FRANKLIN COUNTY DEPARTMENT OF JOB AND FAMILY SERVICES REQUEST ...

Interpretation & Translation RFP, 08/08 Service dates: October 1, 2008 through December 31, 2009

1 8/11/2008

FRANKLIN COUNTY DEPARTMENT OF JOB AND FAMILY SERVICES REQUEST FOR PROPOSALS (RFP)

For INTERPRETATION AND TRANSLATION SERVICES

AUGUST 2008

Dear Prospective Bidder: The Franklin County Department of Job and Family Services (FCDJFS) is accepting proposals from organizations that will provide interpretation and translation services to Limited English Proficient (LEP) customers in Franklin County in order to enable FCDJFS staff to effectively communicate with customers, determine eligibility for programs, and provide appropriate referrals for services. The Franklin County Department of Job and Family Services will have approximately $750,000.00 of Temporary Assistance for Needy Families (TANF) and Refugee Social Services (RSS) funds allocated for the purchase of interpretation and translation services for the time period beginning October 1, 2008 and ending December 31, 2009. FCDJFS may extend a contract for services related to this RFP process for an additional 24 months upon mutual consent of the parties and contingent upon the availability of funding and successful contract performance of the vendor.

Schedule

RFP Issued August 8, 2008

Bidders’ Conference August 18, 2008 2:00pm to 4:00pm (approximate)

West Community Opportunity Center 314 North Wilson Road

Letter of Intent Due 4:00pm day of the Bidders’ Conference

Deadline for Submission of Written Questions August 29, 2008 at 12:00pm

Letter of Commitment Due August 29, 2008 at 4:00pm

Deadline for Submission of Proposals September 5, 2008 by 4:30pm

Intent to Award September 12, 2008 (estimated)

Work Begins October 1, 2008 (estimated) Please refer to the following website to access the Request for Proposals (RFP), including the proposal guidelines: http://www.franklincountyohio.gov/commissioners/jafs/rfp.cfm. An electronic copy of the RFP can be obtained at http://www.franklincountyohio.gov/commissioners/jafs/rfp.cfm or by sending an e-mail request to [email protected]. Hard copies will be available at the Bidders’ Conference or can be obtained by calling Carl Emerson at 614.462.3883. PLEASE refer to the complete Request for Proposals (RFP) for specific guidelines regarding how to submit a proposal for this program. Thank you, Jane Whyde, Deputy Director


2 8/11/2008

FRANKLIN COUNTY DEPARTMENT OF JOB AND FAMILY SERVICES REQUEST FOR PROPOSALS (RFP)

For INTERPRETATION AND TRANSLATION SERVICES

AUGUST 2008

I. Scope of Services to be Provided (Program Model)

Background Information As recipients of federal financial assistance, counties are required under Title VI of the Civil Rights Act of 1964 to provide meaningful access to their programs by Limited English Proficient (LEP) persons. Meaningful access means that the LEP person’s situation can be effectively communicated to the service provider; the LEP person is able to understand the services and benefits available; and the LEP person is able to receive those services and benefits for which he or she is eligible in a timely manner. Service Components Interpretation and Translation services are needed to assist FCDJFS staff with communicating with Limited English Proficient (LEP) customers who are applying for benefits or who are participating in a work and training program.

FCDJFS has a need for interpreters on a regularly scheduled basis and for on-call services. During the previous six (6) months, an average of 191 hours of on-call interpretation services per month were provided at the Community Opportunity Centers. Currently, interpreters are onsite at a Community Opportunity Center for 192 hours of scheduled Somali interpretation and 140 hours of scheduled Spanish interpretation per week; however, these staffing levels could change as a result of the needs of FCDJFS and the agency’s LEP population. Additionally, interpretation services are provided on an as needed basis in Somali, Spanish, and other languages. FCDJFS may also require interpretation services during non-business hours. FCDJFS will expect bidders to demonstrate that they have the capacity to provide scheduled interpretation, as well as provide interpretation services on an as needed, on-call basis at the level provided during SFY08 with the ability to increase services up to 150% if needed based on the LEP population. Interpretation services need to be provided within 24 hours of the service being requested. Preference will be given to providers that are able to respond in the shortest time from request but in no case may it exceed 24 hours unless it is a very rare language with special accommodations required. It is expected that all interpreters will be trained in and will comply with the ethical and professional codes of conduct for an interpreter. In addition, interpreters should have a basic knowledge of the terms utilized by FCDJFS so they can be accurately communicated to the customer. Priority will be given to vendors that can provide a wide variety of languages that are representative of the refugee and immigrant populations residing in central Ohio. FCDJFS will request the translation of documents such as forms, brochures, and training materials so customers may have access to information in their language of origin. During the previous six (6) months, an average of 18 pages of translation services per month were provided to FCDJFS; however, this number can vary widely from month to month. It is expected that translation of material will be completed in a timely manner based on the size of the document and will be proofread to ensure correct spelling and grammar. Documents must


3 8/11/2008

be translated and entered into a Microsoft Word document. Both a hard copy and an electronic copy of the formatted document should be provided.

II. Definitions: Standards of Performance

All contracts will be performance-based with negotiated units of service, which will be developed based on the specifics of the proposed services. Several examples of definitions have been provided for your convenience; however, other standards specific to your program may be outlined and defined in your proposal.

On-Call Interpretation services will be billed in hourly units based on time actually spent with a customer to provide interpretation or another service such as scheduling appointments or other tasks that assist FCDJFS staff with customer service. Time will be rounded to the next quarter of the hour for billing purposes. Weekly and Daily Interpretation services will be billed for scheduled on-site Somali and Spanish interpreters.

Translation services will be billed per page units of service and will be completed in a timely manner based on the size of the document. An estimated turn around time should be provided when the request is made for translation.

III. Program Requirements

The provision of interpretation services for the FCDJFS Community Opportunity Centers requires the availability of interpreters during regular operating hours and the ability to respond to requests for interpreters in less than a 24 hour period. Priority will be given to proposals that provide same day or short turn around time response.

