HomeMy WebLinkAboutC88-107 Skyline Six Area Agency on Aging contractTo'(Are"a Agency):
Application fL,Project C88-107-22
Contract Under:
Skyline Six Area Agency on Aging
Box 739
Title III of the Older Americans Act
Frisco, CO 80443
GENERAL INFORMATION
Name of Proposed Project;
x Original Application
Ea le County Senior Citizens
Revision Request No.
Supportive Services 1989
Name, Address, and Phone Number of
Applicant Organization (Grantee):
Address at which proposed project will be
Eagle County Senior Services
conducted (street, city, county(s))
Box 86
Eagle, CO 81631
303-328-7311, ext.252
Same
303-328-5255
Type of proposed project
Name of project director, supervisor or
X.Priority Services
coordinator
Other Services
Margie Gates, RN
Proposed project period:
Priority and Other Services
Begining:_ 1-1-89 _ Ending: 12-31-89
Exhibits to be included for a project
grant application:
VMPUTATION OF FUNDS REQUESTED
Project Plan Budget Reauest.
A-1 Title Page
A-2 Project Goals
A. Total Budget.. ............... S 44,249
A-3 Project Summary Budget
Less Project Income .......... 850
A-4 Priority Services - Access
A-5 Priority Services - •n-Home
B. Net Budget Cost....:.......... 43,399
A-6 Priority Services - Community
C. Applicants Contribution
A-7 Grantee Contribution
a. Non-Federal Cash......... 20,800
A-8 Budget Explanation
b. In-kind Resources........ - 12,225
A-9 Projected Program Performance
C.. ........
A -10 Standard Assurances
Total Applicants Contribution 33,025
D. Federal/State Funds Requested 10,374
Federal/State Share 24
Grant Recipient Share 76
TERMS AND CONDITIONS: It is understood and agreed by the undersigned that; 1) Funds
granted as a result of this
request are to be expended for the purposes set forth here-
in and in accordance with all applicable laws, regulations, policies, and procedures
of
the Area Agency, the State of Colorado, and the Administration on Aging of the U.S.
Department of Health and Human Services;
and 2) Funds awarded as a result of this
application may be terminated at any time for violations of any terms and requirements
of this agreement.
Name and title of individual authorized
to commit applicant organization to this
agreement: George A. Gates, Chairman, Eagle
County Board of County Commissioners
e 10/24/88
Signatur Da t"
AAA A-1 (9/88)
Exi t A -2
Skyline Six AAA project GOALS AND OBJECTIVES
Goals and Objectives
Estimated Date
of Completion
Goal # 1
Continue services such as access, information & referral,
escort and transportation.
Objective,# 1
Encourage the senior population to continue providing outreach
through the newsletter, telephone, visitation and welcoming new
seniors to the area.
Objective # 2
Effectively distribute brochures to new seniors and appropriate
agencies explaining the services that are available to seniors in
Eagle County.
Objective # 3
Continue volunteer program by seniors, for the nutrition sites,
the senior center and within the community organizations.
Objective # 4 . 0
To continue van service to Eagle County Seniors for the
nutrition program, shopping and other activities per county van
policy. We plan to expand services as numbers and needs increase.
Van policies will be reviewed and updated yearly.
Objective # 5
To meet any increased transportation needs in the Basalt -
El Jebel area due to the move of the nutrition site location.
AAA A -2 (9/88)
Skyline Six AAA project GOALS AND OBJECTIVES
Goals and Objectives
Estimated Date
of Completion
Goal # 1
Continue services such as access, information & referral,
escort and transportation.
Objective,# 1
Encourage the senior population to continue providing outreach
through the newsletter, telephone, visitation and welcoming new
seniors to the area.
Objective # 2
Effectively distribute brochures to new seniors and appropriate
agencies explaining the services that are available to seniors in
Eagle County.
Objective # 3
Continue volunteer program by seniors, for the nutrition sites,
the senior center and within the community organizations.
