SE Asian Equity Grant RFP



Minnesota Women and High-Wage, High-Demand, Nontraditional JobsGrant ProgramRequest for ProposalsState Fiscal Years 2018 and 2019Employment & Training Programs DivisionTable of Contents TOC \o "1-3" \h \z \u Minnesota Women and High-Wage, High-Demand, Nontraditional Jobs Grant Program PAGEREF _Toc499560919 \h 1Introduction PAGEREF _Toc499560920 \h 1Funds Available PAGEREF _Toc499560921 \h 1Important Dates PAGEREF _Toc499560922 \h 1Technical Assistance/Alternative Formatting PAGEREF _Toc499560923 \h 2Eligibility PAGEREF _Toc499560924 \h 2Eligible Organizations PAGEREF _Toc499560925 \h 2Eligible Populations PAGEREF _Toc499560926 \h 2Eligible Services PAGEREF _Toc499560927 \h 2Target Occupations: PAGEREF _Toc499560928 \h 3Table 1. Nontraditional Occupations for Women in Minnesota with Projected High Demand/High Pay (2010-2020) PAGEREF _Toc499560929 \h 4Proposals PAGEREF _Toc499560930 \h 5Proposals as Public Data PAGEREF _Toc499560931 \h 5Specifications PAGEREF _Toc499560932 \h 5Evaluation Criteria and Scoring PAGEREF _Toc499560933 \h 5Selection Process PAGEREF _Toc499560934 \h 7Grant Information PAGEREF _Toc499560935 \h 8Grant Award PAGEREF _Toc499560936 \h 8NGO Financial Review Process PAGEREF _Toc499560937 \h 8Accountability and Reporting PAGEREF _Toc499560938 \h 8Grant Payments PAGEREF _Toc499560939 \h 8SNAP Employment and Training Reimbursement Program PAGEREF _Toc499560940 \h 9Grantee Bidding Requirements PAGEREF _Toc499560941 \h 9State and Federal Requirements PAGEREF _Toc499560942 \h 10Nondiscrimination and Equal Opportunity PAGEREF _Toc499560943 \h 10Conflicts of Interest PAGEREF _Toc499560944 \h 10Proposal Attachments PAGEREF _Toc499560945 \h 11Form 1. Cover Sheet PAGEREF _Toc499560946 \h 12Form 2. Work Plan PAGEREF _Toc499560947 \h 13Form 3: Budget PAGEREF _Toc499560948 \h 14Form 4. Partnership Chart PAGEREF _Toc499560949 \h 15Form 5. Financial Capacity Checklist PAGEREF _Toc499560950 \h 16Form 6: Unemployment Insurance Account Consent PAGEREF _Toc499560951 \h 18Form 7: Conflict of Interest Disclosure PAGEREF _Toc499560952 \h 20Form 8. Affidavit of Non-Collusion PAGEREF _Toc499560953 \h 21Cost Category Definitions PAGEREF _Toc499560954 \h 22Minnesota Women and High-Wage, High-Demand, Nontraditional Jobs Grant ProgramIntroductionThe Minnesota Department of Employment and Economic Development (DEED) is committed to ensuring economic equity – the fair and equitable access to resources and opportunities – so all Minnesotans have – or are on a path to – meaningful employment and a family-sustaining wage, and where all employers are able to fill jobs in demand. DEED is seeking proposals under the Laws of Minnesota 2017, Chapter 94, Article 1, Sec. 2 Subd. 3(g), from organizations to provide services that encourage and assist women to enter high-wage, high-demand, nontraditional occupations including but not limited to those in the skilled trades, and STEM occupations to increase the number of women in high-wage, high-demand, and nontraditional occupations.Funds Available$1,000,000 is available for State Fiscal Years 2018-19 for the Women and High-Wage, High-Demand, Nontraditional Jobs Competitive Grant Program. Organizations may apply for up to a maximum of $200,000. Important DatesInformational Webinar: December 7, 2017 (9:30 – 10:30)Join the webinar: (9:30 a.m. – 10:30 a.m. CST) Input meeting number: 596 545 345Connect the audio by calling: 1-888-742-5095Input the conference code: 226 439 4974Space is limited. If multiple individuals from one organization plan to join, please do so from the same location. This webinar will be recorded and all content will be made available online after the live webinar at . Proposal Due Date: January 3, 2018One (1) Adobe Acrobat (.PDF) file containing the proposal and all attachments must be submitted to AdultCompetitiveGrants.Deed@state.mn.us. Late proposals and faxes will not be accepted. The State is not responsible for any errors or delays caused by technology-related issues.Notification of Award to Organizations Submitting Proposals: January 2018 (Anticipated)Contract End Date: June 30, 2019Disclaimer: All costs incurred in responding to this RFP will be borne by the responder. DEED reserves the right to cancel the solicitation if it is considered to be in its best interests.Technical Assistance/Alternative FormattingFor technical assistance in interpreting instructions and alternative formats for people with disabilities. Contact: Taryn Galehdari, Email: Taryn.Galehdari@state.mn.us, Phone: 651-259-7540.DEED staff will post responses to questions regarding this RFP on DEED’s website: OrganizationsEligible Organizations include:Community-based organizations experienced in serving womenEmployersBusiness and trade associationsLabor unions and employee organizationsRegistered apprenticeship programsSecondary and postsecondary education institutions located in MinnesotaWorkforce and economic development agencies.Eligible PopulationsProposed services must target women in the following categories:Women of color (American Indian, Asian, Black, or Hispanic) over age 18Girls of color (American Indian, Asian, Black, or Hispanic) under age 18Women over age 50 Low-income women (income less than 200 percent of the federal poverty guideline adjusted for a family size of four)Priority will be given to programs that encourage and assist women of color. Eligible ServicesServices provided are expected