HomeMy WebLinkAboutC03-151 Early Head StartAPP~.ICATION FOR 2 DATE SUBMITTED: Applica ~ntifler 08Y00023
FEDERAL ASSISTANCE 5/30/2003 ~ D ~-~-/~ -Z
1. TYPE OF SUBMISSION 3. DATE RECEIVED BY STATE: Spate Apptic~tion Identifier
Applfc~flon Preappllcatlon
Construction ~ Construction 4. DATE RECEIVED BY FEDERAL AGENCY Federal Identifier
Non-Construction ~ Non-Construdtion
5. APPLICANT INFORMATION
Legal Name: Health & Human Services Eagle County EHS Organizational Un(t Health & Human Services Eagle County EHS
Address (give dty, county, state, and zip code) Name and telephone number of the person to be contacted on matters irnoNing
POB 660 ~~
5518roadway Kathleen Forinash 970-328-8858
Eagle, CO 81631 Eagle Executive Director
6. EMPLOYER IDENTIFICATION NUMBER (EIN) 7. TYPE OF APPLICANT (eater appropriate letter in box) ~g
8 4 ~ 6 0 0 0 7 6 2 A. State H. Independent School Dist
B. County I. Stabs Controlled Institution of Higher Learning
8. TYPE OF APPLICATION C. Munidpai J. Private Universfty
~Nsw ~ Continuation
~ Revision D. Township K. Indian Tribe
E. Irderstate L. Individual
F. Irdermunldpal M. profit Organization
If Revision, eater appropriate letter(s) in box(es): ~ ~ G. Sp~ial District N. Other (specfy)
A. Increase Award B. Decrease Award C. Increase Duratlon g, NAME OF FEDERAL AGENCY
D. Decrease Duration Other (specify): HHS - Admintsbation for Children and Families
10. CATALOG OF FEDERAL DOMESTIC 9 3 ^ 6 0 0
ASSISTANCE NUMBER 11. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT:
: Eagle County Early Head Siam
TITLE: Early Head Start
Supplemental funding
12. AREAS AFFECTED BY PROJECT 2003 COLA, Quafiiy Improvemerrt, TffA
Eagle County
13. PROPOSED PROJECT: 14. CONGRESSIONAL DISTRICTS O F:
Start Date Ending Date a Applicant ~ b. Projed 3rd Distrld
10/01/2002 9130/2003 i
15. ESTIMATED FUNDING 16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS?
a Federal $ 13
271
00 a. YES THIS PREAPPLICATION/APPLICATION WAS MADE AVAILABLE TO THE STATE
.
, EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON
b Applicant $ 3,318.00 DATE
c State $ •~ b NO X^ PROGRAM IS NOT COVERED BY E.0.12372
d Local $ .00 ~ OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW
e Otirer S .00
17
IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT?
.
f Program Income $ .00
"
'
Yes If
Yes,
attach an explanation. ~ No
g Total S 16,589.00
18. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATION ARE TRUE AND CORRECT. THE DOCUMENT HAS BEEN DULY AUTHORIZED
BY THE GOVERNING BODY OF THE APPUGANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED
a Typed Name of Authorized Represerdative b Title c Telephone number
Midrael Gallagher BoCC Chair 970-328600
b Signature of uth epresen e e Date Signed
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• Eag~ounty Early Head Start
2003 COLA, Quality Improvement, T/TA
Budget and Budget Justification:
Item Federal Funds Non-Federal Funds
Cost of Living Adjustment (COLA)
• 2% COLA to salaries $4,435
• Associated increase in fringe benefits $1,201
TOTAL COLA $5,636
Quality Improvement Community donated
• Enhanced Fringe Benefits: Offset $939 books for enrolled
costs of increasing health families and their
insurance. children: $500
• Literacy Enhancement: Purchase $939
books for a lending library. Volunteer service
(reading to children)
187.9 hours of service x
$15/hr = $2,818
$2,818
TOTAL QUALITY IlViPROVEMENT $1,878
Training & Technical Assistance $5,757
TOTAL $13,271 $3,318
Budget Narrative
COLA: All staff will receive a 2 % percent cost of living adjustment to maintain the
quality of current services. This increase reflects a permanent increase in Eagle County
Early Head Start's pay scale for all employees. Eagle County Government completes a
market survey every two years assure competitiveness of salaries.
