HomeMy WebLinkAboutC08-329PART I -FACE SHEET
APPLICATION FOR FEDERAL ASSISTANCE 1.TYPEOFSUBMISSION:
Mod'rfied Standard Form 424 (Rev.02107 to confirm to the Corporation's eGrants System) Application X^ Non-Construction
2a. DATE SUBMITTED TO CORPORATgN 3. DATE RECENED BY STATE STATE APPLICATION IDENTIF~R:
FOR NATgNAL AND COMMUNITY
SEi2V ICE (CNCS): _
10/20/08
2b. APPLICATION D: 4. DATE RECENED BY FEDERAL AGENCY: FEDERAL DENT~~2:
09SR093037 10/20/08
5. APPLICATgN NFORMATION
LEGAL NAME Eagle Co Govt Htth 8 Human Svcs NAME AND CONTACT NFORMATION FOR PROJECT DRECTOR OR OTHER
PERSON TO BE CONTACTED ON MATTERS INVOLVNG THIS APPLICATION (give
DUNS NUMBER; 084024447 area codes):
NAME Cher
l Thomas
ADDRESS (give street address, city, state, zip code and county): y
500 Broadw ay TELEPHONE NUMBER: (970) 328-1352
P.O. Box 660 FAX NUMBER: (970) 328-1167
Eagle CO 81631
County: Eagle INTERNET EMAL ADDRESS: cheryl.thomas@eaglecounty.us
6. EMPLOYER IDENTIFICATION NUMBER (EN): 7. TYPE OF APPLICANT:
846000762 7a. Local Government -County
7b.
8. TYPE OF APPLICATION (Check appropriate box).
^ NEW 0 NEW/PREVIOUS GRANTEE
CONTNUATION ~ AMENDMENT
ff Amendment, enter appropriate letter(s) in box(es):
A. AUGMENTATION B. BUDGET REVISgN
C. NO COST EXTENSpN D. OTHER (specffy below):
9. NAME OF FEDERAL AGENCY:
Corporation for National and Community Service
10a. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER: 94 002 11.a DESCRPTNETffLE OF APPLICANTS PROJECT:
10b. TfTLE Retired and Senbr Volunteer Program Eagle/Sunrrit Co RSVP
12. AREAS AFFECTED BY PROJECT (List Gties, Counties, States, etc): 11.b. CNCS PROGRAM NfTIAT1VE (IF ANY):
Eagle County: Avon, Basalt, Eagle, Edwards, Gypsum, Minturn, Red GiFf, Vail,
McCoy. Summit County: Difbn, Frisco, Breckenridge, Silverthorne, Keystone
13. PROPOSED PROJECT: START DATE 01/01/09 END DATE 12/31/12 14. CONGRESSgNAL DISTRICT OF: a.AppAcant ~ b.Program
15. ESTMATED FUNDNG: Year #: ^1 16. 6 APPLICA710N SUBJECT TO REV E1N BY STATE EXECUTNE
ORDER 12372 PROCESS?
a. FEDERAL $ 99,142.00
^ YES
THIS PREAPPLICATgWAPPLICATpN WAS MADEAVA
.
LABLE
b APPLICANT $ 43,890.00 TO THE STATE EXECUTNE ORDER 12372 PROCESS FOR
REV ~1N ON:
c. STATE $ 0.00
DATE
d. LOCAL $ 43,890.00 ~ NO. PROGRAM IS NOT COVERED BY EO. 12372
e. OTHER $ 0.00
f. PROGRAM NCOME $ 0.00 17. 6 THEAPPLICANT DELNOUENT ON ANY FEDERAL DEBT?
YES if "Yes," attach an explanation. ® NO
g. TOTAL $ 143,032.00
18. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATIOWPRFJ1PPLgAT10N ARE TRUE AND CORRECT, THE DOCUMENT HAS BEEN
DULY AUTHOR2ED BY THE GOVERNNG BODY OF THEAPPLICANT AND THE APPLICANT WLL COMPLY Wflli THE ATTACHED ASSURANCES IF THE ASSISTANCE
IS AWARDED.
a. TYPED NAME OF AUTHORIZED REPRESENTATNE b. TfRE c. TELEPHONE NUMBER:
d. SIGNATURE e. DATE SIGNED:
F~ge 1
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Narratives
Strengthening Communities
Summit and Eagle Counties have an economic paradigm with their populations due to the high
profile resort influence of the area. The mix by race shows nearly 82% of the two counties'
populations consist of Caucasians, with less the one percent of African-American race and twenty
percent are of Hispanic heritage. The sustenance of this region includes ski resorts, several higher
elevation peaks of the Rocky Mountains for biking and hiking, amazing rivers for rafting, state and
national parks for camping. To accommodate the tourists' and most homeowners' interests of the arts
and culture, outdoor events, and geographical opportunities that bring money into the counties, many
nonprofits in the area are supported by volunteers to maintain their existence to meet this economic
need. However, to maintain the resort services vital to these counties' economy, service workers who
provide the housekeeping, maintenance of facilities and properties, and other manual jobs can barely
manage living here and have families with the high cost of living that exists. Taking our geography
into consideration, as well as the severe weather, vast wooded areas, risk of wildfires, and outdoor
dilemmas, there is a call for a full array of emergency services and disaster relief. It is thought that
only younger, able-bodied people live in our counties because of the extreme sporting opportunities.
The truth of the matter is that the aging population is growing, which includes the lifelong residents,
but also the parents of the Baby Boomers who are choosing to move here for retirement add to this
increase. With minimal services available to help this increasingly frail population remain
independent and safe in their homes so they do not have to move out of the county, possibly further,
for care and services, volunteers are being mobilized to offer this assistance.