to train Women for High-Wage, High Demand, Nontraditional Jobs in Minnesota with these grant funds. Services provided under this proposal must be limited to one or more of the following areas per Minnesota Statute 116L.99:recruitment, preparation, placement, and retention of women, including women of color, low-income women, and women over 50 years old, in registered apprenticeships, postsecondary education programs, on-the-job training, and permanent employment in high-wage, high-demand, nontraditional occupations;secondary or postsecondary education or other training to prepare women to succeed in high-wage, high-demand, nontraditional occupations. Activities under this clause may be conducted by the grantee or in collaboration with another institution, including but not limited to a public or private postsecondary school;innovative, hands-on, best practices that stimulate interest in high-wage, high-demand, nontraditional occupations among girls, increase awareness among girls about opportunities in high-wage, high-demand, nontraditional occupations, or increase access to secondary programming leading to jobs in high-wage, high-demand, nontraditional occupations. Best practices include but are not limited to mentoring, internships, or apprenticeships for girls in high-wage, high-demand, nontraditional occupations;training and other staff development for job seeker counselors and Minnesota family investment program (MFIP) caseworkers on opportunities in high-wage, high-demand, nontraditional occupations;incentives for employers and sponsors of registered apprenticeship programs to retain women in high-wage, high-demand, nontraditional occupations for more than one year; training and technical assistance for employers to create a safe and healthy workplace environment designed to retain and advance women, including best practices for addressing sexual harassment, and to overcome gender inequity among employers and registered apprenticeship programs; public education and outreach activities to overcome stereotypes about women in high-wage, high-demand, nontraditional occupations, including the development of educational and marketing materials; services to support women in high-wage, high-demand, nontraditional occupations including but not limited to assistance with balancing work responsibilities; skills training and education; family caregiving; and access to advocacy assistance and services; recruitment, participation, and support of girls of color in approved training programs or a valid apprenticeship program subject to section 181A.07, subdivision 7. Applications must include detailed information about how the applicant plans to: increase women's participation in high-wage, high-demand occupations in which women are currently underrepresented in the workforce; leverage additional public and private resources; collaborate with existing, successful programs for training, education, recruitment, preparation, placement, and retention of women of color in high-wage, high-demand, nontraditional occupations and STEM (Science, Technology, Engineering, and Math) occupations; and comply with the statutory requirements. Target Occupations: Nontraditional occupations for women in Minnesota with projected high-demand/high-pay according to DEED’s Labor Market Information include:Table 1. Nontraditional Occupations for Women in Minnesota with Projected High Demand/High Pay (2010-2020)TitleChange in New Jobs (%)Total OpeningsMedian SalaryJobs Held by Women (%)Plumbers, Pipefitters, and Steamfitters41.04,820$62,5431.8Cement Masons and Concrete Finishers36.71,570$44,7961.8Cost Estimators36.02,040$58,29012.4Electricians35.56,260$63,2513.3Computer-Controlled Machine Tool Operators, Metal 29.71,590$37,9478.1Operating Engineers and Other Construction Equipment Operators27.33,830$48,4973.6First-Line Supervisors of Helpers, Laborers, and Material Movers26.41,600$46,61715.9Carpenters24.08,410$45,4441.9Industrial Machinery Mechanics23.72,770$49,1554.0Painters, Construction and Maintenance23.22,640$37,60710.1Heavy and Tractor-Trailer Truck Drivers22.714,590$40,5424Construction Managers22.11,360$84,7576.2Construction Laborers18.82,800$39,7713.3Welders, Cutters, Solderers, and Brazers18.03,490$38,6296.7Software Developers, Applications and Systems Software16.84,000$91,87820.4Mobile Heavy Equipment Mechanics, Except Engines14.61,150$52,0771.0First-Line Supervisors of Transportation and Material Moving Workers14.21,370$53,41415.9Industrial Production Managers14.21,750$92,49619.3Bus and Truck Mechanics and Diesel Engine Specialists13.91,920$44,3900.4Machinists13.32,970$43,7882.2Sources: DEED, Labor Market Information Office, Employment ProjectionsU.S. Census Bureau, American Community Survey 5-year estimates (2006-2010)Median Salary Information provided through DEED’s Occupational Employment and Wage Statistics (OES) Program: which provides data at the average, median, 10th, 25th, 75th, and 90th percentiles. ProposalsProposals as Public DataPer Minn. Stat. § 13.599:Names and addresses of grant applicants will be public data once proposal responses are opened. All remaining data in proposal responses (except trade secret data as defined and classified in §13.37) will be public data after the evaluation process is completed (for the purposes of this grant, when all grant agreements have been fully executed). All data created or maintained by DEED as part of the evaluation