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HomeMy WebLinkAbout20183554.tiffRESOLUTION RE: APPROVE APPLICATION FOR VETERANS SERVICE TO CAREER PROGRAM GRANT 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 an Application for the Veterans Service to Career Program Grant from 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 Northern Colorado Veterans Resource Center, to the Colorado Department of Labor and Employment, commencing upon full execution of signatures, with further terms and conditions being as stated in said application, and WHEREAS, after review, the Board deems it advisable to approve said application, 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 Application for the Veterans Service to Career Program Grant from 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 Northern Colorado Veterans Resource Center, to 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 application. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 7th day of November, A.D., 2018. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: W/A)���, Weld County Clerk to the Board APP Stele Moreno, Chair 'rbara Kirkmeyer, P LTeputy Clerk to the Board ounnt orney Date of signature: (1/155/IS can P. Conway CUSED Mike Freeman c -c.: I-160, CA.c7 CESC) l 'W 1 `� / 18- 2018-3554 HR0089 MEMORANDUM DATE: October 30, 2018 TO: Board of County Commissioners — Pass -Around FR: Judy A. Griego, Director, Human Services RE: Weld County Department of Human Services' Employment Services of Weld County (ESWC) Submission of a Request for Application (RFA) Please review and indicate if you would like a work session prior to submitting this application. Request Board Approval of the Departments' Employment Services of Weld County (ESWC) Submission of a Request for Application (RFA). House Bill 18-1343 established Colorado Veterans Service - to -Career Pilot Program as an ongoing program through January 1, 2024. Under the Colorado Department of Labor and Employment (CDLE), local workforce areas may apply for the funds to support Veterans and their spouses, and other eligible individuals seeking new employment and careers. Services provided under this program shall not duplicate services currently provided under the Workforce Innovation and Opportunity Act (WIOA); rather, allow for a partnership with a nonprofit agency that supports Veterans and their families. Partner services needed to secure gainful employment or participate in an educational or skills training program include, but are not limited to, housing, food, personal care items and mental health. This is an online application, with an aggressive deadline of November 7, 2018. The grant funding made available for this program is $925,000. Employment Services would like to apply for $190,000, which would serve 50 eligible participants at $3,800 per individual. The content of the application has been discussed among staff of Employment Services and the Veterans Services Office. I do not recommend a Work Session. I recommend approval of this Application, and the submission of the application. Sean P. Conway Julie A. Cozad Mike Freeman Barbara Kirkmeyer, Pro -Tern Steve Moreno, Chair Approve Schedule Recommendation Work Session Other/Comments: 2018-355461 HVNODeci Pass -Around Memorandum; October 30, 2018 — Non CMS Page 1 Colorado Department of Labor and Employment Request for Application KADA 20190000080 Veteran's Service to Career Program Grant Attachment A Application Form Cover sheet — please fill out each line in its entirety. Do not write "same as above". Provide the name of your Initiative: Weld Project Salute Funding amount requested $190,000.00 Who is the primary grant applicant for this application? (This is the entity that may be awarded) Name: Title: Organization: Employment Services of Weld County Email Address: Phone: 970-353-3800 Identify the fiscal agent - (This is the entity that receives the funds. It may be the applicant or some other agent but should have a relationship in the programmatic and strategic requirements of the grant) If fiscal agent is different than primary grant applicant, a certification form should be included in the application as well in order to obligate the fiscal agent to the disbursement of funds. Name: Lennie Bottorff Organization. Weld County Department of Human Services Address: 315 N 11 Ave Bldg. B, Greeley. CO 80632 Email: bottorll@weldgov.com Phone: 970-400-6537 Type of organization: County Government Identify the Grant Administrator for the Initiative: (A single point of contact) Name: Cecilia L. Moreno Title: Adult Programs WIOA Supervisor Organization: Employment Services of Weld County Email Address: cgarcia-moreno@weldgov.com The signature below constitutes the individual or entity representative acknowledges and agrees that they will be the Grant Administrator for this applicatio Name: Title: A "hlt 1 Cecilia Moreno 020/S-,5064-6) Grant Proposal - Provide a thorough description that addresses each item below. Preferred length: No more than 10 Pages for responses to required elements and preferred elements. Grant Application Elements Each local area that wishes to participate must submit a grant application that addresses the required elements below. Applicants may also address the optional elements. There are six required elements in a grant proposal. Applications that fail to address all six required elements will not be eligible. Required Elements 1) Provide a detailed description of services offered to eligible participants by the workforce center that do not duplicate services currently provided under W1OA, and how those services compliment other services offered under the Veterans Service to Career Program. Employment Services of Weld County (ESWC) One -Stop is uniquely