Objective # 4 . 0
To continue van service to Eagle County Seniors for the
nutrition program, shopping and other activities per county van
policy. We plan to expand services as numbers and needs increase.
Van policies will be reviewed and updated yearly.
Objective # 5
To meet any increased transportation needs in the Basalt -
El Jebel area due to the move of the nutrition site location.
AAA A -2 (9/88)
Exh 16i t A- 2
Skyline Six AAA Project GOALS AND OBJECTIVES
Goals and Objectives Estimated Date
Of Completion
Goal # 2 In -Home Services:
A. To continue to offer and expand homemaker service to the frail
elderly throughout the county.
B. Offer Chore Service to the frail elderly throughout the county.
Objective # 1A
Continue an educational awareness program at nutrition sites,
newsletter, brochures, of in -home services available, through
Eagle County Nursing Service for elderly, and especially the frail
elderly population.
Objective # 1B
Continue to coordinate and administer the chore service program
and make its availability known throughout the county.
Objective # 2B
Make community organizations aware of senior needs and use
service and volunteer organizations to help meet these needs.
Re: Community Service, volunteers, etc.
AAA A -2 (9/88)
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Exhibit A -7
GRANTEE CONTRIBUTION
Application for Project Grant
AAA A- 7 (9/88)
Project Income (from source)
Amount
Homemaker envelopes
300
Chore Service envelopes
50
Van donations
500
Total Anticipated Project Income
850
Grantee Cash Match and In -Kind
Amount
A. CASH
County Program Coordinator Wages -- Access
13370
County Transportation Cash Match -- Access
5900
(Coordinator Mileage, van driver salaries, equipment,
Miscellaneous)
County Homemaker Cash Match - -In -Home
1050
County Chore Service Cash Match - -In -Home
480
F_ Total Grantee Cash Contribution
20800
B. IN -KIND RESOURCES
$
Towns' and County donation of building usage for
nutrition sites for senior program.
Total Grantee In -Kind Contribution
12225
Total Cash and In -Kind Contribution
$ 33875
AAA A- 7 (9/88)
c 1�
Exhibit A -8
Budget Explanation /Justification Sheet
Project Name: Date:
11115 5neeL 15 ror expianazions ana justirications of the major items contained
in Exhibits A -4, 5, 6, and 7. Include sufficient detail to facilitate the
determination of cost allowability and relevance to the project.
Expenditures Explanation Amount and Revenue Source
(T.III Pro'. Inc.. Cash Match
One Part Time County Program Coordinator 13370
Four Part Time Van Drivers plus Relief Drivers 7800
Two Part Time Homemakers 3379
Travel:
Van mileage and maintenance 5195
Coordinator Mileage 800
Homemaker Mileage 500
Other:
Chore Service -- Supplies -- contract labor-- equipment --
miscellaneous. 980
In -Kind:
Use of Nutrition Sites provided by towns of Minturn,
Basalt, and County of Eagle. 12225
AAA A- 8 ( 9/88)
L? 4a
Project Name:
OJECTED PROGRAM PERFORMANCE 3
Date:
Exhibit A -9
Project Data:
Area Served Basalt, Eagle, Minturn,- -Eagle County
Cities, Counties, etc.
Unduplicated No. of Older Persons estimated in Area Served 748
Estimated Low Income in Project Area: 139 18.6%
Number % of elderly population
Estimated Minority in Project Area: 68 9.1% I
Number % of elderly population
Number of Older Persons to be Served
I. PRIORITY SERVICES
A. Access
1. Information & Referral
2. Outreach
3. Transportation
4. Escort
B. Home Services
1. Personal Care
2. Homemaker
3. Chore Services
4. Other (specify)
C. Other
1. Legal
2. Health Screenings
3.
4.
