HomeMy WebLinkAboutCOUNCIL - AGENDA ITEM - 01/15/2002 - FIRST READING OF ORDINANCE NO. 009, 2002, APPROPRI AGENDA ITEM SUMMARY ITEM NUMBER: 25
FORT COLLINS CITY COUNCIL DATE: January 15, 2002
STAFF: Frank Bruno
SUBJECT:
First Reading of Ordinance No. 009, 2002, Appropriating Unanticipated Grant Revenue in the
General Fund for Fort Collins Build a Generation.
RECOMME14DATION:
Staff recommends adoption of the Ordinance on First Reading.
FINANCIAL IMPACT:
The grant described in the attached grant application(a portion of the complete document)has been
awarded to Fort Collins Build a Generation. The total award for the fiscal year which began July 1.
2001 is $20,000. The title of the project is Fort Collins Prevention Initiative for Healthy Youth
Development. This is the fourth grant year in which the City of Fort Collins has been the
Subgrantee Agency. All funds are disbursed from the Colorado Department of Criminal Justice to
the City of Fort Collins. The City in turn deposits the grant funds for recording purposes then writes
a check to Fort Collins Build a Generation. All funds are deposited through the financial officer.
Diane Hogarty, with the Fort Collins Community Foundation.
EXECUTIVE: SUMMARY:
Fort Collins Build a Generation (FCBG), a not-for-profit organization, in collaboration with
Healthier Communities Coalition, is committed to using risk-focused prevention and the results of
its planning process as the primary tool to determine what strategies, programs, policies, and
resources should be deployed to decrease risk and enhance protection for Fort Collins' youth.
FCBG's risk assessment conducted in 1996 indicated that family management problems, family
conflict, and the early initiation of problem behavior put youth in Fort Collins at risk for becoming
pregnant, dropping out of school, engaging in delinquent behavior, using and/or abusing drugs and
alcohol and witnessing or engaging in violent behaviors. Build a Generation will use this funding
year to finalize the development and implementation of a comprehensive, strategic prevention plan.
This plan will be developed and implemented to: (1) address gaps identified from its data
assessments; (2) promote the implementation of research-based programs; (3) build upon what
already exists in programs and services; (4) promote awareness of risk and protective factors; (5)
use as leverage when applying for and making recommendations regarding resources; (6) influence
public policy regarding the prevention of adolescent problem behaviors; and (7) increase
cohesiveness among existing resources.
ORDINANCE NO. 009, 2002
OF THE COUNCIL OF THE CITY OF FORT COLLINS
APPROPRIATING UNANTICIPATED GRANT REVENUE IN THE GENERAL FUND
FOR FORT COLLINS BUILD A GENERATION
WHEREAS, Fort Collins Build a Generation (the "Recipient') has been awarded a grant
from the Colorado Division of Criminal Justice for $20,000; and
WHEREAS, the Recipient is part of a state-wide initiative designed to reduce youth
violence, delinquency, school drop-out, pregnancy and substance abuse; and
WHEREAS. under the terms of the grant program, the City must serve as a pass-through
agent by receiving the grant funds and then passing the grant funds to the Recipient for use for grant
purposes; and
WHEREAS, Article V. Section 9,of the Charter of the City of Fort Collins permits the City
Council to make supplemental appropriations by ordinance at any time during the fiscal year,
provided that the total amount of such supplemental appropriations,in combination with all previous
appropriations for that fiscal year,does not exceed the then current estimate of actual and anticipated
revenues to be received during the fiscal year; and
WHEREAS, City staff has determined that the appropriation of the grant funds from the
Colorado Division of Criminal Justice for programs to reduce youth violence, delinquency, school
drop-out, pregnancy and substance abuse, as described herein, will not cause the total amount
appopriated in the relevant funds to exceed the current estimate of actual and anticipated revenues
to be received in that fund during any fiscal year.
NOW, THEREFORE. BE IT ORDAINED BY THE COUNCIL OF THE CITY OF FORT
CO .LINS that there is hereby appropriated from unanticipated revenue in the General Fund the sum
of TWENTY THOUSAND DOLLARS ($20,000) for expenditure in the General Fund for Fort
Collins Build a Generation.
Introduced and considered favorably on first reading and ordered published this 15th day of
January, A.D. 2002, and to be presented for final passage on the 5th day of February, A.D. 2002.
Mayor
ATTEST:
City Clerk
•
Passed and adopted on final reading this 5th day of February, A.D. 2002.
Mayor
ATTEST:
City Clerk
iAPPROVED BUDGET
Source of Funds
Budget Category Award In-Kind Match Cash Match
Total
Build A Generation
Personnel p $14,045.00 0
$14,045.00
Supplies d Operating $1,666.00 $6,400.00 $2,400.00
$10,466.00
Travel 0
0 $897.00 $89Z0p
Equipment p
0 p 0 �
services Contracted/Professional $18,334.00 0 0
$18,334.00
TOTAL BuOGET $20,000.00 $20,445.00 $3,297.00: $43.742.00
• Purchase of equipment requires the prior written approval of the Colorado Department of Public Health and Environment
INSTRUCTIONS
1. Grant activities must be based on the approved budget shown on page two of this Statement of Grant Award, which
supersedes any earlier budget request submitted, and which may be different from the budget originally submitted in
. your application. The grantee must secure prior written approval from the Colorado Department of Public Health and
Environment if there is to be a change in any budget category.
12. The Financial Officer of the project must be provided a copy of this document in order to adequately prepare the
necessary financial reports.
3. Review carefully the Certified Assurances and Standard Conditions contained in the approved grant application.
4. The! signature of the Authorized Official below should be the same as the one on the grant application. If there has
been a change in the Authorized Official, please submit a letter with this document so stating, and appropriate
documentation in the case of private agencies.
Standard Conditions:
(1) This grant award may be voided if it is not signed by the grantee's Authorized Official and returned to the Colorado
Department of Public Health and Environment within 45 days of the date of issuance.
(2) Conpmencement within 60 Days If a project is not operational within 60 days of the approved starting date of the
grant period,the grantee must report by letter to the Colorado Department of Public Health and Environment the
steps taken to initiate the project,the reasons for delay, and the expected starting date.
(3) Operatianal Within 90 Days. If a project is not operational within 90 days of the approved stalling date of the grant
period,the grantee must submit a second statement to the Colorado Department of Public Health and Environment
explaining the implementation delay. Upon receipt of the 90-day letter,the Colorado Department of Public Health and
Environment may cancel the project, or where extenuating circumstances warrant, extend the implementation date of
the project past the 90-day period.
i
Build A Generation.frm Page 2 of 3
(Rev. 6101) BAG
APPROVED BUDGET
Source of Funds
Budget Category Award In-Kind Match Cash Match Total
Build A Generation
Personnel 0 $14,045.00
0 $14,045.00
Supplies& Operating $1.666.00 $6,400.00 $2,400.00 $10.466.00
Travel I 0 0 $897.00 $897.00 '
Equipment 0 0
0 p
Contracted/Professional $18,334.00 0 0 $18,334.00
Services
TOTAUBUDGET $20,000,00 $20,443;00 $3 297.00 $43;742.00
• Purchase of equipment requires the prior written approval of the Colorado Department of Public Health and Environment
INSTRUCTIONS
1. Grant activities must be based on the approved budget shown on page two of this Statement of Grant Award, which
supersedes any earlier budget request submitted,and which may be different from the budget originally submitted in
your application. The grantee must secure prior written approval from the Colorado Department of Public Health a.
Environment if there is to be a change in any budget category.
1
2. The Financial Officer of the project must be provided a copy of this document in order to adequately prepare the
necessary financial reports.
3. Review carefully the Certified Assurances and Standard Conditions contained in the approved grant application.
4. The signature of the Authorized Official below should be the same as the one on the grant application. If there has
been a change in the Authorized Official, please submit a letter with this document so stating, and appropriate
documentation in the case of private agencies.
Standard Conditions-
(1) This grant award may be voided if it is not signed by the grantee's Authorized Official and returned to the Colorado
Department of Public Health and Environment within 45 days of the date of issuance.
(2) Commencement within 60 Days. If a project is not operational within 60 days of the approved starting date of the
grant period,the grantee must report by letter to the Colorado Department of Public Health and Environment the
steps taken to initiate the project,the reasons for delay, and the expected starting date.
(3) Operational Within 90 Days. If a project is not operational within 90 days of the approved starting date of the grant
period,the grantee must submit a second statement to the Colorado Department of Public Health and Environment
explaining the implementation delay. Upon receipt of the 90-day letter,the Colorado Department of Public Health and
Environment may cancel the project, or where extenuating circumstances warrant, extend the implementation date of
the project past the 90-day period.
j
Build A Generation.frm Page :of 3
(Rev. 6/01) BAG
(4) T',ie grant may be terminated if the services are not satisfactorily performed by the grantee or if it is in the best interest
of the State of Colorado to terminate the grant. If the grant is terminated by the State,the grantee shall be paid the
necessary and allowable costs incurred through the date of termination, but not exceeding a prorated amount based on
the number of days of project operation prior to the date of termination. Any equipment purchased under this grant shaI
revert to the Colorado Department of Public Health and Environment upon termination of the grant.
(5) The State shall pay the grantee the reasonable and allowable costs of performance, in accordance with applicable
Colorado State Fiscal Rules, not to exceed the amount specified herein as the Total Award Amount, The State's
requirements for invoice, advance payment, and cost reporting submissions are contained in the Form 3 Cash Reques?
Procedures and Form 1A Subgrant Financial Report,which are hereby incorporated by reference.
(6) These funds cannot be guaranteed beyond the end date of this grant period.
•
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Build A Generation.frm Page 3 of 3
(Rev. 6101) BAG
Statement of Grant Award
4
This grant is accepted by:
LdLa - /
Signature ot:Authorized Official Date 10/--P pl
STATE OF COLORADO
BILL OWENS, GOVERNOR
By
For the'Executive jDirr Date
Colorado Departmublic Health and Environment
APPROVED
STATE CONTROLLER
ARTHUR L. BARNHART
By C4 \
Arthur L. Bamhag Date
Return FOUR SETS of the Statement of Grant Award with ORIGINAL SIGNATURES to: Colorado Department of Public
Health and Environment, PSD A-4, 4300 Cherry Creek Drive South, Denver, Colorado 80246-1530
Build A Generation.frm Page 4 of 3
(Rev. 6/01) SAO
a••••'• COLORADO BUILD A GENERATION®
. ;ram,;
APPLICATION FOR FUNDS
(Refer to BAG Application Instructions & the Announcement of Availability of Funds while completing this application )
PLANNING PROCESS DURATION DATES: From. July 1. 2001 To. June 30, 2002 Page 1 OF 13
PLANNING PROCESS TITLE: Fort Collins Prevention_Initiative for Healthy Youth Development
APPLICANT AGENCY:
Legal Title of Applicant Agency. City of Fort Collins Attn Frank Bruno Assistant City Manager
Address P.O. Boz 580
City, State,Zip: Fort Collins CO 80522 Phone: (970) 221-6763
Federal Employer ID Number: 98-04502
LOCATION OF AGENCY. U.S. Congressional District. 4 State Judicial District: 8 County: Larimer
TYPE OF AGENCY: (Check one): x City/Town Government County Government
Indian Tribe Private Non-Profit Other(Specify)
FUNCTION OF AGENCY: (Check the one that best describes):
Unit of Local Government Law Enforcement Recreation Youth Serving Agency
Social Services Family Service Education -
Religious Organization Other: (Specify)_Municipality
• !MOUNT BE114G REQUESTED: Amounts must equal totals on the Budget Form,Page 7.
Requested$_ 43.419 + Cash and/or in-kind match S 23.742 - $ 67 161
( 55 %of Requested Amount) Total Planning Process Cost
TYPE OF APPLICATION: (Check appropriate type and description.)
New Start a new planning process not previously Build A Generation funded.
Expand, or enhance an existing planning process not previously Build A Generation funded.
X Continuation: X Continue a planning process which has previously received Build A Generation funds.
Expand, or enhance an existing planning process which has previously received Build A Generation funds.
If this is a continuation application, provide prior Build A Generation state funding information:
Grant Number: 98-JV-12-21 Amount: 537.19 Duration: September 15. 1999-June 30 2000
Grant Number: 98-JV-12-29 Amount: $ 5,165 Duration: September 15 1999-June 30 2000
Grant Number: 21-BG-12-14 Amount: $43,400 Duration: July 1,2000-June 30 2001
PROJECT DIRECTOR: The Project Director is considered to be the primary contact person, and the person who is directly responsible for ensuring
that the planning process is implemented. All correspondence from the Colorado Division of Criminal Justice will be sent to
this person.
Project Director: _ Kelly Shanahan Title: Project Director
Mailing Address: c/o Community Foundation
1024 South Lemay Avenue
Fort Collins CO 80524
Phone: (S70 ) 495-7503 Fax: ( 970 ) 495-7617 E-mail: kas14(ojlibra ovh org
LOCAL COORDINATOR: If the local coordinator is someone other than the Project Director, complete contact information for that person, if available.
• Local Coordinator. same as above Title:
Mailing Address:
Phone: ( ) Fax ( ) E-mail:
�•�; COLORADO BUILD A GENERATION®
APPLICATION FOR FUNDS
(Refer to BAG Application Instructions & the Announcement of Availability of Funds while completing this application.)
PLANNING PROCESS DURATION DATES: From. July 1,2001 To: June 30. 2002 Page 2 OF 13
COMMUNITY DEFINITION: In the space below, provide the description of the community this planning process will
service. If the community is a "neighborhood"within a city, provide the specific boundaries. Include a list of the schools
that fall within the community boundaries and specify which schools may be directly targeted by your efforts.
Provide at least the following information on the population of the community: size by age group. race/ethnicity and gender
Fort Collins is located along the Cache La Poudre River within Larimer County at the foothills of the Rockies on the
Eastern Plains. Fort Collins is at the Northern edge of the rapidly growing front range of the Colorado Rocky
Mountains,just 65 miles north of Denver. It occupies the space along the Front Range between Interstate 25 and
Horsetooth Reservoir nestled in the Foothills. Its southern boundary is Larimer County Road 32 and its nor-themboundary is Larimer County Road 52. Currently, Fort Collins covers 44 square miles of area with a total of 362
street miles.
