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HomeMy WebLinkAboutC04-243 Colorado Department of Public Health and Environment – Early Head StartAPPLICATION FOR .DATE SUBMITTED: Applica tifie 08 H0023 FEDERAL ASSISTANCE 7/22/2ooa 1. TYPE OF SUBMISSION 3. DATE RECEIVED BY STATE: State Application Identifier Application Preapplicetion Construction ~ Construction 4, DATE RECEIVED BY FEDERAL AGENCY Federal Identifier OX Non-Construction ~ Non-Construction 5. APPLICANT INFORMATION Legal Name: HHS, Eagle County Early Head Start Organizational Unit: Address: 551 Broadway 6. EMPLOYER IDENTIFICATION NUMBER (EIN) 8 4 .~ 6 0 0 0 7 6 2 8. TYPE OF APPLICATION 7. TYPE OF APPLICANT (enter appropriate letter Fn box) New ~ Continuation X Revision If Revision, enter appropriate letter(s) in box(es): A^ 8 Other (specify) Other (speary) 9. NAME OF FEDERAL AGENCY: ACF 10. CATALOG OF FEDERAL DOMESTIC 11. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT: ASSISTANCE NUMBER: 9 3, 6 0 0 One Time Supplement for Program Governance Training TITLE (Name of Program): Early Head Start 12.AREE-SAFFECTEDBYPROJECT (Cifies,Counfies,Statesetc.): Dunn & Bradstreet ~~~~ 084-024447 Eagle County, Colorado ~T- name ana terepnone number of the person to be contacted on involving this application (give area code) finer tgive area code) I ax Number (give area coc 970-328-8858 970-328-8829 13. PROPOSED PROJECT: 15. ESTIMATED FUNDING a Federal ; b Applicant ; c State ; 4,000.00 1,000.00 .00 14. C~ GRESSIONAL DISTRICTS OF: a. Applicant3rd District b. Project 3rd District f 6.1S APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS? a. YES THIS PREAPPLICATION/APPLICATION WAS MADE AVAILABLE TO THE STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON Date b. NO ~ PROGRAM IS NOT COVERED BY E.O. 12372 d Local ; .00 OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW e Other ; .00 f Program Income ; .00 17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT? g Total ; 5,000.00 ~ Yes if "Yes,' attach an explanation. X^ No 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 APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED a. Authorized Reoresentative b. Title Chair, BoCC c. Telephone number 970-328-8806 d. Signature of Authorized Representative e. Date Signed Q ~ O L BUDGET INFORMATION -Non-Construction Programs OMB Approval No. 0348.0044 Grant Program Function Catalog of Federal Domestic Assistance Estimated Unobligated Funds New or Revised Budget or Activity (a) Number (b) Federal Non-Federal Federal Non-Federal Total 1. Program Operation 93.600 $1,000 $1,000 2. T&TA 93.600 $4,000 $4,000 3. 4. 5. Totals ,z±.i,K F~< ifx-y~ ~e~, ~' e •~3~ A~ ~ ~~~ •?~k $4,000 $1,000 $5,0006 Y`~/` °a~ r ~i Cl i GRANT PROGRAM, FUNCTION OR ACTMTY Total ass Categor 6.Object es (1) Program Operation (2) T&TA (3) (4) a. Personnel b. Fringe Benefits c. Travel d. Equipment e. Supplies f. Contractual g. Construction h. Other $4,000 $4,00 _ i Total Direct Charges (sum of 6a - 6h) $4,000 $4,000 j. Indirect Costs k. TOTALS (sum of 6a - 6j) $4,000 $4,000 ~. Y:" ~?. :: fr' ~ .w _;. ..W^;~ ~ ,F ~., 8y r..a>' nd"' .,. e-e,... ~ ,z, 1~ ~'1 e ~ 4a',y. ~ ~ yam`=~ V &~ ".X.,` Ke <1;e.`^'`~«`•$. 'd..r~ ~, '. ~ +~ L,aYc, x 7. Program Income Authorized for Local Reproduction Standard Form 424A (Rev. 7-97) Prescribed by OMB Circular A-102 08CH0023 / 0 2004 HHS, Eagle County Early Head Start Supplemental EHS Grant Application Program Governance Training (a) Grant Program 8. NFS 9. 10. 11. 12. TOTAL (sum of lines 8-11) 13. Federal 14. Non-Federal 15. TOTAL (sum of lines 13 -14) (a) Grant Program 16. 17. 18. 19. 20. TOTAL (sum of lines 16-19) -~ 21. Direct Charges: 23. Remarks: (b) Applicant (c) State (d) Other Sources (e) TOTALS $1,000 $1,000 $1'000 ~ ~ »i$° $1 000 Total for 1 st Year 1st Quarter 2nd Quarter _ 3rd Quarter .~, 4th Quarter $4,000 $1,000 $1,000 $1,000 $1,000 $1,000 $250 $250 $250 $250 $5,000 $1,250 $1,250 $1,250 $1,250 ~"° sir FUTURE FUNDING PERIODS (Years) (b) First (cj Second (d) Third (e) Fourth ;r~,n: . 