process (except trade secret data as defined and classified in §13.37) will be public data after the evaluation process is completed (for the purposes of this grant, when all grant agreements have been fully executed). SpecificationsOne (1) Adobe Acrobat (.PDF) file containing the proposal and all attachments must be submitted to AdultCompetitiveGrants.Deed@state.mn.us by 4:30pm (CST) on Wednesday, January 3, 2018. The proposal must not exceed ten (10) single-sided, double-spaced pages (required attachments not included) with one inch margins, using Calibri 11 point font. Proposals must meet all specifications in order to be considered. Evaluation Criteria and ScoringProposals will be evaluated and scored based on the following criteria. Total points – 100 points. Page limits below are recommended. Criteria 3 – 6 should align with your attached Work Plan and Budget. Be sure your proposal does not exceed (10) single-sided, double-spaced pages with one inch margins, using Calibri 11 point font.Executive Summary – 10 Points (1 page)Provide a brief summary of your proposal. Include information about your organization, the need for the services you are proposing, your ability to provide those services and achieve results. Include how the services/projects you propose will relieve economic disparities for women in Minnesota.Racial Equity Analysis – 25 Points (2 pages)Provide a summary of how your organization addresses race and gender equity – the fair and just treatment of people of color and women so that race and gender no longer predict outcomes –? based on the following:? Describe your organization’s experience serving communities of color.If your organization has limited experience, describe your plan to serve these communities.Describe your organization’s experience serving women.If your organization has limited experience, describe your plan to serve this group.Describe how your organization’s staff and board reflect communities of color. Provide board and staff racial demographics. If there is limited representation of communities of color, describe your plan to increase representation from these communities.Describe how your organization’s staff and board reflect women. Provide board and staff gender demographics. If there is limited representation of women, describe your plan to increase representation from this groups.Describe how your organization will engage communities of color and women in the analysis, planning and implementation of the service(s) outlined in this proposal.Proposed Service(s) – 35 Points (3 pages)Based on Eligible Services, provide a summary of the services you will provide based on the following: Describe the services you will provide. Include where and how you will deliver those services.Provide your staffing plan to implement and deliver these services, including Accountability and Reporting. Describe how your proposed services will be delivered in a culturally competent way.Using Table 1 Nontraditional Occupations for Women in Minnesota with Projected High Demand/High Pay (2010-2020), describe how your proposed services align with your labor market demand. Additional resources can be found from the DEED’s Labor Market Information Data Tools, i.e. Occupations in Demand. Using the following statute as a point of reference: Workforce Program Outcomes Statute, describe how you will measure the success of your proposed services and the probability that you will be able to achieve success. Employment Outcomes: Describe how your proposed services lead to job placement, advancement, and/or retention in an Occupation in Demand.Sustainability: Describe your demonstrated success in recruiting and preparing women, especially low-income women, women of color, and women over 50 years old, for high-wage, high-demand, nontraditional occupations; and describe how you will sustain the proposed services beyond the grant period.Partnerships: List partners and describe how they will contribute resources, staff, and/or time to proposed services; and how these partnerships avoid duplication of efforts. Participant Recruitment, Intake, and Retention Strategy – 20 Points (2 pages)Provide a summary of how your organization will ensure a sound approach to recruitment, intake, and retention based on the following: Describe your participant recruitment strategy, including foreseeable recruitment challenges and how you will overcome them.Describe your intake process to assess participant’s current status and need, e.g. an individual’s education level, skill competencies, work experience and their interest in available service(s). Include how your intake process determines if participants are a good fit for the available services.Describe your participant retention strategy during service delivery. Describe your strategy to monitor and support the progress of your participants once they have exited your program.Use of Funds - 10 Points (1 page)Provide a summary addressing the cost effectiveness of services proposed and your organization’s capacity to manage the funds you have requested based on the following: Describe how you will use the funds requested (which must align with your Budget) to successfully deliver the services proposed. Total DEED funds requestedTotal participants you intend to serveCost per participant/using the following formula: Total DEED funds requested divided by the total number of participantsCost of training received by