Fort Collins is growing at a striking rate, with a 36% increase in population over the last decade. Census 2000 data
reports the current population at 118,652. This number represents 47%of the total population of Latimer County.
County-wide data shows that 50.5% of the population is female, 49.5% is male, and 24% or 58.866 of the total
population are children under the age of 18.
I'he diversity of Fort Collins is changing as well. Although Fort Collins is predominantly white or non-Hispanic;
Hispanics of all races are the second largest and fastest growing minority `group'. Of the total Fort Collins
population, 85.4%are white, 8.8%are Hispanic(of any race),2.5%are Asian,0.9%are African American.0.4%are
American Indian or Alaska Native, 0.1% are Pacific Islander, and 1.7% are two or more races.
Residents of Latimer County, according to 1998 data,have a median household income of$50,900 for a family of
four. In Fort Collins, 91% of residents have at least a high school education and 43%have a Bachelor's degree or
higher. The current rate of unemployment(February 2001)in Fort Collins is 2.8%. However,economic hardships
continue to exist for many residents. In 1999 in Latimer County, 10,3 70 children were medically uninsured, 1,981
were eligible for Medicaid and 4,158 were eligible for CHP+ (a Colorado-sponsored insurance program for low-
income children). Approximately 50%of these children reside in Fort Collins. In the Poudre School District, 560
homeless school children from preschool to twelfth grade have been identified,using the federal McKinney criteria.
during the 2000-2001 academic year.
Poudre School District includes the following schools located in the northern half of Latimer County, all of whom
are targeted by the Fort Collins Prevention Initiative for Healthy Youth Development:
Elementary schools include Bauder, Beattie. Bennett, Cache La Poudre, Dunn, Evestone, Fullana, Harris
Bilingual., Irish, Johnson, Kruse, Lab School, Laurel, Liberty Commons, Linton, Livermore, Lopez.
McGraw, Moore, O'Dea, Olander, Putnam, Red Feather, Riffenburgh, Shepardson, Stove Praire, Tavelli,
Timnoth. Traut Core Knowledge, and Werner.
Junior High schools include Blevins, Boltz, Cache La Poudre, Lesher, Lincoln, Preston. Webber, and
Wellington.
High schools include Centennial, Fort Collins, Poudre and Rocky Mountain.
COMMUNITY" PREVENTION POLICY BOARD (CPPB)
STRUCTURE AND FUNCTION
I. Explain the relationships between the applicant agency, the implementing agency (if
different from the applicant agenct), the coordinator, and the Community Prevention Policy
Board.
Applicant Agent: City of Fort Collins receives each grant check from DCJ. deposits funds for
record purposes, then writes a check in the same amount to the fiscal agent.
Fiscal Agent: Fort Collins Community Foundation has the holding account for all DCJ funds. A
statement is submitted from PVHS. the implementing agent, for reimbursement of funds paid
out for BAG for each quarter. The FCCF keeps records of these transactions.
Implementing Agent: Poudre Valley Health System, Inc. (Poudre Valley Hospital) pays all
expenses for BAG project. The invoices are submitted by the Project Director on an as
needed bases. PVHS is reimbursed on a quarterly bases from the fiscal agent per a statement
request listing all expenses paid during the quarter. The Poudre Valley Health System, Inc.
employs the Project Manager paying salary and benefits. The PVHS is reimbursed for the
salary amount as explained above. Please see the explanation under Budget Narrative
explaining this arrangement.
Community Policy Board: The board consists of 15 volunteer members* who carry out the goals
and objectives of the grant. The secretary/treasurer of the board oversees external monitoring
of the financial matters. She compares the reports of the Director with records of the fiscal
agent plus the quarter financial reports to DCJ.
Project Director: The Project Director keeps copies of all financial reports. A summary is kept
of all financial transactions of the above agencies, which must balance with the quarterly
financial reports to DCJ. All invoices are approved by the Director to verify- compliance with
the grant budget.
2. Explain how the board is organized and structured. Provide information about terms
of membership and office, committees, decision-making processes, meeting requirements, etc.
The Community Prevention Policy Board is made up of 15 members* who work tinder the John
Carver model of Policy Board Governance. Within that model, the Board develops policies to
carry out the mission of BAG and the Director is given the responsibility and authority to carry
out activities necessary to meet the organizational goals within the framework defined within
Board policy. There is a chairperson, vice-chair, and a secretary/treasurer who act as officers,
with terms of office for one year. Board members are appointed for a three-year, renewable
tetra. The board meets monthly and for special needs, the total board makes decisions. and the
board speaks with one voice. Planning groups are made up of people who are working with the
issues.
3. In a clear and concise manner, explain the board's defined role in overseeing these
funds and for implementing the Build A Generation process steps.
The board assigned its secretary/treasurer to oversee external monitoring of financial matters
including site visits to the fiscal agent and the Project Directors office. The secretary/treasurer
compares the Director's records with the reports of the fiscal agent. She looks at expenditures to
Due to several recent resignations, we are currently only a 10-member board. However, we are in the process of
exten ling invitations to several key leaders, and anticipate being a 15-member board again by the start of the 2001-
2002 grant year. It is our intent to take this opportunity to adjust and round out our membership so that, as a board,
we are reflective of the community's needs and diversity.
3a
assure that they stay within defined limits and assesses that bills are paid in a timely manner.
The board is responsible for overseeing the implementation of the BAG process steps.
4. Who is specifically responsible for assigning, monitoring, and overseeing the activities
of the local coordinator and any other paid staff?
The Board is responsible for assuring that the Director acts within the defined limits and means
defined within the Policy Board Governance structure. It is defined within these policies which
areas will require external monitoring, when that monitoring will occur and who is responsible
for completion of the monitoring.
5. List which coalitions, prevention efforts, and youth serving agencies currently exist in
your community. How does your board intend to include those not represented on Your
board? -
Many of the coalition groups working on prevention efforts, and youth serving agencies
are members of the Healthier Communities Coalition whose goal is to promote collaboration in
order to coordinate efforts to leverage health improvements and reduce competition. These
groups are either members of the Community Prevention Policy Board, Healthier Communities
Coalition or community members we have worked with directly. Some of the groups are:
Healthier Communities Coalition Members — Assets, City of Fort Collins, Communities
in Schools, Latimer County District Attorney's Office, Larimer County Health & Environment,
Mental Health. Poudre Health Services District, Poudre Valley Health System, Restorative
Justice, TEAM Fort Collins, Colorado State University, Poudre School District, Teen Pregnancy
Prevention Advocates, and Victim Advocates.
Community Prevention Policy Board Representation — BASE Camp, Colorado State
Patrol, Larimer County District Attomey's Office, Larimer County Health & Environment.
Larimer County Sheriffs Department, Fort Collins Board of Realtors, Poudre School District.
City of Fort Collins Parks and Recreation, and parents and families.
We intend to have at least two meetings per year with Fort Collins Youth Advisory
Council to coordinate with teen representatives. We are working with the
communication/mobilization committee of HCC to develop means and tools to collaborate with
many other entities throughout the community. In addition, the Director and board members will
continue to meet with Key Leaders to keep them informed and to use their input in helping set
the direction of planning for youth.
6. Explain how new CPPB members are recruited, oriented and trained.
Current board members are in charge of recruiting new board members, with the help of the
Project Director. The board begins the process by brainstorming potential candidates who will
represent the diverse perspectives of the community, uphold board values, and help achieve
goals. A committee is established to contact potential candidates, invite them to a board
meeting and explain the purpose of their participation should they join. This includes the vision
of BAG statewide and locally, an overview of the project, their role as a board member, and an
orientation to John Carver's Policy Governance and the CTC model. After the board has
discussed each candidate and the candidate has accepted the offer to participate, they are
appointed to the board. Once on the board, members work together to ascertain how best the
board can utilize the knowledge and skills of the new member.
7. List one or two methods that will be or have been used to educate the community about
your prevention efforts.
3b
We have engaged in a variety of methods. Examples include: holding community breakfasts,
community presentations in the CTC model, press releases, brochures, newspaper articles, etc.
40 In addition to these methods, we utilize the hospital foundation's "Health Aware" electronic
newsletter and the Healthier Communities Coalition "Healthy Perspectives- newsletter and
website as communication tools.
8. How has collaboration benefited your community to date?
In a community the size of Fort Collins, fragmentation and duplication can occur. For this
reason, collaboration is absolutely essential for true progress. However, creating an environment
that promotes collaboration isn't easy. BAG has worked steadily to do just that, by providing an
avenue for many different segments of the community to talk face to face on a monthly basis.
For example, Healthier Communities Coalition has voted to incorporate the BAG process into
their role and share a director to eliminate duplication and fragmentation as well as to combine
the use of resources. For other examples and in-depth descriptions of collaborative efforts that
BAG has fostered in the Fort Collins community, please refer to Section C of the Planning
Process Narrative.
9. If a continuation application, give one example of how your CPPB is using risk-
focused prevention to participate in and influence public attitudes and policy decisions related
to prevention.
The Larimer County Interagency Network for Kids - Project LINK - is an
interagency network that seeks to cultivate safe schools and healthy children in the greater Fort
Co:.lins area. The network is made up of the following agencies: Poudre School District. Latimer
• Center for Mental Health, Larimer Early Childhood Council, Suicide Resource Center of
Larimer County, local law enforcement agencies, and others. It is funded by a three-year federal
grant of$5.5 million awarded in 2000 by the National Safe Schools/Healthy Students Initiative.
Poudre School District is one of only 77 district grants nationwide to receive the grant.
Project LINK is a direct result of partnerships formed on the Community Prevention
Policy Board of Fort Collins Build A Generation. The project uses the Communities That Care
model to proactively approach school and community safety and prevent a community crisis
before it happens. Joint implementation of scientifically-based curricula like Second Step, Get
ReE.l About Violence, and Bully-Proofing Your School, focus on risk reduction around violence.
•
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BUILD A GENERATION COMMUNITY PREVENTION POLICY BOARD MEMBERSill I P/TRA IN ING ROSTFR If more space is needed,cope -lit
Name of Coiniounify:_Fort Collins
A"'I
*TrainingReceived
gin J 0 Address Is Phone T
i�___A zip: 46 46tc 1 2 13 4
Chair of the Boar)
I. Jim Alderden (new member) C Lorimer County Sheriff PO Rox 1190, Fort Collins, CO 80522 970-498-5101
2. James Campain C PoudreSchool District 2407 West La Porte Avenue, Fort Collins, CO 80521 970-490-3238 X X X
3. Nancy Grove* C Lorimer County Dept of 1525 BlueSpruce Drive, 1,rprl Collins, CO 80524 970-498-6753 X X X
Health & Environment
4. Steve Hayes C Realty Executives 208,Voitflt College Avenue, l-*Ort('allitis, C080524 970-613-8088 X
5. Joe Hendrickson C Poudre School District 2407 West LaPorte Avenue, Fort Collins, CO 80521 970-490-3213 X X
6. Brownie McCraw C District A florney's Office 749 Sandpiper Point, Fort Collins, CO 80525 970-498-7216 X X
7. Dave Mosnik C City of Fort Collins 214 North Howes, Fort Collins, CO 80521 970-416-1736 X
8. Bob Parish C Colorado State Patrol 3832 South 1-25, Fort Collins, CO 80525 970-224-3027 X X X
9. Linda Preston C B.A.S.E. Camp 134 West Harvard, #5, Fort Collins, CO 80525 970-266-1734 X X
10. Averil Strand Lorimer County Dept. of 1525 Blue Spruce Drive, Fort Collins, CO 80524 970,498-6760 N X
Health & Environment
H.
12.
13.
14.
15
*Training Received-F 1= Key Leader Orientation 2=Board Orientation 3=Risk and Resource Assessment Training 4=Promising It 11111_OAO-cl Training 4 of 13
APPLICATION FOR FUNDS
• (Refer to EAG Application Instructions & the Announcement of Availability of Funds while completing this application.)
1l.ANNING PROCESS DURATION DATES: From: July 1. 2001 To June 30,2002 Page 5 OF 13
PLANNING PROCESS NARRATIVE. Refer to the Application Instructions. In the format below, provide a Planning
Process Narrative, not to exceed 5 pages. Insert narrative pages, numbered 5a, 5b, 5c, 5d and 5e.
A. Executive Summary In one paragraph, summarize what these funds will be used for.
B. Statement of Need Provide a clear and concise statement about the needs or problems this planning process will
addre!Ss. Include the rationale for seeking these funds.
C. Community Involvement and Commitment to Prevention
- How does this planning process fit with the mission statement of the applicant agency? If the applicant agency is
not a unit of local government, a Memo of Agreement must be provided by the unit designating the applicant
agency and the community prevention policy board as advisory on prevention planning.
- Briefly identify which planning process steps your community has accomplished to date. If a continuation of the
planning process, what benefits has your community experienced to date as a result of participating in the Build
A Generation process?
- What does your community see as the benefits if this year=s proposal is funded?
D. Staff Position What phases of the risk and protective factor-focused prevention training has the local coordinator
participated in and when? If the staff has not been trained, outline how the board plans to insure that the local
coordinator becomes trained. Submit a job description, as Attachment B, outlining specific job duties and
activities expected to be accomplished in relation to the goals and objectives outlined in the planning process
narrative and the duties outlined in the Criteria for Selection section of this announcement.
E. Goals, Objectives, Performance Measures. Use the format below to list the goals of this planning process and
their related objectives, tasks, time lines, responsibility, and progress measures. Provide outcome evaluation
measures and costs related to each goal. See Application Instructions.
Goal#1: (Clear, concise statement of intended achievement)
Objective 1.a: (The first measurable activity that will help meet this goal.)
Task#1 Time line Responsible Person(s) Measure of Progress
(Repeat this format lor each objective under each Goal, and each task related to the bjective.)
Goal #1 Outcome Evaluation: (What will be measured to determine progress toward this goal? How will it
be measured and how will the results be analyzed?)
Goal #1 Cost Needs: (What components of the requested funds are needed to accomplish this goal?)
Provide this information, in this format, for each Goal.