Quality Improvement: $939 will be used to offset the increasing cost of health
insurance. Health insurance costs have increased an average of 20% per year for the past
3 yeazs. A benefit package that includes family health insurance helps to attract and
retain qualified, well-trained staff.
$939 will be used for literacy enhancement. Books will be purchased for a lending
library to be loaned to families on weekly basis.
-1-
• Eag~ounty Eazly Head Stazt
2003 COLA, Quality Improvement, T/TA
T/TA: $5,757 to Training/Technical Assistance Plan:
Three home visitors (50%) do not have degrees or have degrees not related to early
childhood. Their preferred method of leazning is through the local community college in
a classroom setting vs. the Internet or audio educational opportunities. Staff prefers part
time status since they work fulltime. Projected time frame to receive an associate degree
is 3-4 yeazs. CDA will be obtained by December 2004 on current staffwithout degrees.
Some staff with related eazly childhood degrees will need eazly childhood development
courses. This could be accomplished by attending the PTIC courses or through local
community college.
Staff with early childhood related degrees will continue education through local, regional
and national training opportunities.
Payment for the costs of courses that lead to appropriate degrees or certificates include
tuition, fees, books, and materials. A policy will be developed, based on the
reauthorization bill, involving a time commitment by the employee to the program
following educational and degree attainment.
Non-federal Share: The program will receive $500 in donated books for enrolled families
and their children by various local and regional donators including the Literacy Project.
Volunteers will provide 187.9 hours of time at a value of $15 per hour for a total of
$2,818. Volunteers including fathers, youth, and community leaders will read to children
promoting the program's literacy effort. Total non-federal share is $3,318.
-2-
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
COMPENDIUM OF REQUIRED CERTIFICATIONS AND ASSURANCES
SF 424B
ASSURANCES -NON-CONSTRUCTION PROGRAMS
Note: Certain of these assurances may not be applicable to your project or program. !f you have
questions, please contact the awarding agency. Further, certain Federal awarding agencies may require
applicants to certify to additional assurances. If such is the case, you will be notified.
As the duly authorized representafive of the applicant, 1 certify that the applicant
1. Has the legal authority to apply for Federal assistance, and the institutional, managerial and financial
capability (including funds sufficient to pay the non-Federal share of project costs) to ensure proper
planning, management and completion of the project described in this application.
2. ill give the awarding agency, the Comptroller General of the United States, and if appropriate, the
State, through any authorized representative, access to and the right to examine all records, books,
papers, or documents related fo the award; and will establish a proper accounting system in accordance
with generally accepted accounting standards or agency directives.
3. ill establish safeguards to prohibit employees from using their positions for a purpose that constitutes
or presents the appearance of personal or organizational conflict of interest, or personal gain.
4. X11 initiate and complete the work within the applicable time frame after receipt of approval of the
awarding agency.
5. ill comply with the intergovernmental Personnel Act of 1970 (42 U.S.C. 4278-4763) relating to
prescribed standards for merit systems for programs funded under one of the nineteen statutes or
regulations specified in Appendix A of OPM=s Standards for a Merit System of Personnel Administration
(5 CFR 900, Subpart F).
6. ill comply with all Federal statutes relating to non-discrimination. These include but are not limited to:
(a) TrfJe VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the bases of .
race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C.
1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the
Rehabilitation Act of 1973, as amended (29 U. S. C. 794), which prohibits discrimination on the basis of
handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. 6101-6107), .which prohibits
discrimination on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P. L 92-255), as
amended, relating to non-discrimination on the basis of drug abuse; (f) the Comprehensive Alcohol Abuse
and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating
to non-discrimination on the bases of alcohol abuse or alcoholism; (g) 523 and 527 of the Public Health
Service Act of 1912 (42 U.S.C. 290 dd-3 and 290 ee-3), as amended, relating to confidentiality of the
alcohol and drug abuse patient records; (h) Title Vll of the Civil Rights Act of 1968 (42 U.S.C. 3601 et
seq.), as amended, relating to non-discrimination in the sale, rental or financing of housing; (1) any other
non-discrimination provisions in the specffic statute(s) under which application for Federal assistance is
being made; and (/) the requirements of any other non-discrimination statute(s) which may apply to the
application.
•
7. X11 comply, or has already complies, with the requirements of Titles 11 and 111 of'the Uniform Relocation
Assistance and Real Property Acquisition Policies Act of 1970 (P. L. 91-646) which provide for fair and
equitable treatment of persons displaced or whose property is acquired as a result of Federal or Federally
assisted programs. These requirements apply to all interests in real property acquired for project
purposes regardless of Federal participation in purohases.