structured to provide a wide range and variety of services to meet both the workforce and potential other needs of Veterans, spouses, and other eligible participants in that we are housed on a Human Services campus. Our Workforce Innovation and Opportunity (WIOA) clients have easy access to Area Agency on Aging (AAA); Colorado Child Care Assistance Program (CCCAP), Supplemental Nutritional Assistance Program (SNAP) and Medicaid eligibility; information regarding child care providers; Child Support Services; and the Child Welfare and Foster Care programs. In addition, the Employment First and Temporary Assistance for Needy Families (TANF) work programs, Migrant Seasonal Farmworker (MSFW), Realizing Economic Advancement through Caring Homes (REACH), Trade Adjustment Assistance (TAA), AmeriCorps through the Weld County Youth Conservation Corps (WCYCC) and an Assessment & Learning Center are co -located with and operated by Employment Services, the One -Stop Operator for Weld County. These existing services available through ESWC will be complemented by the additional services that can be offered under the funds of the Veterans Service to Career Grant. Additionally, as the definition of eligible participant has expanded greatly compared to the related definition under WIOA, ESWC will be able to provide needed services to those individuals. Weld County prides themselves on community wide collaboration resulting in braiding funding, not duplicating services and remaining a debt free County. This 2 allows ESWC to truly tailor the Veterans Service to Career funding to address any identified gaps in services. 2) Provide a clear explanation of how the grant funds would enable the workforce center to expand its services for the purposes of the program Veterans always receive priority of service through ESWC and the opportunity to expand services available for Veterans in Weld County is invaluable. Serving those who have served is a privilege and creating opportunities through this grant opportunity will allow Veterans and their families to receive services truly designed to meet individual needs. Funds will be leveraged with WIOA and/or other community -based programs to meet the needs of Veterans while avoiding duplication of services thus maximizing funds. The funds awarded through this grant will enable ESWC to expand services to eligible Veterans, and their families, to address specific needs such as transportation, housing, food, personal care items and mental health needs. Funding to meet these needs do not currently exist in Weld County. The above -mentioned services may include support for employment related relocation, access to food via grocery store gift cards, supporting temporary mental health sessions or support groups for stabilization and emergency related needs. Additional services that are not eligible to be paid through WIOA funds, or are beyond current funding limits or caps, may also be addressed under the Veterans Service to Career funds and will be identified to support individual needs. The Northern Colorado Veteran Resource Center (NCVRC) will be a partner in this effort to connect Veterans and their families to the services needed to enable them to be more successful. In the interim of this application, ESWC and NCVRC will draft a Memorandum of Understanding (MOU) to address confidentiality and data sharing, co -location and solidify a mutual vision of human centered design service delivery. 3) Describe businesses or other organizations with which the workforce center is partnering to provide services. ESWC partners with a wide range of businesses and other organizations. The Weld County Workforce Development Board (WDB) members represent the following small and large business sectors: agricultural, construction, education, financial, healthcare, manufacturing, media, oil and gas, technology, and transportation. Additional Board representatives include: Adult Basic Education, Career and Technical Education, Economic Development, Non -Profits, Older Americans, Veterans, and Vocational Rehabilitation. Apart from the WDB, ESWC has developed strong partnerships with other community entities which include, but are not limited to, the 19th Judicial 3 District, Aims Community College Advisory Boards, Colorado Department of Corrections, Guadalupe Community Center - Catholic Charities of Denver, Immigrant and Refugee Center of Northern Colorado, the Manufacturing Sector Partnership, the Northern Colorado Healthcare Sector Partnership, North Range Behavioral Health, Platte Valley Youth Service Center, the School to Work Alliance Program (SWAP), United Way of Weld County, and numerous chambers and school districts. Although ESWC staff and the Disabled Veterans Outreach Program Specialists (DVOP), Sharon Lindell and Tim Marquart are well informed on the numerous ways to apply for VA benefits, Veterans and their dependents are encouraged to work with the Weld County Veterans Services Office (VSO). The VSO assists Veterans and their dependents with filing for VA benefits and serves as a liaison and/or advocate between the Veteran and the Veterans Administration. Furthermore, the VSO has a comprehensive directory of services that is often provided in conjunction with referrals to the VSO and other community partners. This directory can be found at: https://www.weldgov.com/departments/veterans services/other veterans res ources/ The VSO, ESWC and NCVRC will strengthen the already established partnerships increasing access to services for Veterans experiencing significant needs. 