F. Long-term Evaluation and Funding Plan. Explain how the CPPB will measure whether or not they are making
progress toward the long-term goals of this prevention process. Explain what efforts, if any, are being used to
secure future funding for the Build A Generation efforts in your community.
G. Past Performance Continuation applicants must include status information related to the Special Conditions that
we.a listed on their last Statement of Grant Award, and a summary of their progress toward meeting the goals
and objectives of their last grant.
PLANNING PROCESS NARRATIVE
A. Executive Summary
The Fort Collins Prevention Initiative for Healthy Youth Development (for the purpose of this grant.
referrer! to cis FCB.4G) requests funds to maintain a staff person at 31 hours/week and the
administrative support (operating expenses) to continue the Communities That Care(9 risk-focused
prevention process in our community, to strengthen and ensure longevity of the local Community
Prevention Policv Board, and to coordinate and collaborate with the Healthier Communities Coalition
of Larimer County, key leaders and other initiatives in the community.
B. Statement of Need
FCBAG has identified three needs that this project seeks to address:
1) The need to continue the risk-focused prevention process in our community.
2) The need to strengthen and ensure longevity of the Community Prevention Policv Board.
3) The need to continue to communicate, collaborate, and coordinate with the Healthier Communities
Coalition of Latimer County, key leaders and other initiatives in the community.
The need to continue the risk-focused prevention process in our community
Healthy childhood development is of great concern to our community and to FCBAG. As a
single, coordinated planning body, we are committed to using risk-focused prevention and the results
of our planning process as the primary tool to determine what strategies, programs, policies and
resources should be deployed to decrease risk and enhance protection. The risk assessment, conducted
in 1996, indicated that Familv Management Problems, Familv Conflict, and Early Initiation of the
Problem Behavior put youth in Fort Collins at risk for becoming pregnant, dropping out of school,
engaging in delinquent behavior, using drugs and alcohol, and engaging in violent behaviors. An
assessment of our resources and gaps indicated that Fort Collins has identified five areas that need our
attention:
increased need for bilingual services and resources
increased need for prevention programs and strategies from early childhood to preteen
increased need for cohesion among existing services and resources
increased need for volunteer recruitment for mentoring (Larimer County Partners)
need for opportunities for all children in our community to participate in recreational activities.
The community of Fort Collins needs continued support to work towards reducing these risks
in a coordinated, strategic manner. We believe that focusing our efforts on enhancing existing services
and addressing identified gaps is much more cost effective for our community than building another
juvenile detention facility or creating expensive social service networks for youth. In order to advance
in the process, the FCBAG will use the 2001-2002 funding year to finalize the development of a
comprehensive. strategic prevention plan and secure its community-wide implementation. This plan
will be developed and implemented to: 1) address the gaps listed above, 2) to promote the
implementation of research-based programs and build upon existing programs, 3) to promote
awareness of risk and protective factors, 4) to use as leverage when applying for and making
recommendations regarding resources, 5) to influence public policy regarding the problem behavior
prevention, and 6) to increase cohesion among existing resources.
The need to strengthen and ensure longevity of the Community Prevention Policv Board
The Communities That Care model requires long-term investment by a community. That
investment starts with a core group of citizens and key leaders who believe in the model and are
willing to give of their time and expertise on a continuous basis to see it come to life. They are the
individuals who make up the Community Prevention Policy Board. The FCBAG Community
Prevention Policy Board is currently undergoing some changes in membership. This is an opportunity
5a
to bring some new expertise and perspectives to the board. It is also the appropriate time to equalize
• board member knowledge and training in the Communities That Care model and Polic% Board
Governance. FCBAG will use the 2001-2002 funding year to take important steps to preserve and
enhance the greatest asset the BAG process has — the Community Prevention Police Board.
The need to continue to communicate, collaborate, and coordinate with the Healthier Communities
leaders and other initiatives in the community
Coalition of Latimer County. key
One stumbling block to the prevention of adolescent problem behaviors in Fort Collins.
identified through our resource assessment, has been a lack of coordination between existing coalitions
and :services, resulting in a duplication and fragmentation of services and resources. For this reason.
FCBAG believes that continuing to identify how we can coordinate our efforts with like-minded
coalitions and taking a lead in those efforts is critical.
One such coalition is the Healthier Communities Coalition of Latimer County (HCC), which
we officially collaborated with during the 1999-2000 year. Using one staff person as the Project
Director for the combined groups has increased communication and reduced duplication. The budget
narrative gives a detailed explanation to the division and payment of the salary and benefits for the
Project Director. A 501C.3 Board of Director's exists with representation from both initiatives plus
new community members.
At present, the potential for collaboration between FCBAG and HCC is great, because both
groups are on the brink of engaging in community-wide planning. .Although Healthier Communities
Coalition has a broader scope that includes all ages and aspects of community life, and FCBAG
concerns itself solely with youth, it is evident that the missions, processes, and desired outcomes are
very much related. The Healthier Communities Coalition has agreed to adopt the FCBAG planning
.i process to accomplish their desired outcomes. The findings of our risk and resource assessment, gaps
analysis, and strategic plan will become a part of this overall community plan. FCBAG is in a much
better position to use the results of our planning process to make recommendations regarding services,
programs, policies, and resource allocation and to influence the direction of our local prevention
efforts. The combined group brings more clout and presence in driving policy.
C. Community Involvement and Commitment to Prevention
How does this planning process fit with the mission statement of the applicant agency?
The mission of FCBAG is to link systems together so that services are delivered in a cohesive
and effective manner to all residents. FCBAG has committed to using risk-focused prevention as the
basis for making our decisions in terms of addressing adolescent problem behaviors in Fort Collins.
FCBAG works to use the results of the risk-focused prevention process to bring community systems
together so that decisions regarding programs, resources, and public policy have their basis in the same
framework. By tying community systems together, all children in Fort Collins are protected from risks
and live in an environment that enables them to thrive and grow into healthy. productive members of
our community.
Briefly identify which planning process steps your community has accomplished to date. What
heneftls has your community experienced to date as a result of participating in the Build A
Generation process?
FCBAG has completed all of the steps of the Communities That Care model to the point of
beginning to develop the strategic prevention plan. A risk assessment was conducted and published in
. 1996, a resource and gaps analysis was conducted and published in 1997. and the strategic planning
process was initiated in 1998. In 1999, FCBAG underwent two notable transitions: 1) BAG lost its
staff person, spending several months looking for a replacement; and 2) Dialogs began simultaneoush
5b
with the Healthier Communities Coalition about how the two entities could collaborate in order tc
minimize duplication, maximize impact, and pursue joint sustainability.
Having spent considerable time working with HCC to jointly hire a Project Director and to
identify tangible areas of collaboration, FCBAG decided in 2_000 to update the risk and resource
assessments and gaps analysis, in order to determine if any adjustments needed to be made before
continuing to develop the strategic prevention plan. Another change in staff occurred halfway through
the current grant. At present, the updated risk assessment has been finished, and the resource and gaps
analysis will be finished by the end of the current grant year (2000-2001), leaving FCBAG perfect]}
positioned to pick up where it left off on the development of the strategic plan.
It is sometimes difficult to attribute outcomes directly to the FCBAG because we act as a
catalyst across programs. agencies. organizations and the community in general to influence change.
BAG has generated data that has been used by a number of other organizations and individuals in
grant-writing, goal-setting, and data-supported decision-making. The risk and protective factor
philosophy has become the framework of action for numerous community efforts. BAG's influence in
the community and with community leaders is evidenced in the following list of successful grant-
funded and collaborative projects within the community. The BAG board's commitment to using
strategies in their own organizations has been highly successful.
• Latimer County Interagency Network for Kids (Project LINK) - Safe Schools/Healthy Students grant
(2000-2003). Home visit component for poor pregnant mothers tackles early childhood prevention program
gap.
• Community Mobilization as Prevention - ADAD grant(1999-2003) for substance abuse prevention. This
collaborative effort began with a substance abuse forum, held jointly by BAG and HCC.
• 21" Century grant - Poudre School District (1998-2001) for the purpose of creating positive after school
activities, extended learning opportunities, and using schools as community learning centers.
• Safe & Drug Free Schools and Communities Grant - Poudre School District (annual), mini-grants to
schools for risk prevention activities. In 2000-2001, 50 mini-grants were given, impacting 13,800 kids.
• Poudre School District staff at Mountain Crest and the MAC Center - School District staff placed in
mental health treatment centers to avoid sending kids awav for residential treatment. Decision based on
BAG data.
• DAD's (During and After Delivery) Project- Colorado Children's Trust grant to Larimer County Dept of
Health & Environment. Involves fathers in children's lives prior to and after delivery, relating to early
childhood prevention programs gap. Includes ASSETS training for fathers.
In addition to the research and informal networking, Fort Collins Build A Generation has been
publicly involved in a number of community activities:
• Gang Task Force (mid-1990's)— BAG representatives sat on Gang Task Force. Action taken by this task
force and the community-at-large quickly and effectively reduced gang activity in the area.
• Turn Off The Violence Campaign (1998) - BAG worked with District Attorney's Office on campaign,
publicly recognizing organizations and private citizens who promote non-violence.
• Teen Pregnancy Prevention (1998) - BAG coordinated a series of teen pregnancy prevention forums with
HCC. As a result, a permanent collaborative group formed called the Teen Pregnancy Prevention
Advocates,who have developed a curriculum, teaching parents to be sex educators of their children.
• Substance Abuse Forum (1999) - BAG coordinated a substance abuse forum with HCC. As a result, a
permanent collaborative group formed called Community Mobilization as Prevention. Awarded a four-year
ADAD grant in 1999.
• Strengthening local mentorship program (1998) — In 1998 Larimer County Partners, a mentorship
program, lacked adult males volunteers. Big Brothers Big Sisters mentorship program (BBBS) wanted to
open an office in Fort Collins. Another mentorship program would not solve the number problem. BAG
5c
. recognized this and successfully communicated to the community and to BBBS the need to strengthen the
existing local program and avoid duplication.
Wellness video on "Parenting: The Earle fears"(2000) — BAG influenced HCC and others to select the
topic of early childhood parenting for the third edition of "Wellness Toda}", a local TV program.
Addresses early children prevention program gap. The show is aired on the local TV station, the school
district's local station, and in several hospital and doctors' offices waiting rooms.
What does your community see as the benefits if this year's proposal is funded?
At present, FCBAG is at a critical point. We need another year to finish off the strategic plan.
leverage funds for its implementation, internally strengthen the CPPB board, and extemally strengthen
BAG within the context of other community development efforts. With one more year of funding, we
can take these critical steps towards sustainability and institutionalization of this process in our
community.
D. Staff Position
What phases of the risk and protective factor-focused prevention training has the local coordinator participated in,
Subma a job description, as Attachment B.
At the beginning of the second quarter of the 2000-2001grant year, Kay Collins resigned as
FCB.AG Project Director. The new project director. Kelly Shanahan, began working at the beginning
of the third quarter on January 16, 2000. At present, having only worked for BAG for three months,
Kelly has received no formal training in the risk and protective factor model. However, it is the
board's intention to solicit general training from the Colorado Division of Criminal Justice during the
fourth quarter. Funds have been requested in this application for advanced training. In addition to this
training, the Project Director will attend all training offered by DCJ and/or the Colorado Department
a of Public Health & Environment, attend and participate in the Communities Committee meetings, and
attend and participate in the annual Communities Informational Exchange.
Kelly Shanahan grew up in Fort Collins, received her bachelor's degree at CU Boulder in
International Spanish for the Professions, and most recently comes to FCBAG from Bolivia where she
worked on a rural municipal government strengthening and civic education program, funded by the
U.S. .%gency for International Development.
E. Goals, Objectives, Performance Measures.
GOAL #1: To complete and publish a three-year prevention plan with goals and objectives
strategies, programs, responsibilities assigned resources needed and timelines
Objective La: Use recently-updated identified priority risk factors, resources and gaps to complete
the three-year prevention plan.
Tasks Time line Responsible Measure of Progress
Person(s)
1. Establish committees to By July 31, 2001 Coordinator Committees formed and lists of
identify strategies to address gaps committee members.
in the prioritized risk factors.
2. Engage community in By October 31. Coordinator, Meeting(s) held with key leaders
planning process. 2001 CPPB and community members.
attendance at meetings.
3. Develop an evaluation By November 30, Coordinator, Desired participant and program
mechanism for the plan. 2001 CPPB outcomes identified.
4. Finalize plan based upon By November 30, Coordinator, Published plan.
community input. 2001 CPPB
5d
Objective Lb: Disseminate prevention plan throughout the community to create buy-in and
encourage partnership.
Tasks Time line Responsible i Measure of Progress
Person(s)
1. Develop and execute a public By Januan : I. 200 Coordinator. CPPB Mailing lists, meetings
relations strategy to disseminate the
plan throughout the community.
2. Make the plan available on the By Januan 3 I, _002 Coordinator. PR I W'ebsites
HCC website, and link it to other I committee
community planning web sites
Outcome Evaluation: Three-year prevention plan completed according to the planning process
model by November 30, 2001. and made accessible to other youth-focused coalitions. key leaders, and
community members through hard copy distribution and the internet.
Cost Needs: Salary of coordinator, in-kind match of board members, in-kind match of key leaders
and community members, printing and promotional supplies, postage, food and beverage supplies,
organized meals, travel inside Fort Collins, contracted services for technical assistance.
GOAL #2: Prepare for implementation of three vear prevention plan
Objective 2.a: Develop a diverse resource development strategy to leverage resources for the
implementation of the three-year prevention plan.
Tasks Time line Responsible Person(s) Measure of Progress
1. Establish a Resource By January 31, Coordinator Date of first meeting and
Development Team. 2002
attendance at meeting.
2. Investigate funding and By February 28, Coordinator and Report on resource
resource opportunities at the 2002 Resource Development opportunities submitted
national, state and local level. Team by team.
3. Assist community On-going Coordinator, Resource Completed grant
organizations in applying for Development Team, and applications submitted by
resources that would allow community organizations community organizations
for plan implementation.
Outcome Evaluation: Resources will be secured to support the FCBAG process for at least three
additional years by June 30, 2002.
