HomeMy WebLinkAbout20142554.tiff RESOLUTION
RE: APPROVE GRANT CLOSEOUT SUMMARY FOR VARIOUS WORKFORCE INVESTMENT
ACT PROGRAMS 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 the Grant Closeout Summary for Various
Workforce Investment Act Programs 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, Employment Services Division, to the Colorado Department of Labor and Employment,
with terms and conditions being as stated in said closeout summary, and
WHEREAS,after review,the Board deems it advisable to approve said closeout summary,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 Grant Closeout Summary for Various Workforce Investment Act
Programs 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, Employment
Services Division, 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 closeout summary and all necessary documents.
The above and foregoing Resolution was, on motion duly made and seconded, adopted by
the following vote on the 18th day of August, A.D., 2014.
BOARD OF COUNTY COMMISSIONERS
ELD COUNTY, COLORADO
ATTEST: C� op (rte CPpwa
J.�)
C ,dt�f.�J . to'�,� nuglat ademac er, Chair
Weld County Clerk to the Board
EL � ( L1t.P te_4_-
Barbara Kirkmey r, Pro-Tem
B
De• 4 y Clerk t the Boar i r• *4} ' T
/ °""' �• an P. Conway
FORM:
Cu NI, Mike Fr
County Attorney
q/�
illiam F. Garcia
Date of signature:dLii 27 StAawri vi vi St 2014-2554
HR0085
MEMORANDUM
113 61
DATE: August 14, 2014
' TO: Douglas Rademacher, Chair, Board o Co my Co issioners
COUNTY
FROM: Judy A. Griego, Director, Human S ices e�art n
RE: Year-End Close-Out Report for the eld County Department
of Human Services' Employment Services' WIA Program to
the Colorado Department of Labor and Employment
Enclosed for Board approval is the Year-End Close-Out Report for the Department's Employment
Services' WIA Program to the Colorado Department of Labor and Employment. This Report was
reviewed under the Board's Pass-Around Memorandum dated August 7, 2014, and approved for
placement on the Board's Agenda.
The Workforce Investment Act (WIA) Grant Closeout packet is required by the Year-End
Contract Closeout Procedures of the Colorado Department of Labor and in accordance with their
Policy Guidance Letter# 06-12-F1 for all programs that have Expenditure Authorizations ending
during the period July 1, 2013 to June 30, 2014. Revenues and expenses are reconciled and grant
obligations are released for those projects that are fully expended by the Department's
Employment Services.
If you have questions, please give me a call at extension 6510.
2014-2554
Attachment K
Colorado Department of Labor and Employment
Grant Closeout Signature Page
Workforce Region: Employment Services of Weld County
Address: P. O. Box 1805, Greeley, Colorado 80632
Director: Linda Perez Phone Number: (970)352-1551ext 6750
Fiscal Manager: Leonard Bottorff Phone Number: (970)352-1551 ext 6537
Master Grant/Contract Agreement Number: 13KAA 38158
CLOSEOUT SUMMARY
This closeout packet signature page includes the following contracts:
Program Funding Stream Amount Vax # Line Item
Year FSC123#
PY 11/FY 12 WIA 25 % Discretionary $ 89,999.26 2109 INRU2F
PY 11 WIA H1B $ 69,576.46 2155 INHO1, lAHC01
PY 12/FY13 WIA Adult $ 585,761.00 2207 2NAO1F, 2AO01F
2NAD2F, 2AD02F
2ND02F, 2NO01F
PY 12 WIA Youth $ 789,228.00 2208 2NYOIP, 2NAYIP
2AY0IP
P
PY 12/FYI3 WIA Dislocated Worker $ 390,136.00 2209 2NDOIF, 2NADIF
2AD01 F
PY 12 Wagner Peyser $ 887,951.07 2210 2NW01
FY 13 WIA FED EUC $ 24,360.00 2228 2Nu02F, 2Nu03F
2Nu04F
FY 12 TAA Case Management $ 32,247.00 2262 INa0IF
FY 13 DVOP $ 23,206.77 2294 2NV01, 2NV02
PY 12 Wagner Peyser 10 % MSFW $ 23,410.00 2303 2NE01
PY 12 Wagner Peyser 10% Summer Job Hunt $ 40,000.00 2319 2NJ01
PY 11 Wagner Peyser 10% MSFW $ 23,410.00 2323 INE01
PY 13 WIA Adult $ 511,101.00 2361 3NO0IP, 3NA01P
3AO0IP, 3NFE3P
3NAF3P, 3AFE2P
3NO0IF
PY 13 ESF $ 416,502.00 2365 3Ns01
PY 12/FY 13 WIA 25% Enhanced Dislocated Worker $ 16,039.00 2379 2NFEIF, 2AFE1F
Total $ 3,922,927.56
2013-2014
c76/9- a5sy
Each Program Year(PY) and funding stream listed above will have the following forms completed:
Form Attachment I and Attachment H:
• Grant Recipient's Release(Attachment I: page 1 of 6)
• Contract Closeout Tax Certification (Attachment I: page 2 of 6)
• Schedule of Unclaimed Checks(Attachment I: page 3 of 6)
• Grant Recipient's Assignment of Refunds, Rebates, and Credits(Attachment I: page 4 of 6)
• Sub-recipient Certification of Physical Inventory (Attachment I: page 5 of 6)
• Physical Inventory List(Attachment I: page 6 of 6)
• Grant Closeout Reconciliation Worksheet(Attachment H)
I certifit to the best of my knowledge and belief the following financial data reported in this
closeout packet is correctly stated.
By: to Y 0e5 Q cNikk.0110 18 2014
Local Elected Official Date
Chair, Board of County Commissioners or
Authorized Signature
2013-2014
Attachment I
Page I of 6
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT RECIPIENT'S RELEASE
Grant Recipient's Name: Employment Services of Weld County
Address: PO Box 1805, Greeley, CO 80632
Release Date: 8/20/14Release Date: 8/20/14
Pursuant to the terms of Contract/Grant Agreement Number 13KAA 38158 , including the Expenditure
Authorizations (EAs) awarded under said Contract/Grant Agreement, as VAX/FCS123 number(s): 2109/1 NRu2F
2155/1NHO1 , 2155/1AHC01 , 2207/2NAO1F , 2207/2AO01F , 2207/2NAD2F , 2207/2AD02F 2207/2ND02F
2207/2NO01F 2208/2NY01P , 2208/2NAY1P 2208/2AYO1P , 2209/2ND01F , 2209/2NAD1F , 2209/2AD01F
2210/2NW01 , 2228/2Nu02F , 2228/2Nu03F , 2228/2Nu04F , 2262/1Na01F , 2294/2NV01 , 2294/2NV02
2303/2NE01 , 2319/2NJ01 2323/1NE01 2631/NO01P 2361/3NA01P , 2361/3AO01P , 2361/3NFE3P
2361/3NAF3P , 2361/3AFE2P 2361/3NO01F , 2365/3Ns01 2379/2NFE1F 2379/2AFE1F
and in consideration of the sum of Total amount paid of $3,922,927.56 and payable of
NONE ($of Unclaimed Checks Total) under the said Contract to
(Contractor's Name and Address)
hereafter called the Grant Recipient or to its assignees, if any, the Grant Recipient, upon payment of the said sum by the
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT, hereinafter called CDLE, does remise, release, and
discharge CDLE, its officers, agents, and employees, of and from all liabilities, obligations, claims, and demands
whatsoever under or arising from said Contract/Grant Agreement except:
1. Specified claims in stated amounts or in estimated amounts where the amounts are not susceptible of exact
statement by the Grant Recipient, as follows( if none, so state):
VAX) Invoice Expected
FCS123 Date Invoice Line Cost Payment
Number (If Known) Vendor or P.O.# Item Category Amount Amount
NONE
2, Claims, together with reasonable expenses incidental thereto, based upon the liabilities of the Grant
Recipient to third parties arising out of the performance of the said contract, which are not known to the
Grant Recipient on the date of the execution of this release and of which the Grant Recipient gives notice in
writing to the CDLE within the period specified in the said Contract/Grant Agreement.
3. Claims after closeout, for costs which results from the liability to pay Unemployment Insurance costs under
a reimbursement system or to settle Worker's Compensation claims.
This release has been executed this 20th day of August, 2014
By
,21O
Authori ed Signature
Title Chair, Weld County Board of Commissioners
Attach I-1Gran RecRelForm2014.xlsx
Attachment I
Page 2 of 6
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
CONTRACT CLOSEOUT TAX CERTIFICATION
In the performance of Contract/Grant Agreement Number 13KAA 38158 , including the
Expenditure Authorizations (EAs) awarded under said Contract/Grant Agreement, identified
as VAX/FCS123 number(s) : 2109/1NRU2F , 2155/1NHO1 , 2155/1AHC01 ,
2207/2NAO1 F , 2207/2AO01 F , 2207/2NAD2F , 2207/2AD02F , 2207/2ND02F ,
2207/2NO01 F , 2208/2NY01 P , 2208/2NAY1 P , 2208/2AY01 P , 2209/2ND01 F ,
2209/2NAD1F , 2209/2AD01F , 2210/2NW01 , 2228/2Nu02F , 2228/2Nu03F ,
2228/2Nu04F , 2262/1 Na01 F , 2294/2NV01 , 2294/2NV02 , 2303/2NE01 ,
2319/2NJ01 , 2323/1NE01 , 2361/3NO01P , 2361/3NA01P , 2361/3AO01P ,
2361/3NFE3P , 2361/3NAF3P , 2361/3AFE2P , 2361/3NO01F , 2365/3Ns01 ,
2379/2NFE1F , 2379/2AFE1F ,
I certify that I have complied with requirements of the law and the Colorado Department of
Labor and Employment, regarding the obtaining of employer identification/account numbers;
collection, payment, deposit, and reporting of federal, state, and local taxes; and the provision
of W-2 forms to employees/enrollees who are not now my employees. For present
employees/enrollees (formerly employed under the contract), W-2 forms will be furnished as
specified in Circular E. Employer's Tax Guide.
