HomeMy WebLinkAbout20202605.tiffEsther Gesick
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Sonja Kohlgraf
Tuesday, August 18, 2020 3:37 PM
Esther Gesick
Patti Russell
JAG2018 additional forms
DCJ_Form_30 (002) wo signature.pdf; Lobbying wo signature JAG2018.pdf
Hello Esther,
Attached are the two forms that need to be signed by the Chair.
I have not heard back from Patti on the Lobbying, debarment, suspension form, so I just check marked the area below
the text box as Bob Choate advised. Once Patti has reviewed it and shared her input we are good to go.
Summary of grant award:
The official award was approved by BOCC on 8/4/2020. The State Controller signed the award on 8/10/2020. OnBase#s
3706 and 3939 are backing this award up.
The State reached out to us after the award was filed and wanted us to fulfill the list below.
DJC Form 30 and the Lobbying form are the ones to be signed by the Chair. There is also a place in ZoomGrants under
Grant Documents that probably needs Mike Freeman's signature. I am checking with the State on the process (see prior
e-mail).
Please let me know if you have any questions. If we could get these forms on Monday's 8/24 consent agenda that would
be great.
Thank you,
Sonja Kohlgraf, MBA
Budget/Business Manager
Weld County Sheriff's Office
Ph: 970-400-2872
1) Sonja will need to certify the documents on the Grant Agreement tab
prior to the first payment request.
2) DCJ forms 13, 30, and the certificate regarding lobbying, debarment,
suspension, and drug -free workplace must be completed and uploaded
prior to the first payment request. These form templates can be found on
the Documents tab.
3) The collaborator access for Cindy Johnson and Kristy Wilson must be
changed to full editing access by checking the boxes under the report,
So( k) 0204-0 f 6'a
( 9 ;o ov/- 6-0e640
financial, and grant agreement columns. The account owner is the only
one that can change collaborator access and the individual listed as such
is Esther Gesick. Once this access has been updated, I can finish setting
up your grant; please let me know that this has been completed.
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COLORADO DIVISION OF CRIMINAL JUSTICE
CERTIFICATION OF COMPLIANCE WITH REGULATIONS
OFFICE FOR CIVIL RIGHTS, DEPARTMENT OF JUSTICE (DCJ FORM 30)
INSTRUCTIONS: Complete the table below with information found in the Grant Agreement. Read the form completely,
identify the person responsible for reporting civil rights findings, certify that the required Civil Rights training has been
completed by the Project Director; and check only one certification under "II" that applies to your agency. Have your
Signature Authority sign at the bottom of page 2, forward a copy to the person identified as being responsible for reporting
civil rights findings and return the original to the Colorado Division of Criminal Justice, 700 Kipling, Ste. 1000, Denver, CO
80215, within 45 days of the grant award beginning date.
GRANTEE NAME & ADDRESS:
Weld County
1150 O Street
Greeley CO 80631
GRANT NUMBER:
2018 -DJ -18-06-49-1
PROJECT TITLE:
Weld County Jail Booking Body Scanner Project
AWARD ($):
$105,000.00
PROJECT DURATION:
FROM: 7/1/2O TO: 6/30/21
PROJECT DIRECTOR: Sonja Kohlgraf, Budget Manager PHONE: 970-400-2872
Person responsible for reporting civil rights findings of discrimination: (Name, address, phone & email)
Patti Russel, Director Human Resources, 1150 O Street, Greeley CO 80631
I acknowledge that I viewed all of the trainings on Civil Rights available on DCJ's website at
https://www.colorado.gov/pacific/dcj/civil-rights-requirements. I accept responsibility for ensuring that project staff
understands their responsibilities as outlined in the presentations. I understand that if I have any questions about the material
presented and my responsibilities as a grantee that I will contact my grant manager.
Sonja Kohlgraf
Digitally signed by Sonja Kohlgraf
Date: 2020.08.13 14:56:49 -06'00'
PROJECT DIRECTOR SIGNATURE
8/13/2020
DATE
SIGNATURE AUTHORITY'S CERTIFICATION: As the Signature Authority for the above Grantee, I certify, by my
signature on page two (2), that I have read and am fully cognizant of our duties and responsibilities under this Certification.
