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HomeMy WebLinkAbout20191866.tiffCOLORADO Division of Homeland Security & Emergency Management Department of Public Safety 9195 E. Mineral Avenue, Suite 200 Centennial, CO 80112 December 2, 2O19 Don Warden, Director of Finance & Administration Weld County P.O. Box 758 Greeley, CO 8O632 RECEIVED JAN 16 2020 WELD COUNTY ^YMMI SON S Re: Title 2 of the Code of Federal Regulations (2 CFR) Single Audit Review - Final Decision Letter — NO ACTION REQUIRED Dear Mr. Warden: Your organization has received grants from the Colorado Division of Homeland Security and Emergency Management (DHSEM). In accordance with 2 CFR, DHSEM is responsible for collecting and reviewing Single Audit reports from its Subrecipients who have expended Federal funds of $750,000 or more within FY 2O18. During this review DHSEM performs a review of audit findings related to Federal Awards passed through by DHSEM to Weld County. Per the requirements of 2 CFR, the pass through entity (DHSEM) is responsible for issuance of a management decision related to the Federal awards and the appropriateness of the Subrecipient's action plan. DHSEM completed the review of the Single Audit package for Weld County for the period ending December 31, 2O18. During our review of your organization's FY 2O18 Single Audit report, we noted no findings relating to your grant programs passed -through by DHSEM that require corrective action by your organization or further follow up by DHSEM. This letter serves as final communication in reference to the review of your organization's Single Audit report for the period ending December 31, 2O18. If you should have any concerns regarding this letter, please contact Justine Willman at iustine.willman®state.co.us or 720.852.6712. We look forward to continuing to work together and hope to provide assistance in ensuring that your entity and the State achieve compliance with all Federal requirements. Sincerely, M. Justine Willman Grant Compliance Manager justine.willmanPstate.co.us 720.595.6119 Mobile 1720.852.6712 Desk 1720.852.6750 Fax 9195 E Mineral Avenue, Suite 200, Centennial, CO 80112 P 720.852.6600 F 720.852.6768 dhsem.state.co.us Jared Polls, Governor I Stan Hilkey, Executive Director CoMKv' ico+:an5 01 72.120 cc. : OE-mC RR), FtCDwtso), Q.CTCPc/CO.) 007/20 COLORADO Division of Homeland Security & Emergency Management Department of Public Safety May 3, 2019 Barbara Connolly, Controller Roy Rudisill, OEM Director Weld County 1150 O Street Greeley, CO 80631 Re: DHSEM Monitoring Site Visit Find Results — NO FOLLOW UP ACTION REQUIRED Dear Ms. Connolly and Mr. Rudisill: On behalf of the Colorado Department of Public Safety, Division of Homeland Security & Emergency Management (DHSEM), we would like to thank you for your cooperation with the monitoring visit on March 12, 2019. The reason for the site visit was not to perform an audit, but rather to conduct a monitoring review of your federally funded grant programs (administered by DHSEM), the related processes/procedures, and the quality of documentation being maintained to support program activities. Our goal of this review was to help you prepare for and respond to future audits and/or reviews. Our monitoring visit was required by the Federal Office of Management and Budget (OMB) Title 2 of the Code of Federal Regulations § 200.331(e), as applicable, which states that DHSEM, as a pass -through entity of federal funds, is responsible for performing on -site reviews of your program operations to ensure proper accountability and compliance with program requirements and achievement of performance goals. During our visit, we examined certain functions of your organization related to the administration of funds under the: FEMA Public Assistance (PA) CFDA 97.036; FEMA Emergency Management Performance Grant (EMPG) CFDA 97.042; FEMA Hazard Mitigation Grant Program (HMGP) CFDA 97.039; HUD Community Development Block Grant — Disaster Recovery (CDBG-DR) CFDA 14.269; PHMSA Hazardous Materials Emergency Preparedness (HMEP) CFDA 20.703; and State Disaster Emergency Fund (DEF) and the compliance requirements applicable to your grant(s) and associated project(s). The objective of these monitoring activities was to make an assessment of performance towards project objectives and an evaluation of compliance towards program requirements. The results of these monitoring activities indicate that your organization is in compliance with the applicable federal requirements, and no further action is required. Attachment 2 states that no issues required a Guidance Observation. It is recommended that the County review and update its policies and procedures in areas listed in Attachment 3 attached hereto. If you should have any questions regarding this letter, please contact the Subrecipient Monitoring Team at CDPS_SRM@state.co.us or contact Justine Willman at 720.852.6712. We thank you again for your cooperation and will continue to provide assistance to ensure that your entity and the State continue to comply with all federal grant requirements. Sincerely, 1_mtiva��. wiu.rutu.. M. Justine Willman Grant Compliance Manager 9195 E Mineral Avenue, Suite 200, Centennial, CO 80112 P 720.852.6600 F 720.852.6768 dhsem.state.co.us Jared Polis, Governor I Stan Hilkey, Executive Director Corn C \Uf1►C0.