Cost Needs: Salary of coordinator, in-kind match of board members, in-kind match of key leaders
and community members, printing and promotional supplies, postage.
GOAL #3: Strengthen and ensure longevity of the Community Prevention Policv Board
Objective 3.a: Orient and educate new coordinator and new board members in the risk and
protective factor prevention model.
Tasks Time line Responsible Persons) Measure of Progress
1. Organize a general training By July 31. Coordinator Date of training session and
session on the model. 2001 attendance at session.
2. Organize a Policy Board By August 31, Coordinator Date of training session and
Governance training session. 2001 attendance at session.
3. Update and review board On-going Coordinator Updated board orientation
orientation manual to include new manual.
and accurate information.
5e
• Objective .b: Further orient and educate the board and staff on an on-going basis.
Tasks Time line Responsible Persons) Measure of Progress
1. Organize a Promising By August 31, Coordinator Date of training session and
Approaches training. 2001 attendance at session.
?. Schedule a minimum of two On-going Coordinator Dates of meetings and
For:Collins BAG representatives attendance at meetings.
to attend at least one State
Advisory Board meeting.
3. `.ichedule a minimum of two On-going Coordinator Dates of meetings and
Fort Collins BAG representatives attendance at meetings.
to a'tend at least one State
Advisory Board meeting. �
4. Continuing education for On-going Coordinator, with Enrollment in classes) and
project director in areas that Board approval seminar(s).
enhance performance on the job.
Objective 3.c: Work with the Healthier Communities Coalition of Larimer County to ensure that the
BAG prevention plan becomes part of the overall community plan.
Tasks Time line Responsible Person(s) Measure of
Progress
1. The project director and 2 BAG board On-going Coordinator and 2 board Dates of
members will participate on the HCC board of members meetings and
directors, plus attend HCC committees that attendance.
are focused on developing an overall
community plan.
2. Present the three-year prevention plan to By January Coordinator, CPPB Date of meeting
the HCC board of directors and determine the 31, 2002 -
process to integrate it into the overall
com munity plan.
Outcome Evaluation: Each board member will have in their possession an updated CPPB board
orientation manual, the majority of board members will be fully trained in the Communities That Care
model, communication via BAG board representatives will be increased between BAG and HCC, and
the prevention plan will be integrated into the overall community plan.
Cost Needs: Salary of coordinator, in-kind match of board members, in-kind match of key leaders
and community members, coordinator continuing education, printing and promotional supplies, food
and beverage supplies, travel outside Fort Collins area, contracted services for technical assistance.
GOAL #4: Increase collaboration and communication with other planning and prevention
efforts to the community.
Objective 4.a: Increase communication and collaboration with other youth-focused initiatives and
coalitions in the region.
Tasks Time line Responsible Person(s) Measure of Progress
I. Arrange for several board members On-going Coordinator Dates of two meetings and
• to m(!et with Fort Collins Youth attendance at meetings.
Advisory Council to coordinate with
teen representatives.
5f
2. Arranee for several board members On-going Coordinator I Dates of meetings and
to meet with the following groups: attendance at meetings.
a) Community Mobilization as
Prevention (substance abuse
prevention);
b) Communities in Schools
Outcome Evaluation: Lines of communication open with the above-mentioned community groups.
and tangible feedback from them about the integration of the BAG process through the prevention plan
into their operations.
Cost Needs: Salary of coordinator. in-kind match of board members. in-kind match of key leaders
and community members. travel inside Fort Collins.
F. Long-term Evaluation and Funding Plan.
We will develop a tracking system with the goals, objectives, actions and timelines listed and
monitor what is being accomplished on a monthly basis. The Director will report the
accomplishments to the Board also on a monthly basis. Quarterly and final reports will be submitted
to the Department of Public Health & Environment within all required timeframes.
One of the primary motivations for collaborating was to ensure continuation of the project
through collaborative fund-seeking efforts. By demonstrating a high level of collaboration. we
increase the likelihood of obtaining support from the community, grants and foundations; increase the
number of resources we seek out because we represent a broader scope: and increase the coordination
of applications for grants, therefore decreasing fragmentation and/or duplication.
To achieve these goals. the board has collaborated with HCC to develop a permanent home for
a combined Director, who will eventually be funded through grants, contributions, and dues paid to
HCC.
G. Past Performance
Special Conditions:
1. The Project Director is responsible to have all staff and volunteers assigned to this funded project
read and understand the rights afforded to crime victims pursuant to Colorado Victim Rights Act and its
enabling legislation, 24-4.1-302.5, 24-4.1-303 and 24-1-304, Colorado Revised Statutes. The new project
director is the in process of obtaining a copy of the Colorado Victim Rights Act to be read by staff and
volunteers.
2. The Build A Generation 3-Year Comprehensive Prevention Plan must be completed by March 31,
2001. For reasons outlined in quarterly reports for grant year 2000-2001, this special condition will not
be met by the end of this grant year. Instead, the present grant application for 2001-2002 outlines how
this will be accomplished if funding continues.
3. Report quarterly on efforts to enhance the Community Prevention Policy Board to better reflect the
ethnic, age and cultural diversity of your community. The Community Prevention Policy Board is
currently in the process of replenishing board membership in a manner that reflects the ethnic, age,
and cultural diversity of the Fort Collins community.
4. Report in quarterly narratives the activities of your Community Prevention Policy Board. Do not
send monthly agendas or minutes. Narrative reports are sent within 30 days of the end of each quarter
to the Colorado Division of Criminal Justice detailing the activities of the Community Prevention
Policy Board.
5g
BUDGET FORM
Use this Budget Form to list expenses anticipated for the planning process. Refer to the application instructions for category descriptions, match calculations, etc.
nn not rtPviata frnm the fnrmot..r.,,A Al l Onl IAtn AI I ARAnl uiro 11 ri rr u11. .-- -,..�...
•-•r•�••�..�. •.•.,,...r.�� ,v,vv�.i. i v i i 1C 111Z �MCJ t VVnULE DVLLHK - no not use decimals. Breakout the total of each row
into the source of funding in the AFunding Source Breakdown@ columns.
(1) (2) (3) (4) (5) Funding Source Breakdown
Annual Full- Annual Fringe Sub- % of Time for TOTAL _
1. PERSONNEL Time Salary Benefit Cost Total This Project Requested $ Cash Match In-Kind Match
Community Prevention Policy Board + = x % $ 11,660 $ 11,660
Key Leaders/Community Members + = x % $ 2,385 $ 2,385
+ = x %
+ = X %
PERSONNEL TOTAL $ 14, 045 $ 14,045
[Funding Source Breakdown2. SUPPLIES AND OPERATING TOTALquested$ Cash Match In•Kind Match
Occupancy, Cleaning Services, Office Supplies $ 6,400 $ 6.400
Maintenance and Repairs $ 650 $ 250 $ 400
Printing and Promotional Supplies $ 1,700 $ 1,500 $ 200
Postage $ 1,200 $ 800 $ 400
Food and Beverage Supplies $ 700 $ 500 $ 200
Organized Meals $ 1,500 $ 1.500
Project Director Continuing Education $ 2,400 $ 1,200 $ 1,200
Community Foundation Operating $ 600 $ 600
SUPPLIES AND OPERATING TOTAL $ 15,150 $ 6,350 $ 2,400 $ 6 4400
Page 6 of 13
BUDGET FORM (cont)
Funding Source Breakdown
3. TRAVEL(Designate specifically in-state and out-of-state travel) TOTAL Requested$ Cash Match In-Kind Match
Travel out of the Fort Collins Area (see narrative for calculation) $:2,2298
$ 1,401
Travel in the Fort Collins Area (see narrative for calculation) $ ::] $ 897
TRAVEL TOTAL $ $ 1,401 $ 897
Funding Source Breakdown
4. EQUIPMENT(Items valued at$5,000 or more) TOTAL
Requested $ Cash Match In-Kind Match
$
:I
EQUIPMENT TOTAL
Funding Source Breakdown
5. CONTRACTED,CONSULTANT AND PROFESSIONAL SERVICES TOTAL
Requested $ Cash Match In-Kind Match
Contracted Services through Poudre Valley Health System, Inc. (Poudre Valley Hospital) $ 31,668 $ 31,668
As the implementing agency who employs the Project Director, Kelly Shanahan
(see attached budget and narrative for calculations)
Contracted Services for technical assistance (see narrative for calculation) $ 4,000 $ 4,000
CONTRACTED, CONSULTANT AND PROFESSIONAL SERVICES TOTAL $ 35,668 $ 35,668
6. TOTAL OF ALL PROJECT COSTS (1 through 5) TOTAL $67,161 $43,419 $ 3,297 $20,445
Total Match -$23,742
% of Requested $: 55 %
BUDGET FORM - Implementing Agency
Use this Budget Form to list expenses anticipated for the planning process. Refer to the application instructions for category descriptions, match calculations, etc.
nn nl r!n Mu ir.....*6c,-r.....1 .. .:.),.,.� nr�i urn nr r
•-- "•�•�•- -•� .. a.N;O.,�o.,. nvvrw nu nirrvvfvT$ i v I MC Nr mRCJ 1 VVrIULt UULLAN --do not use decimals. Breakout the total of each row
into the source of funding in the AFunding Source Breakdown@ columns.
(1) (2) (3) (4) (5) Funding Source Breakdown
Annual Full- Annual Fringe Sub- % of Time for TOTAL
1. PERSONNEL Time Salary Benefit Cost Total This Project Requested $ Cash Match In-Kind Match
+ = x %
+ = x %
+ = x %
+ = x %
PERSONNELTOTAL
Funding Source Breakdown
a 2. SUPPLIES AND OPERATING TOTAL
Requested $ Cash Match In-Kind Match
D
3
D
)
1
)
n
)
T
l
SUPPLIES AND OPERATING TOTAL
Page 6 of 13
BUDGET FORM - Impl tenting Agency (cont)
Funding Source Breakdown
3. TRAVEL(Designate specifically in-state and out-of-state travel) TOTAL 11 Requested $ Cash Match In-Kind Match
TRAVEL TOTAL
Fnd Surce Breakdown
4. EQUIPMENT(Items valued at$5,000 or more) TOTAL
fRuquestedo$ Cash Match In-Kind Match
EQUIPMENT TOTAL
i
Funding Source Breakdown
5. CONTRACTED, CONSULTANT AND PROFESSIONAL SERVICES TOTAL
Requested $ Cash Match In-Kind Match
Contracted Services through Poudre Valley Health System, Inc. (Poudre Valley Hospital) $ 31,668 $ 31,668
As the implementing agency who employs the Project Director, Kelly Shanahan
(see narrative for actual breakdown explanation)
CONTRACTED, CONSULTANT AND PROFESSIONAL SERVICES TOTAL $ 31,668 $ 31,668
6. TOTAL OF ALL PROJECT COSTS (1 through 5) TOTAL $ 31,668 $31,668
Total Match -$
% of Requested$: %
BUDGET FORM - Implementing Agency
Use this Budget Form to list expenses anticipated for the planning process. Refer to the application instructions for category descriptions marry, ralridnfinn.
Do not deviate from the format provided. ROUND ALI_ AMni]HITS Tn_ TUC 11�1 .
into the source of funding in the AFunding Source Breakdown @ columns. �J I vvnULc DOLLAK --do not use decimals Breakout the total of each row
1
1. PERSONNEL Annual Full- Annual Fringe Sub- % of T�rne for (5) Funding Source Breakdown
Time Salary Benefit Cost Total This Project TOTAL
Requested$ Cash Match In-Kind Match
+ — x %
+ - x % ------
+
+ x %
+ x %
PERSONNELTOTAL
2. SUPPLIES AND OPERATING TOTAL Funding Source Breakdown
Requested $ Cash Match In-Kind Match
SUPPLIES AND OPERATING TOTAL
Page G of 13
BUDGET FORM - Imp, -.. ,tenting Agency (cont) _
3. TRAVEL (Designate specifically in-state and out-of-state travel) Funding Source Breakdown
TOTAL
Requested$ Cash Match In-Kind Match
TRAVEL TOTAL
4. EQUIPMENT(Items valued at$5,000 or more) TOTAL Funding Source Breakdown
Requested $ Cash Match In-Kind Match
EQUIPMENT TOTAL
5. CONTRACTED, CONSULTANT AND PROFESSIONAL SERVICES TOTAL Funding Source Breakdown
Requested $ Cash Match In-Kind Match
Contracted Services for technical assistance (see narrative for calculation) $ 4,000
$ 4,000
I
CONTRACTED,CONSULTANT AND PROFESSIONAL SERVICES TOTAL $ 4,000
$ 4,000
6. TOTAL OF ALL PROJECT COSTS (1 through 5) TOTAL $ 4,000
Total Match -$
% of Requested $: %
;•t•''�; COLORADO BUILD A GENERATION®
APPLICATION FOR FUNDS
(Refer to EIAG Application Instructions & the Announcement of Availability of Funds while completing this application.)
°LANNING PROCESS DURATION DATES: From:July 1.2001 To: June 30.2002
16� Page 8 OF 131
BUDGET NARRATIVE. REFER TO THE BUDGET INSTRUCTIONS in the Application Instructions. If more than one
page is needed, number them as 8a, 8b, etc. (Limit to 4 pages).
• Provide a narrative justification and explanation of all budget items listed on, and in the same format as, the Budget
Fo Tn.
• Be SLre to identify the source(s) of match. The Certification of Appropriation of Match on page 9 must be completed
by each source of match.
• Describe other resources made available to the planning process that may not be listed in the budget. List the
SOLrce, for what use, and the amount.
• Explain the agency's grant management process. See Budget Instructions.
BUDGET NARRATIVE
I. PERSONNEL: S14 045
Requested Funds SO: In-Kind Match $14,045
Community Prevention Policy Board: In-Kind Match S1I,660
(Vole: We are in the process of replenishing board membership to reach our 15 member
goal. However,for the purposes of this calculation, we will only use 10 members.)
The in-kind services contributed by the board members will be for attending monthly
board meetings: two members to attend outside Build A Generation event: administrative
responsibilities: and assistance with other board functions and events.
