HomeMy WebLinkAbout20163557.tiffRESOLUTION
RE: APPROVE PROMOTING SAFE AND STABLE FAMILIES (PSSF) PARTNERSHIP
PROJECT AGREEMENT AND AUTHORIZE CHAIR TO SIGN - CATHOLIC CHARITIES
AND COMMUNITY SERVICES OF THE ARCHDIOCESE DENVER WELD REGIONAL
OFFICE
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with a Promoting Safe and Stable Families
(PSSF) Partnership Project 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, and Catholic Charities and Community Services of the Archdiocese Denver
Weld Regional Office, commencing October 1, 2016, and ending March 31, 2017, 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 Promoting Safe and Stable Families (PSSF) Partnership Project
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, and Catholic
Charities and Community Services of the Archdiocese Denver Weld Regional Office be, and
hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair Pro -Tern 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 21st day of November, A.D., 2016, nunc pro tunc October 1, 2016.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: daxsov jdio;ei
Weld County Clerk to the Board
BY
APP
Cou ttorn-y
Date of signature: I orl I14 / ((p
EXCUSED
Mike Freeman, Chair
Sean P. Conway, Pro -Tern
A. Cozad
rbara Kirkmeyer
cc: HsCcsmiTG)
la/Is/(Co
2016-3557
HR0087
1a/
MEMORANDUM
DATE: October 31, 2016
TO: Board of County Commissioners — Pass -Around
FR: Judy A. Griego, Director, Human Services
RE: Weld County Department of Human Services'
Promoting Safe and Stable Families (PSSF) Partnership
Project Agreement
Please review and indicate if you would like a work session prior to placing this item on the
Board's agenda.
Request Board Approval of the Departments' Promoting Safe and Stable Families (PSSF)
Partnership Project Agreement. The Weld County Promoting Safe and Stable Families
(PSSF) Partnership Project through this grant would continue to serve families and their
children whose safety, well-being and stability are at a risk because of a board spectrum of
social, emotional and economic challenges. These stressors, as well as family crises, can put
children at risk of abuse and neglect. This is a six month grant with a total of $47,500. Weld
County DHS will partner with Catholic Charities to facilitate these services. Some services
provided through this grant are Early Education, Financial Education, Supportive Services, and
Kinship Support. The original project agreement was July 1, 2015 through June 30, 2016 with
an initial extension from July 1, 2016 through August 31, 2016. The new agreement term is
October 1, 2016 through March 31, 2017.
I do not recommend a Work Session. I recommend approval of this Agreement.
Approve Request
BOCC Agenda Work Session
Sean Conway
Steve Moreno
Barbara Kirkmeycr
Mike Freeman
Julie Cozad
Pico -3557
Pass -Around Memorandum; October 31, 2016 - Contract ID 821
Page 1
baiyakci- ihsga.
PSSF Partnership Project Agreement
s f '-0 k/
THIS AGREEMENT, made and entered into this r"/ day of/ta 2016 by and between the County of Weld,
State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County
Department of Human Services, hereinafter referred to as "Weld County", and Catholic Charities and Community Services
of the Archdiocese Denver Weld Regional Office, also known as Catholic Charities, hereinafter referred to as "CC."
The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the
following documents: Exhibit A, Scope of Services, Exhibit B, Contact Persons, and Exhibit C, PSSF Grant Application. Each
of these documents is attached hereto and incorporated herein by this reference.
WITNESSETH:
WHEREAS, Weld County and CC have identified a need for additional personnel resources in the areas of
prevention and education; and
WHEREAS, Weld County and CC are willing and able to commit personnel resources to the provision of services
according to the terms and conditions set forth herein.
WHEREAS, the Colorado Department of Human Services has awarded funding to CC through the Promoting Safe
and Stable Families Program (PSSF), which is guided and funded by the Federal Adoption and Safe Families Act, Title IV -B,
Sub -Part 2.
NOW THEREFORE, in consideration of the mutual promises and conditions contained herein, and for other
consideration of the sufficiency and receipt of which is hereby acknowledged, the parties hereto covenant and agree as
follows:
Project Description
1. The services described herein will in part be known as the Weld County Promoting Safe and Stable Families (PSSF)
Partnership Project, hereinafter referred to as the "Project". The Project is a collaborative effort of Weld County and
CC.
2. The Project will serve at -risk families in Weld County through the provision of early intervention services focused
on stabilizing and strengthening at -risk families thus ensuring the safety, well-being and permanency of children.
3. "At -risk families" are defined as 1) families identified by community referrals and 2) homeless families who reside at
the Guadalupe Community Center (GCC). Of these families, 80% will be identified as low-income.
4. The Project will be cooperatively implemented and facilitated by the CC case management staff and the Weld
County Community Liaison staff.
Personnel
1. Engagement. Weld County and CC have collaboratively identified a need for additional personnel resources in the
areas of prevention and education. Weld County and CC have agreed to partially fund a Weld County Community
Liaison staff, hereinafter referred to as the "Employee", through the PSSF Partnership Project.