Rural Resort RSVP is recognized as a resource to provide and supplement the volunteer teams with
our partners in Eagle and Summit counties. Partners are identified by the impact made on the
community and the need for volunteer support in order to sustain. Awareness of RSVP is made by
encouraging each volunteer to share their positive experience with others, encouraging them to
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become a member of this volunteer corps, which reflects so positively on our communities. Listing
opportunities on county websites, Volunteer Match and newspaper listings are positive recruiting tools.
Inviting media coverage on volunteers is also encouraged. In meeting with coordinators of the
partners, a review of our MOU criteria and expectations is discussed, which includes offering
opportunities for diverse cultures, including people with disabilities. Advisory Council members also
visit stations, speak at civic organizations, and represent the importance of volunteers in our
communities. Quarterly networking meetings co-facilitated by RSVP, consisting of nonprofit
volunteer coordinators, have been initiated which provides opportunity for all to share volunteer
needs, management, recruiting, and retention techniques, resulting in enhancement of the capacity of
the organizations and integrating senior service into the activities of other service programs. Rural
Resort RSVP will continue to develop collaborative approaches with human service agencies, public
safety and emergency organizations, educational programs, senior assistance programs, and our
community and economic development resources to maximize program resources and achieve
significant community impact. These agencies and programs along with Rural Resort RSVP will
mutually evaluate community systems and approaches for the use of volunteers and develop shared
improvement objectives. The program director and coordinator will work to assure quality
community participation and ownership of the RSVP program through the RSVP Advisory Council.
The Council will have an annual workplan, will invite participation from private and public agencies,
senior citizens, volunteer stations and others as appropriate to strengthen the fabric of the
communities, particularly in the area of human services.
Recruitment and Development
Rural Resort RSVP seeks to recruit and mobilize volunteers who have the interests, skills and
experiences to ensure its continued success. A wide spectrum of seniors will be reached by community
relations, media, members' word of mouth, and presentations in locations where the 55 and beyond
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population gathers. Increased emphasis is on attracting Baby Boomer volunteers has resulted in a
climbing response to civic engagement by this generation through RSVP. While many of these
volunteers participate in more affluent programs in our communities, such as the Vail Valley Medical
Center's Volunteer Corps, Bravo! Vail Valley Music Festival, Betty Ford Alpine Gardens in Eagle
County and St. Anthony's Summit Medical Center Volunteer Corps, National Reparatory Orchestra,
Lake Dillon Foundation for Performing Arts in Summit County, they also are engaged in
environmental, disaster preparedness, and human service programs. To recruit and retain these
valuable volunteers, a concerted effort is made to personally meet with each volunteer station
representative and devise ways to attract and retain these volunteers into programs with assurance of
orientation and training requirements. Personal communication with volunteers as opportunity
presents itself is a time that the rewards of volunteering are shared as well as identifying leadership
and skill development potential.
To increase public awareness of Rural Resort RSVP, the project director and coordinator will
disseminate information about RSVP to key audiences and participating agencies. The local media
will be utilized appropriately with articles covering volunteer activities. Local reporters will be invited
to special events, including recognition and public meetings between agencies and RSVP. Volunteer
opportunities, applications, and forms are made available on the sponsor's website as well as Volunteer
Match, and are updated regularly. A monthly bulletin/newsletter is mailed to highlight activities,
incentives, and recognition. Opportunities to exhibit at fairs, festivals, and events are taken advantage
of throughout the year in the region.
Response to requests for volunteers will be met with a connection of those volunteers with interest and
applicable skill set and the station. Communication is by phone, email, and mail.
Assistance will be given to agencies on the effective recognition and management of volunteers and
their programs on an on-going basis and also through the quarterly networking meetings in the area.
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Narratives
Rural Resort RSVP aims to develop volunteer station relationships and ensure high quality volunteer
experiences. To accomplish this, the program director and coordinator will review memorandums of
Understanding (MOU's) and discuss RSVP goals and objectives with existing agency partners, while
actively developing new MOU's with other agencies, particularly those involved in human services
and emergency services functions. Training on RSVP policies, procedures, protocol, general volunteer
management and station responsibilities will be provided for agencies' volunteer supervisors. Rural
Resort RSVP holds an annual recognition for their volunteers in each county.
Program Management
Program Director and Coordinator will consistently identify through volunteers, media, and
networking meetings new stations that address specified community needs and will provide
meaningful placements for the volunteers. To ensure that all volunteers have the skills, knowledge
and confidence to provide quality services, the program director and coordinator will meet with all
agency partners to determine volunteer needs, skills necessary, time involvement, and provide
appropriate screening and training to volunteers. Joint recruitment efforts are encouraged, with
Program Director or Coordinator screening the new volunteers to ensure a rewarding experience for
the volunteer and valuable addition to the organization. Rural Resort RSVP will meet and/or exceed
RSVP guidelines and requirements through a proactive quality assurance program with partnering
organizations on an annual basis to support achievement of program. Project performance will be
reviewed with a comparison of prior year's results to reflect change or achievement. Information and
data demonstrating the impacts of the projects and volunteers is recorded through Service Record
forms and a database for reference in reporting. Project resources are reviewed by staff and managed
by Project Director to ensure best use of funds available to provide highest impact and volunteer
support. Eagle County offers mileage reimbursement to volunteers due to the geography creating
longer distance from home to volunteer site in order to promote retention and recognition of value of
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their time and effort. The RSVP Advisory Council will also be utilized in budgetary recommendations,
performance appraisal, along with yearly evaluation of volunteer stations.