BAG Board Meetings: 10 members x 12 months x 2.0 firs. x$13.25/hr. = S 3,180
BAG Special Committees: 10 members x 10 months x 4.0 firs.x$13.25/hrs. = S 5,300
Bag Members also on HCC Board: 2 members x 12 months x 2.0 hrs. x $I3.25/hrs. = S 636
HCC Special Committees: 2 members x 12 months x 3.0 firs. x$13.25/hrs. _ $ 954
New Board Member Training: 5 members x 2 sessions x 4.0 firs. x $13.25/hrs. _ $ 530
Continuing Board Education: 10 members x 1 session x 4.0 firs. x$13.25/hrs. = S 530
State Board Meetings: 2 members x I time/year x 4.0 hrs. x S 13.25/hrs. = S 106
Communities Committee Meetings: 2 members x I time/vear x 4.0 firs.x$13.25/hrs. = S 106
2 Board Members Overnight: 2 members x I time/year x 12 hrs. x S I3.25/firs. = S 318
ESTIMATED TOTALS S11,660
Key Leaders/Community Members: In-Kind Match $2,385
Various Kev Leaders and community members will be contributing time for functions
and events throughout the year.
ESTIMATED TOTAL 15 hours x 12 months x S13.25 = S 2,385
2. SUPPLIES AND OPERATING: $15 150
Requested Funds are $6,350. In-Kind Match is $8,800
Occupancy, Cleaning Services, Office Supplies: In-Kind Match $6,400
Poudre Valley Health Systems places a value of approximately 20% of the salary for the
use of space, telephone. far, desk, computer, chair, general office supplies and cleaning.
Maintenance and Repairs: Requested Funds $250; In-Kind Match $400
A value of$400 is placed on the maintenance and repair of office equipment that is the
property of Poudre Valley Health Systems. For maintenance and repair of additional
equipment owned by Fort Collins Build A Generation, $250 is requested.
Printing and Promotional Supplies: Requested Funds $1,500; In-Kind Match S200
Printing will include photocopies of maps, reports, and plans. Promotional supplies will
include marketing materials necessary for publishing the comprehensive strategic plan
and other materials necessary for community forums relating to BAG business. Poudre
Valley Health Systems is providing an in-kind match of$200.
8a
. Postage: Requested Funds $800; In-Kind Match $400
Minutes of monthly meetings are sent by e-mail to most of the board members. The
postage will be used for community events, focus groups. key leaders. and mailing
documents completed this fiscal year. Poudre Valley Health Systems is providing an in-
kind match of$400.
Food and Beverage Supplies: Requested Funds $500; In-Kind March $200
Provide food and beverage for Community Prevention Board meetings and other Kee
Leader and BAG Community meetings. Poudre Valley Health Systems is providing an
in-kind match of$200.
Organized Meals: Requested Funds $1,500
This includes special Key Leader luncheon's and breakfasts plus food for BAG related
community forums.
Project Director Continuing Education: Requested Funds $1200; In-Kind Match
$1200
FCBAG Board and the Board of Directors of HCC believe it is important that the Project
Director participate in seminars, courses, and conferences that will enhance her ability to
act as a catalyst for community-wide communication, coordination and collaboration.
This would include training in facilitation and civil and community mediation. It would
also possibly include attending a national conference on healthy communities initiatives
and coalition-building. The FCBAG board has agreed to seek funds to invest in the
Project Director's continuing education, specifically funds that will cover costs of tuition,
registration fees, and lodging/subsistence. The Board of Directors of HCC has agreed to
match the request with funds that can be applied to these same expenses. as well as travel
and per diem.
Community Foundation Operating: Requested Funds $600
The Fort Collins Community Foundation, our fiscal agent, requested amount for handling
;md maintenance of the fund.
:S. TRAVEL: $2 298
Requested Funds $1,401. Cash Match $897
-Fhe Project Director will travel to three Communities Committee meetings per year plus
atte4d the annual Information Exchange meeting. Overnight stays may be necessary due
to the distance of other Build A generation communities. Travel is calculated at $.28 per
mile for funds requested from the Criminal Justice system.
Communities Committee meetings and
• Annual Informational Exchange: 4 x .32 x 500 miles $ 640
Training and DO events in Denver: 4 x .32 x 150 miles $ 192
2 Board members to community event: 2 x .32 x 500 miles = $ 320
Overnight lodging and per diem: $83/night x 3 nights/year = $ 249
8b
Travel Outside Fort Collins Area $1,401
Travel Inside Fort Collins: 50 miles x 51 weeks x .345/mile = (Cash Match) S 897
5. CONTRACTED, CONSULTANT AND PROFESSIONAL SERVICES: $35.668
Requested Funds: $35,668
Contracted Services with Poudre Valley Health System, Inc: Requested Funds 531.668
Contracted Services with Poudre Valley Health System. Inc. (Poudre Valley Hospital) for
employment of Kelly Shanahan. Project Director of Fort Collins Prevention Initiative for
Healthy Youth Development (Fort Collins Build A Generation). A Project Director
oversees Build A Generation and Healthier Communities Coalition simultaneously. By
combining these reorganizations, we begin to build the basis for an ongoing position in
our community when the grant is no longer available to Fort Collins. This collaboration
reduces duplication, creates more cost efficiency and assures effective coordination in
reaching common goals using risk-focused prevention. Please see the budget and
narrative for the Poudre Valley Health System, Inc. contract to explain the breakdown of
salary and benefits for the Project Director.
Contract Services for Technical Assistance: Requested Funds 54,000
Technical assistance is requested based on the need to re-evaluated the original gaps
analysis and create the strategic plan. We need assistance in this process as well as board
development and training. The requested fund amount is based on the budget and
narrative submitted for technical assistance. Please see the attached documents.
8C
. Sound Financial Management:
Financial Record Keeping:
All financial records for the Department of Criminal Justice Grant(s) are maintained at the Fort
Collins Community Foundation (FCCF). All records regarding the income and expenses of the
grant(s) are maintained in conjunction with the records of the FCCF. All records of the FCCF
(including the grant records) are made available to an independent auditor each year. The record
keeping policies and procedures for the FCCF include the maintenance of income and expenses.
including all paid invoices. The personnel records for the staff person are keep at the Poudre
Valley Health System. Inc., the implementing agents. More detail records are kept at the office
of :he Project Manager.
Programmatic Record Keeping:
All grant documents are maintained at the FCCF and the office of the Project Director. Specific
programs of the grant are monitored by the Build A Generation Board of Directors. All records
regarding the carrying out of the grant programs are also maintained at the FCCF and Project
Director's office.
Personnel Policies:
The personnel policies are the same as those followed by all Poudre Valley Health System. Inc.
(Poadre Valley Hospital) employees. A full copy of these policies are available upon request.
•' Travel Policies:
All employee related travel is monitored by the personnel policies and the budgeted amounts for
specific training and/or business related travel.
Procurement Policies:
All purchases over $5,000.00 require a minimum of three sealed and written bids. Also. as
indicated in the DCJ grant documents, all purchases of equipment require the prior written
approval of the DCJ.
Cheeks and Balances:
The FCCF is subject to an assessment of the internal control structure during the annual audit. In
regards to the specifics of the DCJ grant, all checks are approved by the Project Director. yet the
custodial control including the balancing of the checking account, is performed by the Finance
Director and the Finance Assistant at FCCF.
Board Involvement:
The Build A Generation Board of Directors reviews, on a quarterly basis, the income and
expenses of the DCJ Grant.
Governmental Accounting Standards Board:
• All applicable financial pronouncements (including FASB, GASB. SOP and SAS) are fully
complied with.
8d
BUDGET NARRATIVE — IMPLEMENTING AGENCY
5. CONTRACTED, CONSULTANT AND PROFESSIONAL SERVICES: $31,668
Requested Funds S31,668
Contracted Services with Poudre Valley Health Svstem Inc: Requested Funds S3I.668
The Project Director is employed by Poudre Valley Health Svstem. Inc. (Poudre Valley
Hospital) for 40 hours per week. The breakdown will be 31 hours (.7692) devoted to
Build A Generation activities and 9 hours (.2308) to Healthier Communities Coalition.
The following description will identify the split financially between the two entities.
PERCENT OF TIME DEDICATED TO
BAG HCC TOTALS"
(@.7692) (@,2308)
Salary: $24,360 + $ 7,308 = $31,668
Benefits: 7.308 + 1,192 = 9,500
Total $31,668 + $ 9,500 = $41,168
(**) Based upon Poudre Val/ev Health Svstem, Inc. standards, the salary range for this type of position is
S29,943-$39,924(not including benefits).
1 The detail description is to identify that the request of$31,668 will pay only for time the
Project Director will spend on Fort Collins Prevention Initiative for Healthy Youth
Development. Since the numbers are the same, Build A Generation will pay the $31,668
of the salary and Healthier Communities Coalition will pay the $9,500 of the benefits
versus each paying part salary and part benefits. The fringe benefits, paid through the
benefit package of Poudre Valley Health System, Inc. (a member of HCC), are 30% of
the salary, including health insurance, FICA, social security, workers compensation, and
all other benefits afforded through the Poudre Valley Health System, Inc. package. The
$9,500 was not identified as in-kind match since this amount represents the time the
Project Director will work for Healthier Communities Coalition. The salary of the
project director has been raised 5% since date of hire for a merit and cost of living
increase.
The Project Director plays a key role in assisting with oversight, leadership and
management of the Build A Generation process on the local level. The job description
outlines the roles and responsibilities of the Project Director.
Se
. BUDGET NARRATIVE — IMPLEMENTING AGENCY
5. CONTRACTED, CONSULTANT AND PROFESSIONAL SERVICES: 54,000
Requested Funds $4,000
Contract Services for Technical Assistance: Requested Funds $4 000
Technical assistance is requested based on the need to re-evaluated the original gaps
analysis and create the strategic plan. The Project Director is still fairly new, not
completely trained in the model, and needs assistance (along with the board) in
completing the above objectives. Based on the technical assistance required during the
1999 - 2000 grant year, the following calculations determined the requested funds:
82.85 hours for the year @ $40 per hour = $3,314
Expense reimbursement (copies, phone calls, etc.) = 436
Travel reimbursement for mileage to Fort Collins = 250
Total Estimated Expenses $4.000
•1
8f
COLORADO BUILD A GENERATION®
APPLICATION FOR FUNDS
Refer to BAG Application Instructions 8 the Announcement of Availability of Funds while completing this application.)
PLANNING PROCESS DURATION DATES: From.July 1, 2001 To: June 30,2002 Page 10 OF 13
This Certification of Appropriation of Match form should be completed by all agencies providing cash or in-kind match
If there is more than one source of match, copy this page for all agencies providing match and insert as pages 9a, 91b, etc.
If volunteer time is being used as in-kind match, the form should be signed by the person who will coordinate volunteers.
Certification of Appropriation of Match
Date: April 13 2001
Colorado Division of Criminal Justice, CDPS, and
Colorado Department of Public Health and Environment
Build A Generation
700 Kipling Street
Denver, Colorado 80215
To Whom It May Concern:
Please be advised that Community Prevention Policy Board of Build A Generation of Fort Collins
has appropriated funds in the form of cash in the amount of $ and/or I In-kind match,
valued at $ 11 ,660 to match the state funds for the
Fort Collins Prevention Initiative for Healthy Youth Development
(Title of proposed planning process)
Execution of this document represents a certification that said funds have been earmarked within the
appropriation of budget process for use as matching funds for the 2001/02 Build A Generation grant
application.
Sincerely,
_hl
Sig ur of Authorized Official
Nancy Grove Chairperson of Fort Collins Build A Generation
Typed Name and Title
9a
••; COLORADO BUILD A GENERATION®
APPLICATION FOR FUNDS
• )Refer to BAG Application Instructions & the Announcement of Availability of Funds while completing this application,.)
PLANNING FIROCESS DURATION DATES: From. July 1, 2001 To: June 30. 2002 Page 10 OF 13
This Certification of Appropriation of Match form should be completed by all agencies providing cash or in-kind match.
If there is more than one source of match, copy this page for all agencies providing match and insert as pages 9a, 91b, etc.
If volunteer time is being used as in-kind match, the form should be signed by the person who will coordinate volunteers.
Certification of Appropriation of Match
Date:_ April 13 2001
Colorado Division of Criminal Justice, CDPS, and
Colorado Department of Public Health and Environment
Build A Generation
700 Kipling Street
Denver, Colorado 80215
To Whom it May Concern:
.?lease be advised that Key Leaders/Community Members of Build A Generation of Fort Collins
has appropriated funds in the form of cash in the amount of $ and/or I In-kind match,
valued at $ 2,385 to match the state funds for the
Fort Collins Prevention Initiative for Healthy Youth Development
(Title of proposed planning process)
Execution of this document represents a certification that said funds have been earmarked within the
appropriation of budget process for use as matching funds for the 2001/02 Build A Generation grant
application.
Sincerely,
�>1
SigiVure,tbf Authorized Official
Nancy Grove Chairperson of Fort Collins Build A Generation
Typed Name and Title
9b
-••; COLORADO BUILD A GENERATION®
APPLICATION FOR FUNDS
1Refer to BAG Application Instructions 8 the Announcement of Availability of Funds while completing this application.)
PLANNING PROCESS DURATION DATES: From July 1,2001 To: June 30,2002 Page 9 OF 13
This Certification of Appropriation of Match form should be completed by all agencies providing cash or in-kind match
If there is more than one source of match, copy this page for all agencies providing match and insert as pages 9a, 9b, etc.
If volunteer time is being used as in-kind match, the form should be signed by the person who will coordinate volunteers
Certification of Appropriation of Match
Date: April 12. 2001
Colorado Division of Criminal Justice, CDPS, and
Colorado Department of Public Health and Environment
Build A Generation
700 Kipling Street
Denver, Colorado 80215
To Whom It May Concern:
Please be advised that Poudre Valley Health Systems Inc.
has appropriated funds in the form of cash in the amount of $ and/or I In-kind match,
valued at $ 6,400 to match the state funds for the
Fort Collins Prevention Initiative for Healthy Youth Development
(Title of proposed planning process)
Execution of this document represents a certification that said funds have been earmarked within the
appropriation of budget process for use as matching funds for the 2001/02 Build A Generation grant
application.