+►QOS 5120/i9 o .:c MCRR), A T(.-Ck.°) 5/►5/19 2019-1866 Weld County May 3, 2019 Page 2 Attachment 1: Scope Activities Performed The objective of the Subrecipient Monitoring visit was to assess your organization's ability to maintain compliance with the regulations governing the federal grants you have received through DHSEM. The following categories and general scope were reviewed during our on -site monitoring visit as applicable: Category Control Environment Scope Our assessment of your organization's control environment included a review of the following: ✓ Overall internal control structure (e.g. policies and procedures, reporting lines, etc.) V Code of ethics, Conflict of interest certifications V Prior experience with management of grant programs and Federal funding VFamiliarity with DHSEM points of contact ✓ Implementation of corrective action resulting from audits and other monitoring activities V Segregation ofduties for grant management functions Allowable Activities / Costs / Expenditures Our assessment of your organization's expenditures included a review of the following: ✓ Procedures for ensuring expenditures comply with cost principles ✓ Process for vaiding in -kind contributions and donated resources ✓ Allowability and review of travel and per -diem expenses V Proper controls in the expenditure cycle (e.g. approval processes for expenditures) Accounting Our assessment of your organization's grant accounting included a review of the following: ✓ Validating use of cost centers for grant projects V Maintenance of a chart of accounts for federal, state, and insurance funding ✓ Review of reconciliation practices and procedures V Process for reconciling budget overruns and variances Reporting Our assessment of your organization's reporting practices included a review of the following: ✓ Policies and procedures governing reporting practices ✓ Supporting documentation for reported milestones and expenditures ✓ Communication of passed through funding to DHSEM and Federal agencies Cash Management And Advances Our assessment of your organization's cash management practices included a review of the following: V Processes established to manage cash advances in accordance with regulations V Policies or procedures for timely payment of vendors V Verifying that in -Bind contributions are used only for local match amounts Equipment & Inventory Our assessment of your organization's equipment management practices included a review of the following: V Policies and procedures in place to manage equipment purchased with grant funding V Maintenance of property records that reflect required data points V Controls to protect equipment from theft, loss, or damage ✓ Tagging of assets V Validation of proper disposition practices and policies ✓ Inventory practices V Depreciation of assets in line with organizational depreciation schedules V Documentation of maintenance procedures 9195 E Mineral Avenue, Suite 200, Centennial, CO 80112 P 720.852.6600 F 720.852.6768 dhsem.state.co.us Jared Polls, Governor I Stan Hilkey, Executive Director Weld County May 3, 2019 Page 3 Labor & Time Accounting Our assessment of your organization's labor and time accounting practices included a review of the following: V Documentation of Job descriptions for employees splitting time between grant and non - grant activities V Review of salary and fringe benefit allocations to grant projects V Support for administrative time and force account labor (timesheets) V Compliance with Davis Bacon (as applicable) Procurement & Contracts Our assessment of your organization's procurement practices included a review of the following: V Documentation of policies and procedures for procurement V Review of contract types used under Federal grants ✓ Review of supporting procurement documentation and bid tabulations V Review of contracts with vendors for proper flow down provisions V Verification of use of debarment and suspension lists ✓ Utilization of minority and women owned businesses V Use of geographical preference in bid criteria V Use of contract management systems for managing vendors Subrecipient Monitoring (Subaward) Our assessment of your organization's subrecipient monitoring included a review of the following: ✓ Determination of contract vs. subaward V Proper documentation of pass through funding V Compliance with FFATA, Single audit reporting V Review of single audit results ✓ Follow up on subrecipient's corrective action plans V Verification of subrecipient's use of grant flow down provisions Project Progress Our assessment of your organization's project progress monitoring included a review of the following: ✓ Processes for accurately reporting project progress V Documentation of why established goals were not met V Comparison of actual project progress vs. reported