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part 3 GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box 1805, Greeley, CO 80632 EA/WORKPLAN START DATE 10/1/2021 PROGRAM INCOME START DATE Page 1 of 1 YEAR OF FUNDS FY21 TITLE/PROGRAM/PROJECT Labor Certification Program code 1641 END DATE 9/30/2022 END DATE I. CASH REQUEST awl, 1. Total program and Admin Cash needs Preciously Reported 5800.00 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 5,800.00 II. PROGRAM EXPENSE REPORT (ER) 1. TUG Expenses+Accruals Previously Reported (Through Last Month) 2. Current Expenses + Accruals (Through End Date of Award) 5,800.00 3. FINAL Program Expenses Contract to Date 5,800.00 ADMINISTRATIVE EXPENSE (ER) Pt 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 ; i I+r( 1. FINAL Cash Request Contract to Date 5,800.00 2. FINAL Expenses Through End of Contract 5,800.00 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yes 0 /No O V. CASH REQUEST PROGRAM INCOME CASH REPORTED 1. Total PI Cash Previously Reported on Cash Request /* ,,///4 s 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 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 a ! R,r5. l 2. FINAL Expenses Through End of Contract 5,800.00 3. Match Percentage of Expenditure Contracttual Requirement 4. Match Expenditure Requirement 5. Total Match Reported > or = to Match Expenditure Requirement? (Check Box) 0.00 Yes LI /No Li `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 ii1/41 Date 8/3/2022 Authorized ure Date AUG 1 7 2022 See instruction for completing this for on the next tab (Attachment H 2 of 2) .20022- 023?6- COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box 1806, Greeley, CO 80632 EA/WORKPLAN START DATE 10/1/2020 PROGRAM INCOME START DATE Closeout Part 3 Page 1 of 1 YEAR OF FUNDS FY21 TITLE/PROGRAM/PROJECT DISABLED VETS OUTREACH PROG Program code 2D21 END DATE 12/31/2021 END DATE I. CASH REQUEST 1. Total program and Admin Cash needs Preciously Reported 2. Current Program and Admin Cash Needs 16,035.00 3. FINAL Program and Admin Cash Needs Contract to Date 16,035.00 II. PROGRAM EXPENSE REPORT (ER) i'St 1. Total Expenses+Accruals Previously Reported (Through Last Month) 16,035.00 2. Current Expenses + Accruals (Through End Date of Award) 3. FINAL Program Expenses Contract to Date 16,035.00 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 Expenses Reported (Last Quarter) w, ,,' < < ;x, , ,,.w„ S ,,sixgad 2. Current Program Income Expenses (Through End Date of Contract) 3. TOTAL PI Expenses Through End Date of Contract 0.00 IV. RECONCILICATION wwei w,n S 1. FINAL Cash Request Contract to Date 16,035.00 2. FINAL Expenses Through End of Contract 16,035.00 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yes O /No ❑ V. CASH REQUEST PROGRAM INCOME CASH REPORTED ,71 t ,!, AD k ' ' 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 dwkGl' 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 (P? 1. FINAL Match Reported Through End of Contract 2. FINAL Expenses Through End of Contract 16,035.00 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 Ll /No LI '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 Si ature Date 8/3/2022 Authorts , ignature Date AUG 1 7 2022 See instruction for completing this for on the next tab (Attachment H 2 of 2) e2o.2a - A3F� COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part 3 GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box 1805, Greeley, CO 80632 EA/WORKPLAN START DATE 1/1/2021 PROGRAM INCOME START DATE Page 1 of 1 YEAR OF FUNDS FY21 TITLE/PROGRAM/PROJECT RESEA Expenditures - County Program code 28C1 END DATE 9/30/2022 END DATE I. CASH REQUEST 1. Total program and Admin Cash needs Preciously Reported 35,000.00 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 35,000.00 II. PROGRAM EXPENSE REPORT (ER) 1. Total Expenses+Accruals Previously Reported (Through Last Month) 35,000.00 2. Current Expenses + Accruals (Through End Date of Award) 3. FINAL Program Expenses Contract to Date 35,000.00 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 35,000.00 2. FINAL Expenses Through End of Contract 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) 35,000.00 Yes Q /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 