Sincerely,
ztL
Signature of Authorized Offici
Ruth Lytle-Barnabv Director Community and Foundation Development
Typed Name and Title
9C
COLORADO BUILD A GENERATION®
APPLICATION FOR FUNDS
!Refer to BAG Application Instructions 8 the Announcement of Availability of Funds while completing this application.)
PLANNING PROCESS DURATION DATES: From: July 1, 2001 To: June 30,2002 Page 9 OF 13
This Certification of Appropriation of Match form should be completed by all agencies providing cash or in-kind match.
If there is more than one source of match, copy this page for all agencies providing match and insert as pages 9a, 9b. etc
If volunteer time is being used as in-kind match, the form should be signed by the person who will coordinate volunteers.
Certification of Appropriation of Match
Date:_ April 12 2001
Colorado Division of Criminal Justice, CDPS, and
Colorado Department of Public Health and Environment
Build A Generation
700 Kipling Street
Denver, Colorado 80215
To Whom It May Concern:
(Please be advised that Poudre Valley Health Systems Inc
has appropriated funds in the form of ! cash in the amount of $ 400 and/or C' In-kind match,
valued at g to match the state funds for the
Fort Collins Prevention Initiative for Healthy Youth Development
(Title of proposed planning process)
Execution of this document represents a certification that said funds have been earmarked within the
appropriation of budget process for use as matching funds for the 2001/02 Build A Generation grant
application.
Sincerely,
Signature of Authorized Officia
Ruth Lytle-E3arnabv Director Community and Foundation Development
Typed Name and Title
9d
..•'•; COLORADO BUILD A GENERATION®
APPLICATION FOR FUNDS
Refer to BAG Application Instructions & the Announcement of Availability of Funds while completing this application.)
PLANNING PROCESS DURATION DATES: From: July 1, 2001 To: June 30,2002 Page 9 OF 13
This Certification of Appropriation of Match form should be completed by all agencies providing cash or in-kind match.
If there is more than one Source of match, copy this page for all agencies providing match and insert as pages 9a, 91b, etc
If volunteer time is being used as in-kind match, the form should be signed by the person who will coordinate volunteers.
Certification of Appropriation of Match
Date:_. April12 2001
Colorado Division of Criminal Justice, CDPS, and
Colorado Department of Public Health and Environment
Build A Generation
700 Kipling Street
Denver, Colorado 80215
To Whom It May Concern:
?lease be advised that Poudre Valley Health Systems Inc
has appropriated funds in the form of I cash in the amount of $ 200 and/or In-kind match,
valued at $ to match the state funds for the
Fort Collins Prevention Initiative for Healthy Youth Development
(Title of proposed planning process)
Execution of this document represents a certification that said funds have been earmarked within the
appropriation of budget process for use as matching funds for the 2001/02 Build A Generation grant
application.
Sincerely,
Signature of Authorized Official
Ruth Lytle-Barnabv Director Community and Foundation Development
Typed Name and Title
9e
COLORADO BUILD A GENERATION®
APPLICATION FOR FUNDS
'Refer to 13AG Application Instructions & the Announcement of Availability of Funds while completing this application ) II
PLANNING PROCESS DURATION DATES: From. July 1, 2001 To: June 30.2002 Page 9 OF 13I
This Certification of Appropriation of Match form should be completed by all agencies providing cash or in-kind match I
If there is more than one source of match, copy this page for all agencies providing match and insert as pages 9a, 9b, etc.
If volunteer time is being used as in-kind match, the form should be signed by the person who will coordinate volunteers
Certification of Appropriation of Match
Date:_ April 12 2001
Colorado Division of Criminal Justice, CDPS, and
Colorado Department of Public Health and Environment
Build A Generation
700 Kipling Street
Denver, Colorado 80215
To Whom It May Concern:
•Please be advised that Poudre Valley Health Systems Inc
has appropriated funds in the form of Il cash in the amount of $ 400 and/or In-kind match,
valued at $ to match the state funds for the
Fort Collins Prevention Initiative for Healthy Youth Development
(Title of proposed planning process)
Execution of this document represents a certification that said funds have been earmarked within the
appropriation of budget process for use as matching funds for the 2001/02 Build A Generation grant
application.
Sincerely,
_ 6C �
Signature of Authorized Office I
Ruth Lytle-[ arnabv Director Community and Foundation Development
• Typed Name and Title
9f
COLORADO BUILD A GENERATION®
APPLICATION FOR FUNDS
Refer to BAG Application Instructions & the Announcement of Availability of Funds while completing this application.)
PLANNING PROCESS DURATION DATES: From. July 1,2001 To: June 30.2002 Page 9 OF 13
This Certification of Appropriation of Match form should be completed by all agencies providing cash or in-kind match.
If there is more than one source of match, copy this page for all agencies providing match and insert as pages 9a, 9b, etc
If volunteer time is being used as in-kind match, the form should be signed by the person who will coordinate volunteers.
Certification of Appropriation of Match
Date: April 12 2001
Colorado Division of Criminal Justice, CDPS, and
Colorado Department of Public Health and Environment
Build A Generation
700 Kipling Street
Denver, Colorado 80215
To Whom It May Concern:
?lease be advised that Poudre Valley Health Systems Inc.
has appropriated funds in the form of I cash in the amount of $ 200 and/or C In-kind match,
valued at $ to match the state funds for the
Fort Collins Prevention Initiative for Healthy Youth Development
(Title of proposed planning process)
Execution of this document represents a certification that said funds have been earmarked within the
appropriation of budget process for use as matching funds for the 2001/02 Build A Generation grant
application.
Sincerely,
Signature of'Authorized Official
Ruth Lytle-Barnabv Director Community and Foundation Development
Typed Name and Title
o..
COLORADO BUILD A GENERATION®
APPLICATION FOR FUNDS
. Refer to 13AG Application Instructions & the Announcement of Availability of Funds while completing this application.)
PLANNING PROCESS DURATION DATES: From:July 1. 2001 To. June 30, 2002 Page 9 OF 13
This Certification of Appropriation of Match form should be completed by all agencies providing cash or in-kind match
If there is 'nore than one source of match, copy this page for all agencies providing match and insert as pages 9a, 9b, etc
If volunteer time is being used as in-kind match, the form should be signed by the person who will coordinate volunteers
Certification of Appropriation of Match
Date:_ April 12 2001
Colorado Division of Criminal Justice, CDPS, and
Colorado Department of Public Health and Environment
Build A Generation
700 Kipling Street
Denver, Colorado 80215
To Whom It May Concern:
Please be advised that Healthier Communities Coalition of Larimer County
has appropriated funds in the form of I cash in the amount of $ 1200.00 and/or E In-kind match.
valued at :6 to match the state funds for the
Fort Collins Prevention Initiative for Healthy Youth Development
(Title of proposed planning process)
Execution of this document represents a certification that said funds have been earmarked within the
appropriation of budget process for use as matching funds for the 2001/02 Build A Generation grant
application.
Sincerely,
� n
Sign tur of Authoriz Official
Marcy McNl_eal, Chairperson of Healthier Communities Coalition of Larimer Countv
Typed Name and Title
9h
-••; COLORADO BUILD A GENERATION®
APPLICATION FOR FUNDS
Refer to BAG Application Instructions 8 the Announcement of Availability of Funds while completing this application.)
PLANNING PROCESS DURATION DATES: From:July 1,2001 To: June 30,2002 Page 9 OF 13
This Certification of Appropriation of Match form should be completed by all agencies providing cash or in-kind match.
If there is more than one source of match, copy this page for all agencies providing match and insert as pages 9a, 91b, etc.
If volunteer time is being used as in-kind match, the form should be signed by the person who will coordinate volunteers.
Certification of Appropriation of Match
Date: April 12 2001
Colorado Division of Criminal Justice, CDPS, and
Colorado Department of Public Health and Environment
Build A Generation
700 Kipling Street
Denver, Colorado 80215
To Whom It May Concern:
Please be advised that Healthier Communities Coalition of Larimer County
has appropriated funds in the form of I cash in the amount of $ 897 and/or In-kind match,
valued at $ to match the state funds for the
Fort Collins Prevention Initiative for Healthy Youth Development
(Title of proposed planning process)
Execution of this document represents a certification that said funds have been earmarked within the
appropriation of budget process for use as matching funds for the 2001/02 Build A Generation grant
application.
Sincerely,
a
A a S gnat re of uthorized Officia
Marcy McNeal Healthier Communities Coalition of Larimer County
Typed Name and Title
9i
;•�•;�; COLORADO BUILD A GENERATION®
APPLICATION FOR FUNDS
(Refer to BAG Application Instructions & the Announcement of Availability of Funds while completing this application.)
PLANNING PROCESS DURATION DATES: From. July 1, 2001 To June 30. 2002 Page 10 OF 13
CERTIFIED ASSURANCES AND SPECIAL PROVISIONS
The applicant hereby certifies that the project described in this application meets all the requirements related to the purpose of these
funds, that all information contained in the application is correct, that there has been appropriate coordination with affected agencies
and that the a oplicant will comply with all applicable state laws, rules and regulations that have been or may hereafter be established.
The applicant further understands and agrees that any grant received as a result of this application shall incorporate this application
into the grant award, and shall also be subject to the grant conditions set forth in the Statement of Grant Award and in these
assurances and special provisions.
A. Financial and Administrative Management
1) The applicant assures that fund accounting, auditing, monitoring, evaluation procedures and such records as the Division of
Criminal Justice shall prescribe shall be provided to assure fiscal control, proper management and efficient disbursement of
funds received.
2) The Division of Criminal Justice will pay the grantee the reasonable and allowable costs of performance, in accordance with
Colorado State Fiscal Rules, not to exceed the amount specified herein as the Total Award Amount, The Division's
requirements for invoice, advance payments, and cost reporting submissions are contained in the DCJ Form 3 Cash Request
Procedures, and DCJ Form 1-A Subgrant Financial Report, which are hereby incorporated by reference. Advance payments
cannot exceed 30-day operating expenses. The Division reserves the right to make and authorize modifications,
adjustments, and/or revisions to the Subgrant Award for the purpose of making changes in budget categories, extensions of
subgrant award dates, changes in goals and objectives, and other modifications which do not change the total amount of the
Grant Award. The Division's requirements for such grant adjustments are contained in the procedures for DCJ Forms 4a, 4b.
4c, and 4d, which are hereby incorporated by reference.
3) Pursuant to 24-30-202.4, Colorado Revised Statutes (as amended), the state controller may withhold debts owed to state
• agencies under the vendor offset intercept system for(a) unpaid child support debt or child support arrearages; (b) unpaid
balance of tax, accrued interest, or other charges specified in Article 22,Title 39, CRS; (c) unpaid loans due to the student
loan division of the department of higher education; (d)owed amounts required to be paid to the unemployment
compensation fund; and (e) other unpaid debts owing to the state or any state agency thereof, the amount of which is found
to be awing as a result of final agency determination or reduced to judgment as certified by the controller.
B. Match and Non-Supplanting of State/Local Funds
1) The applicant assures that funds made available through this grant will not be used to supplant state or local funds but will be
used to supplement and increase the amounts of such funds that would, in the absence of these funds, be made available.
2) The applicant certifies that matching funds, if applicable, required to pay the local portion of the cost of this grant are in
addition to funds that would have otherwise been made available for purposes of this project.
C. Inspection, Record keeping, and Audit
1) The applicant assures that it will procure an audit by a CPA or licensed public accountant incorporating the grant.At such
time Eis the audit, if necessary, is completed, ONE COPY OF THE AUDIT REPORT MUST BE FORWARDED TO THE
DIVISION OF CRIMINAL JUSTICE for clearance.
2) The applicant assures that it will maintain all project records in order to facilitate an effective audit for three years from the
date of the final financial report or beyond the three year period if an audit is in progress and/or the findings of a completed
audit have not been resolved satisfactorily.
3) The applicant assures that it will keep copies of all documents and correspondence related to this subgrant in a separate file
bearing the project title and grant number. All expenditures must be supported by documentation and only actual approved
expenditures will be permitted.
4) The aoplicant assures that the Division of Criminal Justice and the Colorado Department of Public Safety shall have access
for purposes of audit and examinations to any bonds, documents, papers and records of the grantee and to relevant books
and records of subcontractors of the grantee. The applicant shall notify any subcontractor of the grantee of these provisions.
. 5) The a oplicant assures that signatories of the application and grant award and personnel employed through this grant will
appear when requested at any administrative hearing, conference or meeting conducted by the Division of Criminal Justice.
6) The applicant assures that it shall maintain such data and information and submit such reports in such form, at such times,
and containing such data and information as the Division of Criminal Justice may reasonably require to administer the
program. The applicant further assures that quarterly financial and narrative reports shall be submitted within 30 days of the
end of each calendar quarter and shall be current and actual; and that final reports shall be submitted within 45 days of the
end date of the grant.
COLORADO BUILD A GENERATION®
APPLICATION FOR FUNDS
(Refer to BAG Application Instructions & the Announcement of Availability of Funds while completing this application.)
MANNING PROCESS DURATION DATES: From. July 1.2001 To. June 30, 2002 Page 11 OF 1�f
D. Fund Availability. Financial obligations of the State of Colorado payable after the current fiscal year are contingent upoc funds for
that purpose being appropriated, budgeted, and otherwise made available.
E. Discrimination Prohibited
The applicant assures that it will comply with the letter and spirit of the Colorado Antidiscrimination Act of 1957, as amended. and
other applicable law respecting discrimination and unfair employment practices (24-34-402.C.R.S. 1988 Replacement Vol.). and
as required by Executive Order, Equal Opportunity and Affirmative Action. dated April 16, 1975. Pursuant thereto, the following
provisions shall be contained in all state contracts or subcontracts.
During the performance of this contract,the contractor agrees as follows:
1) The contractor will not discriminate against any employee or applicant for employment because of race, creed, color,
national origin, sex, marital status, religion, ancestry, mental or physical handicap, or age. The contractor will take
affirmative action to insure that such applicants are employed, and that employees are treated during employment
without regard to the above mentioned characteristics. Such action shall include. but not be limited to the following:
employment, upgrading, demotion,or transfer; recruitment or recruitment advertising, lay-offs or terminations; rates of
pay or other forms of compensation; and selection for training, including apprenticeship. The contractor agrees to post
these provisions in conspicuous places, available to employees and applicants for employment.
