HomeMy WebLinkAboutC15-369 Early Head Start Grant Application EAGLE COUNTY HEALTH AND HUMAN SERVICES September 22`d, 2015 Consent for 2016 Early Head Start Grant Application Authorization We have been authorized to apply for$1,156,140 in Early Head Start funding for FY 2016 to provide services to 82 children and families in Eagle County, Colorado. These dollars are broken down into the following categories: TOTAL FEDERAL COSTS .. $915,198 Includes Training and Tuition in the amount of: $22,042 TOTAL NON-FEDERAL $240,942 Grant development The grant application is to for a funded enrollment of 82. The programs design is to serve those 82 children and families through 45 home-based slots and 37 center-based slots. The center-based slots are broken into 22 combination program and 15 full-time center-based. Grant Approval At this time we are requesting the Board of County Commissioners approval to submit the grant application for Early Head Start funding for fiscal year 2016. Approved by the Board of County //�I� ..� i / /AP .'i J/4 3c ‘t- . LT../ 201 Kathy Ch, .ler-Henry ' Date Eagle County Early Head Start Chairman of the Board 551 Broadway C P.O.Box 660 I Eagte,CO 81631 970.328.8840 3 t • OMB Number:4040-0004 Expiration Date:8/31/2016 Application for Federal Assistance SF-424 *1.Type of Submission: *2.Type of Application: *If Revision,select appropriate letter(s): Preapplication New © Application ©Continuation *Other(Specify): ❑ Changed/Corrected Application Revision *3.Date Received: 4.Applicant Identifier: 08CH1149 5a.Federal Entity Identifier: 5b.Federal Award Identifier: N/A 08CH1149 State Use Only: 6.Date Received by State: 7.State Application Identifier: 8.APPLICANT INFORMATION: *a.Legal Name: EAGLE, COUNTY OF *b.Employer/Taxpayer Identification Number(EIN/TIN): *c.Organizational DUNS: 84-6000762 084024447 d.Address: *Street': 551 Broadway Street2: *City: Eagle County/Parish: Eagle County *State: CO: Colorado Province: *Country: USA: UNITED STATES *Zip/Postal Code: 81631 e.Organizational Unit: Department Name: Division Name: Eagle County Human Services f.Name and contact information of person to be contacted on matters involving this application: Prefix: *First Name: Maggie Middle Name: Louise *Last Name: Swonger Suffix: Title: Early Head Start Manager Organizational Affiliation: Eagle County Early Head Start *Telephone Number: (970) 328-2609 Fax Number. (855) 811-1131 *Email: maggie.swonger @eaglecounty.us Application for Federal Assistance SF-424 *9.Type of Applicant 1:Select Applicant Type: County Government Type of Applicant 2:Select Applicant Type: Type of Applicant 3:Select Applicant Type: *Other(specify): *10.Name of Federal Agency: ACF-Head Start 11.Catalog of Federal Domestic Assistance Number: 93.600 CFDA Title: Head Start *12.Funding Opportunity Number: eGrants-N/A *Title: N/A 13.Competition Identification Number: Not Applicable Title: Not Applicable 14.Areas Affected by Project(Cities,Counties,States,etc.): Eagle County Proper *15.Descriptive Title of Applicant's Project: Early Head Start Attach supporting documents as specified in agency instructions. Application for Federal Assistance SF-424 16.Congressional Districts Of: *a.Applicant CO-005 b.Program/Project co-005 Attach an additional list of Program/Project Congressional Districts if needed. 17.Proposed Project: *a.Start Date: 01/01/2016 *b.End Date: 12/31/2016 18.Estimated Funding($): *a.Federal 915,198 *b.Applicant 240,942 *c.State *d.Local *e.Other 0 *f. Program Income *g.TOTAL 1,156,140 *19.Is Application Subject to Review By State Under Executive Order 12372 Process? a.This application was made available to the State under the Executive Order 12372 Process for review on • ❑ b.Program is subject to E.O. 12372 but has not been selected by the State for review. c.Program is not covered by E.O. 12372. *20.Is the Applicant Delinquent On Any Federal Debt? (If"Yes,"provide explanation in attachment.) ▪Yes © No If"Yes",provide explanation and attach I I 21.*By signing this application,I certify(1)to the statements contained in the list of certifications*"and(2)that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to comply with any resulting terms if I accept an award.I am aware that any false,fictitious,or fraudulent statements or claims may subject me to criminal,civil,or administrative penalties.(U.S.Code,Title 218,Section 1001) • **I AGREE ** The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency specific instructions. Authorized Representative: Prefix: *First Name: Kathy Middle Name: *Last Name: Chandler-Henry Suffix: *Title: Chairman *Telephone Number: (970) 328-8605 Fax Number: *Email: kathy.chandlerhenry @eaglecoun .us *Signature of Authorized Representative: ►.IifmVlkatigate/ *Date Signed: CO • v 0 N- O N O O O N_ o 0 CO O O v N � n a `Cl' M AI N N J O .y Ct O N N to o H C a Nr E E C CO Z p E ` m l• .6 LL 0 X 'O m w W C O CO 2 (N 0 N CD T TD. rn rn a CD'O 0 0 CD 7 d' v P m i N N U a 13 E N• ti Cv d a) C Q.' 0 L z 0 m z w EA SD N co (I) v 0( .I O .1 E m N ON N .I Os (o CO q L 0 L p a m m " a LL 0 0 >- i ca "' `A NO 0 V w d C G p w ti Z = c c 0 Z . ti Z O < d H z CO Q O a) d+ EA o o Ce w n O N v ? E TE H y a W w ti (9 13 D CO 4 69 0 E V C 'o LL N tU H .0 O Q £ .a O• u Z v f, OD CD two E p°o 0 (.) o CI to M rn al C) .. R E b . 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Y L O 0 a` to N 0 N § E N R. / \< ~ N N _ \ \ § t t # \ I— ius a L Q % t E � § , _ _ _ _ _ _ -0 \ _ ° ƒ & 0 N 0 f N N = t � J �/ ƒ k7 I- 0)0 . 0 0 LU \ 0 2 ® ® ® ® a a ® ® co o co Z N I) k N ° N 0 D 2 CO k z ILI ce ) -c « F_ m 0 " 03 " CD k _ _ 2 � A 0 _ _ . k 2 N I ( § 2 , 2 k ■ ,co o co ® N W � k & a ` I- • U } 0 EV r w a k 0 —Ti 2 k z k UJ `- U- ■ -I 0 0 a I J 0 _ _ 0 _ _ § _ _ / \ k Z P. I- j w o o _ 0 co LU » ~ -' § W < 2 / W 44 ER Eft 0 0 2 E w E co 2 sr E§ ƒ� k 2 k o ■ ® o CO [ 4 - co R - ® - \ Q = = = % o o d \ j E L. E E 'a 3 ' Cl) Cl) = 0 . a \ CO \ k k § CO CA . 