I. REQUIREMENTS OF GRANT RECIPIENTS: All grant recipients (regardless of the type of entity or the amount awarded)
are subject to prohibitions against discrimination in any program or activity, and must take reasonable steps to provide
meaningful access for persons with limited English proficiency.
♦I certify that this agency will maintain data (and submit when required) to ensure that: our services are delivered in an
equitable manner to all segments of the service population; our employment practices comply with Equal Opportunity
Requirements, 28 CFR 42.207 and 42.301 et seq.; our projects and activities provide meaningful access for people with
limited English proficiency as required by Title VI of the Civil Rights Act, (See also, 2000 Executive Order #13166).
♦I also certify that the person in this agency or unit of government who is responsible for reporting civil rights findings of
discrimination will submit these findings, if any, to the Division of Criminal Justice within 45 days of the finding, and/or if
the finding occurred prior to the grant award beginning date, within 45 days of the grant award beginning date.
Page 1 of 2
02 0.20 - pZ�i�5
So O O L/
DCJ30_v12 (Rev. 102/20)
DCJ FORM 30:
CERTIFICATION OF COMPLIANCE WITH REGULATIONS,
OFFICE FOR CIVIL RIGHTS, DEPARTMENT OF JUSTICE (Continued)
II. EQUAL EMPLOYMENT OPPORTUNITY PLAN (EEOP) CERTIFICATIONS: Check the box before ONLY ONE
APPROPRIATE CERTIFICATION (A or B below) that applies to this grantee agency during the period of the grant
duration noted above.
® CERTIFICATION "A" [Applicable, if (1), (2) or (3), below, apply.] This is the Certification that most non -profits
and small agencies will use. Check all that apply to your entity.
This funded entity:
(1) is an educational, medical or non-profit organization or an Indian Tribe;
(2) has less than 50 employees;
(3) was awarded through this single grant award from the Colorado Division of Criminal Justice less than
$25,000 in federal U.S. Department of Justice funds.
Therefore, I hereby certify that this funded entity is not required to maintain an EEOP, pursuant to 28 CFR §42.302, but
is required to submit a Certification (https://oip.gov/about/ocr/eeop.htm).
CERTIFICATION "B" (Applicable to all entities that do not qualify for Certification "A" above)
This funded entity, as a for-profit entity or a state or local government having 50 or more employees (counting both full -
and part-time employees but excluding political appointees) and is receiving, through this single grant award from the
Colorado Division of Criminal Justice, more than $25,000, in federal U.S. Department of Justice funds.
Therefore, I hereby certify that the funded entity will prepare and submit an EEOP and Certification at
https://ojp.gov/about/ocr/eeop.htm, within 60 days of the award. The EEOP shall be submitted in accordance with 28
CFR §42, subpart E, to Office for Civil Rights, Office of Justice Programs, U.S. Department of Justice that will include a
section specifically analyzing the grantee (implementing) agency. (If you have already submitted an EEOP applicable to
this time period, send a copy of the letter received from the Office for Civil Rights showing that your EEOP is
acceptable.)
As the Signature Authority for the above grantee, I certify, by my signature below, that I have read and am fully cognizant of our
duties and responsibilities under this Certification. I, hereby, also certify that the content of this form, other than the data entry
required, has not been altered.
Mike Freeman Digitally signed by Mike Freeman
Date: 2020.08.24 15:20:07 -06'00'
08/24/2020
SIGNATURE AUTHORITY SIGNATURE DATE
Mike Freeman Chair
TYPED NAME TITLE
* * *
* * * * * * *
This signed form must be returned to the Colorado Division of Criminal Justice, 700 Kipling, Ste. 1000, Denver, CO 80215,
within 45 days of the grant award beginning date. You must also forward a signed copy to the person identified in the box
above.
