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Rfp Response for Developing an Electronic Complaint Management System

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					   Northern Tier Workforce Investment Board
                  (NT WIB)

               Request for Proposals
Delivery of Workforce Investment Act (WIA) Title I
  and American Recovery and Reinvestment Act
              (ARRA) Youth Services
    In the Northern Tier Region of Pennsylvania

                  Program Year 2010
              July 1, 2010 – June 30, 2011
              Inquiries and responses should be directed to:

                            Frank Thompson
                           NT WIB Director
      Northern Tier Regional Planning and Development Commission
                             312 Main Street
                          Towanda, PA 18848

      The Workforce Investment Act of 1998 created a new, comprehensive workforce investment
      system designed to streamline and coordinate the many programs and employment and training
      services available. Local Workforce Investment Boards are responsible for coordinating and
      aligning workforce services and investment strategies to better reflect the needs of their local or
      regional economies.

      The programs are administered in the Northern Tier by the Northern Tier Northern Workforce
      Investment Board (NT WIB). The Northern Tier Regional Planning and Development
      Commission (NTRPDC) has been designated by the Local Elected Officials as the Fiscal Agent
      for this region and provides staff support to the NT WIB. As Fiscal Agent for the Northern Tier
      Workforce Investment Area, NTRPDC is the grantee for Workforce Investment Act (WIA) Title
      I, American Recovery and Reinvestment Act (ARRA), Pennsylvania Department of Public
      Welfare, Temporary Assistance to Need Families (TANF), and special Pennsylvania Department
      of Labor and Industry program funds. NTRPDC serves Bradford, Sullivan, Susquehanna, Tioga
      and Wyoming Counties.

      The mission of the Northern Tier Workforce Investment Board (WIB) and Youth Council is to
      develop a system that provides all youth with the skills and opportunities to achieve self-
      sufficiency, encourages life-long learning, and ensures business a skilled workforce.


             The initial funding period for the contract to be awarded as a result of this request is
              expected to be from July 1, 2010 to June 30, 2011. Based upon satisfactory performance,
              the NT WIB reserves the right to negotiate one-year contract extensions without further
              procurement. Contracts will be monitored for planned performance on a regular basis
              and may be amended or terminated if performance does not meet NT WIB standards.

             The total funding presently obligated for WIA Title 1 youth services contracts is
              approximately $255,000 in WIA Title 1 funds for the twelve month period July 1, 2009
              to June 30, 2010. We anticipate that funding will remain stable, however, with all federal
              program allocations, the final award has yet to be determined. In addition, the NT WIB
              anticipates supplementing this allocation with roughly $222,058 of ARRA funds in order
              to expand summer work experience opportunities for youth. The amount of other special
              Department of Labor and Industry programs will vary. The exact amount of contract
              awards will be based on amounts negotiated with successful proposers. All costs must be
              reasonable and necessary to carry out the planned functions, allowable, and allocable to
              the proper grant/cost categories.

             Proposers are responsible for being familiar with applicable laws, rules and regulations
              and applying them in developing the RFP response. Proposers are responsible for
              familiarizing themselves with WIA, ARRA, and their regulations, Commonwealth of PA
              WIIN, TEGL, NT WIB Local Plan and any other applicable legislation and regulations
              necessary for the development and submittal of a response to this RFP.

              The governing laws for the WIA program and other applicable legislation can be
              accessed via the Internet. Some of this information is available as follows:

                   Workforce Investment Act –
                   USDOL (CFR & OMB Circulars); USDOL-ETA –
                   Pennsylvania Workforce Information Network –
                   NT WIB –

               The NTRPDC is issuing this RFP. However, this does not obligate the NTRPDC to
                make an award as a result.

               The NTRPDC is not responsible for any costs incurred in the preparation of this RFP.

               Letters of support are not necessary and will not be considered.

               Proposals are being sought for the delivery of Youth program services for each of the five
                Northern Tier counties. Agencies must submit a proposal for any or all of the five
                counties or proposals which combine services to multiple counties. The NT WIB will not
                accept any applications that propose less than county-wide service. Subcontracting of
                some services is allowed and encouraged. Should two or more organizations wish to
                submit a joint proposal, one entity must be selected and identified to contract with
                NTRPDC while the remaining organization(s) may subcontract with the lead agency.
                Proposals should clearly identify the lead agency and partnering agencies and clearly
                define all intended sub contractual arrangements.