2. Employment. The staff shall be an employee of Weld County. As such, the Employee will be subject to the policies,
rules, regulations, directives and orders of Weld County. The Employee will be subject to the supervision of the Weld
County Department of Human Services ("WCDHS"), and tall work the same scheduled hours as the WCDHS
2016-3557
employees.
3. Standards. The Employee shall provide all services pursuant to this Agreement in accordance with applicable state
and federal law, and any performance standards jointly established by Weld County and CC. CC shall provide
information to the Employee regarding what is necessary to facilitate performance of its obligations to CC under this
Agreement. If the Employee is required to be licensed or to act under the supervision of a licensed person or entity
during job duties performed by the Employee for CC, CC shall be solely responsible for verifying such licensure or
providing such required supervision.
4. Workplace. CC will provide a confidential workspace and access to internet, phone, and office supplies, as may be
required for the Employee to adequately perform the job duties at CC. If the Employee is required, in the course of
the Employee's duties, to deal with confidential information, cash or any high value item, CC will institute procedures
to safeguard such items. It shall be the sole responsibility of CC to protect such valuables.
5. Qualification and Selection. The Employee will be selected by Weld County in accordance with Weld County Human
Resource qualifications. Weld County will verify skills and references with respect to the employment of the
Employee subject to this Agreement.
6. Employee Costs. Weld County shall be responsible for direct payment to the Employee of all personnel costs
associated with the Employee, including, but not limited to, salary, benefits, employment taxes, and insurance.
7. Compliance with Laws and Record Maintenance. Weld County shall be responsible for compliance with all laws
concerning employee benefits and compliance with Immigration Reform and Control Act of 1986. In addition, Weld
County shall be responsible for completion, reporting and maintenance of payroll and benefit records, and Weld
County will be the W-2 Employer for purposes of record keeping.
8. Compliance with the Fair Labor Standards Act ("FLSA" ). Each party agrees to maintain records of actual hours
worked by the Employee during each pay period. Each Party agrees to comply with the FLSA.
9. Reimbursement of Costs. Weld County shall reimburse CC in the amount of $3 959.00 per month for personnel
costs related to the CC Case Manager and CC Director of Case Management, not to exceed $23,754.00 for the
term of this Agreement.
10. Billing. CC shall issue an invoice on the first day of the month to Weld County for the amount due for the previous
month. Weld agrees to pay the invoice in full within ten (10) calendar days of the date of the invoice.
11. Excluded Parties List. For all contracts in excess of $25,000, CC or its associated entity shall obtain from Weld
County a certification that neither Weld County nor any of its principal employees are listed on the General Services
Administration's List of Parties Excluded from Federal Procurement or Nonprocurement Programs.
12. Worker's Compensation Insurance. Weld County and CC will furnish and keep in force and effect during the term of
this Agreement workers compensation insurance as may be required by law and as may concern the Employee.
Upon written request, each party shall furnish a Certificate of Insurance verifying coverage for workers'
compensation.
13. Liability Insurance. Weld County and CC shall exchange evidence of insurance showing general liability coverage
in the minimum as set forth in the Colorado Governmental Immunity Act.
14. Contact Persons. The Contact Person for CC and the Contact Person for Weld County are each set forth on Exhibit B
attached hereto and incorporated herein. The designated Contact Person for each party may be changed from time
to time so long as notice of such change is provided to the other party, following the procedure for Notices as set
forth in this Agreement. Unless a formal notice is required as set forth in paragraph 29, any requirement of
2
communication between the CC and Weld County shall be satisfied if such communication is provided to the other
party's Contact Person.
15. Supervision of Employee. CC will be responsible for all direct supervision and direction of the Employee during the
time the Employee works at the CC facility. CC shall communicate with Weld County concerning any problems that
might arise due to the Employee's performance at CC, and provide a written report to the supervisor at Weld
County who is in charge of supervising the Employee.
16. Employee subject to Weld County's policies. The Employee shall be subject to the authority, policies and regulations
of CC while work is performed at CC facilities, but the Employee shall also adhere to the rules, regulations,
procedures, and standards of Weld County at all times. Weld County may request, and CC may provide, evaluation of
the Employee's performance at CC to incorporate into Weld County's periodic performance evaluations of the
Employee.
17. Reporting Incidents. CC shall timely notify Weld County when the Employee has been involved in a reported incident.
Weld County shall have the opportunity to participate in any ongoing investigation and shall have access to any oral
or written reports or any other documentation related to the reported incident. CC and Weld County shall cooperate
in any investigation of a potentially liability -inducing incident.
18. Employee Records. Weld County shall keep and maintain all records concerning employment of Employee. No
employment records concerning Employee's performance, salary, benefits, claims, or any other records concerning
Employee's employment whatsoever shall be kept or maintained by CC.
19. Periodic Meetings. During the term of this Agreement, arrangements shall be made for periodic meetings between
the Contact Persons of Weld County and CC to promote understanding of and adjustments to any operation or activity
involved herein.
20. CC Board Members. CC shall maintain, at its own expense, insurance for CC Board Members
21. Compliance with HIPAA. Each party hereby expressly agrees to comply with any rules, regulations and policies
implementing HIPAA requirements whether now or hereafter existing. CC and Weld County agree to execute Business
Associates Agreements as may be determined to be necessary.