A. Keep the following records:

• Date and time of interpretation requests • Name and case number of customer receiving interpretation services • Documentation of the delivery of services • Statistical data regarding the interpretation and translation services provided

B. Comply with all rules governing the sources of funding for this program C. Ensure that interpreters providing services for FCDJFS attend an interpreter training course

as it is made available D. An internal means of ensuring quality and standards for interpretation and translation

services should be in place IV. Responsibilities

Provider

• Provide all services within the contract terms • Follow all rules and regulations governing the implementation and provision of services • Submit invoices and outcome information to FCDJFS monthly • Permit site visits from FCDJFS staff or the agency’s designees in order to monitor files,

financial records, and program implementation • Collect data and provide programmatic and fiscal reports as required by FCDJFS • Maintain fiscal records in accordance with standard accounting practices and provide

FCDJFS with specified financial reports designed to verify and analyze expenditures


4 8/11/2008

• Participate fully in any program evaluation conducted by FCDJFS or a consultant hired by FCDJFS, including the following:

Timely submission of any and all required data Obtaining releases of information from participants, if required Completing all evaluation reports Meeting with evaluators

Franklin County Department of Job and Family Services

• Provide ongoing technical assistance regarding eligibility and allowable activities • Monitor and review program performance in relationship to stated program goals • Act as the final authority regarding eligibility questions and the handling of grievances

V. Payment Process

Payment will be made for the contracted units of service provided, not by cost reimbursement or line item reimbursement. All contracts will be performance-based with negotiated units of service. Fiscal reports will continue to require reporting of actual expenditures.

The provider must certify that claims made to FCDJFS for payment of purchased services are for actual services rendered to eligible individuals and are for the completion of contracted performance standards/measures.

Payment for services provided will be made upon submission of an invoice and required monthly reports to FCDJFS by the 15th day following the month of service. Invoices received after the 15th day following the month of service will reflect negatively on the provider’s contract performance. Invoices may be submitted only for services provided during the effective dates of the contract and must reflect the approved fixed unit cost for each unit of service. Units of service provided before or after the dates specified in the contract are not eligible for payment.

All claims for payment must be made in a timely manner. Any invoice received by FCDJFS more than 30 calendar days after the last date of the contract period is subject to nonpayment.

VI. General Information

Letter of Intent

Providers who want to receive updates regarding addenda or clarifications of response to this RFP are encouraged to submit a Letter of Intent by 4:00pm the day of the Bidders’ Conference. All questions submitted prior to the Bidders’ Conference will be answered at the Conference. After the Bidders’ Conference, all questions and answers will be forwarded upon receipt of the Letter of Intent. In order to ensure that all prospective bidders have equal access to the information, questions submitted after 12:00 pm on the date identified in the RFP schedule will not be answered due to the length of time required to research responses. The Letter of Intent DOES NOT commit the bidder to submit a proposal.

Fax, e-mail, or hand deliver (do not mail) a Letter of Intent addressed to:

Franklin County Department of Job and Family Services Jane Whyde, Deputy Director of Development Support Services 80 East Fulton Street, 4th Floor Columbus, OH 43215 RE: Letter of Intent for RFP Title:


5 8/11/2008

E-mail: [email protected] Fax: 614.462.6451

The Letter of Intent must state that the provider intends to submit a proposal in response to this RFP and the name, title, address, telephone number, e-mail address, and fax number of its contact person. A form has been provided. FCDJFS will acknowledge receipt of the Letter of Intent by return fax or e-mail and will direct all correspondence regarding addenda to or clarification of this RFP to the contact person. FCDJFS is NOT responsible for a malfunctioning fax machine and/or e-mail account.

FCDJFS is not responsible for a provider’s failure to receive information before the Letter of Intent is received. A bidder may submit a proposal without a Letter of Intent; however, failure to submit a Letter of Intent will exclude the provider from the notice list, which may result in missing notification of significant information regarding this RFP.

Bidders’ Conference

FCDJFS will hold a Bidders’ Conference on the date, time, and at the location identified in the RFP schedule. The purpose of the Bidders’ Conference is to review the requirements of this RFP, to respond to participants’ questions regarding any aspects of the RFP, and to answer any questions posed prior to the Conference. Although attendance at the Bidders’ Conference is not required, potential bidders are highly encouraged to attend. Questions may be posed and answered in this forum that will significantly increase the ability of the provider to submit a competitive proposal. The Bidders’ Conference is the most effective opportunity for the bidder to gain an understanding of the focus and priorities of the RFP and to ensure that the bidder completely understands the submission requirements and processes. The Franklin County procurement policy stipulates that FCDJFS staff is prohibited from conducting conversations with individual bidders regarding the RFP between the date of the RFP’s release and the date of the proposal submission deadline. Written Questions Following the close of the Bidders’ Conference, all questions from prospective bidders must be submitted in writing via e-mail or fax with the RFP title specified in the subject line and will be answered, via e-mail or fax, by FCDJFS with both the question and the answer disseminated to all bidders who have submitted a Letter of Intent. Written responses to all questions received by FCDJFS will be posted only twice during the open RFP period: 1) questions submitted in writing from the RFP release date through August 19, 2008 at 4:00 pm will be answered and disseminated to bidders on August 21, 2008 by 4:00 pm; 2) questions submitted in writing from the first question deadline through the deadline identified in the RFP schedule will be answered and disseminated to bidders by 4:00pm on September 2, 2008. In order to ensure that all prospective bidders have equal access to the information, questions submitted after the deadline will not be answered. Letter of Commitment Any bidder who plans to respond to this RFP should first submit a Letter of Commitment. Due to the high number of agencies that submit a letter of intent but do not submit a proposal, FCDJFS is requesting that prospective bidders who are serious about submitting a proposal for these services submit a letter demonstrating their commitment. This will allow FCDJFS to adhere more closely to the projected notification and contracting timelines specified in this RFP. The Letter of Commitment must state that the provider will submit a proposal in response to this RFP and the name, title, address, telephone number, e-mail address, and fax number of its contact person. A


6 8/11/2008

form has been provided. The Letter of Commitment is due to FCDJFS by 4:00 pm on the date identified in the RFP schedule. Proposal Submission

For your proposal to be considered, the following must be received NO LATER THAN 4:30 pm on Friday, September 5, 2008:

