APEX Accelerator Streamlined Application_Version 1.2_14 September.pdf

328 KB Posted

Attached to
APEX Accelerator Open Announcement for New Recipient
Opportunity number
DOD2024APEXACCELERATOROPEN
Issued by

About this file

Written by GovTribe AI ·

This document contains an application for the APEX Accelerator federal grant opportunity issued by the Department of Defense. The application requests information including a program execution plan, budget details, personnel information, and program goals. Applicants must provide certifications, letters of commitment from third parties, justification of indirect costs and fringe rates, and analyses of service areas and statewide coverage. If awarded, the performance period would run from [start date] to [end date]. Eligible federal grant programs include Procurement Technical Assistance For Business Firms. The application requests the submission of 15 attachments providing supporting documentation.

From the source

APEX Accelerator Streamlined Application_Version 1.2_14 September

View the file

Other files

File Type Posted
FY 24 Open NFO.pdf PDF
Attachment 5- Guidelines how to conduct distressed area analysis.pptx PPTX presentation
Attachment 6_How to conduct a Statewide Coverage analysis _rev.pdf PDF
Attachment 1_ Certification of Cost Matching Funds Template rev (1).pdf PDF
Attachment 2_3rd Party Letter of Commitment Template.pdf PDF
Attachment 12a_Cost Share Budget Information Worksheet CSBIW.xlsx XLSX spreadsheet
Attachment 12_Budget Template REVISED (002).xlsx XLSX spreadsheet
Metric Proposal Template for G&M 1.2_08102023.xlsx XLSX spreadsheet
Goals and Metics_1.2_08102023.docx DOCX document
Quarterly Report for G&M 1.2_08102023.xlsx XLSX spreadsheet
APEX Accelerator General Terms and Conditions_Version 2.0_July 2023.pdf PDF
Specific Terms and Conditions_Version 4.0_7 December 2023.pdf PDF
Show all 12

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

Streamlined Application

Applicant Name

Applicant Unique Entity Identifier

Applicant Address

Applicant Point of Contact

By signing this application, I certify (1) to the statements contained in the list of certifications** and (2) that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties. (U.S.

Code, Title 18, Section 1001).

** I Agree

Authorized Representative Name Title Signature

Attachment 1- Certification of Cost Matching Funds APEX Program

This form is to certify that matching funds as described below are available at the program level and committed to the proposed program during the proposed performance period starting and ending

Total contribution from the applicant:

Total in-kind from third parties:

Total contributions (from all sources):

1. For each individual third-party donor, list the value of the in-kind donation

Name of Third-Party Contributor Value of In-kind

2. The undersigned certifies that no federal funds are being used as match, except those that are specifically authorized by law to be used as match and that the APEX Accelerator is not part of any other federal award program.

3. The undersigned certifies that in-kind that has been used as match on any other program requiring cost match has not been used as cost match on this program.

4. The undersigned certifies that APEX Accelerator clients, counseling hours, events, and contract award achievements are not reported as achievements of any other federal award.

APEX Name:

Signature:

Name:

Title:

Date:

Attachment 2- Third Party Letter of Commitment APEX Accelerator Program

Third Party Letters of commitment are provided for the below entities.

Entity Name Entity Unique Identity Number

Combine all third-party letters into a single PDF, and Attach here

Attachment 3- Fringe Rate Basis

In the space below, provide information to describe and provide a basis for fringe benefit amounts included in your budget. Simply stating what the rate is (e.g., 30%) does not adequately fulfill this requirement. Where fringe benefit rates have been approved in conjunction with an indirect cost rate, the negotiated rate memorandum should be provided, and no further explanation is necessary. Attach any supporting information as necessary.

Provide any supporting information for Fringe Rate Basis here

Provide support for any subawards greater than 20% of the total program cost by attaching documentation here

Attachment 4- Indirect Costs Indirect Costs are:

Not proposed for the program year

Proposed at the de minimis rate

In accordance with a negotiated rate memorandum from the cognizant Federal Agency

- Attach negotiated rate memorandum here

Independently proposed.