participant (if applicable) using the following formula:Total training cost divided by the number of participants trained Explain why this is the most effective and productive way to use the funds. If contracting with a vendor to provide services refer to Grantee Bidding Requirements.Describe your organization’s financial management capacity (accounting, timekeeping, and funds management, etc.). Refer to the Financial Capacity Checklist.Matching/Leveraged Funds: Define how you will use grant funds in conjunction with funding from other public or private sources.Selection ProcessProposals that are received by the deadline, meet the specifications and include all required attachments will be evaluated and scored by a proposal review committee using the criteria listed above. The proposal review committee will make selection recommendations to DEED’s Commissioner. After evaluation and scoring, DEED may also consider geographic distribution, services to special populations e.g. public assistance recipients, organization’s history as a state grantee and capacity to perform work. The Commissioner will select which organizations will receive grants.Grant InformationGrant AwardAfter successfully passing a risk assessment and/or a financial review, organizations selected by the Commissioner will enter into a grant agreement with DEED and will be awarded a grant. Award decisions are final and not subject to appeal. NGO Financial Review ProcessAll Non-Governmental Organizations (NGOs) applying for grants in the state of Minnesota must undergo a financial review prior to a grant award made of $25,000 and higher. In order to comply with Policy on the Financial Review of Nongovernmental Organizations, please submit one of the following documents with your proposal, based on the following criteria:NGOs with annual income of under $50,000, or who have not been in existence long enough to have a completed IRS Form 990 or audit: submit their most recent board-reviewed financial statements.NGOs with total annual revenue of $50,000 or more and less than $750,000: submit their most recent IRS Form 990. NGOs with total annual revenue of over $750,000 should submit their most recent certified financial audit.Accountability and Reporting Grantee is required to collect and report data on participants during service delivery. Grantee must input participant data into DEED’s case management system – Workforce One (WF1). Grantee is also required to submit a mid-grant report, an end-of-grant report and monthly financial reports each year of the grant period. This information will be used to monitor grantees service delivery, confirm grant reimbursement requests, and measure performance. Grant PaymentsPer State Policy on Grant Payments, reimbursement is the preferred method for making grant payments. All grantee requests for reimbursement must correspond to the approved grant budget. DEED will review each request for reimbursement against the approved grant budget, grant expenditures to-date and the latest grant progress report before approving payment. Grant payments will only be issued after the grant agreement is fully executed and the funds are encumbered.Grantees must submit monthly reimbursement requests to DEED for expenses approved in the grant budget (i.e. personnel costs, indirect costs, equipment costs). Requests must align with data entered into Workforce One (WF1). Ineligible expenses include but are not limited to: Fundraising Taxes, except sales tax on goods and services Lobbyists, political contributions Bad debts, late payment fees, finance charges, or contingency funds Parking or traffic violations Out of state transportation and travel expenses (Minnesota will be considered the home state for determining whether travel is out of state).Grantees are considered State vendors and must be registered with the State of Minnesota’s accounting and procurement system - State-Wide Integrated Financial Tools (SWIFT). Vendor registration and resources can be found here. Grantees are required to have both a state and federal tax identification number and a valid DUNS number issued by Dun & Bradstreet. DUNS numbers are free for all state vendors and can be obtained via the Dun & Bradstreet website linked here.SNAP Employment and Training Reimbursement ProgramGrantees serving Supplemental Nutrition Assistance Plan (SNAP) participants may be eligible for the state’s SNAP E&T Reimbursement Program. DEED may reimburse grantees enrolled in the program 50% of the non-federal funds used to train SNAP anizations must indicate an interest in applying for the program (on the Cover Sheet #24). Grantee Bidding RequirementsGrantees are subject to bidding requirements for goods and services purchased under this grant. Goods and services that cost:$100,000 or more must undergo a formal notice and bidding process.Between $25,000 and $99,999 must be competitively awarded based on a minimum of three (3) verbal quotes or bids. Between $10,000 and $24,999 must be competitively awarded based on a minimum of two (2) verbal quotes or bids or awarded to a targeted vendor.If any of the above conditions exist, the grantee must take all necessary affirmative steps to assure that targeted vendors from businesses with active certifications through these entities are used when possible:Certified Targeted Group, Economically Disadvantaged and Veteran-Owned Vendor List – State Department of Administration