• The COLLATED original and NINE (9) copies (total of 10) of the proposal including: Transmittal Form Partnership Statement (If applicable) Subcontractor Statement (If applicable) Project Summary (one page maximum) Project Narrative (ten page maximum) Budget Documents Program Attachments

> Curriculum Outline > Evaluation Tools > Table of Organization for the Agency > Table of Organization for the Project > Resumes, Curricula Vitae, and Licenses (If applicable) for Existing Staff > Job Descriptions for Vacant Positions

• The COLLATED original and ONE (1) copy (total of 2) of the Required Documentation

Hand deliver, courier, or mail to:

Franklin County Department of Job and Family Services 80 East Fulton Street, 4th Floor Columbus, OH 43215 Attention: Jane Whyde, Deputy Director of Development Support Services

Providers assume the risk of the method of dispatch chosen. FCDJFS assumes no responsibility for delays caused by any delivery service. Postmarking by the due date will not substitute for actual proposal receipt. Proposals may NOT be delivered by facsimile transmission or other telecommunication or electronic means. Hand delivered proposals may be delivered ONLY between the hours of 8:30am and 4:30pm, Monday through Friday, excluding holidays observed by FCDJFS and prior to the proposal due date. Proposals must be delivered to Development Support Services staff located on the 4th floor at 80 East Fulton Street. Proof of delivery includes either of the following: dated receipt from FCDJFS or a dated invoice/receipt from a commercial carrier.

No extensions of time will be given. Proposals will be reviewed as received and must be complete at the time of submission. All proposals and accompanying documents will become the property of FCDJFS and will not be returned. All documents submitted to FCDJFS as part of your proposal become public information if a contract is awarded and will be available for review and inspection to anyone submitting a request to do so. FCDJFS does not encourage the submission of confidential or proprietary information in response to this RFP. The submission of a proposal will be considered by FCDJFS as constituting an offer to perform the services indicated for the stated program costs.


7 8/11/2008

VII. Considerations

This RFP does not constitute an offer. Acceptance of proposals for review does not commit FCDJFS to award a contract, nor is FCDJFS liable for any costs incurred in the preparation of proposals. FCDJFS reserves the right to award contracts to a single bidder, multiple bidders, or to reject any and all proposals or parts of proposals received. If FCDJFS elects to initiate contract negotiations, these negotiations cannot involve changes in FCDJFS requirements or the bidder’s proposal which would, by their nature, affect the basis of the source selection and the competition previously conducted. FCDJFS reserves the right to negotiate services and costs on any and all proposals or to cancel this RFP in part or in its entirety. Final contracts will be subject to applicable rules and regulations under the funding requirements.

Proposals submitted in response to this RFP must comply with the specifications stated herein. Failure to adhere to the formatting requirements may result in the proposal being determined non-responsive and may result in the elimination of the proposal from consideration. At the option of the Franklin County Department of Job and Family Services, any or all aspects of the successful proposal(s) will become contractual obligations if acquisition action ensues. Failure of the successful bidder to accept these obligations in the contract may result in cancellation of the award.

Final approval of a contract for these services depends on the availability of State funds and the continued authorization of funds under current legislation.

VIII. Proposal Evaluation Criteria

Each proposal that is submitted on time and which meets the requirements listed in this RFP will be evaluated by a review team using the attached score sheets to determine the organization’s ability to perform the services. Bidders will be expected to clearly document their understanding of the county’s current and projected needs. It is the bidder’s responsibility to clearly identify and describe the services being offered in response to this RFP. Bidders are cautioned that the organization and thoroughness of their response are critical to the evaluation process. The RFP documents must be legible and complete in their entirety, with all information presented in an organized, comprehensive, and easy to follow manner. FCDJFS, in its sole discretion, may include any person other than competing bidders on its proposal evaluation committee.

IX. Contract Award

FCDJFS will issue a letter of intent to award to the selected bidder(s) and will notify unsuccessful bidders as soon as they have been eliminated from consideration.

All contracts are subject to approval and funding by the Franklin County Board of Commissioners. If the Board of Commissioners does not approve the contract and funding, the contract shall not be awarded. In the event that federal or state funds become unavailable, the contract shall be cancelled in accordance with the RFP and standard contract provisions. Until the selected bidder receives a fully executed and approved written contract from FCDJFS, there is no legal and valid contract, in law or in equity.

X. Protest

A provider may protest the decision resulting from the review of this RFP by following the guidelines listed.


8 8/11/2008

A. FCDJFS shall consider a written protest that is received by FCDJFS within five (5) business days of the date of the letter notifying the vendor that the proposal submitted was not accepted. The following should be included in the Notification of Protest:

• Name, address, telephone number, and fax number of protester • RFP name

B. The provider must then submit, within five (5) business days of the Notification of Protest, a

formal protest in writing that must include a detailed statement of the grounds for the protest including copies of relevant documents.

C. The written protest must be mailed to:

Franklin County Department of Job and Family Services Deputy Director, Quality Support Services 80 East Fulton Street, 4th Floor Columbus, Ohio 43215


9 8/11/2008

Attachments

A. Proposal Format

B. Required Documentation

C. Budget Documents

D. Transmittal Form

E. Letter of Intent

F. Letter of Commitment

G. Proposal/Required Documentation Checklist

H. Proposal Review Sheets


10 8/11/2008

Attachment A

Proposal Format The Franklin County Department of Job and Family Services reserves the right to disqualify all proposals that do not comply with the following instructions:

• Follow the format EXACTLY as outlined in this RFP • All components of the Proposal and Required Documentation should be held

together by binder clips at the upper left corner • Include PAGE NUMBERS on EVERY page of the proposal and required

documentation • All pages should be ONE (1) sided and printed on standard 8½” x 11” letter size

paper • Do not submit the Proposal or Required Documentation with paper clips or in

binders, folders, or any format that will make photocopying difficult • All documents requiring signature should be signed in BLUE ink • The original Proposal and Required Documentation packets should be marked

“ORIGINAL” Transmittal Form The proposal must include the Transmittal Form, signed in blue ink by the individual authorized to bind the provider legally to fulfill the program requirements. Statements of Cooperation If, in the design of the proposal, more than one agency/business will be providing services, the bidder must identify if the other party(ies) will be a partner or a subcontractor and submit a Partnership or Subcontractor Statement. These are NOT letters of support.

