HomeMy WebLinkAbout20200757.tiffRESOLUTION
RE: APPROVE AMERICORPS EDUCATION AWARD SERVICES LOCATION
AGREEMENT AND AUTHORIZE DIRECTOR OF HUMAN SERVICES TO SIGN -
COLORADO YOUTH CORPS ASSOCIATION
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 an AmeriCorps Education Award Service
Location Agreement 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,
Weld County Youth Conservation Corps, and the Colorado Youth Corps Association,
commencing January 1, 2020, and ending December 31, 2020, with further terms and conditions
being as stated in said agreement, and
WHEREAS, after review, the Board deems it advisable to approve said agreement, a copy
of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of
Weld County, Colorado, that the AmeriCorps Education Award Service Location Agreement
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, Weld County
Conservation Corps, and the Colorado Youth Corps Association, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Director of the Department of Human
Services be, and hereby is, authorized to sign said agreement.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 4th day of March, A.D., 2020, nunc pro tunc January 1, 2020.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: dith4) ue&O;e1
Weld County Clerk to the Board
BY:
Deputy Clerk to the Board
APPROtED AS
ounty A ttorney
Date of signature:
Mike Freeman, Chair
Steve Moreno, Pro-Tem
CC: HSD
OM{/o6/ LO
2020-0757
HR0092
0-o n tro, c + -O #4 3-331
PRIVILEGED AND CONFIDENTIAL
MEMORANDUM
DATE: December 26, 2019
TO: Board of County Commissioners — Pass -Around
FR: Judy A. Griego, Director, Human Services
RE: AmeriCorps Education Award Services Location Agreement
between Colorado Youth Corps Association (CYCA) and Weld County
Youth Conversation Corps (WCYCC)
Please review and indicate if you would like a work session prior to placing this item on the Board's agenda.
Request Board Approval for the Department to Sign and Submit the AmeriCorps Education Award Service
Location Agreement between Colorado Youth Corps Association (CYCA) and Weld County Youth Conservation
Corps (WCYCC). The Weld County Youth Conservation Corps (WCYCC) is a fully accredited Youth Corps governed
by the Colorado Youth Corps Association (CYCA). CYCA requires an annual agreement as CYCA also manages the
Colorado AmeriCorps Fixed Award Program. WCYCC receives funding through this collaborative statewide grant
initiative. As a CYCA site, WCYCC will comply with all AmeriCorps regulations, terms and conditions, including
completing all forms and reports within required timelines, and designating a Service Location Administrator to oversee
the project, serve as the program liaison, and oversee staff.
WCYCC will enroll up to 42 AmeriCorps members between the ages of 17 and 25 to serve specific terms of service.
Terms of service are designated by the number of service hours to complete. WCYCC will recruit and enroll 12 Half -
Time (900 hours) members, 12 Quarter Time (450 hours) members and 18 Minimum Time (300 hours) members.
The term ofthe agreement is January 1, 2020 through December 31, 2020.
I do not recommend a Work Session. I recommend approval of this Agreement and authorize the Director to sign.
Sean P. Conway
Mike Freeman, Pro-Tem
Scott James
Barbara Kirkmeyer, Chair
Steve Moreno
Approve Schedule
Recommendation Work Session
Other/Comments:
Pass -Around Memorandum; December 26, 2019 — CMS 3339 Page 1
2020-0757
o3�oti/�,o t4'Rc�92
Karla Ford
From:
Sent:
To:
Subject:
Steve Moreno
Tuesday, December 31, 2019 8:50 AM
Karla Ford
Re: Please Reply PA for Routing - CYCA Location Agreement (CMS 3339)
Approve
Sent from my iPhone
On Dec 30, 2019, at 10:42 AM, Karla Ford <kforci weldRov.com> wrote:
Please advise if you approve recommendation. Thank you!
Karla Ford S(
Office Manager, Board of Weld County Commissioners
1150 O Street, P.O. Box 758, Greeley, Colorado 80632
:: 970.336-7204 :: kford@weldgov.com :: www.weldnov.com :.