Grant Recipient Name: Employment Services of Weld County
Grant Recipient Address: PO Box 1805
Greeley, CO 80632
Grant Recipient Employer: Weld County Dept of Human Services
Employer's Identification Number: 84-6000813
This certification has been executed this 20th day of August 2014
By
Authorize Signature
Title Chair, Weld County Board of Commissioners
Attach I-2ContractCloseoutTaxCert2014.xlsx
Attachment I
Page 3 of 6
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
SCHEDULE OF UNCLAIMED CHECKS
Grant Recipient Name: Employment Services of Weld County
Contract/Grant Agreement Number: 13KAA 38158
Release Date: 8/20/2014
VAX/FSC123 Check Check Payee's Last Known
Number Number Payee Amount Address
NONE
Total Amount Unclaimed
This schedule has been executed this 20 day of August 2014
Authorize Signature
Title Chair, Weld County Board of Commissioners
Attach 1-3 ScheduleofUnclaimedChecks 2014.xlsx
Attachment I
Page 4 of 6
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT RECIPIENT'S ASSIGNMENT OF REFUNDS, REBATES, AND CREDITS
Grant Recipient's Name: Emp Svcs of Weld County Contract/Grant Agreement
Street Address: PO Box 1805 No: 13KAA 38158
City and State: Greeley, CO 80632
Pursuant to the terms of Contract/Grant Agreement Number 13KAA 38158 , including the
Expenditure Authorizations (EAs) awarded under said Contract/Grant Agreement, identified as
VAX/FCS123 number(s) : 2109/1NRU2F , 2155/1 NHO1 , 2155/1AHC01 ,
2207/2NAO1F , 2207/2AO01F , 2207/2NAD2F , 2207/2AD02F , 2207/2ND02F ,
2207/2NO01 F , 2208/2NY01P , 2208/2NAY1P , 2208/2AY01P , 2209/2ND01 F ,
2209/2NAD1F 2209/2AD01F , 2210/2NW01 , 2228/2Nu02F , 2228/2Nu03F ,
2228/2Nu04F 2262/1 Na01 F , 2294/2NV01 , 2294/2NV02 , 2303/2NE01 ,
2319/2NJ01 , 2323/1NE01 , 2361/3NO01P , 2361/3NA01P , 2361/3AO01P ,
2361/3NFE3P , 2361/3NAF3P , 2361/3AFE2P , 2361/3NO01F , 2365/3Ns01
2379/2NFE1F , 2379/2AFE1F ,
and in consideration of the reimbursement of costs and payment of fee, as provided in the said
Contract/Grant Agreement and any assignment thereunder, the Grant Recipient's Name and Address
(hereinafter called the Grant Recipient) does hereby:
1. Assign, transfer, set over and release to the Colorado Department of La'-or
and Employment (hereinafter called CDLE), all right, title and interest to all
refunds, rebates credits or other amounts (including any interest thereon)
arising out of the performance of the said contract/grant agreement, together
with all the rights of action accrued on which may hereafter accrue
thereunder.
2. Agree to take whatever action may be necessary to effect prompt collection of
as such refunds, rebates, credits or other amounts (including any interest
thereon due or which may become due, and to forward promptly to CDLE.
3. Agree to cooperate fully with CDLE as to any claim or suit in connection with
such refunds, rebates, credits or other amounts due (including an interest
thereon): execute any protest, pleading, application, power of attorney or
other papers in connection therewith; and to permit CDLE to represent it at an
hearing, trial or other proceeding arising out of such claim or suit.
This assignment has been executed this //20th// day of August 2014
By— �i�L 0? /
Authorized Sidnature
Title Division Head of Employment Services
Attach I-4RefRebCredits2014.x1sx
Attachment I
Page S of 6
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
SUBRECIPIENT CERTIFICATION OF PHYSICAL INVENTORY
Subrecipient Name: Emp Svcs of Weld Coun 'Contact Person: Lennie Bottorf
'Address: PO Box 1805 Phone Number: 970-352-1551 ext 6537
Greeley, CO 80632
I hereby certify that all property/equipment previously purchased with or' transferred from the
Comprehensive Employment and Training Act (CETA) or the Job Training Partnership Act (JTPA)
program to the Workforce Investment Act (WIA) programs or purchased under any Colorado
Department of Labor and Employment (CDLE) federally funded grant or transferred with the
CDLE's approval is included in the attached listing for the above-noted subrecipient.
The attached listing has been verified by a physical inventory. Changes/revisions are:
C Noted O Not Applicable.
I certify that this property is being used for purposes that it was originally purchased for and will be
repaired or replaced by my insurance if damaged, lost, or stolen.
I certify that all property/equipment previously purchased with or transferred from the CETA or the
JTPA programs to WIA program or purchased under a CDLE federally funded grant or transferred
with the CDLE's approval with a fair market value (FMV), established by our existing local
procedures, of$5,000 or more, has been identified.
I further certify that the proceeds of all property/equipment previously purchased with or transferred
from the CETA or JTPA program to the WIA program, with a FMV of $5,000 or more, will be
returned to CDLE, in order to return the proceeds to the U.S. Department of Labor.
O6/2.,„O„,Subrecipient Director's Sig lure I . Date
Revised: 6/1/06 Attach I-5CertofPhysInv2014.xlsx
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Attachment H
Page 1 of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 11/FY 12
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT WIA 25% DW
Greeley, CO 80632 VAX ERF(VERF)# 2109
CONTRACT or EA START DATE 12/01/11 END DATE 06/30/14
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) VAX CR#1847 FCS123#1NRU2F9': ae.x,ti
I. Total Program and Admin Cash Needs Previously Reported (Last CR# 1847 ) 89,999.26
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(1.1.+1.2:1.3.) 89,999.26
IL PROGRAM EXPENSE REPORT(ER) Vax# 2109 ' w ". "li'
I. Total Expenses+Accruals Previously Reported(Through Last Month) 89,999.26
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(H1+11.2.411.3.) 89,999.26
ADMINISTRATIVE EXPENSE(ER) Vax#
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCS123# 0.00
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(II.4+II.5.11.6.) 0.00
IIL PROGRAM INCOME(PI)EXPENSE REPORT Vax# t '
1. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(III I.+111.2.111.3.) 0.00
IV. RECONCILIATION (Cash Request=Expense) .i% ,
I. FINAL CR Contract to Date(1.3.) II not,explain on the Remark below 89,999.26
2. FINAL Expenses Through End of Contract(11.3.+II 6.+111.3.) 89,999.26
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES LI/NOL
V. CASH REQUEST PROGRAM INCOME CASH REPORTED 'Oa
I. Total PI Cash Previously Reported on CR (Last CR# )
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
VI. RECONCILIATION P1 Cash Request=Pl E penses) tsr"w
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(111.3.) 0.00
I 3. Total PI Cash Balance(VI.I -VI.2.=VI.3.) (Refund * Extend ) 200
VIL MATCH RECONCILIATION Vax# ' a n
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+116+I II.3.) 89,999.26
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VII.2 x V11.3.) 0.00
5. Total Match Reported(V11.I.1>or=to Match Expenditure Requirement(VII.4.)?(Check Box) YESH/NOD
The Program Income Expense Report and Cash Request can only be extended through the availability of the Award and/or Federal funding period
Remark
Preparer's Signature / Ie-'� Date OR//Q/,Q0/�
Authorized SignaEir Date
See instructions for completing this form on the next page.
Revised 6/1106 2014AaachHCloseRec210£.Jsx
Attachment H
Page 1 oft
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 11
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT H1B
Greeley, CO 80632 VAX ERF(VERF)# 2155
CONTRACT or EA START DATE 02/15/12 END DATE 06/30/15
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) VAXCR#1847 FCSI23#INHOI
I. Total Program and Admin Cash Needs Previously Reported (Last CR# 1847 ) 69,576.46
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(1.1.+I.2.=13.) 69,576.46
IL PROGRAM EXPENSE REPORT(ER) Vax# 2155
I. Total Expenses+Accruals Previously Reported(Through Last Month) 64,562.46
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(11.I.+11.2.=11.3.) 64,562.46
ADMINISTRATIVE EXPENSE(ER) Vax# 2155
4. Total Expenses+Accruals Previously Reported(Through Last Month) FC5123# IAHCOI # 5,014.00
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(II.4.+11.5.=II.6.) 5,014.00
HI. PROGRAM INCOME(PI)EXPENSE REPORT Vax#
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(111.1+111.2=II1.3.) 0.00
IV. RECONCILIATION (Cash Request=Expense)
I. FINAL CR Contract to Date(I.3.) It not,explain on the Remark below 69,576.46
2. FINAL Expenses Through End of Contract(11.3.+II 6+111.3.) 69,576.46
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) . YES IJ/NOU
V. CASH REQUEST PROGRAM INCOME CASH REPORTED
I. Total PI Cash Previously Reported on CR (Last CR#
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
VI. RECONCILIATION (PI Cash Request=PI Expenses)
1. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(111.3.) 0.00
3. Total PI Cash Balance(VLI -VI.2.=VI.3.) (Refund * Extend ) 0.00
VII. MATCH RECONCILIAHON Vax#
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+116.+1113.) 69,576.46
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VII.2 x VII.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(VI1.4.)?(Check Box) YESLd/NOLJ•
The Program Income Expense Report and Cash Request can only be extended through the availability of the Award and/or Federal funding period.