Page 2 of 2
DCJ30_v12 (Rev. 02/20)
U.S. DEPARTMENT OF JUSTICE
OFFICE OF JUSTICE PROGRAMS
OFFICE OF THE COMPTROLLER
CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION AND
OTHER RESPONSIBILITY MATTERS; AND DRUG -FREE WORKPLACE REQUIREMENTS
Applicants should refer to the regulations cited below to determine the certification to which they are required to
attest. Applicants should also review the instructions for certification included in the regulations before completing this
form. Signature of this form provides for compliance with certification requirements under 28 CFR Part 69, "New
Restrictions on Lobbying" and 28 CFR Part 67, "Government -wide Debarment and Suspension (Nonpro-curement) and
Government -wide Requirements for Drug -Free Workplace (Grants)." The certifications shall be treated as a material
representation of fact upon which reliance will be placed when the Department of Justice determines to award the
covered transaction, grant, or cooperative agreement.
1. LOBBYING
As required by Section 1352, Title 31 of the U.S. Code, and
implemented at 28 CFR Part 69, for persons entering into a
grant or cooperative agreement over $100,000, as defined at
28 CFR Part 69, the applicant certifies that:
(a) No Federal appropriated funds have been paid or will be
paid, by or on behalf of the undersigned, to any person for in-
fluencing or attempting to influence an officer or employee of any
agency, a Member of Congress, an officer or employee of
Congress, or an employee of a Member of Congress in con-
nection with the making of any Federal grant, the entering into
of any cooperative agreement, and the extension, continuation,
renewal, amendment, or modification of any Federal grant or
cooperative agreement;
(b) If any funds other than Federal appropriated funds have
been paid or will be paid to any person for influencing or at-
tempting to influence an officer or employee of any agency, a
Member of Congress, an officer or employee of Congress, or
an employee of a Member of Congress in connection with this
Federal grant or cooperative agreement, the undersigned shall
complete and submit Standard Form - LLL, "Disclosure of
Lobbying Activities," in accordance with its instructions;
(c) The undersigned shall require that the language of this cer-
tification be included in the award documents for all subawards
at all tiers (including subgrants, contracts under grants and
cooperative agreements, and subcontracts) and that all sub -
recipients shall certify and disclose accordingly.
2. DEBARMENT, SUSPENSION, AND OTHER
RESPONSIBILITY MATTERS
(DIRECT RECIPIENT)
As required by Executive Order 12549, Debarment and
Suspension, and implemented at 28 CFR Part 67, for prospec-
tive participants in primary covered transactions, as defined at
28 CFR Part 67, Section 67.510—
A. The applicant certifies that it and its principals:
(a) Are not presently debarred, suspended, proposed for debar-
ment, declared ineligible, sentenced to a denial of Federal
benefits by a State or Federal court, or voluntarily excluded
from covered transactions by any Federal department
or agency;
(b) Have not within a three-year period preceding this applica-
tion been convicted of or had a civil judgment rendered against
them for commission of fraud or a criminal offense in connec-
tion with obtaining, attempting to obtain, or performing a
public (Federal, State, or local) transaction or contract under a
public transaction; violation of Federal or State antitrust
statutes or commission of embezzlement, theft, forgery,
bribery, falsification or destruction of records, making false
statements, or receiving stolen property;
(c) Are not presently indicted for or otherwise criminally or
civilly charged by a governmental entity (Federal, State, or
local) with commission of any of the offenses enumerated in
paragraph (1)(b) of this certification; and
(d) Have not within a three-year period preceding this applica-
tion had one or more public transactions (Federal, State, or
local) terminated for cause or default; and
B. Where the applicant is unable to certify to any of the
statements in this certification, he or she shall attach an
explanation to this application.