My working hours are Monday -Thursday 7:00a.m.-4:00 p.m.
Friday 7:00a.m. - Noon
<image003.jpg>
Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to
which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received
this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying,
distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named
recipient is strictly prohibited.
From: Tobi Cullins <cullintagulweldgov.com>
Sent: Thursday, December 26, 2019 11:57 AM
To: Karla Ford <kfordPwe(dgov.com>
Cc: HS Contract Management<HS-ContractManat?ementCa3co.weld.co.us>
Subject: PA for Routing - CYCA Location Agreement (CMS 3339)
Please see attached PA for routing. Thank you.
Regards,
Tobi A. Cullins
Contract Management and Compliance Coordinator
Administration Support Unit (ASU)
Contract Management Team: 970-400-6556
Direct: 970-400-6392
Fax: 970-353-5215
cullinta Pweldgov,com
Confidentiality Notice: This electronic transmission and any attached documents or other writings are
intended only for the person or entity to which it is addressed and may contain information that is
privileged, confidential or otherwise protected from disclosure. If you have received this communication
in error, please immediately notify sender by return e-mail and destroy the communication. Any
COLORADO
YOUTH
CORPS
ASSOCIATION
AmeriCorps Education Award Service Location Agreement
Between Colorado Youth Corps Association and
Weld County Youth Conservation Corps
January 1, 2020 — December 31, 2020
This is a contract between the Colorado Youth Corps Association (CYCA) and Weld County Youth Conservation
Corps (Service Location) for the Service Location to serve in the Youth Corps for Colorado AmeriCorps Fixed
Award Program (YCCO) under grant #16ESHCO0010002 (Grant) managed by CYCA. The term of this
agreement is January 1, 2020 through December 31, 2020, unless terminated earlier in accordance with the
terms hereof.
Colorado Youth Corps Association Responsibilities:
During the term of this Agreement, CYCA will:
1. Serve as liaison to Serve Colorado, the Corporation for National and Community Service ("CNCS") and/or
the National Service Trust;
2. Provide an AmeriCorps resources (YCCO AmeriCorps Fixed Award Resources) and regular updates to the
Service Location on policy and procedure changes;
3. Conduct an orientation for the Service Location's Administrator(s) and other designated staff, either via
conference call or in person;
4. Provide training and technical assistance services to the Service Location as reasonably necessary,
including, but not limited to emails, site visits, annual training, phone assistance and the provision of
materials including an annual calendar/schedule;
5. Review AmeriCorps documentation and operations to ensure the Service Location is meeting AmeriCorps
compliance policies and procedures as understood by CYCA;
6. Provide the Service Location with a template Progress Report and a schedule of report due dates;
7. Compile all Service Location progress reports into a Master Progress Report submission to the State
Commission (Serve Colorado) by the required deadlines;
8. Enroll and exit all members in eGrants/My AmeriCorps within 5 or 30 calendar days to ensure compliance
with the "30 day rule," provided the Service Location emails completed and signed Enrollment
Certification Forms to CYCA within 5 days of enrollment and 20 calendar days of exit;
9. Remit payment to the Service Location for invoiced dollars within 5 days of receiving funds from Serve
Colorado.
10. In the event a Service Location displays a pattern of one or more areas of concern as listed in the YCCO
AmeriCorps Service Location Corrective Action Policy, CYCA will work with the Service Location to develop
a Corrective Action Plan to resolve any challenges faced in managing the YCCO Fixed Award grant.