Remark
y �
Preparer's Signature Date 08//o2/20/
Authorized Signatur Date -.-7//1--/e-,
See instructions for completing this form on the next page.
Revised'. 6/1/06 2014AitachHCloseRec2155.xlsx
Attachment H
Page I of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 12/FY13
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT Adult
Greeley, CO 80632 VAX ERF(VERF)# 2207
CONTRACT or EA START DATE 07/01/12 END DATE 06/30/14
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) VAX CR#1847 2NAO1F
I. Total Program and Admin Cash Needs Previously Reported (Last CR# 1847 ) 51,691.00
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(1.1.+1.2.=1.3.) 51,691.00
II. PROGRAM EXPENSE REPORT(ER) Vex# ra.
1. Total Expenses+Accruals Previously Reported(Through Last Month)
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(IL I.+11.2:1I.3.) 0.00
ADMINISTRATIVE EXPENSE(ER) . Vex# 2207 t.
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCS/23# 2AO01 F # 51,691.00
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(II.4.+11.5:11.6.) 51,691.00
HL PROGRAM INCOME(PI) EXPENSE REPORT Vax# y
1. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(111.1+ Ill.2.-111.3.) 0.00
IV. RECONCILIATION Cash Request=Expense) # '
I. FINAL CR Contract to Date(1.3.) If not,explain on the Remark below 51,691.00
2. FINAL Expenses Through End of Contract(11.3.+II 6.+111.3.) 51,6^1.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES Ld/NO�J
V CASH REQUEST PROGRAM INCOME CASH REPORTED
I. Total PI Cash Previously Reported on CR (Last CR#
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
VL RECONCILIATION P1 Cash Request=PI E penses) gfry
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(111.3.) 0.00
3. Total PI Cash Balance(VI.I -VI.2.=V1.3.) (Refund * .Extend ) 0.00
.................... .... ..........
VIL MATCH RECONCILIATION Vax#
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+116.O11.3.) 51,691.00
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VII.2 x VI1.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(VII.4.)?(Check Box) YESHI/NOL
The Program Income Expense Report and Cash Request can only be extended through the availability of the Award and/or Federal funding period.
Preparer's Signature asif �"� ti; �-'-� Date 0842/jOig
Authorized Signatur ( Date V Q1/41y
See instructions for completing this form on the next page.
Revised'. 6/1/06 2014AttachHCloseRec2207.xisx
Attachment H
Page 1 of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 12/FY13
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT Adult
Greeley, CO 80632 VAX ERF(VERF)# 2207
CONTRACT or EA START DATE 07/01/12 END DATE 06/30/14
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) VAX CR#1847 2NAD2F
I. Total Program and Admin Cash Needs Previously Reported (Last CR# 1847• ) 6,885.00
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(1.1.+1.2:1.3.) 6,885.00
II. PROGRAM EXPENSE REPORT(ER)
Fax#
I. Total Expenses+Accruals Previously Reported(Through Last Month)
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(II.I.+11.2.=11.3.) 0.00
ADMINISTRATIVE EXPENSE(ER) Vax# 2207 t=. L
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCS123# 2AD02F # 6,885.00
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(11.4.+II.5.11.6.) 6,885.00
HI. PROGRAM INCOME(PI)EXPENSE REPORT Vax#
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(III.1.+111.2.=111.3.) 0.00
IV, RECONCILIATION (Cash Request=Expense) „ i 1
I. FINAL CR Contract to Date(1.3.) If not, explain on the Remark below 6,885.00
2. FINAL Expenses Through End of Contract(11.3.+116.+111.3.) 6,885.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES IJ/NOLJ
V. CASH REQUEST PROGRAM INCOME CASH REPORTED •
`;':
I. Total PI Cash Previously Reported on CR (Last CR#
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V I.+V.2=V.3.) 0.00
VL RECONCILIATION P1 Cash Request=P/Expenses)
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(111.3.) 0.00
3. Total P1 Cash Balance(V1.1 -VI.2.=V1.3.) (Refund * Extend ) 0.00
VII. MATCH RECONCILIATION Vax# •
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+116.+111.3.) 6,885.00
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VII.2 x V11.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(V II.4.)?(Check Box) YESLI/NOLJ
The Program Income Expense Report and Cash Request can only be extended through the availability o/the Award and/or Federal funding period.
Pre arer's Si nature ,4 / +t-.-v Date 07,04/ 2 /y
Authorized Signatur Date O �iy��
See instructions far completing this form on the next page. ,\J\ 777
•
Revised. 611106 2o14AaachHCloseRec22ol8.xlsx
Attachment H
Page 1 of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 12/FY13
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT Adult
Greeley, CO 80632 VAX ERF(VERF)# 2207
CONTRACT or EA START DATE 07/01/12 END DATE 06/30/14
PROGRAM INCOME START DATE END DATE
I CASH REQUEST(CR) VAX CR#1847 2NDO2F
I. Total Program and Admin Cash Needs Previously Reported (Last CR# 1847 ) 61,963.00
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(1.1.+1.2:1.3.) 61,963.00
M PROGRAM EXPENSE REPORT(ER) Vax# 2207 r u'r-s .
1. Total Expenses+Accruals Previously Reported(Through Last Month) 61,963.00
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(11.1.+11.2.=11.3.) 61,963.00
ADMINISTRATIVE EXPENSE(ER) Vax# r:.
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCS/23# #
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(11.4.+11.5.=11.6.) 0.00
III PROGRAM INCOME(PI)EXPENSE REPORT Vax# III**.--,##at I. ;t'
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(III.L+111.2.111.3.) 0.0g0�
IV. RECONCILIATION 9 P ) ') .,z €6g
Cash Re uest=Ex ense „
I. FINAL CR Contract to Date(1.3.) If not, explain on the Remark below 61,963.00
2. FINAL Expenses Through End of Contract(11.3.+11 6.+111.3.) 61,963.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES L /NOLJ
V. CASH REQUEST PROGRAM INCOME CASH REPORTED ' : � :
I. Total PI Cash Previously Reported on CR (Last CR# )
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
VI. RECONCILIATION Pl Cash Request=P7 ExpenseaJ ``„x 3 1 `za3
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(111.3.) 0.00
3. Total PI Cash Balance(VI.I -VI.2.=VI.3.) (Refund * 'Extend ) 0,00
VII MATCH RECONCILIATION Vax# t i'
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+116.+111.3.) 61,963.00
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(V 1I.2 x VII.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(V11.4.)?(Check Box) YESH/NOLl
The Program Income Expense Report and Cash Request can only be extended through the availability of the Award and/or Federal funding period.
Remark:
Preparer's Signature /2Q'p ., �cc Date 03/42/20/e/
Authorized Signatur 7- i % A Date 52-1 7
See instructions far completing this form on the next page.
Revised'. 6/1/06 2ol4A1tachHCloseRec22o7o.xlsx
Attachment H
Page I of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 12/FY13
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT Adult
Greeley, CO 80632 VAX ERF(VERF)# 2207
CONTRACT or EA START DATE 07/01/12 END DATE 06/30/14
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) VAX CR#1847 2NO01F y,d;
I. Total Program and Admin Cash Needs Previously Reported (Last CR# 1847 ) 465,222.00
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(I.1.+1.2:1.3.) 465,222.00
II. PROGRAM EXPENSE REPORT(ER) Vax# 2207 *> , a
I. Total Expenses+Accruals Previously Reported(Through Last Month) 465,222.00
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(11.1+II.2.=11.3.) 465,222.00
ADMINISTRATIVE EXPENSE(ER) Vax# _ y'
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCS/23# #
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(II.4.+II.5.11.6.) 0.00
III. PROGRAM INCOME(PI)EXPENSE REPORT Vax# i ) .>:.
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(111.1.+ III.2.111.3.) 0.00
IV. RECONCILIATION (Cash Request=Expense) ..II,I:.. it,
I. FINAL CR Contract to Date(1.3.) If not,explain on the Remark below 465,222.00
2. FINAL Expenses Through End of Contract(11.3.+II 6.+11I.3.) 465,2 ?.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES H/NOL
V. CASH REQUEST PROGRAM INCOME CASH REPORTED +.
I. Total PI Cash Previously Reported on CR (Last CR# )
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
VL RECONCILIATION P/Cash Request=P/Expensea9 .xat� 'II
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(111.3.) 0.00
3. Total PI Cash Balance(VI.1 -VI.2.=VI.3.) (Refund * Extend ) 0.00
t,. ,
VII. MATCH RECONCILIATION ' Vax#
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+II6.+61.3.) 465,222.00
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VII.2 x VII.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(V11.4.)?(Check Box) YESLJ/NOLI
The Program Income Expense Report and Cash Request can only be extended through the availability of the Award and/or Federal funding period.
Remark. ��p / p
Preparer's Signature ( I2 p/p i�.� 4-e._a Date O1/c /,O/V
Authorized Signatur c��, �ci / Date �'-����
See instructions for completing this form on the next page.
