Welfare Programs by zhangyun

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									SOUTH CENTRAL WORKFORCE INVESTMENT AREA
      DEPARTMENT OF PUBLIC WELFARE
      LOCAL MANAGEMENT COMMITTEE




                 REQUEST FOR PROPOSALS
                                FOR
                    Program Years 2011-2014
                (July 01, 2011 thru June 30, 2014)

                           TO PROVIDE

      Employment, Advancement and Retention Network (EARN) Program
                      Training, Services and/or Activities
            Related to Employment, Education, and Job Retention
                             SCWIA COUNTIES
                              Adams & Franklin

      Career Development Component (CDC)
      Work Support Component (WSC)


                                      RFP Release Date:   January 3, 2011
                                                             10:00 A.M.

                                      RFP Due Date:       February 18, 2011
                                                              4:00 P.M.
                                            TABLE OF CONTENTS
                                                   Part A-General Information   Part B-Request for Proposal
                                                               Instructions               Packet/Forms
I.   Introduction                                                   4-5                    N/A

II. General Information                                             6-7                    N/A
     A. Policy Regarding Request for Proposal (RFP)                 8                      N/A
        1. Pre-Proposal Conference                                  8                      N/A
        2. Expected Time-Line                                       8                      N/A
        3. Proposal Submission                                      9                      N/A
        4. Disclosure of Proposal Contents                          9                      N/A
     B. Significant Segments / Target Group                         9
     C. EARN Program Restrictions/Requirements                      9-11                    N/A
     D. EARN Program Training Services and/or Activities
        To Be Performed                                             11                      N/A

III. Specific Instructions                                          12                     N/A
     A. Type of Contract/Cost Reimbursement                           13                   N/A
     B. Proposal Format Policy                                        13                   N/A
     C. Required Proposal Information                                 14                   N/A
          1. Application for Funding Assistance                       14-15                32
          2. Program Costs/Objectives/Goals-Projected Service Levels  15                   33
          3. Specific Targeted Program Objectives/Goals               16                   34
          4. Description of Past Performance Measurements             16                   35
          5. Past Performance Measurements/Demonstrated Effectiveness 17                   36
          6. Program Narrative                                        17-19                37-39
          7. Program Management                                       19-20                40
          8. Payment Schedule                                         20-21                41
          9. Financial System Criteria                                21                   42-43
         10. Project Line Item Budget/Leveraged Matching Funds Chart 21-22                 44-46
     D. Assurances and Certification Attachments                       22                  N/A
         1. Certification Regarding Drug-Free Workplace                22                  47-48
             Requirements
          2. Certification Regarding Lobbying                          22                   49
          3. Certification Regarding Debarment,                        22                   50
             Suspension & Ineligibility
          4. Concurrence of Collective Bargaining Agent                22                  51
          5. Union Comments                                            22                  52
     E. Personnel Policies                                             22                  N/A
     F. Insurance Requirements                                        23                   N/A

IV. Selection and Evaluation Criteria                                 24                   N/A
     A.   General Information                                        25                    N/A
     B.   Evaluation Criteria                                        25-26                 N/A
     C.   Notification of Award                                      26                    N/A
     D.   Compliance with Law and Conflict of Interest               26                    N/A

V. SCWIB Quality Assurance/Monitoring Requirements                    27-28                N/A

VI. Case Record/Financial Record Requirements                        29-30                 N/A

                                                         2
             PART A

GENERAL INFORMATION/INSTRUCTIONS




               3
  SECTION I


INTRODUCTION




      4
I.   INTRODUCTION

     The South Central Workforce Investment Area’s (SCWIA) Department of Public Welfare Local Management
     Committee (DPW LMC) is soliciting Request for Proposals (RFP) from contractors to provide Temporary
     Assistance to Needy Families (TANF) and Supplemental Nutrition Assistance Program (SNAP) customers with
     employment and training services and/or activities that will enable them to obtain self-sufficiency. The EARN
     program training, services and/or activities, and education efforts are focused on concrete and immediate
     performance goals – unsubsidized employment and job retention. We believe that meeting these goals successfully
     requires consistent dedication to the process of motivating and transitioning a disadvantaged, unemployed person
     into the world of work. The key to successful performance is in creating and maintaining a supportive training
     environment that puts learning in the greater context of work and motivates customers to participate in all
     prescribed services and/or activities. It imparts academic skills simultaneously with work related skills and attends
     to the entire transition process from assessment, career planning, skill acquisition, and placement through job-
     retention for up to a twelve-month (12) period. Program success will be measured not only by course and/or
     curriculum content and hours completed but, also by the successful transition to training-related employment,
     retention in employment and upward career mobility.

     The Local Management Committee (LMC) oversees the Welfare programs in the SCWIA’s eight (8) county region
     of Adams, Cumberland, Dauphin, Franklin, Juniata, Lebanon, Perry, and York counties. The LMC manages and
     directs the local operation of contracted programs on the local level, subject to the guidelines outlined in the Local
     Management Committee Section of the current and/or modified Master and Program Guidelines found at
     www.betpcmproject.org the DPW-BETP online forum website.

     Committee membership is comprised of representatives from: the County Assistance Office (CAO), the Bureau of
     Workforce Development Partnership (BWDP), the local Education Agencies, the Economic Development Agencies
     and the SCWIA Fiscal Agent. The LMC meets on a monthly basis to review contractor performance, resolve issues
     that may arise with customers and service providers, discuss recruitment and placement strategies as well as other
     pertinent issues.




                                                           5
     SECTION II


GENERAL INFORMATION




         6
II.   GENERAL INFORMATION

      This Request for Proposal Package (RFP) is to be used for the submission of proposals for the period beginning
      July 01, 2011 through June 30, 2014. The purpose of the RFP is to identify organizations to provide high quality
      employment and educational programs, services and activities, using innovative strategies to enable welfare
      customers to become employed and to retain employment, with the ultimate goal being self-sufficiency.

      This RFP contains instructions governing the proposals to be submitted and the material to be included therein;
      requirements which must be met in order to be eligible for consideration; general evaluation criteria; and other
      requirements to be met by each proposing contractor.

      The EARN program training, services and/or activities being solicited in this RFP are being sought under the
      competitive method of procurement, which follows government procurement rules. Solicitation via this RFP will
      ensure that the program training, services and/or activities funded by the DPW grant is obtained efficiently and
      economically and to provide for complete, free, and open competition in the selection of contractor(s.)

      Proposing contractors may submit a proposal to provide high quality employment and educational programs,
      services and activities in the South Central Workforce Investment Area (SCWIA) counties of Adams and Franklin.
      In addition, proposing contractors must also provide projected service levels, a benchmark payment schedule, if
      applicable, a line item budget and leveraged matching funds chart for Program Year 2011 (July 01, 2011 to June
      30, 2012) as required by the RFP. This information should be provided on the forms located in Part B (Request for
      Proposal Packet/Forms) of this RFP.

      The selected contractor(s) will be responsible for coordination, collaboration and leveraging funds with other
      contractors and/or agencies throughout the SCWIA Region to provide specific employment and educational
      program(s), services and/or activities that contribute to the customer’s ability to reach self-sufficiency. These
      program(s), services and/or activities include but are not limited to education, training, job-development, job
      retention, as well as meeting the social and emotional needs of each referred customer from the local county
      assistance office within each respective SCWIA county.

      Proposing contractors must indicate in the RFP their capacity to link, both financial and programmatic resources,
      with other contractors and/or agencies in the SCWIA region. This will enhance program(s), services and/or
      activities provided by contractors, as well as make the program(s), services and/or activities more cost effective.

      Proposing contractors must describe their linkages by providing a clear integrated services plan in Part B, of this
      RFP. DPW is a partner in the one-stop (PA Career Link) system; therefore, one of the links which should be
      included is the PA CareerLink system(s.) Customers being served should have PA CareerLink services integrated
      into their individual self-sufficiency plan. LMC’s must ensure that all contracted program participants are registered
      in the PA Career Link system in order to avail themselves of the services and/or activities provided at the PA
      CareerLinks.

      Successful bidder(s) will be awarded contract(s) for a period of three (3) years, commencing with the period July
      01, 2011 to June 30, 2012. Each subsequent contract will be for no longer than a fiscal year or a part thereof and
      shall be contingent upon the availability of funds, achieving the required performance benchmarks, and compliance
      with the current and/or modified Master and Program Guidelines requirements and the federal and Commonwealth
      of Pennsylvania regulations. Subsequent contract(s) shall require submission of a revised/updated program
      narrative, a new program year projected service level form and a new program year project line item budget.




                                                            7
A. POLICY REGARDING REQUEST FOR PROPOSAL (RFP):

  The LMC is issuing this RFP. However, this does not obligate the LMC and/or the Fiscal Agent to make an
  award as a result. The application resulting from these instructions does not commit the LMC and/or the Fiscal
  Agent to pay for any costs incurred in the preparation of this RFP or for any monies spent prior to an award.
  This RFP is not an offer. Applications that may be approved are not guaranteed funding since the funding of
  programs is contingent upon the availability of funds from the Commonwealth of Pennsylvania

  The LMC reserves the right to accept or reject any or all proposals submitted, to negotiate with all proposing
  contractor(s) on any or all provisions including costs of the proposals received, or reject any part of the
  proposals submitted. The LMC reserve the right to change any of the enclosed specifications as required by the
  United States Department of Labor (USDOL), the Pennsylvania Department of Labor and Industry, or the
  Pennsylvania Department of Public Welfare without prior notice to proposing contractor(s.) In addition, the
  LMC may request the proposing contractor(s) to submit revisions to their proposal.

  Any public or private, profit or non-profit entity, community-based organization (CBO’s), faith based
  organization or other entities with the capacity and capability to provide the requested program(s), services
  and/or activities may respond to this RFP.

  Proposing contractor(s) shall disclose in their submissions any possible conflict of interest arising out of
  personal or business relationships with the LMC Members.

  The LMC is prohibited from awarding a contract to a contractor who is excluded from federal procurement or
  non-procurement programs by the U.S. General Services Administration. The LMC is prohibited from
  awarding a contract to any party disbarred, suspended, or otherwise excluded from or ineligible for
  participation in Federal Assistance Programs in accordance with the USDOL regulations at 29 CFR Part 98 or
  disbarred by the Commonwealth of Pennsylvania.