Eagle County sponsors this RSVP program and provides many services and programs through their
Health & Human Services. With the Board of County Commissioners acting as the Board of Directors
for this program, they generously provide in-kind contribution to sustain the program and contribute
discretionary additional resources for new programming. Summit County will seek resources as
needed to continue to expand the program there.
Organizational Capacity
Rural Resort RSVP began in 2000 in this service region. There have been four Directors and two
Coordinators in Summit County of this program since its inception. The current Program Director
has a vast background in senior housing, healthcare and services. She has been employed in for profit
as well as nonprofit organizations with experience in program development and grant writing as the
sustaining resource in one situation. Other experience includes several levels of management
including corporate level. The Coordinator of Summit County RSVP has several years of teaching in
her background. She has been a long time resident of Summit County, and being civically engaged
herself, has had significant contact with area volunteers. The Program Director has had experience in
development and management of financial systems and state and local grants funds. The Coordinator
is proactive in learning the reporting and management of this grant as well as pursuing new grants
and understanding their criteria. Both staff have had limited prior experience in volunteer
management, but have had leadership responsibilities as a volunteer. The Director has been with this
program for over two years and the current Coordinator has been with RSVP for just over a year.
As the sponsor of the program, Eagle County Government's mission is to "enhance the lives of citizens
by delivering quality services in acost-effective manner" and is supported by Summit County
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Government. RSVP's mission "to provide opportunities for the 55 and beyond age group to participate
more fully in the life of their communities through significant volunteer service" is compatible with
the sponsor's work plan in many ways:
*a focus on community life and community involvement;
*recognition of community service as a means for achieving a healthy life style
*identification of significant outcomes that come as a result of service
RSVP in Eagle County works closely with the Eagle County Volunteer Center, a program within the
sponsoring organization, and partner for Volunteer Services, coordinating volunteers of all ages with
opportunities through nonprofits as well as businesses. The strength of this collaboration is of great
benefit to both programs. Together, they act as a central volunteer development mechanism for
volunteers in Eagle County. Rural Resort RSVP in both counties is the centralized volunteer
engagement hub for the 55+ population.
As part of County governments, Rural Resort RSVP is fully supported by human resources,
accounting, information technology, legal and other county administrative support services as in-
kind. The Deputy Director of Health & Human Services maintains financial management of the
program along with the RSVP Program Director. Eagle and Summit Counties provide both staff with
reasonable accommodations, equipment, benefits, and policies to assure proper tools and resources to
address the needs of the positions and the requirements of the program. Annual evaluations are
performed by supervisory staff with encouragement of consulting State Project Director for input on
performance.
Other
Not applicable.
PNS Amendment (if applicable)
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Narratives
Not applicable.
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Work Plan/Performance Measures
Total Number of Unduplicated Volunteers: 507
Part 1: Need
Community Need
Eagle and Summit Counties have had a continued growth in their youth population, especially the
Hispanic families. As these children age into the school system, there is concerted effort to provide
them and their parents the opportunities for language adaptation and learning skills. Them has
been a 30% increase in enrollment in the county school systems, the biggest in the last decade. Pre-
school enrollment has nearly doubled. In grades K-i2, there are 233o students learning ESL. With
enrollments growing more rapidly than expected, assistance with classrooms is needed with
volunteer involvement.
Part 2: Action Plan
Service Activities
RSVP volunteers will assist assist teachers in the classroom, Head Start programs, library reading
programs, literacy tutoring programs, and storytelling through Spellbinders to help students
transition to an English-only classroom setting, encourage learning, and improve their levels of
literacy and success in the classroom.
Anticipated Input
6o RSVP volunteers will provide service according to the needs presented by the individual sites in the
community each month.
Period of 01/09 through 12112 performance
Anticipated AccomplishmentslOutputs Accomplishment Measure
Summary
NA
Period of Performance
Anticipated Intermediate Impact/Outcome Accomplishment Measure:
Summary
NA
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Work Plan/PerFormance Measures
Anticipated End Impact/Outcome
Period of
Accomplishment:
Performance
Measure:
Surmiary
NA
Part 1: Need
Community Need
There is an extreme dichotomy with the socio-economic culture of Summit and Eagle Counties. The
high cost of living in these counties coupled with the unequivilant wages provided by the service-
sector jobs creates a strong demand for human services. Also, the numerous nonprofits than
maintain the culture and quality of life expected in the areas of the arts, sporting events,
environmental, heritage, and community affairs could not be sustained without the support of their
volunteer corps. The value of volunteer involvement in all spectrums of community and economic
development is crucial in these counties.
Funding and resources for human service agencies is ongoing to meet demands of the population.
In Eagle County, many local nonprofits depend on funding raised by the Eagle Valley Community
Fund (EVCF), an annual rummage sale which distributes funds to local nonprofits. A similar model
is used for Summit County's annual rummage sale to benefit human services programs for seniors.
The monetary equivalent of these volunteer hours is then distributed to the delegated organization.
The Counties also have an annual Duck Race sponsored by civic organizations with proceeds being
returned to participating volunteer groups that benefit seniors and clients of those agencies.
Part 2: Action Plan
Service Activities
RSVP volunteers will assist the community nonprofits providing services in the region through
administrative, service, and fundraising efforts. Volunteers will assist the Eagle Valley Community
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Work Plan/Performance Measures
Fund, Summit County rummage sales in planning and implementing their annual fundraising
events, assist with Duck Race sales, and be engaged with other requested volunteer duties to support
the success of the organizations in Community and Economic Development.