Revised 6/1/06 2014AttachHCloseRec220]C xlsx
Attachment H
Page 1 of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 12
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT Youth
Greeley, CO 80632 VAX ERF(VERF)# 2208
CONTRACT or EA START DATE 07/01/12 END DATE 06/30/14
PROGRAM INCOME START DATE END DATE
I. CASH REQUEST(CR) VAX CR#1847 2NY0IP
I. Total Program and Admin Cash Needs Previously Reported (Last CR# 1847 ) 710,306.00
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(1.I.+1.2:1.3.) _ 710,306.00
IL PROGRAM EXPENSE REPORT(ER) Vax# 2208 *-`+
ahAk
I. Total Expenses+Accruals Previously Reported(Through Last Month) 710,306.00
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(11.1.+11.2.11.3.) 710,306.00
ADMINISTRATIVE EXPENSE(ER) Vax# n
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCS123# #
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(11.4.+11.5.=11.6.) 0.00
IlL PROGRAM INCOME(PI)EXPENSE REPORT Vax# t
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(111.1.+111.2.= 111.3.) 0.00
IV RECONCILIATION Cash Request=Expense) L�}`f
I. FINAL CR Contract to Date(1.3.) If not,explain on the Remark below 710,306.00
2. FINAL Expenses Through End of Contract(11.3.+116.+I II.3.) 710,306.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES L'I/NOH_
V CASH REQUEST PROGRAM INCOME CASH REPORTED k
I. Total PI Cash Previously Reported on CR (Last CR#
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
VI. RECONCILIATION Vl cash eeyuerr=V/Expen.ree9 k; ,
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(111.3.) 0.00
3. Total PI Cash Balance(VI.I -VI.2.=V1.3.) (Refund * Extend ) 0.00
VII. MATCH RECONCILIATION Vax# :a;',#.
1. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+116.+111.3.) 710,306.00
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VII.2 x VII.3.) 0.00
5. Total Match Reported(V II.I.)>or=to Match Expenditure Requirement(VII.4.)?(Check Box) YESU/NOLL
`The Program Income Expense Report and Cash Request can only be extended through the availability of the Award and/or Federal funding period. ..
Remark: �/ /�
Preparer's Signature ( j ,�jc4≤ (�(�(f Date orr�„vin/y
C�
Authorized Signatur Date o // z5e
See instructions for completing this form on the next page.
Revised. 6/1/06 2014AttachHCloseRec2208 xlsx
Attachment H
Page I of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 12
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT Youth
Greeley, CO 80632 VAX ERF(VERF)# 2208
CONTRACT or EA START DATE 07/01/12 END DATE 06/30/14
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) VAX CR#1847 2NAv4F
I. Total Program and Admin Cash Needs Previously Reported (Last CR# 1847 ) 78,922.00
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(I.1.+1.2.=1.3.) 78,922.00
H. PROGRAM EXPENSE REPORT(ER) Fax# '
I. Total Expenses+Accruals Previously Reported(Through Last Month)
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(11.1+II.2.=11.3.) 0.00
ADMINISTRATIVE EXPENSE(ER) Fax# 2208 ph `
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCS/23# 2AY0IP P 78,922.00
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(11.4.+I I.5.=11.6.) 78,922.00
III. PROGRAM INCOME(PI) EXPENSE REPORT Fax#
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(111.1+III.2.=II1.3.) 0.00
IV. RECONCILIATION (Cash Request=Expense)
1. FINAL CR Contract to Date(1.3.) If not,explain on the Remark below 78,922.00
2. FINAL Expenses Through End of Contract(11.3.+II 6.+111.3.) 78,922.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) • _ YES L'I/NOH
V. CASH REQUEST PROGRAM INCOME CASH REPORTED i)
I. Total PI Cash Previously Reported on CR (Last CR#
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
VI. RECONCILIATION (P/Cash Request=P/Expenses) n"I°
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(111.3.) 0.00
3. Total PI Cash Balance(VI.I -VI.2.=VI.3.) (Refund * Extend ) 0.00
VII. MATCH RECONCILIATION Fax# ,
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+116.+111.3.) 78,922.00
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VII.2 x VII.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(V11.4.)?(Check Box) YES IL/MOLT
The Program Income Expense Report and Cash Request can only be extended through the availability o/the Award and/or Federal funding period
Remark: p
Preparer's Signature (21/2Y; i���O Date, U,O/���/�
Authorized Signatur
Date �5 7�'��
See instructions for completing this form on the next page.
Revised 6/1/06 201AAttachHCloseRec2208B.visa
Attachment H
Page 1 of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 12/FY 13
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT Dislocated Worker
Greeley, CO 80632 VAX ERF(VERF)# 2209
CONTRACT or EA START DATE 07/01/12 END DATE 06/30/14
PROGRAM INCOME START DATE END DATE
I. CASH REQUEST(CR) VAX CR#1847 2ND0IF
I. Total Program and Admin Cash Needs Previously Reported (Last CR# 1847 ) 351,123.00
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(1.I.+1.2.=1.3.) 351,123.00
IL PROGRAM EXPENSE REPORT(ER) Vax# 2209 'Li,: i #:`��,�,.;
I. Total Expenses+Accruals Previously Reported(Through Last Month) 351,123.00
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(11.1.+11.2.=11.3.) 351,123.00
ADMINISTRATIVE EXPENSE(ER) Vax#
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCS123# #
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(II.4+11.5.11.6.) 0.00
III. PROGRAM INCOME(PI)EXPENSE REPORT Vax#
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(111.1.+111.2.111.3.) 0.00
IV. RECONCILIATION (Cash Request=Expense) .1.1t1.14; 1111,11111;'.11.11.1111
I. FINAL CR Contract to Date(I.3.) If not, explain on the Remark below 351,123.00
2. FINAL Expenses Through End of Contract(11.3. +116.+111.3.) 351,123.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES LJ/NOL
V. CASH REQUEST PROGRAM INCOME CASH REPORTED •
I. Total PI Cash Previously Reported on CR (Last CR#
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.1.+V.2=V.3.) 0.00
VI. RECONCILIATION Pl Cash Request=PI Expenses)
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(III.3.) 0.00
3. Total PI Cash Balance(VI.I -VI.2.=V1.3.) (Refund * Extend ) 0.00
VIL MATCH RECONCILIATION Vax# ta
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+116+III.3.) 351,123.00
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VII.2 x VII.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(VII.4.)?(Check Box) YESH/NOL
The Program Income Expense Report and Cash Request can only be extended through the availability o/the Award and/or Federal funding period.
Remark: / /
Preparer's Signature `J'+ �e< �/ 4 �'C'"' Date Q�//.272, }/4/
Authorized Signatur r� Date /) —/ .—/7
See instructions fur completing this form un the next page.
Revised' 611106 2014AaachHClosvRec2209.elex
1
Attachment H
Page I of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 12/FY 13
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT Dislocated Worker
Greeley, CO 80632 - VAX ERF(VERF)# 2209
CONTRACT or EA START DATE 07/01/12 END DATE 06/30/14
PROGRAM INCOME START DATE END DATE
CASH REQUEST(CR) VAX CR#1847 2NADIF ;,aa2 td
I. Total Program and Admin Cash Needs Previously Reported (Last CR# 1847 ) 34,568.40
2. Current Program and Admin Cash Needs (CR# 1847 ,Column F) 4,444.60
3. FINAL Program and Admin Cash Needs Contract to Date(1.1.+1.2:13.) 39,013.00
a.r
//. PROGRAM EXPENSE REPORT(ER) V
I. Total Expenses+Accruals Previously Reported(Through Last Month) 0.00
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(11.1.+11.2:II.3.) 0.00
ADMINISTRATIVE EXPENSE(ER) Fax ii 2209 ¢ > ;". .
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCS/2 3tt 2AD01 F # 34,568.40
5. Current Expenses+Accruals(Through End Date of Award) 4,444.60
6. FINAL Administrative Expenses Contract to Date(11.4.+11.5.=11.6.) 39,013.00
PROGRAM INCOME(PI)EXPENSE REPORT Vax# ( -'';'sue; •
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(111.1.+III.2:111.3.) 0.00
/V. RECONCILIATION (Cash Request=Expense) �? fF
1. FINAL CR Contract to Date(1.3.) If not,explain on the Remark below 39,013.00
2. FINAL Expenses Through End of Contract(11.3. +116.+111.3.) 39,013.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES LJ/NOL
V. CASH REQUEST PROGRAM INCOME CASH REPORTED °iS ≥;: ` F I
I. Total PI Cash Previously Reported on CR (Last CR#
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 9.00
VI. RECONCILIATION (pi Cash Request=l'/Expenses) ' «R na'r,"%"1.1*-
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(III.3.) 0.00
3. Total PI Cash Balance(VI.I -VI.2.=VI.3.) (Refund ' Extend ) 0.00
VII. MATCH RECONCILIATION Vat# •'re ' •
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+116.+111.3.) 39,013.00
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VII.2 x VII.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(VII.4.)?(Check Box) YESLJ/NOLJ
The Program Income Expense Report and Cash Request can only be extended through the availability of the Award and/or Federal funding period.
Remark
Preparer's Signature /. .""r i./ Date dr-0,2/„QIJ/I/
Authorized Signatur r ..e/ Date
Sec instructions for completing this torn,on the next page.
Revised. 6/1/06 2014AttachHCloseRec2209B.xlsx
Attachment H
Page I of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 12
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT Wagner Peyser
Greeley, CO 80632 VAX ERF(VERF)# 2210
CONTRACT or EA START DATE 07/01/12 END DATE 06/30/14
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) VAX CR#1847 2NW01 s
I. Total Program and Admin Cash Needs Previously Reported (Last CR# 1847 ) 887,951.07
2. Current Program and Admin Cash Needs (CR 4 ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(I.I.+1.2=I.3.) 887,951.07
IL PROGRAM EXPENSE REPORT(ER) Vox 4 2210
I. Total Expenses+Accruals Previously Reported(Through Last Month) 887,951.07
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(II.L+II2.=11.3.) 887,951.07
ADMINISTRATIVE EXPENSE(ER) Vax
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCS/23#
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(II.4.+II.5.=11.6.) 0.00
IIL PROGRAM INCOME(PI)EXPENSE REPORT vas #
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(111.1.+111.2.111.3.) 0.00
/V. RECONCILIATION (Cash Request=Expense) ita. q,xr i :#. „,
I. FINAL CR Contract to Date(1.3.) If not,explain on the Remark below 887,951.07
2. FINAL Expenses Through End of Contract(11.3. +II 6.+111.3.) 887,951.07
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES LJ/NOLJ
V. CASH REQUEST PROGRAM INCOME CASH REPORTED
I. Total PI Cash Previously Reported on CR (Last CR# I
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
VI. RECONCILIATION (/'1 Cash Request=P/Expenses)
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(III.3.) 0.00
3. Total PI Cash Balance(VI.I -VI.2.=VI.3.) (Refund * Extend ) 0.00
VIL MATCH RECONCILIATION var
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+116.+II1.3.) 887,951.07
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VI1.2 x VII.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(V11.4.)?(Check Box) YESLI/NOL
'The Program Income Expense Report and Cash Request can only be extended through the availability of the Award and/or Federal funding period
Remark �O �
Preparer's Signature (I/7O.≤ �!Q/7 "�."P Date oet y,,aO/y
Authorized Signatur � �7 (2 Date g.--/Y--/y
See instructions for completing this Iona on the next page.
