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HomeMy WebLinkAboutC06-010 - - .- -- / I 2006-07 CSBG APPLICATION and PLAN GRANTEE: Eagle County Health & Human Services - Eagle County Government ADDRESS: PO Box 660 Eagle, Colorado 81631 CONTACT PERSON: Kathleen Forinash TITLE: Health & Human Services Director PHONE: 970-328-8858 E-MAIL: kathleen.forinash(tV,eaglecounty.us FAX: 970-328-8829 COUNTIES INCLUDED IN TillS PLAN: Eagle TOTAL CSBG ALLOCATION $39,780 PROGRAM PERIOD: March 1, 2006 To February 28, 2007 attach additionalpaf!es i more space is needed. ~ Total =n;t;i . . = Administrative ( Costs ,,-- . See Page 2for dtifinition auet uy by u.s. Dept afHealth & Human Services 1. Employment $ $ $ 2. Education $ $ $ 3. Income Management $ $ $ 4. Housing $ $ $ 5. Emergency Services $ $ $ 6. Nutrition $ $ $ 7. Linkages with Other Programs $ 39,780 $ $ 39,780 8. Self-Sufficiency $ $ $ 9. Health $ $ $ TOTAL $ 39,780 $ $ 39,780 II. BUDGET Cost Category Employment Education Income Housing Emergency Nutrition Linkages Self- Health TOTAL Management Services Sufficiency A. Personnel 39,780 $39,780 % of time paid with CSBG % % % % % % % % % B. Direct $ Operating C. Indirect! $ Overhead (administrative) D. Subcontract $ E. TOTAL 39,780 $39,780 List all agencies and funding you plan to subcontract with to provide CSBG services: (Please add additional sheets if necessary) $ $ $ $ $ $ $ $ $ $ II. BUDGET NARRATIVE Cost Category Explain each CSBG cost as related to the proposed CSBG plan. Please add additional sheets if necessary A. Personnel 1.5 FTE paraprofessional home visitors are employed in this program. Professional supervision is provided by .15 FTE Family Development Coordinator. 0.08 FTE is provided for parent training and support groups. Total Cost $90,831 Salaries: $59,146 FICA: $4,525 Medicare: $833 Work Comp: $3,295 Retirement: $3,549 Health Insurance: $23,483 B. Direct Operating None attributed to CSBG C. Indirect I Overhead None attributed to CSBG D. Subcontract None attributed to CSBG 4 VII. CERTIFICATIONS: The grantee assures that activities implemented with CSBG funds will be: used to accomplish the State CSBG Goal and Objective stated in the State Plan; and within the requirements set forth in the Community Services Block Grant Act, Title IV of the Civil Rights Act, the Age Discrimination Act of 1975, the Rehabilitation Act of 1973, Public Law 103-227, Part C, Environmental Tobacco Smoke, also known as the Pro-Children Act of 1994 (Act), Certification Regarding Drug-Free Workplace Requirements, Certification Regarding Lobbying, Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions, Office of Management and Budget (OMB Circular AllO and A122), and the current State of Colorado CSBG Plan. The grantee also assures that it will: specifically consider, in a public meeting the designation of any local public or private entity to carry out the county community service activities under contract with the county, any local community action agency (CAA) which received federal fiscal 1981-82 funding; consider, on the same basis as other non-governmental organizations, religious organizations to provide the CSBG services, so long as the program is implemented in a manner consistent with the Establishment Clause of the first amendment to the Constitution. Grantees shall not discriminate against an organization that provides assistance under, or applies to provide assistance, on the basis that the organization has a religious character. (Please review Sec.679 Operational Rule in the CSBG Act); provide for coordination between community anti-poverty programs and ensure, where appropriate, that emergency energy crisis intervention programs under Title XXVI (relating to low-income home energy assistance) are conducted in such community; provide, on an emergency basis, for the provision of such supplies and services, nutritious foods, and related services, as may be necessary to counteract conditions of starvation and malnutrition among low-income individuals; coordinate, to the extent possible, programs with and form partnerships with other organizations serving low-income residents of the community and members of groups served, including religious organizations, charitable groups, and community organizations; establish procedures under which a low-income individual, community organization, or religious organization, or representative of low-income individuals that considers its organization, or low-income individuals, to be inadequately represented on the CSBG board (or other mechanism) to petition for adequate representation; in the case of public organizations, have a tripartite