               Incomplete proposals will not be considered.

               This RFP is not an offer. Successful applicants will have the opportunity to enter into
                contract negotiations. Negotiations are discussions between the NTRPDC and selected
                Service Provider(s), for the purpose of arriving at a common understanding of contract
                essentials… such as technical requirements, schedules, participant requirements, prices,
                terms, etc.

               The NTRPDC is not responsible for monies spent prior to an award.

               Any public or private, profit or non-profit agency with the capacity and capability to
                provide the requested services may respond to this RFP.

               The NT WIB reserves the right to accept or reject any or all proposals received and/or to
                cancel or reissue this RFP in part of its entirety.


       A.       Closing Submission Date

                One original and four additional complete copies of each proposal, plus an electronic
                copy submitted via email to must be received no later than
                4:00 p.m. on March 29, 2010.

           Proposals can be mailed or hand delivered to:

           Kevin D. Abrams
           Executive Director
           312 Main St.
           Towanda, PA 18848

      B.   All questions shall be address to Frank Thompson, NT WIB Director, and submitted in
           writing for receipt no later than Friday March 24, 2010. Questions submitted after this
           date will not be addressed and telephone questions will not be accepted at any time.

      C.   The Proposals will be opened publicly on March 29, 2010 at the NTRPDC offices at
           4:00 PM.


      A.   General

           The selection of employment and training Service Provider(s) will be based on the
           following criteria: the effectiveness of the agency or organization in delivering
           comparable or related services based on demonstrated performance in terms of the
           likelihood of meeting performance goals, costs and quality of training. In addition,
           consideration shall be given to demonstrated performance in providing appropriate
           supportive services, including child care, transportation, etc. Integration of programs will
           also be considered in evaluation. Heavy emphasis will be placed on proposals that
           demonstrate an in-depth understanding of customer needs and service gaps in each
           county and that propose additional activities beyond the minimum requirements to meet
           those needs.

           Funds provided under this proposal shall not be used to duplicate facilities or services
           available in the area (with or without reimbursement) from Federal, State or local

      B.   Notification of Award

           1.      It is expected that a decision selecting the successful Service Provider(s) will be
                   made by April 8, 2010. Upon conclusion of negotiations with successful Service
                   Provider(s), all Service Provider(s) submitting a proposal in response to this RFP
                   will be informed, in writing, of the names of the successful Service Provider(s).

           2.      Any party that believes it is aggrieved should seek resolution of their
                   complaint(s) initially with the NT WIB Director. Such complaints may be made
                   verbally or in writing. In the event that resolution is not accomplished, the NT
                   WIB Director shall advise the party initiating the complaint of the formal appeal
                   process. A formal appeal shall be made in writing to the Chairperson of the NT
                   WIB within 15 calendar days after the date of the written notice to the protestor
                   from the NT WIB Director. Appeals filed after 15 calendar days will not be
                   considered. The NT WIB shall conduct an Oral Debriefing with designated
                   representatives of the protesting party at which time the facts upon which a

           NT WIB decision was made will be explained and discussed with the protesting
           party’s representatives. Following the oral debriefing, decisions on
           protests/appeals shall be rendered and conveyed in writing to the party who has
           filed the protest on behalf of the NT WIB within ten (1) calendar days. Decisions
           so rendered are considered final at the local NT WIB level.

           The protest/appeal must be addressed to:

                   Executive Committee
                   Northern Tier Regional Planning and Development Commission
                   312 Main Street
                   Towanda, Pennsylvania 18848

C.   Funding

     1.    The NT WIB/NTRPDC reserves the right to withdraw or reduce the amount of
           an award or to cancel any contract or agreement resulting from this procurement
           if adequate funding is not received or due to legislative changes or failure by the
           selected provider to meet contracted performance standards.

     2.    The NT WIB reserves the right to reobligate funds per contract if enrollment
           and/or expenditure levels fall below a predetermined level.

     3.    The NT WIB may terminate immediately the whole or any part of the contract if
           the Service Provider(s) fail to provide proper training as determined by the NT
           WIB or fails to make progress in accordance with its terms.