Anticipated Input
i9o RSVP volunteers will contribute io,ooo hours annually with fundraising preparation,
operations, administrative duties, event setup and monitoring, and service in Eagle and Summit
Counties.
Anticipated Accomplishments/outputs
Summary
NA
Anticipated Intermediate Impact/Outcome
Surnmary
NA
Anticipated End Impact/outcome
Surrrrrary
NA
Part 1: Need
Period of 01/09 through 12/12
Accomplishment:
Period of
Accomplishment:
Period of
Accomplishment:
Performance
Measure:
Performance
Measure:
Performance
Measure:
~."
Community Need
Physical health, mental health, and independence are three indicators of quality of life among seniors
in Eagle and Summit Counties. These counties do not have any agencies, organizations, or
businesses that offer assistance with activities of daily living for frail older adults or people with
disabilities other than the nutrition program from the County through the Adult Services
Department. The projections of popoulation increase over the next five years for both counties for
ages 65 and older is ~o%. In 2008, there are 3325 adults over the age of 65. By 2oio, there will be
nearly 54OO in this age group, with more than 33% age 75 and older. The younger adult population
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Work Plan/Performance Measures
with disabilities in a small percentage, but is of equal importance. Eagle and Summit Counties boast
of some of the state's most dynamic and active Baby Boomers residing here. These seniors are
becoming more active in service to the more fragile population, extending their independence and
ability to stay in their homes safely. Rural Resort RSVP volunteers are committing themselves to
increase or maintain the independence, socialization, and nutrition of more frail seniors and people
with disabilities in order to increase or maintain the perceived quality of life among these populations
in this region.
Part 2: Action Plan
Service Activiities
Rural Resort RSVP volunteers will enhance independence and quality of life for the frail population
by assisting in preparing and serving meals at congregate meal sites, delivering home delivered
meals, planning for and preparing home meals, shopping and errand assistance, medical
transportation, companion sitting, basic finance management, scheduling and tracking
appointments throughout the region to provide social interaction, improved wellness and nutrition.
Anticipated Input
i5o RSVP volunteers will assist with independent activities of daily living to enhance independence
and quality of life for the frail population. Volunteers will contribute 4,00o hours annually, and
receive training and mileage reimbursement for their efforts.
Antici ated Accom lishmentslou uts Period of Ul/d9 through 12/12 Performance
p P tp Accomplishment: Measure•
Summary
Frail seniors and people with disabilities with receive assistance with independent activities of daily
living to improve their independence and quality of life.
Indicator:
recipients of health services
Target: 50#
How Measuredl/olunteer Record/Log
Description:
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Work Plan/Performance Measures
Volunteer Service Records w ill be collected by RSVP program director and coordinator for tabulation. 50 unduplicated
recipients w ill receive services per year.
Period of 01109 through 12111 performance
Anticipated Intermediate Impact/Outcome Accomplishment• Measure:
Summary
Frail seniors and people with disabilities perceive they have an improved quality of life and extended
independence in their home as a result of services provided by RSVP volunteers.
Indicator:
Percent of frail population that perceive their independence and quality of life has been improved or extended w ho report
agree/strongly agree on at least four of ten questions on the Rural Resort RSVP Quality of Life Survey.
Target: 75
How MeasuredSurvey
Description:
Rural Resort RSVP Quality of Life Survey
Antici ated Fwd Im act/Outcome period of O1/11 through 12/12 performance
p p Accomplishment: Measure:
Sumrnary
Senior Neighbor and Home Connections participants will have been able to remain independent in
their homes longer because of the services received by RSVP volunteers.
Indicator:
Percent of frail population w hose independence and quality of life has been improved or extended in comparison to 2008
data.
Target: 75
How MeasuredActivity log
Description:
A data comparison from 2008 figures to the nurr~er of participants served in each year of the grant of frail adults w ho need
assistance and have been able to remain independent in their home.
Part 1: Need
Community Need
Public safety and homeland security volunteers are needed to assist emergency services, victims of
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Work Plan/Performance Measures
domestic violence, accidents, public health, and criminal activity with comfort, shelter, or day-to-day
needs. Volunteers are needed to act as the extra eyes and hands of all public safety agencies. With
the eminent danger of massive wild fires and weather related incidents in both Eagle and Summit
Counties, experienced professional volunteers are especially needed to operate base emergency
operations in conjunction with disaster response and emergency preparedness.
Part 2: Action Plan
Service Activities
RSVP volunteers will be trained by sponsoring sites in crisis intervention, rescue activities, emergency
preparedness, mass vaccination clinics, CERT, and other needs. They will team with law
enforcement, health care professionals, fire departments, rescue teams, animal services, and disaster
response and recovery agencies.
Anticipated Input
Teams associated with io organizations of Public Safety/Disaster Relief will provide service
according to the needs presented by the individual sites in the community.
Period of 01/09 through 12/12 Performance
Anticipated AccomplishmentslOutputs Accompiishment• Measure:
Summary
Volunteers will be trained and ready in the case of any sudden disaster/emergency affecting this
region. Volunteers will provide at least 75o hours of service per year to ongoing public
safety/disaster efforts or relief/victim assistance programs.
Indicator:
Hours of community volunteer service.
Target: 750#
How Measured'.Volunteer Record/Log
Description:
RSVP volunteers w ill submit Service Records monthly to reflect the stations served and hours provided to each Station.