  Funding is not guaranteed to Contractors since funding for all programs is dependent upon receipt of money
  from the Commonwealth of Pennsylvania, Department of Labor & Industry and/or other federal or state funds.
  1.    Pre-Proposal Conference: A pre-proposal conference regarding this RFP will be conducted on Friday,
        January 14, 2011 at 2:00 P.M. This conference will be held in the PA CareerLink Capitol Region,
        Auditorium, Wiconisco Street, Harrisburg, PA 17110. The meeting is to review the proposal packet, to
        provide an opportunity for the LMC to explain the background of the RFP, to emphasize portions of the
        RFP that are considered especially important including expectations for respondents, evaluation criteria
        and contracting process, and to answer questions posed by potential bidders. The pre-proposal conference
        is for information only and attendance is not mandatory.

        Questions can be emailed to Jan Foster www.jfoster@wibpa.org by twelve o’clock, Monday, January 10,
        2011. All questions will be answered at the pre-proposal conference to the extent that time permits. A
        brief amount of time will be set aside during the pre-proposal conference for additional questions to be
        submitted that day; however, all questions will be answered and posted, along with the formally
        transcribed pre-proposal conference minutes, on the SCWIB’s website www.wibpa.org and DPW-
        BETP’s website www.betpemproject.org/betponlineforum/index.htm. All questions and answers
        provided during the pre-proposal conference will not be final until they appear on the websites.

  2.    Expected Time-Line: The following is the timeline guide for the procurement of services and
        activities for Program Years 2011-2014 (July 01, 2011 to June 30, 2014).
       Public Notification & RFP Issue Date                   January 3, 2011
       Pre-Proposal Conference                                January 14, 2011
       Proposals Due Date                                     February 18, 2011 by 4 PM
       Committee Review, Rating & Selection                   February 28, 2011 to March 11, 2011
       RFP Committee Meeting to Select RFP                    March 14, 2011
       LMC Approval of Recommendations                       March 18, 2011
       Notification of Awards                                By April 1, 2011
       Programs Start Date/End Date                          July 01, 2011 through June 30, 2012

                                                  8
   3. Proposal Submission:To be considered, complete proposals must be submitted as follows: One (1) original
       signature (Blue Ink) plus Ten (10) copies must be received no later than 4pm, Friday, February 18, 2011.

       A log will be maintained indicating the name and address of contractor(s) submitting proposals. The date
       and time of receipt will be recorded on the log. Late proposals will not be considered.

        Proposals must be mailed or hand delivered to the following address in order to be considered:
       South Central Workforce Investment Area - Workforce Investment Board
       c/o Ms. Jan Foster, Welfare Assistant
       4201 Crums Mill Road, Suite 200
       Harrisburg, PA 17112

   4. Disclosure of Proposal Contents: Cost and price information indicated in proposals will be held in
      confidence and will not be revealed or discussed with competitors. All material submitted with the
      proposal and the proposal itself will become the property of the LMC/Fiscal Agent and not returned.
      Proposals submitted to the LMC will be reviewed and evaluated by LMC voting members appointed to the
      review committee at the discretion of the LMC. The LMC reserves the right to use any or all ideas
      presented in response to the RFP. Selection or rejection does not affect this right.

B. SIGNIFICANT SEGMENTS / TARGET GROUPS

   The customers to be served will be recipients of a TANF and/or SNAP benefit(s), whose eligibility was
   determined by the local CAO and concurrently is the sole feeder to EARN, whose program training, services
   and/or activities are funded by the EARN funding sources. More specific criteria regarding customers to be
   served can be found in the current and/or modified Master and Program Guidelines. Many of the EARN
   program customers will possess social and economic barriers. Some of the counties have individuals with
   limited literacy and/or limited English proficiencies, therefore, proposing contractor(s) must clearly indicate
   how the EARN program will be provided to those individuals.

C. EARN PROGRAM RESTRICTIONS AND/OR REQUIREMENTS
   EARN Program training, services and/or activities related to employment, education and job retention should
   include the following components:

    Career Development Component (CDC)
    Work Supportive Component (WSC)

   Proposed EARN program training, services and/or activities must observe the following restrictions and/or
   requirements as they are related to the above listed components:

  Program training, services and/or activities, for Program Year 2011, cannot start prior to July 01, 2011 and
   cannot end later than June 30, 2012. Planned program training, services/activities cannot be less than one (1)
   week or more than fifty-two (52) weeks. Refer to the current and/or modified Master and Program Guidelines
   for conditions and time limits placed on acceptable activities. Contractors are required to accept any and all
   customers referred to them for the above mentioned program.

  Proposing contractors are responsible for adhering to all current and/or modified Master and Program
   Guideline requirements and to send staff to training sessions as they occur over the course of the year offered
   by BETP-Management Training Institute (MTI) or its agents, as appropriate for the areas of responsibility of
   that staff.

  Start dates for newly referred customers, for the proposed program training and services and/or activities,
   must be an open entry/open exit enrollment basis in order to meet the Work Participation Rate and LMC
   performance requirements in the current and/or modified Master and Program Guidelines. In addition,
   proposing contractors must agree to accept unlimited enrollments.


                                                   9
 Proposed contractors must have a specific plan that outlines the strategies to engage all referrals from the
  local County Assistance Office(s).

 A minimum of twenty (20) hours per week of participation must be available to all customers attending the
  program training, services and/or activities. Depending on a customer’s circumstances, a thirty (30) hour per
  week participation requirement may be necessary. The attendance requirement must be enforced for all
  customers participating in a program training, service and/or activity. All time missed must be made up by
  customers within the calendar month and in a supervised setting. Therefore, some reasonable provision of
  time for customers to make-up hours missed must also be available.

 Contractor(s) must provide allowable core activities, defined by the federal government, for a minimum of
  twenty (20) hours per week. In addition to the core activities, non-core activities must be provided to all
  customers that are required to participate in the program for thirty (30) hours per week. Additional definitions
  can be found in the current and/or modified Master and Program Guidelines.

 All contractors must ensure that all contracted program participants are registered in the PA CareerLink
  system in order to avail themselves of the services and/or activities provided at the PA CareerLinks.

 Supportive services are provided to customers, and payment(s) shall be made prior to the customer(s) need, to
  help overcome major obstacles and to allow customers to participate in training, education and work
  activities or to obtain employment. Examples include the costs associated with incentives, transportation,
  tools and equipment, books and supplies. Customer incentives need to be addressed in the proposals since
  they are essential tools for customers to obtain EARN programs goals.

 Staffing requirements must be sufficient to successfully operate the program and provide adequate services.
  Contractor(s) must assign a sufficient number of direct service staff that is bilingual in English and Spanish.
  In addition, contractor(s) must have the ability and capacity to provide program training, services and/or
  activities to any individual speaking any language other than English and shall obtain Language Line access
  where the customer population warrants it within the proposed SCWIA.

 Contractor(s) must complete and maintain a current Employment Development and Retention Plan (EDRP)
  for every customer enrolled in a program along with all the other required forms outlined in the current
  and/or modified Master and Program Guidelines and any additional documentation and/or forms initiated by
  the LMC and/or the Fiscal Agent.

 Contractor(s) must provide intensive and on-going case management during the pre and post placement phase
  as indicated in the current and/or modified Master and Program Guidelines.

 Contractor(s) must ensure that each customer’s information is promptly and correctly data entered into the
  Commonwealth’s Workforce Development System (CWDS) as noted in the current and/or modified Master
  and Program Guidelines. Contractor(s) must also ensure that the appropriate staff secure CWDS access and
  attend the state training within thirty (30) days of the award of a contract. The contractor is also required to
  apply for CIS access. Additional information/instructions on these items can be found in the current and/or
  modified Master and Program Guidelines and on the DPW-BETP online forum website.

 Contractor(s) must collaborate with the local County Assistance Office to meet at a minimum of twice per
  month to reconcile records/data for each client and determine the best course of action for active clients.
  Further details for the Direct Service Teams are found in the current and/or modified Master and Program
  Guidelines.




                                                  10
  Confidentiality of customer information must be maintained to meet the requirements of HIPPA regulations
    and specific procedures as outlined throughout the current and/or modified Master and Program Guidelines
   & Health Insurance & Portability & Accountability Act (HIPPA) as related to the program being
   administered. All case files must be properly stored in a secured space with limited staff access.

  In the event that an organization other than the current provider is awarded the contract, swift and immediate
   transition activities will be necessary. The LMC recommends that any organization awarded funds through
   this RFP give first consideration to current customers who may be displaced as a result of the awarded
   contract(s.) Transition activities for the welfare EARN program training, services and/or activities will be
   completed by July 31, 2011. Transition activities include but are not limited to the transfer of case files and
   ensuring that customer services are uninterrupted. It is expected by the LMC that parties involved will work
   together to ensure that program training, services and/or activities to customers are not impacted.

D. EARN PROGRAM TRAINING, SERVICES/ACTIVITIES TO BE PERFORMED:

   Proposing contractor(s) must plan to provide assessment/orientation services, skills training, case management
   services, and supportive services/incentives, if needed in order to foster participation and employment, to all
   customers, and plan to offer any or all of the allowable training, services and/or activities within each of the
   aforementioned EARN program components. However, proposing contractor(s) should understand that the
   allowable training, services and/or activities are time limited and are based on availability in the county and
   SCWIA region and should be selected in accordance with the High Priority Occupation lists.

   Please describe each of the proposed training, services and/or activities you plan to administer in detail in Part
   B of this RFP. Provide examples of program training, services and/or activities available in-house and/or
   provided by other contractors and/or agencies such as job search workshops and other job search assistance
   activities.

   Heavy emphasis will be placed on proposals that demonstrate an in-depth understanding of customers’ needs
   and the Program Design Requirements in the current and/or modified Master and Program Guidelines.
   Proposing contractor(s) are encouraged to be innovative in their delivery of the EARN program training,
   services and/or activities, as well as expanding the program training, services and/or activities. Proposals that
   present a well thought out plan for motivating customers to meet the current and/or modified Master and
   Program Guidelines strict time-and-attendance requirements are highly desirable.