advisory board which shall have members selected by the organization and shall be composed so as to assure that not fewer than 1/3 of the members are persons chosen in accordance with democratic selection procedures adequate to assure that these members (a) are representative of low-income individuals and families in the neighborhood served, (b) reside in the neighborhood, and (c) are able to participate actively in the development, planning, implementation, and evaluation of program funded. in the case of private non-profit entities, have a tripartite board that partICIpates in the development, planning, implementation, and evaluation of the program to serve low-income communities. The board shall be composed so as to assure that (a) 1/3 of the members are elected officials, holding office on the date of selection, or their representatives, except that if the number of such elected officials reasonably available and willing to serve on the board is less than 1/3 of the membership of the board, membership on the board of appointive public officials or their representatives may be counted in meeting such 1/3 requirement; (b) not fewer than 1/3 of the members are person chosen in accordance with democratic selection procedures adequate to assure that these members are representative of low-income individuals and families in the neighborhood served, and each representative of low-income individuals and families selected to represent a specific neighborhood within a community resides in the neighborhood represented; and (c) the remainder of the members are officials or members of business, industry, labor, religious, law enforcement, education, or other major groups and interest in the community served; prohibit the purchase or improvement of land, or the purchase, construction, or pennanent improvement (other than low-cost residential weatherization or other energy-related home repairs) of any building or facility with CSBG funds; prohibit, including subcontractors, (a) any partisan or nonpartisan political activity or any political activity associated with a candidate, or contending faction or group, in an election for public or party office, (b) any activity to provide voters or prospective voters with transportation to the polls or similar assistance in connection with any such election, or (c) any voter registration activity. prohibit that persons shall, on the basis of race, color, national origin or sex, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under, any program or activity funded in whole or in part with CSBG. Any prohibition against discrimination on the basis of age under the Age Discrimination Act or 1975 (42 U.S.C 6101 et seq.) or with respect to an otherwise qualified individual with a disability as provided in Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. 12131 et seq.) shall also apply to any such program or activity, participate in the Results-Oriented Management and Accountability (ROMA) System, and describe outcome measure to be used to measure performance in promoting self-sufficiency, family stability, and/or community revitalization; make available for public inspection each plan prepared as part of the program planning process. The grantee may, at its initiative, revise any plan prepared for CSBG funding and shall furnish the revised plan to the Director of the Community Services Block Grant under the Department of Local Affairs. Each plan prepared for submission shall be made available for public inspection within the county and/or service area in such a manner as will facilitate review of, and comments on, the plan; cooperate with the State, to determine whether grantee performance goals, administrative standards, financial management requirements, and other requirements of the State, in conducting monitoring reviews including (1) a full on-site review for each grantee at least once during each 3-year period, (2) on-site review for each newly designated grantee immediately after the completion of the first year in which funds were received, (3) follow-up reviews with grantees that fail to meet the goals, standards, and requirement established by the State, and (4) other reviews as appropriate, including reviews of grantees with other programs that have had other federal, State, or local grants terminated for cause. make available appropriate books, documents, papers, and records for inspection, examination, copying, or mechanical reproduction on or off the premises upon reasonable request by the U.S. Controller General, the State, or their authorized representatives should an investigation of the uses of CSBG funds be undertaken; in