Page 1 of 9 YCCO Service Location Agreement PY2018
ao02.0 -0767
Service Location Responsibilities:
The latest guidance documents for AmeriCorps Terms and Conditions, Regulations and Policies can be found at:
• 2019 AmeriCorps Fixed Grant Terms and Conditions - Effective December 1st, 2016
• 2019 AmeriCorps State Grant Terms and Conditions - Effective December 1st, 2016
• National and Community Service Act of 1990
• AmeriCorps State and National Policy Frequently Asked Questions
• Fixed Amount Grants FAQs
• Update to National Service Criminal History Check Regulations
• National Service Criminal History Check FAQs - Effective July 7th, 2016
• National Service Criminal History Check Resources
• Electronic Code of Federal Regulations
• National Service Uniform Guidance Resources
During the Term of this agreement, the Service Location will:
1. Remain an accredited member of CYCA in good standing with dues fully paid;
2. Adhere to the 2019-2020 AmeriCorps regulations and terms and conditions, as they may be amended from
time to time, including but not limited to requirements regarding implementing grievance and drug
policies and listing AmeriCorps as a national partner in appropriate literature and materials;
3. Return the signed/dated Service Location Agreement and signed/dated YCCO AmeriCorps Service Location
Corrective Action Policy (if applicable) to CYCA prior to enrolling members into the YCCO Fixed Award
grant.
4. Designate a Service Location Administrator to oversee the project, serve as program liaison, attend an
annual orientation and participate in conference calls as necessary throughout the program year. Service
Location must immediately inform CYCA of any staff changes and conduct adequate in-house orientation
for new staff to ensure the new staff person can manage the program until the next regularly scheduled
CYCA training session;
5. Complete all CYCA forms and reporting requirements within required timelines, including but not limited
to: Enrollment Certification Forms; Enrollment Checklist; Quarterly Progress Reports; requests for data by
CYCA;
6. Enroll up to 42 members between January 1, 2020 and December 31, 2020.
Your slot breakdown is as follows:
• 0 Full -Time (1700 hour) members
• 12 Half -Time (900 hour) members
• 0 Reduced -Half Time (675 hour) members
• 12 Quarter Time (450 hour) members
• 18 Minimum Time (300 hour) members
Slot changes are not permitted. Service Locations requiring additional slots should contact CYCA for
availability.
Page 2 of 9
YCCO Service Location Agreement PY2018
7. Ensure that each member provides appropriate documentation of US Citizenship, US national or lawful
permanent resident alien status (as defined in 42 U.S.C. § 12591 and 45 CFR § 2522.200), retain copies of
such documents in the member file (see YCCO AmeriCorps Member File Checklist), and maintain a
consistent practice of making a record of the documents reviewed for each member;
8. Ensure each member certifies on his/her My AmeriCorps Enrollment Form that he/she has earned a high
school diploma or equivalent or agrees to obtain a high school diploma or equivalent prior to using the
Education Award (this should also be noted in your Member Service Agreements);
9. Ensure that each member signs/dates a Member Service Agreement (as defined in the Terms and
Conditions, Regulations and Policies) before commencement of service. Please see YCCO AmeriCorps
Member Service Agreement Checklist for full list of required items. If a member is under 18 years of age a
parent or guardian must also sign the agreement;
10. Conduct a National Service Criminal History Check on all YCCO Fixed Award Program AmeriCorps members
and relevant staff. Additional guidance can be found on the following forms: YCCO AmeriCorps NSCHC
Guidance & Checklist, YCCO AmeriCorps Member File NSCHC Checklist and the YCCO AmeriCorps
Background Check Informed Consent Form.
Criminal background checks must be done through CNCS approved registries and must include the state
the individual resides at the time of application and the state in which the member will serve (see CNCS
Designated Statewide Criminal History Check Repositories and Alternatives and Identifying State of
Residence for State Check).
All programs are required to conduct FBI background checks through the Colorado Bureau of Investigation
on all covered individuals.
All staff who have involvement in the national service criminal history check (NSCHC) process are required
to take a new annual online training course. This course will need to be taken once per grant year by any
and all staff members in your organization who are involved with conducting, documenting or reviewing
the NSCHCs. The purpose of this course is to demonstrate compliant practices and thorough knowledge of
the regulations and requirements around member and staff background checks. This certification must be
renewed once per program year, prior to the expiration date provided on your previous certificate.
Certificates should be emailed to Brandon Watkins (Bwatkins@cyca.org) upon completion, and saved
internally for your records.
Training course may be accessed here: NSCHC Online Training Course.
