5-DHHS26087 RFP Instructions and Checklist.docx

Utah Department of Health and Human Services

DHHS26087 RFP

Housing and Stabilization Program Application Instructions and Checklist

Responses should contain only documentation requested in this solicitation. DHHS will not review information submitted by a vendor that is not requested in this solicitation.

Document Submission Instructions

1. Submit documentation which proves the Offeror meets the mandatory minimum requirement of the applicant agency having a primary client focus of working with individuals and families within Utah leaving polygamous communities.

2. Submit documentation which proves the Offeror meets the mandatory minimum requirement of the applicant agency minimum of having three years’ experience providing direct services to individuals and families leaving polygamous communities.

3. Submit a completed, signed, and dated Form #1 IRS Form W-9.

4. Complete and submit Form #2a: Conflict of Interest Disclosure Statement OR Complete and submit Form #2b: Governmental Entity Conflict of Interest Certification (for government agencies, political subdivisions, municipalities, public schools, etc.).

5. Submit a proposal narrative according to the following instructions.

Proposal Narrative Instructions Section 1: Cover Page

1. Name of the Offeror.

2. Name and title of the Offeror’s primary contact person responsible for management and implementation of this contract, if awarded.

3. Proposal abstract: An abstract of your proposal, not to exceed 250 words.

Section 2: Scorable Technical Criteria (TC). In this section, Offerors must provide a narrative describing how they will meet the scope of work. To do so, provide the following:

1. TC 1: Provide a statement of need for the proposed project that demonstrates the need for supportive housing for individuals and families leaving polygamous communities in your community (SOW 2.1).

2. TC 2: Describe how the agency plans to expand their housing capacity with six new apartments and 17 additional beds by June 30, 2027 (SOW 3.1(1)).

3. TC3: Describe how the agency plans to ensure individuals receiving housing support have access to wrap around services, including: case management, mental health counseling, peer support services, and educational support services (SOW 3.1(3)).

4. TC4: Describe how the agency plans to continue providing housing and stabilization services to the target population after the end of the contract (SOW 3.2(1)).

5. TC 5: Submit a budget justification narrative. This should be a one page summary describing the budget proposed in Form #4 Budget Utilization Form. The budget must be no more than $250,000 through June 30, 2026 and no more than $1,250,000,000 between July 1, 2026 and June 30, 2027. Provide a specific plan for how the agency plans to spend the $250,000 by June 30, 2026.