   All EARN program training, services and/or activities must be provided and delivered in accordance with the
   current and/or modified Master and Program Guidelines. Additional guidelines and reporting formats are
   available on the web at www.betpcmproject.org. Instructions on establishing a new user account can be found
   on the home page; however, no password is needed to view the guidelines and program requirements.

   Proposing contractor(s) are responsible for being familiar with the applicable current and/or modified Welfare
   Master and Program Guidelines, laws, rules, and regulations and for applying them in developing the RFP
   response.




                                                    11
     SECTION III


SPECIFIC INSTRUCTIONS




          12
III.   SPECIFIC INSTRUCTIONS

       A. TYPE OF CONTRACT

         Successful contractor(s) may be offered Cost Reimbursement and/or Performance Based, or Blended
         Performance-Based contract(s). This RFP is being used to procure EARN program training, services
         and/or activities using the Cost Reimbursement Method.

         Succinctly defined, a cost reimbursement method is one that makes payment dependent on the actual costs of
         operating a program, a performance based method is one that makes payment dependent on the contractor
         reaching specific benchmarks and a blended performance based method means that the contractor(s) will be
         paid on a cost reimbursement method and a performance based method.

         For the Performance Based Method and the Blended Performance Base Method the required benchmarks are
         listed on the Performance-Based Payment Schedule in this RFP. Payment of the total Project Line Item Budget
         minus the Direct Participant Costs, as listed below, will be distributed in accordance with the required
         performance benchmarks and payment schedule provided in the RFP. The required payment schedule form is
         in Part B, Page 41 of this RFP packet.

         Direct Participant Costs shall include In-House Training Expenses (i.e. Basic Computer Skills, ABE, GED, and
         ESL), Paid Work Experience Expenses, Paid Work Experience Fringe Benefit Expenses, Skills Training
         Expenses, and Supportive/Incentive Expenses. These items are to be separately identified on the required
         Project Line Item Budget form in Part B, Pages 44 and 45 of the RFP packet and need to be readily identifiable,
         at the time of billing, as a cost per participant.

         If all of the benchmarks are satisfactorily accomplished, then the contractor is totally reimbursed. When not all
         of the benchmarks are met, the amount payable is prorated downwards. In other words, payment to the
         contractor is based solely upon the level of performance achieved. Considering this, contractors should base
         their overall performance-based cost on the number of customers expected to be referred, realizing payment
         will only be made for those customers who successfully complete a benchmark as noted above.

         In addition to completion of the required Performance-Based Payment Schedule, if applicable, proposing
         contractors must complete the Project Line Item Budget form in this RFP. All contracts require a Line Item
         Budget for cost comparison, invoicing, program monitoring and auditing.

       B. PROPOSAL FORMAT POLICY

         Proposals must be submitted in the designated format to ensure conformity during the evaluation process.
         Failure to abide by this policy will result in the rejection of your proposal. The RFP packet contains two
         sections: Part A General Information and Instructions, and Part B Request for Proposal Packet/Forms.

         Proposals should be prepared simply and economically, providing a straightforward, concise description of the
         proposing contractor(s) ability to meet the requirements of the RFP. All proposals must be typed. Elaborate
         brochures, expensive paper and the like are neither necessary, nor wanted. Completeness, legibility and clarity
         are essential.

         To be considered, proposing contractor(s) must submit a complete proposal, and respond fully to all
         requirements, using the format provided under Part B of this RFP. Failure to submit a complete proposal
         and/or respond fully to all requirements will cause the entire proposal to be rejected.




                                                         13
C. REQUIRED PROPOSAL INFORMATION
  Proposals must include the following information on the required proposal forms in Part B known as
  Request for Proposal Packet/Forms of this RFP. Items that do not apply to your proposed program
  training, service and/or activity, please write "N/A" along with a full explanation in the appropriate
  space in Part B of this RFP.

      1.      Application for Funding Assistance
      2.      Program Costs/Objectives/Goals-Projected Service Levels
      3.      Specific Targeted Program Objectives/Goals
      4.      Description of Past Performance Measurements
      5.      Past Performance Measurements/Demonstrated Effectiveness
      6.      Program Narrative
      7.      Program Management
      8.      Payment Schedule
      9.      Financial System Criteria
      10.     Line Item Budget/Leveraged Matching Funds Chart

  Note: The following pages 14-23 further define and provide specific instructions in completing each category
  on the required forms in Part B of this RFP Packet. Proposing contractors must respond to all requirements
  in this part of the RFP.

  1. APPLICATION FOR FUNDING ASSISTANCE

     FUNDING REQUESTED:
      Enter the amount of funds needed to operate your proposed EARN program.

     DATE OF APPLICATION:
      Indicate date proposal is Submitted.

     ORGANIZATION:
      Complete the following: Name of Organization, Department and/or Division responsible for the proposal,
      Street Address, City, State, and Zip Code, Name and phone number of person responsible for the proposal
      and who, if negotiations are necessary, has authority to negotiate.

     TYPE OF ORGANIZATION:
      Indicate the type of Organization. Examples of “other” are: Community-based organization, Private
      Industry, Private-for-Profit Training Institutions, etc. Also indicate IRS Tax Number and Legal Authority
      for Organization. Examples of legal authority are as follows: United States Law, Pennsylvania State Law
      Incorporation (If possible, include the number & section of the applicable law.) Numbers of years in
      business is also required.

     TYPE OF PROPOSAL REQUEST:
      Check only one box in this section. If “Other” is checked, specify other type.

     PROPOSED PROGRAM TITLE:
      Enter exact program title

     LENGTH OF PROPOSAL:
      Provide the total number of weeks that the proposed EARN program training, services/activities will
      operate.

     PERIOD OF PERFORMANCE:
      Indicate the actual starting and ending dates. EARN program training, services and/or activities, for
      Program Year 2011, cannot start prior to July 01, 2011 and cannot end later than June 30, 2012.


                                                  14
   POPULATION SEGMENTS TO BE SERVED:
    Please indicate the Welfare eligible customers you plan to serve.

   GEOGRAPHIC AREA TO BE SERVED:
    Please indicate the county/counties to be served under this proposal. Please be specific.

   SIGNATURE OF CHIEF ADMINISTRATOR OR AUTHORIZED SIGNATORY:
    Application must be signed by the Chief Administrator or Authorized Signatory who is authorized to bind
    the RFP as a firm offer of the organization. This signature must be original in any color but black;
    stamped signatures are not acceptable.

2. PROGRAM COSTS AND OBJECTIVES/GOALS- PROJECTED SERVICE LEVELS
   NOTE: RED highlighted letters describe what is to be completed on page 33.

   (A&B)POTENTIAL NUMBER OF CUSTOMERS TO BE SERVED/NUMBER OF
    ENROLLMENTS:
    Indicate the potential number of welfare eligible customers to be served and enrolled, both new and
    carry-over customers; under the proposing contractor’s EARN program training, services and/or activities.

   (C)TOTAL CUSTOMERS EXPECTED TO COMPLETE-PRE-PLACEMENT PHASE/
    PRE-PLACEMENT RATE:
    Enter the actual number of customers expected to complete program training, services and/or activities
    during the pre-placement phase. This number must meet the current master guideline requirements. The
    completion rate percentage is the number of customers that are expected to complete all requirements as
    stipulated by the contractor divided by the total customers.

   (D)TOTAL CUSTOMERS TO BE PLACED/PLACEMENT RATE:
    Enter the actual number of customers to be placed in unsubsidized employment. The placement rate
    percentage is the number of customers who are expected to enter unsubsidized employment upon
    completion of the pre-placement phase divided by the total number of terminations.

   (E)AVERAGE WAGE RATE AT PLACEMENT-PER HOUR:
    Indicate the average wage that customers will receive when entering employment. Average wage should
    be equal to, or above, the established standard by DPW per/hour wage at placement. This wage must meet
    the current program guideline requirements.

   (F)REQUESTED FIXED UNIT CHARGE PER CUSTOMER:
    Performance-Based contracts are based on the fixed unit charge of each required benchmark for customers
    served. This fixed unit charge is calculated using the anticipated enrollment, the expected course
    completion rate, the expected placement rate and the estimated costs as outlined in the detailed budget.
    Payments will be distributed in accordance with the required benchmarks and payment schedule provided
    in this RFP. The required payment schedule form is in Part B, Page 41 of this RFP.

    Note: Proposing contractors must use the required payment schedule form in this RFP.

   (G)TOTAL FUNDING REQUESTED:
    This figure should agree with the project line item budget. Total funds requested cannot exceed the total
    project line item budget.

   (H)AVERAGE COST PER PLACEMENT: Total funds requested divided by the number of
    customers to be placed.




                                                 15
3. SPECIFIC TARGETED EARN PROGRAM OBJECTIVES AND GOALS

   TARGET GROUP:
    Describe clearly your capability of serving customers with significant social and economic barriers such as:
    school dropouts, individuals with low literacy levels, language barriers, mental health problems, drug and
    alcohol problems, hygiene issues, physical, emotional and learning disabilities, in abusive situations,
    homeless, and/or families who have multiple children.

    Also, describe a contingency plan to provide for unlimited enrollments. In addition, provide the specific
    plan for strategies to engage all referrals from the local CAO.

   COORDINATION OF EARN PROGRAM TRAINING, SERVICES AND/OR ACTIVITIES
    WITH LOCAL BUSINESS, INDUSTRY, & LABOR ORGANIZATIONS:
    Describe how the EARN program training, services and/or activities being proposed were designed and
    coordinated with input from local business, industry, and labor organizations.

   COORDINATION OF EARN PROGRAM TRAINING, SERVICES AND/OR ACTIVITIES
    WITH OTHER CONTRACTORS AND/OR AGENCIES:
    Describe how the EARN program training, services and/or activities will be coordinated, collaborated with
    other contractor(s) and/or agencies as indicated in Part A, Section II, (General Information.)