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 35,000.00 3. Match Percentage of Expenditure Contracttual Requirement 4. Match Expenditure Requirement 5. Total Match Reported > or = to Match Expenditure Requirement? (Check Box) 0.00 Yes LI /No U '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 Z�� Date 8/3/2022 AUG 1 7 2022 Authorized Sig t 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 1806, Greeley, CO 80632 EA/WORKPLAN START DATE 10/1/2020 PROGRAM INCOME START DATE Page 1 of 1 YEAR OF FUNDS FY21 TITLE/PROGRAM/PROJECT WIOA ADULT LOCAL PROGRAM Program code 48A0 END DATE 6/30/2022 END DATE L CASH REQUEST 1. Total program and Admin Cash needs Preciously Reported 341,368.00 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 341,368.00 II. PROGRAM EXPENSE REPORT (ER) 1. Total Expenses+Accruals Previously Reported (Through Last Month) 341,368.00 2. Current Expenses + Accruals (Through End Date of Award) 3. FINAL Program Expenses Contract to Date 341,368.00 ADMINISTRATIVE EXPENSE (ER) 4. Total Expenses+Accruals Previously Reported (Through Last Month) -f t �4 5. Current Expenses+Accruals (Through End Date of Awards) 6. FINAL Administrative Expenses Contract to Date 0.00 III. PROGRAM INCOME(PI) EXPENSE REPORT iii ., , . _ 4 r i a, , , 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 341,368.00~ 2. FINAL Expenses Through End of Contract 341,368.00 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yes Ell /No ❑ V. CASH REQUEST PROGRAM INCOME CASH REPORTED 1. Total PI Cash Previously Reported on Cash Request 2. Current Program Income Cash (Through End Date of Contract) 3. FINAL Program Income Cash Contract to Date 0.00 W. RECONCILIATION I!I � !�I ial �,5' ,,, I 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 4',i,,!4, akih:) T r' 1. FINAL Match Reported Through End of Contract 2. FINAL Expenses Through End of Contract 341,368.00 3. Match Percentage of Expenditure Contracttual Requirement 4. Match Expenditure Requirement 0.00 5. Total Match Reported 0 or = to Match Expenditure Requirement? (Check Box) Yes [Si /No L '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 Si nature Date 8/3/2022 Authorizer gnature Date AUG 1 7 2022 See instruction for completing this for on the next tab (Attachment H 2 of 2) c,2082a : .2 3S§. COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box 1805, Greeley, CO 80632 EA/WORKPLAN START DATE 10/1/2020 PROGRAM INCOME START DATE Closeout Part 3 Page 1 of 1 YEAR OF FUNDS FY21 TITLE/PROGRAM/PROJECT WIOA DW PROGRAM LOCAL/COUNTIES Program code 48D0 END DATE 6/30/2022 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 b.al de: l I' I' 1. iy z4 i!b , agialii, a 150889.00 150,889.00 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 , .4,44MMVSNO 150888.00 150,889.00 ADMINISTRATIVE EXPENSE (ER) 4. Total Expenses+Accruals Previously Reported (Through Last Month) 5. Current Expenses+Accruals (Through End Date of Awards) 6. FINAL Administrative Expenses Contract to Date 0.00 Ill. PROGRAM INCOME(PI) EXPENSE REPORT 1. Total Program Income Expenses Reported (Last Quarter) 2. Current Program Income Expenses (Through End Date of Contract) 3. TOTAL PI Expenses Through End Date of Contract ,,,i Wu, , I P R mvM), ° 0.00 IV. RECONCILICATION 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) 150889.00 150,889.00 Yes O /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 2. Less Program Income Expenses Through Contract End Date 3. Total PI Cash Balance i'W,x aPw''?AU_ ""?ul.,'I'"c E'a'n 0.00 0.00 0.00 V/l. MATCH RECONCILIATION 1. FINAL Match Reported Through End of Contract 2. FINAL Expenses Through End of Contract 3. Match Percentage of Expenditure Contracttual Requirement 4. Match Expenditure Requirement 5. Total Match Reported > or = to Match Expenditure Requirement? (Check Box) iiTi P IIINI !''A ,rig m 'Cai re "j(, "SIN 150,889.00 0.00 Yes I) /No U "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 Signature41:1, Date 8/3/2022 Authorized Signature /- Date AUG 1 " 2022 See instruction for completing this for on the next tab (Attachment H 2 of 2) 02,0,12 - 3�a COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box 1805, Greeley, CO 80632 EA/WORKPLAN START DATE 10/1/2020 PROGRAM INCOME