Period of 01/09 through 12!11 Performance
Anticipated Intermediate ImpactlOutcome Accomplishment• Measure•
Summary
An increase of Public Safety/Disaster Relief Stations will be secured to provide opportunity for more
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Work Plan/Performance Measures
volunteers to be moblized in the case of any sudden tragedy affecting this region.
Indicator:
Stations that have increased their services rendered to a larger extent by the support of involvement of RSVP volunteers.
Target: 25#
How Measured>/ommunity Partner Survey
Description:
Stations w ill determine they have more increased ability to provide services to a greater extent w ith the involvement of
volunteers by answering agree/strongly agree to four of eight questions on an annual survey.
Anticipated End Impact/Outcome
Period of
Accomplishment:
Performance
Measure:
Summary
NA
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October 20, 2008 2:08 PM
Eagle/Summit Co RSVP
Eagle Co Govt Hlth 8~ Human Svcs
RPl_BGT_424
Application ID: 09SR093037 Budget Dates:
Total Amt CNCS Share Grantee Share Excess Amount
Section 1. Volunteer Support Expenses
A. Project Personnel Expenses 50,472 35,330 15,142 0
B. Personnel Fringe Benefits
FICA 3,129 3,129 0 0
Health ~surance 6,841 4,789 2,052 0
Retirement 3,028 3,028 0 0
Lrfe Insurance 450 450 0 0
Total $13,448 $11,396 $2,052 $0
C. Project Staff Travel
Local Travel 1,930 1,930 0 0
Long Distance Travel 2,117 2,117 0 0
Total $4,047 $4,047 $0 $0
D. Equipment
E Supplies 18,500 450 18,050 0
F. Contractual and Consultant Services 21,170 21,170 0 0
I. Other Volunteer Support Costs
J. Indirect Costs
Section I. Subtotal 3107,637 $72,393 x35,244 $0
Section II. Volunteer Expenses
A. Other Volunteer Costs
Meals 312 218 94 0
Un'rforms 0 0 0 0
Insurance 1,133 1,133 0 0
Recognition 5,950 5,950 0 0
Volunteer Travel 28,000 19,448 8,552 0
Total $35,395 $26,749 $8,646 $0
Section II. Subtotal 535,395 526,749 38,646 $0
Budget Totals 3143,032 399,142 $43,890 $0
Funding Percentages 69.3% 30.7%
Required Match n/a
# of years Receiving CNCS Funds n/a
Form 424A Mod'rfied SF-424A (4/88 and 12/97)
Page 1
' iBudget Narrative for 09SR093037 Page 1 of 3
Budget Narrative: Eagle/Summit Co RSVP for Eagle Co Govt Hlth ~ Human Svcs
Section I. Volunteer Support Expenses
A. Project Personnel Expenses
Position/Title -Qty -Annual Salary -% Time CNCS Share Grantee Total Amount Excess
Share Amount
Project Director: - 1 person(s) at 50472 each x 100 % usage 35,330 15,142 50,472 0
CATEGORY Totals 35,330 15,142 50,472 0
B. Personnel Fringe Benefits
Item -Description CNCS Share Grantee
Share Total Amount Excess
Amount
FICA: 3,129 0 3,129 0
Retirement: 3,028 0 3,028 0
Life Insurance: 450 0 450 0
Health Insurance: Employee Health Insurance and Medicare 4,789 2,052 6,841 0
CATEGORY Totals 11,396 2,052 13,448 0
C. Project Staff Travel
Local Travel
Grantee Excess
Purpose -Calculation CNCS Share Share Total Amount Amount
site management and volunteer development: 3,300 miles @.585 1,930 0 1,930 0
per mile
CATEGORY Totals 1,930 0 1,930 0
Long Distance Travel
Purpose -Destination -Meals/ Lodging -Other Travel -Trans.
CNCS Share Grantee
Total Amount Excess
Amount Share Amount
conference + 2 state meetings: -Meals 1,262 Lodging/Trans 855
2 117
Other 0 0 2,117 0
CATEGORY Totats 2,117 0 2,117 0
D. Equipment
https : //egrants3 . cns. gov/espan/main/report. j sp? sid=c0a8 060d3 Od5b99c5 c 78 546c49ce943 ... 10/20/2008
Budget Narrative for 09SR093037
Page 2 of 3
Item/Purpose -Qty -Unit Cost CNCS Share Grantee
Share Total Amount Excess
Amount
CATEGORY Totals 0 0 0 0
E. Supplies
Item/ Purpose -Calculation CNCS Grantee Total Excess
Share Share Amount Amount
General Office Supplies! pens/paperlnotepads etc.: 0 600 600 0
information/promotional mat./memberships etc.: per item estimate 250 750 1,000
Printer: 200 300 500
Phone: 12 x $30 per month 0 360 360 0
Computer/fax/networkconnection/software/maintenance/IT support: 0 5,040 5,040 0
Office Space: Summit office space and operating expenses 0 11,000 11,000 0
CATEGORY Totals 450 18,050 18,500
F. Contractual and Consultant Services
Purpose -Calculation
CNCS Share Grantee
Share
Total Amount Excess
Amount
Summit County Contract-Coordinator 10 hrs per week @24.43,
volunteer software, insurance, and volunteer recognition.: 21
170 0 21
170 0
Coordintator = $12,272 Software = $250 Insurance = $1133 Vlr , ,
Recognition = $7515
CATEGORY Totals 21,170 0 21,170 0
I. Other Volunteer Support Costs
Item CNCS Share Grantee Total Amount Excess
Share Amount
CATEGORY Totals 0 0 0 0
J. Indirect Costs
Calculation -Claimed -Cost Basis -Rate Type -Rate CNCS Share Grantee
Share Total Amount Excess
Amount
CATEGORY Totals 0 0 0 0
SECTION Totals 72,393 35,244 107,637 0
PERCENTAGE 67% 33%
https:J/egrants3.cns.gov/espanimainireport.j sp?sid=c0a8060d30d5b99c5c78546c49ce943... 10/20/2008
' Budget Narrative for 09SR093037
Section II. Volunteer Expenses
A. Other Volunteer Costs
Page 3 of 3
Item -Description CNCS Share Grantee
Share Total Amount Excess
Amount
Meals: 52 @ 6.00 218 94 312 0
Uniforms: 0 0 0 0
Insurance: 250 - 300 volunteers = 1,133 0 1,133 0
Recognition: 507 volunteers @ $11.75 ea. 5,950 0 5,950 0
Volunteer Travel: 75,000 miles @ .40 per mile. Site locations avg.