2) The contractor will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state
that all qualified applicants will receive consideration for employment without regard to race, creed, color, national origin.
sex, marital status, religion, ancestry, mental or physical handicap, or age.
3) The contractor will send to each labor union or representative of workers with which he has collective bargaining
agreements or other contract or understanding, notice to be provided by the contracting officer, advertising the labor
union or workers' representative of the contractor's commitment under the Executive Order, Equal Opportunity and
Affirmative Action, dated April 16, 1975, and of the rules, regulations, and relevant Orders of the Governor.
4) The contractor and labor unions will furnish all information and reports required by Executive Order, Equal Opportunity
and Affirmative Action of April 16, 1975, and by the rules, regulations and Orders of the Governor, or pursuant thereto,
and will permit access to their books, records, and accounts by the contracting agency and the office of the Governor or
the Governor's designee for purposes of investigation to ascertain compliance with such rules, regulations and orders.
5) A labor organization will not exclude any individual, otherwise qualified,from full membership rights in such labor
organization, or expel any such individual from membership or discriminate against any of its members in the full
enjoyment of work opportunity, because of handicap, race, creed, color, sex, age, national origin, or ancestry. (24-34-
402(1)(c) C.R.S.)
6) A labor organization, or the employees or members thereof will not aid, abet, incite, compel or coerce the doing of any
act defined in this contract to be discriminatory or obstruct any person from complying with the provisions of this
contract or any order issued thereunder; or attempt either directly or indirectly,to commit any act defined in this contract
to be discriminatory. (24-34-402(1)(e)C.R.S.)
7) In the event of non-compliance with the non-discrimination clauses of this contract or with any of such rules, regulations.
or orders, this contract may be canceled, terminated or suspended in whole or in part and the contractor may be
declared ineligible for further State contracts in accordance with procedures, authorized in Executive Order, Equal
Opportunity and Affirmative Action of April 16, 1975, and the rules, regulations, or orders promulgated in accordance
therewith, and such other sanctions as may be imposed and remedies as may be invoked as provided in Executive
Order, Equal Opportunity and Affirmative Action of April 16, 1975, or by rules, regulations, or orders promulgated in
accordance therewith, or as otherwise provided by law.
8) The contractor will include the provisions of paragraph (a) through (h) in every sub-contract and purchase order,
pursuant to Executive Order, Equal Opportunity and Affirmative Action of April 16, 1975, so that such provisions will be
binding upon each subcontractor or vendor. The contractor will take such action with respect to any sub-contracting or
purchase order as the contracting agency may direct, as a means of enforcing such provisions, including sanctions for
non-compliance; provided, however, that in the event the contractor becomes involved in, or is threatened with, litigation
with the subcontractor or vendor as a result of such direction by the contracting agency, the contractor may request t'
State of Colorado to enter into such litigation to protect the interest of the State of Colorado. _.
F. Procurement and Contracts
1) The applicant assures that open, competitive procurement procedures must be followed for all purchases under the grant,
including especially the purchase of equipment and professional services. All contracts for professional services, of any
amount, and equipment purchases over five thousand dollars must receive prior approval by the Division of Criminal Justice.
COLORADO BUILD A GENERATION®
APPLICATION FOR FUNDS
(Refer to BAG Application Instructions & the Announcement of Availability of Funds while completing this application.)
CANNING PPOCESS DURATION DATES: From July t. 2001 To. June 30, 2002 Page 12 OF 13
r
2) The applicant assures that no contract or agreement will be made for execution of project activities or provisions of services
(other than purchase of supplies or standard commercial or maintenance services)which is not incorporated in the approved
application or approved in advance by the Division of Criminal Justice.
3) The applicant assures that contractors/vendors who assist the grantee to develop specifications, requirements, statements of
work and/or Request For Proposals for a proposed procurement shall be excluded from bidding or submitting a proposal to
compete for the award of such procurement.
4) The applicant assures that where activities supported by this grant produce any discovery or invention, original computer
programs, writing, sound recordings, pictorial reproductions, drawing or other graphical representation and works of any
similar nature, the Division of Criminal Justice has the right to use, duplicate and disclose, in whole or in part in any manner
for any purpose whatsoever and authorize others to do so. If the material or invention is copyrightable, the grantee may
copyright such, but the Division of Criminal Justice reserves royalty-free non-exclusive and irreversible license to practice,
reproduce, publish and use such materials in whole or in part, and authorize others to do so.
5) The applicant assures that no rights or duties under this grant shall be assigned without consent of the Division of Criminal
Justice.
G. indemnifidation
To the extent authorized by law, the grantee shall indemnify, save and hold harmless the State, its employees and agents, against
any and all claims, damages, liability and court awards including costs, expenses, and attorney fees incurred as a result of any act
or omission by the grantee, or its employees, agents, subcontractors, or assignees pursuant to the terms of this grant.
H. Right of Privacy for Recipients of Services and Sharing of Information. The prospective grantee certifies, by submission of this
proposal, that
. 1) Necessary information will be shared appropriately among schools, law enforcement, courts and juvenile-serving
agencies pursuant to the Family Educational Rights and Privacy Act (FERPA) (20 U.S.C. '1232g), as amended by the
Improving America's Schools Act of 1994 (IASA). FERPA allows schools to play a vital role in a community's efforts to
identify children who are at risk of delinquency and provide services prior to a child's becoming involved in the juvenile
justice system.
2) Necessary information will be shared in accordance with the"Children's Code Records and Information Act," 19-1-301
et seq., Colorado Revised Statutes (1996), to balance the best interests of children and the privacy interests of children
and their families with the need to share information among service agencies and the need to protect the public safety.
I. General State Requirements
1) The laws of the State of Colorado and rules and regulations issued pursuant thereto shall be applied in the interpretation,
execution and enforcement of this grant. Any provision of this grant whether or not incorporated herein by reference which
provides for arbitration by any extra-judicial body or person or which is otherwise in conflict with said laws, rules and
regulations shall be considered null and void. Nothing contained in any provision incorporated herein by reference which
purports to negate this or any other special provision or condition in whole or in part shall be valid or enforceable or available
in any action at law whether by way of complaint, defense, or otherwise. Any provision rendered null and void by the
operation of this provision will not invalidate the remainder of this grant to the extent that the grant is capable of execution.
2) The signatories hereto aver that they are familiar with 18-8-301, et. seq., (Bribery and Corrupt Influences) and 18-8-401, et.
seq., (Abuse of Public Office), C.R.S., 1986 Replacement Vol., and that no violation of such provisions is present.
3) The signatories aver that to their knowledge, no state employee has personal or beneficial interest whatsoever in the service
or property described in the application/proposal.
4) Either party may terminate the grant with thirty days written notice of intent to cancel or terminate. The grant may be
terminated if the services are not satisfactorily performed by the grantee or if it is in the best interest of the state of Colorado
to tenminate the grant. If the grant is terminated by either the grantee or the state, the grantee shall be paid the necessary
and allowable costs incurred through the date of termination, but not exceeding a prorated amount based on the number of
days of project operation prior to the date of termination. Any equipment purchased under this grant would revert, at the
option of the Division of Criminal Justice, to the Division of Criminal Justice upon termination of the grant.
5) The grant may be suspended or terminated at any time by the Division of Criminal Justice if the grantee fails to comply with
any of the Certified Assurances and Special Provisions.
6) Any inconsistency or conflict in this grant shall be resolved by giving precedence in the following order: (a) Certified
Assurances and Special Provisions: (b) Statement of Grant Award, and (c) Grant Application.
COLORADO BUILD A GENERATIONO
APPLICATION FOR FUNDS
Refer to BAG Application Instructions & the Announcement of Availability of Funds while completing this application.)
I PLANNING PROCESS DURATION DATES: From. Jury 1,2001 To: June 30 2002 Page 13 OF 13
CERTIFICATION/SIGNATURES: Original signatures required. Please sing in BLUE ink.
The APPLICANT, through the following signatories understands and agrees that any grant received as a result of this planning
process proposal shall be subject to and incorporate the statements made herein including the Certified Assurances and Special
Provisions. "The signatories certify that we have read the instructions for this application and are fully cognizant of our duties and
responsibilities for this planning process."
Authorized Official
(Person authorized to enter into binding commitments on behalf of the applicant agency)�1
Signature of Authored Official Date
Frank W. Bruno Assistant City Manager
Typed Name Title
Agency&Mailing Address: City of Fort Collins, Attn: Frank Bruno, PO Box 580
Fort Collins, CO 80522
Telephone: 970-221-6763 FAX: 970-224-6107 E-mail: fbruno@ci.fort-collins.cc
'?roject Director (Person who will be in direct charge of the planning process)
1
/2/of
aignIsture or rrcj�tt Director ' Dait
Kelly A. Shanahan Project Director
Typed Name Title
Agency&Mailing Address: Build A Generation, c/o Community Foundation
1024 S Lemay Ave, Fort Collins, CO 80524
Telephone: 970-495-7503 FAX: 970-495-7617 E-mail: kas14@libra.pvh.org
Financial Officer (Person responsible for fiscal matters relating to this planning process)
2� 4- Z-2►
Signature of Financial Officer VDate
Diane Hogerty Executive Director
Typed Name Title
Agency 8 Mailing Address:
Fort Collins Community Foundation
528 South College, Fort Collins CO 80524
Telephone: Q7n-99G_JAA? FAX 970-224-5153 E-mail:
COLORADO BUILD A GENERATION®
APPLICATION FOR FUNDS
•- PLANNING PROCESS DURATION DATES: From:July 1,2001 To. June 30, 2002
APPENDIX
Attach the following applicable items behind this page of the application and label with the appropriate letter
A. Ccpies of the Community Prevention Policy Board Member Response Form (attached) from each of the board
members. Label A2, A2, A3, etc., corresponding to the chart on page 4.
B. Job Descriptions - Include job descriptions of the local coordinator, project director, financial officer, and any other
personnel directly related to this planning process.
C. Financial Information - Copy of last audit or formal financial review. New applicants need only submit a copy of
the last audit management letter, financial review or department information. (DCJ reserves the right to access
the entire audit should verification of fiscal issues be required.) Continuation applicants must supply a copy of the
agency=s last audit or formal financial review.
If other attachments are requested in the application instructions, list them, by letter designation, and attach.
•
M
COLORADO BUILD A GENERATION®
APPLICATION FOR FUNDS
PLANNING PROCESS DURATION DATES: From: July 1, 2001 To June 30. 2DD2
ATTACHMENT A
Build A Generation 2001 Grant Application
Community Prevention Policy Board Member Response Form
Name of Build A Generation Community: JqA_T— [nn1lC-L4.LJx
Board Member Name: JAM ES k A
Organization/Affiliation: G..A/e_c Gtu.n Sw"%F,rI
Position in the Community: EAjer—
Please respond to the questions listed below.
List which risk and protective factor-focused prevention trainings you have attended:
low do you plan to participate in the Build AGeneration planning process?
A7AJe�Je -lc-[Ai10 J �✓� l A
lE S ,?b Y AJ A UEk 4t&-7 AoAb
/h.
How do you plan to help accomplish the goals and objectives submitted in this year,s grant application:
N e-Lop Esl +B wAst !9 aia, s�-x CVA bi/ ruaRj
TD OAJeA cW& L"5 (,&2 cu —t Martin
r
How does your community benefit by having you serve on the Build A Generation Community Prevention Board?
tJP u r`
D 4 b r✓t
Lox o 4-...r .
I understand that the grant application being submitted on behalf of my community becomes the contract
between my community and the state agency. Further, I understand that the Community Prevention Policy
Board provides guidance and general oversight for the activities undertaken in this grant, and for the
recommendations for distributing and utilizing the funds received.
I have read the grant application for Build A Generation funds as submitted and agree to and support its
content.
Signature Date
Ai
COLORADO BUILD A GENERATION®
i-.--i't-. APPLICATION FOR FUNDS
PLANNING PROCESS DURATION DATES: From: July 1. 2001 To June 30, 2002
ATTACHMENT A
Build A Generation 2001 Grant Application
Community Prevention Policy Board Member Response Form
Name of Build A Generation Community: /Fr
Board Member Name: _J, N/ES
Organization/Affiliation:
Position in the Community:—Smic
Please respond to the questions listed below.
List which risk and protective factor-focused prevention trainings you have attended:
E3S n7ZA-f L6e"*e Misr r f.n i �.ed is rnd i ,i
How do you plan to participate in the Build A Generation planning process?
( � BOA/ea /1y .� Golyl/I1cuv�TY /¢Dlroc47"LF�.c $¢�►
• Go.uT7, 75 i ,K70Ri4TL co /11e ST,POnwldc I.V75 i
How do you plan to help accomplish the goals and objectives submitted in this year,s grant application:
TXG CTC illoDL� B.5r4 ZdlyT/Fi�il c �
twear--C /,VYV G yu tr�
_ Srnl,,cT.
How does your community benefit by having you serve on the Build A Generation Community Prevention Board?
hex " LAG ; � $ `Ad vx 4ve AV- 41W TT fawaw ,D.ea..eirr J
IfNQ C4V S L.Ort t Tb ,riirryaAo,
/understand that the grant application being submitted on behalf of my community becomes the contract
between my community and the state agency. Further, l understand that the Community Prevention Policy
Board provides guidance and general oversight for the activities undertaken in this grant, and for the
recommendations for distributing and utilizing the funds received.
/have read the grant application for Build A Generation funds as submitted and agree to and support its
content.
Signature Date
A2
.�•;; COLORADO BUILD A GENERATION®
APPLICATION FOR FUNDS
PLANNING PROCESS DURATION DATES: From. July 1.2001 To: June 30. zau2
ATTACHMENT A
Build A Generation 2001 Grant Application
Community Prevention Policy Board Member Response Form
Name of Build A Generation Community:_
Board /rCJr
Board Member Name: / I Q Y1 CU (Sro ye-
/
Organization/Affiliation:�vrvnlr &-7rGnn-7P,
Position in the Community: i4eL �( ( q �pY -,Car
Please respond to the questions listed below.