START DATE YEAR OF FUNDS FY21 Closeout Part 3 Page 1 of 1 WIOA 25% DW ENHANCED PROG TITLE/PROGRAM/PROJECT LOCAL/COUNTIES Program code 49D0 END DATE 6/30/2022 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 { 4' 113,139.00 113,139.00 II. PROGRAM EXPENSE REPORT (ER) Ay. , F hj y as rtlo-. ,a Mr _' 1. Total Expenses+Accruals Previously Reported (Through Last Month) 113,139.00 2. Current Expenses + Accruals (Through End Date of Award) 3. FINAL Program Expenses Contract to Date 113,139.00 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 ry , 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 Np 1. FINAL Cash Request Contract to Date 113,139.00 2. FINAL Expenses Through End of Contract 113,139.00 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yes 0 /No ❑ V. CASH REQUEST PROGRAM INCOME CASH REPORTED , ,' I. r z : ___ , 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 41( 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 1u Aa P u , ,_ _ to 1. FINAL Match Reported Through End of Contract 2. FINAL Expenses Through End of Contract 113,139.00 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 L1 /No U .The program Income Expense Report and Cash Request can only be extended through the availability of the Award and/or Federal funding period. ‘117"Preparer's Signature Date 8/3/2022 Authorized Signature V Date AUG 1 7 2022 See instruction for completing this for on the next tab (Attachment H 2 of 2) 02o�a.023Y� COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part 3 GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box 1805, Greeley, CO 80632 YEAR OF FUNDS FY21 Page 1 of 1 WIOA DW-PROGRAM TRANSFER TO TITLE/PROGRAM/PROJECT ADULT LOCAL/COUNTIES Program code EA/WORKPLAN START DATE 10/1/2020 PROGRAM INCOME START DATE 4ND0 END DATE 6/30/2022 END DATE I. CASH REQUEST ANNONAMANANNANAte N. MEI 1. Total program and Admin Cash needs Preciously Reported 150,888.00 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 150,888.00 II. PROGRAM EXPENSE REPORT (ER) 1. Total Expenses+Accruals Previously Reported (Through Last Month) 150,888.00 2. Current Expenses + Accruals (Through End Date of Award) 3. FINAL Program Expenses Contract to Date 150,888.00 ADMINISTRATIVE EXPENSE (ER) ,' F n'' 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 ° it'd °l 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 u „ , o „ 1. FINAL Cash Request Contract to Date 150,888.00 2. FINAL Expenses Through End of Contract 150,888.00 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yes O /No ❑ V. CASH REQUEST PROGRAM INCOME CASH REPORTED i_4u; II a .. . ,..fi_, ," r00, , ; 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 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 150,888.00 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 Ll /No U "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 Meff Date 8/3/2022 AUG 1 7 2022 Authorized Signature Date See instruction for completing this for on the next tab (Attachment H 2 of 2) o2Daa - .23g § COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part 3 GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box 1805, Greeley, CO 80632 FY21 YEAR OF FUNDS Page 1 of 1 WIOA DW ReAllotment PROGRAM TITLE/PROGRAM/PROJECT LOCAL/COUNTIES Program code EANVORKPLAN START DATE 7/1/2021 PROGRAM INCOME START DATE 4XD0 END DATE 6/30/2022 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 i 3,474.00 3,474.00 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 a „yi rc 3,474.00 3,474.00 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 m 0.00 Ill. PROGRAM INCOME(PI) EXPENSE REPORT 1. Total Program Income Expenses Reported (Last Quarter) 2. Current Program Income Expenses (Through End Date of Contract) 3. TOTAL PI Expenses Through End Date of Contract DARMI . pr r s @ 0.00 IV. RECONCILICATION 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) 1, 3,474.00 3,474.00 Yes El /No ❑ V. CASH REQUEST PROGRAM INCOME CASH REPORTED 1. Total PI Cash Previously Reported on Cash Request 2. Current Program Income Cash (Through End Date of Contract) 3. FINAL Program Income Cash Contract to Date , a; • , 0.00 VI. RECONCILIATIONS 1. FINAL Program Income Cash 2. Less Program Income Expenses Through Contract End Date 3. Total PI Cash Balance 0. 