progress Record Retention Our assessment of your organization's record retention practices included a review of the following: ✓ Documented record retention policies and procedures ✓ Backup and secure storage of documentation V Organization of supporting files Other In addition to the reviews listed, the following may have been reviewed or discussed: V Follow up on variances from quarterly reports ✓ Feedback for DHSEM related to program administration V Technical training on EMGrants Pro platform V Need for in person training or guidance for grant programs ✓ Compliance with Title VI of the Civil Rights Act of 1964 and Title II of the American's with Disabilities Act, 28 CFR 35.101 et seq., as applicable 9195 E Mineral Avenue, Suite 200, Centennial, CO 80112 P 720.852.6600 F 720.852.6768 dhsem.state.co.us Jared Polis, Governor 1 Stan Hilkey, Executive Director Weld County May 3, 2019 Page 4 Attachment 2: Summary of Guidance Observations Observations related to required guidance require your organization's response. During our visit, there were no findings related to guidance issues, so no follow-up is needed. Note: During our on -site monitoring visit, we provided initial results during our exit meeting based on the documentation reviewed and interviews conducted. Since that time, it is possible that observations below were made during the final review of documentation that were not discussed during the exit meeting. 9195 E Mineral Avenue, Suite 200, Centennial, CO 80112 P 720.852.6600 F 720.852.6768 dhsem.state.co.us Jared Polis, Governor I Stan Hilkey, Executive Director Weld County May 3, 2019 Page 5 Attachment 3: Summary of Leading Practice Observations Responses to observations related to Leading Practices are optional. These recommendations are derived from leading practices and interpretations of federal guidance and are provided for Weld County's consideration. ding Observation d. Area of Review: General / Entity -Level Standards Applicable Programs: All Programs Reviewed Observations During our review and discussion with Weld County (County), it was noted that the County has a travel policy, a code of conduct, a compensation policy, and a record retention policy. However, no consolidated written grant management policy is in place, as was recommended from the January, 2017 letter. Guidance Grants Awards after December 26, 2014 2 CFR Subpart D (200,303)(a) The non -Federal entity must establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non - Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in "Standards for Internal Control in the Federal Government" issued by the Comptroller General of the United States or the "Internal Control Integrated Framework", issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Risks: Failure to maintain a uniform policy on grant management activities and requirements exposes the County to potential inconsistencies in the administration of grants. Recommendations: The County has established policies and procedures to govern the administration of the grants received from DHSEM. However, we continue to recommend that the County establish a consolidated Grants Management Policy as an easily accessible reference in the event of future disasters. Subrecipient's Response & Corrective Action Plan (Optional): NOTE: RESPONSES TO LEADING PRACTICE OBSERVATIONS ARE OPTIONAL 9195 E Mineral Avenue, Suite 200, Centennial, CO 80112 P 720.852.6600 F 720.852.6768 dhsem.state.co.us Jared Polls, Governor I Stan Hilkey, Executive Director Weld County May 3, 2019 Page 6 ftng.Practice Observation #2 Area of Review: General / Entity Lewl Standards Applicable Programs: All Programs Reviewed Observations: During our preparation for the site visit with the County, we discovered that the County website main page has a drop down list entitled "How Do I" with tab for contacting the County via email, mail, and phone regrading concerns and/or comments. The County Human Resources Department also provides assistance with complaints. However, during our site visit, the County stated that no official whistleblower policy is in place. Guidance: Grant Awards after December 26, 2014 2 CFR 200.113 Mandatory Disclosures. The non -Federal entity or applicant for a Federal award must disclose, in a timely manner, in writing to the Federal awarding agency or pass -through entity all violations of Federal criminal law involving fraud, bribery, or gratuity violations potentially affecting the federal award. 