If “independently proposed” is selected above, utilize the space provided below to justify why the indirect rate is reasonable and realistic. The applicant shall include forecasted pools and bases for the current year. Additionally, the applicant shall support these rates with three (3) years historical actual pools and bases information that validates the calculations. Attach any supporting information as necessary

Provide any additional supporting documentation here

Provide support for any subawards greater than 20% of the total program cost by attaching documentation here

Attachment 5- Distressed Area Analysis

A distressed area Budget is:

Not proposed for the program year.

Is proposed for the current program year.

Is proposed and designated by BIA regions (No analysis required)

If “is proposed” is selected above, utilize the space provided below to provide an analysis verifying that your proposed service area meets the definition of a distressed area.

Provide any additional supporting documentation here

Attachment 6- Determination of Statewide Coverage

Statewide Coverage is:

Not proposed for the program year.

Is proposed for the current program year and will cover the entire state.

Is proposed for the current program year but will NOT cover the entire state.

If you propose a statewide program but will cover less than the entire state, utilize the space provided below to provide an analysis to verify that your service area meets the definition of statewide coverage.

Provide any additional supporting documentation here

Attachment 7- Program Execution Plan Attach your program execution plan in either Microsoft word or Adobe PDF describing how you will comply with the “Program Requirements” section of the APEX Accelerator Award Specific Terms and Conditions.

Include all information necessary for us to conduct an evaluation of your application.

Ensure the below information is specifically addressed in the description.

1. Background on the individual program

2. Discussion on service area/demographics and facilities, trends in the service area

3. Personnel Qualifications: experience and education

4. Discussion and justification behind any change in personnel from previous fiscal year.

5. Discussion and justification behind any changes (increases or decreases) in travel proposed from previous fiscal year.

6. Discussion on how you will reach your goals using various types of outreach and technical assistance.

7. Describe the process of technical assistance/counseling.

8. Details on the website, social media, and status of brand change from “PTAC” to “APEX Accelerator”.

Attach Program Execution Plan Here

Program Income is:

Not proposed for the program year (if checked, move onto attachment 8)

Is proposed for the program year (If checked, respond to prompts on next page)

Attachment 7- Program Execution Plan- Program Income

1. Include a discussion concerning the amount of fees to be charged and how this income will be used to further program objectives.

2. Provide your assertion of your understanding that you are required to report gross income on the SF 270 and SF 425

I understand.

3. Are you proposing to utilize program income as part of the applicant cost share?

Yes No

4. If yes, provide a narrative detailing how you will ensure compliance with:

1. The Award Specific Terms and Conditions percent cap on the value of program income that may be applied as the cost match.

2. The statutory limitations at 10 U.S.C 4955(d) related to program income utilized in a subsequent fiscal year.

Attachment 8- Personnel Positions Title Employee Name Name of Employer % of

Time on Program

Physical Location of Employee New Employee

(Y/N)

New Position

(Y/N)

Vacant

(Y/N)

Attachment 9- Program Manager Resume

If the Program manager is different from previous fiscal year award, provide their resume via attachment here

Attachment 10- Subaward SF 424a Budgets

Attach budgets for subawards equating to 20% or less of the total program cost in Microsoft Excel format, if you plan to make any, using Section B of the SF 424A (for any subawards greater than 20% of the total program cost, see attachment 12). Use Section B of the SF 424A to show the details of each subrecipient’s budget by cost category (i.e., personnel, fringe benefits, travel, etc). You can show up to four subawards on one SF 424A by listing subawards in Section B, line 6, column headings. Use additional pages if you need to. You must show Federal and Non- Federal shares or complete the other sections of the SF 424A for subrecipients.