Revised 611/06 2014AttachHCloseRec2210.xdsx
Attachment H
Page I of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS FY 13
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT FED EUC
Greeley, CO 80632 VAX ERF(VERF)# 2228
CONTRACT or EA START DATE 02/01/13 END DATE 12/28/13
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) VAX CR#1847 2Nu02F + I t= R '
I. Total Program and Admin Cash Needs Previously Reported (Last CR# 1847 ) 490.50
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(I.I.+I.2:1.3.) 490.50
IL PROGRAM EXPENSE REPORT(ER) va.s # 2228 >
I. Total Expenses+Accruals Previously Reported(Through Last Month) 490.50
2. Current Expenses+ Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(11.1+-11.2.-11 3.) 490.50
ADMINISTRATIVE EXPENSE(ER) Vat# "
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCS123# #
5. Current Expenses 1-Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(11.4.-1-II 5.=I I 6.) 0.00
III, PROGRAM INCOME(P1)EXPENSE REPORT Vat
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(III.I+111.2.=111.3.) 0.00
W. RECONCILIATION (Cash Request=Expense) wa i°
I. FINAL CR Contract to Date(1.3.) If not,explain on the Remark below 490.50
2. FINAL Expenses Through End of Contract(11.3.+II 6.+111.3.) 490.50
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES HML J
V. CASH REQUEST PROGRAM INCOME CASH REPORTED
I. Total PI Cash Previously Reported on C'R (Last CR#
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
VI. RECONCILIATION
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(111.3.) 0.00
3. Total PI Cash Balance(VI.I -VI.2.=VI.3.) (Refund * Extend ) 0.00
VIL MATCH RECONCILIATION vat#
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(I1.3.+116+111.3.) 490.50
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VII.2 x VII.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(VII.4.)?(Check Box) YES[�i/NOJ
The Program Income Expense Report and Cash Request can only be extended through the availability o/the Award and/or Federal funding period.
Remark.
Preparer's Signature 0 e7 (�',/G�j��e.-✓ Date � 2701,//,a/jive/
d Authorized Signatur � ����� Date '—/ 1/
See instructions for completing Ihis form on the next page.
Revised. 6It106 2014AttachHCloseRec2226B.x15x
Attachment H
Page I of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS FY 13
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT FED EUC
Greeley, CO 80632 VAX ERF(VERF)# 2228
CONTRACT or EA START DATE 02/01/13 END DATE 12/28/13
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) VAX CR11 1847 2Nuo3P
I. Total Program and Admin Cash Needs Previously Reported (Last CR# 1847 ) 18,354.00
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(1.1.+1.2:1.3.) 18,354.00
IL PROGRAM EXPENSE REPORT(ER) Vax# 2228
I. Total Expenses+Accruals Previously Reported(Through Last Month) 18,354.00
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(II.I+11.2.=11.3.) 18,354.00
ADMINISTRATIVE EXPENSE(ER) Vax# 7 j
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCS123# #
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(11.4.+1I.5:11.6.) 0.00
HL PROGRAM INCOME(PI) EXPENSE REPORT Vax#
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(111.1+ Ill 2.=111.3.) 0.00
IV. RECONCILIATION (Cash Request=Expense)
I. FINAL CR Contract to Date(I.3.) If not,explain on the Remark below 18,354.00
2. FINAL Expenses Through End of Contract(11.3.+I1 6.+111.3 ) 18,354.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES L/NOL
V. CASH REQUEST PROGRAM INCOME CASH REPORTED
I. Total PI Cash Previously Reported on CR (Last CR#
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
VI. RECONCILIATION PI Ca.rh Request=P/Expenses) #{ g54 a.
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(III.3.) 0.00
3. Total PI Cash Balance(V I.1 -VI.2.=VI 3.) (Refund * 'Extend ) 0.00
VII MATCH RECONCILIATION Vex# 4 '
1. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+116.+II1.3.) 18,354.00
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(V11.2 x VII.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(V II.4.)?(Check Box) YES Li/NOLI
The Program Income Expense Report and Cash Request can only be extended through the availability of the Award and/or Federal lending period
Remark: /`l/
Preparer's Signature Cl,.//! / Date Q0.2/io/y
Authorized Signatur Date
See instructions for completing this form on the next page.
•
Revised 611106 2014AttachHCloseRec222E sx
Attachment H
Page I of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS FY 13
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT FED EUC
Greeley, CO 80632 VAX ERF(VERF)# 2228
CONTRACT or EA START DATE 02/01/13 END DATE 12/28/13
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) VAX CR#1847 2Nu04F .I
I. Total Program and Admin Cash Needs Previously Reported (Last CR# 1847 ) 5,515.50
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(1.1.+1.2.=1.3.) 5,515.50
II. PROGRAM EXPENSE REPORT(ER) Vax# 2228 a,a it
r.
I. Total Expenses+Accruals Previously Reported(Through Last Month) 5,515.50
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(11.1.+11.2.=l1.3.) 5,515.50
ADMINISTRATIVE EXPENSE(ER) Vax# y .
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCS/23# #
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(11.4.+11.5.=11.6.) 0.00
HI. PROGRAM INCOME(PI)EXPENSE REPORT Vax#
I. Total Program Income Expenses Reported(Last Quarter) _
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(I II.1.+111.2.=111.3.) 0.00
IV RECONCILIATION (Cash Request=Expense) iT,u 4.tR s ac
1. FINAL CR Contract to Date(I.3.) I/not,explain on the Remark below 5,515.50
2. FINAL Expenses Through End of Contract(11.3.+II 6.+111.3.) 5,515.50
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES H/NOD
V. CASH REQUEST PROGRAM INCOME CASH REPORTED f �'
I. Total PI Cash Previously Reported on CR (Last CR# )
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
VI. RECONCILIATION Pl Cash Reque.xl=P1 Expense.+) 3h;,. r+'
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(111.3.) 0.00
3. Total PI Cash Balance(VI.I -VI.2.=VI.3.) (Refund * Extend ) 0.00
VII. MATCH RECONCILIATION Vax# :!;:i.:'::-UN;.-1
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+116.+111.3.) 5,515.50
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(V11.2 x VI1.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(VII.4.)?(Check Box) YESL-0/NOLI
The Program Income Expense Report and Cash Request can only be extended through the availability o/the Award and/or Federal funding period
Remark
Preparer's Signature 0,64/2,,,/// a,...l1�/ �i Date ar/U22/k)/2/
Authorized Signatur 4Li Date -//-/7
See instructions for completing this form on the next page.
Revised'. 6/1/06 2m4AttachHCloseRec2226Gxlsx
Attachment Ft
Page I G. 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS FY 12
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT TAA
Greeley, CO 80632 VAX ERF(VERF)# 2262
CONTRACT or EA START DATE 07/01/12 END DATE 06/30/14
PROGRAM INCOME START DATE •
PEND DATE
L CASH REQUEST(CR) VAX CR# 1847 1Na01F ' '_
I. Total Program and Admin Cash Needs Previously Reported (Last CR# 1847 ) 32 247.00
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(I.I.+I 2:1.3.) 32,247.00
IL PROGRAM EXPENSE REPORT(ER) Vax# 2262
I. Total Expenses+ Accruals Previously Reported(Through Last Month) 32,247.00
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(II.1.+11 2:11.3.) 32 247.00
ADMINISTRATIVE EXPENSE(ER) Vax
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCS123#
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(11.4.+11.5.=11.6.) 0.00
HI. PROGRAM INCOME(PI)EXPENSE REPORT Vax #
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(111.1.+111.2:III.3.) 0.00
/I! RECONCILIATION (Cash Request/=Expense)
I. FINAL CR Contract to Date(1.3.) If not, explain on the Remark below 32,247.00
2. FINAL Expenses Through End of Contract(11.3.+ 11 6+B1.3.) 32,247.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES H/NOL
V. CASH REQUEST PROGRAM INCOME CASH REPORTED
I. Total PI Cash Previously Reported on CR (Last CR# )
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
V/. RECONCILIATION (PI Cnvh Request=P/Erpen.xe.$) r �w
1. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(III.3.) 0.00
3. Total PI Cash Balance(VIA -V1.2.=V1.3.) (Refund * Extend 1 0.00
VIL MATCH RECONCILIATION r
Vnti
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses through End of Contract(11.3.+ 116+I1I.3.) 32,247.00
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VI1.2 x VII.3.) 0.00
5. Total Match Reported(VII,!.)>or=to Match Expenditure Requirement(VII.4.)?(Check Box) YES LA/NOU
'The Program Income Expense Report and Cash Request can only be extended through the availability o/the Award and/or Federal funding period.