2 CFR 200.331 (61 (b) All pass -through entities must evaluate each subrecipient's risk of noncompliance with Federal statutes, regulations, and the terms and conditions of the subaward for purposes of determining the appropriate subrecipient monitoring. Grants Prior to December 26, 2014 44 CFR 13.12(a) A grantee or subgrantee may be considered "high risk" if an awarding agency determines that a grantee or subgrantee: (1) Has a history of unsatisfactory performance, or (2) Is not financially stable, or (3) Has a management system which does not meet the management standards set forth in this part, or (4) Has not conformed to terms and conditions of previous awards, or (5) Is otherwise not responsible; and if the awarding agency determines that an award will be made, special conditions and/or restrictions shall correspond to the high risk condition and shall be included in the award. Risks: Failure to develop mechanisms for reporting fraud increases the risk of fraud going unreported, generating additional financial and legal risk for the subrecipient. Failure to make the required disclosures can result in any of the remedies described in 2 CFR 200.338 Remedies for noncompliance, including suspension or debarment. Recommendations: Develop mechanisms for reporting fraud and other misdeeds, and communicate these mechanisms to all employees. See Attachment 4 for a sample Whistleblower Mechanism policy. Sub recipient's Response & Corrective Action Plan (Optional): NOTE: RESPONSES TO LEADING PRACTICE OBSERVATIONS ARE OPTIONAL 9195 E Mineral Avenue, Suite 200, Centennial, CO 80112 P 720.852.6600 F 720.852.6768 dhsem.state.co.us Jared Polls, Governor I Stan Hilkey, Executive Director Weld County May 3, 2019 Page 7 ' . serration #3 -, .. r aX4t5d21 u+0IVwd'a,Lsra L;t ..="- Area of Review: Equipment and Property Management Applicable Programs: All Programs Reviewed Observations During our discussion with Weld County, it was noted that equipment was purchased with FEMA PW 860 grant funds from DHSEM. However, we noted during our site visit that Article VI of the County Code addresses fixed assets and that the County's inventory of fixed assets is updated annually. The County's inventory contains all property with a useful life of at least 3 years and a minimum value of $5,000 which in turn is inventoried on an annual basis. We advised that the inventory is required for items with a useful life of at least one (1) year, rather than 3 years, and a minimum value of $5,000. Guidance Grant Awards after December 26, 2014 2 CFR 200.313 (d) Management requirements. Procedures for managing equipment (including replacement equipment), whether acquired in whole or in part under a Federal award, until disposition takes place will, as a minimum, meet the following requirements: (1) Property records must be maintained that include a description of the property, a serial number or other identification number, the source of funding for the property (including the FAIN), who holds title, the acquisition date, and cost of the property, percentage of Federal participation in the project costs for the Federal award under which the property was acquired, the location, use and condition of the property, and any ultimate disposition data including the date of disposal and sale price of the property. (2) A physical inventory of the property must be taken and the results reconciled with the property records at least once every two years. (3) A control system must be developed to ensure adequate safeguards to prevent loss, damage, or theft of the property. Any loss, damage, or theft must be investigated. (4) Adequate maintenance procedures must be developed to keep the property in good condition. (5) If the non -Federal entity is authorized or required to sell the property, proper sales procedures must be established to ensure the highest possible return. Grants Prior to December 26, 2014 44 CFR 13.32 (d) (3) A control system must be developed to ensure adequate safeguards to prevent loss, damage, or theft of the property. Any loss, damage, or theft shall be investigated. Risks: Failure to maintain a policy for property records or inventory requirements may lead to mismanaged federal assets which could ultimately lead to improper disposition of a federally - participated -in asset. Recommendations: Update the physical inventory requirements to replace the 3 year useful life with a 1 year useful life for inclusion of an item purchased with Federal grant funds on the inventory, which is in addition to the minimum value of $5,000. 9195 E Mineral Avenue, Suite 200, Centennial, CO 80112 P 720.852.6600 F 720.852.6768 dhsem.state.co.us Jared Polls, Governor I Stan Hickey, Executive Director Weld County May 3, 2019 Page 8 Sub red pie nt's Response & Corrective Action Plan (Optional): NOTE: RESPONSES TO LEADING PRACTICE OBSERVATIONS ARE OPTIONAL - — Leadirtg Practice ®bser Area of Review: Procurement Applicable Programs: All Programs Reviewed. Observations: While procurement was a primary issue for non -exigent contract work performed as a result of the floods in September 2013, the vast majority of the underlying policies and procedures have been corrected. We noted during our interview that Article IV of the County Code, Section 5-4- 130 requires compliance with grant requirements. However, the County should also include that the most stringent policy applies to procurement to ensure the correct policy is followed for future purchases using Federal grant funds. Guidance: Grant Awards after December 26, 2014 2 CFR Subpart (200.319)(b) The non -Federal entity must conduct procurements in a manner that prohibits the use of statutorily or administratively imposed state, local, or tribal geographical preferences in the evaluation of bids or proposals, except in those cases where applicable Federal statutes expressly mandate or encourage geographic preference. Nothing in this section preempts state licensing laws. When contracting for architectural and engineering [ALE) services, geographic location may be a selection criterion provided its application leaves an appropriate number of qualified firms, given the nature and size of the project, to compete for the contract. 