Duplicated
UnitsooP �ervice
8000
Unduplicated
PersonsoSuerved)
250
10000
200
14
40
-
476
400
II. Total Older Persons to be Served
XXXXXXXXXX
400
III. Number of Low Income included in II
IV. Number of Minority included in II
XXXXXXXXXX
XXXXXXXXXX
139
68
AAA A- 9 ( 9/ R A)
Exhibit A -10
STATEMENT OF ASSURANCES
1. The Subgrantee will comply with the policies and procedures
contained in Colorado Department of Social Services Staff
Manual, Vol. 10 - Services to the Aging and the Skyline Six
AAA Policies and Procedures Manual.
2. The Subgrantee will comply with the Older Americans Act as
amended, the policies and procedures set forth in 45 CFR
Part 1321 and 74 and any written amplification of these
regulations issued by the U.S. Department of Health and
Human Services. This assurance includes, but is not limited
to, the statutory requirements listed below:
a. Give preference to older individuals with the greatest
economic or social needs, with particular attention to
low - income minority individuals, and demonstrate this
preference in the development of area plan objectives;
b. Facilitate the coordination of community - based, long-
term care services designed to assist individuals to
remain in their homes and facilitate the involvement of
long -term care providers in the coordination of commun-
ity -based long -term care services:
C. Ensure community awareness of and involvement in address-
ing the needs of residents of long -term care facilities
through the long -term care ombudsman and other programs;
d. Comply with state law and policies and procedures
established by the Department for the provision of Adult
Protective Services.
e. Provide all services under the Older Americans Act without
use of a means test.
THE COUNTY OF EAGLE, STATE OF COLORADO,
By and Through Its Board of CommissionerE
( Signed )��
(Auth ize Signature)
Geode A. Gates, Chairman------;,
( Signed)%Z
Project /%t i�'ector
" I Ta` -('Area Agency) :
Skyline Six Area Agency on Aging
Box 739_
Frisco, CO 80443
Name of Proposed Project.
�_= ��hortiy S ryirp '88
Name, Address, and Phone Number of
Applicant Organization (Grantee):
Eagle County Senior Services
Box 86
Eagle, Co. 81631
303 - 328 -7311 Ext. 252
Type of proposed project
X Priority Services
Other Services
Priority and Other Services
Exhibits to be included for a project
grant application:
A -I Title Page
A -2 Abstract
A -3 Project
A -4 Project Summary Budget-
A-53 Priority Services -'Access
A -6 Priority Services - In -Home
A -7 Grantee Contribution
A -8 Budget Explanation
A -9 Projected Program Performance
A- 10Standard Assurances
Application for Project
Grant Under:
Il
Project No.
Title III of the Older Americans Act
X Original Application '
Revision Request No.
Address at which proposed project will be
conducted (street, city, county(s))
Same
Name of project director, supervisor or
coordinator
Margie Gates
Proposed project period:
6egining: 1 -1 -88 Ending: 12 -31 -88 y
CW11TATION OF FUNDS REOUEST70
Project Plan cudcet Request
A. Total Budget ............. .... S 40,367
Less Project Income.......... 800
B. Net Budcet Cost .............. 39,567
C. Applicants Contribution
a. Non - Federal Cash......... 19,142
b. In -kind Resources........ 10,080
C.. .......
Total Applicants Contribution 29,222
D. Federal /State Funds Requested 10,345
Federal /State Share.
Grant Recipient Share ;
—-
TERiMS AND CONDITIONS: It is understood and aree
granted as a result of this request are to be-expended d by the undersigned that; I) Funds
in and in accordance with all applicable laws, rguations the purposes set forth here -
the Area Agency, the State of Colorado, and the Administrationlon1 Aging nof the eU S. of
Department of Health and Human Services; and 2) Funds awarded as a result of this
application may be terminated at any time for violations of any terms and requirements
of this agreement.