Remark
Preparer's Signature oQi —�.� Date � ��aOY
Authorized Signatur �' " ' " _` Date
See Instructions for completing this form on the next page.
Revised 6/1/06 2014AnachHCloseRec2262 xlsx
Attachment H
Page 1 of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS FY 13
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT DVOP
Greeley, CO 80632 VAX ERF(VERF)# 2294
CONTRACT or EA START DATE 10/01/12 END DATE 09/30/13
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) VAX CR#1847 2NV01
I. Total Program and Admin Cash Needs Previously Reported (Last CR# 1847 ) 20,000.00
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(I.L+1.2.=1.3.) 20,000.00
IL PROGRAM EXPENSE REPORT(ER) Fax# 2294 1
I. Total Expenses+Accruals Previously Reported(Through Last Month) 20,000.00
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(11.1.+11.2.=11.3.) 20,000.00
ADMINISTRATIVE EXPENSE(ER) Fax# > °
4. Total Expenses+Accruals Previously Reported(Through Last Month) PCS/23# #
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(11.4.+11.5:11.6.) 0.00
HL PROGRAM INCOME(PI) EXPENSE REPORT Fax#
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract @11.1.+111.2:111.3.) 0.00
IV. RECONCILIATION (Cash Request=Expense) V 2.A g
1. FINAL CR Contract to Date(1.3.) If not, explain on the Remark below 20,000.00
2. FINAL Expenses Through End of Contract(11.3.+116.+111.3.) 20,000.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES H/NOLI
V. CASH REQUEST PROGRAM INCOME CASH REPORTED
I. Total PI Cash Previously Reported on CR (Last'CR# )
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
VL RECONCILIATION (P/Cash Request=Pl Expenses)
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(III 3.) 0.00
3. Total PI Cash Balance(VI I -VI.2.=V I.3.) (Refund * Extend ) 0.00
VIL MATCH RECONCILIATION Fax
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+II6.+111.3.) 20,000.00
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VII.2 x VII.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(V11.4.)?(Check Box) _ )(ESL/NOU
*The Program Income Expense Report and Cash Request can only be extended through the availability o/the Award and/or Federal funding period
Remark:
Preparer's Signature a -e Date t(Jr� �O/Y
Authorized Signature Date' O —PA/
JlI��G�JJJ//
See instructions for completing this form on the next page.
Revised 611106 2014AItachHCloseRec2294 ales
Attachment H
Page 1 of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS FY 13
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT DVOP
Greeley, CO 80632 VAX ERF(VERF)# 2294
CONTRACT or EA START DATE 10/01/12 END DATE 03/31/14
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) VAX CR#1847 2NV02
I. Total Program and Admin Cash Needs Previously Reported (Last CR# 1847 ) 3,206.77
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(I.1+1.2.=I.3.) 3,206.77
IL PROGRAM EXPENSE REPORT(ER) Vax# 2294 )1r
I. Total Expenses+Accruals Previously Reported(Through Last Month) 3,206.77
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(11.1.+11.2:11.3.) 3,206.77
ADMINISTRATIVE EXPENSE(ER) Vax#
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCS/23#
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(11.4.+11.5.=11.6.) 0.00
HL PROGRAM INCOME(PI) EXPENSE REPORT Vax#
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(111.1.+III.2:111.3.) 0.00
IV. RECONCILIATION (Cash Request=Expense) *,I;' r
1. FINAL CR Contract to Date(1.3.) If not,explain on the Remark below 3,206.77
2. FINAL Expenses Through End of Contract(11.3.+II 6.+111.3.) 3,206.77
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES L /NOL]
V. CASH REQUEST PROGRAM INCOME CASH REPORTED *,*` a„
I. Total PI Cash Previously Reported on CR (Last CR#
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
VL RECONCILIATION (PI Cash Request=PI Expenses) e
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(111.3.) 0.00
3. Total PI Cash Balance(VI.1 -V1.2.=VI.3.) (Refund * Extend ) 0.00
VII. MATCH RECONCILIATION Vax#
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+116.+111.3.) 3,206.77
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VII.2 x VII.3.)I.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(VII.4.)?(Check Box) YESLI/NOL
*The Program Income Expense Report and Cash Request can only be extended through the availability o/the Award and/or Federal funding period
Remark: / /
Preparer's Signature a &o% �i.�*..-B Date 002/20/
� �Authorized Signatur y44er A° -� Date
See instructions for completing this Corm on the next page.
Revisetl. 6/1/06 2014AttachHCloseRec2294a 455
Attachment H
Page I of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 12
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT WP 10% MSFW
Greeley, CO 80632 VAX ERF(VERF)# 2303
CONTRACT or EA START DATE 01/02/13 END DATE 06/30/14
PROGRAM INCOME START DATE END DATE
I CASH REQUEST(CR) VAX CR#1847 2NE01
I. Total Program and Admin Cash Needs Previously Reported (Last CR# 1847 ) 23,410.00
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(1.1+1.2:1.3.) 23,410.00
' II. PROGRAM EXPENSE REPORT(ER) Fax# 2303 ::'e .
1. Total Expenses+Accruals Previously Reported(Through Last Month) 23,410.00
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(11.1 +11.2=11.3.) 23,410.00
p
ADMINISTRATIVE EXPENSE(ER) Vax# 1°` 9.',.
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCS123# #
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(11.4.+II.5.=11.6.) 0.00
III. PROGRAM INCOME(PI) EXPENSE REPORT Vax#
1. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(111.1.+111.2:111.3.) 0.00
IV. RECONCILIATION Cash Request=Expense) _ 1 K
I. FINAL CR Contract to Date(1.3.) If not,explain on the Remark below 23,4'.100
2. FINAL Expenses Through End of Contract(11.3.+II 6.+111.3.) 23,410.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES bJ/NO LJ
V. CASH REQUEST PROGRAM INCOME CASH REPORTED 6lra a.'t #9
I. Total PI Cash Previously Reported on CR (Last CR# )
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
VI RECONCILIATION P/Cash RegUCSI=P1 Expenses) { Y ..t g+I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(111.3.) 0.00
3. Total PI Cash Balance(VI.I -VI.2.=VI.3.) (Refund * Extend ) 0.00
VIL MATCH RECONCILIATION Fax# „ "(°-*a Q
1. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+II6.+111.3.) 23,410.00
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VII.2 x VII.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(VI1.4.)?(Check Box) MESH/NOL
The Program Income Expense Report and Cash Request can only be extended through the availability o/the Award and/or Federal funding period
Remark: �'�/ �J
Preparer's Signature Lill .c (, 2Y ..t.l-c--^—e Date 01//4./„10/y
Authorized Signatur �ji1�%7 4� Date '53 // /Y
See instructions rod completing this form nn the next page.
Revised. 6/1/06 2014AttachHCbseRec2303.xtsx
Attachment H
Page 1 of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 12
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT WP 10%SJH
Greeley, CO 80632 VAX ERF(VERF)# 2319
CONTRACT or EA START DATE 01/02/13 END DATE 12/31/13
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) VAX CRlt 1847 2NJo1 )_
I. Total Program and Admin Cash Needs Previously Reported (Last CR# 1847 ) 40,000.00
2. Current Program and Admin Cash Needs (CR/4 ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(IA.+1.2:1.3.) - 40,000.00
IL PROGRAM EXPENSE REPORT(ER) Vax# 2319
I. Total Expenses+Accruals Previously Reported(Through Last Month) 40,000.00
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(II.1.+II.2.11.3.) 40,000.00
ADMINISTRATIVE EXPENSE(ER) Vax
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCS/23# #
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(II.4+II.5.11.6.) 0.00
IIL PROGRAM INCOME(PI) EXPENSE REPORT Vax# f
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(III.I+III.2.=Ill.3.) 3.00
IV. RECONCILIATION Cash Request=Expense) §d `,
I. FINAL CR Contract to Date(1.3.) If not,explain on the Remark below 40,000.00
2. FINAL Expenses Through End of Contract(II.3.+II 6.+II1.3.) 40,000.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES L'I/NOLJ
V CASH REQUEST PROGRAM INCOME CASH REPORTED
I. Total PI Cash Previously Reported on CR (Last CR#
2. Current Program Income Cash(Through End Date of Contract) (CR# • ,column G)
3. FINAL Program Income Cash Contract to Date(V.1.+V.2=V.3.) 0.00
VL RECONCILIATION P/Cash Reyaert=P/Expenses)
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(111.3.) 0.00
3. Total PI Cash Balance(VI.I -VI.2.=VI.3.) (Refund * Extend ) 0.00
VIL MATCH RECONCILIATION Vax# t .e
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(II.3.+II6.+II1.3.) 40,000.00
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VII.2 x VII.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(VII.4.)?(Check Box) YESLJ/NOLJ
The Program Income Expense Report and Cash Request can only be extended through the availability of the Award and/or Federal funding period
Preparer's Signature L� 10.0/n .f� -)�-�- Date 00�/,4(`j/9
Authorized Signatur ,� Date K—/V1177
See instructions for completing this form on the next page.
Revised 6ltle6 2o14AttachHCloseRec2319.xlsx
Attachment H
Page I of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 11
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT WP 10% MSFW
Greeley, CO 80632 VAX ERF(VERF)# 2323
CONTRACT or EA START DATE 01/02/13 END DATE 06/30/14
PROGRAM INCOME START DATE END DATE
I. CASH REQUEST(CR) VAX CR#1847 INEoi :fa:.
I. Total Program and Admin Cash Needs Previously Reported (Last CR# 1847 ) 23,410.00
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(1.1.+1.2:1.3.) 23,410.00
IL PROGRAM EXPENSE REPORT(ER) Vax# 2323 '_
I. Total Expenses+Accruals Previously Reported(Through Last Month) 23,410.00
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(I I.I+II.2=11.3.) 23,410.00
ADMINISTRATIVE EXPENSE(ER) Vax# �.