A. Partnership Agreement (If applicable) If the program is designed as a partnership, the proposal will not be reviewed or considered for funding unless it is accompanied by a Partnership Agreement signed by an authorized representative of the partner organization that verifies the partnership and includes the following:

• Outline of the relationship between the partners • Clear definition of the role that each partner will assume in the implementation of the

project • Name and contact number of the authorized representative in order to confirm the

details of the relationship

B. Subcontractor Agreement (If applicable) If the bidder plans to utilize a subcontractor, the proposal will not be reviewed or considered for funding unless it is accompanied by a Subcontractor Agreement signed by an authorized representative of the subcontractor that verifies the relationship. The statement should include the following:

• Outline of the relationship between the bidder and the subcontractor • Clear definition of the role that each agency will assume in the implementation of the

project • Name and contact number of the authorized representative in order to confirm the

details of the relationship


11 8/11/2008

Project Summary – a one (1) page summary of:

1. Brief description of the services that will be provided to participants 2. The approach that will be taken to accomplish the work necessary for implementation of the

program 3. The planned method of evaluating the project’s effectiveness and collecting the required

performance information Project Narrative – 10 page maximum Please refer to the Scope of Services and the Program Requirements as a guide for preparing the project narrative. Bidders are expected to respond to the RFP in a manner that makes it clear they understand and have addressed all sections of the RFP. Statements should be concise and specific, conveying to the reader that the bidder understands the approach to be followed in the program and the responsibilities inherent therein. The headings used below MUST BE USED IN THE PROJECT NARRATIVE IN THE ORDER GIVEN.

1. Program Design – Address the following items in this section of the narrative: a. Provide the languages for which proposed interpretation/translation services will be

provided b. Identify the proposed response times for each language including rare languages c. Explain the process by which the bidder will access interpreters and/or translators

for languages that are rare languages and/or not available locally d. Describe the process by which FCDJFS staff will access interpretation and

translation services e. Detail the process by which interpretation and translation services will be provided,

documented, reviewed, and invoiced f. Define the difference between business hours versus non-business hours for billing

purposes g. Describe the training that interpreters will receive (or have already received) that will

provide a clear understanding of the ethical and professional codes of conduct

2. System for Overall Program Evaluation a. Provide a description of how the program will track, monitor, and report

performance b. Discuss how interpreters and translators will be selected and the minimum

qualifications that must be met to provide these services c. Provide a description of how monitoring will occur to ensure quality of service for

interpretation and translation services d. Discuss how periodic program evaluations will be completed, who will be

responsible for the evaluations, and how needed changes will be addressed

3. History and Experience In this section, bidders will be expected to demonstrate the capability of their organization to perform the proposed service. Complete for each entity (provider, partner, and subcontractor).

a. Describe the services currently offered by your organization b. Describe agency and staff expertise in providing these or similar services to the

target population, including past performance (if applicable) c. In the attachment portion of the proposal provide a Table of Organization for the

agency that indicates where this program will be incorporated


12 8/11/2008

d. Describe how the program fits into your agency’s mission and vision and in the attachment portion of the proposal include a Table of Organization for this project

e. Provide a description of personnel who will be directly involved in the proposed project

• Detail the specific experience of program personnel in relation to similar projects

• Describe the organization’s responsibility and reporting procedures with regard to the proposed program

f. In the attachment portion of the proposal provide the following for personnel who will be directly involved in the proposed project:

• Submit resumes, curricula vitae, and licenses (if applicable) for existing staff • Submit job descriptions for program positions that are currently vacant

Program Budget The budget for the program must reflect efficient administration and good management practices. Anticipated expenditures shown on the budget must be reasonable and in line with those of similar bidders providing comparable services. Bidders should present a sound approach to budgeting for the various aspects of program management and implementation. Budgets will be evaluated in accordance with standard accounting principles, clear support of proposed program components, and cost effectiveness. Budget forms are attached. These forms must be used to list all costs of the services proposed. No other budget format will be accepted. Bidders should provide an explanation for each budget item in the space provided in order to describe the necessity and reasonableness of each budget item. Statements should be concise and clear and should not simply restate the information presented in the budget. Bidders must complete ALL pages of the budget documents. Indirect costs are allowable if the provider also offers services other than those they are proposing be purchased or are responsible to a parent organization that operates other programs. The indirect cost sheet in the budget packet may be used to calculate indirect costs, or the vendor may substitute another method of calculation as long as a detailed explanation of the method is included. If the provider has an established indirect cost rate that is approved by a federal oversight agency such as the Department of Education or the Department of Health and Human Services, that rate may also be used alternatively in this budget. Complete a 12-month budget for the period of October 1, 2008 to September 30, 2009 based on the expectation that bidders will provide:

• 2,300 hours of on-call interpretation services • 52 weeks of scheduled on-site interpretation services for the following:

200 hours of Somali interpretation 140 hours of Spanish interpretation

• 225 pages of translation services The needs of FCDJFS and the agency’s population could vary from the stated expectations; however, budgets that are created to address these service needs will allow the reviewer committee to fairly evaluate and compare each bidder’s proposed costs. Actual services for the 15-month contract period will be defined as part of the negotiation process and will be based on the rates provided in the 12-month budget. The contract will be based on purchasing units of services provided rather than on a cost reimbursement basis. A detailed training on completion of these budget forms will be offered during the Bidders’ Conference.


13 8/11/2008

Funding Restrictions:

A. Funds may not be used for building, construction, or to purchase or renovate property. B. Funds may not be used to supplant existing federal, state, or local funds. For example, a

provider could not use these funds to substitute funding that has been earmarked for an existing program. Funds may be used for new approaches and/or to expand existing programs.

C. Funding is contingent upon the availability of funds for the time period specified in the RFP. D. Funds cannot carry over from one fiscal year to the next.