    Describe and indicate new and existing linkages to contractor(s) and/or agencies concurrently serving
    customers in the SCWIA region by providing a clear integrated services plan which should include the PA
    Career Link system(s).

    Describe how your proposal will assist the SCWIA region to meet their workforce and economic
    development goals.

4. DESCRIPTION OF PAST PERFORMANCE MEASUREMENTS

   PAST EXPERIENCE:
    Describe any past experience of successfully providing program(s) training, services and/or activities the
    same/similar to those asked for in this RFP. Also, include any relevant experience working with the
    identified target group. Indicate whether the program goals were met.

   PROGRAM COMPLIANCE AND PERFORMANCE:
    To ensure program compliance and performance, an effective management system must have a
    process that verifies progress in attaining established performance objectives. Describe the system
    you used to monitor and verify that performance goals were met in similar programs you provided
    in the past.

   ITEMS RELATED TO PERFORMANCE MEASUREMENTS:
    Describe the following relative to performance measurements:

         Demonstrated commitment to achieve and surpass all mandated performance measures.
         Identification of additional performance indicators to measure EARN program impacts and
          evaluate success.
         Evaluation methods for tracking and ensuring that all required performance measures are met or
          exceeded.
         Internal systems to identify operational problems, and take appropriate corrective action to improve
          performance issues as necessary. Proposing contractor(s) must include with this RFP a description
          of their continuous improvement process.


                                                16
5. PAST PERFORMANCE MEASUREMENTS/DEMONSTRATED EFFECTIVENESS
    If you previously operated similar program(s), answer in the affirmative and indicate most recent period at
    the top half of the form and then the next most recent period at the bottom half of the form. Please provide
    both planned and actual results. Complete form as indicated.

6. PROGRAM NARRATIVE
    All proposals must contain a detailed description of the training, services and/or activities to be performed
    for the EARN program they plan to administer.

   EARN PROGRAM TRAINING, SERVICES AND/OR ACTIVITIES:
    Provide a detailed description showing what happens to a customer receiving the proposed training,
    services and/or activities. Be specific when describing any and all of the EARN program training, services
    and/or activities indicated in Part A, Section II, D, Page 11.

    Describe how you will address the issue of flexibility including non-traditional hours, evenings and
    weekends in scheduling training, services and/or activities around the needs of the customers. As
    previously indicated heavy emphasis will be placed on proposals that demonstrate an in-depth
    understanding of customer needs.

    Describe your transition plan by addressing the following:

        (a) Commitment to accomplishing a thorough and smooth transition
        (b) Plan for notifying customers, providers, CAO’s and other community organizations about changes.
        (c) Plan for providing continuous EARN program training, services and/or activities to customers.

   EARN PROGRAM TRAINING, SERVICES AND/OR ACTIVITIES PRE-REQUISITES:
    List the minimum program training, services and/or activities prerequisites, if any. List any entry
    requirements/conditions that a customer must meet to qualify for the proposed training, services and/or
    activities, such as certain reading and math proficiencies, a GED or High School Diploma, if applicable.

   OCCUPATIONAL CHARACTERISTICS:
    This section must be completed by contractors who are proposing specific training services and/or activities
    relative to placement in occupations such as administrative assistants, plumbing, electrical, and HVAC.
    Describe the abilities, personal traits, and job characteristics required by a customer to achieve job
    performance in specific occupations. Such information will match a customer’s own unique characteristics
    (through vocational assessment) with the characteristics of the job. Some occupational characteristics to be
    considered are as follows: decision-making, working under close supervision, working with people,
    performing repetitious tasks, and specific job related skills.

   CURRICULUM AND/OR COURSE OUTLINE:
    Provide a detailed description of curriculum, and/or course outline. Identify specific EARN program
    components and the number of hours needed for each component. Describe the methods of instruction to be
    used, including accommodation to individuals with learning needs, and student/teacher ratio for each
    component.

    Describe how the curriculum and/or course outline for training, services and/or activities will be relevant to
    the objectives of the EARN program.




                                                 17
   COURSE COMPLETION STANDARDS:
    Standards must be expressed and described in terms of specific occupational related skills, which the
    customer is expected to achieve during their progress in the course, and those needed to achieve completion
    and become job ready.

    Indicate the methods used to measure specific levels of achievement throughout the duration of the course.
    Where “certification” is required for employment in a specific occupation, address how this will be
    achieved.

   TRAINING STAFF COMPOSTION:
    Explain the composition of training staff (i.e., number of instructors, assistants, and a brief statement of
    qualifications of each). All instructional staff should have teaching experience, as well as a demonstrated
    ability to work with disadvantaged customers. Instructors should be certified through the Pennsylvania
    Department of Education in the vocational area for which they instruct, although certification may not be
    necessary. If this requirement will not be met, please explain.

    Describe your organization’s staffing plan, including information regarding the following:

         Proposed management structure and relevant qualifications of key management staff to perform the
          proposed EARN program training, services and/or activities, including technical, educational, and
          work background.
         Proposed organizational structure and plan to develop the staffing pattern for the effective
          management and service delivery functions, including your proposed lines of authority and
          responsibility.
         Job Descriptions of all staff administering the EARN program training, services and/or activities,
          including the minimum qualifications for all staff. If you currently have staff that you will use to
          administer the EARN program training, services and/or activities, please enclose a resume for each
          and indicate to which position that staff will be assigned.
         All experience, education, quality measures, and training that would substantiate the quality and
          integrity of the EARN program training, services and/or activities you will offer.

    Describe your plan to provide intensive and on-going case management, including detailed case record
    documentation as required by current and/or modified Master and Program Guidelines. Discuss your case
    management system, such as who will provide the case management and how the case managers are
    integrated into the overall plan of EARN program training, services and/or activities for the customers.
    Describe the coordination of case management activities through both the pre and post placement phases of
    the program.

   DESCRIPTION OF FACILITY/FACILITIES AND LOCATION:
    Provide a detailed description of the facility or facilities, and the equipment to be used to provide the
    planned EARN program training, services and/or activities. Also, describe the location of the facility or
    facilities, and the proximity to the local CAO in each SCWIA county being proposed to serve, and include
    accessibility to public transportation, as well as accommodations to persons with visual, hearing, physical
    or mental disabilities. Note: The proposing contractor is not required to be located in the PA CareerLink
    and instead is required to make the decision on what is in the best interests of the client.

   DESCRIPTION OF PLACEMENT SERVICES:
    Since performance is based upon successful transition into unsubsidized employment, describe the specific
    planned EARN program training, services and/or activities related to increasing the probability of
    employment. Describe the tools and/or methods you will use to encompass attitudinal, motivational,
    behavior and competency goals not directly related to technical skills, but necessary for obtaining and
    maintaining unsubsidized employment. In addition, describe in detail the placement services to be
    provided to each customer upon successful completion of this training program.

    Describe any and all private sector linkages in place to ensure job placement and retention into
    unsubsidized employment.

                                                18
   POTENTIAL FOR EMPLOYMENT:
    In documenting a need for occupational skill training by employers in the specific labor market area,
    describe how you addressed the basic characteristics of the SCWIA’s economic and employment situation.
    Also provide a listing of all employers contacted to confirm the need for skilled job seekers at the end of
    the training program with at least three (3) accompanying letters from the firms indicating employment
    interview opportunities.

    Describe evidence of familiarity with the needs of the local welfare population, with the local
    economic/employment situation and local labor market information, as well as how that information will be
    utilized in effectively serving the target group.

    Describe clearly how job development will be carried out and how one-on-one job development will be
    carried out.

    Describe clearly the steps you will take to meet each of the EARN program standards/goals; with special
    attention given to job placement, job retention, wage rate, medical rate, and ability to meet the immediate
    work requirements including literacy, if applicable.

   TRAINING-RELATED OCCUPATIONS:
    Please list both title of occupation and ONET Code from the Commonwealth's Demand Occupation Code
    list. Please note all training related occupations must be in demand as listed on the Commonwealth’s
    current High Priority Occupation List for the SCWIA eight county region. This list can be accessed at
    http://www.paworkforce.state.pa.us.

7. PROGRAM MANAGEMENT

 ORGANIZATIONAL/FINANCIAL ABILITY AND EXPERIENCE: Please provide a complete and
   detailed description of the following items:

         Type of organization and what the key strengths of the agency are, i.e. capacity, capability, and
          experience for operating state and federally funded employment and training programs and/or
          program services/activities.

         Experience of the organization in providing training programs and/or program services/activities as
          it relates to services you plan to provide under your proposed contract.

         Organization’s supervisory capacity to manage contractual agreements with SCWIA Fiscal Agent.

         Staff qualified to perform the EARN program training, services and/or activities required by LMC.
          (Not including training staff).

         Capability to manage DPW funds or other Federal and/or State funds. The organization must
          explain how such funds will be administered in accordance with their current operational financial
          management system. Identify Key Staff by name and outline qualifications. Describe how you
          will ensure the limits for the contract are not exceeded.

         The method, if any, used to monitor actual expenditures to budget amounts by cost category and
          line item expense.

         Procedures to ensure the accounting records are supported by source documentation for each
          transaction.




                                                19
 ORGANIZATIONAL ADMINISTRATION: The proposal must include the following:

        Organizational chart showing the administrative framework of the organization.

        Identify staff by including a thorough description of their demonstrated technical competence,
         skills in management and administration, and professional experience within your organization to
         accomplish the proposed EARN program training, services and/or activities. Proposing
         contractor(s) must have adequate personnel capabilities necessary to implement the goals and
         objectives of the program and to ensure compliance with ensuing contract. Proposing contractor(s)
         selected will be required to assume full responsibility, including all risks and hazards, for all EARN
         program training, services and/or activities identified in this RFP.

 REPORTING REQUIREMENTS CAPABILITY:
   The contractor or contractors selected must demonstrate the ability to be compliant with EARN program
   reporting and record-keeping, the capability to generate accurate and timely information, and submit
   periodic fiscal and programmatic reports.

   Contractor(s) will be required to provide various financial and performance reports to the LMC on a
   monthly basis in such detail and on such forms as required by the LMC and DPW. The deadline for the
   monthly financial and performance reports will be the 10th day of the month following the reporting month.
   Contractor(s) will be required to submit the reports to the SCWIB’s Welfare Program Manager for
   presentation to the LMC. Failure to submit the required monthly reports on time may result in deobligation
   of funds or termination of contract(s.)