22. Indirect Charges: Authorized for Local Reproduction Standard Fonn 424A (Rev. 7-97) Paget 08CH0023 / 0 2004 HHS, Eagle County Early Head Start Supplemental EHS Grant Application Program Governance Training U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES COMPENDIUM OF REQUIRED CERTIFICATIONS AND ASSURANCES SF 4248 ASSURANCES -NON-CONSTRUCTION PROGRAMS Note: Certain of these assurances may not be applicable to your project or program. If 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 noted. As the duly authorized representative of the applicant, l 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. Will 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 to the award; and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. 3. Will 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. Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency. 5. Will comply with the intergovemmenta/ Personnel Act of 1970 (42 U.S.C. 4278-4763) relating fo 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. Will comply with all Federal statutes relating to non-discrimination. These include but are not limited to: (a) Title Vl 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 lX 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; (t) 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,- (l) any other non-discrimination provisions in the specific statute(s) under which application for Federal assistance is being made; and Q) the requirements of any other non-discrimination statute(s) which may apply to the application. 7. Will comply, or has already complies, with the requirements of Titles ll 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 pu-poses regardless of Federal participation in purchases. 8. Will 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. Will 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. Will 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. Will 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.); (t) 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 seq.); (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. Will comply with the Wild 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. Will 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 seq.). 14. Will comply with P.L. 93-348 regarding the protection of human subjects involved in research, development, and related activities supported by this award of assistance. 15. WiII 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. Will 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. Wi//cause to be performed the required financial and compliance audits in accordance with the single Audit Act of 1984. 18. Will 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/orsubmitting this application orgrant 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 cert~cation 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 certification 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 ident~ed on the cert~cation. If known, they maybe ident~ed in the grant application. If the grantee does not identify the workplaces at the time of application, or upon award, if fhere is no application, the grantee must keep the identity of the workp/ace(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-free 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 fhe 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 cert~cation. Grantees' attention is called, in particular, to the following definitions from these rules: "Controlled substance"means a controlled substance in Schedules l 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 of guilt (including aplea of no/o contendere) or imposition of sentence, orboth, by any judicial body charged with the responsibility to determine violations of the Federal of State criminal drug statutes; "Criminal drug statute"means aFederal 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) AlI "direct charge" employees; (ii) all "indirect charge"emp/ogees unless theirimpact of involvement is insignificant to the perfom-ance 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 certifies 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 ofmaintaining adrug-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 emp/oyerofany criminal drug statute conviction fora violation