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HomeMy WebLinkAboutC11-128 Property Inventory and Disposition Statement ADMINISTRATION FOR DEPARTMENT OF HEALTH AND HUMAN SERVICES CHILDREN AND FAMILIES Re VIII Y1b bdIU RECEIVED 999 18t S treet South Terrace, Suite 499 MAR 3 0 ?w i Denver, CO 80202 Fax: 303 - 844 -3642 Phone: 1- 866 -204 -4117 HEALTH & HUMAIJSEHVICES CERTIFIED MAIL — RETURN RECEIPT REQUESTED March 25, 2011 Reference: Project Period: 07/01/2009- 09/30/2010 Program: ARRA Head Start Quality Improvement and COLA Dear Executive Director/Head Start Director: As you are aware, the American Recovery and Reinvestment Act (ARRA) Head Start Quality Improvement and Cost of Living Adjustment (COLA) grant ended on September 30, 2010. Thank you for following the reporting terms and conditions of your award by submitting the Financial Status Report (SF -269 marked as "fmal ") and Final Prime Recipient Report (Section 1512). As part of the close out process, grantees are required to submit a final property Inventory and Disposition Statement. If you have any federally owned property and/or you purchased equipment (defined as a nonexpendable personal property p p operty whose original acquisition cost exceeded $5,000 and a useful life of one year or more) under this award, please submit a statement that lists all of that equipment. For acquired property for which you will have no further need, you should request disposition instructions as part of closeout as provided in 45 CFR 74.34 and 45 CFR Parts 92.32 and 92.50. If no property was acquired under this grant, please indicate no equipment acquired. Attached is a sample Property Inventory and Disposition Statement that may be used if needed. The specified reports and other documents must be submitted to: Jeffrey S. Newton Regional Grants Officer Office of Grants Management Administration for Children and Families, Region VIII 999 18th Street South Terrace, Suite 499 Denver, CO 80202 Submission to any other office or official will result in your reports being considered delinquent. Following receipt of your reports, we will review them and advise you of their acceptability or any need for revision. Although there is no separate requirement for an audit as part of closeout, you are reminded that you still are required to comply with the audit requirements of Office of Management and Budget Circular A -133. In the event of an audit disallowance subsequent to closeout of this grant, the Administration for Children and Families retains the rights to recover any amount sustained. If you have any questions regarding the property statement we are requesting, please call the Head Start Support Hotline at 1- 866 - 204 -4117. Sincerely, / r ,,,/ cia.,:. LA.),z...--,r .,-/- Jeffrey S. Newton Ross Weaver Regional Grants Officer Regional Program Manager Office of Grants Management, Region VIII Office of Head Start, Region VIII Enclosures PROPERTY INVENTORY AND DISPOSITION STATEMENT GRANTEE NAME'a -y l'e-- CCU (A, My itt vII u, i (61 kooJ 5erJl Cpl GRANT NUMBER OS C (-4 d t o 9 fix. X NO PROPERTY ACQUIRED UNDER THIS GRANT Please specify item description, quantity, identification number, acquisition cost, date of purchase, and final disposition of all equipment or property purchased under this grant. Equipment is defined as tangible, nonexpendable, personal property having a useful life of more than one year and an acquisition cost of $5,000 or more per unit. Examples of possible disposition include: property sold and required proceeds returned to the Federal Government; title to property transferred to Federal Government or eligible non - Federal party; property retained for the furtherance of objectives for which grant funds were awarded, etc. Property disposition information can be found in Title 45 Code of Federal Regulations Part 74, Section 74.32 — 74.37. Date of Final Item Description Quantity ID /Serial # Cost Purchase Disposition SIGNATURE il k% "N ' �� DATE 41(1 2-II( 0 Board Chaff son APPLICATION FOR 2. DATE SUBMITTED: Applicant Identifier 08CH0149 FEDERAL ASSISTANCE 5/07/2009 1. TYPE OF SUBMISSION 3. DATE RECEIVED BY STATE: State Application Identifier Application • Preapplicatlon n Construction 1=1 Construction 4. DATE RECEIVED BY FEDERAL AGENCY Federal Identifier © Non - Construction El Non - Construction 5. APPLICANT INFORMATION Legal Name: Eagle County Health & Human Services EHS Organizational Unit: Department: Health & Human Services Organizational DUNS: 08402447 Division: Children & Family Services i di t+ r� oe ti497 Address: Name and telephone number of the person to be contacted on matters Street: 551 Broadway involving this application (give area code) P03 660 • Prefix: I First Name: Jennie City: Eagle Middle Name: County: Eagle Last Name: Wahrer State:- CO Zip Code:81631 Suffix: Country: USA Email: jennie.wahrer@eaglecounty.us 6. EMPLOYER IDENTIFICATION NUMBER (EIN) Phone Number (give area code) Fax Number (give area code) • 18 14 ii... 6 I 0 0 0 T 16 2 970 -328 -2604 970- 328 -2602 B. TYPE OF APPLICATION 7. TYPE OF APPLICANT (enter appropriate fetter In box) CI I New n Continuation x Revision If Revision, enter a ro riate letter s i box(es): Other (spec) app Other () rt ox(es): A } Other h r e c' . . (specify) 9. NAME ME OF FEDERAL AGENCY. Office of Head Start 10. CATALOG OF FEDERAL DOMESTIC 11. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT: ASSISTANCE NUMBER: 1 9 1 3 1 1 6 0 0 COLA '" TITLE (Name of Program):Early Head Start Permanent 3.06% $12,093 *" ( 6Vt1� vkt,t oScl/k 12. AREAS AFFECTED BY PROJECT (Cities, Counties, States etc.): ARRA 1.84% $ 7,272 Quality Improvement $24,319 / Eagle County, Colorado TOTAL $43,684 13. PROPOSED PROJECT: 14. CONGRESSIONAL DISTRICTS OF: Start Dale: 10/01/2008 (Ending Date: 9/30/2009 a. Applicant3rd District I b. Project 3rd District 15. ESTIMATED FUNDING 16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS? a Federal 1 $ 43,684 .00 a. YES THIS PREAPPLICATION /APPLICATION WAS MADE AVAILABLE TO THE STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON b Applicant $ 10,921 .00 c State $ 0.00 Date , b. NO FR " - PROGRAM IS NOT COVERED BY E.O. 12372 d Local $ 0.00 n OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW e Other $ • 0 .00 • f Program Income $ 0.00 — 17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT? g Total 1 $ 54505 .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 1S AWARDED . a. Authorized Representative Prefix 1 First Name Sara Middle Name J. Last Name Fisher Suffix ' b. Title Chair, BoCC • c. Telephone number 970- 238 -8605 • d. Signature of Authorized Representative 11—,.. e. Date Signed ��.����xxxlA11111.l `� Standard Form 424 (Rev.9 -2003) Prescribed by OMB Circular A -102 ;iii wr.gi�i , :;; , Lo 1.0 n 'I, tSC . {` • co ' CA O d' %ul li: l,T; cv c ii:it O O a- h` CV 1 O n o iLii( CD C4 f:K4; 0) Ln p CO i ` h OJ r j c Nil " d r ' t 4 f o) N d- 1.1 N cri O i1 a Q CO iP € ' r_:• sad LF} 69- 69- r <T Y r D RC 'ii n om •. 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