Additional CNCS guidance can be found:
• NSOPW Guidance
• State Check Guidance
• FBI Check Guidance
11. Ensure all member enrollments and exits are in compliance with the "5 day rule" — fully completed
Enrollment Certification Forms must be emailed to CYCA within 5 calendar days of enrollment/exit to
ensure they are approved by CYCA within the 30 calendar day timeframe, including first day of enrollment.
Page 3 of 9
YCCO Service Location Agreement PY2018
12. Conduct an AmeriCorps Orientation for all members at the beginning of their service. The orientation must
include: training relevant to field of service, background info on community served, orientation that
enhances member security and sensitivity to the community, member service agreement components
(including, at minimum: member position description, member rights and responsibilities, minimum
number of service hours (as required by statute) and other requirements (as developed by the recipient)
necessary to successfully complete the term of service and to be eligible for the education award, amount
of the education award being offered for successful completion of the terms of service in which the
individual is enrolling, standards of conduct, non -duplication and non -displacement, fundraising by
members, Drug -Free Workplace Act, civil rights requirements, complaint procedures, and rights of
beneficiaries, prohibited activities, suspension and termination from service, grievance procedures, sexual
harassment, AmeriCorps 101 including an overview of AmeriCorps history and operations, YCCO Fixed
Award Program Performance Measures and other topics as necessary. Maintain copies of the Orientation
Agenda and sign -in sheets to document topics covered and member attendance;
AmeriCorps prohibited activated include:
At no time while acting in an official capacity as an AmeriCorps member may a Member:
1. Engage in activity that is illegal under local, state, or federal law.
2. Engage in activities that duplicate or displace staff or community volunteer positions.
3. Engage in fundraising activities that exceed 10% of total service hours.
4. Engage in activities that pose a significant safety risk to others.
5. Engage in any AmeriCorps prohibited activities that include:
a. Attempting to influence legislation;
b. Organizing or engaging in protests, petitions, boYCCOtts, or strikes;
c. Assisting, promoting, or deterring union organizing;
d. Impairing existing contracts for services or collective bargaining agreements;
e. Engaging in partisan political activities, or other activities designed to influence the outcome
of an
f. election to any public office;
g. Participating in, or endorsing, events or activities that are likely to include advocacy for or
against
h. political parties, political platforms, political candidates, proposed legislation, or elected
officials;
i. Engaging in religious instruction, conducting worship services, providing instruction as part
of a
j. program that includes mandatory religious instruction or worship, constructing or operating
facilities
k. devoted to religious instruction or worship, maintaining facilities primarily or inherently
devoted to
I. religious instruction or worship, or engaging in any form of religious proselytization;
m. Providing a direct benefit to—
i. A business organized for profit;
ii. A labor union;
iii. A partisan political organization;
iv. A nonprofit organization that fails to comply with the restrictions contained in
section 501(c)(3) of the Internal Revenue Code of 1986 related to engaging in
political activities or substantial amount of lobbying except that nothing in these 9
Page 4 of 9
YCCO Service Location Agreement PY2018
provisions shall be construed to prevent participants from engaging in advocacy
activities undertaken at their own initiative; and
v. An organization engaged in the religious activities described in paragraph 3.g. above,
unless CNCS assistance is not used to support those religious activities;
b. Conducting a voter registration drive or using CNCS funds to conduct a voter registration
drive;
c. Providing abortion services or referrals for receipt of such services; and
d. Such other activities as CNCS may prohibit.
AmeriCorps members may not engage in the above activities directly or indirectly by recruiting,
training, or managing others for the primary purpose of engaging in one of the activities listed
above. Individuals may exercise their rights as private citizens and may participate in the activities
listed above on their initiative, on non-AmeriCorps time, and using non- CNCS funds. Individuals
should not wear the AmeriCorps logo while doing so.