Name and title of individual authorized
+o commit applicant organization to this
3reeenent:
_UVOM — �-_e 44_�_�t
to
AAA A -1 (-9/87)
ABSTRACT
Exhibit A -2
Provide below a one page summary of the total project. Briefly
describe the proposed project and the specific usage of Title III
funds.,
Eagle Cnunty Saninr Prnnram hoe nrnonsed to continue with
transporation, information and referral ,escort in home services and
clinic services.
Changes during the past year have been more adequate usage of the vans
especially in the Red Cliff area. We also incorporated chore service into our
program this year and plan to expand it into 1988. We will continue to coordinate
through the Community Services Program in offering this service.
Our in home service to the frail elderly has given shut -ins an opportunity
for socialization and home care services that are needed by this population.
These services are increasing throughout the county. Our attendance at County
Council Meetings and Regional Meetings remains high.
Our goal for 1988 is to encourage more seniors to take part in senior
programs and increase ulilization of all services. We are still looking forward
to the availiability of the new senior center in the central part of the county.
It will enable us to bring the tolal senior population together more often for
more things.
AAA A -2 (9/87)
Cj
Exhibit A -3
Skyline Six AAA Project GOALS AND OBJECTIVES
Goals and Objectives
Goal # 1
Estimated Date
Of Comoletion
Continue services such as access, information referral, escort and
transportation.
Objective #—I
Encourage the senior population to continue providing outreach through
the newsletter, telephone, visitation and welcoming new seniors to the area.
Objective #
Effectively distribute brochures to new seniors and appropriate agencies
explaining the services that are available to seniors in Eagle County.
Objective # 3
Continue Volunteer program by seniors =for the nutrition sites, the senior
center and within the community organizations.
Objective # 4 ;
To continue van service to Eagle County Seniors for the nutrition
program, shopping and other activities per county van policy. We plan to
expand services as numbers and needs increase. Van policies will be reviewed
and update - yearly.
AAA A -3 (9/87)
•
Exhibit A -3
Skyline Six AAA project GOALS AND OBJECTIVES
Goals and Objectives
Estimated Date
Of Comoletion
Goal # : In . Home Services :
A. To continue to offer and expand homemaker service to the frail elderly
throughout the county.
E. Offer chore service to the frail elderly throughout the county.
Objective # lA
Continue an educational awareness program at nutrition site, newsletter,
brochures, of in home services available, through Eagle County Nursing Service
for elderly, and especially the frail elderly population.
Objective # lg
Continue to coordinate and administer the chore service program and make
its availability known throughout the county.
Objective #_2a_:
Make community organizations aware of senior needs and use service and
volunteer organizations to help meet these needs Re: Community service,
volunteers etc.
AAA A -3 ('9/87)
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Exhibit A -7
GRANTEE CONTRIBUTION
Application for Project Grant
Expin.
Code Project Income (from source)
Amount
Homemaker envelopes 5
250
Chore Service envelopes 50
Van Donations
500
Total Anticipated Project Income S 800
Expin.
Code (Grantee Contribution
Amount
A. CASH
S
County Program Coordinator wages assess 13,370
County Transportation cash match assess
(Coordinator mileage, Van driver salaries equipment & miscellani us) 4,350
County Homemaker cash match -in home 942
County Chore Service cash match - in home 480
Total Grantee Cash Contribution $ 19,142
B. IN -KIND RESOURCES S
Town's donation of nutrition site building usage to
senior program 10,080
Total Grantee In -Kind Contribution 1$10,080
I Total Cash and In -Kind Contribution J$30,022
AAA A- 7 (9/87)
Exhibit A -8
Budget Explanation /Justification Sheet
Project
Name: Eagle
County
Senior
in Exhibits
Date:
Project No.:
Citizens
Supportive
Service
Project
Budget
10 -13 -87
IIII� >[ICCI.
IS [UF explanazlons ana JUST�171cations or
the mayor
items containea
in Exhibits
A -4, 5, 6, and A -7. Include sufficient
detail to facilitate the
determination
of cost allowabi ity and relevance to
the project.
Budget
Category
Explanation
Amount
Personnel:
One part time county program coordinator
$13,370
Three part time county van drivers plus
relief
driver.