3. DRUG -FREE WORKPLACE
(GRANTEES OTHER THAN INDIVIDUALS)
As required by the Drug -Free Workplace Act of 1988, and
implemented at 28 CFR Part 67, Subpart F, for grantees, as
defined at 28 CFR Part 67 Sections 67.615 and 67.620—
A. The applicant certifies that it will or will continue to provide
a drug -free workplace by:
(a) Publishing a statement notifying employees that the
unlawful manufacture, distribution, dispensing, possession, or
use of a controlled substance is prohibited in the grantee's
workplace and specifying the actions that will be taken against
employees for violation of such prohibition;
(b) Establishing an on -going drug -free awareness program to
inform employees about —
(1) The dangers of drug abuse in the workplace;
(2) The grantee's policy of maintaining a drug -free workplace;
(3) Any available drug counseling, rehabilitation, and employee
assistance programs; and
(4) The penalties that may be imposed upon employees for
drug abuse violations occurring in the workplace;
(c) Making it a requirement that each employee to be engaged
in the performance of the grant be given a copy of the state-
ment required by paragraph (a);
(d) Notifying the employee in the statement required by
paragraph (a) that, as a condition of employment under the
grant, the employee will—
OJP FORM 4061/6 (3-91) REPLACES OJP FORMS 4061/2, 4061/3 AND 4061/4 WHICH ARE OBSOLETE.
(1) Abide by the terms of the statement; and
(2) Notify the employer in writing of his or her conviction for a
violation of a criminal drug statute occurring in the workplace
no later than five calendar days after such conviction;
(e) Notifying the agency, in writing, within 10 calendar days
after receiving notice under subparagraph (d)(2) from an
employee or otherwise receiving actual notice of such convic-tion.
Employers of convicted employees must provide notice, including
position title, to: Department of Justice, Office of
Justice Programs, ATTN: Control Desk, 633 Indiana Avenue,
N.W., Washington, D.C. 20531. Notice shall include the iden-
tification number(s) of each affected grant;
(f) Taking one of the following actions, within 30 calendar
days of receiving notice under subparagraph (d)(2), with
respect to any employee who is so convicted —
(1) Taking appropriate personnel action against such an
employee, up to and including termination, consistent with the
requirements of the Rehabilitation Act of 1973, as amended; or
(2) Requiring such employee to participate satisfactorily in a
drug abuse assistance or rehabilitation program approved for
such purposes by a Federal, State, or local health, law enforce-
ment, or other appropriate agency;
(g) Making a good faith effort to continue to maintain a drug -
free workplace through implementation of paragraphs (a), (b),
(c), (d), (e), and (f).
B. The grantee may insert in the space provided below the
site(s) for the performance of work done in connection with
the specific grant:
Place of Performance (Street address, city, county, state, zip
code)
Check 0 if there are workplaces on file that are not indentified
here.
Section 67, 630 of the regulations provides that a grantee that
is a State may elect to make one certification in each Federal
fiscal year. A copy of which should be included with each ap-
plication for Department of Justice funding. States and State
agencies may elect to use OJP Form 4061/7.
Check 0 if the State has elected to complete OJP Form
4061/7.
DRUG -FREE WORKPLACE
(GRANTEES WHO ARE INDIVIDUALS)
As required by the Drug -Free Workplace Act of 1988, and
implemented at 28 CFR Part 67, Subpart F, for grantees, as
defined at 28 CFR Part 67; Sections 67.615 and 67.620—
A. As a condition of the grant, I certify that I will not engage
in the unlawful manufacture, distribution, dispensing, posses-
sion, or use of a controlled substance in conducting any
activity with the grant; and
B. If convicted of a criminal drug offense resulting from a
violation occurring during the conduct of any grant activity, I
will report the conviction, in writing, within 10 calendar days
of the conviction, to: Department of Justice, Office of Justice
Programs, ATTN: Control Desk, 633 Indiana Avenue, N.W.,
Washington, D.C. 20531.
Required only for awards greater than $100,000. This form must be signed by the Signature Authority/
Authorized Official for the Grantee Agency. The Project Director should NOT sign this form.
As the duly authorized representative of the applicant, I hereby certify that the applicant will comply with the above certifications.