4) Explain how the services will be tailored for subgroups of eligible participants, including: Eligible participants with significant barriers to employment, including those specified in 38 U. S .C. Sec. 4100 et seq., such as veterans with bad conduct discharges; veterans experiencing homelessness; Vietnam -era veterans who served for more than one hundred days between 1965 and 1975; eligible participants experiencing addiction; national guard and military reserve veterans; and veterans who are not able to enroll under WIOA or who are enrolled under the federal act but could benefit from greater support. ESWC has a proven ability to serve individuals with barriers to employment. In Program Year 17 (PY17; 7/1/2017-6/30/2018), 95.56% of the clients served by ESWC qualified under the WIOA Federal definition of Adult Priority of Service. Of the enrolled WIOA clients served in PY17, 34 were ex -offenders, 7 were homeless and 43 were older individuals. When registrants under the Wagner Peyser Act are included, ESWC, served 673 Veterans, (270 ages 18- 44, 186 ages 45-54 and 213 ages 55+). Based on these figures, and ESWC's experience serving the harder to serve customer, coupled with our partners located at NCVRC, we are confident in our abilities to tailor services to eligible participants that may have bad conduct discharges, those who are experiencing homelessness, or are Vietnam -era Veterans. Recruitment will take place internally with Wagner Peyser registrants and others who access ESWC services, at NCVRC, at the VSO and through communication with the variety of partners. 4 ESWC anticipates those Veterans who may benefit most from the Veterans Service to Career funding would be National Guard and Military Reserve Veterans, participants experiencing homelessness and those facing addiction problems. Weld County is home to the Greeley Air Guard Station, 3650th Maintenance Company, and two (2) Colorado Army National Guard Readiness Center, one in Windsor and one in Ft Lupton. Many of the men and women serving in the National Guard and Military Reserve could benefit from Veteran Priority however they do not meet the standard definition in accordance with U.S.C. Title 38. In addition to the services offered through NCVRC, the Volunteers of America Supportive Services for Veteran Families (SSVF) is also located on site at the NCVRC. SSVF specializes in helping Veterans find housing, however there may be Veterans that do not meet SSVF eligibility criteria but could benefit from Veterans Service to Career funding. An additional partner of NCVRC is the Healing Warriors Program. It has been found that Veterans who have experienced combat may display higher levels of post -traumatic stress than their counterparts. To deal with these effects, they may turn to alcohol, self - medication through the improper use of over the counter medications, inappropriate use of prescriptions, or illegal substances to minimize flashbacks, escape relationship problems, assist with trouble sleeping, etc. Ultimately these methods are not able to treat the cause and are also highly addictive. Healing Warriors can provide acupuncture, craniosacral and healing touch therapy; services normally not covered by insurance plans. Finally, additional supportive services for one-on-one counseling, group therapy and family counseling, may assist the eligible participant with mental health or addiction so that they can gain, or maintain, full time employment. 5) The planned number of new participants expected to be served by the grant. Enumerate the number of participants for each of the sub -groups in element 4 above. Project the estimated total cost per participant. ESWC and NCVRC plan to serve 50 new participants with this grant. The estimated total cost per participant to include administrative needs is $3,800 Current projections of the sub -groups are as follows: Sub -group Participant Projection Veterans with bad conduct discharges 5 Veterans experiencing homelessness 15 Vietnam -era Veterans who served for more than one hundred days between 1965 and 1975 5 5 Eligible participants experiencing addiction 10 National Guard and military reserve Veterans 10 Veterans who are not able to enroll under WIOA or who are enrolled under the federal act but could benefit from greater support 50 6) Include a budget that breaks out in detail and describes program, administrative, and contractual costs for the local area and any integrated service and support center or other contractual partner. The portion of grant funds that will directly benefit participants will be considered in evaluating proposals for award. Applications should request a specific amount of funding for budgeting purposes, but the actual grant amount will be negotiated upon award based on the number of awards and the application scoring. Below is a Budget Information Summary Table: Cost Category Budget Admin $15,200 Program $174,800 Administrative costs will primarily be utilized for the following functions, accounting, budgeting, financial and cash management, payroll of administrative personnel and indirect costs related to the program. At this time, contractual costs are not being considered outside of the application partnership. If the need arises, a modification will be submitted for review and approval. In order to give preference to workforce centers meeting the specified criteria in state legislation, there are additional elements that may be addressed. Preference Elements: 1) Provide a clear explanation as to how the workforce area partners with a non- profit agency that is an integrated service and support center for veterans and their families, if applicable. Non -profits must be named in the application. Lance Corporal, Harrison Swift, served in the Marines from 2010 to 2014. Through his personal experience of reintegration, Mr. Swift was determined to assist his fellow Veterans. In 2015, while employed at Volunteers of America, Mr. Swift was introduced to Tim Marquart, the Employment Services of Weld County (ESWC) Disabled Veterans Outreach Program Specialist (DVOP). The two began referring clients to one another and/or to ESWC for general services. This professional partnership continued when Mr. Swift began a work study at the Weld County Veterans Service Office (VSO). 