40 miles from volunteer homes. Geographic distance to the 19,448 8,552 28,000 0
volunteer sites in rural Colorado is the largest obstacle to
volunteering in rural Colorado.
CATEGORY Totals 26,749 8,646 35,395 0
SECTION Totals 26,749 8,646 35,395 0
PERCENTAGE 76% 24%
BUDGET Totals 99,142 43,890 143,032 0
PERCENTAGE 69% 31%
Source of Funds
Section Description
Section I. Volunteer Support Expenses
Section I I. Volunteer Expenses
https://egrants3.cns.gov/espan/main/report. jsp?sid=c0a8060d30d5b99c5c78546c49ce943... 10/20/2008
For Official Use Only
Required Documents
Document Name
Articles of Incorporation
Board of Directors
CPA Certification
Organizational Chart
Project Director's Job Description
Community Advisory Group names and addresses
Negotiated Indirect Cost Agreement
Statement of whether applicant is subject to A133 audit
Statement of date of last A133 audit
Roster of Volunteer Stations
Aggregate Dollar Amounts of funding
List of the names of any Funding OrganizationslSources
For Official Use Only
Page 16
Status
Not Applicable
Sent
Sent
Sent
Already on File at CNCS
Sent
Not Applicable
Already on File at CNCS
Sent
Sent
Sent
Sent
CERTIFICATIONS
CERTIFICATIONS
Certification -Debarment, Suspension, and Other Responsibility Matters
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This certification is required by the government-wide regulations implementing Executive Order 12549, Debarment and
Suspension, 2 CFR Part 180, Section 180.335, What information must I provide before entering into a covered transaction
with a Federal agency?
As the duly authorized representative of the applicant, I certify, to the best of my knowledge and belief, that neither the
applicant nor its principals:
• Is presently excluded or disqualified;
• Has been convicted within the preceding three years of any of the offenses listed in § 180.800(a) or had a civil
judgment rendered against it for one of those offenses within that time period;
• Is presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State, or
local) with commission or any of the offenses listed in § 180.800(a); or
• Has had one or more public transactions (Federal, State, or local) terminated within the preceding three years
for cause or default.
Certification -Drug Free Workplace
This certification is required by the Corporation's regulations implementing sections 5150-5160 of the Drug-Free Workplace Act of
1988 (P.L. 100-690), 45 CFR Part 2545, Subpart B. The regulations require certification by grantees, prior to awadd, that they will make
a good faith effort, on a continuing basis, to maintain adrug-free workplace. The certification set out below is a material representation
of fact upon which reliance will be placed when the agency determines to awazd the grant. False certification or violation of the
certification may be grounds for suspension of payments, suspension or termination of grants, or government-wide suspension or
debarment (see 45 CFR Part 2542, Subparts G and H).
As the duly authonzed representative of the grantee, I certify, to the best of my knowledge and belief, that the grantee will provide a
drug-free workplace by:
A. Publishing adrug-free workplace statement that:
a. Notifies employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled
substance is prohibited in the grantee's workplace;
b. Specifies the actions that the grantee will take against employees for violating that prohibition; and
c. Informs employees that, as a condition of employment under any award, each employee will abide by the terms of the
statement and notify the grantee in writing if the employee is convicted for a violation of a criminal drug statute
occurring in the workplace within five days of the conviction;
B. Requiring that a copy of the statement described in paragraph (A) be given to each employee who will be engaged in the
performance of any Federal award;
C. Establishing adrug-free awazeness program to inform employees about:
a. The dangers of drug abuse in the workplace;
b. The grantee's policy of maintaining adrug-free workplace;
c. Any available drug counseling, rehabilitation, and employee assistance programs; and
d. The penalties that the grantee may impose upon them for drug abuse violations occurring in the workplace;
D. Providing us, as well as any other Federal agency on whose award the convicted employee was working, with written
notification within 10 calendar days of learning that an employee has been convicted of a drug violation in the workplace;
E. Taking one of the following actions within 30 calendar days of learning that an employee has been convicted of a drug violation
in the workplace:
a. Taking appropriate personnel action against the employee, up to and including termination; or
b. Requiring that the employee participate satisfactorily in a drug abuse assistance or rehabilitation program approved for
these purposes by a Federal, State, or local health, law enforcement, or other appropriate agency;
F. Making a good faith effort to continue to maintain adrug-free workplace through implementation of paragraphs (A) through (E).