14 8/11/2008

Attachment B

Required Documentation

Current list of names and addresses of the provider’s Board of Directors Letter of Authorization from the provider’s Board of Directors or other

appropriate entity identifying the individual who is empowered to sign a contract, including his/her title

A COPY of the agency’s most recent independent audit of financial statements and auditor’s opinion and management letter addressing internal controls or the agency’s most recent financial statement – Do NOT submit a bound original – THIS MUST BE A ONE-SIDED COPY OF THE ENTIRE DOCUMENT

Current Certificate of Liability Insurance Articles of Incorporation Most recent Certificate of Continued Existence Equal Employment Opportunity (EEO) policy statement – can be copied from

handbook Copy of Current Worker’s Compensation Certificate showing risk number SIGNED Declaration Regarding Material Assistance/NonAssistance to a

Terrorist Organization for Government Business and Funding Contracts (HLS 0038) – THIS MUST BE SUBMITTED BY EACH VENDOR (http://www.homelandsecurity.ohio.gov/DMA_Terrorist/HLS_0038_Contracts.pdf)

SIGNED W-9 - THIS MUST BE SUBMITTED BY EACH VENDOR (http://www.irs.gov/pub/irs-fill/fw9.pdf)


15 8/11/2008

Attachment C

BUDGET DOCUMENTS

PROVIDER:

ADDRESS:

DIRECTOR/PRESIDENT:

PHONE #: FAX #:

E-MAIL:

CONTACT PERSON:

PHONE #: FAX #:

E-MAIL:

SERVICE TO BE PROVIDED:

CONTRACT/BUDGET PERIOD: October 1, 2008 TO September 31, 2009 AMOUNT REQUESTED: 2300 Hours of On-Call Interpretation at the rate of $__________ Total Cost $_______________ 340 Hours per Week for 52 Weeks at the rate of $__________ Total Cost $_______________ 225 Translated Pages at the rate of $__________ Total Cost $_______________ Total Budget $_______________

PARTNER/SUBCONTRACTOR:

ADDRESS:

CONTACT PERSON:

PHONE #: FAX #:

E-MAIL:

PARTNER/SUBCONTRACTOR:

ADDRESS:

CONTACT PERSON:

PHONE #: FAX #:

E-MAIL:


16 8/11/2008

LOCATION OF SERVICES

SITE LOCATION:

ADDRESS:

CITY/STATE/ZIP:

SITE LOCATION:

ADDRESS:

CITY/STATE/ZIP:

SITE LOCATION:

ADDRESS:

CITY/STATE/ZIP:

SITE LOCATION:

ADDRESS:

CITY/STATE/ZIP:

SCHEDULE

DAYS HOURS OF PROGRAM OPERATION

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

SUNDAY


17 8/11/2008

RECAP OF COST SUMMARY I. STAFF COSTS Estimated Costs

A. Salaries $

B. Payroll Related Expenses $

C. Consultation Fees $

TOTAL STAFF COSTS $ II. OPERATIONAL COSTS

A. Travel $

B. Consumable Supplies $

C. Occupancy Costs $

D. Insurance Costs $

E. Indirect Costs/Administrative Overhead $ F. Other – Miscellaneous $

G. Stipends Paid to Training Participants $

TOTAL OPERATIONAL COSTS $ III. EQUIPMENT COSTS

A. Small Equipment Purchases $

B. Leased and Rented Equipment $

C. Equipment Subject to Depreciation $ TOTAL EQUIPMENT COSTS $ TOTAL PROGRAM COSTS $


18 8/11/2008

I. A. SALARIES

A B C D E F

Position Title Filled (F) or Vacant (V)

# of Full-Time Equivalent Positions

Total Salary for Budget

Period

Percent of Time Dedicated to

Program

Salary Cost (C x D x E)

TOTAL SALARY COSTS $

• DIRECT STAFF: ALL STAFF WHOSE TIME IS SPENT WORKING DIRECTLY WITH THE PROGRAM SHOULD BE LISTED HERE – INCLUDE FULL TIME AND PART TIME STAFF

• INDIRECT STAFF: ONLY LIST INDIRECT STAFF IF YOU ARE NOT CLAIMING INDIRECT COSTS ON THIS BUDGET DOCUMENT ***DO NOT LIST IN BOTH***

• FULL TIME EQUIVALENCY MAY BE DEFINED ACCORDING TO AGENCY’S POLICY (E.G. 37 – 40 HOURS)

EXAMPLE OF COMPLETED FORM: A B C D E F

Position Title Filled (F) or Vacant (V)

# of Full-Time Equivalent Positions

Total Salary for Budget

Period

Percent of Time Dedicated to

Program

Salary Cost (C x D x E)

Youth Leader F 2.00 FTE $ 25,000.00 100% $ 50,000.00Social Worker V 0.50 FTE $ 12,500.00 50% $ 6,250.00Program Supervisor F 1.00 FTE $ 30,000.00 75% $ 22,500.00 TOTAL SALARY COSTS $ 78,750.00

**If you include Agency Director (or others) here you cannot include his/her salary in the indirect costs

Explanation:


19 8/11/2008

I.B. PAYROLL RELATED EXPENSES (Indicate Formula) Payroll Related Expenses Social Security $ Workers’ Compensation $ Unemployment Insurance $ Retirement Expense $ Hospitalization Insurance Premium $ Other (Identify) $

$ $

TOTAL PAYROLL RELATED EXPENSES $ • INDICATE THE FORMULA USED TO DETERMINE THE PAYROLL RELATED EXPENSES

E.G. $50,000 X .0765, (USE PERCENTAGES AS CURRENTLY USED BY AGENCY) • HOSPITALIZATION INSURANCE: IF COST DIFFERS PER INDIVIDUAL USE ACTUAL COSTS, IF

KNOWN, OR USE AN AVERAGE PREMIUM COST FOR THE STAFF INVOLVED IN THE SERVICE • IF USING AN AVERAGE COST PER STAFF MEMBER, CALCULATE THE NUMBER OF STAFF LISTED

FOR HOSPITALIZATION COSTS BY DETERMINING HOW MANY FTE’S RECEIVE INSURANCE AS FOLLOWS:

Position Time spent with program Equivalent FTE Intake Worker 100% 1.00 Intake Worker 75% 0.75 Secretary 50% 0.00 (part time not eligible

for benefits) Supervisor 25% 0.25 Total FTE’s = 2.00 • ANY COSTS LISTED IN “OTHER” SHOULD BE IDENTIFIED ON THIS FORM OR IN AN ATTACHMENT Explanation:


20 8/11/2008

I. C. CONSULTATION FEES

Type of Consultation Function Performed Fee Per Hour

Estimate of Use Total

TOTAL CONSULTATION FEES $

• CONSULTATION FEES MAY NOT BE PAID TO AGENCY EMPLOYEES

• IF CONSULTANTS ARE USED ON A REGULAR BASIS, SUCH AS AN ACCOUNTING SERVICE, THIS COST MAY BE INCLUDED IN THE INDIRECT COST SECTION OR A PERCENTAGE MAY BE INCLUDED HERE IF THE PROPOSAL CLAIMS NO INDIRECT COSTS

• BE SPECIFIC ABOUT THE TYPE OF CONSULTATION OR CONTENT THAT WILL BE PURCHASED AND THE BASIS FOR FEES TO BE PAID ($50.00 per hour, $200.00 per day, etc.)

