HomeMy WebLinkAboutC79-11 - Skyline Six Area AgencyTo
Skyline Six Area Agency
(Area Agency on Aging)
Name of Proposed Project
Eagle County Council on Aging
Application` or'. l jestI Project No.
Grant Under:'
El Title III of the Older Americans Act
1. General Information
Name, address, and phone number of appli-
cant organization (Grantee)
Eagle County Board of County Commissioners
Box 850
rn„io rn Qitizi linit 19sz_7111
Type of proposed project
Q National Priority
M Supportive services
Gap -filling services
UJ
Proposed project period
Q Original Application
DRevision Request No.
Address at which proposed project will be
conducted (Street, city, county(s))
Eagle Community Hall
Eagle, CO, 81631
Name of project director, supervisor, or
coordinator Lucille Lieber, Coordinator
Box 66 -
Eagle, CO. 81631 (303) .328-6835
Project year -for which funds are herein
Requested
Beginning 4-1-79 and Ending 9-30-79 Beginning 4_1_9 and Ending 9 -30 -79 -
Computation of Funds Requested
Exhibits to be included for a project
grant application -
Grant Exhibit 100 A- Project Narrative
Grant Exhibit LOO A-1 Expenditures
Grant Exhibit 100 B- Resources
Grant Exhibit 100 C- Grantee
Contribution
Grant Exhibit 100 D_ Budget Explana-
tion/Justification
Sheet
Grant Exhibit 1.00 E_ Projected Program
Performance/Output
Grant Exhibit 100 F -Statement of
Understanding
Grant Exhibit 100 G- Assurance of
Compilance
Vrint Exhibit IOC H -Key Staff i' -o-
- graphical Ske t,:'.:
Project Plan Budget Request:
A. Total Budget ................$ 6217
Less: Project Income....... -0-
B. Net Budget Cost ............. 6217.
C. Applicatts Contribution
a. Non -Federal cash........ -0-
b. In-kind Resources.......
c. ...... .622
Total applicants contribution
D. Federal/State Fund:; Requeste-
.:Federal/State Share- 90
Grant Recipient Share 10 0
AND :JND11'IO:�S: It is understood and ab eed by t.iie undersign- d t at; 1) Funds
�roa to as a -esult of this request are to be expended for the purposes set forth hire
in and in acco-dance with all applicable laws, regulations, policies, and procedures of
this Area Agency, the State of Colorado, and the Administration on Aging of the U.S.
J-^-partment of Health, Education, and Welfare; and 2) Funds awarded as' a.result of this
applica_icn may be term:.nated at any time for violations of any teat_and requirements
of this rizrcement.
Narie and title of individual author -
;zed to coTanit applicant organization.
to this agreement cAp
Jerry -Corbett
Chairman, Eagle County BOCC _
ig=oaf e Jeri Corbett Ort'
E
Exhibit 100 A
Narrative Description of the Proposed Project
Project Name Date Project No.
Eagle County Council on Aging 2/2/79
Describe -in Detail the Following:
I. Determination of Need for the Program
Describe how the need for the service was identified
II. Describe the Planning Process for the Program, as a Result of Determination
of Need. Who was involved in the planning --staff? older consumers? county
councils?
III. Statement of Measurable Objectives the Proposal Sets Out to Achieve
IV. Action Steps and Activities to be Taken to Accomplish the Objectives
V. Description of Area to be Served:
A. Target population
B. Geographic area
C. Number of persons to be served
VI. Expected Impact of Program
VII. Relationship of Program to Other Community Agencies (Interagency Agreements)'
VIII. Public Information
IX. Public Relations
X. Advisory Committee
XI. Program Evaluation
XII. Future Financial Support '
Administration of Program --
Sponsoring Organization
A. History, legal basis, organizational chart
B. Personnel (complete biographical forms)
C. Program management
D. Fiscal control methods
�I
Proiect Name:
Eagle County Council
An iL-11
Date•�2�79 �� Number:
n 2 -
I
Determination of Need
1. Needs assessment was completed in 1977 by the Rocky Mountain Area Agency and
the NWCCOG nutrition project director.
2. The data gathered substantiated the approval of a program for seniors in FY77
and FY78.
3. Current assessment of needs was confirmed through an evaluation of the FY78
program.
4. No other agency is meeting these needs.
II
Planning Process
1. An information gathering system was initiated by the program planner for the
proposed Skyline Six Area Agency on Aging.
2. Several meetings were held with representatives of the local councils on
aging. -
3. Contact was made and planning was coordinated with local public officials,
local councils on aging and local service providers such as PLS, County Human
d Resources, and social services offices and RSVP etc.
4. The NWCCOG nutrition project director was directly involved in all planning
sessions.