Certification -Lobbying Activities
As required by Section 1352, Title 31 of the U. S. Code, as the duly authorized representative of the applicant, I certify, to the best of my
knowledge and belief, that:
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CERTIFICATIONS
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No federal appropriated funds have been paid or will be paid, by or on behalf of the applicant, to any person for influencing
or attempting to influence an officer or employee of any agency, a member of Congress, an officer of Congress in
connection with the awarding of any federal contract, the making of any federal loan, the entering into of any cooperative
agreement, or modification of any federal contract, grant, loan, or cooperative agreement;
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
an employee of a member of Congress in connection with this federal contract, grant, ]oan, or cooperative agreement, the
applicant will submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions;
The applicant will require that the language of this certification be included in the award documents for all subcontracts at
all tiers (including subcontracts, subgrants, and contracts under grants, loans and cooperative agreements) and that all
subrecipients will certify and disclose accordingly.
Certification -Grant Review Process (State Commissions Only)
I certify that in conducting our review process, we have ensured compliance with the National and Community Service Act of 1990 as
amended, the Corporation's peer review requirements, and all state laws and conflict of interest rules.
For AmeriCorps*State and National Applicants ONLY
If you are not applying for a grant through AmeriCorps*State and National, you may ignore this section.
Erroneous certification or assurance
The assurances and certifications are material representations of fact upon which we rely in determining whether to enter into this
transaction. If we later determine that you knowingly submitted an erroneous certification or assurance, in addition to other remedies
available to the federal government, we may terminate this transaction for cause or default.
Notice of error in certification or assurance
You must provtde immediate written notice to us if at any time you learn that a certification or assurance was erroneous when submitted or
has become erroneous because of changed circumstances.
Definitions
The terms "debarment", "suspension", "excluded", "disqualified", "ineligible", "participant", "person", "principal", "proposal", and
"voluntarily excluded" as used in this document have the meanings set out in 2 CFR Part 180, subpart I, "Definitions." A transaction shall
be considered a "covered transaction" if it meets the definition in 2 CFR part 180 subpart B, "Covered Transactions."
Assurance requirement for subgrant agreements
You agree by submitting this proposal that if we approve your application you shall not knowingly enter into any lower tier covered
transaction with a person who is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered
transaction, unless authorized by us.
Assurance inclusion in subgrant agreements
You agree by submitting this proposal that you will obtain ar. assurance from prospective participants in all lower tier covered transactions
and in all solicitations for lower tier covered transactions that the participants are not debarred, suspended, ineligible, or voluntarily
excluded from the covered transaction.
Assurance of subgrant principals
You may rely upon an assurance of a prospective participant in a lower-tier covered transaction that is not debarred, suspended, ineligible,
or voluntarily excluded from the covered transaction, unless you know that the assurance is erroneous. You may decide the method and
frequency by which you determine the eligibility of your principals. You may, but are not required to, check the List of Parties Excluded
from Federal Procurement and Nonprocurement Programs.
Non-assurance in subgrant agreements
If you knowingly enter into a lower tier covered transaction with a person who is suspended, debarred, ineligible, or voluntarily excluded
from participation in this transaction, in addition to other remedies available to the federal government, we may terminate this transaction
for cause or default.
Prudent person standard
Nothing contained in the aforementioned may be construed to require establishment of a system of records in order to render in good faith
the assurances and certifications required. Your knowledge and information is not required to exceed that which is normally possessed by
a prudent person in the ordinary course of business dealings.
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ASSURANCES
ASSURANCES
As the duly authorized representative of the applicant, I certify, to the best of my knowledge and belief, that the applicant:
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• 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.
• 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.
• Will establish safeguards to prohibit employees from using their position for a purpose that constitutes or presents the
appearance of personal or organizational conflict of interest, or personal gain.
• Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency.
• Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. 4728-4763) 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).
• Will comply with all federal statutes relating to nondiscrimination. These include but are not limited to: Title VI of the Civil
Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis 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 disability (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
nondiscrimination 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 nondiscrimination on the basis of alcohol abuse or alcoholism;
(g) sections 523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. 290dd-3 and 290ee-3), as amended, relating to
confidentiality of alcohol and drug abuse patient records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. 3601 et seq.),
as amended, relating to nondiscrimination in the sale, rental or financing of housing; (i) any other nondiscrimination provisions in
the National and Community Service Act of 1990, as amended; and (j) the requirements of any other nondiscrimination statute(s)
which may apply to the application.
• Will comply, or has already complied, with the requirements of Titles II and III 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 purchases.
• 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.
• Will comply, as applicable, with the provisions of the Davis-Bacon Act (40 U.S.C 276a and 276a-77), 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 sub-agreements.
• 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 the 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.
• Will comply with environmental standards which may be 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 floodplains 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 (Clean Air) Implementation Plans under Section 176(c) of the Clean Air Act of 1455, 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).
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.
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 (16U.S.C. 469a-1 et seq.).
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.
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ASSURANCES
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• Will 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.
• 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 construction or rehabilitation of residence structures.
• Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act of 1984, as
amended, and OMB Circular A-133, Audits of States, Local Governments, and Non-Profit Organizations.
• Will comply with all applicable requirements of all other Federal laws, executive orders, regulations, application guidelines, and
policies governing this program.
For AmeriCorps*State and National Applicants ONLY
If you are not applying for a grant through AmeriCorps *State and National, you may ignore this section.
Will comply with all rules regarding prohibited activities, including those stated in applicable Notice, grant provisions, and
program regulations, and will ensure that no assistance made available by the Corporation will be used to support any such
prohibited activities.