     4.    A contract with the selected provider may be withheld, at the NT WIB’s sole
           discretion, if issues of contract of questions of non-compliance with any program
           under the contract, or questioned/disallowed costs exist, until such issues are
           satisfactorily resolved. During the time awaiting resolution of such issues, the
           NT WIB may impose financial sanctions and/or other measures in accordance
           with the contract. The award of the contract may be withdrawn by the NT WIB
           if resolution is not satisfactory to the NT WIB.

     5.    Thirty day written notice will be given to the Service Provider(s) to terminate the
           agreement. The NTRPDC agrees to pay the Service Provider(s) for the
           reasonable cost of all work completed by the date of the Agreement if the
           contract is terminated.

D.   Other Requirements

     1.    With or without prior notice and at any time during normal business hours, and
           as often as deemed necessary, NT WIB members or staff, Auditor General’s
           Office, USDOL, or any of their duly authorized representatives shall have access
           to any books, invoices, payrolls, timesheets, or any other records or papers of the
           contractor which are related to a specific grant program for the purpose of
           verifying funds under contract as a result of this procurement have been
           expended and accounted for in accordance with all applicable laws and

            2.       The successful proposer will be required to maintain automated and/or paper
                     records of customer activity, financial management, property, procurement,
                     plans, policies and procedures, internal and external evaluations and
                     performance. In the event the contract is not renewed or is terminated, the
                     current contractor agrees to provide any and/or all of the identified records to the
                     NT WIB.

            3.       The successful proposer agrees to use Pennsylvania’s Comprehensive Workforce
                     Development System (CWDS) to maintain all customer records required to be
                     tracked and reported to the NT WIB in the manner and timeframe required by the
                     NT WIB.

     E.     Evaluation Criteria

            1.       All proposals received by the deadline date will be evaluated. Following a
                     completeness review, an ad hoc committee of the Workforce Investment
                     Board/Youth Council will assess each proposal to determine the quality of
                     program and the cost effectiveness of the proposal. The NT WIB will then
                     recommend the awards to the Executive Committee of the NTRPDC.
                      The subcommittee or staff may ask additional questions or request the
                     opportunity to interview any potential providers.

                     Subjects to be scored will include:

                    Organizational information: Staff credentials, capability and experience;
                     compliance with ADA; appropriate administrative, fiscal and programmatic staff
                     to client ratio; staff pricing under or over priced; historical success rate in serving
                     target population; capacity to manage federal and state funds; proper procedures
                     to account for receipt and disbursement of funds.

                    Program information: performance requirements addressed and explained;
                     innovative outreach and recruitment strategies; extent to which linkages between
                     other partners is addressed; program integration; job placement/development;

                    Cost: budget completion; sound basis for estimated costs; overall value.


     Each proposal must include the following information.

            Part 1           Organization Information: A description of the organization, history
                             and qualifications to operate the programs.

            Part 2           Program Narrative:
                             All youth program bidders must provide requested information in the
                             following sections. The narrative is not to exceed 25 pages (excluding
                             the Cover Page and attachments) and must be double-spaced in no less
                             than a 12-pt font and one-inch margins. The narrative must be

developed using the Statement of Work heading and the following
lettering scheme.

Failure to respond to any part within this narrative could adversely affect
your opportunity for funding. If a response is not appropriate for the
type of program you are proposing, type “N/A” or “Not Applicable” for

Statement of Work

 A. Identify the needs being addressed by the proposed project.
    Explain how your agency/organization will assist the NT WIB
    achieve the following:

       1. Increase the region’s overall high school completion rate;
       2. Concentrate on school retention for students at-risk of
          dropping out and the rapid reenrollment of recent dropouts;
       3. Give priority to out-of-school youth, especially those who are
          high school dropouts, homeless, aging out of foster care, court
          involved, children of incarcerated parents and migrant youth.

 B. Describe your outreach and recruitment process for in-school and
    out-of-school youth.
      1. How will potential participants be identified?
      2. For in-school youth, on what basis will they be selected from
           the total school population? Non-school applicants must
           fully describe how they will work with a local school
      3. For out-of-school youth, how will they be located once
           leaving school? Describe the outreach to the community and
           organizations you will employ to locate recent dropouts.
      4. How will you ensure that a minimum of 30% of your total
           allocation will be spent on services for out-of-school youth?
      5. Describe outreach methods for individuals with disabilities.
      6. Describe proposed special arrangements between your
           agency and other organizations or employers designed for
           the benefit of program participants.

 C. Explain when and how program applicants will be informed of the
    purpose, structure, services, and requirements of the program.
    Describe this orientation.

