No preview available
HomeMy WebLinkAboutC17-331 Early Head StartHUMAN SERVICES 976-328-8846 FAX: 976-328-8829 www.eaglecounty.us -EAGLE COUNTY Human Services Consent and Authorization for 2018 Early Head Start Grant Application ECONOMIC SERVICES CHILDREN, FAMILY & ADULT SERVICES FINANCIAL SUPPORT SERVICES Eagle County Department of Human Services (ECDHS) intends to apply for $1,175,459 in Early Head Start (EHS) funding for the federal fiscal year 2018 to provide services to 82 children and families in Eagle County, Colorado. These dollars are broken down into the following categories: Total federal costs $ 940,367 Includes training & tuition $ 22,042 Total non-federal costs $ 235,092 Grant Development The EHS grant application is for the funded enrollment of 82 children and families. The program is designed to serve those 82 children and families through 45 home-based slots and 37 center based slots. The center based slots are divided into 22 combination program and 15 full-time center based. Grant Approval The Board of County Commissioners authorizes ECDHS to submit the EHS grant application for Early Head Start funding for federal fiscal year 2018. Approved by the Board of County Commissioners dillian H. Ryan Chairman of the Board Eagle County Board of County Commissioners 09/26/2017 Date Eagle County Old Courthouse, 551 Broadway, P.O. Box 660, Eagle, Colorado 81631-660 C17-331 OMB Number: 4040-0004 Expiration Date: 10/31/2019 Application for Federal Assistance SF -424 1. Type of Submission: F] Preapplication ❑X Application © Changed/Corrected Application ' 2. Type of Application: ' If Revision, select appropriate leffer(s): ❑ New ❑X Continuation ' Other (Specify): Revision ' 3. Date Received: 4. Applicant Identifier: 08CH1149 5a. Federal Entity Identifier: 5b. Federal Award Identifier: 08CH__49 NIA State Use Only: B. Date Received by Statc: 7. State Application Identifier: S. APPLICANT INFORMATION: ' a. Legal Name: Hp GLH, CO -JN'--'- Or' ' b. Employe rlTaxpayer Identification Number [EINITIN]: ' c. Organizational DUNS: 084024447 84fiflflfl762 d. Address: ' Streetl: 55_ Broadway Street2: ' City: Eagle County/Parish: Eagle County ' State: CO: Colorado Province: Country: USA; UNITED STATES Zip 1 Postal Code: 18'-631 e. Organizational Unit: Department Name: Division Name: Harty Head Start llepartrrent of Human Services f. Name and contact information of person to be contacted on matters Involving this application: Prefix: Mr First Name: Middle Name: Joey ' Last Name: Peplinski Suffix: Title: EHS Manager Organizational Affiliation: 'Telephone Number: (970) 328-2609 Fax Number: (855) 848-8826 'Email: jooy,paplinski@eagleGounty.us Application for Federal Assistance SF-424 ' 9. Type of Applicant 1: Select Applicant Type: County GQvernnient 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-NIA Title: NIA 13. Competition Identification Number: Not Applicable Title: Not Applicable 14. Areas Affected by Project [Cities, Counties, States, etc.]: Eagle County, CO ' 15. Descriptive Title of Applicant's Project: Harly Head Start Attach supporting documents as specified in agency instructions. Application for Federal Assistance SF424 16. Congressional Districts Of: "a. Applicant CO-fl03 b. PrograrrdProject CO-003 Aft ach an additional list of Program/Project Congressional Districts if needed. 17. Proposed Protect: ` a. Start Date p 1 fl 1 2 fl 18 ' b. End Date: 1213112 fl 18 18. Estl'rnoWd Funding { : a. Federal 940, 367 b. Applicant 235, 092 G. State d. Local e. Other fl f. Program Income 'g. TOTAL _,175,459 ' 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. 0. 12372 but has not been selected by the State for review. FX1c. Program is not covered by E, 0. 12372. '20. Is the Applicant Delinquent On Any Federal Debt? [If "Yes," provide explanation in attachment.] n Yes 0 No If "Yes", provide explanation and attach 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 s?** ect me to criminal, civII, or administrative penalties. (U.S. Code, Title 218, Section 1001 ) IAGREE " 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: Jill Middle Name: Last Name: Ryan Suffix: Title: Chairman 'Telephone Number: (970) 328-8605 Fax Number: 'Email: I jill.ryan@eagleGounty.us 'Signature of Authorized Representative: a3a og„eases ' Date Signed: 7 d r d N M � O cn 0 L C 0 U 0 r- 0 U C Z 0 H a 0 LL z W D m } a W 0 0 m a z 0 c� W En m tl- ri ri m �1 N v m N m Q � ri N � ri EF} (fl d N � ❑ ❑ N rn v m ri V Ql C � Z Q1 = N! fiF3 ry o W � Q m N m m v rn LL 5F3 H3 co a co a ❑ (A (A LL= Z P 60Y ❑ e N U W LL N! Li N! CL) — U l4 � tl7 .fir CD N LL H CL) N _ � O Q �^ O"Z m tl7 m E a v ❑ m vs r m C C N y iii C m aJ m C pm N CL U C m p m Q A x O LL u p u ~ p i1 IO H W W W H Ld m m Z 0 H U w N W ri ❑ ❑ O to ❑ Q I' kO ❑ VI- 'N N 1 W 1 (1 A ti W 1 1 W 1 �1 O N ❑ P'1 N F P'1 ri I' ❑ Q O a 7-0 a .y EfF EFF EFF EFF EFF � EFF d L L L L d EFF L EfF U Q O Z 0L J J L L L L L U Z LL C ] v EFF EfF EfF ❑ ❑ 6 ❑ O O O N m N m ❑ N M C N N N N N N O N rn z W N L L N EFF EFF EfF w❑ ❑ c o n hn c m 54 m N m I'. M I0 W .�i Ja b N N N N NV T 'w i1 i1 O L L U d Um b i1 w a EfF EfF EfF Z O E N Q N Q fl► � f0 a ca m v N E fl► Q CA D7 Q. •� V i a N L y Q a a LL L J CD a � a` r_ f= a M 0 a J L N 0 r a � ❑ m U} M m m M m J N N N N C, �o ER EFF EFF EFF EFF ER N m ko N N Q ❑ ❑ m r ci n e m m i Q Y N N N m c`n ah '8 L W L h '� Q�0 cc EFF Eg EFr EFF a a W H e,l Z ci 'n 0DLU p Y LL� ° Z CCW vL LN a m D O m W [] W m LL Q mEA EFF Z EFF Co. � EFF U E9 o o N W W Ir L y m ++ „ f j m co W Z L N N 0 N N z W C W .rL = a p ii Lu LL in i cc rUHL LL Ja W EFF 53 EA 0 EFF EFF Q EFF Z ❑ M N o a W U. Z z _❑ V V In Ln ❑ ❑ uWi � r N F w w r EFF EFF � � 0 m o a $4 ~ a` U r+ d T W^ C T Ll q7 C q1 C fl7 C Li N N o C a C a E L J � LJ ° � � ° z ° LLILL o a Cd 07 O r r r ej r 6 r q r ui T (0 r � r cd r 0; Q :R N r_ f= a M 0 a J L N 0 r a