Attach SF 424a here

Attachment 11- Single Aduit Act

Attach a copy (or URL) of your latest audit in accordance with Subpart F of 2 CFR Part 200 (formerly OMB Circular A-133). Attach Audit here

If available, you may provide the URL (i.e., web address) of an audit that is available on the internet in lieu of attaching a copy. Link:

If you did not expend Federal awards exceeding the thresholds that trigger these audit requirements, describe the amounts and sources of Federal awards that you did expend during your last fiscal year.

Attachment 12- Budget Breakdown

Attach a budget breakdown in Microsoft Excel format, that shows the individual line items of cost that makeup the higher-level budget that you included in the SF 424A. You must use the Microsoft Excel template available on the Notice of Funding Opportunity posting on Grants.gov, which provides an example of the information that we need in this attachment. Ensure that it is clear how you calculated the total amount of indirect costs (F&A) included in your budget. Use additional pages to show indirect cost calculations if necessary. Program Income rolled over into the proposed award from the prior year annual award must be included in the budget.

A budget breakdown must be provided for each subaward greater than 20% of the total program cost. The subaward budget breakdown can be provided with a separate excel template, or as a new tab on the applicant’s budget breakdown worksheet. The total program cost for each subaward must match the line item for the sub-ward found in the Contractual section of the Applicant’s budget breakdown.

See Appendix 1 for a detailed description of each line item.

Attach Budget Breakdown in excel format here

Attachment 13- Personnel Costs

Support for personnel costs is provided through submission of:

a. Published Salary Data, with information mapping to position title in proposal

- Attach supporting documentation here

b. Payroll records and/or paystubs showing rate of pay, and referenced to the specific personnel or position title in the proposal.

- Attach supporting documentation here

c. Salary Survey data, which shall include, at a minimum, the following

i. Source of data;

ii. Job title and description;

iii. Geographic location; and

iv. Range of salary amounts with reference to applicability of amounts

- Attach supporting documentation here

Note- For any subawards greater than 20% of the total program cost, provide justification for the Personnel Costs proposed in accordance with the above instructions.

Attachment 14- Program Goals

Provide proposed goals against each metric for the FY23 APEX Accelerator Program. The current goals are found at the APEX Accelerator website at:

APEXAccelerators.us. For any metrics proposed with a goal of “0”, provide a justification in narrative form for the Government to review.