 D. Provide names and descriptions of assessments (affirm use of those
    required) you will use in the following areas:

       1. Reading (TABE required for initial assessment);
       2. Math (TABE required for initial assessment);
       3. Interest Inventories (SAGE required for initial assessment)

      4. Labor Market Analysis/Career Information (O’NET required
         for initial assessment)
      5. Pre/Post evaluation instruments to show skill attainment; and
      6. Other assessments of applicable.

E. Discuss how the participant’s Individual Service Strategy (ISS) will
   be completed and how you will ensure that information is keyed in
   the state CWDS system within the required time. Describe how
   barriers to employment will be determined and the process for
   reviewing and updating the document.

F. Describe how case management will be conducted throughout a
   participant’s enrollment in the program.

G. Describe how your youth program will integrate with the PA
   CareerLink Centers.

H. Identify the age group to be served, the number of youth to be
   served and the services you will provide. Use a chart format.

I.   Describe your summer component. How will sites be chosen?
     Describe a typical week. Describe the transition into the summer
     component from the year round program. Include components as
     discussed in this RFP. Give us the holistic view of your program
     and how the summer component complements your year round
     program design.

J.   Describe the supportive services that will be provided to clients.
     How will the need for supportive services be determined? How
     will the services and dollars received be documented?

K. Describe the collaborations with other agencies. Indicate how these
   collaborations will help youth participants successfully complete
   the proposed program. Include any matching or in-kind services

L. Describe specific experience with youth and the delivery of similar
   services that demonstrates your capability to carry out the proposed

M. Affirm (simply state your commitment) your program will make
   available and secure each of the following required components:

            Tutoring, study skill training, and instruction leading to
             secondary school completion;
            Alternative secondary school offerings;
            Paid and unpaid work experiences, including internships
             and job shadowing;
            Occupational skill training;

                        Leadership development opportunities which includes
                         activities such as positive social behavior and soft skills,
                         decision-making, and teamwork;
                        Supportive services;
                        Adult mentoring for at least 12 months;
                        Follow-up services;
                        Comprehensive guidance and counseling, including drug
                         and alcohol abuse counseling and referrals to other
                         counseling services.
                        Summer Employment Opportunities
                        Preparation for Post-secondary Education Opportunities

           N. Provide a program flowchart (may include chart as an
              attachment) and a supporting narrative that describes your
              program from enrollment to termination. Fully describe your
              program design. The flowchart should paint a picture of what your
              program will look like with the details provided in the narrative.

           O. Describe methods to pay back any disallowed costs that may be
              identified by the NT WIB and the NTRPDC, state or federal,
              monitors, or auditors.

           P. WIA Title I Common Measures are federally mandated and
              expected levels of performance have been negotiated between the
              NT WIB and the State. The chart below defines the Common
              Measures related to youth and the current levels of performance for
              the Northern Tier Workforce Investment Area.

Program Year 2009
NT WIB Negotiated Common Measures Levels for Youth
      PERFORMANCE                               PERCENTAGE
Placement Rate                                        55%
Attainment of Degree or Certificate                   65%
Youth Literacy/Numeracy Gain                          52%

                The expected levels of performance for the contract period will be
                negotiated in the future and each contractor is expected to meet
                those negotiated performance measures. To ensure program
                compliance and performance, the Service Provider must have a
                process that verifies progress in attaining established performance
                objectives. Describe the following relating to performance

                1. Demonstrated commitment to achieving and surpassing all
                    mandated performance measures.
                2. Identification of additional performance indicators to measure
                    program impacts and evaluate success.
                3. Evaluation methods for tracking and ensuring that performance
                    measures are met.

              4. Internal systems to identify operation problems, deal with staff
                  and/or customer complaints, and take appropriate corrective
                  action to improve performance issues as necessary.

Part 3   Staffing Information: Adequate staffing and a strong management
         structure to support the delivery of youth programs and services are
         critical. Describe your organization’s staffing plan, including
         information on the following:

            Proposed management structure and relevant qualification of key
             management staff to perform the proposed services, including
             technical, educational, and work history, including all required
             clearances for employees working with youth.

            Job descriptions of all staff administering the programs, including
             the minimum qualifications for all staff. Please enclose a resume for
             each and indicate which position that staff will be assigned.

            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.