22. Compliance with ADA. Each party hereby expressly agrees to comply with any rules, regulations and policies
implementing the Americans with Disabilities Act requirements whether now or hereafter existing.
23. Term. The term of this Agreement shall be from October 1, 2016, through March 31, 2017.
24. Termination. Weld County or CC may terminate this Agreement upon giving the other party thirty (30) days prior
written notice. In the event of termination, CC shall promptly provide to Weld County all information necessary for
payment of any outstanding compensation. Neither party shall have any further obligations after the effective date
of termination, except for such obligations that (i) accrued prior to the effective date of termination, or (ii) are
expressly stated herein to extend beyond the effective date of termination.
25. Default. Except in situations when termination is the appropriate action pursuant to paragraph 24, each party shall
promptly notify the other party of actions that have caused, in the notifying party's opinion, a default or breach of
any term or provision of this Agreement. If such default or breach is not cured within 30 days after the delivery of
such notice, the notifying party may, at its election, declare this Agreement terminated, or proceed to seek any
remedies to which it may be entitled under the law, or both.
Any waiver by either party of any term or provision of this Agreement at any one time shall not constitute a waiver of
any other or all provisions. Any waiver of any part or provision of this Agreement at any one time shall not constitute
3
a waiver for all times.
26. Parties' Relationship. The parties to this Agreement intend that the relationship between them contemplated by this
Agreement is that of independent entities working in mutual cooperation. CC employees or agents are not to be
considered Weld County employees for any purpose and said persons may not hold themselves out as employees or
agents of Weld County or otherwise make any representation or commitment on behalf of Weld County. With the
limited exceptions as stated in this Agreement, Weld County employees or agents are not to be considered
employees of CC for any purpose and said employees may not hold themselves out as employees or agents of CC or
otherwise make any representations or commitments on behalf of CC. Except for the payments as stated in this
Agreement, neither party shall be in any way required to provide any pecuniary benefits, salaries, wages or fringe
benefits to employees of the other party.
27. Indemnification. CC shall indemnify and hold Weld County harmless from all claims, actions, penalties, liabilities,
damages, or expenses, including reasonable attorney's fees and other costs of defense or settlement, legal or
equitable, made against or suffered by Weld County arising out of or related to the action or omission of any CC
employee while performing services for or under the auspices of CC, or arising out of or assumed by CC under this
Agreement or CC's failure or alleged failure to perform such duties.
The indemnities and assumptions of liabilities and obligations herein provided for shall continue in full force and
effect notwithstanding the expiration or termination of this Agreement. Notwithstanding any provision in this
Agreement to the contrary, however, neither party waives any immunities to which they are entitled pursuant to
law.
28. Confidentiality. Subject only to statutory exceptions applicable to criminal investigations and proceedings, Weld
County or CC shall, during and after the term of this Agreement, keep confidential all information relating to this
Agreement and shall utilize their best efforts to prevent and protect such information from unauthorized disclosure
by their employees and agents. Weld County and CC shall further not use or allow their agents or employees to use
any information to the competitive disadvantage of or in any way which is detrimental to either party.
29. Notices. All notices and other communications required or permitted under this Agreement shall be given in writing
and shall be delivered in person or sent by registered or certified mail, postage prepaid, return receipt requested, as
follows:
a. If to CC:
b. If to Weld County:
Larry Smith, President/Chief Executive Officer Catholic
Charities and Community Services of the Archdiocese
Denver Weld Regional Office
4045 Pecos Street
Denver, Colorado 80211
Judy A. Griego, Director
Weld County Department of Human Services
315 N. 11th Avenue
Greeley, Colorado 80631
4
30. Entire Agreement. This Agreement constitutes the entire understanding and agreement between the parties with
respect to its subject matter and supersedes all prior agreements or understandings, whether written or unwritten,
with respect to the same subject matter.
31. Amendment. This Agreement may not be amended or modified except by a written instrument executed by all
parties to this Agreement.
32. Heading and Counterparts. The headings contained in this Agreement are inserted solely for the ease of reference
and shall not in any way affect the meaning or interpretation of this Agreement. This document may be executed in
two or more counterparts, each of which may be deemed an original. This Agreement will take effect when a single
original or counterpart copies are executed by each party.
33. Applicable Law. This Agreement shall be controlled, construed, and enforced in accordance with the law of the State
of Colorado and the rules and regulations issued pursuant thereto. Any provision of this Agreement whether or not
incorporated herein by reference which provides for arbitration by any extra -judicial body or person or which is
otherwise in conflict with said laws, rules and regulations shall be considered null and void. Nothing contained in any
provision incorporated herein by reference which purports to negate this or any other special provision in whole or in
part shall be valid or enforceable or available in any action at law whether by way of complaint, defense or otherwise.
It is further agreed by both parties that any causes of action arising out of this Agreement shall be venued in the
courts of Weld County, Colorado, to the extent that those courts are reposed with subject matter jurisdiction. Both
parties agree to submit themselves to the personal jurisdiction of those courts.