occurring in the workplace no later than true days after such conviction; e) Notifying the agency in writing within fen days after receiving notice under subparagraph (d)(2), from an employee or otherwise receiving actual notice of such conviction. Employers ofconvicted employees must provide notice, including position title, to every grant officeror other designee on whose grant the convicted employee was working, unless the Federal agency has designated a central point for the receipt of such notices. Notice shall include the ident~cation number(s) of each affected grant; ~ 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 (t). CERTIFICATION REGARD/NG 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 or local governments, by Federal grant, contract, loan, or loan 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 W!C 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 responsib/e entity. By signing this certification, the offeror/contractor (for acquisitions) or applicant/grantee (forgrants) certifies 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 certites 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 pertonning 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, falsification or destruction of records, making false statement, or receiving stolen property; (c) are not presently indicted or otherwise criminally or civilly charged by a govemmenta/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 preceding this 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 certiftcation 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, INELIG/B/LITY 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 certify 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 "Certification 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 COOPERATIVE AGREEMENTS The undersigned certifies 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 modification 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 orcooperative 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 cert~cation 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 subrecipients 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 certification 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 required cert~cation 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 agr a to a ab ve certifications and assurances. ignature ertifying Official Date e Title 1 ~ ~~ ~ CGC,C(.~'~.E, ~G~~~ ~ ~ ITS Applicant rganization GRANT APPLICATION REPORT Supplemental EHS Grant Application HHS, Eagle County Early Head Start 08CH0023 / 000 / 2004 Program Approach Form 1. Funded enrollment by program option: Center-based enrollment Home-based enrollment Combination option enrollment Family child care enrollment Other option enrollment Total Enrollment 0 0 0 0 0 Number of Pregnant Women: . _,~ 1. Program schedule number 2. Program option identification 3. Funded enrollment 0 4a. Number of classes/groups/family child care settings 4b. Double session 5. Number of hours of classes/groups/FCC settings per child, per day 6. Number of days of classes/groups/FCC settings per child, per week 7. Number of days of classes/groups/FCC settings per child, per year 8. Number of home visits per child, per year 9. Number of hours per home visit _ 10. Number of home visits per child, per year 11. Number of hours per home visit ~1. plumber of hours per home-based socialization experience 7/22/2004 5:12:20 PM ~: ~~- 1 7/22/2004 5:12:26 PM Supplemental EHS Grant Application HHS, Eagle County Early Head Start 08CH0023 / 000 / 2004 Supplemental EHS Grant Application HHS, Eagle County Early Head Start 08CH0023 / 000 / 2004 Line Item Budget For Head Start and Earl ,5 v .. _ y Head Start _ •~ ,.. r~~~,~.>a;`~~~~ ~:. ~~.~M r;~~ ~~ ~..~ ~. ~ ~ P ~ Filing ~ ~On•~1~ 'fare flf ~.,f3 ~ ~ ~~~~,~ ~;~;:;: ~~ ~ ~~ ~ Assistance i:,Gash in-kind) ~mpiayed •~• ~ ..