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCS123# #
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(II.4.+II.5.11.6.) 0.00
III. PROGRAM INCOME(PI) EXPENSE REPORT Vax P x:' x,,,
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(111.1+111.2.=111.3.) 0.00
IV. RECONCILIATION Cash Reque t=Expense) " `,� �?
I. FINAL CR Contract to Date(1.3.) knot explain on the Remark below 23,410.00
2. FINAL Expenses Through End of Contract(11.3.+II 6.+111.3.) 23,410.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES H/NOL
V. CASH REQUEST PROGRAM INCOME CASH REPORTED
I. Total PI Cash Previously Reported on CR (Last CR# )
2. Current Program Income Cash(Through End Date of Contract) (CR if ,column G)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
VI RECONCILIATION P/Cash Reguect=P1 Expences9 � ➢�' I'' � +
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(II1.3.) 0.00
3. Total PI Cash Balance(VI.I -V1.2.=VI.3.) (Refund * Extend ) 0.00
VII. MATCH RECONCILIATION Vax# g
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+116.+111.3.) 23,410.00
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VII.2 x VII.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(VII.4.)?(Check Box) YESL/NOLJ
The Program Income Expense Report and Cash Request can only be extended through the availability of the Award and/or Federal funding period.
Remark: /�// G q,,
Preparer's Signature />m (�C .� .wP Date Q4p�,/a/��w/�/Y
Authorized Signatur / /...-n,.i(�( G�� Date O/7 '/T
v
See instructions for completing this form on the next page.
Revisetl. 6/1106 2014AttachHCloseRec2323 xlsx
Attachment H
Page I of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 13
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT Adult
Greeley, CO 80632 VAX ERF(VERF)# 2361
CONTRACT or EA START DATE 07/01/13 END DATE 06/30/15
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) VAX CR#1847 3NO01P rY ;
I. Total Program and Admin Cash Needs Previously Reported (Last CR# 1847 1 13,218.00
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(1.1.+1 2:1.3.) 13,218.00
IL PROGRAM EXPENSE REPORT(ER) van# 2361
I. Total Expenses+Accruals Previously Reported(Through Last Month) 13,218.00
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(IL I.+I1.2.11.3.) 13,218.00
ADMINISTRATIVE EXPENSE(ER) Vax#
4. Total Expenses+Accruals Previously Reported(Through Last Month) PCS123# #
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(1I.4.+11.5.=11.6.) 0.00
PROGRAM INCOME(PI) EXPENSE REPORT vas
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses l'hrough End Date of Contract(III I.+III.2:111.3.) 0.00
IV, RECONCILIATION (Cash Request=Expense)
I. FINAL CR Contract to Date(1.3.) If not,explain on the Remark below 13,218.00
2. FINAL Expenses Through End of Contract(II.3. + II 6.+111.3.) 13,218.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES H/NCli
V. CASH REQUEST PROGRAM INCOME CASH REPORTED r; ' L'`
I. Total PI Cash Previously Reported on CR (Last CR#
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V I.+V.2=V.3.) 0.00
VI. RECONCILIATION (PI Cash Request=P/Expenses)
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(111.3.) 0.00
3. Total PI Cash Balance(VI.I -VI.2.=VI.3.) (Refund * Extend 1 0.00
VII. MATCH RECONCILIATION Vas#
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(IL3. + 116.+111.3.) 13,218.00
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VII.2 x VII.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(VII.4.)?(Check Box) YESL/NOL]
•The Program Income Expense Report and Cash Request can only be extended through the availability of the Award and/or Federal funding period.
Remark
Preparer's Signature p / �-.--p Date 00,2/1-0/g/y
Authorized Signatur r / Date ry-t� -/y/y
Sec instructions for completing this tone on the next page.
Revised 6/1/06 2014AaachHCloseRec2361A xlsx
Attachment H
Page 1 of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 13
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT Adult
Greeley, CO 80632 VAX ERF(VERF)# 2361
CONTRACT or EA START DATE 07/01/13 END DATE 06/30/15
PROGRAM INCOME START DATE END DATE
I. CASH REQUEST(CR) VAX CR#1847 3NA01P
I. Total Program and Admin Cash Needs Previously Reported (Last CR# 1847. ) 1,468.00
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(1.1.+I.2.1.3.) 1,468.00
IL PROGRAM EXPENSE REPORT(ER) Vax#
m -.
I. Total Expenses+Accruals Previously Reported(Through Last Month)
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date 01.1.+II.2=11.3.) 0.00
ADMINISTRATIVE EXPENSE(ER)
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCSI23# 3A00 P 4 1,468.00
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(11.4.+11.5.-11.6.) 1,468.00
H/. PROGRAM INCOME(PI)EXPENSE REPORT Vax 4
`n;. . 1,1, ta8rti'i1
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(111.I.+111.2.111.3.) 0.00
IV. RECONCILIATION (Cash Request=Expense)
I. FINAL CR Contract to Date(1.3.) I/not,explain on the Remark below 1,468.00
2. FINAL Expenses Through End of Contract(11.3.+II 6.+III.3.) 1,468.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES U/NOLJ
V. CASH REQUEST PROGRAM INCOME CASH REPORTED
I. Total PI Cash Previously Reported on CR (Last CR# )
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.1.+V.2=V.3.) 0.00
VL RECONCILIATION PI Cnrh Request=PI Expenses) k "�t �
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(111.3.) 0.00
3. Total PI Cash Balance(VI.I -VI.2.=V1.3.) (Refund * Extend ) 0.00
VII- MATCH RECONCILIATION Vax# 'a ,;, ,„II
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+116.+III.3.) 1,468.00
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VII.2 x VII.3.) 0.00
5. Total Match Reported(V II.I.)>or=to Match Expenditure Requirement(VII.4.)?(Check Box) YESLJ/NOH
The Program Income Expense Report and Cash Request can only be extended through the availability o/the Award and/or Federal lending period
Remark:Preparer's Signature a c. Date p0,0,2/1a/7//
Authorized Signatur ,ir /,i/,! •
,
PC .— Date p —/V—)4
See Instructions fur completing this form on the next page.
Revised 611106 2014AttachHCloseRec2361B.xlsx
Attachment H
Page 1 of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 13
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT Adult
Greeley, CO 80632 VAX ERF(VERF)# 2361
CONTRACT or EA START DATE 07/01/13 END DATE 06/30/15
PROGRAM INCOME.START DATE END DATE
L CASH REQUEST(CR) VAX CR#1847 3NFE3P
I. Total Program and Admin Cash Needs Previously Reported (Last CR# 1847 1 29,892.00
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date 01+1.2 29,892.00
H. PROGRAM EXPENSE REPORT(ER) Vax# 2361
I. Total Expenses+Accruals Previously Reported(Through Last Month) 29,892.00
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(II.I.+II.2.=11.3.) 29,892.00
ADMINISTRATIVE EXPENSE(ER) Vax#
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCSl23# 4
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(11.4.+II.5:11.6.) 0.00
HI. PROGRAM INCOME(PI) EXPENSE REPORT Vax# c n
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(III I.+111.2.II1.3.) 0.00
. ...............
IV. RECONCILIATION Cash Request=Expense)
I. FINAL CR Contract to Date(1.3.) If not,explain on the Remark below 29,892.00
2. FINAL Expenses Through End of Contract(11.3.+116.+111.3.) 29,892.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES Ld/NOL
V. CASH REQUEST PROGRAM INCOME CASH REPORTED
I. Total PI Cash Previously Reported on CR (Last CR#
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.1.+V.2=V.3.) 0.00
VL RECONCILIATION (Pi Cavh Requeal=P/Expenses) # �
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(111.3.) 0.00
3. Total PI Cash Balance(VI.1 -V1.2.=VI.3.) (Refund * Extend ) 0.00
VIL MATCH RECONCILIATION vax#
1. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+116.+111.3.) 29,892.00
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VII.2 x VII.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(VII.4.)?(Check Box) YESLI/NOL
The Program Income Expense Report and Cash Request can only be extended through the availability o/the Award and/or Federal funding period
Remark.
Preparer's Signature (S p � ,l �`'�P Date 0e0„2,-Q/I�
Authorized Signatur j� CC G''"— 0 Date p // L'ir
See instructions for completing this torn on the next page.
Revised'. 6/1/06 2ol4AaacM1HCloseRec2361C xlsx
Attachment H
Page I of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 13
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT Adult
Greeley, CO 80632 VAX ERF(VERF)# 2361
CONTRACT or EA START DATE 07/01/13 END DATE 06/30/15
PROGRAM INCOME START DATE END DATE
CASH REQUEST(CR) VAX CR#1847 3NAF3P
I. Total Program and Admin Cash Needs Previously Reported (Last CR# 1847 ) 3,321.00
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(1.1.+1.2.=I.3.) 3,321.00
H. PROGRAM EXPENSE REPORT(ER) Vex#
I. Total Expenses+Accruals Previously Reported(Through Last Month)
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(IL I.+II.2.11.3.) 0.00
ADMINISTRATIVE EXPENSE(ER) Vex# 2361 1" k
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCS123# 3AFE2P # 3,321.00
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(11.4.+II.5.=11.6.) 3,321.00
PROGRAM INCOME(PI) EXPENSE REPORT
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL P1 Expenses Through End Date of Contract(111.1.+II1.2.111.3.) 0.00
IV. RECONCILIATION (Cash Request=Expense) )(
I. FINAL CR Contract to Date(1.3.) If not, explain on the Remark below 3,321.00
2. FINAL Expenses Through End of Contract(11.3.+116.+111.3.) 3,371.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES H/NOL
V. CASH REQUEST PROGRAM INCOME CASH REPORTED
I. Total PI Cash Previously Reported on CR (Last CR# )
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.1.+V.2=V.3.) 0.00
VI. RECONCILIATION Pl Cash Reyuee7=Pl Expen.scs) ��
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(II1.3.) 0.00
3. Total PI Cash Balance(VI.I - VI.2.=VL3.) (Refund ' Extend ) 0.00
VII. MATCH RECONCILIATION Vex#
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+116.+111.3.) 3,321.00
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VI1.2 x VI1.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(VII.4.)?(Check Box) YESLJ/NOL
The Program Income Expense Report and Cash Request can only be extended through the availability of the Award and/or Federal funding period
Remark:
Preparer's Signature (3...1.4c/7 ty" Date 0,062/10
�,062//10/y
Authorized Signatur j Date ZJ '—/7 --/r
See instructions for completing this&mn sin the next page.