   Describe in detail the proposing contractor’s capacity to administer reporting requirements, data
   reconciliation and ability to input data accurately into the CWDS system.

8. PAYMENT SCHEDULE

   To be used only with Performance-Based costs of the contract. Total performance-based costs should be
   figured using the payment schedule in Part B, Page 41 of this RFP. Payment Benchmarks must be
   measured and documented. Time alone is not an acceptable method for figuring payment benchmarks. The
   payment schedule will become part of the contract and must be followed when requesting payments from
   the SCWIA Fiscal Agent on behalf of the LMC. Example of a payment schedule and how it is calculated
   follows:

   Detailed Line Item Budget shows a total cost of $100,000.00 with $25,000.00 for Direct Participant Costs
   to serve eighty customers. The graduated payment schedule is calculated using $75,000.00 and is based on
   five (5) payments of 15% each up to the completion of training, with 15% paid upon placement into an
   unsubsidized training-related job, with the final 10% upon placement in a job for thirty (30) days.
   Payments will be based upon the actual enrollment at the seven different payment benchmarks. In this
   sample enrollment is as follows:

                           Benchmark # 1- 80 customers
                           Benchmark # 2-78 customers
                           Benchmark # 3-75 customers
                           Benchmark # 4-70 customers
                           Benchmark #5- 68 customers
                           Benchmark #6- 51 customers
                           Benchmark #7- 51 customers

       Fixed Unit Charge is figured as follows:
                           Benchmark # 1- 80 customers x 150%=       120.0
                           Benchmark # 2- 78 customers x 150%=       117.0
                           Benchmark # 3- 75 customers x 150%=       112.5
                           Benchmark # 4- 70 customers x 150%=       105.0
                                               20
                                 Benchmark # 5- 68 customers x 150%= 102.0
                                 Benchmark # 6- 51 customers x 150%= 76.5
                                 Benchmark # 7- 51 customers x 100%= 51.0
                                                       Total         684.0

            Total Cost of program benchmarks is $75,000.00 divided by 684 equals 109.6491 times 10 equals a
            fixed unit charge of $1,096.49 per customer.

            Benchmark #1–Successful completion of 15% of the training programs as measured by both time and
            testing device.
            80 customers x $1,096.49 x 15% equals                   $13,157.88

            Benchmark #2 – Successful completion of 15% of the training program as measured by both time and
            testing device.
            78 customers x $1,096.49 x 30% equals                    $12, 828.93

            Benchmark #3 – Successful completion of 45% of the training program as measured by both time and
            testing device.
            75 customers x $1,096.49 x 15% equals                    $12,335.51

            Benchmark #4 – Successful completion of 60% of the training program as measured by both time and
            testing device.
            70 customers x $1,096.49 x 15% equals                    $11,513.15

            Benchmark #5 – Successful completion of the training program as measured by both time and testing
            device.
            Must successfully complete completion standards as listed under “Course Completion Standards”.
            68 customers x $1,096.49 x 15% equals                       $11,184.20

            Benchmark #6 – Placement into an unsubsidized training-related job at the pre-specified wage.
            51 customers x $1,096.49 x 15% equals                      $ 8,388.15

            Benchmark #7 – Placement into above job for 30 days.
            51 customers x $1,096.49 x 10% equals                         $ 5,592.10

                Total Payment Schedule                                    $74, 999.92

    Note: Any testing devices used to measure successful completion of each benchmark must be attached to this
    payment schedule.

9. FINANCIAL SYSTEM CRITERIA: Follow directions on document in Part B of this RFP.

10. PROJECT LINE ITEM BUDGET/LEVERAGED MATCHING FUNDS CHART

   PROJECT LINE ITEM BUDGET REQUIREMENTS: All proposing contractors must complete and submit
    a Project Line Item Budget using the attached budget form found under Part B of this RFP. The Project Line
    Item Budget will be used to determine the Fixed Unit Charge and will become part of the contract. The Project
    Line Item Budget is a basis for cost comparison. Additionally, proposing contractors must complete and submit
    a Leveraged Matching Funds Chart using the attached form found under Part B of this RFP.

    Proposing contractors must provide a detailed breakdown of all costs between administration and program.
    Please note that costs shall be limited to those necessary and reasonable for, and directly related to, the proper
    and efficient operation of the proposed EARN program training, services and/or activities and must be
    comparable to the charges for similar Program training, services and/or activities in the area. This process is to
    be followed for each program year being procured in this RFP. Proposing contractor(s) must fully comply with
    the requirements of all federal and state regulations usual for Welfare Programs.

                                                     21
    ALLOWABLE COSTS / ACTIVITIES: Costs shall be limited to those necessary and reasonable for, and
     directly related to, the proper and efficient operation of the Welfare EARN grant. Additionally, the cost should
     be comparable to the charges for similar goods and services in the area and not be a general expense required to
     carry out the overall responsibility of the government. Allowable cost principles are established in OMB
     Circular A-87, A-122, and CFR Part 31.

     Welfare Program costs are allocable to a particular cost category to the extent that benefits are received by such
     category. In addition, any single costs, which are properly chargeable to more than one cost category, shall be
     prorated among the appropriate cost categories.

D. ASSURANCES AND CERTIFICATION ATTACHMENTS

     1. Certification Regarding Drug-Free Workplace Requirements
     2. Certification Regarding Lobbying
     3. Certification Regarding Debarment, Suspension & Ineligibility

     Note: Proposing contractors must complete and sign the three certification forms as required. The required
     forms can be found under Part B of this RFP packet.

     4. Concurrence of Collective Bargaining Agent - If the occupation in which training is to be offered is
     subject to a collective bargaining agreement then concurrence must be obtained from the appropriate bargaining
     representative. The required form is provided under Part B of this RFP packet.

     5. Union Comments - All proposing contractors are required to obtain comments regarding the need for this
     proposed training from applicable union or collective bargaining units. Such unions include not only unions
     within the proposed training site, but also unions affiliated with the subject matter of the proposed training
     program. For example, a training course for building trades must obtain comments from the building trades
     union. The required form is provided under Part B of this RFP packet.

E. PERSONNEL POLICIES

     All proposing contractors must include with this RFP a statement certifying that they have current
     personnel policies in place and on file at all times. Such policies should include (but are not limited to) a
     grievance procedure, list of fringe benefits, holidays and most importantly, the organization’s Equal
     Opportunity / Affirmative Action (EO/AA) Statement, including the EO/AA statement applicable to persons
     with disabilities, and compliance with Health Insurance Portability & Accountability Act (HIPPA) of 1996
     Regulations.

     Proposing contractors must attach with this RFP a document explaining their Personnel Policies
     concerning the following:
        Description of proposing contractor’s complaint process.
        Description of proposing contractor’s efforts to assure nondiscrimination in service provision and staff
         hiring decisions.
        Description of the measures taken to ensure the confidentiality of customer information and HIPPA
         regulations and ramification for policy violation. Attach a copy of your confidentiality policy.
        Explanation of how customers are informed of the grievance policy.
        Description of proposing contractor’s Sexual Harassment Policy

       In addition to the above please attach the following:
         Copy of proposing contractor’s Equal Opportunity Policy Statement
         Copy of proposing contractor’s Grievance Policy

    Note: If a proposing contractor does not have its own grievance procedure, organizations must sign our
    required grievance statement at the point of final contracting.


                                                      22
F. INSURANCE REQUIREMENTS

  Proof of insurance is not a requirement for submissions, but proposing contractors should be aware that no
  work may begin under a contract funded through this program until the required insurance has been obtained
  and proper certificates (or policies) are filed with the SCWIA Fiscal Agent. Before submitting a proposal for
  funding, the proposing contractor(s) should contact its insurance agent to determine if it can obtain the
  required coverage. By meeting this requirement contactor(s) agree to insure that all employees and
  customers involved in the contract are covered by any and all applicable insurances (i.e. Workers’
  Compensation, U.C., Social Security and liability.) The contractor(s) agrees to adhere to all applicable
  policies and regulations concerning these insurances.

  Contractors are required to carry a general liability insurance coverage for the institution sufficient to cover
  any liability that may arise from the performance of this contract. General liability insurance should cover
  bodily injury and property damage to a third party and personal injury; $500,000 each occurrence or one
  million dollars aggregate is required. A reasonable deductible is allowed, not to exceed $10,000.

  Contractors are required to carry Workers’ Compensation Insurance coverage for all employees and
  customers who are placed in a paid work experience activity. The minimum acceptable coverage is
  $1,000,000 bodily injury by accident and $1,000,000 bodily injury by disease policy limit.

  Contractors may choose to provide transportation for customers in order to provide program(s), services
  and/or activities under this contract. Therefore, Automobile Liability Insurance
  Covering bodily injury and property damage shall be provided through a commercial insurance policy. Such
  insurance shall provide a minimum coverage of:

         $100,000 liability per occurrence
         $300,000 aggregate liability
         $100,000 property damage
         Personal Injury Protection
         Uninsured Motorist Protection
         Maximum $500 Deductible

  If self-insured, the contractor warrants that it will maintain coverage sufficient to cover any liability specified
  above that may arise from the performance of this contract.

  Note: At the time the contract is signed contractors will be required to provide verification of all the
  above insurance coverage’s by providing appropriate certificates of insurances.




                                                  23
       SECTION IV


SELECTION AND EVALUATION
        CRITERIA




           24
IV.   SELECTION AND EVALUATION CRITERIA:

      A. GENERAL INFORMATION
        The selection of a contractor or contractors will be based on the following criteria:

               Demonstrated performance of the effectiveness of the agency or organization in delivering comparable
                or related EARN program training, services and/or activities, including ability to meet specific program
                design requirements

               Demonstrated performance in meeting performance goals, costs and quality of training

               A record of fiscal accountability and administrative compliance, including well established financial
                management systems and controls

               Quality and qualifications of key staff

               Experience in the development and provision of competency based training

               Demonstrated performance in providing supportive services, incentives, transportation, etc.