Part 4   Financial Information: Must complete budget sheet(s) (Attachment B),
         what financial management system is used, what qualifies the agency as
         a fiscally sound organization. What are policies regarding retention of
         records, procurement,

         Certify ability to comply with the audit requirements of OMB A-133. A
         Service Provider(s) must be able to identify whether or not a program
         audit is necessary at the time of contracting. Service Provider(s) subject
         to OMB A-133 must submit a copy of the audit they contract for to
         NTRPDC for review and comment on an annual basis. Providers must
         understand OMB Circular A-102, OMB Circular A-110, OMB Circular
         A-87, OMB Circular A-133, 41 CFR 29-70 and the PA Department of
         Labor and Industry – WIA policy and procedures manual.

Part 5   Certifications, Assurances and Attachments:

             o   Signed Administrative Assurances Chart (Attachment C)

             o   Organizational Chart

             o   Last Two Years Audited Financial Statements

             o   Management Certification that there have been no significant
                 events affecting your organization during the current
                 year(Attachment D).

             o   Certification by the Executive Director or other responsible
                 official that the financial system will account for and control

o   Copy of Bonding Agreement

o   Copy of Equal Opportunity Policy Statement

o   Copy of Confidentiality Policy

o   Assurance that all facilities are in compliance with the
    requirements of Section 504 of the Rehabilitation Act of 1973
    and the Americans with Disabilities Act of 1990 with respect to
    physical and program accessibility.

  Attachment A

                                              Northern Tier

  Youth Receiving WIA Services for Program Year 2008
  July 1, 2008 – June 30, 2009

      County            Youth             County      In-School        Total Served
      Bradford             9              Bradford        9                 18
      Sullivan             4              Sullivan        7                 11
    Susquehanna            8            Susquehanna      23                 31
       Tioga              10               Tioga         14                 24
     Wyoming              10             Wyoming         19                 29
       Totals             41               Totals        72                113

Youth Performance by County for Program Year 2008
July 1, 2008 – June 30, 2009
                        Exiters:                Placement to
                   In-School Youth        Employment/Military/Post-   Credential      Literacy/Numeracy
     County       Out of School Youth       Secondary Education       Obtainment             Gain
     Bradford        4-ISY 4-OSY                     5/7                  7/8                 2/2
     Sullivan      *3-ISY 2-OSY                      1/3                  0/4                 0/1
   Susquehanna       5-ISY 6-OSY                    5/11                 6/11                 5/6
      Tioga          7-ISY 4-OSY                    7/10                 9/11                 3/4
     Wyoming        4-ISY 10-OSY                    8/14                11/14                 3/6
      Region        23-ISY 26-OSY                   26/45               33/48                13/19
     Percent                                        58%                  69%                 68%

 The NT WIB received $395,903 in ARRA funds in 2009. These dollars were used to provide summer
 work experience for an additional 84 youth.

Attachment B

                          OVERALL BUDGET SUMMARY SHEET
                               July 1, 2010 – June 30, 2011

Service Provider(s)
Name and Address:     _____________________________________________________

Project Title
Funding Source:       _____________________________________________________



       A.      Staff Salaries                   $ ___________
       B.      Staff Fringe Benefits            $ ___________
       C.      Property and Equipment           $ ___________
       D.      Other Operating Expenses         $ ___________
       E.      Indirect Costs (if applicable)   $ ___________

                              Subtotal          $ ___________


       A.      Staff Salaries                   $ ___________
       B.      Staff Fringe Benefits            $ ___________
       C.      Property and Equipment           $ ___________
       D.      Supportive Service Costs         $ ___________
       E.      In-House Training Expenses       $ ___________
      F.      Other Operating Expenses         $ ___________
       G.      On the Job Training/
               Subsidized Employment/
               Skills Training/
               Work Experience                  $ ___________
       H.      Indirect Costs (if applicable)   $ ___________

                              Subtotal          $ ___________

                              Grand Totals $ ___________

                           ADMINISTRATION STAFF SALARIES
                                 DETAILED BUDGET
                               July 1, 2010 – June 30, 2011

List all Administrative salaries funded by this grant and compute the total staff salaries and
fringe benefits.

Column 1       Position Title – List the title of the position being funded by this grant.
Column2        Annual Salary – List the total annual salary for the position listed.
Column3        % of Time to Project – List the actual percent of time the person in that position
               will spend and charge to this grant.

