A signed letter of commitment to enter into a contract with Alameda County to provide oversight as the Fiscal Sponsor for the implementation of a grant if awarded to the Applicant named in ATTACHMENT A: Budget Template in response to this RFA. A copy of most current annual operating budget A copy of the most recent financial statement, or the most recent audited or unaudited financial report, or the most recent business tax filing. Federal or State correspondence which includes their Federal Tax ID or Employer ID Number A list of their Board of Directors including contact information for each member. A signed copy of the APPLICANT INFORMATION AND ACCEPTANCE FORM A signed copy of the ACKNOWLEDGEMENT OF APPLICATION SUBMITTAL REQUIREMENTS Current and Former Professional References. Do you plan to purchase equipment through the grant? If your budget includes purchase of significant capital resources such as computer software or hardware (with value over $5,000), describe why these acquisitions are needed, what vendors have been identified to-date, and/or how they will be identified for purchase. Identify if ongoing, annual costs will occur to maintain these investments beyond the grant period. Discuss how funds for these ongoing costs will be raised. You may include up to 10% for indirect costs in your budget for expenses incurred in the performance of your proposed project. If you are using a Fiscal Sponsor you may pay your Sponsor up to 15% of your requested project budget. Do you plan to use TA providers and pay for services through the grant? You may select TA providers from ATTACHMENT B: Local Technical Assistance Providers or identify a qualified provider(s) of your choice. If you are requesting grant funds to pay for TA services you must identify this expense in your budget and explain it in your budget narrative. CURRENT PROFESSIONAL REFERENCES RFA No. CCF-P2-2016– CCF PHASE II Implementation Grant Application Applicant Name: Company Name: Contact Person: Address: Telephone Number: City, State, Zip: E-mail Address: Services Provided / Date(s) of Service: Company Name: Contact Person:
A signed letter of commitment to enter into a contract with Alameda County to provide oversight as the Fiscal Sponsor for the implementation of a grant if awarded to the Applicant named in ATTACHMENT A: Budget Template in response to this RFA. A copy of most current annual operating budget A copy of the most recent financial statement, or the most recent audited or unaudited financial report, or the most recent business tax filing. Federal or State correspondence which includes their Federal Tax ID or Employer ID Number A list of their Board of Directors including contact information for each member. A signed copy of the APPLICANT INFORMATION AND ACCEPTANCE FORM A signed copy of the ACKNOWLEDGEMENT OF APPLICATION SUBMITTAL REQUIREMENTS Current and Former Professional References. Do you plan to purchase equipment through the grant? If your budget includes purchase of significant capital resources such as computer software or hardware (with value over $5,000), describe why these acquisitions are needed, what vendors have been identified to-date, and/or how they will be identified for purchase. Identify if ongoing, annual costs will occur to maintain these investments beyond the grant period. Discuss how funds for these ongoing costs will be raised. You may include up to 10% for indirect costs in your budget for expenses incurred in the performance of your proposed project. If you are using a Fiscal Sponsor you may pay your Sponsor up to 15% of your requested project budget. Do you plan to use TA providers and pay for services through the grant? You may select TA providers from ATTACHMENT B: Local Technical Assistance Providers or identify a qualified provider(s) of your choice. If you are requesting grant funds to pay for TA services you must identify this expense in your budget and explain it in your budget narrative. CURRENT PROFESSIONAL REFERENCES RFA No. CCF-P2-2016– CCF PHASE II Implementation Grant Application Applicant Name: Company Name: Contact Person: Address: Telephone Number: City, State, Zip: E-mail Address: Services Provided / Date(s) of Service: Company Name: Contact Person:
CCFImplementation_RFACCF_P2_2016.docx