Rating Criteria A strong application all of the criteria listed below. – Costs are reasonable and appropriate given the nature of the service, the focus population(s), the proposed level of service, and the proposed outcomes. The proposed program is cost effective given the type, quantity, and quality of services. The applicant has a demonstrated capacity to ensure adequate administrative and accounting procedures and controls necessary to safeguard all funds that may be awarded under the terms of this RFP. The applicant demonstrates a financially viable agency with the capability to meet program expenses in advance of reimbursement. Total = 100 points Completed Application Requirements AT APPLICATION SUBMITTAL To be considered Complete, your application packet must include all of the following items or the application will be deemed incomplete and will not be rated: A completed and signed Application Cover Sheet (Attachment 2). A completed Narrative response (see Sections II & III for instructions). A completed Proposed Program Budget (Attachment 3). A completed Proposed Personnel Detail Budget (Attachment 4). A completed Summary of Performance Measures and Focus Population Worksheet (Attachment 5). Roster of your agency’s current Board of Directors. Minutes from your agency’s last three Board of Directors meetings. Current verification of nonprofit status or federal recognition as an Indian tribe, or evidence of incorporation or status as a legal entity. Your agency must have a federal tax identification number/employer identification number. If your agency has an approved indirect rate, a copy of that the rate is approved by an appropriate federal agency or another entity. AFTER MINIMUM ELIGIBILITY SCREENING AND DETERMINATION OF A COMPLETED APPLICATION If HSD does not already have them on file, any or all of the following documents may be requested after applications have been determined eligible for review and rating. Agencies have four (4) business days from the date of written request to provide requested documents to the funding process coordinator: A copy of the agency’s current fiscal year’s financial statements reports, consisting of the Balance Sheet, Income Statement and Statement of Cash Flows, certified by the agency’s CFO, Finance Officer, or Board Treasurer. A copy of the agency’s most recent audit report. A copy of the agency’s most recent fiscal year-ending Form 990 report. A current certificate of commercial liability insurance. Note: if selected to receive funding, the agency’s insurance must conform to MASA requirements at the start of the contract. List of Attachments & Related Materials Attachment 1: Application Checklist
Rating Criteria – A strong application all of the criteria listed below. Costs are reasonable and appropriate given the nature of the service, the focus population(s), the proposed level of service, and the proposed outcomes. The proposed program is cost effective given the type, quantity, and quality of services. The applicant has a demonstrated capacity to ensure adequate administrative and accounting procedures and controls necessary to safeguard all funds that may be awarded under the terms of this RFP. The applicant demonstrates a financially viable agency with the capability to meet program expenses in advance of reimbursement. Total = 100 points Completed Application Requirements AT APPLICATION SUBMITTAL To be considered Complete, your application packet must include all of the following items or the application will be deemed incomplete and will not be rated: A completed and signed Application Cover Sheet (Attachment 2). A completed Narrative response (see Sections II & III for instructions). A completed Proposed Program Budget (Attachment 3). A completed Proposed Personnel Detail Budget (Attachment 4). A completed Summary of Performance Measures and Focus Population Worksheet (Attachment 5). Roster of your agency’s current Board of Directors. Minutes from your agency’s last three Board of Directors meetings. Current verification of nonprofit status or federal recognition as an Indian tribe, or evidence of incorporation or status as a legal entity. Your agency must have a federal tax identification number/employer identification number. If your agency has an approved indirect rate, a copy of that the rate is approved by an appropriate federal agency or another entity. AFTER MINIMUM ELIGIBILITY SCREENING AND DETERMINATION OF A COMPLETED APPLICATION If HSD does not already have them on file, any or all of the following documents may be requested after applications have been determined eligible for review and rating. Agencies have four (4) business days from the date of written request to provide requested documents to the funding process coordinator: A copy of the agency’s current fiscal year’s financial statements reports, consisting of the Balance Sheet, Income Statement and Statement of Cash Flows, certified by the agency’s CFO, Finance Officer, or Board Treasurer. A copy of the agency’s most recent audit report. A copy of the agency’s most recent fiscal year-ending Form 990 report. A current certificate of commercial liability insurance. Note: if selected to receive funding, the agency’s insurance must conform to MASA requirements at the start of the contract. List of Attachments & Related Materials Attachment 1: Application Checklist
OlderAdultHealthPromotionApplicationWord.docx