Total Cost of Fringe Benefits for Staff Under “Rate”, list the percentage of the “Total Staff
Salaries” line which will be charged for all staff fringe benefits. Under “Amount”, list the total
dollar figure paid for applicable fringe benefits.

                                             ANNUAL    % OF
                            POSITION         SALARY CHARGE TO
                             TITLE                    YOUTH

Total Staff Salaries:                                                        $ __________
(Transfer this figure to the Overall Budget Summary
Sheet – Administrative Costs – A. Staff Salaries.)

Total Cost of Fringe Benefits for Staff:                                     Rate ______%

                                                             Amount          $ __________

                            PROGRAM COST STAFF SALARIES
                                 DETAILED BUDGET
                               July 1, 2010 – June 30, 2011

List all Program salaries funded by this grant and compute the total staff salaries and fringe

Column 1       Position Title – List the title of the position being funded by this grant.
Column2        Annual Salary – List the total annual salary for the position listed.
Column3        % of Time to Project – List the actual percent of time the person in that position
               will spend and charge to this grant.
Column4        Total Amount – Enter the product of the % of Time to Project and Annual
               Salary. (Column 3 X Column 2 = Total charged to this grant)

Total Cost of Fringe Benefits for Staff

                                             ANNUAL    % OF
                            POSITION         SALARY CHARGE TO
                             TITLE                    YOUTH

Total Staff Salaries:                                                        $ __________
(Transfer this figure to the Overall Budget Summary
Sheet – Administrative Costs – A. Staff Salaries.)

Total Cost of Fringe Benefits for Staff:                                     Rate ______%

                                                             Amount          $ __________

Attachment C


The purpose of distinguishing the following assurances is to highlight specific requirements, and does not limit the
responsibilities of the applicant agency in anyway. By including these assurances in the grant narrative, the
applicant agency assures NTRPDC and the Northern Tier Workforce Board that it will abide by the following

Name of Organization

                                      ASSURANCES                                                  YES          NO

1. Assures that the financial management system satisfactorily accounts for and documents
   the receipt and disbursement of all WIA funds;

2. Assures that information pertaining to subgrants and contract awards, obligations,
   unobligated balances, assets, expenditures, and income will be maintained;

3. Assures that one has effective internal controls in place to safeguard assets and assure
   proper use (including property location and usage);

4. Assures that one will maintain source documentation to support accounting records
   that will permit the tracing of funds to a level of expenditure adequate to establish
   that funds have not been used in a violation of the applicable restrictions of the use
   of such funds;

5. Assures that one financial system will permit the tracing of program income and
   potential stand-in costs and other funds that are allowable;

6. Assures that one will maintain a comparison of actual expenditures with budgeted
   amounts for each subgrant and contract and that this comparison will be used to
   assess program progress and success;

7. Assures that one will prepare and submit the required financial reports in a timely

8.   Assures that all persons authorized to receive or deposit WIA funds, or to issue
     financial documents, checks or other instruments of payment for WIA program costs,
     will be bonded in accordance with Federal and State regulatory requirements for
     protection against loss;

9.   Assures that subrecipients will be mandated to operate programs in compliance with
     regulations and policies outlined in the Act, Federal Regulations, and State
     Departments of Labor and Industry and/or Education;

10. Assures that there is no excess cash on hand and that procedures exist for maintaining
    and monitoring the minimum amount of cash on hand to efficiently improve the timing
    and control of disbursements;

11. Assures that all financial and program records, including any supporting documents
    will be retained for at least four years from the date of submission of the closeout
    reports for each program;

12. Assures that all audit findings that impact the WIA program will be resolved and that
    corrective action for all such findings is instituted within 6 months after receipt of
    the audit report; and

13. Assures that one will maintain an audit resolution file documenting the disposition of
    reported questioned costs and corrective actions taken for all findings.

14. Assures that there exists adequate internal program management procedures to prevent
    fraud and program abuse.

15. Assures that WIA training shall be provided only for those occupations for which there
    is a demand in the local area or in another area to which the customer is willing to

16. Assures that it has the administrative capabilities and expertise to operate an
    effective program.

17. Assures that one has no significant outstanding audit deficiencies or disallowed costs.

18. Assures that one has appropriate staff and material to provide the employment and
    training services.

19. Assures that all program customers, regardless of disability, including persons with
    limited English speaking ability, are provided access to all program activities; that
    qualified program customers with disabilities will be provided with reasonable
    accommodation, unless providing the accommodation would cause undue hardship;
    and that reasonable modifications will be made to policies, practices and procedures
    when the modifications are necessary to avoid discrimination, unless making the
    modifications would fundamentally alter the nature of the service, program or activity.