Explanation:


21 8/11/2008

II. A. TRAVEL

Total Cost AGENCY VEHICLE EXPENSES a. Gasoline and Oil $ b. Vehicle Repair $ c. Vehicle License $ d. Vehicle Insurance $ e. Other $ Mileage Reimbursement @ per $ reimbursement rate # of miles

Conference, Meetings, Etc. $ Purchased Transportation $ TOTAL TRAVEL $ • MILEAGE RATE FOR THE PROPOSAL MUST BE THE SAME RATE THAT IS STANDARD FOR THE

PROPOSING AGENCY BUT CANNOT EXCEED $0.585 PER MILE • CONFERENCE AND MEETING RELATED COSTS MUST BE RELEVANT TO THE SERVICE WHICH IS

BEING PROPOSED • TYPICALLY BOTH VEHICLE EXPENSES AND MILEAGE REIMBURSEMENT ARE NOT INCLUDED;

HOWEVER, IF BOTH ARE APPROPRIATE IDENTIFY WHICH PART OF THE SERVICE WILL INCLUDE WHICH KIND OF TRAVEL EXPENSE

Explanation:


22 8/11/2008

II. B. CONSUMABLE SUPPLIES

Consumable Supplies Office Supplies $ Program Supplies $ Other (Specify) $

$

$

$

$

$ $

TOTAL CONSUMABLE SUPPLIES $ • PROVIDE DETAILS FOR ALL LISTED EXPENSES • ALL CONSUMABLE SUPPLIES SHOULD BE DESCRIBED AND COSTS SHOULD BE REASONABLE Explanation:


23 8/11/2008

II.C. OCCUPANCY COSTS A. Rental @ $ per square foot

Or B. Usage allowance/depreciation @ % rate of

Original acquisition cost of $

By Program Square Footage Percentage (Program

Square Footage divided by Provider Square

Footage = %) $ Maintenance and Repairs: $ Utilities (If not included in rent): Heat & Light $

Telephone $

Water $ $ TOTAL OCCUPANCY COSTS $ • IF OCCUPANCY COSTS ARE INCLUDED IN THIS SECTION, THEY WILL NOT BE INCLUDED IN THE

INDIRECT COSTS PORTION OF THE BUDGET UNLESS, FOR EXAMPLE, ADDITIONAL SPACE IS RENTED FOR THIS SERVICE AND THERE IS OTHER SHARED SPACE THAT IS INCLUDED IN THE INDIRECT COSTS

• EITHER THE RENTAL LINE (ITEM A) OR THE FORMULA FOR USAGE ALLOWANCE/DEPRECIATION

(ITEM B) SHOULD BE COMPLETED, NOT BOTH • MAINTENANCE AND REPAIRS COSTS CAN BE INCLUDED ONLY IF THE BUILDING IS OWNED BY

THE AGENCY OR IF THESE COSTS ARE SPECIFIED IN A LEASE AS THE RESPONSIBILITY OF THE LESSEE

• HEAT, LIGHT, AND WATER MAY BE INCLUDED IF SPECIFIC TO SPACE OCCUPIED BY THIS

PROGRAM AND NOT INCLUDED IN THE RENT • DEPRECIATION RATE MUST BE SUBSTANTIATED IN AN AUDIT

Explanation:


24 8/11/2008

II. D. INSURANCE COSTS (Excluding Vehicle Insurance)

Liability ………………………………………………………………………. $ Property ………………………………………………………………...…… $ Accident ……………………………………………………………………… $ Other (specify): ……………………………………………… $ ……………………………………………… $ ……………………………………………… $ ……………………………………………… $ TOTAL INSURANCE COSTS $ • INCLUDE INSURANCE COSTS HERE IF ADDITIONAL OR SPECIFIC COVERAGE MUST BE

OBTAINED FOR THIS SERVICE • A PERCENTAGE OF THE TOTAL AGENCY COST FOR INSURANCE MAY BE LISTED HERE ONLY IF

NOT INCLUDED IN INDIRECT COSTS Explanation:


25 8/11/2008

II. E. INDIRECT COSTS/ADMINISTRATIVE OVERHEAD

STEP 1: To calculate indirect costs the first step is to determine the total amount of costs that are expended by the agency in support of more than one program, but at least including the program covered by this budget.

DO NOT DUPLICATE COSTS THAT WERE REPORTED IN SECTIONS I.A. THROUGH III.B.

Total Indirect Cost Pool of Provider 1. Salaries (agency staff other than direct program staff) $ 2. Payroll-Related Expenses (Social Security, Workers’ Compensation, etc.) $ 3. Consultation Fees (those used on a regular basis) $ 4. Travel (vehicle expenses and mileage other than for program staff) $ 5. Consumable Supplies (office supplies, cleaning supplies, etc.) $ 6. Rent (only if not reported in Section II.C. or if additional space is leased) $ 7. Building Depreciation $ 8. Maintenance and Repair of Building and Grounds $ 9. Utilities (heat and light, telephone, and water – if not included in rent) $ 10. Insurance (liability, property, accident, or other) $ 11. Equipment Depreciation $ 12. Small Equipment Purchases $ 13. Leased and Rented Equipment $ 14. Other: $ 15. Other: $

TOTAL $

*The total of items 1 through 15 should be entered as item C in the Step 2 formula below.

STEP 2: The second step is to complete the formula below in order to determine the percentage of indirect costs that may be applied to this budget.