13. Conduct and keep a record of at least a midterm and end -of -term written evaluation of each member's
performance for Full and Half -Time members and an end -of -term written evaluation for less than Half -
Time members. The end -of -term evaluation should focus on such factors as: whether the member has
completed the required number of hours; whether the member has satisfactorily completed assignments;
and whether the member has met other performance criteria that were clearly communicated at the
beginning of the term of service. Evaluations must be signed and dated by the member, his or her Crew
Leader, and by a staff member with program oversight responsibilities. Service Locations should perform,
sign and date these evaluations on the member's last day of service. If a member leaves service early,
either for cause of personal compelling circumstances, an evaluation must still be completed. If the
member is no longer available to participate and/or sign this evaluation, it should be completed by the
member's direct supervisor and kept in the member file.
14. Maintain a file on each member which includes a completed checklist (YCCO AmeriCorps Member File
Checklist) provided by CYCA in the PY2018 resources and all other required documents. Ensure effective
security measures are in place so that only authorized persons have access to member files and records
(see YCCO AmeriCorps Member Record Retention & Access Policy).
15. Maintain accurate time records for each member;
16. Ensure adequate hours of service are performed prior to submitting Exit Certification Forms to CYCA;
17. Time records should clearly differentiate between education, training and service activities and clearly
show attendance at an AmeriCorps member orientation. Time and attendance records must be signed and
dated by the member, their Crew Leader and by a staff member with program oversight responsibilities.
Ensure that the total hours recorded on the member's Exit Certification Form and final evaluation are
equal to total served on timesheets. Unsigned timesheets will not count towards a member's hours;
18. Establish standard procedures for tracking education, training and service hours for all members in the
YCCO Fixed Award Program. Ensure that no more than 20 percent of the aggregate all member service
hours are spent in education and training activities.
19. Ensure that each member registers on My AmeriCorps (https://my.americorps.gov) before enrolling in the
program and that the member has a working email address;
Page 5 of 9
YCCO Service Location Agreement PY2018
20. Ensure sufficient opportunity within Service Location's operations for enrolled members to successfully
and compliantly complete required number of hours in their term of service and become eligible to receive
an AmeriCorps Education Award;
21. Submit all requests for Compelling Personal Circumstances in writing within 10 days of the member's
requested exit date. Please provide a narrative outlining the situation, a rationale for a Personal
Compelling Circumstance, and submit the member's letter of resignation for review. These materials will
be submitted to Serve Colorado for approval as per their outlined process. If a Compelling Personal
Circumstance is granted by Serve Colorado then CYCA will notify the Service Location and approve exiting
the member;
22. Track all Performance Measure data and achieve outcomes in the Performance Measures listed
below. The Service Location is required to submit performance measure data on YCCO AmeriCorps Fixed
Award Progress Report Quarterly Templates. Progress Reports submitted to CYCA and should strive to
achieve maximum output in their individual performance towards these measurements to the best of their
ability:
EN4: At -Risk Eco-Systems
Output: 1,600 acres of national parks, state parks, city parks, county parks, or other public and tribal lands
that are treated.
Tracked: Project accomplishment forms and Corps Information Database (CID).
Outcome: 1,360 acres of national parks, state parks, city parks, county parks, or other public and tribal
lands that are improved.
Tracked: Project sponsor evaluations
EN5: At -Risk Eco-Systems
Output: 230 miles of trails or waterways that are treated and/or constructed.
Tracked: Project accomplishment forms and Corps Information Database (CID).
Outcome: 196 miles of trails or waterways that are improved and/or put to use.
Tracked: Project sponsor evaluations
EN1: Energy Efficiency
Output: 1,200 housing units of low-income households and public structures weatherized or retrofitted to
improve energy efficiency.
Tracked: Log of retrofits and certification of completion.
Outcome: 1,000 weatherized or retrofitted low-income households with reduced energy consumption or
reduced energy costs.
Tracked: Log of retrofits and annual energy savings calculations spreadsheet.
O12: Employment
Output: 120 Economically Disadvantaged national service participants who are unemployed prior to their
term of service.
Tracked: Members self -Certification
Outcome: 54 of Economically Disadvantaged national service participants that have registered for a college
course during their term of service or within 30 days after finishing the program.
Tracked: Letter from school, transcript, or member self -certification.
