29-25 Application Section I II III IV - FINAL.doc

RFP-DCP-29-25

COACHED VISITATION

SERVICES

APPLICATION

SECTIONS I. II. III. And IV.

PROPOSAL SUBMISSION PACKAGE

Dutchess County Common Grant Application Cover Sheet

SECTION I COMPANY INFORMATION

Applicant Information

A.

Program/Project Title: Coached Visitation Services Full Legal Name of Company Submitting Proposal: ______________________________ Street Address: ___________________________________________________________

Mailing Address, if different: _______________________________________________ City: _______________________________ State: _________ Zip: _________

Name & Title of Contact Person:

Contact Telephone #: _________________

Contact FAX #: ______________ Contact E-mail Address: _____________________ Web Address: __________________ B.

Total Funding request:

1/1/2026-12/31/2026 $__________

C.

Federal Tax Identification Number: _____________________

D.

Type of Ownership:

Individual Proprietorship ____

Partnership

Corporation

____If Corporation please describe type (e.g., Not-for-Profit, Educational, Business, etc.). Incorporated in ________ (Year) under ____________(State) Law.

E.

Total Number of Individuals Employed by Bidder:

F.

Approximate number of annual programs/projects: ________

G.

Supply an explanation of the services the Proposer typically provides and the percent of business the Proposer does in each area.

H.

State your Agency’s mission

I. If your organization has a Board of Directors, provide listing of Board of Directors, which includes addresses on the County Board List Form or its equivalent available at http://dutchessny.gov/CountyGov/Contracted-Services-and-Programs.htm J. Attach organizational chart showing the proposed program

K. Contracts with public sector clients in the State of New York State: Have you had any current or prior contracts with any New York State public sector entity?

NO ____ YES ___ Attach a listing of the name of the agency or other subdivision of New York State which signed the contract as well as the contract name and number, approximate annual budget, and name and telephone number of contact person.

I (We), the undersigned, attest that I am (we are) authorized to bind the applicant to the provisions of the attached application and that such provisions will remain valid for at least one hundred twenty (120 days from the application due date).

I (We), the undersigned, attest that I am (we are) authorized to bind the applicant to the provisions of the attached application and that such provisions will remain valid for at least sixty (60) days from the application due date.

NAME and TITLE OF INDIVIDUAL OR FIRM'S OFFICER AUTHORIZED TO SIGN CONTRACT:

Name (Print): ___________________ Title: _________________________

Signature: ______________________________ Date: _______________

NAME and TITLE OF PROGRAM DIRECTOR (IF DIFFERENT FROM ABOVE):

Name (Print): ________________________ Title: ____________________

Signature: _______________________________ Date: _______

PROPOSAL SUBMISSION PACKAGE

SECTION II QUALIFICATIONS AND EXPERIENCE OF PROPOSER

Provide the following information related to your organization. All applicants must be incorporated by the proposal due date stated in this RFP.

Limit two (2) pages

1. Provide a brief description of your organization and mission.

2. Identify your organization’s professional staff members who would be involved in the County engagement, the experience each possesses and the location of the office from which each will work. Separately provide resumes for key administrative and managerial staff who will be involved with the program and copies of current professional licenses/certifications that may be required.

3. Detail your organization’s experience with and ability to deliver, whether directly or indirectly, Coached Visitation Services, briefly explaining how the provision of these services and/or other services for the target population of this RFP fits with and will be supported by your mission, purpose, and goals.

4. Provide any additional information that would distinguish your organization in its service to Dutchess County.

SECTION III REFERENCES

Reference 1

Name: _______________________________________

Agency: _____________________________________

Address: _____________________________________

Phone Number: ________________________________

E-Mail address: ________________________________

Reference 2 Name: _______________________________________

Agency: _____________________________________

Address: _____________________________________

Phone Number: ________________________________

E-Mail address: ________________________________

Reference 3 Name: _______________________________________

Agency: _____________________________________

Address: _____________________________________

Phone Number: ________________________________

E-Mail address: ________________________________

SECTION IV. PROGRAM NARRATIVE

COACHED VISITATION SERVICES

In addition to providing the information requested below on the Dutchess County Common Grant Application documents, the Proposer must answer the following questions. (Limit narrative to no more than 20 pages in 12- point font).

1. Describe the Coached Visitation model you will be using. If it is an evidence -based model describe how you will maintain fidelity to the model. Describe the core features or essential elements of your program. Include the services that will be provided and how they will be delivered. The description must cover the following program elements:

· Conducting a Visit Plan Meeting (prior to starting Visit Coaching),

· Performing pre-visit Coaching (at the beginning of each visit),

· Coaching during the Visit,

· Conducting a Post-visit Debrief (at the end of each visit0,

· Calling the foster parent after the visit,

· Partnering, and

· Reporting.

Provide a copy of the curriculum.

2. Describe your attendance policy and the methods used to track and report on attendance.

3. Describe how you plan to address parents’ barriers to participation, non-English speaking individuals and providing services during nontraditional hours of operation.

4. Services must be provided in a manner that is ADA compliant and addresses special needs including physically handicapped, hearing or visually impaired. Describe how you will meet the needs of special need populations.

5. Describe in detail how you will train Visitation Program Workers including who will provide the training, how long the formal training will take, and the topics covered.

6. Describe your perception of problems that may exist in providing the service. Address issues such as difficulties in program staff recruitment, scheduling and monitoring visits, uncooperative respondents, etc.

7. Describe any value-added considerations such as any relevant services or products that will be provided to the County which are not specifically required in the RFP, but which enhance the proposal.

8. Describe your on-going program monitoring process. How do you monitor your program, how often, who is responsible for monitoring it, and with whom do you share the results? How is the monitoring process utilized to improve the Program and ensure its success? Describe the process for adjusting the program based on the monitoring results.

9. Describe your proposed approach to program evaluation including the process for clients, staff, volunteer, Board members and the County to evaluate your program and create change in future years. If you are currently providing these services, please include any recent program improvements made. If there are improvements you will be making in the future, please include the estimated timetable for those improvements. If your Program is already providing parenting services, describe any lessons learned or any changes/improvements you plan to make this year or state why things are successful as is.

10. Describe how poor program performance will be addressed when identified through the Proposers own quality assurance process or by the County. Poor performance may include outcomes of the program not being achieved, or poor performance identified in case practice with individuals.

11. Describe how your proposed program will be implemented. Provide a work plan for program start-up and implementation that supports a January 1, 2026 start date.

(Please Note that this Application document must be submitted in Word format)