Weld County, 1150 O Street, Greeley CO 80631
1. Grantee Name and Address:
2018 -DJ -18-06-49-1
2. Application Number and/or Project Name
84-6000813
3. Grantee IRSNendor Number
Mike Freeman, Chair, Weld County Board of Commissioners
4. Typed Name and Title of Authorized Representative
Mike Freeman
Digitally signed by Mike Freeman
Date: 2020.08.24 15:21:20 -06'00'
08/24/2020
5. Signature
6. Date
Esther Gesick
From:
Sent:
To:
Subject:
Sonja Kohlgraf
Tuesday, August 18, 2020 3:41 PM
Esther Gesick
ESOP certification submission JAG2018 Competitive Grant funding - Form completion
Hello Esther,
I forgot to attach the confirmation of Patti's submission. Please see below.
Sonja Kohlgraf, MBA
Budget/Business Manager
Weld County Sheriff's Office
Ph: 970-400-2872
From: Patti Russell <prussell@weldgov.com>
Sent: Tuesday, August 18, 2020 1:27 PM
To: Sonja Kohlgraf <skohlgraf@weldgov.com>
Subject: RE: JAG2018 Competitive Grant funding Form completion
This has been submitted.
Help us Help YOU! For questions related to FMLA and LEAVE TIME as it related to the COVID 19 pandemic, please send
your questions to Melissa Marquardt at mmarquardt@weldqov.com, Michelle Raimer at mraimer@weldgov.com or
Andrew Chadwick at achadwick@weldgov.com. Our staff is dedicated to providing you the most current and correct
information and will respond to you within 2-3 business days.
Thanks,
Patti Russell
Patricia S. Russell, SHRM-SCP, SPHR
Director, Human Resources
Weld County Government
1150 O Street
Greeley, CO 80631
(970) 400-4230
prussell@weldqov.com
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From: Sonja Kohlgraf <skohlgraf@weldgov.com>
Sent: Tuesday, August 18, 2020 11:09 AM
To: Patti Russell <prussell@weldgov.com>
Cc: Bob Choate <bchoate@weldgov.com>; Esther Gesick <egesick@weldgov.com>
Subject: RE: JAG2018 Competitive Grant funding - Form completion
Thank you. If I mark the B section, could you please submit your EEOP on the link below. They give us a limited time
frame for submission. 60 days are over at the end of August because award officially started on 7/1/2020. Have you had
a chance to review the Lobbying form?
Therefore, I hereby certify that the funded entity will prepare and submit an EEOP and Certification at
https:j/ojp.gov/about/ocr/eeop.htm, within 60 days of the award. The EEOP shall be submitted in accordance with 28
CFR §42, subpart E, to Office for Civil Rights, Office of Justice Programs, U.S. Department of Justice that will include a
section specifically analyzing the grantee (implementing) agency. (If you have already submitted an EEOP applicable to
this time period, send a copy of the letter received from the Office for Civil Rights showing that your EEOP is acceptable.)
Sonja Kohlgraf, MBA
Budget/Business Manager
Weld County Sheriff's Office
Ph: 970-400-2872
From: Patti Russell <prussell@weldgov.com>
Sent: Tuesday, August 18, 2020 10:27 AM
To: Sonja Kohlgraf <skohlgraf@weldgov.com>
Cc: Bob Choate <bchoate@weldgov.com>; Esther Gesick <egesick@weldgov.com>
Subject: Re: JAG2018 Competitive Grant funding - Form completion
I think it's B and I had an EEOP completed this year. I know Daren Ford has a copy or I can send it to you this afternoon.
Patti Russell
Sent from my iPhone
On Aug 13, 2020, at 3:11 PM, Sonja Kohlgraf <skohlgraf@weldgov.com>wrote:
2
Hello Patti
I am attaching Form DJC30 — could you please choose the item that needs to be check marked in section
2? Please do not sign. I will send the form on to Esther for the Chair's signature.
Also attached is the Lobbying form. Could Bob and you please review it before the Chair signs it? It's a
standard form, so it should be ok. I didn't know if we have to list additional addresses under #3. Please
advise
Thank you for your assistance in getting these completed. Under normal circumstances these forms
would have been presented along with the application or award.
Sonja Kohlgraf, MBA
Budget/Business Manager
Weld County Sheriffs Office
Ph: 970-400-2872
<image001.jpg>
<DCJ_Form_30.pdf>
<Lobbying.pdf>
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Hello