Page 6 of 9
YCCO Service Location Agreement PY2018
Outcome: 35 of Economically Disadvantaged national service participants that secure employment during
their term of service or within 30 days after finishing the program.
Tracked: Letter from employer, pay stub, or member self -certification.
Additional performance measure and quarterly report resources can be found in: YCCO AmeriCorps Fixed
Award Progress Report PY2018 Trimester Reporting Instructions, YCCO AmeriCorps O12 Member Eligibility
Policy, YCCO AmeriCorps O12 Data Tracking Policy, YCCO AmeriCorps Member Statement of Income &
Demographics PY2018 and YCCO AmeriCorps Instructions for Reviewing Member Income & Demographics
PY2018.
23. Upload the service hours of members into the OnCorps database on a monthly basis at minimum; and
these hours will be uploaded no later than the 10th of the following month, unless otherwise agreed upon.
Hours must be logged into the OnCorps Reports system as outlined in: OnCorps Reports Instructions -
Managing Member Records & Timesheets.
24. Service Locations may not invoice CYCA for a larger dollar amount than correlates to actual member hours
served at the Service Location, please see YCCO AmeriCorps Fixed Award Financial Basics PY2019.
25. Service Location shall supply documentation for any additional information CYCA may request to support
the reimbursement requests.
26. Implement any recommended changes as the result of site visits/file reviews and/or a Service Location
Corrective Action Plan or submit a written plan to CYCA addressing how issue(s) will be corrected;
27. Bear full and sole responsibility for any findings or recommendations should there be instances of
noncompliance as determined by the CYCA, Serve Colorado, CNCS and/or the National Service Trust,
including making payments on demands for recovery of Education Award funds or Fixed Award operating
costs based on allowable member service hours; if CYCA receives a financial penalty due to findings at the
Service Location, this penalty charge will be transferred to and paid by the Service Location.
28. Honor the commitments made to each member, including issuance of earned education awards and/or
administrative compensation for service within the member's defined term of service as outlined in the
member's signed contract; and
29. Ensure that records are maintained sufficient to establish that each member is eligible to participate and
that the member successfully completed all requirements. YCCO files should be retained for a period of at
least three years from the end of CYCA's contract period with Serve Colorado.
30. Service Location is responsible for maintaining compliance with all other applicable AmeriCorps rules and
regulations.
Service Location Grievance Procedure:
Dispute Resolution
1. The aggrieved party from the accredited corps should contact the Associate Director of the
Colorado Youth Corps Association to attempt to resolve the conflict.
2. If the initial outreach to the Colorado Youth Corps Association's Associate Director is unsuccessful,
the aggrieved party should contact the Executive Director in pursuit of an amenable outcome.
Page 7 of 9
YCCO Service Location Agreement PY2018
3. If outreach to the Associate Director and Executive Director is unsuccessful, the aggrieved party
should contact the Board Chair of the Colorado Youth Corps Association in pursuit of an amenable
outcome.
4. If these efforts are undertaken and unsuccessful, the process may be aided by a neutral party who,
with respect to an issue in controversy, functions specifically to aid the parties in resolving the
matter through a mutually achieved and acceptable written agreement. The neutral party may not
compel a resolution. Proceedings before the neutral party must be informal, and the rules of
evidence will not apply.
Time limitations
Except for a grievance that alleges fraud or criminal activity, a Dispute Resolution must be made no later
than one year after the date of the alleged occurrence.
Suspension of placement
If a Dispute Resolution is elevated to a neutral party, no additional placements of participants may be
made until a resolution is reached.
Amendments to this Agreement:
This agreement may be changed or revised only by written consent by both parties.
Modification and Termination:
CYCA maintains the right to terminate this Service Location Agreement at any time if it determines in the
reasonable exercise of its sole discretion that the Service Location is not adhering to the requirements set
herein. Absent emergent circumstances, CYCA will attempt to resolve issues through verbal and written
communication based on the Service Location Corrective Action Policy prior to termination. Notice of
termination shall be in writing to Corps Directors and give 15 days' notice before becoming effective. No new
members can be enrolled after notice of termination is issued. CYCA may, in its sole discretion, give the
Service Location an option to consent to modification of this Service Location Agreement in lieu of
termination.
