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CSBG44-WELD COUNTY 2015-2018
M6
JAN
ii! S2
OPTION LETTER, Number 1
To
GRANT AGREEMENT
Between
STATE OF COLORADO
DEPARTMENT OF LOCAL AFFAIRS
And
WELD COUNTY
Summary
Form of Financial Assistance: ® Grant ❑ Loan This Option Letter Amount: $70,552.00
Revised Total Award Amount: $548,074.28
Agreement Identification:
Contract Encumbrance#: LI5CSBG44 (DOLA's primary contract identification #)
Contract Management System #: 85286 (State of Colorado's contract tracking#for this
Original Grant's CMS #: 79480, 82743 option letter and for the original grant agreement)
Project Information:
Project/Award Number: CSBG 44
Project Name: Weld County
Performance Period: Start Date: 03/01/15 End Date: 09/30/18
Brief Description of Change(s) in Initial allocation of Year 2 funds to three-year grant agreement.
this Option Letter:
Program & Funding Information:
Program Name Community Services Block Grant
Catalog of Federal Domestic Assistance(CFDA)Number(if federal funds): 93.569
Funding Account Codes:
2016-0232
Gw�rvu�n�cait
1— 18-.20140 Page 1 of 2—Option Letter 1 �R D� g7
, CSBG44—WELD COUNTY 2015-2018
Date: 12/01/15
1)In accordance with Section 7(A) of the original grant agreement("Grant") between the State of
Colorado, Department of Local Affairs, and WELD COUNTY,the State hereby exercises its option to
approve the attached Budget Proposal for Program Year No. 2 from 1/1/2016 through 9/30/2017, which is
attached hereto as Exhibit 1 and incorporated by reference herein(the"Budget Proposal").
2)In accordance with Section 7(A) of the Grant,the State hereby exercises its option to ® increase, ❑
decrease the Option Letter amount from $0 to$70,552.00 for Program Year No. 2 from 1/1/2016 through
9/30/2017 and to encumber such funds,which shall be Grant Funds under the Grant. The table in Section
7(A) is hereby modified accordingly.
3)The aggregate maximum amount of Grant Funds in the Grant is hereby ®increased, ❑ decreased to a
new Grant Funds value of$548,074.28 as consideration for Work ordered under the Grant. The State's
obligation is limited to the unpaid obligated Grant Funds amount that has not expired.
4)Effective Date. The effective date of this Option Letter is upon approval of the State Controller or
January 1,2016, whichever is later.
STATE OF COLORADO
John W.Hickenlooper,GOVERNOR PRE-APPROVED FORM CONTRACT REVIEWER
DEPARTMENT OF LOCAL AFFAIRS
By: — J By:
H to Executive Director Rachel Harlow-Schalk,Financial Assistance Director
Date: Za3 /Cj//f Date: �0
ALL GRANTS REQUIRE APPROVAL BY THE STATE CONTROLLER
CRS §24-30-202 requires the State Controller to approve all State grants.This Option Letter is not valid until signed
and dated below by the State Controller or delegate.Grantee is not authorized to begin performance until such time.
If Grantee begins performing prior thereto,the State of Colorado is not obligated to pay Grantee for such
performance or for any goods and/or services provided hereunder.
STATE CONTROLLER
Robert Jaros,CPA
By:
Ja et Miks, C , ontroller Dele to
Date: fO—/ /,—
Page 2 of 2—Option Letter 1
Applicant Weld County Human Services
Name:
Budget Information for 2016(Program Year 2): Budget Detail Explanation
.�
,J*-110":„"" s 9 40P:4` ,,.. `- _ om uta o t, x fed+= 1,Funds ,:-
Employment Case 3 FTE's wages $ 125,302.00
managers
Accounting Clerk 6750 per year,partial staff wages $ 6,750.00
Pc sortn0B4.tatW Otal,.ea at..z'',%r` "', ,�,, ,a :water. ,. 132,052.00...
,'- x %K sK,z'141 ., m ,; r.�° "`� s-' n� "
=1 i•� f. ,..M :"=,- ._,. sass �.< ,:.:, v.,.. ° at l.*� .- s,„ ...
��..IR"LII�..�
,k:�{.f ..I... f ... ...f.,A IF I. ....,.. f IIp.J A Z V f.._ If I. 1 � f I. ♦I..4. f ...I .J L. k r
d Vr .: ornpu tion1.a.4. - 4 , _,„ , .�eraC .A.o-sisrA"tit`
Employment Case 3 FTE's Benefits $ 52,413.00
Managers
Accounting Clerk $2300 per year,partial staff benefits $ 2,300.00
E,1'It,�e.$ellE'1iS�tlL3 _ 7 ¥4„`i ..«", ,c..' ,'.a ' '; „I: ;"....:,_ ,.s... �. ... s 54,713.00
C;Dir 3*(0'ttn 1.41%. "ra" at° ` •:. "t - I � .•, 64.:' ',. _,
Under Item,indicate the type of travel and training requested.Include the number of individuals if known. Show under computation how amount determined.
w ..
.__» •Ccmpu[ahon ', <" °' sera ? x,., a. _
.741
Travei 1 ot4 $ -
D.,aWreu1*eating Gost0upplies 4:0114 .Wil,,,,_ ... g�x_..z...;la _.1 a111'0Z .ISLa r 2 'M4f3R14<*(
Under Item,indicate the type supplies to be purchased,as is reasonable to predict.Include the quantity or number of items. Show under computation how determined.