~ ., ~~ ~ . Program Managers & Content Area Experts 2 Teachers/infant Toddler Teachers 3 Family Child Care Personnel 4 Home Visitors 5 Teacher Aides & Other Education Personnel 6 Health/Mental Health Services Personnel 7 Disabilities Services Personnel 8 Nutrition Services Personnel 9 Other Child Services Personnel 1 ~ Program Managers & Content Area Experts 11 Other Family & Community Partnerships Personnel ~p~°a 12 Executive Director/Other Supervisor of HS Director 13 Head Start/Early Head Start Director 14 Managers 15 Staff Development 16 Clerical Personnel 7/22/2004 5:12:26 PM 3 HHS, Eagle County Early Head Start .~: _~~ . 17 18 Fiscal Personnel Other Administrative Personnel Supplemental EHS Grant Application 08CH0023 / 000 / 2004 7/22/2004 5:12:27 PM 4 HHS, Eagle County Early Head Start Supplemental EHS Grant Application 08CH0023 / 000 / 2004 Line Item Budget For Head Start and Early Head Start '. :.~` ~ •~ ~~~,`' e ~ ~ ~ ~ sue; ~ ''~`~`' ,..~°rAy;-'^k.~;~,-'~'~,: F:. Ck".. ~,, ; ...R: spy. .".`~a~: ~ c~ Aga A'~:~~^"• ,rif°,: .r'~.~;su . .t" -~;.v~z ~a,a . , ab A~-b.,. ~,:}',:~ ~ ~m?;kt.<~a ~ .t>q ~ ..,, t •. ,.; 5?' ~`.,,p`.' ;~w °:K r ~~e" "f '.+~ a . ' a\m :;5.~ ~ ac;. ~"`~" ~•::a' yak i~>"~:.. ~., ~ ~& w ~, ;§t .,~.~ ,ate' o . f ae;~ ~fi~~=;~„3,*'.ax~' ~ ~'-.:?.. ~; ~ 9 Maintenance Personnel 20 Transportation Personnel 21 Other Personnel TOTAL PERSONNEL (6a) 7/22/2004 5:12:27 PM .8d~ 5 Supplemental EHS Grant Application HHS, Eagle County Early Head Start 08CH0023 / 000 / 2004 .;a ~ 'roF.'•, "wa .d.. :3 z~' ,~"'• .'"x`,' .ems ~u~ ~R: .~,. ~ ..~: '~~~ ;'" ~• k4^.V.-~ `~`^,.gs~~'zg, >::.5"°`~r . ~ Staff Out-Of-Town Travel TOTAL TRAVEL (6c) ~.~r,. ~~' '.a.' >>..., ,. .~,.RS%egz.'<.~y'.x'A .HSFf~.1.'"., Vi. Y.'u: ':a r'es'a°~e'M~'C~~i. ~.~•~ ~ ~ a~ e ~ Office Equipment 2 Classroom/Outdoor/Home-based/FCC 3 Vehicle Purchase 4 Other Equipment TOTAL EQUIPMENT (6d) ° n1^,, °~t f&:. >"~$ '~ 3 ~ i V '"'% 1 ~ ° ~ = ~ ~ ~ 'w & 3.. ..( i: t~ .d„ v .. , i^ :~ al ~ b 0" ',.~A. ~M 1 Office Supplies 2 Child and Family Services Supplies 7/22/2004 5:12:27 PM S' 0 4 4~~% ~~P4 "cs yk 6 Line Item Budget For Head Start and Early Head Start HHS, Eagle County Early Head Start Supplemental EHS Grant Application 08CH0023 / 000 / 2004 Line Item Budget For Head Start and Early Head Start .`"5w ;">Z~F ~~•, g.a.`~.-~~ .a ~.~:~:~,i:,. x, .,,~• ~~ '-, ae ~. @fS~:,:fs. r.~ ~~ ~ ~, ..~ ~.~ , ~ :~ ~~. , ~ ~~ ~ _ ; Traittin 9 N F rat of;- ecf~ ~' ~ k. :~~ - ~.~ : ~; °;r q,m. ~ ..~..: ~ y : A ~ ~ ~ ~" ` ,T n ~hn Assista cq (Ca {~ and ir =k : ~;. ~:ar ~~ jr~:~° -~.s: :~~ ~ . r~ . s ~ ~~ > } 3 Food Services Supplies . ~ 4 Other Supplies TOTAL SUPPLIES (6e) 1 New Construction 2 Major Renovation 9 Acquisition of Buildings/Modular Unites 7/22/2004 5:12:27 PM 7 . ~,...~ HHS, Eagle County Early Head Start 7/22/2004 5:12:27 PM Supplemental EHS Grant Application 08CH0023 / 000 / 2004 Line Item Budget For Head Start and Early Head Start r HHS, Eagle County Early Head Start Supplemental EHS Grant Application 08CH0023 / 000 / 2004 Line Item Budget For Head Start and Early Head Start Z v°I '' "~b:.74.e xw` P. dy'4+Y '~W`~`.a .. x„~ ,3-• .. .x_~f. ... n~ ~,.'t,~., °e.~C ~. ~S' ~°a ~fi+ Aa ..q j'~ ~~.~• ..6„~,a.0 ~'yy~''~~.~~.. .?."~'V~~w~'l,x ~"~~~:aE~4`%° u"~Y~',F,~~ .':,}, ~.a K '' `~8C ~'} ' °§~ ~ .. e ~S~SY~ '~~`~ w~ .1'x1. x ~` _ "''i'£. 'y~~0. '~ ~ e ~ ~ `` r N31 ~~ ,G M .;~a^.,K ~ ~'~.~t~~ F~ ,wf,.tit~%b.~ ~, ~ ~. n calAssistanc;e. ~T~~ ~~~ ~ ~~G~ ~ {Gash:ar+~ in-mind) ~ < A• ~ , .ap~a ~` ~~ ~ ~ iP tSA 1 Depreciation/Use Allowance 2 Rent 3 Mortgage 4 Utilities, Telephone 5 Building & Child Liability Insurance 6 Building Maintenance/Repair and Other Occupancy 7 Incidental Alterations/Renovations 8 Local Travel 9 Nutrition Services 10 Child Services Consultants 11 Volunteers 12 Substitutes (if not paid benefits) 13 Parent Services 14 Accounting & Legal Services 15 Publications/Advertising/Printing 16 Training or Staff Development $0 $4,000 $1,000 17 Other TOTAL OTHER (6h) $0 $4,000 $1,000 7/22/2004 5:12:28 PM 9 HHS, Eagle County Early Head Start Supplemental EHS Grant Application 08CH0023 / 000 / 2004 Line Item Budget For Head Start and Early Head Start ~ M~r ~ ~ ~~ .. ~#a~ `& Tr~fi riing ~ '° a r rat Sh ~ n~~ed o ~ N j n ^ yjL7 Q L ~'~`~~]~~} (. y~ nJ / ~ ~ }~ { { ~ ~';~;, ~~-~ ~. _ E ,~ } $0 000 $4 $1,000 i. TOTAL DIRECT CHARGES , j. INDIRECT COSTS k. TOTALS -ALL BUDGET CATEGORIES $0 $4,000 I $1,000 I 7/22/2004 5:12:28 PM 10 