the case of county governments or subgrantees which receive a CSBG award in excess of $1 00,000, comply with the following three certifications related to the "Limitation on use of appropriated funds to influence certain Federal Contracting and financial transactions (P.L. 101-121, Section 319 and USC Title 31 Section 1352)": 1. No Federal appropriated 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, 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 for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or any employee ofa 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 instruction. " The undersigned shall require that the language of this certification be included in the award document for subawards J. at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. The grantee 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 covered transactions by any Federal department or agency; b) have not within a three-year period preceding this proposal been convicted or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public transaction; violation of Federal or State antitrust statues or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; c) are not presently indicted for otherwise criminally or civilly charged by a governmental entity (Federal, State or local) with commission of any of the offenses enumerated in paragraph (b) of this certification; and d) have not within a three-year period preceding this application had one or more public transactions (Federal, State or local) terminated for cause or default. (If you are unable to certifY to any of the statements in this certification. please attach an explanation to this application.) CONTRACTOR: If County Grantee: Chairman ofthe Bo f County Commissioners must sign If Multi-County Service Agency: Chairman of the Board ofDireetors with delegated contraeting authority must sign. POSITION TITLE: DATE: COLORADO CSBG CONTRACTOR/SUBCONTRACTOR SUMMARY SHEET County: Ea~le Implementing Agency Eagle County Health & Human Services (Each agency/subcontractor receiving CSBG dollars must complete this form) Implementing Agency Contact Person: Kathleen Forinash Complete Mailing Address, including zip: POB 660 Eagle, Co 81620 Phone Number: 970-328-8858 Fax: 970-328-8829 Email Address: kathleen.forinash@eaglecountv.us Program Period: March 1, 2006 to February 28. 2007 CSBG Award: $39.780 Select ONE Federal Objective ~inkageS with Other Programs C Employment C Nutrition C Income Management C Self-Sufficiency CHousing C Emergency Services C Education C Health Select ONE National Goal/Outcome: CGoal1 Low-income people become more self-sufficient. (Family) CGoal 2 The conditions in which low-income people live are improved. (Community) CGoal3 Low-income people own a stake in their community. (Community) CGoal 4 Partnerships among supporters and providers of services to low-income people are achieved. (Agency) CGoal 5 Agencies increase their capacity to achieve results. (Agency) ~oal6 Low-income people, especially vulnerable populations, achieve their potential by strengthening family and other supportive systems, (Family) Select ONE National Indicator (see CSBG National Indicators sheet): 6.3 (i.e. 1.2, 2.1,6.2, etc.) Low income Target Population: Pree:nant women and children birth to five PwgmmDi,ectO'Signa~~~ Date llto/iJC" Name and Title: Kathleen Forinash. Director of gle County Health & Human Services V. CSBG BOARD LIST: Representatives of Private Sector: Cherie Paller Sharon Thompson Family Learning Center Childcare Parent 31626 Hwy. 6 PO Box 7567 Edwards, CO 81632 Avon, CO 81620 970-326-4504 970-949-1713 Representatives of Public Sector: Holly Casper Marian McDonough Family & Child Support, HHS Family & Child Support, HHS PO B 660 POB 660 Eagle, CO 81631 Eagle, CO 81631 970-328-8808 970-328-8852 Tara Kane Daniel Loya Family & Child Support, HHS Eagle County Sheriff POB 660 POB 295 Eagle, CO 81631 Eagle, CO 81631 970-328-8807 970-328-6947 ext. 20 Linda Maggiore, RN Sheri Mintz Eagle County Public Health, HHS Family & Child Support, HHS POB 660 POB 660 Eagle, CO 81631 Eagle, CO 81631 970-328-8822 970-328-8812 Katie Hansel Lisa Hunt Eagle County School District DA's Office POB 4735 POB 295 Eagle, CO 81631 Eagle, CO 81631 Low-Income Persons (Parents) or their Representatives: Leticia Loera Guadalupe Pompa Mario & Guille Ojeda POB 8714 POB 981 POB 8148 Avon, Co 81620 Edwards, CO 81632 Avon, CO 81620 970-949-0560 970-926-0523 970-748-4655 Gricelda Cabral Pool Alvarez Norma Delgado 1900 Willits Lane # 54 Gabriela Aragon POB 6544 Basalt, CO 81623 POB 1394 Avon, CO 81620 970- 309- 9480 Avon, CO 81620 970-926-3334 970-949-5190