6 Shortly thereafter, Mr. Swift began meeting with Mr. Marquart and other Veterans to discuss the possibility of opening a Veterans One Stop. In April of 2018, Northern Colorado Veterans Resource Center (NCVRC) came to fruition. While presenting NCVRC at the September Veterans Training Resources and Collaboration (V-TRaC) meeting, Mr. Swift was introduced to CeCe Moreno, the Adult Programs WIOA Supervisor. From that point forward, ESWC and the Workforce Innovation and Opportunity Act (WIOA) has made an intentional effort to work with Mr. Swift in all aspects to include the NCVRC ribbon cutting and enrolling Veterans into WIOA and work -based learning opportunities. 2) Provide a clear explanation of existing programs or partnerships with businesses or organizations in the community and how those services contribute to this program and provide data of measurable outcomes from any existing partnership. ESWC partners with a wide range of businesses and other organizations. The Weld County Workforce Development Board (WDB) members represent the following small and large business sectors: agricultural, construction, education, financial, healthcare, manufacturing, media, oil and gas, technology, and transportation. Additional Board representatives include: Adult Basic Education, Career and Technical Education, Economic Development, Non -Profits, Older Americans, Veterans, and Vocational Rehabilitation. Apart from the WDB, ESWC has developed strong partnerships with other community entities which include, but are not limited to, the 19th Judicial District, Aims Community College Advisory Boards, Colorado Department of Corrections, Guadalupe Community Center - Catholic Charities of Denver, Immigrant and Refugee Center of Northern Colorado, the Manufacturing Sector Partnership, the Northern Colorado Healthcare Sector Partnership, North Range Behavioral Health, Platte Valley Youth Service Center, the School to Work Alliance Program (SWAP), United Way of Weld County, and numerous chambers and school districts Although ESWC staff.and the Disabled Veterans Outreach Program Specialists (DVOP), Sharon Lindell and Tim Marquart are well informed on the numerous ways to apply for VA benefits, Veterans and their dependents are encouraged to work with the Weld County Veterans Services Office (VSO). The VSO assists Veterans and their dependents with filing for VA benefits and serve as a liaison and/or advocate between the Veteran and the Veterans Administration. Furthermore, the VSO has a comprehensive directory of services that is often provided in conjunction with referrals to the VSO and other community partners. This directory can be found at: https://www.weldgov.com/departments/veterans services/other veterans res ources/ The VSO, ESWC and NCVRC will strengthen the already established 7 partnerships increasing access to services for Veterans experiencing significant needs. These partners contribute to WIOA through referrals, co -enrollment, braided funding and enrollment into education, training or work -based learning opportunities. Beyond this, all WIOA mandated partners have Memorandums of Understanding (MOUs) with the WDB and ESWC. A succinct account of the MOU's is cost sharing, scope of services and confidentiality and data sharing. Mandated Partners are co -located at ESWC and/or ESWC employees are in the field providing services at partner locations. NCVRC has partnered with Volunteers of America Supportive Services for Veteran Families (SSVF), Healing Warriors Program, Assisted Living Locators and a Veteran Affairs Transition Care Specialist. All these organizations provide their services on location and Mr. Swift is continuously building relationships to make Veteran Services more effective and efficient. Further, numerous companies to include Covenant Oil, Noble Energy, Select Energy, Servpro, Jax Security and Loves are in the process of work based learning or direct hire opportunities which may involve braided funding from WIOA. One Veteran, through NCVRC, has been hired by Select Energy and is beyond grateful for Mr. Swift's dedication to this cause. 3) Clearly describe additional workforce development -related services that the workforce center could provide and how those services are tailored to the unique needs of eligible participants. Veterans Service to Career funding will allow ESWC to provide workforce development -related services for eligible participants whose WIOA funding is insufficient to meet their unique needs. This may include, but is not exclusive to, training that is over the cap and skills training that does not fall under the ETPL but is needed for a specific employer and supportive services. Expenses related to supportive services, that have been identified as beyond WIOA capabilities but are needed to secure gainful employment or participate in an educational or skills training program are, transportation, housing, food, personal care items and mental health. With Veterans Service to Career funding, eligible participants may be assisted with unforeseen expenses like car and home repairs, needed services such as vision care and mental health, moving expenses if relocation is required to obtain employment, a gift card to a grocery store that will benefit the participant (and family) prior to their first pay check, to name a few. 4) Preference will be given to applicants budgeting at least 50% of grant funds for direct services to clients, including supportive services, industry - recognized training, and wage subsidies for work -based learning. 