34. Severability. It is the intention of the parties that the provisions of this Agreement shall be enforced to the full extent
permissible under the laws and public policies applicable to this Agreement. If any provision of this Agreement is held
to be unenforceable for any reason, this Agreement shall be construed and enforced without such a provision, to the
extent this Agreement is capable of execution within the original intent of the parties.
35. Further Assurances. fhe parties shall, upon request, execute, deliver and/or furnish all such documents and
instruments, and door cause to be done all such acts and things as may be reasonable to effectuate the purpose
and intent of this Agreement.
36. Assignment. This Agreement may not be assigned without first obtaining the consent of the non -assigning party.
37. Compliance with Public Office Laws. The signatories hereto agree that they are familiar with Section 18-8-301 C.R.5.,
et.seq. (Bribery and Corrupt Influence) and Section 18-8-401 C.R.S., et.seq. (Abuse of Public Office), as amended, and
that no violation of such provisions is present. The signatories hereto state that to the best of their knowledge, no
State employee has any personal or beneficial interest whatsoever in the service or property described herein.
38. Required Approval. This Agreement shall not be deemed valid until it shall have been approved by any and all
necessary and required entities.
39. Budget Constraints. Nothing in this Agreement shall he construed to require the Board of County Commissioners
for Weld County to provide funding not already budgeted for the applicable fiscal year.
5
40. No Third Party Beneficiary Enforcement. It is expressly understood and agreed that enforcement of the terms
and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved
to the undersigned parties, and nothing contained in this Agreement shall give or allow any claim or right of
claim whatsoever by any other person not included in this Agreement. It is the express intention of the
undersigned parties that any entity, other than the undersigned parties, receiving services or benefits under this
Agreement shall be deemed an incidental beneficiary only.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the day first written above.
COUNTY:
ATTEST: ✓J„44% "`,a'°"s!�
Weld ou ty4erk to the Board
6
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COJ.QRADO
Sean P. Conway, Pro-Tem
NOV 2 1 2016
CONTRACTOR:
Catholic Charities and Community Services of the
Archdiocese Denver Weld Regional Office
4045 Pecos Street
Denver, Color 80211
By:
Date:
Larry Smith, President and Chief
Executive Officer
iv/s7/4,
020/6,- O 56 7
EXHIBIT A
SCOPE OF SERVICES
A. Types of Services to be Provided
The Employee will:
1. Refer families to educational and parent training classes (1-2-3 Magic and Family Rules) at the Parent
Education Center.
2. Assist families in accessing benefit programs such as SNAPS, TANF and Child Care Support.
3. Provide families the opportunity to participate in the Fatherhood Program.
4. Provide families with referrals to community resources through the Community Resource Lists maintained
by Weld County staff.
5. Be available eight (8) to ten (10) hours per week at the Guadalupe Community Shelter to consult with and
train shelter staff on issues related to child safety, well-being and permanency, and assist in team staffings as
needed.
6. Service as the team consultant for at -risk adoptive/kinship families.
B. Additional Services
Weld County and CC will jointly provide Family Advocacy services through:
1. Education, support groups and peer support, which will teach families to self -advocate when dealing with
community agencies, schools, the court system, and other entities.
2. The Project itself, through which Weld County and CC share education, training, and expertise.
C. Service Time Frames
The Employee's time will be split 75/25; 75% at Weld County and 25% at CC.
D. Tracking
The PSSF database will be utilized to track the services provided and to track the success of families receiving
support the Project.
7
EXHIBITB
CONTACT PERSONS
For the purpose of this Agreement, the individuals identified below are hereby designated representatives (Contact
Persons in accordance with paragraph 14) of the respective parties. Either Contact Person may from time to time
designate in writing a new or substitute representative(s):
For Weld County:
For CC:
Heather Walker, Child Welfare Division Director
Weld County Department of Human Services
315 A. N. 11th Ave
Greeley, Colorado 80631
(970) 352-1551, ext. 6218
walkerhd@weldgov.com
Enita Kearns-Hout, Regional Director
Catholic Charities and Community Services of the Archdiocese
Denver Weld Regional Office
1442 North 11th Avenue Greeley, Colorado 80631
(970) 347-8721
ekearns-hout@ccdenver.org
8
EXHIBIT C
PSSF GRANT APPLICATION
PROMOTING SAFE AND STABLE FAMILIES
Statement of Work
If funded, the Weld County Promoting Safe and Stable Families (PSSF) Partnership
Project (the Project), would continue to serve families and their children whose well-
being, stability and safety are at a risk because of a board spectrum of social, emotional
and economic stressors. These stressors, as well as family crises, can put children at
risk of abuse and neglect. The Project has focused on early intervention and support for
three at -risk populations: 1) families identified through community referrals to be at
risk/many of these families at risk of homelessness (these families are often doubled up
in temporary situations where a fragile household structure exists); (2) homeless
families staying in either extended -stay or overnight shelter (because of a lack of
extended -stay rooms) at Guadalupe Community Center (GCC); and 3) kinship families
who are raising children with special needs and traumatic histories. Many of these
family caregivers face challenges because of poor health, age, poverty, lack of
parenting skills and knowledge regarding problematic child behavioral issues and
inadequate access to information and available services/resources.