        Funds awarded under this proposal shall not be used to duplicate facilities or services currently available in the
        county or counties with or without reimbursement from Federal, State or Local sources, unless it is
        demonstrated that such funded services or activities would be more effective or more likely to achieve the
        overall program performance goals.

        Pre-Award Surveys: Prior to awarding a contract to a contractor or contractors the LMC may conduct a Pre-
        Award Survey to determine the effectiveness of the agency or organization in delivering training,
        services/activities.

        The location of survey will be at the discretion of the LMC.

        Pre-Award Review: Part of procurement may include a pre-award review to determine the effectiveness of the
        Contractor in delivering services. The review may include, but is not limited to:

             The adequacy of financial management systems to maintain effective control and accountability for all
              funds, property and other assets covered by a proposed contract.
             The maintenance of books, records, documents, accounts and files for review, monitoring and audit,
              including compliance with appropriate Federal Management Circulars.
             The adequacy of internal program management procedures and controls to prevent fraud and abuse.
             The history of the Contractor, including debarment, deficient conduct or participation in any such
              program in the past, together with assurances it is not the successor to a program which was deficient
              or debarred.
             The absence of outstanding audit deficiencies or disallowed costs.

      B. EVALUATION CRITERIA
        All proposals submitted and received by the deadline date stipulated under Part A, Item II, A-2 of this RFP will
        be subject to careful evaluation for completeness, and compliance with the RFP Format provided by the LMC.
        Proposals that meet the timeliness, completeness and compliance criteria as indicated in this RFP and the
        current and/or modified Master and Program Guidelines will be forwarded to an RFP review committee of the
        LMC for review, evaluation, and completion of the RFP rating sheet.

        Through this review and evaluation process, the review committee will assess each proposal to determine the
        quality of the proposed EARN program training, services and/or activities and the cost effectiveness of the
        proposal.



                                                          25
  Upon review and evaluation of all proposals, the above group will then meet to discuss each proposal and to
  complete a combined rating sheet that will be based on the average scores of each review committee member.

  Upon conclusion of the review and evaluation process the RFP review committee will forward their comments
  and recommendations to the full LMC for their approval, and to ensure compliance with applicable state and
  federal law (including applicable accounting and financial management principles/requirements, OMB
  circulars, etc.).

C. NOTIFICATION OF AWARD

  It is expected that selection of a contractor or contractors will occur within sixty (60) days of the closing date
  for the receipt of proposals. Proposing contractors will be notified in writing of their approval or rejection. If
  necessary, contract negotiations will be performed. The purpose of the contract negotiations is to arrive at a
  common understanding of contract essentials such as technical requirements, schedules, participant
  requirements, costs, terms, reports, payments, etc. A contract, consisting of standard contract provisions, will
  then be executed to cover the intended contract period. Additional provisions may be added as deemed
  necessary. The selected contractor or contractors must be prepared to begin July 01, 2011.

  Proposing Contractors not selected may request, in writing, an oral debriefing. Request for Debriefing must
  occur within five days from receipt of a notification letter.

D. COMPLIANCE WITH THE LAW AND CONFLICT OF INTEREST

  The selection of a contractor(s) shall be accomplished in compliance with the current and/or modified Master
  and Program Guidelines and other relevant rules, regulations and directives. Each contractor is required to
  comply with all requirements of the current and/or modified Master and Program Guidelines and its attendant
  regulations and amendments, and any other applicable Federal, State, and Local laws, regulations, and
  amendments.

  The LMC and any entity or persons who themselves or whose organization will gain financially as a result of
  an LMC decision to subcontract a particular function, service and/or activity of the welfare EARN program
  must abstain from participating in discussions leading up to and including the final consensus agreement or
  vote.

  When procurement of services and/or activities is discussed at a LMC meeting, all potential bidders will be
  asked to leave the meeting during that discussion. Potential bidders who do not leave will be disqualified from
  bidding.




                                                   26
       SECTION V


SCWIB QUALITY ASSURANCE
      MONITORING
     REQUIREMENTS




           27
V.   SCWIB QUALITY ASSURANCE/MONITORING REQUIREMENTS

     Successful contractor(s) will be subject to periodic evaluation of their program(s). On-site monitoring will be
     conducted at least annually or when requested by an LMC voting member. During an on-site visit the monitor(s)
     will follow same and/or similar monitoring mechanisms as indicated in the current and/or modified Master and
     Program Guidelines. Contractor(s) may be asked to provide additional information at the time of this evaluation or
     at any other time.

     Statistical progress toward achievement of goals will be monitored on a monthly basis via the statistical reports
     submitted to the LMC by the contractor(s.) Monthly reports are necessary to provide a method for the DPW and
     the LMC to review and monitor the contractor(s) ability to meet performance requirements and program goals as
     noted in the current and/or modified Master and Program Guidelines for each program/county in which they
     operate.

     Contractor(s) selected for funding will be monitored for contract compliance, financial management, and program
     performance. The attainment of the EARN program standards/goals is measured at the time of on-site monitoring,
     as well as at other times throughout the course of the contract.

     If violations and/or discrepancies are documented, a formal report will be submitted to the LMC and all parties
     involved will submit a corrective action plan. Failure on the part of contractor(s) to achieve the EARN program
     goals could result in the contractor(s) being placed on probation. Continued failure may result in termination of the
     contract with said contractor.

     Note: All proposing contractors must include with this RFP a statement certifying that there are no
     unresolved quality assurance findings at the time of submission of this RFP packet.




                                                         28
           SECTION VI


CASE RECORD AND FINANCIAL RECORD
         REQUIREMENTS




               29
VI.   CASE RECORD AND FINANCIAL RECORD REQUIREMENTS

      Contractor(s) are responsible for keeping their own customer case record files, financial records etc. Included are
      regular maintenance of time sheets, individual payroll records, payroll journal, quarterly and yearly tax returns and
      general ledger records. Timely tax deposits must be made with federal, state and local governments.

      Case files must include at a minimum, the following: See current and/or modified Master Program Guidelines
                                        Case management narrative
                                        Job development narrative/referral/leads/logs/résumés
                                        CS/PWE Narrative
                                        PWE documentation, if applicable
                                        Monthly progress reviews
                                        Completed AMR and updates, as applicable
                                        EDRP
                                        Referral from CAO/CIS & CWDS Screen Prints
                                        Enrollment forms
                                        Release of Information forms
                                        Acknowledgement of receipt of Grievance Procedures and
                                        Equal Opportunity Rights notification
                                        Background checks if applicable
                                        Supportive service requests and approval/denial notices
                                        Referrals to other agencies
                                        Warning and termination notices
                                        Receipt of incentives
                                        Attendance documentation
                                        Employment related documentation including EVF, pay stubs,
                                        InspiriTec verification of job retention
                                        Subsidized employment documentation, if applicable

      Note: Awarded contractor(s) are required to retain contractual/fiscal records for a period of at least six (6) years
      from audit, however, in the event of an unresolved audit all records shall be retained until the audit is resolved.
      Customer case record files shall be retained for a period of at least four (4) years and/or as stipulated in an awarded
      contractor(s) Cost Reimbursement Agreement with the Fiscal Agent and the Contractor(s). If an audit began during
      the period and has not been completed the customer case record files must be retained beyond the stipulated period
      until the audit is completed.

      Customer files are considered the property of the Fiscal Agent and must be provided at the end of the program
      period or when requested, and must be available for review.




                                                           30
                                       PART B

                  REQUEST FOR PROPOSAL
                     PACKET/FORMS

Proposal Checklist:
      One Original with appropriate signature (Blue Ink) and ten copies.

      Organizational/Financial Ability and Experience requirements and attachments in accordance
       with Part B, Pages 40-46.

      Signed Assurances and Certifications in Part B, Pages 47-52.

   Attachments:

      Personnel Policy Statement/attachments provided in accordance with Part A, Section III, Part
       C-12, Page 22.

      Quality Assurance Statement provided in accordance with Part A, Section V, Page 28.

      Letters of Commitment and Support, at least 3, from area employers indicating that they will
       Consider completers of your program. This requirement is especially applicable to
       Occupational Specific Skills Training proposals. Please be sure the occupation(s) for which
       you are preparing customers are listed on the Commonwealth’s current High Priority
       Occupation list for our eight county region.

       The current High Priority Occupation list can be accessed at the following website:
       http://www.paworkforce.state.pa.us




                                               31
                             SOUTH CENTRAL WORKFORCE INVESTMENT AREA
                                    LOCAL MANAGEMENT COMMITTEE
                               Welfare EARN Program Training, Services/Activities
                                     Application for Funding Assistance
                                          PROGRAM YEAR 2011
                                        July 01, 2011 to June 30, 2012
FUNDING REQUESTED: $___________________________         DATE OF APPLICATION: __________________________

ORGANIZATION:                                           TYPE OF ORGANIZATION

                                                        _____ School District / LEA
Organization Name

                                                        _____ Governmental
Department/Division
                                                               ____ Federal        ____ County

Street Address                                                 ____ State          ____ Local

                                                        ______ Other (Specify) _____________________________
City                          State          Zip Code
                                                              ___________________________________________

                                                        IRS Tax #: _______________________________________
Person Responsible for Proposal
                                                        Legal Authority for Organization: _____________________

Telephone Number                                        Number of Years in Business: __________________________

TYPE OF PROPOSAL:
            ____ New         ____ Continuation          ____ Supplement       ____ Other (______)
PROPOSED PROGRAM(S) TITLE                               LENGTH OF PROPOSAL (in weeks)



PERIOD OF PERFORMANCE (From/To)                         POPULATION SEGMENT TO BE SERVED:



SCWIA COUNTY OR COUNTIES (S) TO BE SERVED:




The proposing organization certifies that, to the best of its knowledge and belief, the data supplied in this
application/proposal is true and accurate. The organization agrees to comply with all local, state and federal
regulations if a contract is awarded.