8 ESWC and NCVRC are committed to providing 77% of grant funds for direct costs to support an eligible participant. This includes relevant staff time for case management, expense related supportive services that are not covered under WIOA and the cost of industry recognized training and wage subsidies for work -based learning when WIOA funding is insufficient. 5) Describe how individuals with a less than honorable discharge will be recruited and served under this program Any Veteran, apart from those with a dishonorable discharge, will be eligible to receive Veterans Service to Career funding. Recruitment information will include, but is not limited to, printed materials, program brochures, presentations, information on the agency website and the review of reports to identify the enrollment rates of Veterans and eligible spouses compared to other registrants. As indicated previously, recruitment will take place internally with Wagner Peyser registrants and others who access services, at NCVRC, and through communication with the variety of partners. NCVRC has received significant recognition in the Greeley Tribune, are listed as resources on 211 and the Greeley Chamber directory and have nearly 1,000 Facebook followers. These media platforms have led to an increase of visitors at the NCVRC office and/or referrals for services. 6) Applicant is located in Colorado Employment Services of Weld County and the Northern Colorado Veterans Resource Center are both located in Greeley, Colorado. Location of Work: Please provide information around location of work this includes physical addresses of where the work will be performed. The location of work includes: Employment Services of Weld County 315 N 11 Avenue, Bldg. B Greeley, CO 80632 and The Northern Colorado Veterans Resource Center 4650 West 20th Street Greeley, CO 80634 Period of Performance: 9 Funding shall begin upon issuance of Purchase Order or Notice of Funding Allocation and will conclude on June 30, 2020. Payment Cost and Terms: Invoicing requirements and forms will accompany the Notice of Funding Allocation (NFA) issued to local workforce areas that are awarded grants. The invoicing process will require expenditure detail for administrative, program and contractual funds both for local workforce areas and any integrated service and support centers that are delivering services to participants under this program. Payment will be made within 45 -days of receipt of invoice. Funding Provisions: The source of funding for this work is the Colorado Veterans' Service to Career Program. The grant will be awarded through the Colorado State Labor and Employment Procurement process (for grants awarded to a local workforce center, the Notice of Funding Allocation process will be used). Expenditure Deadlines: The full grant award must be spent by June 30, 2020; Up to eight percent (8%) of the funds awarded to each local area may be used for administrative costs incurred by the local area and the integrated service and support center (if included). Administrative costs for this Program include the following functions: 1. Accounting, budgeting, financial and cash management; 2. Procurement and purchasing; 3. Property management; 4. Personnel management; 5. Payroll; 6. Coordinating the resolution of findings arising from audits, reviews, investigations and incident reports; 7. Audits; 8. General legal services; 9. Developing systems and procedures, including information systems required for these administrative functions; 10. Costs of goods and services required for administrative functions of the program, including goods and services such as rental or purchase of equipment, utilities, office supplies, postage, and rental and maintenance of office space; 11. Travel costs incurred for official business in carrying out administrative activities or the overall management of the program; 12. Costs of information systems related to administrative functions (for example, personnel, procurement, purchasing, property management, accounting and payroll systems) including the purchase, systems development and operating costs; and 10 13. Indirect costs related to the program. Program Costs for this Program are generally related to direct costs to support an eligible participant, and include but are not limited to the following functions: 1. Relevant staff time for case management and tracking or monitoring of participant and performance information; 2. Use of employment statistics information, including job listing information, job skills information, and demand occupation information; 3. Expenses related to supportive services, as needed to secure gainful employment or participate in an educational or skills training program including but not limited to travel, housing, food, tools, personal care items, mental health and related services; 4. Costs of services delivered directly to eligible participants, including skills training, registered apprenticeships, internships, including wage or stipend costs (for a specified and limited time period as long as the task performed by the intern does not replace the task currently performed by a paid contractor or employee), and examination and licensure fees; 5. Relevant travel, operating and overhead costs. Subcontracting is only allowable with an integrated service and support center. 