III
Measurable Objectives
1. Develop an umbrella agency in the county to coordinate and facilitate provision
of all available services to the senior community. This agency to be operational
by February 1, 1979.
2. Increase over all participation by members of the senior community in all
activities provided by the umbrella agency by a minimum of 20%. This objective
to be completed by September 30, 1979 with a sub objective of 10% increase fo
be met by July 1, 1979.
3. Emphasize Information and Referral activities by assigning these activities to a
standing committee of the umbrella agency. The agency will set objectives and
evaluate accomplishments. I & R activities will be directed to accomplishing
objective 2 above. The umbrella agency will evaluate the accomplishments of this
committee as of March 31, June 30, and Sept. 30 of 1979.
`Page 2 --
.�
4. The umbrella agency will take a leadership role in contacting and uniting all the
seniors of the county in a common effort to: promote the common good, conduct
continuing needs assessment, expand services, and take advantage of programs
provided by all agencies and/or organizations engaged in supporitng the senior
community. This objective is to be continuing and evaluated quarterly by the
agency based upon assignments made throughout the period February 1, 1979 and
September 30, 1979.
IV
Action Steps
Objective :1: A. Form a county council on aging
- B. Appoint committees.
C. Attend training sessions conducted by .SSAAA 3/15/79 &
5/15/79.
Objective 2: A. Appoint a committee
B. Secure records which reflect current status.
C. Provide guidance to committees.
D. Evaluate 7/1/79 & 9/30/79.
Objective 3: A. Appoint the I &,R Committee. -
B. Catalog current I & R activities.
- C. Develop a list of services available to seniors.
D. Assign objectives.
E. Secure I & R training for committee members.from SSAAA.
F. Evaluate 3/31/79 and 9/30/79.
Objective 4: A. Appoint the Seniors census & services coordinating committee.
B. Develop a current roster of all seniors in the county -provide
a system for quarterly updating of the roster.
C. Coordinate with I & R committee to provide services after contacts
with seniors are made and needs determined.
D. Coordinate with other provichrs of services. Share information with
I & R committee and assist in targeting I & R committee activities.
E. Evaluate quarterly March 30, June 30, September 30, 1979.
V
Area To Be Served
Fag1P County 900
Square Miles .
1085 Total Seniors Rural/Montaineous
VI
Expected Impact
1. This program will accomplish the purposes of the Senior Citizens National Legis-
lation.
A. It will give seniors a place in the community.
B. It will provide for Independent Living.
C. It will bring the seniors together for social interaction.-
D.
nteraction.D. It will provide a vehicle through which seniors can assist seniors,
share concerns and solve problems.
-mage 3
VII
Relationship to Other Programs
1. Contact with SSAAA is established.
2. Contact with the NWCCOG nutrition project is established.
C) 3. All committees will exhange information and provide assistance to other
providers.
4. Local government contact is established.
5. County -human resources, social services and health contacts are established.
VIII
Public Relations
1. These activities will be assigned to the I & R committee.
2. A newsletter will be published in March, May, July and Sept. of 1979.
3. A VIP roster of local political, business and professional personnel will be
maintained.
4. Efforts will be made to publicly recognize those who are actively supportive of
the seniors program.
5. Seniors will be publicly recognized for participation and extra -ordinary -
contributions to the program.
IX
Public Information
These activities will.be assigned to the I & R committee and are listed under
Public Relations.
X
Advisory Committee
The County Council on Aging is designated as the umbrella agency and will establish
an advisory council consisting of representatives from:
The local political body
The local business and industry community
The local professional community
Providers of services
XI
Program Evaluation
This program will be evaluated as shown in the previous ten sections of this
narrative.- Full evaluation of all activities will be made by the executive committee
of the council on July_ 1, 1979 and Sept. 30, 1979.
Records of these and all other evaluations will be retained by the Chairperson of.
the council. A copy of all evaluations will be forwarded to the Director of.SSAAA
'- `1I arrative Description -.
Page 4
XII
Future Financial Support
The activities outlined in this narrative should indicate that the project
hopes for and indeed anticipates a future that will be community supported fi-
nancially. -No firm prediction can be made as to the achievement of this desire.
Therefore, -Federal and State financial support is an absolute necessity at this
time. It is viewed as seeding fund support and will be used as an extension of
community support rather than replacement.
` ADMINISTRATION OF PROGRAM
A. Charter of Council is attached.
B. Biographical Form for Chairperson is attached.
C. Program Management:
The narrative outlines the manner in which this project will be -administered.'
The control element is the County Council on Aging which will administer the
program through appointed committees. ,
D. Fiscal Control Methods:
All funds will be processed in the name of the County Council. Reporting pro-
cedures and draw down requirements of the SSAAA will be followed for State
funds.
The Council treasurer will establish bookkeeping systems and banking accounts
necessary to the control of local and state funds. Assistance from the ad-
visory council will be requested in establishing these controls.