County Early Head Start 2004 One-time T/TA funds Budget and Budget Justification: Item Federal Funds Non-Federal Funds Update Materials used for Annual Parent Orientation, Policy Council Retreat, BoCC ongoing training and 400 Staff training Total 400 Policy Council field trip to observe another program, includes travel, room and meals for 3 members 600 Powerpoint presentation Video production costs of at (40hrs (consultant) x $25 = $1000) 1000 least $1,000 Video production 2,000 Total 3,000 TOTAL One-time T/TA funding 4,000 $1,000 Budget Narrative Currently occurring trainings: 1. Annual Parent orientation (1 day) All parents in the program are invited and encouraged to attend. Annual event occurs in August. Outcomes include recruitment for Policy Council, getting to know one another, orientation program and having fun. 2. Policy Council Retreat (1 day) Policy Council will include at least 51% parents and community representatives. Outcomes include basic orientation to roles and Responsibilities, how to run a meeting and how the Policy Council fits into program governance. 3. Ongoing BoCC training (Quarterly and as needed; 3 hour pre-service training for new Board members). Outcomes include basic orientation to R & R and how the Board fits into the program governance) 4. Staff training (ongoing: pre-orientation, weekly staff meetings, annual parent training planning, Policy Council Retreat, and BoCC basic orientation) Outcomes include: knowledge and application of program governance, recruitment of families in program governance. One time funding will provide the program with additional sustaining training opportunities that include: Materials to update notebooks for Policy Council that will include pertinent materials such as quick reference guide to Performance Standards, bylaws, members guide on roles & responsibilities, workplan & timeline, polices & procedures, etc. Additional funds will allow the progam to provide notebooks to the staff and BoCC as well. Opportunity for the Policy Council to participate on a field trip to observe another program's governance. Development of a PowerPoint presentation in both English and Spanish that addresses basic program information based on self-assessment, community assessment & PIR. The Power Point presentation will focus on how the program's governance fits into all other systems with keys in these areas: - Governing body participation in key decision-making, including program oversight; - The governance structure, including the governing body, policy groups, and Parent Committees; - Roles & responsibilities of each of these groups; -1- E t :ounty Early Head Start 2004 One-time T/TA funds - Internal dispute resolution procedures - Shared decision making process The PowerPoint presentation will be updated on an annual basis Outcomes: • Consistent information delivered; • Update and improve procedures describing how the governing body and the Policy Council implement shared decision making. Video Production will include highlight footage of actual Policy Council and BoCC meetings that will be shared with each group Outcomes: • Develop & illustrate the many ways that the program can interface and work together BoCC, Policy Council, and Staff • Visual image of Parent Committees, Policy Council, BoCC at work both independently and together. An example, families will feel more comfortable going to BoCC meetings after they have seen what a meeting looks like, what the room looks like, etc. Ongoing program consultation and guidance will be provided by the Region VIII Booz Allen Hamilton Training & Technical Assistance staff at no charge. Non-federal Share: The program will receive $1,000 in donated video production costs. T' 1' ime ine. Au Se Oct Nov Dec Jan Feb Mar A r Ma Jun Jul Annual Parent X orientation Training Policy continues Council X based on Retreat needs BoCC training Quarterly, X X X X pre-service for new members PC field tri Staff trainin X X X X X X X Pre-service PowerPoint Presentation X PPP for PC PowerPoint Presentation X (PPP) for BoCC PowerPoint X Presentation PPP for Staff Video production X X X X begin video to in Finalize video X X -2-