Disadvantaged Business Enterprise Directory – Minnesota Unified Certification Program CERT Business List – Central Certification ProgramThe grantee must maintain:Written standards of conduct covering conflicts of interest and governing the actions of its employees engaged in the selection, award and administration of contracts.Support documentation of the purchasing and/or bidding process utilized to contract services in their financial records, including support documentation justifying a single/sole source bid, if applicable.The grantee must not contract with vendors who are suspended or debarred in MN listed here. State and Federal Requirements Grantees comply with all state and federal requirements including but not limited to:Workers’ Compensation Affirmative ActionData PrivacyEqual Employment OpportunityThe Americans with Disabilities Act (ADA) Unemployment Insurance**A grantee’s Unemployment Insurance account must be current. Please complete the Unemployment Insurance Account Waiver.Nondiscrimination and Equal Opportunity Grant recipients must comply with state and federal civil rights laws and ensure nondiscrimination in programs and services receiving federal and state financial assistance.?Grantees are subject to annual equal opportunity monitoring review as a requirement of Workforce Innovation and Opportunity Act, Section 188, 29 U.S.C. § 3248 (nondiscrimination by recipients of federal financial assistance under WIOA) and its implementing regulations, 29 CFR Part 38. Conflicts of InterestDEED will take steps to prevent individual and organizational conflicts of interest, both in reference to organizations submitting proposals and reviewers per Minn. Stat. §16B.98 and Conflict of Interest Policy for State Grant-Making. Organizational conflicts of interest occur when: A grantee or organization submitting proposals is unable or potentially unable to render impartial assistance or advice to DEED due to competing duties or loyalties. A grantee’s objectivity in carrying out the grant is or might be otherwise impaired due to competing duties or loyalties. In cases where a conflict of interest is suspected, disclosed, or discovered, the grantees will be notified and actions may be pursued, including but not limited to disqualification from eligibility for the grant award or termination of the grant agreement. Proposers must complete a Conflict of Interest Disclosure and attach it to their proposal.Proposal AttachmentsThe following documents must be attached with your proposal but do not count toward the ten (10) page maximum. Proposals that do not include attachments will be deemed incomplete and will not be evaluated and scored. Do not submit any other materials (binders, photos, etc.). Unrequested materials will not be reviewed. ? Form 1. Cover Sheet ? Form 2. Work Plan? Form 3. Budget? Form 4. Partnership Chart? Form 5. Financial Capacity Checklist ? Form 6. Unemployment Insurance Consent ? Form 7. Conflict of Interest Disclosure ? Form 8. Affidavit of Non-Collusion Form 1. Cover SheetProvide the following information for the organization submitting the proposal and/or fiscal agent. Organization Submitting Proposal:Organization Name:Tab here and enter organization nameDirector Name:Tab here and enter director’s nameContact Name:Tab here and enter contact’s nameTelephone:Tab here and enter telephoneTelephone:Tab here and enter telephoneFax:Tab here and enter faxFax:Tab here and enter faxEmail:Tab here and enter emailEmail:Tab here and enter emailOrganization Website:Tab here and enter organization web siteFull Address:Full Address:Tab here and enter addressTab here and enter addressFederal Tax ID: (required)Tab here and enter numberMinnesota Tax ID: (required)Tab here and enter numberDUNS Number: (required)Tab here and enter numberSWIFT Vendor ID: (if known)Tab here and enter numberProposal Information:Proposal Name:Tab here and enter proposal nameProposal Summary:Tab here and 2-3 sentence summary Geographic Area Served by Proposal:Tab here and enter geographic area servedTotal Amount of DEED Funds Requested:Tab here and enter total funding requestedAnticipated Number of Participants Served by Proposal:Tab here and enter number of participantsCost Per Participant:Tab here and enter the cost per participantProject Start & End Date:Tab here and enter start date and end dateSNAP E&T Reimbursement Program:(Indicate interest in applying for this program) FORMCHECKBOX Yes FORMCHECKBOX No I certify that the information contained herein is true and accurate to the best of my knowledge and that I am authorized to submit this proposal on behalf of the proposer.Authorized SignatureTitleDateForm 2. Work PlanComplete the work plan as applicable to your proposal. Use additional pages as necessary. Period 1:Grant Start Date through 6/30/18Period 2:Grant Start Date through 12/31/18Period 3:Grant Start Date through 6/30/2019Total Participants ServedTab here and enter numberTab here and enter numberTab here and enter numberTotal Credential ObtainedTab here and enter numberTab here and enter numberTab here and enter numberTotal Participants Exited to EmploymentTab here and enter numberTab here and enter numberTab here and enter numberTotal Exits Tab here and enter numberTab here and enter numberTab here and enter numberForm 3: Budget Please complete budget form. Matching funds are not required, however organizations are encouraged to leverage federal, private, or other