0.00 0.00 VII. MATCH RECONCILIATION 1. FINAL Match Reported Through End of Contract 2. FINAL Expenses Through End of Contract 3. Match Percentage of Expenditure Contracttual Requirement 4. Match Expenditure Requirement 5. Total Match Reported > or = to Match Expenditure Requirement? (Check Box) gAll,PMINIMeggimmommt 3,474.00 0.00 Yes U /No LI '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 8/3/2022 Authorized Sig F Date AUG 1 7 2022 See instruction for completing this for on the next tab (Attachment H 2 of 2) .2o . 38g• COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box 1805, Greeley, CO 80632 EA/WORKPLAN START DATE 1/1/2022 PROGRAM INCOME START DATE Closeout Part 3 Page 1 of 1 YEAR OF FUNDS FY21 TITLE/PROGRAM/PROJECT WIOA WDP-10% WFD Eval 8, Continuation Program code 4TD0 END DATE 6/30/2022 END DATE L CASH REQUEST 1. Total program and Admin Cash needs Preciously Reported 25000.00 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. RECONCILICATION "a)l, ,I , t3, gt" )'Mk"t ," 25,000.00 1. FINAL Cash Request Contract to Date 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 O /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 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 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 Ll /No IJ '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/7� Date 8/3/2022 Authorized Signatures/ i Date AUG 1 7 2022 See instruction for completing this for on the next lab (Attachment H 2 of 2) O2_oaa . a 3g COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part 3 GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box 1805, Greeley, CO 80632 YEAR OF FUNDS FY22 Page 1 of 1 WIOA 25% DW ENHANCED ADMIN TITLE/PROGRAM/PROJECT LOCAL/COUNTIES Program code EA/WORKPLAN START DATE 10/1/2021 PROGRAM INCOME START DATE 47D1 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 , , , , 0 v ca 19 , , r 7,095.00 3. FINAL Program and Admin Cash Needs Contract to Date 7,095.00 I1. PROGRAM EXPENSE REPORT (ER) AIL a u� „t 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) 7,095:00 5. Current Expenses+Accruals (Through End Date of Awards) 6. FINAL Administrative Expenses Contract to Date 7,095.00 IX PROGRAM INCOME(PI) EXPENSE REPORT l'f,, 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 ,. , e,, , ,, ,,,,, 7,095.00 2. FINAL Expenses Through End of Contract 7,095.00 3. Cash Request to OW = Expense reported Through End Date of Contract? (Check Box) Yes 0 /No ❑ V. CASH REQUEST PROGRAM INCOME CASH REPORTED ,ItglI ,, „ , , 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 ry; ,emu 1. FINAL Program Income Cash 0. 2. Less Program Income Expenses Through Contract End Date 0.00 3. Total PI Cash Balance 0.00 VII. MATCH RECONCILIATION 11111•111. 1. FINAL Match Reported Through End of Contract 2. FINAL Expenses Through End of Contract 7,095.00 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 Ll /No Ll "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 IfitigWi Date 8/3/2022 Authorized Signa Date AUG 1 7 2022 See instruction for completing this for on the next tab (Attachment H 2 of 2) aoaa - a38"-- COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT CLOSEOUT RECONCILIATION WORKSHEET SUBRECIPIENT: Employment Services of Weld County ADDRESS: PO Box 1805, Greeley, CO 80632 EA/WORKPLAN START DATE 10/1/2021 PROGRAM INCOME START DATE Closeout Part 3 Page 1 of 1 YEAR OF FUNDS FY22 TITLE/PROGRAM/PROJECT WIOA ADULT LOCAL PROGRAM Program code 48A1 END DATE 6/30/2023 'END DATE L CASH REQUEST 1. Total program and Admin Cash needs Preciously Reported 419,653.00 2. Current Program and Admin Cash Needs 3. FINAL Program and Admin Cash Needs Contract to Date 419,653.00 II. PROGRAM EXPENSE REPORT (ER) 1, Total Expenses+Accruals Previously Reported (Through Lot Month) 419,653.00 2. Current Expenses + Accruals (Through End Date of Award) 3. FINAL Program Expenses Contract to Date 419,653.00 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) .,0. _ ti' f a a + N. Va L f,( V 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 419,653.00 2. FINAL Expenses Through End of Contract 419,653.00 3. Cash Request to Date = Expense reported Through End Date of Contract? (Check Box) Yo I /No ❑ V. CASH REQUEST PROGRAM INCOME CASH REPORTED 1. Total PI Cash Previously Reported on Cash Request ,a 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. 