Revised. 6/1/06 2014AaachHCloseRec2361 O xlsx
Attachment H
Page I of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 13
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT Adult
Greeley, CO 80632 VAX ERF(VERF)# 2361
CONTRACT or EA START DATE 07/01/13 END DATE 06/30/15
PROGRAM INCOME START DATE END DATE
I. CASH REQUEST(CR) VAX CR#1847 3NO01F ttt;'`,`
I. Total Program and Admin Cash Needs Previously Reported (Last CR# 1847 I 463,202.00
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(I.1.+1.2:1.3.) 463,202.00
IL PROGRAM EXPENSE REPORT(ER) VOA # a�4 '.�__ _ ...�;SiS•
I. Total Expenses+Accruals Previously Reported(Through Last Month) 463,202.00
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(11.I.+11.2.=11.3.) 463,202.00
Fray,
ADMINISTRATIVE EXPENSE(ER) Vex# fir,d7 d, ,�,,.e
4. Total Expenses+Accruals Previously Reported(Through Last Month) ECS123# 4 0.00
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(Il.4.+11.5.11.6.) 0.00
III. PROGRAM INCOME(PI)EXPENSE REPORT Er„ # . t+ f `( i+r
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(III.I.+111.2.=111.3..) 0.00
/V. RECONCILIATION (Cash Request=Expense) ;t ° =3 T-
I. FINAL CR Contract to Date(1.3.) II not,explain on the Remark below 463,202.00
2. FINAL Expenses Through End of Contract(11.3.+116.+I II.3.) 463,202.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES LJ/NOLJ
V. CASH REQUEST PROGRAM INCOME CASH REPORTED :: n* 1`-<s`'• f"'"":`
I. Total PI Cash Previously Reported on CR (Last CR# )
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
VI. RECONCILIATION (P/Cash Request=P1 Expenses) n 2, it° *R
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(111.3.) 0.00
3. Total PI Cash Balance(VI.1 -VI.2.=VI.3.) (Refund * Extend ) 0.00
VII. MATCH RECONCILIATION Vox 4
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(II.3.+116.1-111.3.) 463,202.00
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VI1.2 x VII.3.) 0.00
5. Total Match Reported(VII.I.)>or=to Match Expenditure Requirement(VII.4.)?(Check Box) YESEI/NOIJ
The Program Income Expense Report and Cash Request can only be extended through the availability of the Award and/or Fedora/funding period.
Remark: /��/
Preparer's Signature CA�/��o & �.� Date O��2/�/9.
Authorized Signatur Date (5'—/Y7/V
See instructions for completing this form on the next page.
Revised 6/1/06 2014AnachHCloseRec2361 E xlsx
Attachment H
Page I 0,2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 13
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT ESF
Greeley, CO 80632 VAX ERF(VERF)# 2365
CONTRACT or EA START DATE 07/01/13 END DATE 06/30/14
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) VAX CR#1847 3Ns01
I. Total Program and Admin Cash Needs Previously Reported (Last CR# 1847 ) 306,253.65
2. Current Program and Admin Cash Needs (CR# 1847 ,Column F) 110,248.35
3. FINAL Program and Admin Cash Needs Contract to Date(1.L+1.3:1.3.) 416,502.00
IL PROGRAM EXPENSE REPORT(ER) Vax# 2365 a ffiz's
1. Total Expenses+Accruals Previously Reported(Through Last Month) 306,253.65
2. Current Expenses+Accruals(Through End Date of Award) 110,248.35
3. FINAL Program Expenses Contract to Date(II.1.+II.2:II.3.) 416,502.00
ADMINISTRATIVE EXPENSE(ER) Vas
4. "Dotal Expenses+Accruals Previously Reported(Through Last Month) F 312.3# # 0.00
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(II.4.+11.5.=11.6.) 0.00
. .. .. ....._
III. PROGRAM INCOME(PI)EXPENSE REPORT Vas# lax
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(111.1.+111.2.111.3.) 0.00
/V RECONCILIATION (Cash Request=Expense)
I. FINAL CR Contract to Date(1.3.) If not,explain on the Remark below 416,502.00
2. FINAL Expenses Through End of Contract(11.3.+ II 6.+111.3.) 416,502.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES LJ/NOU
V. CASH REQUEST PROGRAM INCOME CASH REPORTED
I. Total PI Cash Previously Reported on CR (Last CR#
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
VI. RECONCILIATION (P/Cosh Reg/ICS!=/'l Erpenaes)
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(II1.3.) 0.00
3. Total PI Cash Balance(V 1.1 -VI.2.=VI.3.) (Refund * Extend ) 0.00
VII. MATCH RECONCILIATION Vax
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+116.+111.3.) 416,502.00
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VII.2 x VII.3.) 0.00
5. Total Match Reported(VIII.)>or=to Match Expenditure Requirement(V I1.4.)?(Check Box) YESLJ/NOIJ
'The Program Income Expense Report and Cash Request can only be extended through the availability of the Award and/or Federal funding period.
Remark
Preparer's Signature a
._.e...r Date Qj003/2Q/4/
Authorized Signatur / 4,s Date S(' •// --�/
See instructions tor completing this form on the next page.
Revised. 6/1/06 2014AttachHCloseRec2365 xlsx
Attachment H
Page I of 2
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT
GRANT/EA CLOSEOUT RECONCILIATION WORKSHEET
SUBRECIPIENT Employment Services of Weld County YEAR OF FUNDS PY 12/FY 13
ADDRESS PO Box 1805 TITLE/PROGRAM/PROJECT 25% Enhanced DW
Greeley, CO 80632 VAX ERF(VERF)# 2379
CONTRACT or EA START DATE 07/01/13 END DATE 06/30/15
PROGRAM INCOME START DATE END DATE
L CASH REQUEST(CR) VAX CR#1847 2NFEI F 2 x
1. Total Program and Admin Cash Needs Previously Reported (Last CR# 1847 ) 16,039.00
2. Current Program and Admin Cash Needs (CR# ,Column F)
3. FINAL Program and Admin Cash Needs Contract to Date(L I.+1.2.1.3.) 16,039.00
IL PROGRAM EXPENSE REPORT(ER) Vax# 2379
I. Total Expenses+Accruals Previously Reported(Through Last Month) 14,436.00
2. Current Expenses+Accruals(Through End Date of Award)
3. FINAL Program Expenses Contract to Date(II.1.+11.2:II.3.) 14,436.00
ADMINISTRATIVE EXPENSE(ER) Vax# 2379 4��r
4. Total Expenses+Accruals Previously Reported(Through Last Month) FCSI23# 2AFEIF # 1,603.00
5. Current Expenses+Accruals(Through End Date of Award)
6. FINAL Administrative Expenses Contract to Date(11.4.+11.5:II.6.) 1,603.00
[IL PROGRAM INCOME(PI)EXPENSE REPORT Vax# 1"x; i
I. Total Program Income Expenses Reported(Last Quarter)
2. Current Program Income Expenses(Through End Date of Contract)
3. TOTAL PI Expenses Through End Date of Contract(111.1+ III 2.=111.3.) 0.00
IV. RECONCILIATION Cash Request=Expense) ;,;_„ 'tr
I. FINAL CR Contract to Date(I.3.) If not,explain on the Remark below 16,039.00
2. FINAL Expenses Through End of Contract(11.3.+II 6.+11I.3) 16,039.00
3. CR to Date=Expense reported Through End Date of Contract?(Check Appropriate Box) YES Ltl/NOLJ
V. CASH REQUEST PROGRAM INCOME CASH REPORTED
I. Total PI Cash Previously Reported on CR (Last CR# )
2. Current Program Income Cash(Through End Date of Contract) (CR# ,column G)
3. FINAL Program Income Cash Contract to Date(V.I.+V.2=V.3.) 0.00
VI. RECONCILIATION (P1 Cash Request=P1 Expenses)
I. FINAL Program Income Cash(V.3.) 0.00
2. Less Program Income Expenses Through Contract End Date(111.3.) 0.00
3. Total PI Cash Balance(VI.I -VI.2.=V1.3.) (Refund * Extend ) 0.00
VII. MATCH RECONCILIATION Vax#
I. FINAL Match Reported Through End of Contract
2. FINAL Expenses Through End of Contract(11.3.+116.+111.3.) 16,039.00
3. Match Percentage of Expenditure Contractual Requirement
4. Match Expenditure Requirement(VII.2 x VII.3.) 0.00
5. Total Match Reported(VIM>or=to Match Expenditure Requirement(VII.4.)?(Check Box) YESL/NOLJ
The Program Income Expense Report and Cash Request can only be extended through the availability of the Award and/or Federal funding period
Remark: /
Preparer's Signature (---12.--"Zr a/'h.1/ Date ari� O/�/
Authorized Signatur Z5 T Date / /�1r
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