funds. You are also not required to use all cost categories. Please see Cost Category Definitions for descriptions. Office Use OnlyCost CategoryTotal DEED Funds RequestedTotal Matching Funds(if applicable)Total Project FundsPeriod 1(Grant Start Date through 6/30/18)Period 2(Grant Start Date through 12/31/18)Period 3(Grant Start Date through 6/30/19)833Administrative CostsTab here and enter numberTab here and enter numberTab here and enter numberTab here and enter numberTab here and enter number885Direct ServicesTab here and enter numberTab here and enter numberTab here and enter numberTab here and enter numberTab here and enter number838Direct Customer TrainingTab here and enter numberTab here and enter numberTab here and enter numberTab here and enter numberTab here and enter number828Support Services CostsTab here and enter numberTab here and enter numberTab here and enter numberTab here and enter numberTab here and enter number830OutreachTab here and enter numberTab here and enter numberTab here and enter numberTab here and enter numberTab here and enter numberTotal:Tab here and enter numberTab here and enter numberTab here and enter numberTab here and enter numberTab here and enter numberForm 4. Partnership ChartList all partner organizations that will contribute resources, staff, or time to the proposed services. Attach signed letters of commitment from partners explaining what they will contribute. Use additional pages as needed.Type of Organization (e.g. employer, educational institution, non-profit, etc.)Name and Address of OrganizationType of Commitment:(time, staff, resources, space, referrals, etc.)Key Contact Person and Telephone NumberLetter of Commitment EnclosedEnter informationEnter informationEnter informationEnter information__Yes __NoEnter informationEnter informationEnter informationEnter information__Yes __NoEnter informationEnter informationEnter informationEnter information__Yes __NoEnter informationEnter informationEnter informationEnter information__Yes __NoEnter informationEnter informationEnter informationEnter information__Yes __NoEnter informationEnter informationEnter informationEnter information__Yes __NoEnter informationEnter informationEnter informationEnter information__Yes __NoForm 5. Financial Capacity ChecklistThis form is used to determine the financial capacity.General InformationOrganization Name and Address: FORMTEXT ?????Employer Identification Number: FORMTEXT ?????Number of employees: Full time FORMTEXT ????? Part time: FORMTEXT ?????Do you have and active 501(c)(3) status?Yes FORMCHECKBOX No FORMCHECKBOX If yes, when was it received (mm/dd/yyyy)? FORMTEXT ?????Are you registered in SAM with a current DUNS number?Yes FORMCHECKBOX No FORMCHECKBOX If yes, include DUNS number: FORMTEXT ?????Are you a registered vendor with the State of MN?Yes FORMCHECKBOX No FORMCHECKBOX If yes, include SWIFT vendor number: FORMTEXT ?????If no, you will need to register as a vendor before funds are awarded. Vendor information is available at the Supplier portal.Is your organization affiliated with or managed by any other organizations (e.g. regional or national offices? Yes FORMCHECKBOX No FORMCHECKBOX If yes, provide details here. FORMTEXT ?????Do you receive management or financial assistance from any other organizations? Yes FORMCHECKBOX No FORMCHECKBOX If yes, provide details here. FORMTEXT ?????What is the total revenue of your organization in the most recent accounting period (12 months)? FORMTEXT ?????How many different funding sources does the total revenue come from? FORMTEXT ?????How many of those different funding sources are other DEED areas? FORMTEXT ?????Do you have written policies and procedures for the following business practices? (If yes, attach a copy of the table of contents.)AccountingYes FORMCHECKBOX No FORMCHECKBOX PurchasingYes FORMCHECKBOX No FORMCHECKBOX PayrollYes FORMCHECKBOX No FORMCHECKBOX Accounting SystemWhich of the following best describes your accounting system? Manual FORMCHECKBOX Automated FORMCHECKBOX Combination FORMCHECKBOX Do you have multiple grants awards? Yes FORMCHECKBOX No FORMCHECKBOX (If no, skip to Question 3.)Does the accounting system identify the receipts and expenditures of program funds separately for each award? Yes FORMCHECKBOX No FORMCHECKBOX Will the accounting system provide for the recording of expenditures for each award by the budget cost categories shown in the approved budget? Yes FORMCHECKBOX No FORMCHECKBOX Are time distribution records (time studies) maintained for all employees who receive funding from multiple sources?Yes FORMCHECKBOX No FORMCHECKBOX (If yes, go to question 4.)If “No,” do you have an approved alternative system to account for time distribution? Yes FORMCHECKBOX No FORMCHECKBOX When was the alternative system approved? (mm/dd/yyyy) FORMTEXT ?????Has a federal or state agency issued an official opinion regarding the adequacy of the organization’s accounting system for the collection, identification, and allocation of costs for grants? Yes FORMCHECKBOX No FORMCHECKBOX If yes, attach a copy of the review and any subsequent documents.Fund ControlsIf grant funds are mixed with other funds, can the grant expenses be easily identified? Yes FORMCHECKBOX No FORMCHECKBOX Not mixed FORMCHECKBOX Does the accounting system have a way to identify over-spending of grant funds? Yes FORMCHECKBOX No FORMCHECKBOX Is a separate bank account maintained for grant