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 419,653.00 3. Match Percentage of Expenditure Contracttual Requirement 4. Match Expenditure Requirement 0.00 5. TOG Match Reported > or = to Match Expenditure Requirement? (Check Box) Yes 0 /No Cr "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 8/3/2022 Authorized Signat Date AUG 1 7 2022 See instruction for completing this for on the next tab (Attachment H 2 of 2) 02o.2a = 2 3Es COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT Closeout Part 4 Page 1 of 6 SUBRECIPIENT CERTIFICATION OF PHYSICAL INVENTORY Subrecipient Name: Employment Services of Weld County Address: PO Box 1805 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: 0 Noted 0 Not Applicable I certify that this property is being used for purposes that it was originally purchased for and will be repaired or replaced by my insurance if damaged, lost, or stolen. I certify that all property/equipment previously purchased with or transferred from the WIA, CETA, or the JTPA programs to WIOA program or purchased under a CDLE federally funded grant or transferred with the CDLE's approval with a fair market value (FMV), established by our existing local procedures, of $5,000 or more, has been identified. I further certify that the proceeds of all property/equipment previously purchased with or transferred from the WIA, CETA, or JTPA program to the WIOA program, with a FMV of $5,000 or more, will be returned to CDLE, in order to return the proceeds to the U.S. Department of Labor. Subcipient Director's Signature AUG 1 7 2022 Date 020,2.2- a2.0..- 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 number as Program Code : 4A60 , 4D60 2S50 , 2M50 4A80 4D80 4Y70 2050 4A61 4D61 2W32 4WA0 4A81 4D81 1640 46A0 46D0 47D0 1641 2D21 28C1 48A0 49D0 4ND0 4XD0 4TD0 48A1 CMS#54599 , including the 4Y60 4Y80 2,/22 17C9 4BD0 48D0 47D1 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: Grant Recipient Employer: Employer's Identification Number: Employment Services of Weld County PO Box 1805 Greeley, CO 80632 Weld County Department of Human Services 84-6000813 This certification has been executed this /rfit day of , 2022 Closeout Part 4 Page 2 of 6 GRANT RECIPIENTS ASSIGNMENT OF REFUNDS, REBATES, AND CREDITS Grant Recipient's Name: Employment Services of Weld County Street Address: PO Box 1805 City and State: Greeley, CO 80632 WDP Master Agreement No: CMS#54599 Pursuant to the terms of WDP Master Agreement Number Expenditure Authorizations (EAs)/Workplan awarded under Agreement, identified as Program Code : 4A60 2S50 2M50 4A80 4Y70 2050 , 4A61 2W32 4WA0 4A81 1640 46A0 46D0 1641 2O21 28C1 49D0 4ND0 , 4XO0 48A1 CMS#54599 , including the 4O60 4O80 4O61 4O81 47O0 48A0 4TD0 4Y60 4Y80 2,/22 17C9 4BD0 48O0 47O1 and in consideration of the reimbursement of costs and payment of fee, as provided in the said WDP Master Agreement and any assignment thereunder, the Grant Recipient's Name and Address (hereinafter called the Grant Recipient) does hereby: 1. Assign, transfer, set over and release to the Colorado Department of Labor and Employment (hereinafter called CDLE), all right, title and interest to all refunds, rebates credits or other amounts (including any interest thereon) arising out of the performance of the said WDP Master Agreement, together with all the rights of action accrued on which may hereafter accrue thereunder. 2. Agree to take whatever action may be necessary to effect prompt collection of as such refunds, rebates, credits or other amounts (including any interest thereon due or which may become due, and to forward promptly to COLE. 