All monies will be entrusted to the process established by the treasurer.
Eagle County CaUnti l -, l� Aging �
BUDGET SHEET
PERSONNEL:
Coordinator 100/mo. for 6 mos.
Homemaker at Basalt, 20 hrs/mo @ $3.25/hr.
Homemaker at Minturn, 20 hrs/mo. @ $3.25/hr.
Community Driver at RedCliff,
$40/mo. X 6 months - escort service
Community Driver at Basalt
$20/mo. X6 months - escort service
TRAVEL:
Coordinator 700 miles/mo. @ $0.14
EQUIPMENT:
Repairs & resurfacing of tables and chairs at
Eagle Nutrition Site
Purchase of magazine racks, bulletin board, chairs,
etc. for Eagle Nutrition/Senior Center site.
Purchase of game equipment for Eagle Nutrition/
Senior Center Site
OTHER:
100 D
600
390
390
240
120
588
650
100
50
Newsletter; publication & distribution 150
Minimum issue dates are March 2,
May 4, July 6 and Sept. 7, 1979
Communications - telephone and postage 120
Office Supplies; paper envelopes, typewritten
supplies, pencils, etc. ADO
I&R committee; public relations & public information
activities; accumulation of data, publications,
distribution, preparation of media material, trans-
mitting information to seniors 1,50
Well/oldsters clinic supplies 517'
Recreation:
Annual Seniors Jamboree 900
Cultural & Shoppint Trips to Vail, Denver,
and other areas in Colorado. Necessary 500
transportation and tickets
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Application for Project Grant - Page 4
Explan.
Code
Project Income (from source)
Amount
ti
'otal Anticipated Project Income
$
Explan.
Code
Grantee Contribution
Amount
A. CASH
$
Total Grantee Cash Contribution
B. IN-KIND RESOURCES
$
Eagle County Bus transportation for use
422
by seniors as needed includes gas, oil maintenance
Two county nurses who provide physical check - up
200
blood pressure, etc.
Tota Grantee In -Kind
$
Contribution
622
Total Cash and In -Kind Contribution (A+B)
$ 622
APPLICATION FOR PROJECT GR T
,)ROJ ?D PROGRAIM PERFORIMANCE TP ',
rJ "
PROJECT NAME:
Eagle County Council on Aging
DATE:
2/2/79
YROJECT r0.:
Project Data:
Area Served Eagle County
s (Cities, Counties, etc.)
Unduplicated No. of Older Persons Estimated in Area Served 1085
Estimated Low Income in Project Area: 280 ; 26
Number % of above
Tar$et Groups in Area Served (number of) ; 141 ;
Negro Spanish Language
plus 280 = 421
Indian Other minority Anglo (total)
Number of Older Persons to be Served
Duplicated
Count
Unduplicated
Count
1. Coordination of Existing Social Services, or
Pooling, of Untapped Resources
1083
280
108
220
108
1083
(Non -applicable for State Grant Funds)
a. ..
b. ..
C. ..
3
a. ..
2. Supporting Services
a. Information and Referral. Min .(if. .3..cx"trac.ts
b. Outreach., objective.to.reach . ..25% /6 times
C. Transportation. M :.to.reach.10% 3 times...
d. Escort ....................................
3. Gap -Filling Services
a. Well Oldster ..
b. Recreation
C. Newsletter
d. .
e.
f. .
g. ..
3249
1680
324
660
648
3249
4. 1OTAL OLDER PERSONS TO BE SERVED ..............
10,134
1083
5. Number of Low Income included in "4" .........
6. Number of Minority included in "4" ...........
2,534
70
875
atement of Understanding
'roject Name Dateroject No.
Eagle County Council .. on A -,..-ng 2/2/79
� �
For: 4-1-79 to 9-30-79
Where will the funds for the project be deposited? Eagle County Treasurer
Eagle, Colorado 81631, 'Hubert H. Peterson
Eagle County Treasurer
7. Who will be authorized to withdraw funds? -(title) Hubert H. Peterson
8.. Will funds be audited by a local auditor? NO Who?
9. Will employees handling funds be bonded? ................. 0 ......... ,, YES
10. Have you completed the "Assurance of Compliance"? ..... ••...... ,..... YES- .
11. Do you agree to post in your office and at project sites a statement informing the
public of your -intention to comply with Title VI of the Civil Rights Act of 1964?
YFS
12. Do you agree to inform and instruct your staff<,including volunteers) concerning
their obligations under the Civil Rights Act of 1964? ............... YES
Ihe undersigned certify that they have read and understand the questions abo.ve.and
they agree to abide by all rules and regulations of the State Agency.
v V— L ,�;L,.Gl/
nature pe on named as authorized
corm't appli nt organization
DSA 100F (6/75)
ure of persc& named as Project
Coordinal�or
1.