List which risk and protective factor-focused prevention trainings you have attended:
ftA f-
How do you plan to participate in the Build A Generation planning process?
As &atq cvr 1. irr(l w,g'A-n < o r I'm n,.� Q�In'� d�ro/n'14
Con rr�lna tZ (� 1 vG QrRouZ+ ` - � � t,rc
r u I
How do you plan to help accomplish the goals and objectives submitted in this year,s grant application:
How does your community benefit by having you serve on the Build A Generation Community Prevention Board?
-lszdQ u�t m,
I understand that the grant application being submitted on behalf of my community becomes the contract
between my community and the state agency. Further, I understand that the Community Prevention Policy
Board provides guidance and general oversight for the activities undertaken in this grant, and for the
recommendations for distributing and utilizing the funds received.
I have read the grant application for Build A Generation funds as submitted and agree to and support its
content.
S' nature Date
A3
COLORADO BUILD A GENERATION®
APPLICATION FOR FUNDS
• PLANNING PROCESS DURATION DATES: From.JuN 1, 2001 To. June 30, 2002
ATTACHMENT A
Build A Generation 2001 Grant Application
Community Prevention Policy Board Member Response Form
Name of Build A Generation Community: Co W, v,5 C
Board Member Name: S /t WN i f Gv G
Organization/Affiliation: t�) r no A
Q per Qq��-prr�
Position in the Community: t� cIA)rwr Z
Please respond to the questions listed below.
List which risk and protective factor-focused prevention trainings you have attended:
H��orww do you plan to participate in the Build A Generation planning process?
— V, Lo i cu } b g
—�''�a c a
How do you plan to help accomplish the goals and objectives submitted in this year's grant application:
r �. o� 'a, r i i h
How does your community benefit by having you serve on the Build A Generation Community Prevention
Board?
w1N: ti. c ^v..t � e
i understand that the grant application being submitted on behalf of my community becomes the contract
between my community and the state agency. Further, I understand that the Community Prevention Policy
Board pirovides guidance and general oversight for the activities undertaken in this grant, and for the
recommendations for distributing and utilizing the funds received.
I have read the grant application for Build A Generation funds as submitted and agree to and support its
content.
•
L -C
Slg ' O Date
A4
COLORADO BUILD A GENERATION®
APPLICATION FOR FUNDS
PLANNING PROCESS DURATION DATES: From. July 1, 2001 To June 30. 2002
ATTACHMENT A
Build A Generation 2001 Grant Application
Community Prevention Policy Board Member Response Form
Name of Build A Generation Community: Fort Collins
Board Member Name: Joe Hendrickson
Organization/Affiliation: Poudre School District
Position in the Community: Assistant Superintendent (Elementary)
Please respond to the questions listed below.
List which risk and protective factor-focused prevention trainings you have attended:
2 Day Build A Generation Training
How do you plan to participate in the Build A Generation planning process?
Provision of information regarding School District needed for the project.
implement priorities determined by the BAG project in the School District.
How do you plan to help accomplish the goals and objectives submitted in this year's grant application:
I can have a voice in identifying community priorities, needs, and insuring that the
zoals are incorporated into the micc 'on of the School Dic i
How does your community benefit by having you serve on the Build A Generation Community Prevention
Board?
I have the oppo-tunitv to I communicate with and access personnel involved in the
School Distrirt-
/ understand that the grant application being submitted on behalf of my community becomes the contract
between my community and the state agency. Further, I understand that the Community Prevention Policy
Board provides guidance and general oversight for the activities undertaken in this grans, and for the
recommendations for distributing and utilizing the funds received.
1 have read the grant application for Build A Generation funds as submitted and agree to and support its
content.
Signature Date
A5
COLORADO BUILD A GENERATION®
APPLICATION FOR FUNDS
PLANNING PROCESS DURATION DATES: From: July 1. 2001 To June 30, 2002
ATTACHMENT A
Build A Generation 2001 Grant Application
Community Prevention Policy Board Member Response Form
Name of Build A Generation Community: tort Collins
Board Member Name: Brownie McGraw
Organization/Affiliation: Larimer Countv District Attorney' s Office - 8th Judicial District
Position in the Community' Juvenile Coordinator/Investigator
Please respond to the questions listed below.
List which risk and protective factor-focused prevention trainings you have attended:
Key Leader Orientation, Board Orientation, Community Leader Forums
How do you plan to participate in the Build A Generation planning process?
10 Continue as a board member if wanted
How do you plan to help accomplish the goals and objectives submitted in this year, s grant application:
I plan to continue working to bring groups in the community together to share
similarities and differences and to identify overlaps. Together we can be more effective
in mpering npprdc of nnr rnmmnniry and fnrnc Pnprgy of all
How does your community benefit by having you serve on the Build A Generation Community Prevention Board?
I bring different perspectives from DA Office/ Communities in Schools Board / Healthier
Communities Coalition / Restorative Justice / Poudre Vallev Health Svstem.
I understand that the grant application being submitted on behalf of my community becomes the contract
between my community and the state agency. Further, I understand that the Community Prevention Policy
Board provides guidance and general oversight for the activities undertaken in this grant, and for the
recommendations for distributing and utilizing the funds received.
l have read the grant application for Build A Generation funds as submitted and agree to and support its
content. L/
Signature Date
A6
COLORADO BUILD A GENERATION®
APPLICATION FOR FUNDS
PLANNING PROCESS DURATION DATES: From:July 1,2001 To: June 30.2002
ATTACHMENT A
Build A Generation 2001 Grant Application
Community Prevention Policy Board Member Response Form
Name of Build A Generation Community: {"6 r + Cc. f 7 S
Board Member Name:
Organization/Affiliation:
Position in the Community:_ V. ( kr
Please respond to the questions listed below.
List which risk and protective factor-focused prevention trainings you have attended:
<z� ccz o✓ itr �� :
How do you plan to participate in the Build A Generation planning process?
it.. [�� �� -hd ✓w mht n �. y nt lw t ...� °('r � rKs nr w l `5 � � Al..s
How do you plan to help accomplish the goals and objectives submitted in this year,s grant application:
�' i0.c*- C ^, o y,. vw:.4:�5 f 4• f lc ✓ is r;, n, U >i.
How does your community benefit by having you serve on the Build A Generation Community Prevention Board?
L r. r— T 'uP-. ¢ K rte4 - k Ad?, 77-- fZ 1-
1+.,,f,,, o
/understand that the grant application being submitted on behalf of my community becomes the contract
between my community and the state agency. Further, I understand that the Community Prevention Policy
Board provides guidance and general oversight for the activities undertaken in this grant, and for the
recommendations for distributing and utilizing the funds received.
I have read the grant applicationGeneration funds as submitted and agree to and support its
content.
Signature Date
A7
'••'� COLORADO BUILD A GENERATION®
APPLICATION FOR FUNDS
• PLANNING PROCESS DURATION DATES: From:July 1. 2001 To. June 30, 2002
ATTACHMENT A
Build A Generation 2001 Grant Application
Community Prevention PONCy Board Member Response Form
Name Of Build A Generation Community:1C0/P%
Board Member Name: 4�; Qx-?
Organization/Affiliation:_ '410,000O
Position in the Community: e/ Z/
Please respond to the questions listed below.
List which risk and protective factor-focused prevention trainings you have attended:
How do you plan to participate in the Build A Generation planning process?
TT ✓ Z) .Qo f2p� G sv�/�o/L i ..r p lrli=Gtr
.d.JT 'IF
c �
How do you plan to help accomplish the goals and objectives submitted in this year,s grant application:
��G/�7►OZJN �TTy~ ZZ •sy����"� %�•C /�n .w !1�
N
How does your community benefit by having you serve on the Build A Generation Community Prevention Board?
ete
GG'/efibr r^�
rr
`G^UU` L���L-�LL v i
i
/understand that the grant application being submitted on behalf of my community becomes the contract
between my community and the state agency. Further, l understand that the Community Prevention Policy
Board provides guidance and general oversight for the activities undertaken in this grant, and for the
recommendations for distributing and utilizing the funds received.
I have read the grant application for Build A Generation funds as submitted and agree to and support its
content.
. Signature O�
Date
A8
COLORADO BUILD A GENERATION®
APPLICATION FOR FUNDS
PLANNING PROCESS DURATION DATES: From. July 1,2001 To: June 30.
ATTACHMENT A
Build A Generation 2001 Grant Application
Community Prevention Policy Board Member Response Form
Name of Build A Generation Community: Fort Collins
Board Member Name: Linda R . Preston
Organization/Affiliation: B •A . S .E . Camp
Position in the Community: Ex-cutive Director - -
Please respond to the questions listed below.
List which risk and protective factor-focused prevention trainings you have attended:
Fort Collins , 3-4 years ago
How do you plan to participate in the Build A Generation planning process?
We ese the risk and Preventive model as part of our Programming for
elementary school before and after school activities
How do you plan to help accomplish the goals and objectives submitted in this year,s grant application:
Through committee work , help with events such as those held
E
on common problems versus re-inventing the wheel .—
How does your community benefit by having you serve on the Build A Generation Community Prevention Board?
I bring 12 years workth of community experience with brining community
members together to solve community problems
I understand that the grant application being submitted on behalf of my community becomes the contract
between my community and the state agency. Further, l understand that the Community Prevention Policy
Board provides guidance and general oversight for the activities undertaken in this grant and for the
recommendations for distributing and utilizing the funds received.
I have read the grant application for Build A Generation funds as submitted and agree to and support its
content.
Signature Dam
A9
-'•;;; COLORADO BUILD A GENERATION®
APPLICATION FOR FUNDS
PLANNING PROCESS DURATION DATES: From. July 1, 2001 To: June 30, 2002
ATTACHMENT A
Build A Generation 2001 Grant Application
Community Prevention Policy Board Member Response Form
Name of Build A Generation Community: E ( ^"� I; r
Board Member Name:_ A ylr ; �
Organization/Affiliation:_ L Li, r , rf, e �Ij 1 'I<r 1 "iv4, (j�l 't,I-i L
Position in the Community: r�,. !v1 vy u n ,�z� N vp I I -h c- v-cr l(l t=5 1)! �cr�e i-
Please respond to the questions listed below.
List which risk and protective factor-focused prevention trainings you have attended:
i1P rtic, r� , 1;
How do you plan to participate in the Build A Generation planning process?/I
e. v, 1 c CL U; T
emu. 1l 7 ` � ✓'
i+ f`_ TU iti ,; 'iflA ;ss `d ^ f i
How do you plan to/help/a_cconiplisfi a goa�s and 6blectives subr�1446 In'tfiWye8r,s grant application:
Gi.-c � /!tv"r/�• K' i/'}.�7t 4 �C..-��l�.t� LG ' '✓ .�YLl -1 "/LZ A7'
l t
9 ✓ r .. 4Z
How does your community benefit by having you serve on the Build A Generation Community Prevention Board?
I understand that the grant application being submitted on behalf of my community becomes the contract
between my community and the state agency. Further, I understand that the Community Prevention Policy
Board provides guidance and general oversight for the activities undertaken in this grant, and for the
recommendations for distributing and utilizing the funds received.
I have read the grant application for Build A Generation funds as submitted and agree to and support its
content.
Signature Date
A10
ATTACHMENT B: Job Description — Project Director
Be trained in all levels of Communities That Care
Assist in guiding the CPPB in implementing and adhering to the Build A
Generation process
Prepare for, attend, and participate in meetings of the Board
Perform administrative and clerical tasks associated with CPPB functions
including, but not limited to, taking and disseminating minutes, preparing
mailings, performing and maintaining record keeping
Distributing and conveying all pertinent information and communication received
from DO and other BAG projects to all local board members
Distribute and convey pertinent information and communications to the DO
BAG project manager about all BAG project-related activities occurring within
the geographical boundaries of the funded project.
Handle and coordinate event planning logistics
Assist the local CPPB in seeking funding sources to further the Build A
Generation process
Educate community members and organizations about Build A Generation
Establish and maintain contacts with other community members to exchange
information that promotes understanding of support for, and collaboration around
delinquency prevention efforts in the community
Assist with the development and distribution of materials related to Build A
Generation
Serve as the communication link between the State Build A Generation initiative
and local efforts
Provide management of the grant including budget management and preparation
of the quarterly and final progress reports
In relation to the task associated with carrying out the goals and objectives of the grant
application, the Director will:
Attend and participate in a minimum of three outlying BAG meetings and events.
Update and review Fort Collins board orientation manual to include new and
accurate information.
Participate in the new HCC Board of Director's meetings and related committees
and sub-committees.
Assist in the formation of a 501 C.3 document for the HCC Board of Director's
which will outline the structure, roles and responsibilities of the HCC and BAG
entities, board function and purpose.
f Work with board members to create committees to review original risk and
resource assessments.
Assist with the collection and analyzes of the data for the assessments.
Assist in the presentation of the results to the board, updating and publishing the
reports.
Work with board to form committees to develop recommended strategies to
address gaps in the prioritized risk areas.
B1
. Facilitate meetings with board members to finalize goals and objectives,
strategies, programs, responsibilities, resources available• resources needed and
timelines.
Work with the Board to publish a strategic plan
Schedule at least two meetings between the board and the Fort Collins Youth
Council to educate them about BAG and increase youth participation in the
planning process.
Sponsor and participate in youth related forums or meetings to solicit input and
participation in developing strategies for the plan.
Schedule formal and informal meetings and presentations with key leaders and
community members instrumental in implementing plan to educate and mobilize
support and buy-in.
Develop marketing and public relations materials (brochures, press releases,
newspaper articles, etc.) to continually educate the community about BAG and
the plan.
Present results of the risk and resource assessments to the HCC Board of
Director's. Educate about the CTC model and facilitate discussion on the
implications in regards to the Community Plan.
Present the strategic plan to the HCC Board of Director's and facilitate discussion
on the integration into the Community Plan.
Participate in the various HCC sub-groups focused on continued collaboration,
integration, communication, coordination, ways to inter-relate groups based on
specific issues.
Create a task force to integrate and implement the strategic plan into the HCC
sub-groups, creating ways to inter-relate groups when possible, to work on the
identified risk and protective factors.
•
B2