A six-month extension of the Project would allow the well -established collaboration
between Catholic Charities and Weld County Department of Human Services (DHS) to
continue. The Project will continue providing early intervention to at -risk families in order
to stabilize and strengthen them so that the children are safe, have increased well-being
and are at reduced risk of out -of -home placements. For this extension, Weld County
DHS would be the contracting agency and subcontract in partnership with Catholic
Charities.
Early Intervention Services — Families in the Community
Families in the community are served by the Weld County DHS Community Liaison, who also
assists Catholic Charities with shelter families. The Community Liaison will provide
comprehensive, case management (bilingual) that includes:
• A structured intake and assessment process, the development of a Family
Service Plan, systems navigation, community referrals, advocacy, and
assistance in applying for benefits such as SNAPS (Supplemental Nutrition
Assistance Program), TANF (Temporary Assistance for Needy Families) and
Child Care Support
• Financial education (when requested) using the "Your Money, Your Goals" toolkit
• Individual or group parent coaching (when requested) using the "Parenting
Wisely" curriculum
The Community Liaison will be available 8-10 hours per week to consult with GCC staff on
issues related to child safety, well-being and permanency, and provide direct services to
extended -stay and emergency overnight shelter families. Department of Human Services staff
will coordinate when needed with GCC staff in developing a triage plan for families utilizing
emergency overnight shelter/emergency assessments at the Guadalupe Shelter.
Early Intervention Services — Shelter Families
Catholic Charities' case management staff serve families staying in extended -stay and
emergency overnight shelter at Guadalupe Community Center. Through an integrated,
holistic approach to goal setting and service delivery that is family -centered and
strength -based. Advocates provide comprehensive, case management (bilingual)
services that includes:
• A Psycho/social, housing and employment history assessment
• Coordination of service needs and delivery with the Community Liaison, other
DHS staff, and other community partners including North Range Behavioral
Health (which is on site), and Sunrise Community Health (van clinic)
• Employment assistance (job -search classes, resume -building, interview skills,
employment placement and access to the on -site High Plains Library District
computer lab)
• Support in developing savings, budgeting and housing -search plans
• Individual or group classes that address mental health, healthy communication,
anger management and other life skills
• Assistance enrolling children in school or child care
• Educational support and development for children through the on -site Children
Always Learning Lab that also stresses the importance of parent involvement in
their child's education
Early Intervention/Group Support Services — Kinship Families
Kinship families are served through trainings/support groups provided by Catholic Charities
staff. Weld County DHS provides input on and co -facilitates these trainings/support groups
when available and/or when DHS presence is pertinent to the subject being discussed. Catholic
Charities will receive support from DHS in marketing the program. The Kinship program
provides a caring setting for sharing information and receiving support and encouragement from
staff and other caregivers in battling isolation and a lack of support from immediate family
members and friends Caregivers enjoy fellowship and foster relationships with one another and
with staff, which builds trust and increases the chances that these families will reach out for help
before a serious crisis develops. During the trainings/support groups, these caregivers are
educated on how to:
• Understand the emotional health of the child following abuse/trauma
• Work through the child's feelings of separation and loss
• Create a Life Book for the child which explain and honors lost relationships
• Develop healthy and nurturing child management and discipline skills
• Navigate DHS and the court system
• Balance their own financial needs (including retirement) with the financial needs
of the child or children in their care
• Take care of themselves and implement stress -coping skills
• Access financial support for Kinship families
COLORADO
Colorado Department of Human Services
Office of Early Childhood
VENDOR CONTACT INFORMATION SHEET
Please send 1 copy
Legal Name of Vendor as it should appear on the Contract/Purchase Order including any dba:
Weld County
Address: 315 N. 11th Ave. - (P.O. Box A)
City Greeley State CO Zip Code 80632
FEIN #: 84-6000813 State of Incorporation:
Type of Entity (please mark one):
lE1Individual Not -For -Profit Corporation
Professional Corporation (PC) Limited Liability Company (LLC)
Sole Proprietor Joint Venture
Primary Contact to Receive ALL Correspondence:
Name: Heather Walker
For -Profit
Limited Liability Partnership (LLP)
Government
Email: walkerhd@co.weld.co.us
Phone: (970) 352-1551x6218
CFO or Financial Contact:
Name: Lennie Bottorff
Email: bottorll@co.weld.co.us
Phone: (970)352-1551x6537
Individual Signing Contract:
Name: Mike Freeman
Title: Weld County Commissioner
Email: mbedell@co.weld.co.us
Phone: (970)352-1551
Is your agency set up for Electronic Deposit with the State of CO? t/ Yes
No
Exhibit B
'COLORADO :olorado Department of Human Services - (DRAFT)
Office of Early Childhood Office of Early Childhood
BUDGET WITH JUSTIFICATION FORM
Contractor Name
Weld County Human Services
Budget Period
October 1, 2016 - March 31, 2017
Project Name
PSSF
Program Contact Name,
Title, Phone and Email
Heather Walker, Division Director, (970)352•
1551 walkerhd@coweld.co.us
Fiscal Contact Name, Title,
Phone and Email
Lennie Bottorff, Fiscal Manager (970)352-1551
bottorll@co.weid.co.us
Expenditure Categories
Personnel Services - Salaried Employees
FY 2017
Position Title/Employee
Name
Description of Work
Gross or
Annual
Salary
Fringe
Percent of Time
on Project
Total Amount
Requested from OEC
Community Liaison,
Geraldine Romero
Will provide 10 hours a week to consult with Guadelupe
$64,800
$28,320
26%
$23,746
Community Center staff on issues related to child safety,
$0
Well-being and permanency, and provide direct
50
(An extensive scope of
service to extended -stay and emergency overnight
$0
service is attached)
shelter families. Will complete intake and assessments
$0
with famililes and develop Family Service Plans. Will
Sp
provide individual and group parent coaching using the
$0
Parenting Wisely curriculum
50
DHS will continue to work collaboratively with GCC.