Do you understand that this project will be supported for one year
only (further funding is contingent upon the availability of funds,
an evaluation of the project at year-end and approval of a future
project application)?...
YES
2.
Do you agree to abide by the Federal, State and local laws appli-
YES
cable to project fund expenditures? ................................
3.
Do you agree to submit all required regular monthly -and/or quarterly
YES
financial and program/performance reports? ....... ..... ..... ..�....�
4.
Do you agree to liquidate all encumbrances of grant funds within `.'
YES
two years after the end of the fiscal year in which the encumbrance
was incurred?......................................................
YES
5.
Do you agree to permit audits of all records of the project to be
made by Federal auditors and representatives of the State Agency or
the Area Agency?z..................................................
YES
Where will the funds for the project be deposited? Eagle County Treasurer
Eagle, Colorado 81631, 'Hubert H. Peterson
Eagle County Treasurer
7. Who will be authorized to withdraw funds? -(title) Hubert H. Peterson
8.. Will funds be audited by a local auditor? NO Who?
9. Will employees handling funds be bonded? ................. 0 ......... ,, YES
10. Have you completed the "Assurance of Compliance"? ..... ••...... ,..... YES- .
11. Do you agree to post in your office and at project sites a statement informing the
public of your -intention to comply with Title VI of the Civil Rights Act of 1964?
YFS
12. Do you agree to inform and instruct your staff<,including volunteers) concerning
their obligations under the Civil Rights Act of 1964? ............... YES
Ihe undersigned certify that they have read and understand the questions abo.ve.and
they agree to abide by all rules and regulations of the State Agency.
v V— L ,�;L,.Gl/
nature pe on named as authorized
corm't appli nt organization
DSA 100F (6/75)
ure of persc& named as Project
Coordinal�or
$ AJJUKANk L• Ur IUe1rL1AM L
.' WITH THE DETME' OF HEALTH, EDUCATION AN LF REGULATION
UNDL'TIT II OF THE CIVIL RIGHTS `JO X64
Eagle County Board of County Commissioners
(Name of Subgrantee, Secondary Recipient or Grantee) (herein -after called the "Subgrantee")
HEREBY AGREES THAT it will comply with Title V1 of the Civil Rights Act of 1964 (P.L,
88-352) and all requirements imposed by or pursuant to the Regulation of the Department of
faaIth, Education, and Welfare (45 CFR Part 80) issued pursuant to that title, to the end
t, in accordance with Title VI of that Act and the Regulation, no person in the United
States shall, on the grounds of race, color, or national origin, be excluded from partici-
pation in, be denied the benefits of, or be otherwise subjected to discrimination under
any program or activity for which the Subgrantee receives Federal financial assistance.
from CkVlinp Six ARea Agency on Aging , a recipient of
(Name of Grantor)
Federal financial assistance from the Department (hereinafter called "Grantor"); and
HEREBY GIVES ASSURANCE THAT it will immediately take any'measure necessary -to effectuate'
this agreement.
If any real property or structure thereon is provided or improved with the aid of Federal
financial assistance extended to the Subgrantee by the Grantor, this assurance shall obli-
gate the Subgrantee, or in the case of any transfer of such property, any transferee,.for
the period during which the real property or structure is used for a purpose for which the
Federal financial assistance is extended or for another purpose involving the provision of
similar services or benefits. If any personal property is so provided, this assurance
shall obligate the Subgrantee for the period during which it retains ownership or possession
of the property. In all other cases, this assurance shall obligate the Subgrantee for the
period during which the Federal financial assistance is extended to it by.the Grantor.
IS ASSURANCE is given in consideration of and for the purpose of obtaining any and all
Federal grants, loans, contracts, property, discounts or.other Federal financial assistance
extended after the date hereof to the Subgrantee by the Grantor, including installment pay-
ments after such date on account of applications for Federal financial assistance which
were approved before such date. The Subgrantee recognizes and agrees that such Federal
financial assistance will be extended in reliance on the representations and agreements
made in this assurance, and that the Grantor or the United States or both shall have the
right to seek judicial enforcement of this assurance. This assurance is binding on the
Subgrantee, its successors, transferees, and assignees, and the person or persons whose
signatures appear below are authorized to sign this assurance on behalf of the Subgrantee.
r
Dated �t j�/ %7 Ct'
Eagle, CO. 81631
(Recipient's mailing address
Eagle County BOCC
(Subgrantee
By
/�
(President, ,_halrman of Board, or 4pAf1*1_ rA4n_-e
comparable authorized official) �Jssisn4�rr
Title Chairman
DSA 10OG (6/75)-AoA Form 441 (To be completed by Older Americans Act grant applicants/
recipients).