___________________________________________________                   ________________________________
Signature of Chief Administrator                                       Date

_________________________________________________                   ________________________________
Typed Name and Title                                                  Telephone Number

                                                        32
                       PROGRAM COSTS AND OBJECTIVES/GOALS
                               Projected Service Levels

Program Year: July 01, 2011 to June 30, 2012

A. Potential Number of Customers to be Served New WSC___________ Carry-overs WSC___________
                                              New CDC___________ Carry-overs CDC_ _________

B. Number of Enrollments _____________________ Classroom Capacity _______________________
                                                (Maximum occupancy of proposed classroom)
   Number in In-House Training _______________________________________

   Number in Paid Work Experience (PWE) ______________________________

   Number in Subsidized Employment __________________________________

   Number in Unsubsidized Employment ________________________________

   Number in Skills Training (ITA’s) ___________________________________

   Number to Receive Supportive Services ______________________________

   Number to Receive Incentives ______________________________________

C. Total Customers Expected to Complete Pre-Placement Phase WSC __________ CDC ___________
                                        Pre-Placement Rate WSC _________% CDC__________%

D. Total Customers to be Placed WSC______________________ CDC _____________________
               Placement Rate WSC _____________________% CDC _____________________%

E. Average Wage Rate at Placement:   $_______________________Per Hour

F. Requested Fixed Unit Charge per Customer $________________________________________

G. Total Funding Requested    $ _____________________________________________________
                                     Identify what amount of the above reflects the following:
      1. PWE Funds ______________________________________________________________

      2. Subsidized Employment Funds _______________________________________________

      3. Individual Training Account (ITA) Funds ______________________________________

      4. Supportive Services & Incentive Funds ________________________________________

H. Average Cost Per Placement $ _________________ Average Cost Per Customer                $_____________




                                                  33
                     SPECIFIC TARGETED EARN PROGRAM OBJECTIVES AND GOALS


Response to the areas below must be in accordance with the specifics listed in Part A, Section III, C-3, Page 16.


TARGET GROUP:




COORDINATION OF EARN PROGRAM TRAINING, SERVICES AND/OR ACTIVITIES WITH LOCAL
BUSINESS, INDUSTRY, AND LABOR ORGANIZATIONS:




COORDINATION OF EARN PROGRAM TRAINING, SERVICES AND/OR ACTIVITIES WITH OTHER
CONTRACTORS AND/OR AGENCIES:




                                                        34
                         DESCRIPTION OF PAST PERFORMANCE MEASUREMENTS

Response to the areas below must be in accordance with the specifics listed in Part A, Section III, C-4, Page 16.

PAST EXPERIENCE:




EARN PROGRAM COMPLIANCE AND PERFORMANCE:




ITEMS RELATED TO PERFORMANCE MEASUREMENTS:




                                                        35
             PAST PERFORMANCE MEASUREMENTS AND DEMONSTRATED EFFECTIVENESS

Have you ever operated the proposed EARN employment and training program(s) or similar employment and training
program(s) before? ______ Yes ________No if yes, please provide the following information:

Program Performance–Most Recent Period: Period of Performance: From ____________ To       _____________
                                                                     Planned                  Actual
   1. Number of Customers Served:    New                           _____________           _____________
                                      Carry Over                   _____________           _____________

   2. Number of Customers Completing Training                       _____________          _____________

   3. Cost per Completion                                           ____________           _____________

   4. Completion Rate                                               _____________          _____________

   5. Number of Customers Placed                                    _____________          _____________

   6. Cost per Placement                                            _____________          _____________

   7. Placement Rate                                                _____________          _____________

   8. Cost per Hour of Instruction                                  _____________          _____________

   9. Retention Rate                                                _____________          _____________

   10. Total Cost of Program                                        _____________          _____________

   11. Program Funded By: ___________________________________________________________________

Program Performance – Next Most Recent Period:

Period of Performance: From ____________________ To ______________________

   1. Number of Customers Served:      New                         _____________           _____________
                                       Carry Over                  _____________           _____________

   2. Number of Customers Completing Training                       _____________          _____________

   3. Cost per Completion                                           ____________           _____________

   4. Completion Rate                                               _____________          _____________

   5. Number of Customers Placed                                    _____________          _____________

   6. Cost per Placement                                            _____________          _____________

   7. Placement Rate                                                _____________          _____________

   8. Cost per Hour of Instruction                                  _____________          _____________

   9. Retention Rate                                                _____________          _____________

   10. Total Cost of Program                                        _____________          _____________

   11. Program Funded By: ___________________________________________________________________

                                                        36
                                               PROGRAM NARRATIVE

Response to the areas below must be in accordance with the specifics listed in Part A, Section III, C-6, Pages 17-19.


   EARN PROGRAM TRAINING, SERVICES AND/OR ACTIVITIES:




   EARN PROGRAM TRAINING, SERVICES AND/OR ACTIVITIES PRE-REQUISITES (Entry Requirements):




   OCCUPATIONAL CHARACTERISTICS:




                                                           37
CURRICULUM AND/OR COURSE OUTLINE:




COURSE COMPLETION STANDARDS:




EARN PROGRAM TRAINING, SERVICES AND/OR ACTIVITIES STAFF COMPOSITION:




                                          38
DESCRIPTION OF FACILITY/FACILITIES AND LOCATION:




DESCRIPTION OF PLACEMENT SERVICES:




POTENTIAL FOR EMPLOYMENT: (At least 3 letters of commitment and support must be attached).




TRAINING-RELATED OCCUPATIONS:




                                                  39
                                              PROGRAM MANAGEMENT

Response to the areas below must be in accordance with the specifics listed in Part A, Section III, C-7, Page 19-20.


   ORGANIZATIONAL FINANCIAL ABILITY AND EXPERIENCE:




   ORGANIZATIONAL ADMINISTRATION:




   REPORTING REQUIREMENTS CAPABILITY:




                                                           40
    PAYMENT SCHEDULE (PERFORMANCED BASED & BLENDED PERFORMANCE BASED CONTRACTS)

Response to the areas below must be in accordance with the specifics listed in Part A, Section III, C-8, Pages 20-21.

   Program Year: July 01, 2011 to June 30, 2012

   Contractor: ________________________________________________ Program:                          EARN


   Benchmark #1:

   Successful participant enrollment captured from the program referrals created from the local County Assistance Office. A copy of the
   Enrollment Report found on CWDS must be provided with the contractor’s monthly invoice payment request form.

           __________ Customers x fixed unit charge of $ ____________ x 10%                                   _____________


   Benchmark #2:

   Successful completion of the pre-placement phase is the time allowed prior to a claimed job placement.

           __________ Customers x fixed unit charge of $ ____________ x 10%                                   _____________


   Benchmark #3:

   Successful job placement is when the customer begins employment in either a 30 hour/per/week subsidized or 20 hour/per/week
   unsubsidized job. A copy of each customer’s Employment Verification Form and must be provided with the contractor’s monthly
   invoice payment request form.


           __________ Customers x fixed unit charge of $ ____________ x 40%                                   _____________

   Benchmark #4:

   Successful job retention occurs at the point when a customer is first placed in unsubsidized employment of 20 or more hours per week,
   or subsidized employment of 30 or more hours/per/week for a period of no less than 90 days. (The 90 day time period is for billing
   purposes only.

           __________ Customers x fixed unit charge of $ ____________ x 40%                                   _____________




   Total Payment Schedule:                                                                                   $_____________


   Note: The above indicated percentages and benchmarks are as noted and cannot be changed.




                                                                     41
FINANCIAL SYSTEM CRITERIA:

  Submission Detail: The following information must be provided in addition to the Project Line Item Budget.

  1. Complete the table below for determination of the need of the proposing organization to undergo either an
     organization-wide or program-specific audit. Indicate $0 if no federal funds have been received or
     anticipated to be expended in the future. If the proposing organization’s federal funding levels fall within
     OMB circular guidelines necessitating an audit, it is the responsibility of the proposing entity to have one
     performed in accordance with the circulars.


      Total federal funds your organization
                                                  $
      received during the period:
      July 1, 2009 – June 30, 2010

      Total federal funds, excluding this
      proposal, your organization plans to
                                                  $
      expend during the period:
      July 1, 2010– June 30, 2011




     1. Describe the cost allocation plan and process used by the organization to distribute both direct and
        indirect shared costs to the funding source that benefits from incurred expenditures. Identify the
        allocation base or method of documentation used in this process. Attaching a copy of a written Cost
        Allocation Plan that is audit compliant is acceptable (please indicate below if you are attaching a
        CAP).




                                                      42
        Attach the following:

        a. List of the organization’s Board of Directors.

        b. A copy of bonding agreements. All persons authorized to receive and/or deposit, and/or issue
           financial documents or instruments of payment, of WIA funds must be bonded for the higher of
           $100,000 or an amount equal to the highest advance reserved through check during the immediately
           preceding grant year or planned for the present year.

        c. A certification letter signed by the legal authorized signatory of the proposing organization that the
           financial system and its management will account for and control the use of Workforce Investment
           Act and other funding sources financing this proposal in accordance with Generally Accepted
           Accounting Principles, Office of Management and Budget circulars, and all other rules and
           regulations governing these funds. This must include a statement to the effect that the organization
           understands the audit and audit resolution requirements as detailed in the OMB circulars. The letter
           should provide assurances that expenditures will be competitive, be cost-efficient, and have direct
           benefit to the program.1

        d. A copy of the most recent comprehensive audit report, preferably prepared by an independent
           Certified Public Accounting firm.




1
  A listing of web sites that provide guidance and information on the administrative and financial management requirements for federal
funding is found in Appendix II-1.
                                                                  43
PROJECT LINE ITEM BUDGET: Program Year July 01, 2011 to June 30, 2012

    Instructions: Indicate planned project expenditures for the period of this agreement.
    Expenditures must conform to the cost definitions for allowable administrative and program costs and
    activities as defined in the Workforce Investment Act at 20 CFR667.220.

