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City of Dallas Office of Community Care and Empowerment
Responsiveness Checklist
| Name of Project: |
| Housing Opportunities for Persons with AIDS (HOPWA) |
Name of Agency:
City of Dallas staff will review the Application for responsiveness. To be considered responsive, all of the following items must be included in the Application. If the Application does not contain any one of these items, the Application will be considered to be non-responsive, and will not be given consideration for funding.
Organizations are strongly encouraged to review the list below and the Application requirements, to ensure that the Application includes each of these items.
NOFA
Reference (Section III)
| Description of Item |
| Yes or No or N/A |
| Application Submittal Requirements |
| Submission of Application materials in Bonfire |
| Application Submittal Requirements |
| Completed Application (Form 1), including response to all questions (required as outlined in NOFA) |
| Application Submittal Requirements |
| Budget (Form 2), including Budget Justification |
| Application Submittal Requirements |
| Organization Information (Form 3) |
| Application Submittal Requirements |
| Board Information (Form 4) |
| Application Submittal Requirements |
| Completed Suspension/Debarment Certification (Form 5) |
| Application Submittal Requirements |
| Completed Federal Funding Accountability and Transparency Act (FFATA) (Form 6) |
| Application Submittal Requirements |
| Organization Chart: Entire Agency & Division/Section/Program |
| Application Submittal Requirements |
| Copy of Articles of Incorporation and By-Laws |
| Application Submittal Requirements |
| Copy of IRS Federal Tax-Exempt Status Letter (determination letter of tax-exempt status) |
| Application Submittal Requirements |
| Most recent Audited Financial Statements for year ending within the last 18 months (with audit report) |
| Application Submittal Requirements |
| Most recent Single Audit Report (or Program-Specific Audit Report) (if applicable) |
| Application Submittal Requirements |
| System for Award Management (SAM) Entity Registration Screenshot |
| Application Submittal Requirements |
| Texas Secretary of State Business Search Database Screenshot |
| Application Submittal Requirements |
| Federal IRS Form 990 |
| Application Submittal Requirements |
| Certificate of Insurance |
NOFA
Reference (Section III)
| Description of Item |
| Yes or No or N/A |
| Application Submittal Requirements |
| Board Minutes (three most recent Board of Directors meetings) |
| Application Submittal Requirements |
| Drug-Free Workplace Policy |
| Application Submittal Requirements |
| Code of Conduct, Code of Ethics, or Other Ethics Policy |
| Application Submittal Requirements |
| Conflict of Interest Policy |
| Application Submittal Requirements |
| Internal/External Process for Reporting Fraud, Waste, Abuse, Conflict of Interest, or Other Misconduct |
Staff Signature:
Date:
Revised: 1/1/2025