2 CFR Subpart D (200.319)(c) The non -Federal entity must have written procedures for procurement transactions. These procedures must ensure that all solicitations: (1) Incorporate a clear and accurate description of the technical requirements for the material, product, or service to be procured. Such description must not, in competitive procurements, contain features which unduly restrict competition. The description may include a statement of the qualitative nature of the material, product or service to be procured and, when necessary, must set forth those minimum essential characteristics and standards to which it must conform if it is to satisfy its intended use. Detailed product specifications should be avoided if at all possible. When it is impractical or uneconomical to make a clear and accurate description of the technical requirements, a "brand name or equivalent" description may be used as a means to define the performance or other salient requirements of procurement. The specific features of the named brand which must be met by offers must be clearly stated; and (2) Identify all requirements which the offerors must fulfill and all other factors to be used in evaluating bids or proposals. 2 CFR 200.3241. This step should provide proper diligence in testing the procurement policies. 2. Procurement documentation must be provided to the pass through entity upon request. Grants Prior to December 26, 2014 44 CFR 13.36(b)(3) Grantees and subgrantees will maintain a written code of standards of conduct governing the performance of their employees engaged in the award and 9195 E Mineral Avenue, Suite 200, Centennial, CO 80112 P 720.852.6600 F 720.852.6768 dhsem.state.co.us Jared Polls, Governor I Stan Hilkey, Executive Director Weld County May 3, 2019 Page 9 administration of contracts. No employee, officer or agent of the grantee or subgrantee shall participate in selection, or in the award or administration of a contract supported by Federal funds if a conflict of interest, real or apparent, would be involved. Such a conflict would arise when: (i) The employee, officer or agent, (ii) Any member of his immediate family, (iii) His or her partner, or (iv) An organization which employs, or is about to employ, any of the above, has a financial or other interest in the firm selected for award. The grantee's or subgrantee's officers, employees or agents will neither solicit nor accept gratuities, favors or anything of monetary value from contractors, potential contractors, or parties to subagreements. Grantee and subgrantees may set minimum rules where the financial interest is not substantial or the gift is an unsolicited item of nominal intrinsic value. To the extent permitted by State or local law or regulations, such standards or conduct will provide for penalties, sanctions, or other disciplinary actions for violations of such standards by the grantee's and subgrantee's officers, employees, or agents, or by contractors or their agents. The awarding agency may in regulation provide additional prohibitions relative to real, apparent, or potential conflicts of interest. Risks: Failure to comply with Federal procurement regulations can lead to deobligation of funding. Recommendations: Update written policies and procedures to include the provision that the most stringent of procurement requirements will be followed. Subrecipient's Response & Corrective Action Plan (Optional): NOTE: RESPONSES TO LEADING PRACTICE OBSERVATIONS ARE OPTIONAL 9195 E Mineral Avenue, Suite 200, Centennial, CO 80112 P 720.852.6600 F 720.852.6768 dhsem.state.co.us Jared Polls, Governor I Stan Hilkey, Executive Director Weld County May 3, 2019 Page 10 Attachment 4: Guidance for Leading Practices Whistleblower Mechanism — Sample Policy City of Colorado Springs, Office of the City Auditor, Fraud Prevention and Detection Policy 1. Background The City of Colorado Springs Fraud Prevention and Detection Policy (Policy) is established to facilitate the development of controls which will aid in the prevention and detection of fraud against the City of Colorado Springs (City). It is the intent of the City Auditor to promote consistent organizational behavior by providing guidelines and assigning responsibility for the development of controls and conduct of investigations. The City Auditor website contains a Fraud and Abuse Reporting page. This page contains information for the reader on how to report a potential fraud and how the report will be handled. Fraud awareness and reporting posters have been distributed by the City Auditor to all City and enterprise bulletin boards. It is also to be displayed in all remote construction locations and distributed to new contractors by the CSU procurement office. 