    Organization Name: __________________________________________________________________

          Expense Item             Administrative Costs                  Program Costs                      Combined Total
                                                                                                             Expenditures
     Staff
     Salaries/Wages2
     Staff Fringe
     Benefits ______%
     of Salaries
     Total Salaries &
     Benefits

     Staff Travel
     Communications
     Facilities (incl.
     rent, utilities,
     maintenance)
     Office Supplies
     Consumable
     Program Supplies
     Indirect Costs
     _______% ICR3
     Other4



     Total Expenditures

     Percentage of
     Total Cost
                                  %                              %                                   100%
     Category Exp. to
     Total Combined5




2
  Attach a list of staff positions and the number of Full-Time Equivalent staff assigned to and the respective salary budgeted for each
position assigned to the project. Attach job descriptions for the budgeted positions.
3
  If using an Indirect Cost Rate, a copy of the rate agreement must be attached.
4
  Attach a description of the types of expenses included in this item. Include the planned cost for each.
5
  Administrative expenditures are limited to 10% of the combined total costs.
                                                                    44
Other Expenses List for Program Year: July 01, 2011 to June 30, 2012

Direct Client Services Cost List
Projected In-House Skills Training Expenses:      $ __________________________________
Projected Paid Work Experience Wages              $__________________________________
Projected Paid Work Experience Fringe Benefits $__________________________________
Projected Subsidized Employment Wages             $__________________________________
Projected Individual Training Account Expenses $__________________________________
Projected Supportive Services/Incentives Expenses $__________________________________

Total Other Expenses Program Year July 01, 2011 to June 30, 2012: $ __________________

Note: Add to the above list any other type of expense(s) and the planned cost. Other.




                                                       45
Leveraged Matching Funds – Program Year July 01, 2011 to June 30, 2012
Leveraged/Matching Funds (Please clearly identify all funds by source that are being leveraged to support your
program.)

Source:        Cash               Equipment                                        In-Kind                 Total




Total




                                                      46
                             CERTIFICATION REGARDING DRUG-FREE
                                 WORKPLACE REQUIREMENTS

A.   Contractor certifies that it will or will continue to provide a drug-free workplace by:

     1.     Publishing a statement notifying employees that the unlawful manufacture, distribution,
            possession, or use of a controlled substance is prohibited in the contractor’s workplace and
            specifying the actions that will be taken against employees for violation of such prohibition;

     2.     Establishing an ongoing drug-free awareness program to inform employees about –

                a.   The dangers of drug abuse in the workplace;
                b.   The grantee’s policy of maintaining a drug-free workplace;
                c.   Any available drug counseling, rehabilitation, and employee assistance programs; and
                d.   The penalties that may be imposed upon employees for drug abuse violations occurrence in
                     the workplace;

      3.    Making it a requirement that each employee to be engaged in the performance of the grant be
            given a copy of the statement required by paragraph (1)

       4.   Notifying the employee in the statement required by paragraph (1) that, as a condition of
            employment under the grant, the employee will –

            a. Abide by the terms of the statement; and
            b. Notify the employer in writing of his or her conviction for a violation criminal drug statute
                occurring in the workplace no later than five calendar days after such conviction;

     5.     Notifying the agency in writing, within ten calendar days after receiving notice under
            subparagraph (4) (b) from an employee or otherwise receiving actual notice of such conviction.
            Employers of convicted employees must provide notice, including position title, to every grant
            officer or other designee on whose contract activity the convicted employee was working, unless
            the Federal agency has designated a central point for the receipt of such notices. Notice shall
            include the identification number (s) of each affected grant.

       6. Taking one of the following actions, within 30 calendar days of receiving notice under subparagraph
           (4) (b), with respect to any employee who is so convicted –

            a. Taking appropriate personnel action against such an employee, up to and including
               termination, consistent with the requirements of the Rehabilitation Act of 1973, as amended;
               or
            b. Requiring such employee to participate satisfactorily in a drug abuse assistance or
               rehabilitation program approved for such purpose by Federal, State or Local health, law
               enforcement, or other appropriate agency;

            c. Making a good faith effort to continue to maintain a drug-free workplace through
               implementation of paragraphs (1), (2), (3), (4), (5), and (6).




                                                      47
         7.    The Contractor should insert in the space provided below the site(s) for the performance of work
               done in connection with the specific grant, if other than that address stipulated on the front of this
               agreement.

           Place of Performance (Street Address, City, County, State, Zip Code)




Check ( ) if there are workplaces that are not identified here.

_______________________________________________________________________________________
Name of Contractor

_______________________________________________________________________________________
Name and Title of Authorized Signatory

_________________________________________________                 ___________________________________
Signature                                                          Date




                                                          48
                                CERTIFICATION REGARDING LOBBYING


Certification for Contracts, Grants, Loans and Cooperative Agreements:

The undersigned certifies, to the best of his or her knowledge and belief, that:


   (1)     No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to
           any person for influencing or attempting to influence an officer or employee of any agency, a member
           of Congress, an officer or employee of Congress, or an employee of a member of Congress in
           connection with the awarding of any federal contract, the making of any federal grant, the making of
           any federal loan, the entering into of any cooperative agreement, and the extension, continuation
           renewal, amendment, or modification of any federal contract, grant, loan or cooperative agreement.

   (2)     If any funds other than federal appropriated funds have been paid or will be paid to any person for
           influencing or attempting to influence an officer of employee of any agency, a member of Congress,
           an officer or employee of Congress, or an employee of a member of Congress in connection with the
           federal contract, grant, loan or cooperative agreement, the undersigned shall complete and submit
           Standard Form – LLL, “Disclosure of Lobbying Activities,” in accordance with its instructions.

   (3)     The undersigned shall require that the language of this certification be included in the award
           documents for all sub-awards at all tiers (including subcontracts, sub-grants and contracts under grant,
           loans, and cooperative agreements) and that all sub-recipients shall certify and disclose accordingly.

This certification is a material representation of fact which was placed when this transaction was made or entered
into. Submission of this certification is a prerequisite for making or entering into this transaction imposed under
Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a
civil penalty of not less than $10,000 and not more than $100,000 for such failure.

Contractor: ___________________________________________________________________________

_____________________________________________________________________________________
Name and Title of Authorized Representative

_____________________________________________                 ______________________________________
Signature                                                      Date




                                                         49
                  CERTIFICATION REGARDING DEBARMENT, SUSPENSION AND INELIGIBILITY

Contractor: _______________________________________________________________________________

Employer Identification Number or Social Security Number: _____________________________________

        For your contract to be finalized, this form must be completed in full.

        ___         The contract you are entering into involves the payment of State funds. Complete and sign the State-
                    funded Contract Certification.

        ___         The contract you are entering into involves the payment of Federal funds. Complete and sign the
                    Federal-funded Contract Certification.

        _X          The contract you are entering into involves both Federal and State funds. Please complete and sign
                    both verifications.

                                  STATE-FUNDED CONTRACT CERTIFICATION

This certificate is required by Management Directive 215.9, which implements Executive Order 1990-3. The prospective
recipient of State funds certifies, by submission of this proposal, that neither it not its principals are presently debarred,
suspended, proposed for debarment, or declared ineligible from participation in this transaction by any State or Federal
department or agency.

___________________________________________________________________________________________
Name and Title of Authorized Representative

______________________________________________________                  __________________________________
Signature                                                                 Date

                              FEDERALLY- FUNDED CONTRACT CERTIFICATION

This certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension, 29CFR
Part 98, Section 98.510, Customers’ Responsibilities. The regulations were published as Part VII of the May 26, 1988
Federal Register (pages 19160-19211).

        1.      The prospective recipient of Federal assistance funds certifies, by submission of this proposal, that neither
                it nor its principals are presently debarred, suspended, proposed for disbarment, declared ineligible, or
                voluntarily excluded from participation in this transaction by any Federal department or agency.

        2.      Where the prospective recipient of Federal assistance funds is unable to certify to any of the statements in
                this certification, such prospective contractor shall attach an explanation to this certification.

____________________________________________________________________________________________
Name and Title of Authorized Representative

_______________________________________________________                   __________________________________
Signature                                                                 Date




                                                             50
                    CONCURRENCE OF THE COLLECTIVE BARGAINING AGENT

To ensure the most effective development of employment and training opportunities the Contractor must obtain
written acknowledgement from the appropriate bargaining agent where a collective bargaining agreement exists
with the participating employer covering occupations in which training or subsidized employment is proposed.
Such acknowledgement shall apply to the elements of the proposed activity which affect the bargaining
agreement, such as occupations, wage and benefits.

Is the occupation, in which employment and training is to be offered, subject to a collective bargaining
agreement?

                               Yes _____                      No _____

If yes, has there been acknowledgment by the appropriate bargaining representative as to the employment and
training activities associated therewith?

                               Yes _____                      No _____

If no, please comment:

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Please indicate the name, title and union affiliation of the appropriate bargaining representative.

Bargaining Unit Information/Signature

____________________________________________________________________________________
Union Affiliation

___________________________________________               _______________________________________
Name of Union Representative                               Title

___________________________________________                _______________________________________
Signature                                                  Date

Contractor Signature:

____________________________________________________________________________________
Name of Contractor

____________________________________________________________________________________
Name and Title of Authorized Signature

____________________________________________ ________________________________________
Signature                                     Date



                                                         51
                                    UNION COMMENTS


NAME OF UNION: ___________________________________________________________________

ADDRESS: _________________________________________________________________________

CONTACT PERSON: _________________________________ PHONE NUMBER: _____________________


UNION COMMENTS:




_____________________________________________________________________________________
Name of Union Representative                       Title

_______________________________________________ _____________________________________
Signature                                          Date


                                            52
                                                                                       Appendix II-1


                        Financial and Administrative Guidelines: Internet Resources

This listing provides web addresses for referencing federal and state guidelines applying the use and management
of the funds used to finance the proposed program.

       http://www.doleta.gov/ ETA’s Training and Technical Resource Page. Provides the link to the
       Workforce Investment Act narrative.

       http://www.omb.gov/ Office of Management and Budget web page giving the OMB circulars through the
       “grants management” selection.

       http://www.whitehouse.gov/ Provides links to all OMB circulars, compliance supplements, and OMB
       policy.

       http://www.gao.gov General Accounting Office web site. Provides links to a financial audit manual,
       Comptroller General decisions, and GAO audit reports.

       http://www.paworkforce.state.pa.us Provides links to state financial technical assistance guidelines for
       Workforce Investment Act funds.




                                                       53

								
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