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 COLE to represent it at an hearing, trial or other proceeding arising out of such claim or suit. This assignment has been executed this n / rid/ay of By Authorized Signature Title Scott K. James, Chair, Board of Weld County Commissioners , 2022 Closeout Part 4 Page 3 of 6 COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT SCHEDULE OF UNCLAIMED CHECKS Grant Recipient Name: Employment Services of Weld County WDP Master Agreement Number: CMS#54599 Release Date: Program code Check Number Payee Check Amount Payee's Last Known Address Total Amount Unclaimed This schedule has been executed this By Authorized Signature Scott K. James, Chair, Board of Weld Title County Commissioners Closeout Part 4 Page 4 of 6 020102 - .23 fig COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT GRANT RECIPIENTS RELEASE Grant Recipient's Name: Employment Services of Weld County Address: PO Box 1805, Greeley, CO 80632 Pursuant to the terms of WDP Master Agreement Number Authorizations (EAs)/Workplan awarded under said WDP Master Agreement, as CLEAR Program code (s): 41760 4Y60 2S50 2M50 4Y70 2050 4A61 41761 4A81 41781 17C9 1640 4BDO 1641 21721 28C1 4ND0 4X170 4TD0 47171 and in consideration of the sum of Total amount paid of $3,333,068.00 CMS#54599 4A 2W80 22 46A0 48A0 48A1 , including the Expenditure 4A60 41780 4Y80 2W32 W 46170 7170A0 48170 49170 $0.00 ($ of Unclaimed Checks Total) under the said Contract to 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 ate (If KDnown) Vendor Invoice or P.O.# Cost Category Amount Expd Paymenectet Amount 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. Claims after closeout, for costs which results from the liability to pay Unemploy nt Insurance costs under a reimburseme stem or to settle Workers Compensation claims. This release has been executed this / 7 day of Title , 2022 Authorized Signature Scott K. James, Chair, Board of Weld County Commioners Closeout Part 4 Page 5 of 6 X0202_ ,2385 COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT PHYSICAL INVENTORY LIST Grant Recipient Name: Employment Services of Weld County WDP Master Agreement Number: CMS #54599 Release Date: Closeout Part 4 Page 6 of 6 Program code Purchase Date Description of Property Property Costs Program Funding Sources SERIAL # if applicable Property Location Property Condition No physical inventory was purchased for any PY or FY Programs 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 / 77-11 day of 2022 By Authorized Signature Scott K. James, Chair, Board of Weld County Title Commissioners 020o2oZ_o23t5— Contract Form Entity Information New Contract Request Entity Name* Entity ID* COLORADO DEPARTMENT OF LABOR & O0010497 EMPLOYMENT Contract Name* WORKFORCE INNOVATION AND OPPORTUNITY ACT (51O41 GRANT CLOSEOUT FOR 2021-22 Contract Status CTB REVIEW Contract ID 6187 Contract Lead* APEGG ❑ New Entity? Parent Contract ID Requires Board Approval YES Contract Lead Email Department Project I apeggPweldgov.com cobbx xlk@weldgov.com Contract Description* THE WIOA GRANT CLOSEOUT PACKET IS REQUIRED BY THE YEAR-END CONTRACT CLOSEOUT PROCEDURES OF COLE AND IN ACCORDANCE WITH PGL06-12-F1 FOR ALL PROGRAMS THAT HAVE EXPENDITURE AUTHORIZATIONS ENDING DURING THE PERIOD JULY 1, 2021 TO JUNE 30, 2022. Contract Description 2 PA IS ROUTING THROUGH THE NORMAL PROCESS. ETA TO CTE: 8 1 1 i 22 Contract Type* GRANT Amount* 00.00 Renewable* NO Automatic Renewal Grant IGA Department HUMAN SERVICES Department Email CM- HurnanServices4 weldgov.co Department Head Email CM-HumanServices- DeptHeadZweldgov.com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COUNTYATTORNEYZWELDG OV.COM Requested BOCC Agenda Date* 08,24;'2022 Due Date 08 20 2022 Will a work session with BOCC be required?* NO Does Contract require Purchasing Dept. to be included? If this is a renewal enter previous Contract ID If this is part of a MSA enter MSA Contract ID Note: the Previous Contract Number and Master Services Agreement Number should he left blank if those contracts are no OnEase Contract Dates Effective Date Termination Notice Period Contact Information Contact Info Contact Name Purchasing Purchasing Approver Approval Process Department Head JAMIE ULRICH OH Approved Date 08109,2022 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 08,17,2022 Originator APEGG Review Date. 05 02 2022 Committed Delivery Date Renewal Date Expiration Date 06,30,2023 Contact Type Contact Email Contact Phone 1 Contact Phone 2 Finance Approver CHERYL PATTELLI Purchasing Approved Date Legal Counsel CAITLIN PERRY Finance Approved Date Legal Counsel Approved Date 08:09 2022 08 12 2022 Tyler Ref # AG 081 722 Hello