11 Attachment B Colorado Department of Labor and Employment (CDLE) KADA 20190000080 BUDGET INFORMATION SUMMARY Veterans Service to Career Program Employment Services of Weld County And Northern Colorado Veterans Resource Center Total Request: $190,000.00 DESCRIPTION $15,200.00 DESCRIPTION $174,800.00 A. Administration B. Program Operating Salaries $15,200.00 Salaries $10,000.00 Fringe Benefits Fringe Benefits $4,000.00 Facilities Facilities Equipment Equipment $1,500.00 Supplies Supplies Communications Communications $12,000.00 Travel Travel $1,000.00 Audit Customer tracking & monitoring MIS / IT Direct Services $146,300.00 Legal Other (specify) Other (specify) Total Administration $15,200.00 Total Operating $174,800.00 DESCRIPTION $ C. Direct Services Detail Occ. Skills Training (e.g. ITA) $25,000.00 Work Based Learning (Reg. Apprenticeship. OJT, Internship, Transitional) Adult Ed. & Literacy Job Readiness Supportive Services $21,300.00 Needs Related Payments (housing, food, transportation, etc) $100,000.00 Other (specify) Total Training Category $ Percent A. Administration (May not exceed 8% of total Local Area and Partner) $15,200.00 8% B. Program Operating $28,500.00 15% C. Program Client Direct Service $146,300.00 77% Totals $190,000.00 100% ATTACHMENT C Colorado Department of Labor and Employment (CDLE) Grant Applicant Signature Page Request for Application (RFA) KADA 2019000080 Solicitation Title: Veterans' Service to Career Program (Please print or type information) TO BE FILLED OUT BY FILLED OUT BY GRANT APPLICANT Company's Tax ID Number (FEIN)* 84-6000813 Company's DUNS Number 075757955 Company Name County of Weld, Colorado Contact Name Cecilia L. Moreno Company Address 315 N 11 Ave Bldg. B, Greeley, CO 80632 Contact's Telephone 970-400-6756 Contact's Fax 970-346-7981 Contact's E-mail cgarcia-moreno@weldgov.com Should the solicitation be modified, company shall indicate review of all Modifications of KADA 2019000080 as published on Colorado Vendor Self -Service (VSS). Company should initial and check each Modification number to indicate receipt and acknowledgement. Our company acknowledges receipt of KADA 2019000080 Modification # 2 Our company acknowledges receipt of KADA 2019000080 Modification # 3 Our company acknowledges receipt of KADA 2019000080 Modification # • • . • . The signature below constitutes assurance that the information provided in this Application accurately represents the applicant's plans, activities and projected goals. Signature of personal legally authorized to bind the Company — MUST BE SIGNED IN INK Steve Moreno Typed or printed name of person legally authorized to bind the Company Chair, Board of Weld County Commissioners Title of person legally authorized to bind the Company *PARENT COMPANY. A vendor, owned or controlled by a parent company, must provide the name, main office address and parent company's tax identification number on a copy of this form. The tax identification number provided must be that of the vendor's parent company who will be legally responsible for performing services under any Contract resulting from this solicitation. THIS FORM MUST ACCOMPANY ALL QUOTES (Page with original signature must be included in the copy marked "ORIGINAL"). A PERSON LEGALLY AUTHORIZED TO BIND THE COMPANY MUST SIGN THE PROPOSAL IN INK. Page 1 of 3 oZo/St- 5-qC) ATTACHMENT C Colorado Department of Labor and Employment (CDLE) Grant Applicant Signature Page Request for Application (RFA) KADA 2019000080 Roan W-9 Vies December 2014) � internatReverrue Servvv a Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not send Co the IRS. ni a IS t 4 c I kmne isle shown bet your income fax Morn). lame is required on Iles Inc di not leave Vas 6th dank WELD COUNTY 2 Business nacre/disregarded ertrty name, t ddferem from above Weld County Government 3 Check appropriate box for federal tax dessification check only mete the following seven boxes: proprietor or O C Corporation O S Corporation O Partnership C single -member Q United *bitty company. Enter the tax Mastication (C=C corporation, See corporation, Papannerehipt► Mots. For a singe-mernber li.C Mat ,t disregarded. do not check ILCt check the appropriate box in the tat ciaaa,ficatkei of the e" rgle-member owner O Other feet instructions)► Government Tont aerate 4 Esemptiors karte6e EXampt payee Exemption code {a any) 6kawe,4r•m.e.++eewwartorwr.ust (;odes to t oegeetee� lei• See cods (V arty) the Ina above ter cram FATCA reporting S Address (number, street, and apt, or suite no. 1150 "O" Street P.O. Box 758 Regueeter's name and eddretq tltptiprle9 Colorado Dept. of Labor and EmploymentCity, 317th Street Denver, CO 80202-3631 8 Csate. and ZIP code Greeley, CO 80631 tomb r Liedl eccdxtlk taxtider ) sere (optkxta0 T� Enter your TIN in the appropriate box. The TIN provide° must match the name given on line Ito avoid backup withholding. For individuals, this is generally your social security lumber (SSN). However, for a resident alien, sole proprietor. or disregarded entity, see the Part I instructions on page 3. For other entities, it is year employer identification number (bIN). If you do not have a number, see How to get a TIN on page 3. Note. If the euurtt is in more than one name, see the ir;structions'or line 1 and the chart on page 4 for kien06aaeairerrwber guidelines on whose number to enter 9 sodas security mama Part fl Certification 8 41 6 re 0 0 8 3 Under penalties o` perjury. I certify that: 1. The number shown on this form e my correct taxpayer dentification number (or I am waiting for a number to be issued to me); and 2. . am not subject to backup withhold ng because: (aj I am exempt tom backup withholding, or Its) I nave not been notated by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report at interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. Sam a U.S. citizen or other U.S. person (defined below), and 4. The FATCA codes) entered on this form (if any) indicating that t am exempt front FATCA reporting is correct. Certification instructions. You must crosa out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have