$0
Total Personnel Services (including fringe benefits)
$23,746
Contractors/Consultants (payments to third parties or entities)
FY 2017
Name
Description of Item
Total Amount
Requested from OEC
The Weld County DHS will continue to contract and work collaboratively with GCC as we serve the homeless population.
$17,358
Case Manager/Kraig
Patriqui
Case Manager for homeless families residing in the Guadalupe Shelter or in emergency temporary shelter
$3,933
Director of Case
Management/Cheri
Anderson
Family Service manager supervising the CC partnership program for homeless families and the kinship support
groups.
Indirect Costs
$2,159
Supplies for supporting the Kinship Groups
$304
$0
$0
$o
$0
$0
SO
Total Contractors/Consultants
$23,754
Travel
FY 2017
Item
Description of Item
Total Amount
Requested from OEC
$0
$0
$0
$0
$0
$0
$0
$0
Page 1 of 2
Exhibit B
$o
$0
$0
$0
Total Travel
$p
Supplies & Operating Expenses
FY 2017
Item
Description of Item
Total Amount
Requested from OEC
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
Total Supplies & Operating Expenses
$0
MODIFIED TOTAL DIRECT COSTS (MTDC)
$47,500
Indirect Costs
[not to exceed 10% unless Negotiated Federal Indirect Cost rate or Negotiated State Indirect Cost rate is attached)
FY 2017
Item
Description of Item
Total Amount
Requested from OEC
Negotiated Federal
Indirect cost rate
N/A
SO
State Federal Indirect cost
rate
N/A
$0
or 10% Indirect rate:
$0
Total Indirect
SO
TOTAL
$47,500
Page 2 of 2
COLORADO
Office of Early Ch1lEhpod
Colorado Department of Human Services
Office of Early Childhood
VENDOR CONTACT INFORMATION SHEET
Please send 1 copy
Legal Name of Vendor as it should appear on the Contract/Purchase Order including any dba:
Weld County
Address: 315 N. 11th Ave. - (P.O. Box A)
City Greeley State CO Zip Code 80632
FEIN 0: 84-6000813 State of Incorporation:
Type of Entity (please mark one):
Individual
Professional Corporation (PC)
Sole Proprietor
Not -For -Profit Corporation
Limited Liability Company (LLC)
Joint Venture
Primary Contact to Receive ALL Correspondence:
Name: Heather Walker
•
19
For -Profit
Limited Liability Partnership (LLP)
Government
Email: walkerhd@co.weld.co.us
Phone: (970) 352-1551x6218
CFO or Financial Contact:
Name: Lennie Bottorff
Email: bottorll@co.weld.co.us
Phone: (970)352-1551 x6537
Individual Signing Contract:
Name: Mike Freeman
Title: Weld County Commissioner
Email: mbedell@co.weld.co.us
Phone: (970)352-1551
Is your agency set up for Electronic Deposit with the State of CO? El Yes
No
Exhibit C
Colorado Department of Human Services - Office of Early Childhood (OEC)
- CCOLORADO
o
Budget Template Instructions
General Instructions:
The Budget Template - Should be used to explain how an agency plans to use OEC funds consistent with the proposed Attachment C - Work Plan .
The Budget Template includes two worksheets: Instructions, and Budget Template. Budget requests and their associated deliverables need to be
in alignment and provide a consistent, logical picture of what is to be accomplished, by whom, and the associated costs. In the event that this
alignment does not occur, applicants may be contacted with requests for clarifications and/or modifications. Additional information regarding
Direct and Indirect Costs and unallowable costs can be found in the Cost Principles Exhibit and the Electronic Code of Federal Regulations (e-CFR).
The budget groups in the template are provided for guidance purposes only. Offerors are not required to address each budget group if it is not
applicable to the proposal.
The information contained in each expenditure category helps OEC understand the budget. Please provide narrative for each category in the
"Description of Work" or the "Description of Item" section.