20. Assures that records will be maintained for the purposes of equal opportunity which
    include characteristics data on race/ethnicity, sex, age, disability status of applicants,
    registrants, eligible applicants/registrants, participants, individuals existing in the
    programs, applicants for employment, and employees.

21. Assures that all recruitment brochures and other materials which are ordinarily
    distributed to the public to describe programs funded under WIA must certify the
    above using the following wording “The WIA funded program or activity is an equal
    opportunity employer/program; auxiliary aids and services are available upon request
    to individuals with disabilities”.

___________________________ ___________________________ ______________________
Signature                                 Typed Name and Title                        Date

Attachment D
                            INSTRUCTION FOR CERTIFICATION

1.   By signing this certification and submitting it with this proposal, the prospective recipient of State and /or
     Federal assistance funds is providing the certification as set out below.

2.   The certification in this clause is a material representative of fact upon which reliance was placed when this
     transaction was entered into. If it is later determined that the prospective recipient of State and/or Federal
     assistance funds knowingly rendered an erroneous certification, in addition to other remedies available to
     the State and/or Federal Government, the Department may pursue available remedies, including suspension
     and/or debarment.

3.   The prospective recipient of State and/or Federal assistance funds shall provide immediate written notice to
     the person to whom this proposal is submitted if at any time the prospective recipient of State and/or
     Federal assistance funds learns that its certification was erroneous when submitted or has become
     erroneous by reason of changed circumstances.

4.   The terms “covered transaction,” “debarred,” “suspended,” “ineligible,” “lower tier covered transaction,”
     “participant,” “person,” “primary covered transaction,” “principal,” “proposal,” and “voluntarily excluded,”
     and used in this clause, have the meanings set out in the Definitions and Coverage sections of rules
     implementing Executive Order 12549. You may contact the person to whom this proposal is submitted for
     assistance in obtaining a copy of those regulations.

5.   The prospective recipient of State and/or Federal assistance funds further agrees by submitting this
     proposal that, should the proposed covered transaction be entered into, it shall not knowingly enter into any
     lower tier covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily
     excluded from participation in this covered transaction, unless authorized by the Department.

6.   The prospective recipient of State and/or Federal assistance funds further agrees by submitting this
     proposal that it will include the clause title “Certification Regarding Debarment, Suspension, Ineligibility
     and Voluntary Exclusion – Lower Tier Covered Transactions,” without modification, in all lower tier
     covered transactions and in all solicitations for lower tier covered transactions.

7.   A participant in a covered transaction may rely upon a certification of a prospective participant in a lower
     tier covered transaction that it is not debarred, suspended, ineligible, or voluntarily excluded from the
     covered transaction, unless it knows that the certification is erroneous. A participant may decide the
     method and frequency by which it determines the eligibility of its principals. For contracts involving
     Federal funds, each participant may, but is not required to check the List of Parties Excluded from
     Procurement or Non-procurement Programs.

8.   Nothing contained in the foregoing shall be construed to require establishment of a system of records in
     order to render in good faith the certification required by this clause. The knowledge and information of a
     participant is not required to exceed that which is normally possessed by a prudent person in the ordinary
     course of business dealings.

9.   Except for transactions authorized under paragraph 5 of these instructions, if a participant in a covered
     transaction knowingly enters into a lower tier covered transaction with a person who is suspended,
     debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other
     remedies available to the State and/or Federal Government, the Department may pursue available remedies,
     including suspension and/or debarment.

                    AND VOLUNTARY EXCLUSION


Subrecipient: __________________________________

This certification is required by the regulations implementing Executive Order 12549,
Debarment and Suspension, 29 CFR Part 98, Section 68.510, Participant’s Responsibilities. The
regulation were published as Part VII of the May 26, 1988 Federal Register (Pages 19160-

                              READ INSTRUCTIONS

   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
      debarment, 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 participant shall attach an
      explanation to this proposal.

Name of Program Operator Representative

Signature and Date

Name and Title of Authorized Representative

Signature and Date


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