8. X11. comply with the provisions of the Hatch Act (5 U.S.C. 1501-1508 and 7324-7328) which limit the
political activities of employees whose principal employment activities are funded in whole or in part with
Federal funds.
9. ill comply, as applicable, with the provisions of the Davis-Bacon Act (40 U.S.C. 276a to 276a-7), the
Copeland Act (40 U.S.C. 276c and 18 U.S.C. 874), and the Contract Work Hours and Safety Standards
Act (40 U. S, C. 327-333), regarding labor standards for Federally assisted construction subagreements.
10. ill comply, if applicable, with flood insurance purchase requirements of Section 102(a) of the Flood
Disaster Protection Act of 1973 (P. L. 93-234) which requires recipients in a special flood hazard area to
participate in the program and to purchase flood insurance if the total cost of insurable construction and
acquisition is $10,000 or more.
11. ill comply with environmental standards which maybe prescribed pursuant to the following: (a)
institution of environmental quality control measures under the National Environmental Policy Act of 1969
(P.L 91-190) and Executive Order (EO) 11514; (b) notification of violating facilities pursuant to EO 11738;
(c) protection of wetlands pursuant to EO 11990; (d) evaluation of flood hazards in floodp/ains in
accordance with EO 11988; (e) assurance of project consistency with the approved State management
program developed under the Coastal Zone Management Act of 1972 (16 U.S.C. 1451 et seq.); (f)
conformity of Federal actions to State (Clear Air) Implementation Plans under Section 176(c) of the Clear
Air Act of 1955, as amended (42 U.S.C. 7401 et seg.); (g) protection of underground sources of drinking
water under the Safe Drinking Water Act of 1974, as amended, (P.L 93-523); and (h) protection of
endangered species under the Endangered Species Act of 1973, as amended, (P. L 93-205)
12. ill comply with the ~Id and Scenic Rivers Act of 1968 (16 U.S.C. 1271 et seq.) related to protecting
components or potential components of the national wild and scenic rivers system.
13. ill assist the awarding agency in assuring compliance with Section 106 of the National Historic
Preservation Act of 1966, as amended (16 U.S.C. 470), EO 11593 (identification and protection of historic
properties), and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. 469a-1 et seg.).
14. ill comply with P.L. 93-348 regarding the protection of human subjects involved in research,
development, and related acfivities supported by this award of assistance.
15. X11 comply with the Laboratory Animal Welfare Act of 1966 (P. L 89-544, as amended, 7 U. S. C. 2131
et seq.) pertaining to the care, handling, and treatment of warm blooded animals held for research,
teaching, or other activities supported by this award of assistance.
16. ill comply with the Lead-based Paint Poisoning Prevention Act (42 U.S.C. 4801 et seq.) which
prohibits the use of lead based paint in the construction or rehabilitation of residence structures.
17. X11 cause to be performed the required financial and compliance audits in accordance with the single
Audit Act of 1984.
18. X11 comply with all applicable requirements of all other Federal laws, executive orders, regulations and
policies governing this program.
•
DRUG-FREE WORKPLACE REQUIREMENTS
GRANTEES OTHER THAN INDIVIDUALS
By signing and/or submitting this application or grant agreement, the grantee is providing the certification set
out below.
This certification is required by regulations implementing the Drug-Free Workplace Act of 1988, 45 CFR, Part
76, Subpart F. The regulations published in the January 31, 1989 Federal Register, require certfication by
grantees that they will maintain adrug-free workplace. The certification set out below is a material
representation of fact upon which reliance will be placed when HHS determines to award the grant. False
certification or violation of the certfication shall be grounds for suspension of payments, suspension or
termination of grants, or government-wide suspension or debarment.
Workplaces under grants, for grantees other than individuals, need not be iden~ed on the certification. If
known, they may be identified in the grant application. If the grantee does not identify the workplaces at the
time of application, or upon award, if there is no application, the grantee must keep the identity of the
workplace(s) on file in its office and make the information available for Federal inspection. Failure to identify
all known workplaces constitutes a violation of the grantee's drug-flee workplace requirements.
Workplace identifications must include the actual address of buildings (or parts of building) or other sites
where work under the grant takes place. Categorical descriptions maybe used (e.g. all vehicles of a mass
transit authority of State highway department while in operation, State employees in each local unemployment
office, performers in concert halls or radio studios).