All costs proposed by the Offerors in the narrative areas of the proposal must be reflected in the budget. "Costs to be determined" shall be
considered non -responsive and consequently the Offeror's proposal shall be disqualified.
The form is an Excel worksheet that includes instructions in various cells that can be viewed by hovering the computer mouse over the cells. The
instructions below give additional guidance.
Contact Information
Complete the top portion of the form by providing Agency Name, Budget Period, Project Name, and Contact Information for both Program and
Fiscal contacts.
Agency Name: Enter agency's name Program Contact Name, Title, Phone and Email
Budget Period: Enter budget/ project period dates Enter agency's program contact information here
Project Name: Enter the project name Fiscal Contact Name, Title, Phone and Email
Enter agency's fiscal contact information here
Personnel Services (salaried Employees and Hourly Employees)
It is OEC's expectation that agency employees included in this section will complete all of the work related to the project/contract.
Column B: Position Title
Example 1: Project Coordinator (salaried)
Example 2: Project Administrator (hourly)
Column C: Description of Work
Use the "Description of Work" column of the budget template to address the role and expected contribution of budgeted personnel. The time
commitment of each individual should be justified as a reasonable estimate for the work to be performed. A description of how fringe benefits
are projected and what components are included in the calculation (insurance, paid time off, pension, etc.) must be included. For hourly
employees, please include hourly rate, hourly fringe and the number of hours budgeted.
Columns D -F (salaried employees): Gross or Annual Salary/ Fringe / Percent of Time on Project
Enter the Gross or Annual salary, Fringe, and the Percent of Time Spent on Project for each employee that will work on the project.
For example: A full-time salaried employee is paid $60,000 a year; their fringe benefits rate is 22%; they plan to spend approximately 100% of
their time on the project. Their total contribution to the Work Plan is calculated as follows:
$ 60,000 *Gross Annual Salary
22% Fringe %
*Fringe ($60,000 x 22%)
$ 60,000 Annual Salary + Fringe ($60,000 + $13,200)
100% *Percent of Time on Project
$ 60,000 Amount Requesting from OEC (automatically calculates)
*Enter into the Budget Template
Column G: Total Amount Requested from OEC
This column should reflect the amount(s) the agency is requesting from OEC for each employee working on the project.
Total Personnel Services (including fringe benefits)
This row should show the totals for each columns and reflect the total amount of Personnel Services costs the agency is requesting from OEC.
Exhibit C
Contractors/Consultants (payments to third parties or entities)
This category should describe costs for subcontractors (persons not employed by the agency) needed to complete work on the Work Plan. This
includes consulting and personal services subcontracts. The Description of Item should specify the need for the subcontractor, the selection
process, the work to be performed, how costs were calculated and the expected deliverables. OEC may request copies of contractual and grant
agreements or MOU/MOA's during the contract period. Subcontractors may not be pre -paid for services. All Subcontractor contracts must follow
a cost reimbursement structure.
Column B: Item
List the name of subcontractor
Example 1: ABC Training, Inc.
Column C: Description of Item
Example 1: Project Towards No Drug Abuse Trainer
A contractor will be hired to conduct Project Towards No Drug Abuse training for 2 days with up to 15 participants from 3 area high schools. The
contractor will be responsible for development and facilitation of training. A Request for Proposal will be developed to elicit contractors.
Applications will be scored and selected based on reasonableness of cost and ability to meet stated criteria. The program staff members do not
have the necessary skills to carry out the proposed work required as training skills are very specialized. Hiring a contractor is more feasible and
cost effective than hiring a full-time employee for the first project year.
Column D: Total Amount Requested from OEC
This column should reflect the amounts) the agency is requesting from OEC for each subcontractor.
Total Contractors/Consultants
This row should reflect the total amount of Contractors/Consultants costs the agency is requesting from OEC.
Travel
This expenditure category should include all in -state and out-of-state travel expenses. Conferences, training and out-of-state travel must be
budgeted and pre -approved by the OEC program manager and directly enhance or contribute to the Contractors ability to perform the contracted
scope of work. Please separate travel costs into categories such as lodging, meals, mileage, and airfare, and indicate how they support the Work
Plan. Use the Description of Item column to describe the necessity and reasonableness of all estimated travel costs. Indicate which project
personnel will be traveling and describe their anticipated contributions to the Work Plan. Detail how cost estimates for airfare, mileage, ground
transportation, and lodging were determined. Include any mandatory meetings. OEC may require submission of an agency's travel policy during
the contract period. All travel must be in compliance with the agency's travel plan or the state travel fiscal rules and rates, which are updated
frequently and may be found: https://www.colorado.gov/pacific/osc/travel-fiscal-rule.
Column B: Item
List the item in this column: i.e., mileage, lodging, meals, airfare
Column C: Description of Item
This section should describe the necessity and reasonableness of all estimated travel costs. Indicate the project personnel who will be traveling
and describe their anticipated contributions to the work plan. Detail how cost estimates were determined.
Column D: Total Amount Requested from OEC
This column should reflect the amount(s) the agency is requesting from OEC for each travel line.
Total Travel Expenses
This row should total Travel Expenses the agency is requesting from OEC.