funds? Yes FORMCHECKBOX No FORMCHECKBOX Are the officials of the organization bonded? Yes FORMCHECKBOX No FORMCHECKBOX NGO Financial ReviewTo comply with the NGO Financial Review all 501(c)(3) must submit one of the following:Recent board-reviewed financial statements.IRS Form 990. Most recent certified financial audit.CertificationI certify that the above information is complete and correct to the best of my knowledge.Print authorized representative name: FORMTEXT ?????Title: FORMTEXT ?????Authorized signature: Date (mm/dd/yyyy): FORMTEXT ?????Form 6: Unemployment Insurance Account Consent Before awarding a grant, DEED will need to verify that your organization does not have any outstanding Unemployment Insurance (UI) tax liability. If you choose not to provide this consent, DEED staff may determine that you are ineligible for DEED funding.This authorization to release unemployment insurance data is not valid until it is signed and dated. It will expire three months after the signature date. Please include a copy of a government-issued identification with a signature as an additional form of verification. Explanation of your rightsPurpose of this formYou must complete, sign and return this form if you want to authorize a person or organization to receive certain private or nonpublic information that we collect to administer the Unemployment Insurance Program.You have the right to choose what data we release. This means you can let us release all of the data, some of the data, or none of the data listed on this consent.You have the right to allow us to release the data to all, some or none of the persons or entities listed on this form.This means you can choose which entities or persons may receive the data and what data they may receive.You may withdraw your permission at any time. Withdrawing your permission will not affect the data that we have already released because we had your permission to release the data.Reviewing the InformationYou have the right to look at all data described on this form and have copies of the data. We encourage you to look at the data before you decide to give your consent. If you want copies of the above data mailed only to you, fill out this form without adding an authorized person or organization.If you have any questions about your private data, how to complete this consent form, or if you want to withdraw your consent, call Jim S. at (651) 259-0806.Data SubjectYour name or name of organization: FORMTEXT ?????UI Employer Account No.: FORMTEXT ?????Street address: FORMTEXT ?????City: FORMTEXT ????? State: FORMTEXT ?????Zip code: FORMTEXT ?????Authorized person or organizationI authorize the following person or organization to receive the private and nonpublic data checked below:Form 4: Unemployment Insurance Account Consent Form ContinuedFiscal Program & Monitoring staffDEED, Workforce Development Division332 Minnesota Street, Suite E200Saint Paul, MN 55101Phone number: (651) 259-7530UI DataTypes of data that agree to be released: FORMCHECKBOX Payment- Employer UI account status FORMCHECKBOX Other – information about all outstanding UI account debt, including the age, amount owed and when the debt was incurred SignatureI voluntarily authorize DEED to release the selected private data to the above individual/organization. I am aware of the purpose for releasing the private data and I understand that there may be consequences for releasing the data to the individual/organization.Your signature or signature of corporate officer, partner or fiduciaryPrint your name (and title, if applicable): FORMTEXT ?????Phone: FORMTEXT ?????Date FORMTEXT ?????Form 7: Conflict of Interest DisclosureProposers must comply with the Office of Grants Management (OGM) Policy 08-01. Conflict of Interest Policy for State Grant-Making by disclosing any conflicts of interest (actual, potential or perceived) that may occur before or during the grant period. Organizational conflicts of interest occur when: A grantee is unable or potentially unable to render impartial assistance or advice to the State due to competing duties or loyalties.A grantee’s objectivity in carrying out the grant is or might be otherwise impaired due to competing duties or loyalties.A grantee or potential grantee has an unfair competitive advantage through being furnished unauthorized proprietary information or source selection information that is not available to all anizational conflicts include acts of any individual or group within the proposer’s organization. Individual conflicts of interest occur when:A state employee or grant reviewer receives or accepts money or anything else of value from a grant applicant or has equity or a financial interest in, or partial or whole ownership of, an applicant organization.A state employee or a grant reviewer is an employee or board member of a potential grantee, or is an immediate family member of an owner, employee or board member of the applicant. A potential grantee offers or gives a state employee or grant reviewer special advantage, benefit, or access to time, services, facilities, equipment, supplies, badge, uniform, prestige, or influence.As the authorized representative of my organization, I certify that I have read and understand the description of conflict of interests explained in OGM Policy_08-01. Check one of the two boxes below: FORMCHECKBOX To the best of my knowledge, neither I nor my organization has an ACTUAL, POTENTIAL, or