A B C D E

Direct Staff Program Costs

Direct Staff Total Costs

Total Indirect Cost Pool (from Step 1)

Percentage of Indirect Cost Applicable to Proposed Services

(A ÷ B)

Indirect Cost for Proposed Services (C

x D)

$ $ $ % $

Method for Computing the Percentage of Indirect Costs Applicable to Proposed Services: Direct Staff Program Costs – Use the figure from section I.A. of the budget documents Direct Staff Total Costs – Add item A from the above box (direct staff costs for this program) plus the direct staff

salary costs for all other agency programs Total Indirect Cost Pool – Use the total from Step 1 above Percentage of Indirect Cost Applicable to Proposed Services – Divide item A (Direct Staff Program Costs) by

item B (Direct Staff Total Costs) Indirect Cost for Proposed Services – Multiply item C (Total Indirect Cost Pool) by item D (Percentage of

Indirect Cost Applicable to Proposed Services)

NOTE: The amount of Indirect Costs cannot exceed 15% of the total budget request.

**If some other method is used to calculate the indirect costs the bidder must specifically describe the method used to determine the appropriate indirect costs figure. Explanation:


26 8/11/2008

II. F. OTHER – MISCELLANEOUS

(INCLUDING MEDIA COSTS)

Memberships/Subscriptions ……………………………………………………….. $ Printing ……………………………………………………………………………….. $ Mailing/Postage ……………………………………………………………………… $ Other (Identify): ………………………………………………………. $ ……………………………………………………… $ ……………………………………………………… $ ……………………………………………………… $ ……………………………………………………… $ ……………………………………………………… $ F. TOTAL MISCELLANEOUS COSTS (total from above) $ • MEMBERSHIPS AND SUBSCRIPTIONS MUST BE RELEVANT OR NECESSARY TO THE PROPOSED

SERVICE • ADVERTISING FOR UNFILLED POSITIONS IS ALLOWABLE IF POSITION IS NEEDED TO PROVIDE

THIS SERVICE • IF COSTS ARE LISTED AS “OTHER” THEY MUST BE SPECIFIED AND EXPLAINED ON THIS FORM

OR IN AN ATTACHMENT Explanation:

II. G. STIPENDS PAID TO TRAINING PARTICIPANTS (if applicable)

G. TOTAL STIPENDS (Provide the formula used to calculate the total below)* $

* These are NOT wages


27 8/11/2008

III. A. SMALL EQUIPMENT PURCHASES

UNDER $500

A B C D E F

Item of Equipment

Quantity Charge to Program

Cost per Item Total Cost

(B x C)

% of Use for Program

Charge to Program (D x E)

TOTAL SMALL EQUIPMENT PURCHASES $ Explanation:

III. B. LEASED AND RENTED EQUIPMENT

A B C D E F G

Item of Equipment

Model & Year of

Equipment Quantity Cost per

Item

Annual Usage/ Rental Charge

(C x D)

% use for Program

Charge to Program (E x F)

TOTAL LEASED & RENTED EQUIPMENT $ • LEASED AND RENTED EQUIPMENT SHOULD BE INCLUDED IN INDIRECT COSTS UNLESS

ACQUIRED SPECIFICALLY FOR THIS PROGRAM. A PERCENTAGE OF THE COST MAY BE INCLUDED HERE IF NO INDIRECT COSTS ARE INCLUDED IN THIS BUDGET

Explanation:


28 8/11/2008

TOTAL INCOME FOR BUDGET PERIOD

A. INCOME FOR SERVICES UNDER CONTRACT: 1. Amount Requested from Budget Cover Page $

2. Other funding that will support contracted services

Federal $

State $

County $

Municipal $ $

3. Fees from private consumers $

4. Contributions $

$

$

5. Miscellaneous $

$

$

TOTAL INCOME FOR SERVICE UNDER CONTRACT $ B. INCOME FOR OTHER SERVICES PROVIDED BY AGENCY OR UNIT NOT UNDER

CONTRACT: Total agency budget EXCEPT for services listed above

1. From Private Consumers $

2. Federal Money (Grants or Contracts) $

3. State, Country, or Municipal Allocations $

4. Contributions $

5. Miscellaneous $

TOTAL OTHER SERVICES INCOME $

TOTAL AGENCY INCOME (A + B) $


29 8/11/2008

Attachment D

TRANSMITTAL FORM

FRANKLIN COUNTY DEPARTMENT OF JOB AND FAMILY SERVICES 80 EAST FULTON STREET

4TH FLOOR COLUMBUS, OHIO 43215

614.462.3883 FAX: 614.462.6451

TO: JANE WHYDE, DEPUTY DIRECTOR OF DEVELOPMENT SUPPORT SERVICES RFP: The does not discriminate in its employment practices (Agency/Organization)

with regard to race, color, religion, sex, sexual orientation, age, disability, national origin, Vietnam-era veteran’s status, ancestry, health status, or need for health services.

Our agency/organization is a legal entity registered with the State of Ohio. Our tax status is . Our tax ID # is: .

Our agency/organization is willing to accommodate on-site visits to our facilities and any facilities of our subcontractors and/or partners by FCDJFS and/or its designees.

Our agency/organization will comply with Title VI and any other requirements of the funding source.

Our agency attests that funds awarded as a result of this RFP will not be used to supplant existing federal, state, or local funds.

The following individual(s) prepared this proposal: .

Our agency/organization will welcome announced and unannounced visits by the FCDJFS staff and/or their designees at all of our facilities.

This proposal does not deviate from the specifications and requirements of the RFP. Should any occur, a detailed explanation is attached.

By signing this form, I do hereby affirm that all of the information provided is accurate. (Signature) (Date) (Agency/Organization) (Title) (Address) (City, State, Zip)


30 8/11/2008

Attachment E

LETTER OF INTENT TO SUBMIT A RESPONSE TO A REQUEST FOR PROPOSALS (RFP)

FRANKLIN COUNTY DEPARTMENT OF JOB AND FAMILY SERVICES

80 East Fulton Street, 4th Floor Columbus, Ohio 43215

Fax: 614.462.6451

*** PLEASE PRINT CLEARLY OR TYPE *** TO: Jane Whyde, Deputy Director of Development Support Services FROM: Director/President/CEO: Phone: (NAME)

E-mail Address: RE: Letter of Intent for RFP Title: intends (Agency/Business)

to submit a proposal in response to the Request for Proposals indicated above. Please direct all correspondence to the contact person identified below.