Supplies & Operating Expenses
Supplies and operating expenses may include, but are not limited to, postage, office supplies, paid media, educational materials, and copying.
Column B: Item
This column should list the item to be used in support of the Work Plan. Noted below are a two examples from the example in Attachment C -
Work Plan
Example 1: Training Materials - TND materials for 225 youth for 3 schools
Example 2: Telephone lines/long distance and Internet services
Column C: Description of Item
This is a description of the item(s) listed in Item Column. Use the Item Description Column to describe the rationale for the costs budgeted (how it
will be used to advance the Work Plan) and how cost estimates are calculated.
Example 1: Includes work book and other necessary supplies. Work book = $15/student ($15x225=$3,375)and teacher supplies (paper, markers,
flip chart, etc...) $20/9 sessions ($20x9=$180)
Column D: Total Amount Requested from OEC
This column should reflect the amount(s) the agency is requesting from OEC for each supply item.
Total Supplies & Operating Expenses
This row should total the Supplies & Operating Expenses the agency is requesting from OEC.
Exhibit C
Modified Total Direct Costs (MTDC)
This row should total the amount of all Modified Total Direct Costs the agency is requesting from OEC.
Indirect Costs
Indirect costs will be paid according to the Electronic Code of Federal Regulations provision. Any non-federal entity (including a non-profit
organization) shall use either the minimum rate of 10% of modified total direct costs (MTDC) or an approved and negotiated indirect cost rate
(federal or state approved rate.) Agency must supply a copy of the federal or state negotiated indirect rate.
Column B: Item
Please reflect one of the Indirect Cost options for this section. Indirect Costs may be requested (1) using the agency's Federally Negotiated
Indirect Cost Rate or (2) agency's State Negotiated Indirect Cost Rate or (3) 10%, minimum.
Column C: Description of Item (description is not necessary for the negotiated rate agreement)
Example: Using indirect cost rate that applies 10% of Modified Total Direct Costs.
TOTAL
This row should be the TOTAL of all expenses, including Indirect Costs that the agency is requesting from OEC for the project.
Exhibit B
COLORADO :olorado Department of Human Services - (DRAFT)
Office of Early Childhood Office of Early Childhood
BUDGET WITH JUSTIFICATION FORM
Contractor Name
Weld County Human Services
Budget Period
October 1, 2016 - March 31, 2017
Project Name
NSF
Program Contact Name,
Title, Phone and Email
Heather Walker, Division Director, (970)352-1551
walkerhd@co.weld.co.us
Fiscal Contact Name, Title,
Phone and Email
Lennie Bottorff, Fiscal Manager (970)352-1551
bottorll@co.weld.co.us
Expenditure Categories
Personnel Services - Salaried Employees
FY 2017
Position Title/Employee
Name
Description of Work
Gross or
Annual
Salary
Fringe
Percent of Time
on Project
Total Amount
Requested from OEC
Community Liaison,
Geraldine Romero
Will provide 10 hours a week to consult with Guadelupe
$64,800
$28,320
26%
$23,746
Community Center staff on issues related to child safety,
$0
Well-being and permanency, and provide direct
$0
(An extensive scope of
service to extended -stay and emergency overnight
$0
service is attached)
shelter families. Will complete intake and assessments
$0
with famililes and develop Family Service Plans. Will
$0
provide individual and group parent coaching using the
$0
Parenting Wisely curriculum
$0
DHS will continue to work collaboratively with GCC.
$0
Total Personnel Services (including hinge benefits)
$23,706
Contractors/Consultants (payments to third parties or entities)
FY 2017
Name
Description of Item
Total Amount
Requested from OEC
The Weld County DHS will continue to contract and work collaboratively with GCC as we serve the homeless population.
$17,358
Case Manager/Kraig
Patriquin
Case Manager for homeless families residing in the Guadalupe Shelter or in emergency temporary shelter
$3,933
Director of Case
Management/Cheri
Anderson
Family Service manager supervising the CC partnership program for homeless families and the kinship support
groups.
Indirect Costs
$2,159
Supplies for supporting the Kinship Groups
$304
$0
$0
$0
$0
$0
$0
Total Contractors/Consultants
$23,754
Travel
FY 2017
Item
Description of Item
Total Amount
Requested from OEC
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
Page 4 of 5
Exhibit B
I
$o
Total Travel
$0
Supplies & Operating Expenses
FY 2017
Item
Description of Item
Total Amount
Requested from OEC
So
$0
$0
$0
$o
$o
$o
50
$o
$0
Total Supplies & Operating Expenses
$0
MODIFIED TOTAL DIRECT COSTS (MTDC)
$47,500
Indirect Costs
[not to exceed 10% unless Negotiated Federal Indirect Cost rate or Negotiated State Indirect Cost rate is attached]
FY 2017
Item
Description of Item
Total Amount
Requested from 0EC
Negotiated Federal Indirect
cost rate
N/A
$0
State Federal Indirect cost
rate
N/A
SO
or 10% Indirect rate:
50
Total Indirect $0
tOtAI I • $47,500
Page 5 o`
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