PERCEIVED conflict of interest with anyone involved in review or management of this grant. FORMCHECKBOX My organization does have an ACTUAL, POTENTIAL, or PERCEIVED conflict of interest. Please describe: If at any time after submission of this form, I or anyone in my organization discovers any conflict of interest(s) not reported here, we will contact DEED immediately and disclose the conflict. Authorized representative’s printed name: FORMTEXT ?????Signature:Organization: FORMTEXT ?????Date: FORMTEXT ?????Form 8. Affidavit of Non-CollusionInstructions: Please return this completed form as part of the Request for Proposal Response submittal.I swear (or affirm) under the penalty of perjury:1. That I am the Responder (if the Responder is an individual), a partner in the company (if the Responder is a partnership), or an officer or employee of the responding corporation having authority to sign on its behalf (if the Responder is a corporation).2. That the attached proposal submitted in response to this Request for Proposal has been arrived at by the Responder independently and has been submitted without collusion with and without any agreement, understanding or planned common course of action with, any other Responder of materials, supplies, equipment, or services described in the Request for Proposals, designed to limit fair and open competition.3. That the contents of the proposal have not been communicated by the Responder or its employees or agents to any person not an employee or agent of the Responder and will not be communicated to any such persons prior to the official opening of the proposals.4. That I am fully informed regarding the accuracy of the statements made in this affidavit.Authorized SignatureResponder’s Organization name: FORMTEXT ?????Print authorized representative name and title: FORMTEXT ?????Grant Program: FORMTEXT ?????Authorized signature: Date (mm/dd/yyyy): FORMTEXT ?????Notary PublicSubscribed and sworn to before me this ____ day of __________, 20___.________________________________________Notary Public signatureCommission expires (mm/dd/yyyy): ___________Cost Category DefinitionsAdministration: Costs are defined by WIOA (Workforce Innovations and Opportunity Act) Final Rules and Regulations (20 CFR, Section §603.220) and are generally associated with the expenditures related to the overall operation of the employment and training system. Administrative costs are associated with functions not related to the direct provision of services to program participants. These costs can be both personnel and non-personnel and both direct and indirect.Direct Customer Training Costs: Any tuition, books, fees, on-the-job training reimbursements, participant wages and fringes, and Personal Adjustment/Independent Living Skills Training, provided directly on the customer’s/consumer’s behalf. For non-WIOA programs, include the expenditures in accordance with the appropriate rules and regulations. Do not include staff costs within this category unless staff are providing the direct customer training. Direct Services: Costs associated with providing direct service and fringe benefits for staff who provide direct services to participants should be included in this cost category. Direct staff, office supplies and other costs necessary to process customers in some type of intensive, vocational counseling and/or training services, exclusive of actual monies spent on tuition, books, on-the-job training reimbursements, job coaching, supported employment, personal assistance services (Vocational Rehabilitation Services), or other direct and tangible training goods and services received by customers.Specifically, direct services may include the following:Comprehensive and specialized assessments of the skill levels and service needs of adults, which may include: Diagnostic testing and use of other assessment tools; and In-depth interviewing and evaluation to identify employment barriers and appropriate employment goals. Development of an individual employment plan, to identify the employment goals, appropriate achievement objectives, and appropriate combination of services for the participant to achieve the employment goals; Group counseling; Individual counseling and career planning; Case management for participants seeking training services; andShort-term prevocational services, including development of learning skills, communication skills, interviewing skills, punctuality, personal maintenance skills, and professional conduct, to prepare individuals for unsubsidized employment or training.Outreach: Engaging in outreach and recruitment efforts to attract individuals in order to increase a program’s participation.?Outreach may be conducted formally (in person meetings, community events, advertising etc.) or informally (social media, flyers, career fair participation, etc.) on behalf of this program, not on behalf of the organization.Support Services: Costs for services and items considered necessary for participation in the program including, but not limited to: transportation, housing/rental assistance, health and medical costs, needs-based payments (not allowed for Dislocated Worker Programs), travel assistance, legal aid, personal counseling, clothing, tools, etc. For non-WIOA programs, include the expenditures in accordance with the appropriate rules and regulations. ................
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