The Service Location acknowledges that CYCA is receiving funding for this program from Serve Colorado. If
CYCA receives notice that Serve Colorado is cancelling the funding CYCA is reliant upon for this program, then
CYCA may immediately terminate this contract.
Page 8 of 9
YCCO Service Location Agreement PY2018
COLORADO
YOUTH
CORPS
ASSOCIATION
AmeriCorps Education Award Service Location Agreement
Between Colorado Youth Corps Association and
Weld County Youth Conservation Corps
January 1, 2020 — December 31, 2020
Signature Page
TO BE COMPLETED BY SERVICE LOCATION
{� 12.20 /'
Signature — Service Location s Director (or equivalent) Date
Karva imowt Corps birearr - we ycc
Print Name & Title
3
iggature — Corps Service Location Administrator
Jaime Ulrich, Director, Department of Human Services
20
Date
Print Name & Title
TO BE COMPLETED BY CYCA
)4 -
Scott Se om
Execu
tive utive Director, CYCA
Id/ /elan
e
ndon Watkins; Associate Director, CYCA t ' Date
**Sign two copies of this Service Location Agreement Signature Page and return both copies to CYCA. Once
signed, CYCA will return one copy to the Service Location for your records.**
Colorado Youth Corps Association • 1640 Grant Street • Suite 210 • Denver, CO 80203
ssegerstrom@cyca.org • Phone: 303.863.0604 • Fax: 303.863.0610
Page 9 of 9 YCCO Service Location Agreement
PY2018
oZOo1-e -6 7i7
Contract Form
New Contract Request
Entity Information
Entity Name*
COLORADO YOUTH CORPS @00012676
ASSOCIATION
Entity ID*
Contract Name*
COLORADO YOUTH CONSERVATION CORP (AMERICORPS
EDUCATION AWARD SERVICE LOCATION AGREEMENT)
Contract Status
CTB REVIEW
❑ New Entity?
Contract ID
3339
Contract Lead*
CULLINTA
Contract Lead Email
cullinta@co.welci.co.us
Parent Contract ID
Requires Board Approval
YES
Department Project if
Contract Description *
AMERICORPS EDUCATION AWARD SERVICE LOCATION AGREEMENT FOR THE PERIOD OF JANUARY 1 2020 -DECEMBER 31,
2020.
Contract Description 2
Contract Type*
AGREEMENT
Amount*
$0 00
Renewable*
NO
Automatic Renewal
Grant
IGA
Department
HUMAN SERVICES
Department Email
CM-
HumanServices@weldgovcom
Department Head Email
CM-HumanServices-
DeptHead@weldgov.com
County Attorney
GENERAL COUNTY
ATTORNEY EMAIL
County Attorney Email
CM-
COUNTYATTORNEY@WELD
GOV.COM
Requested BOCC Agenda
Date*
12?3012019
Due Date
1226/2019
Will a work session with BOCC be required?*
NO
Does Contract require Purchasing Dept. to be included?
tf this is a renewal enter previous Contract ID
If this is part of a MSA enter MSA Contract ID
Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in
OnBase
Contract Dates
Effective Date Review Date* Renewal Date
114)1/2020
Termination Notice Period Committed Delivery Date Expiration Date*
12/3112020
Contact Information
Contact Info
Contact Name
Purchasing
Purchasing Approver
Approval Process
Department Head
JAMIE ULRICH
DH Approved Date
02/24/2020
Final Approval
BOCC Approved
BOCC Signed Date
BOCC Agenda Date
03/04/2020
Originator
CULLINTA
Contact Type Contact Email
Finance Approver
BARB CONNOLLY
Contact Phone 1 Contact Phone 2
Purchasing Approved Date
Finance Approved Date
02/25/2020
Tyler Ref *
AG 030420
Legal Counsel
GABE KALOUSEK
Legal Counsel Approved Date
02125/2020
Submit
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