Attach program goals metric worksheet here

Attachment 1- Certification of Cost Matching Funds APEX Program
Attachment 2- Third Party Letter of Commitment APEX Accelerator Program
Attachment 3- Fringe Rate Basis
Attachment 4- Indirect Costs
Attachment 5- Distressed Area Analysis
Attachment 6- Determination of Statewide Coverage
Attachment 7- Program Execution Plan
Attachment 8- Personnel Positions
Attachment 9- Program Manager Resume
Attachment 10- Subaward SF 424a Budgets
Attachment 11- Single Aduit Act
Attachment 12- Budget Breakdown
Attachment 13- Personnel Costs
Attachment 14- Program Goals
Appendix 1-Additional detail for Attachment 12, Budget:
Applicant Name:
Applicant Unique Entity Identifier:
Applicant Address:
Applicant Point of Contact:
Authorized Representative:
Name:
Title:
Signature:
proposed performance period starting:
and ending:
Total contribution from the applicant:
Total inkind from third parties:
Total contributions from all sources:
Name of ThirdParty ContributorRow1:
Value of InkindRow1:
Name of ThirdParty ContributorRow2:
Value of InkindRow2:
Name of ThirdParty ContributorRow3:
Value of InkindRow3:
Name of ThirdParty ContributorRow4:
Value of InkindRow4:
Name of ThirdParty ContributorRow5:
Value of InkindRow5:
Name of ThirdParty ContributorRow6:
Value of InkindRow6:
Name of ThirdParty ContributorRow7:
Value of InkindRow7:
Name of ThirdParty ContributorRow8:
Value of InkindRow8:
APEX Name:
Signature_2:
Name_2:
Title_2:
Date:
Entity NameRow1:
Entity Unique Identity NumberRow1:
Entity NameRow2:
Entity Unique Identity NumberRow2:
Entity NameRow3:
Entity Unique Identity NumberRow3:
Entity NameRow4:
Entity Unique Identity NumberRow4:
Entity NameRow5:
Entity Unique Identity NumberRow5:
Entity NameRow6:
Entity Unique Identity NumberRow6:
Entity NameRow7:
Entity Unique Identity NumberRow7:
Entity NameRow8:
Entity Unique Identity NumberRow8:
Entity NameRow9:
Entity Unique Identity NumberRow9:
Entity NameRow10:
Entity Unique Identity NumberRow10:
Entity NameRow11:
Entity Unique Identity NumberRow11:
Entity NameRow12:
Entity Unique Identity NumberRow12:
necessary Attach any supporting information as necessary:
calculations Attach any supporting information as necessary:
analysis:
definition of statewide coverage:
awards that you did expend during your last fiscal year:
Check Box1: Off
Check Box2: Off
Check Box3: Off
Check Box4: Off
Check Box5: Off
Check Box6: Off
Check Box7: Off
Check Box8: Off
Check Box9: Off
Check Box10: Off
Check Box11: Off
Text12:
Text13:
Check Box14: Off
Check Box15: Off
Check Box16: Off
attach 1:
attach 2:
TitleRow1:
Employee NameRow1:
Name of EmployerRow1:
of Time on ProgramRow1:
Physical Location of EmployeeRow1:
New Employee YNRow1:
New Position YNRow1:
Vacant YNRow1:
TitleRow2:
Employee NameRow2:
Name of EmployerRow2:
of Time on ProgramRow2:
Physical Location of EmployeeRow2:
New Employee YNRow2:
New Position YNRow2:
Vacant YNRow2:
TitleRow3:
Employee NameRow3:
Name of EmployerRow3:
of Time on ProgramRow3:
Physical Location of EmployeeRow3:
New Employee YNRow3:
New Position YNRow3:
Vacant YNRow3:
TitleRow4:
Employee NameRow4:
Name of EmployerRow4:
of Time on ProgramRow4:
Physical Location of EmployeeRow4:
New Employee YNRow4:
New Position YNRow4:
Vacant YNRow4:
TitleRow5:
Employee NameRow5:
Name of EmployerRow5:
of Time on ProgramRow5:
Physical Location of EmployeeRow5:
New Employee YNRow5:
New Position YNRow5:
Vacant YNRow5:
TitleRow6:
Employee NameRow6:
Name of EmployerRow6:
of Time on ProgramRow6:
Physical Location of EmployeeRow6:
New Employee YNRow6:
New Position YNRow6:
Vacant YNRow6:
TitleRow7:
Employee NameRow7:
Name of EmployerRow7:
of Time on ProgramRow7:
Physical Location of EmployeeRow7:
New Employee YNRow7:
New Position YNRow7:
Vacant YNRow7:
TitleRow8:
Employee NameRow8:
Name of EmployerRow8:
of Time on ProgramRow8:
Physical Location of EmployeeRow8:
New Employee YNRow8:
New Position YNRow8:
Vacant YNRow8:
TitleRow9:
Employee NameRow9:
Name of EmployerRow9:
of Time on ProgramRow9:
Physical Location of EmployeeRow9:
New Employee YNRow9:
New Position YNRow9:
Vacant YNRow9:
TitleRow10:
Employee NameRow10:
Name of EmployerRow10:
of Time on ProgramRow10:
Physical Location of EmployeeRow10:
New Employee YNRow10:
New Position YNRow10:
Vacant YNRow10:
TitleRow11:
Employee NameRow11:
Name of EmployerRow11:
of Time on ProgramRow11:
Physical Location of EmployeeRow11:
New Employee YNRow11:
New Position YNRow11:
Vacant YNRow11:
TitleRow12:
Employee NameRow12:
Name of EmployerRow12:
of Time on ProgramRow12:
Physical Location of EmployeeRow12:
New Employee YNRow12:
New Position YNRow12:
Vacant YNRow12:
TitleRow13:
Employee NameRow13:
Name of EmployerRow13:
of Time on ProgramRow13:
Physical Location of EmployeeRow13:
New Employee YNRow13:
New Position YNRow13:
Vacant YNRow13:
TitleRow14:
Employee NameRow14:
Name of EmployerRow14:
of Time on ProgramRow14:
Physical Location of EmployeeRow14:
New Employee YNRow14:
New Position YNRow14:
Vacant YNRow14:
TitleRow15:
Employee NameRow15:
Name of EmployerRow15:
of Time on ProgramRow15:
Physical Location of EmployeeRow15:
New Employee YNRow15:
New Position YNRow15:
Vacant YNRow15:
TitleRow16:
Employee NameRow16:
Name of EmployerRow16:
of Time on ProgramRow16:
Physical Location of EmployeeRow16:
New Employee YNRow16:
New Position YNRow16:
Vacant YNRow16:
TitleRow17:
Employee NameRow17:
Name of EmployerRow17:
of Time on ProgramRow17:
Physical Location of EmployeeRow17:
New Employee YNRow17:
New Position YNRow17:
Vacant YNRow17:
TitleRow18:
Employee NameRow18:
Name of EmployerRow18:
of Time on ProgramRow18:
Physical Location of EmployeeRow18:
New Employee YNRow18:
New Position YNRow18:
Vacant YNRow18:
TitleRow19:
Employee NameRow19:
Name of EmployerRow19:
of Time on ProgramRow19:
Physical Location of EmployeeRow19:
New Employee YNRow19:
New Position YNRow19:
Vacant YNRow19:
TitleRow20:
Employee NameRow20:
Name of EmployerRow20:
of Time on ProgramRow20:
Physical Location of EmployeeRow20:
New Employee YNRow20:
New Position YNRow20:
Vacant YNRow20:
TitleRow21:
Employee NameRow21:
Name of EmployerRow21:
of Time on ProgramRow21:
Physical Location of EmployeeRow21:
New Employee YNRow21:
New Position YNRow21:
Vacant YNRow21:
TitleRow22:
Employee NameRow22:
Name of EmployerRow22:
of Time on ProgramRow22:
Physical Location of EmployeeRow22:
New Employee YNRow22:
New Position YNRow22:
Vacant YNRow22:
TitleRow23:
Employee NameRow23:
Name of EmployerRow23:
of Time on ProgramRow23:
Physical Location of EmployeeRow23:
New Employee YNRow23:
New Position YNRow23:
Vacant YNRow23:
TitleRow24:
Employee NameRow24:
Name of EmployerRow24:
of Time on ProgramRow24:
Physical Location of EmployeeRow24:
New Employee YNRow24:
New Position YNRow24:
Vacant YNRow24:
TitleRow25:
Employee NameRow25:
Name of EmployerRow25:
of Time on ProgramRow25:
Physical Location of EmployeeRow25:
New Employee YNRow25:
New Position YNRow25:
Vacant YNRow25:
TitleRow26:
Employee NameRow26:
Name of EmployerRow26:
of Time on ProgramRow26:
Physical Location of EmployeeRow26:
New Employee YNRow26:
New Position YNRow26:
Vacant YNRow26:
TitleRow27:
Employee NameRow27:
Name of EmployerRow27:
of Time on ProgramRow27:
Physical Location of EmployeeRow27:
New Employee YNRow27:
New Position YNRow27:
Vacant YNRow27:
attach 3:
attach 4:
attach 5:
attach 6:
attach 7:
attach 8:
attach 9:
attach 10:
attach 11:
attach 12:
attach 13:
attach 14:
attach 15:
Check Box12: Off
attach 16:
attach 17:

File details come from the government source that posted it. Updated .