If the workplace identified to HHS changes during the performance of the grant, the grantee shall inform the
agency of the change(s), it previously identified the workplaces in question (see above).
Definitions of terms in the Nonprocurement Suspension and Debarment common rule and Drug-Free
Workplace common rule apply to this certification. Grantees'aftention is called, in particular,•to the following
definitions from these rules:
"Controlled substance"means a controlled substance in Schedules 1 through V of the Controlled Substances
Act (21 USC 812) and as further defined by regulations (21 CFR, 1308.11 through 1308.15). "Conviction"
means a finding ofguilt (including a plea of polo contenders) or imposition of sentence, orbotit, by any judicial
body charged with the responsibility to determine violations of the Federal of State criminal drug statutes;
"Criminal drug statute"means a Federal ornon-Federal criminal statute involving the manufacture, distribution,
dispensing use, or possession of any controlled substance; "Employee° means the employee of a grantee
directly engaged in the performance of work under a grant including: (i) All "direct charge"employees; (ii) all
"indirect charge"employees unless their impact of involvement is insignificant to the performance of the grant;
and (iii) temporary personnel and consultants who are directly engaged in the performance of work under the
grant and who are on the grantee's payroll. This definition does not Include workers not on the payroll of the
grantee (e.g., volunteers, even if used to meet a matching requirement; consultants or independent
contractors not on the grantee's payroll; or employees of subrecipients or subcontractors in covered
workplaces).
The grantee certfies that it will provide adrug-free workplace by.•
a) Publishing a statement notifying employees that the unlawful manufacture, distribution,
dispensing, possession or use of a controlled substance is prohibited in the grantee's
workplace and specifying the actions that will be taken against employees for violation of
such prohibition;
b) Establishing adrug-free awareness program to inform employees about:
~ ~
(1) The dangers of drug abuse in the workplace;
(2) The grantee's policy of maintaining a drug-free workplace;
(3) Any available drug counseling, rehabilitation, employee assistance programs; and
(4) The penalties that may be imposed upon employees for drug abuse violations
occurring in the workplace;
c) Making it a requirement that each employee to be engaged in the performance of the grant
be given a copy of be statement required by paragraph (a);
d) Notifying the employee in the statement required by paragraph (a) that as a condition of
employment under the grant, the employee will:
(1) Abide by the terms of the statement; and
(2) Notify the employer of any criminal drug statute conviction for a violation occurring in
the workplace no later than froe days after such conviction;
e) Notifying the agency in writing within ten days after receiving notice under subparagraph
(d)(2), from an employee or otherwise receiving actual notice of such conviction. Employers
of convicted employees must provide notice, including position title, to every grant officer or
other designee on whose granf the convicted employee was working, unless the Federal
agency has designated a central point for the receipt of such notices. Notice shall include the
identification number(s) of each affected grant,
fl Taking one of the following actions within 30 days of receiving notice under subparagraph
(d)(2), with respect to any employee who is so convicted:
(1) Taking appropriate personnel action against such an employee, up to and including
termination, consistent with the requirements of the Rehabilitation Act of 1973, as
amended; or
(2) Requiring such employee to participate satisfactorily in a drug abuse assistance or
rehabilitation program approved for such purposes by a Federal, State, or local
health, law enforcement, or other appropriate agency.
g) Making a good faith effort to continue to maintain adrug-free workplace through
implementation of paragraphs (a) through (fl.
CERTIFICATION REGARDING ENVIRONMENTAL TOBACCO SMOKE
Public Law 103-227, also known as the Pro-Children Act of 1994 (Act), requires that smoking not be permitted
in any portion of any indoor facility owned or leased or contracted for by an entity and used routinely or
regularly for the provision of health, day care, early childhood development services, education or library
services to children under the age of 18, .if the services are funded by Federal program either directly or
through State orlocal governments, by Federal grant, contract, loan, orloan guarantee. The law also applies
to children's services that are provided in indoor facilities that are constructed, operated, or maintained with
such Federal funds. The law does not apply to children's services provided in private residences; portions of
facilities used for inpatient drug or alcohol treatment; service providers whose sole source of applicable
Federal funds in medicare of medicaid; or facilities where WIC coupons are redeemed. Failure to comply with
the provisions of the law may result in the imposition of a civil monetary penalty of up to $1,000 for each
violation and/or the imposition of an administrative compliance order on the responsible entity.