2. Authority This Policy derives its authority from City Code § 1.2.703, which states: ENSURE PUBLIC ACCOUNTABILITY: The City Auditor shall ensure that administrative officials are held publicly accountable for their use of public funds and the other resources at their disposal. The City Auditor shall investigate whether or not laws are being administered in the public interest, determine if there have been abuses of discretion, arbitrary actions or errors of judgment, and shall encourage diligence on the part of administrative officials. (Ord. 11-18) 3. Applicability This Policy applies to City Council, the Mayor, all employees of the City of Colorado Springs, including all its enterprise operations, and members of its Boards, Committees, or Commissions. 4. Scope This Policy applies to any suspected fraud, abuse, or similar irregularity against the City. 5. Objective This Policy is set forth to communicate the City Auditor's Policy regarding prevention, reporting and investigating suspected fraud, abuse, and similar irregularities. The City Auditor desires to create an 9195 E Mineral Avenue, Suite 200, Centennial, CO 80112 P 720.852.6600 F 720.852.6768 dhsem.state.co.us Jared Polls, Governor 1 Stan Hilkey, Executive Director Weld County May 3, 2019 Page 11 environment in which employees and/or citizens can report any suspicions of fraud. This Policy provides management with specific guidelines and responsibilities regarding appropriate actions in conducting investigations of alleged fraud and similar improprieties. 6. Definitions Abuse refers to, but is not limited to: • Improper or misuse of authority, • Improper or misuse of City property, equipment, materials, records, or other resources, • Waste of public funds, or • Any similar or related irregularity. Abuse can occur in financial or non -financial settings. When considering if an event or action might be construed as being abusive, one should consider if it would pass public scrutiny. Chief Executive Officer, or CEO, shall mean highest-ranking person responsible for the municipal government and the City's enterprises, including Colorado Springs Utilities. . City of Colorado Springs is a home rule city and Colorado municipal corporation, to include all its enterprises, specifically Colorado Springs Utilities, as well as all Boards, Committees, and Commissions appointed by City Council. City Employee shall mean all employees of the municipal government and all the enterprises of the City. Fraud or other irregularity refers to, but is not limited to: • Any dishonest or fraudulent act, • Forgery or alteration of any document or account, • Forgery or alteration of a check, bank draft, or any other financial document, • Misappropriation of funds, securities, supplies, or other assets, • Impropriety in the handling or reporting of money or financial transactions, • Profiteering as a result of insider knowledge of City activities, • Disclosing confidential and/or proprietary information to outside parties, • Accepting or seeking anything of material value from consultants, contractors, vendors, or persons providing services or materials to the City, • Destruction, removal, or inappropriate use of records, furniture, fixtures, and equipment, • Any claim for reimbursement of expenses that are not made for the exclusive benefit of the City, • Any computer related activity involving the alteration, destruction, forgery or manipulation of data for fraudulent purposes, or • Any similar or related irregularity. 9195 E Mineral Avenue, Suite 200, Centennial, CO 80112 P 720.852.6600 F 720.852.6768 dhsem.state.co.us Jared Polis, Governor I Stan Hilkey, Executive Director Weld County May 3, 2019 Page 12 Management shall mean those individuals who have been placed in a position of trust by the CEO to assist in carrying out the objectives of that part of the City for which they are employed. 7. General Policy and Responsibilities Preventive Controls Each CEO is responsible for instituting and maintaining a system of internal control to provide reasonable assurance for the prevention and detection of fraud, abuse, or other irregularity. Management should be familiar with the types of improprieties that might occur within their area of responsibility and be alert for any indications of such conduct. The City Auditor shall conduct periodic reviews, report on deficiencies, and make recommendations to management and the CEO regarding internal controls. Upon completion of any investigation where weaknesses in internal control have been identified, the City Auditor will work with the entity staff to strengthen controls to lower the risk of future or repeated occurrence. 9195 E Mineral Avenue, Suite 200, Centennial, CO 80112 P 720.852.6600 F 720.852.6768 dhsem.state.co.us Jared Polis, Governor I Stan Hilkey, Executive Director Hello