Name: Title: Address: Apt/Ste/Fl: City: State: Zip: Telephone Number: Fax Number: E-mail Address:

Submission of this form by 4:00pm on the day of the Bidders’ Conference will ensure your inclusion in the notice list for correspondence regarding addenda to or clarification of this RFP. After the Bidders’ Conference, all subsequent questions and answers will be forwarded upon receipt of the Letter of Intent. Failure to submit a Letter of Intent will result in the provider’s exclusion from this list, which will result in missing notification of significant information regarding this process.

(Signature) (Date)

(Agency) (Title)


31 8/11/2008

Attachment F

LETTER OF COMMITMENT TO SUBMIT A RESPONSE TO A REQUEST FOR PROPOSALS (RFP)

FRANKLIN COUNTY DEPARTMENT OF JOB AND FAMILY SERVICES

80 East Fulton Street, 4th Floor Columbus, Ohio 43215

Fax: 614.462.6451

*** PLEASE PRINT CLEARLY OR TYPE *** TO: Jane Whyde, Deputy Director of Development Support Services FROM: Director/President/CEO: Phone: (NAME)

E-mail Address: RE: Letter of Commitment for RFP Title: intends (Agency/Business)

to submit a proposal in response to the Request for Proposals indicated above.

Name: Title: Address: Apt/Ste/Fl: City: State: Zip: Telephone Number: Fax Number: E-mail Address:

Any bidder who plans to respond to this RFP should first submit a Letter of Commitment. Due to the high number of agencies that submit a letter of intent but do not submit a proposal, FCDJFS is requesting that prospective bidders who are serious about submitting a proposal for these services submit a letter demonstrating their commitment. This will allow FCDJFS to adhere more closely to the projected notification and contracting timelines specified in this RFP. The Letter of Commitment is due to FCDJFS by 4:00pm on the date specified in the RFP.

(Signature) (Date)

(Agency) (Title)


32 8/11/2008

Attachment G

Proposal/Required Documentation Checklist

Agency: Date:

Title of RFP:

PART ONE – PROPOSAL:

Submit the COLLATED original and NINE (9) copies of the following (total of 10): 1. Transmittal Form

2. Partnership Statement (If applicable)

3. Subcontractor Statement (If applicable)

4. Project Summary: Limit 1 page

5. Project Narrative: 10 page maximum

a. Program Design

b. System for Overall Program Evaluation

c. History and Experience

6. Budget Documents

7. Program Attachments

a. Curriculum Outline

b. Evaluation Tools

c. Table of Organization for the Agency

d. Table of Organization for the Project

e. Resumes, Curricula Vitae, and Licenses (If applicable) for Existing

Staff

f. Job Descriptions for Vacant Positions


33 8/11/2008

Proposal/Required Documentation Checklist

Agency: Date:

Title of RFP:

PART TWO – REQUIRED DOCUMENTATION:

Submit the COLLATED original and ONE (1) copy of the following (total of 2): 1. Current list of names and addresses of the provider’s Board of Directors

2. Letter of Authorization from the provider’s Board of Directors or other

appropriate entity identifying the individual who is empowered to sign a contract, including his/her title

3. A COPY of the agency’s most recent independent audit of financial

statements and auditor’s opinion and management letter addressing

internal controls or the agency’s most recent financial statement – Do NOT submit a bound original – THIS MUST BE A ONE-SIDED COPY OF THE ENTIRE DOCUMENT

4. Current Certificate of Liability Insurance

5. Articles of Incorporation

6. Most recent Certificate of Continued Existence

7. Equal Employment Opportunity (EEO) policy statement

8. COPY of Worker’s Compensation Certificate showing risk number

9. SIGNED Declaration Regarding Material Assistance/NonAssistance to a

Terrorist Organization for Government Business and Funding Contracts (HLS 0038) – REQUIRED OF EACH VENDOR (http://www.homelandsecurity.ohio.gov/DMA_Terrorist/HLS_0038_Contracts.pdf)

10. SIGNED W-9 – REQUIRED OF EACH VENDOR

(http://www.irs.gov/pub/irs-fill/fw9.pdf)


34 8/11/2008

Attachment H

PROPOSAL REVIEW SHEET – STAFF REVIEW

Agency Name Reviewed: Date: Reviewer: Agency of Reviewer:

POINTS PROPOSAL COMMENTS

Maximum = 2

Q1. Proposing agency submitted the correct number of packets (the original proposal with budget + nine copies; the original required documentation + one copy).

Maximum = 4

Q2. The proposal format was followed according to the guidelines required in the RFP.

Maximum = 2

Q3. The budget was completed correctly and accurately on the forms provided and the line item costs appear reasonable for the services being provided.

Maximum = 2

Q4. All required documentation was submitted, including Partnership and/or Subcontractor Agreements (if applicable).

MAXIMUM = 10

TOTAL POINTS

Reviewer Signature:

Date:


35 8/11/2008

PROPOSAL REVIEW SHEET – REVIEW TEAM

Agency Name Reviewed:

Date:

Reviewer:

Agency of Reviewer:

POINTS PROPOSAL COMMENTS Maximum = 20

Q1. Proposal adequately describes the history, mission, and expertise of the applicant agency and substantiates experience in providing these or similar services, including past performance

Maximum = 20 Q2. The program description thoroughly addresses the process of how services will be accessed, response times for each of the languages, and specifies the required training that each of the interpreters receives

Maximum = 20 Q3. The proposal clearly describes the languages available and can meet the needs of the agency with regard to the number of interpreters needed for effective daily operation and compliance with Title VI

Maximum = 20

Q4. Expenses are supported by adequate back-up detail and explanation to establish the appropriateness and reasonableness of the proposed costs and the service being provided

Maximum = 20

Q5. Method to evaluate program effectiveness is appropriate and will ensure that quality interpretation and translation services are provided

MAXIMUM = 100

TOTAL POINTS

Reviewer Signature:

Date:

Date post:	19-May-2015
Category:	Documents
Upload:	mike97
View:	2,488 times
Download:	0 times