By signing this cert~cation, the offeror/contractor (for acquisitions) or applicant/grantee (for grants) cert~es
that the submitting organization will comply with the requirements of the Act and will not allow smoking within
any portion of any indoor facility used for the provision of services for children as defined by the Act.
The submitting organization agrees that it will require that the language of this certification be included in any
subawards which subrecipients shall certify accordingly.
CERTIFICATION REGARDING DEBARMENT, SUSPENSION AND OTHER
RESPONSIBILITY MATTERS -PRIMARY COVERED TRANSACTIONS
By signing and submitting this proposal, the applicant defined as the primary participant in accordance with 45
CFR Part 76 certfies to the best of his or her knowledge and believe that it and its principals:
(a) are not presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily
excluded from covered transaction by any Federal Department or agency;
(b) have not within a 3-year period preceding this proposal been convicted or had a civil judgement
rendered against them for commission of fraud or a criminal offense in connection with obtaining,
attempting to obtain, or pertorming a public (Federal, State or local) transaction or contract under a
public transaction: violation of Federal or State antitrust statutes or commission of embezzlement,
theft, forgery, bribery, falsecation or destruction of records, making false statement, or receiving
stolen property;
(c) are not presently indicted or otherwise criminally or civilly charged by a governmental entity (Federal,
State or local) with commission of any of the offenses enumerated in paragraph (1) (b) of this
certification; and
(d) have not within a 3-year period precedingthis application/proposal had one ormore public transaction
(Federal, State or local) terminated for cause or default
The inability of a person to provide the certification required above will not necessarily result in denial of
participation in this covered transaction. If necessary, the prospective participant shall submit an explanation
of why it cannot provide the certification. The Department of Health and Human Services' (HHS)
determination whether to enter into this transaction. However, failure of the prospective primary participant to
furnish a cert~cation or an explanation shall disqualify such person from participation in this transaction.
The prospective primary participant agrees that by submitting this proposal, it will include the clause entitled
"Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion -Lower Tier Covered
Transactions, "provided below without modification in all lower tier covered transactions.
CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY
AND VOLUNTARYEXCLUSION -LOWER TIER COVERED TRANSACTIONS
(TO BE SUPPLIED TO LOWER TIER PARTICIPANTS)
By signing and submitting this lower tier proposal, the prospective lower tier participant, as defined in 45 CFR,
Part 76, certifies to the best of its knowledge and belief that it and its principals:
(a) are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily
excluded from participation in this transaction by any Federal department or agency.
(b) where the prospective lower tier participant is unable to ce-fify to any of the above, such prospective
participant shall attach an explanation to this proposal.
The prospective lower tier participant further agrees by submitting this proposal that it will include this clause
entitled "Cert~cation Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion -Lower Tier
Covered Transactions," without modification in all lower tier covered transactions and in all solicitations for
lower tier covered transactions.
~ ~
CERTIFICATION REGARDING LOBBYING
FOR CONTRACTS, GRANTS, LOANS
AND COOPERATI VE AGREEMENTS
The undersigned certfies to the best of his or her knowledge and belief, that:
(1) No Federal appropriate funds have been paid or will be paid, by or on behalf of the undersigned, to
any person for influencing or attempting to influence an officer or employee of any agency, a member
of congress, an officer or employee of congress, or an employee of a member of congress in
connection with the awarding of any Federal contract, the making of any Federal grant, the making of
any Federal loan, the entering into of any cooperative agreement,. and the extension, continuation,
renewal, amendment or modffication of any Federal contract, grant, loan, or cooperative agreement
(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person
influencing or attempting to influence an officer or employee or an agency, a member of congress, an
officer or employee of congress, or an employee of a member of congress in connection with this
Federal contract, grant, loan or cooperative agreement, the undersigned shall complete and submit
Standard Form LLL, °Disclosure Form to Report Lobbying, ° in accordance with its instructions.
(3) The undersigned shall require that the language of this certification be included in the award
documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under
grants, loans, and cooperative agreements) and that all subrecipienfs shall certify and disclose
accordingly.
This certification is a material representation of fact upon which reliance was placed when this transaction was
made or entered into. Submission of this certffication is a prerequisite for making or entering into this
transaction imposed by section 1352, title 31, U. S. Code. Any person who fails to file the n~quin:d certification
shall be subject to a civil penalty or not less than $10, 000 and not more than $100, 000 for each such failure.
I hereby agree to the above certifications and assurances.
Signature of Certifying Official Date
Tale
Applicant Organization