0 2 Z 0 0 2 a a ° .- § ' , e- $ $ N N N U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES COMPENDIUM OF REQUIRED CERTIFICATIONS AND ASSURANCES Office of Head Start Updated July 29, 2014 U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES COMPENDIUM OF REQUIRED CERTIFICATIONS AND ASSURANCES Table of Contents SF424B,Assurances 1 Certification Regarding Lobbying 3 Certification Regarding Level II of the Executive Schedule 3 Certification of Filing and Payment of Federal Taxes 4 Electronic Submission Statement 5 U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES COMPENDIUM OF REQUIRED CERTIFICATIONS AND ASSURANCES SF424B Assurances— Non-Construction Programs 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 cost)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 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 19 statutes or regulations specified in Appendix A of OPM's Standards for a Merit System of Personnel Administration (5 C.F.R. 900,Subpart F). 6. Will comply with all Federal statutes relating to nondiscrimination.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.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) §§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; (i)any other nondiscrimination provisions in the specific statute(s) under which application for Federal assistance is being made;and, (j)the requirements of any other nondiscrimination statute(s) which may apply to the application. 7. 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. 8. Will comply, as applicable,with 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. 1 U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES COMPENDIUM OF REQUIRED CERTIFICATIONS AND ASSURANCES 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 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 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. 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. 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 construction or rehabilitation of residence structures. 17. Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act Amendments of 1996 and OMB Circular No.A-133, "Audits of States, Local Governments,and Non-Profit Organizations." 18. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations,and policies governing this program. 2 U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES COMPENDIUM OF REQUIRED CERTIFICATIONS AND ASSURANCES Certification Regarding Lobbying Certification for Contracts,Grants, Loans,and Cooperative Agreements 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 an 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 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, loan,or cooperative agreement,the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. 3. The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers(including subcontracts, subgrants,and contracts under grants, loans,and cooperative agreements)and that all 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 certification shall be subject to a civil penalty of not less than$10,000 and not more than $100,000 for each such failure. Statement for Loan Guarantees and Loan Insurance If any 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 commitment providing for the United States to insure or guarantee a loan,the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions.Submission of this statement 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 statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. Certification Regarding Level II of the Executive Schedule Federal funds will not be used to pay any part of the compensation of an individual employed by a Head Start and/or Early Head Start agency if that individual's compensation exceeds the rate payable for Level II of the Executive Schedule. 3 U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES COMPENDIUM OF REQUIRED CERTIFICATIONS AND ASSURANCES Certification of Filing and Payment of Federal Taxes As required by the Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriation Act, 2008 (Public Law 110-161, Division G,Title V, section 523), as a prospective financial assistance recipient entering into a grant or cooperative agreement of more than $5,000,000, I, as the duly authorized representative of the applicant, do hereby certify to the best of my knowledge and belief, that: 1. The applicant has filed all Federal tax returns required during the three years preceding this certification 2. The applicant has not been convicted of a criminal offense pursuant to the Internal Revenue Code of 1986 (U.S. Code-Title 26, Internal Revenue Code) 3. The applicant has not, more than 90 days prior to this certification, been notified of any unpaid Federal tax assessment for which the liability remains unsatisfied, unless the assessment is the subject of an installment agreement or offer in compromise that has been approved by the Internal Revenue Service and is not in default, or the assessment is the subject of a non- frivolous administrative or judicial proceeding. 4 U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES COMPENDIUM OF REQUIRED CERTIFICATIONS AND ASSURANCES Electronic Submission Statement By submitting this application, I certify(1)to the statements contained in the certifications and (2)that the statements herein are true, complete and accurate to the best of my knowledge. I also agree to comply with the required assurances and agree to comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties. (U.S. Code,Title 218, Section 1001). 5