$7,445
Other: Coordinator Mileage
Vans mileage
AAA A- 8 (9/87)
$800
$4,000
Budget Explanation /Justification Sheet
Exhibit A- 8
Project Name: Eagle County Senior Date: Project No.:
Citizens Supportive Services Project 10 -13 -87
11115 sneer 15 Tor' expianazzdns and jusz1ricazlons of the mayor items containea
in Exhibits A -4, 5, 6, and A -7. Include sufficient detail to facilitate the
determination of cost allowabi ity and relevance to the project.
Budget
Category Explanation Amount
In Home:
One Part -Time Homemaker $3,192
Homemaker Mileage $500
Chore service - supplies - contract - labor, equipment,
and miscellanious $980
AAA A- 8 (9/87)
Exhi bit A- 8
Budget Explanation /Justification Sheet
Project Name: Eagle County Senior Date: Project No.:
Citizens Supportive Service Project 10 -13 -87
1111> )Acct- is iur eXY1df1d1;1On5 ana Jusciricarions of the Major items contained
in Exhibits A -4, 5, 6, and A -7. Include sufficient detail to facilitate the
determination of cost allowabl ity and relevance to the project.
Budget
Category Explanation Amount
In -Kind: Use of Nutrition Sites
Provided by town of Basalt, Eagle, Minturn.
AAA A- 8 (9/87)
10,080
lOdECTED PROGRAM PERFORMANCE Exhibit A -9
Project Name: Date: Project No.:
Project Data:
Area Served Basalt, Eagle, Minturn - Eagle County.
(Cities, Counties, etc.
Unduplicated No. of Older Persons estimated in Area Served 747
Estimated Low Income in Project Area: 127 18.3
Number o of elderly population
Estimated Minority in Project Area: 61 ; 8.8
Number ;a of elderly population
Number of Older Persons to be Served
Duplicated
Unduplicated
Units F �ervice
Personsorved)
I. PRIORITY SERVICES
-
A. Access
I
1. Information & Referral
.9000
400
2. Outreach
400
9000
3. Transportation
150 i
200
4. Escort
20
B. Home Services
1. Personal Care
-
2. Homemaker
20___
I Mn
600
3. Chore Services
40
4. Other (specify) Screenings
C. Other
1. Legal
2.
3.
4.
II. Total Older Persons to be Served
XXXXXXXXXX
4nO
III. Number of Low Income included in II
XXXXXXXXXX
i
127
IV. Number of Minority included in II
XXXXXXXXXX
61
AAA A- 9 (9/87)
C/
STATEMENT OF ASSURANCES
Exhibit A -10
1. The Subgrantee will comply with the policies and procedures
contained in Colorado Department of Social Services Staff
Manual, Vol. 10 - Services to the Aging and the Skyline Six
AAA Policies and Procedures Manual.
2. The Subcrantee will comply with the Older Americans Act as
amended, the policies and procedures set forth in 45 CFR
Part 1321 and 74 and any written amplification of these
regulations issued by the U.S. Department of Health and
Human Services. This assurance includes, but is not limited
to, the statutory requirements listed below:
a. Give preference to older individuals with the greatest
economic or social needs, with particular attention to
low - income minority individuals, and demonstrate this
preference in the development of area plan objectives;
b. Facilitate the coordination of community - based, long-
term care services designed to assist individuals to
remain in their homes and facilitate the involvement of
long -term care providers in the coordination of commun-
ity -based long -term care services:
C. Ensure community awareness of and involvement in address-
ing the needs of residents of long -term care facilities
through the long -term care ombudsman and other programs;
d. Comply with state law and policies and procedures
established by the Department for the provision of Adult
Protective Services.
e. Provide all services under the Older Americans Act without
use of a means test.
(Signed)
(Date) (Authori d Signature)
A") °?� �/ (signed
(Date
AAA A -10 (9/86)