I [teiit:.;c: ,.„ _�.�»-°xra��,z,��'n�,<,� ,".W;�_<,�.,.,��xiltipUEECton..H�. .d_,�° < ������,��,��� ��� ,414,�.�.F,04.ed[Fund524:454,344ks1S
5uppttesota�`_« ,-m �t�'� ` ��r'���� R4fliril 4441=2.4442:'Wx= �`*' . _>��. $
Etrect'Speatiosrs Serxices - • `n -.
JU,.L.C,
r
j,,
:. •,...Item . 4 „ti; ._.. .t.,.&. , .:..Computation. . ., �d .. ..<. „.,..» r Federal Funds . %,w 44
Emergency Relocation/moving,Rent,Mortgage,Motel and Homeless shelter vouchers,utilities,bus passes,gas vouchers,auto $ 50,000.00
repairs,household repairs,furnace,hot water heater,furniture,clothing,food,child care,weatherization,car
insurance and car payment
Employment-AmeriCorp Participant stipend,training,certificate fees,GED&Basic Skill Lab fees,Life Skill workshop fees,work related tools or 5 5,000.00
clothing.
TANF subsidized Internship wages&benefits for program participants $ 20,000.00
Employment
Client Supplies and services:eyeglasses or repairs,physicals,uniforms or special clothing to start a job,
special tools,background checks including finger prints,immunizations needed for a job,driver's license
Employment-TANF/EF or state ID,background checks,interview translation services,transportation vouchers,bus tickets, $ 10,000.00
Supportive Services hygiene kits,computer learning lab fees,ESL/GED books and testing or class fees,Certification fees,
education training,employment skills assessments and job search supplies to obtain and maintain
employment.
Employment-Lab Fees Fees in our lab for GED,testing,certification,tutorials $ 7,993.00
Serv1ce5Total ri .. ,, ,�,.r e'3 '�"� F$`,� s..f ',-d' sr. UM. ,',v�., sy :.92,993.00
.., -t-_s.� z���"�° n,.,, '. s�„�;�:,�.,,. ,.,'.fir. . '..,.P��i,.� ..., � . . _ � ,r ,. $
M, x pb ' '£," i -"bra < z>P. a.� :, i.'*.x ,. ,<, -��• ,.r ..,t7;,:;�.
F.pirectOp�dtiitgCosts-Qkjter� r._„m,VO,,,�.�m «��Z�..O�,,�� ..is._.�...., _,�_��-._ .�....,�,
Under Item,indicate any other direct expenses that do not fit in the above categories.Include the quantity or number of items. Show under computation how determined.
- " � ^.�.,'� a o ..a°`::e ''^≥si .4 ,3,a- .�,,,, tr°'z. r'zg;" -m r edEl'l Fonds,..... 4
,�..�..�,ltem� - ._ ,._ .>_. ter. .,...,., _Computation __, -� < �� s - ..
Building and business
rent,utilities,IT,office supplies $ 2,450.00
cost
Othei Total `-xW a ,t,.t ee e n , ...O.w. .. ss a�..� a t� n.,_. $ 2,450.00
G tiTotal ptrect Charges Ssei tiof is A.F). ,VWS a b ' .-:AS ot 0.s2*'"
Total Direct Charges I Add Sections A-F to total direct costs. $ . 282,208.00
04ub Gra tee,,$A l '" ��'"�, � �, suerati
s,am .„��..„�,.,"��.,..,,N��.,,��,3 i o,-ca a„c,a.,.,a,vvja�.., .��r a...,,�.,�n,o„�N„ono,y ua�4»��,..,�..,.,.co.,c„2n,,. c any,.a.............t..t:,........ti-...ti,....a... R �
' Rem 70h .,0>. : ,A.A t °, t P74.0ipt)pn of S Olees., 4MOSM Federal unds �� ,`
�: ., �„ -A— 1 1 ,Gfanfee Totat $ -
2. Sub-Grantee Total allowable for Indirect Expenses(Limited to first$25,000 of each sub-award).
a. Total dollar amount
of sub-awards less than $
$25,000 each=
(100%of sub-awards
that are less than
525,000 may be
included in
calculations for
indirect rate.) $ -
b.Number of sub-
awards more than
$25,000
c.#from 2b X$25,000 $
limit=
For sub-awards that exceed$25,000,only the first$25,000 per award may be included in calculations for indirect rate.
Enter the total from 2c for the sub-grantee total allowable for indirect expenses in the box to the right. You will add this amount to the total
direct charges to calculate indirect rate in the next section.
H2 Figure:
r--.10A4-:;;; " .�� s 110 4idirect,Gast Rate u ' ,: F = ag 71 Federal Funds
1. _Federal negotiated indirect cost rate of %(Please attach supporting documentation.)If using this option,enter%in green cell here:
2. _De minimus rate of 10%.Enter%in green cell here:
3. Not using an indirect rate.(may include administrative costs in direct expenses)
Total Direct Charges $
282,208.00
(Section G):
Allowable Sub-Grantee $
Total(Section H2):
Total Costs eligible for $ 282,208.00 $ 282,208.00
indirect rate:
(Multiply indirect rate by Total costs eligible and enter amount in the box to the right.)
K.,-,Total Program Budget : « -Federal Funds .. .. .m....�.
Subtotal Direct Charges(Section G) $ 282,208.00
Subtotal Subgrantee Awards(Section H1)
Subtotal Indirect Cost Rate(If applicable) $
TOTAL:Grant Award(Must match projected allocation.) „ ate �.:_. _., 1..
Estimated carryover+new allocation $ 282,208.00
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