tailed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contrbutlons to an Individual retirement arrangement (IRA), and generally, payments other titan interest and dividends, you are riot required to sign the certification, but you must provide your correct TIN. See the instructions on page 3. Herer Signature of if.s. person le General Instructions Section references are to the Internal Revenue Cons unless otherwise noted. Future deveopment., Information about developments affecting Form W-9 ;such as legislation onaded after we release ill is at www.irs.govlhv9. Purpose of Form An individual or entity (form W-9 requester) vino is required to tale an Information return with me IRS must obtain your correct taxpayer Identification number (TIN) which may be your social security number (SSnl). Individual taxpayer tentaicst,dn number (I I IN), adoption taxoeyer identification number (ATIN), or employer id@Malcaton number (Fed) to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of in!ormad am returns include, but aro not limited to, the following. • Farm 1099.INT (interest tamed or gala • `arm 1099 -ON (dividends, Including those from stocks or mutual funds) • Form ION -PAW (various types of Income, prices, awards, or gross proceeds] • Form 1099 B (stock or mutual fund sales and Certain other transactions by brokers) • Form 1099.8 (proceeds from real estate transactions) • 'Orin '099- K (merchant card and third party network transactions) °rte. /A) • Form 1098 (hone mortgage Interest), 1098-E (student loan interest), 10ee-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or aoandonment of seared property) Use Form W-3 arty "you ere a U.S. parson Iirdudfeg a resident Bien), to provide your correct FIN. It you oo nor return Form W-9 to thi requester with a TIN, you might be subject to backup withholding, See 1sfiat;it backup wlfhhokang? on page 2 By airing the flied -out form, you: I. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued). 2. Certify that you are not subject to backup wahhotdng, or 3. Claim exemption from backup withholding if you area U.S, exempt payee. If applicable, you are also certifying that as a U.S. parson, your allocable share of any partnership •name from a U.S. trade or btalrueae Is not subject to the withholding tax on lore.gn partners' share of efactkety connected income, and 4. Certify that FATCA codes) entered on the lone (if any) indicating that you we exempt from the FATCA reporting, Is correct. See Whet is FATCA meaning? on page 2 for further Infornlatton. Cal. No. 10231X Page 2 o f 3 Form W-9 Rev 12-2014) ATTACHMENT C Colorado Department of Labor and Employment (CDLE) Grant Applicant Signature Page Request for Application (RFA) KADA 2019000080 Minority and Women -owned Businesses (M/WBEs) Self Certification (Please check all boxes that apply) In an effort to track levels of participation by women and minorities doing business with the State of Colorado, the following information is requested. Please indicate the appropriate category of ownership for your company. "Owned" in this context means a business that is at least 51 percent owned by an individual(s) who also control(s) and operate(s) it. "Control" in this context means exercising the power to make policy decisions. "Operate" means actively involved in the day-to-day management. If your business is jointly owned by both men and women or is a large publicly held corporation, please check the box labeled "Not Applicable." Gender Information: ❑ Female -Owned ❑ Male -Owned X Not Applicable Owner Ethnicity Information: ❑ African American ❑ Asian/Pacific American O White (non -Hispanic) X Not Applicable O Hispanic American 0 Native American 0 Other: Small Business Information: Small Business (a business that is organized for profit, is independently owned and operated, and has 25 or fewer full time equivalent employees.) ❑ Yes X No THIS FORM MUST ACCOMPANY ALL PROPOSALS (IN ORIGINAL PROPOSAL ONLY). AN AUTHORIZED OFFICER OR AGENT OF THE VENDOR MUST SIGN THE PROPOSAL IN INK. RETURN THESE THREE (3) PAGES WITH YOUR RESPONSE Page 3 of 3 COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT REQUEST FOR APPLICATIONS KADA 2019000080 ATTACHMENT D RISK ASSESSMENT FORM TO BE FILLED OUT BY GRANT APPLICANT Any questions that remain unanswered, including explanations and any answers that do not address the question asked will be assessed the highest risk rating for that question. Full legal name of Subrecipient: County of Weld, Colorado Name and title of person completing this form: Leonard Bottorff, Fiscal Manager, Weld County Department of Human Services Amount of funding requested on this grant application: $190.000.00 **If Subrecipient has completed this form in the past twelve months, please submit a completed form with any updated information** OPERATION CONSIDERATION The significant aspects of Sub -recipient's operations, the failure of which could impact Sub -recipient's ability to perform and account for the grant deliverables. 1) Sub -recipient's total annual operating budget: $43,972,495 2) Total number and dollar amount of all state, Federal and private grants Subrecipient will receive in its current fiscal year: 34 and $34,914,684 3) Total dollar amount of all grant funding Subrecipient will receive from CDLE in its current fiscal year: Budgeted at $2,435,490 4) Is the Subrecipient sub -awarding any portion of this? Y X N 5) Total dollar amount of Federal funds Subrecipient received in its previous fiscal year: $2,475,464 EXPERIENCE CONSIDERATION Sub -recipient's experience and history with the same or similar Federal awards or grants. 6) How many years has Subrecipient been in existence? 