Will comply with the nondiscrimination provisions in the national service laws, which provide that an individual with
responsibility for the operation of a project or program that receives assistance under the national service laws shall not
discriminate against a participant in, or member of the staff of, such project or program on the basis of race, color, national
origin, sex, age, political affiliation, disability, or on the basis of religion. (NOTE: the prohibition on religious discrimination
does not apply to the employment of any staff member paid with non-Corporation funds or paid with Corporation funds but
employed with the organization operating the project prior to or on the date the grant was awarded. If your organization is a
faith-based organization that makes hiring decisions on the basis of religious belief, your organization may be entitled, under the
Religious Freedom Restoration Act, 42 U.S.C. § 2000bb, to receive federal funds and yet maintain that hiring practice, even
though the national service legislation includes a restriction on religious discrimination in employment of staff hired to work on a
Corporation-funded project and paid with Corporation grant funds. (42 U.S.C. §§ 5057(c) and 12635(c)). For the circumstances
under which this may occur, please see the document "Effect of the Religious Freedom Restoration Act on Faith-Based
Applicants for Grants" on the Corporation's website at: http:r/www.usdoj.gov/tbci!effect-rfra.pdf.
Will comply with all other federal statutes relating to nondiscrimination, including any self-evaluation requirements. These
include but are not limited to: (a)Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the
basis 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.5.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 nondiscrimination 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
nondiscrimination on the basis of alcohol abuse or alcoholism; (g) sections 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 alcohol and drug abuse patient records; (h) Title
VIII of the Civil Rights Act of 1968 (42 U.S.C. 3601 et seq.), as amended, relating to nondiscrimination in the sale, rental or
financing of housing; and (i) the requirements of any other nondiscrimination statute(s) which may apply to the application.
Will provide, in the design, recruitment, and operation of any AmeriCorps program, for broad-based input from - (1) the
community served and potential participants in the program; and (2) community-based agencies with a demonstrated record of
experience in providing services and local labor organizations representing employees of service sponsors, if these entities exist
in the area to be served by the program;
• Will, prior to the placement of participants, consult with the appropriate local labor organization, if any, representing employees
in the area who are engaged in the same or similar work as that proposed to be carved out by an AmeriCorps program, to ensure
compliance with the nondisplacement requirements specified in section 177 of the NCSA;
• Will, in the case of an AmeriCorps program that is not funded through a State, consult with and coordinate activities with the
state commission for the state in which the program operates.
• Will ensure that any national service program carried out by the applicant using assistance provided under section 121 of the
National and Community Service Act of 1990 and any national service program supported by a grant made by the applicant using
such assistance will address unmet human, educational, environmental, or public safety needs through services that provide a
direct benefit to the community in which the service is performed;
• Will comply with the nonduplication and nondisplacement requirements set out in section 177 of the National and Community
Service Act of 1990, and in the Corporation's regulations at § 2540.100;
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ASSURANCES
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• Will comply with the grievance procedure requirements as set out in section 176(f) of the National and Community Service Act
of 1990 and in the Corporation's regulations at 45 CFR § 2540.230;
• Will provide participants in the national service program with the training, skills, and knowledge necessary for the projects that
participants are called upon to perform;
• Will provide support services to participants, such as information regarding G.E.D. attaimnent and post-service employment,
and, if appropriate, opportunities for participants to reflect on their service experiences;
• Will arrange for an independent evaluation of any national service program tamed out using assistance provided to the applicant
under section 121 of the National and Community Service Act of 1990 or, with the approval of the Corporation, conduct an
internal evaluation of the program;
• Will apply measurable performance goals and evaluation methods, which are to be used as part of such evaluation to determine
the program's impact on communities and persons served by the program, on participants who take part in the projects, and in
other such areas as required by the Corporation;
• Will ensure the provision of a living allowance and other benefits to participants as required by the Corporation;
• If a state applicant, will ensure that the State sub-grants will be used to support national service programs that were selected by
the State on a competitive basis;
• If a state applicant, will seek to ensure an equitable allocation within the State of assistance and approved national service
positions, taking into consideration such factors as the locations of the programs, population density, and economic distress;
• If a state applicant, will ensure that not less than 60% of the assistance will be used to make grants to support national service
programs other than those carried out by a State agency, unless the Corporation approves otherwise.
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RPr FfOPLE
Organization/Personnel Listing Report
Eagle Co Govt Hlth & Humau Svcs
500 Broadway P.O. Box 660
Eagle CO 81631
970-328-1352
970-328-1167 (Fax)
cheryl. thomas@eaglecounty. us
EIN: 84-6000762
DUNS: 084024447
Organization Type: Local Govt-County
Organization Characteristics:
Active Personnel
Name Title Phone Fax Email Address
*Thomas ,Cheryl Rural Resort RSVP Coordinator 470- 328-1352 970- 328-1167 cheryl.thomas@eaglecounty.us
Woods , Rita M Accountant 970-328-8817 970-328-8829 rita.woods@state.co.us
* Indicates that this person is a Grantee Aministrator in this organization for eGrants
Page 1 of 2
RPT PEOPLE
Organization/Personnel Listing Report
Eagle Co Govt Hlth & Human Svcs
Eagle CO 81631
Inactive Personnel
Name Title
Allen_Benson , Jacki M Sponsor Administrator
Britt , Gail C R5VP Project Director
Crane ,Cheryl Lynn RSVP Project Director
Forinash , Kathleen L Director, Health & Human Services
Gallagher ,Michael Chairman Eagle County Commissioners
Gallagher ,Micheal Chairman, Board of County Commissioners
Koran ,Beth Senior Services Director
Menconi , Arn Nmi Vice-Chairman, Board of County Commissio
Rickauer , Carol J Volunteer Coordinator
Thomas ,Cheryl Program Coordinator
* Indicates that this person is a Grantee Aministrator in this organization for eGrants
EIN: 84-6000762
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