157 Years 7) Has Subrecipient administered programs similar to this grant? X Y N. if yes, please list and explain. The Employment Services Division, within Weld County Government, has administered the Workforce Innovation and Opportunity Act (WIOA) since its inception, prior to that administered the Workforce Investment Act (WIA), from its inception and prior to that the Job Training and Partnership Act (JTPA). 8) Has Subrecipient failed to satisfactorily meet any State, Federal or private grant deliverables in the past? X Y N. If yes, please explain what deliverables were not met and why Subrecipient was unable to meet them: During the PY16 Annual monitoring, ESWC had a compliance finding due to Dislocated Worker (DW) being at a 49% expenditure rather than above 55%. ESWC agreed DW funds did not meet the required threshold however, believe there were 1 mitigating circumstances which had an impact. ESWC successfully implemented SP-NEG in Weld County, and in addition to expending 100% of the initial allocation, accepted two additional allocations to support statewide programmatic goals. FINANCIAL CONSIDERATION Sub -recipient's financial stability and ability to comply with the grant's financial reporting requirements. 9) Does Subrecipient have a time and effort reporting system in place to account for 100% of each employee's time broken down by time spent per funding source? X Y N. If no, explain how Subrecipient intends to document each employee's time by funding source. 10) Does Subrecipient have a time and accounting system to track effort by cost objective? X Y N 11) Does Subrecipient maintain time distribution records (timesheets or personnel activity reports) for all employees when their effort cannot be specifically identified to a particular program or cost objective? X Y N. If no, does Subrecipient have an approved alternative system to account for time distribution and when was it adopted? We utilize both methodologies. Our Random Moment Sampling methodology is administered by the Colorado Department of Human Services and has been in place for over twenty years. Likewise, our County Indirect Cost Plan has been in place for multiple years. 12) Does Subrecipient have a cost allocation plan that spreads all common costs, such as phone, rent, utilities, etc. among all funding sources? X Y N. Describe how Subrecipient allocates common costs. Attached are the Weld County Indirect Cost Plan and the Weld County Department of Human Services' cost distribution methodology. MONITORING AND AUDIT RESULT CONSIDERATION Results of Sub -recipient's previous audits or monitoring visits. 13) Has Subrecipient received an audit under the Single Audit Act/Uniform Administrative Requirements, 2 CFR Part 200, Subpart F (Government Auditing Standards)? X Y N. If yes, provide a copy (electronic preferred) of its most recent audit report. This has been provided to the CDLE Audit Unit, previously. 14) Has Sub -recipient received an annual financial statement audit under Generally Accepted Auditing Standards (GAAS)? Y X N If yes, provide a copy (electronic preferred) of its most recent audit report. Our independent auditor, Anderson and Whitney, follows Government Auditing Standards, as required by the Single Audit Act. 15) Were there non-compliance issues with prior audits? Y X N. If yes, provide the number, extent and resolution of the issues. None pertaining to the Employment Services of Weld County Division INTERNAL CONTROL CONSIDERATION Sub -recipient's ability to safeguard its assets and resources, deter and detect errors, fraud and theft, ensure accuracy and completeness of accounting data, produce reliable and timely financial and management information, and ensure adherence to its policies and plans. 2 16) Has Subrecipient updated any of its policies and procedures within the last two years? X Y N 17) Does Sub -recipient's accounting system allow it to segregate all assets, liabilities, revenues and expenditures by funding source, and produce self -balancing reports by funding source? X Y N 18) Does Subrecipient have an active oversight committee/board, and is it provided financial reports and information on a regular basis? X Y N 19) Does Subrecipient have employee fidelity bond/insurance coverage for all of its employees who handle cash? X Y N IMPACT CONSIDERATION Potential impact of Sub -recipient's non-compliance to the overall success of the program objectives. 20) If any portion of this grant will be disbursed on a cost reimbursement basis, does sub -recipient have sufficient liquidity to enable it to manage its finances between the time costs are incurred and reimbursed? X Y N. Explain how Subrecipient intends to cover its costs prior to receiving reimbursement. The Human Services Fund Balance at December 31, 2017 equals 51,278,347. The total Fund Balance for Weld County Government equals $191,850,164. We believe this is an amount sufficient to cover costs we will incur through this program, prior to reimbursement. 21) Has Sub -recipient had any significant changes in its key personnel (e.g. Controller, Executive Director, Accounting Manager, Program Manager, etc.) or its time keeping or accounting systems in the last year? �Y X N. If yes, explain the changes. 22) Does Sub -recipient have any potential conflicts of interest in accordance with Federal Awarding Agency policy? Y X N. If yes, explain the potential conflict of interest. "Sub -recipient should retain a copy of this completed form in its records for any additional funding applications within a twelve month period** Please Sign and Date below: Executive Director or authorized delegee) nit/1Sr— Date /1/2/18 Financi: •' •r Signature Date 3 ATTEST: BY: did.%) 6.d40:4 tot e Board Deputy Cler e Boar BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Steve Moreno, Chair NOV A " 2013 020/ &obcfC �� Hello