Appendix A, Reach and Resiliency Application Template -RFA TEFAP Reach and Resiliency Grants.pdf

Form RFA (01-21)

9. APPENDICES

APPENDIX A: TEFAP Reach and Resiliency Grant Application Template

TEFAP REACH AND RESILIENCY GRANT APPLICATION TEMPLATE

SECTION 1: Cover Sheet - Applicant Information The information requested in Section 1 of this application template is required for your application to be considered complete. If this application template is not used, applicants must submit all requested information as outlined in Section 1 of the TEFAP Reach and Resiliency grant application template, in a similar format.

TEFAP Reach and Resiliency Grant Grant Application

CFDA#: 10.568

TEFAP State agency:

TEFAP State agency address:

Name of Contact Person and Title:

Email Address:

Phone Number:

TEFAP REACH AND RESILIENCY GRANT APPLICATION TEMPLATE

SECTION 2: Table of Contents The information requested in Section 2 of this application template is required for your application to be considered complete. If this application template is not used, applicants must submit all requested information as outlined in Section 2 of the TEFAP Reach and Resiliency grant application template, in a similar format.

Application Project Summary

Page #

Project Narrative

Project Activities and Indicators

Budget Narrative Page # Attachments (Please List) Page #

Attachment 1: Page #

SECTION 3: Application Project Summary (suggested one page) The information requested in Section 3 of this application template is required for your application to be considered complete. If this application template is not used, applicants must submit all requested information as outlined in Section 3 of the TEFAP Reach and Resiliency

Below, please provide a high level summary of your project, including:

• the activities that you will conduct with grant funds;

• how those activities will help you expand TEFAP’s reach into remote, rural, Tribal, and/or low-income areas that are underserved by the program (or how grant funds will help you to identify remote, rural, Tribal, and/or low-income areas, for those only using grant funds to conduct an assessment of TEFAP reach); and

• the organizations and/or agencies that you will partner with on the project.

SECTION 4: Project Narrative (suggested no more than five pages, attachments not included) The information requested in Section 4 of this application template is required for your application to be considered complete. If this application template is not used, applicants must submit all requested information as outlined in Section 4 of the TEFAP Reach and Resiliency

Applicants must provide responses to all of the following questions in their Project Narrative in order to receive grant funding. As you are filling out your responses, please note that attachments do not count toward the page limit.

1. As an attachment, please provide your State’s current TEFAP State plan of operation, as approved by FNS.

2. As an attachment, please provide a list of all TEFAP eligible recipient agencies (ERAs) currently operating in the State, including those ERAs that have an agreement with another ERA, as outlined in FD-123, Maintenance of Lists of Eligible Recipient Agencies (ERA) Participating in TEFAP. The list should indicate whether or not the ERA is operating TEFAP under an agreement with the State agency or another ERA, the name of the other ERA (if applicable), and the street address(es) of any TEFAP distribution sites (as defined in 7 CFR 251.3(c)) that are operated by the ERA.

Applicants must submit the list as an Excel attachment that follows the below format:

https://www.fns.usda.gov/tefap/maintenance-lists-eligible-recipient-agencies-participating-tefap https://www.fns.usda.gov/tefap/maintenance-lists-eligible-recipient-agencies-participating-tefap

Name of

ERA

Is the ERA operating under an agreement with the State agency or another ERA?

Other ERA name (if applicable):

Street address of ERA distribution site (if applicable)

City, State of ERA distribution site (if applicable)

Zip code of

ERA

distribution site (if applicable)

(Example) Summer Sun Food Bank

(Example) State agency

(Example) N/A

(Example) N/A

(Example) N/A

(Example) N/A

(Example) Falling Leaves Food Pantry

(Example)

ERA

(Example) Summer Sun Food Bank

(Example) 47832 Red Maple Lane

(Example) Tree Town, VA

(Example) 12820

(Example) Falling Leaves Food Pantry - Additional Distribution Site

(Example) N/A

(Example) N/A

(Example) 843 Oak Circle

(Example) Tree Town, VA

(Example) 12820

3. Below, please provide a detailed narrative assessment of current TEFAP reach within the State/Territory and identify any remote, rural, Tribal, and/or low-income areas that are currently underserved by TEFAP, and an explanation of how that assessment was conducted. Provide any attachments (e.g., a map of served/underserved zip codes within the State/Territory, or a map of TEFAP ERAs overlaid with a map of remote, rural, Tribal, and/or low-income areas) as necessary.

As an alternative to submitting a detailed assessment, please provide an explanation of how you will utilize grant funds to complete such an assessment to identify remote, rural, Tribal, and/or low-income areas underserved by the Program, and a detailed explanation of how that assessment will be conducted.

4. Below, please provide the definitions of “remote,” “rural,” “Tribal,” and “low-income” that were utilized (or that will be utilized) in the above assessment of current TEFAP reach. This description should include an explanation of why specific definitions were chosen. For further guidance or ideas on potential definitions to employ, please see Footnote 1 in the Project Narrative Section of the RFA (Section 4).

5. Below, please describe your specific plans for utilizing TEFAP Reach and Resiliency grant funds to work with stakeholders (including but not limited to recipients of TEFAP food, current TEFAP organizations, new and/or future partner TEFAP organizations, other community organizations involved in food security and/or emergency feeding, and local and/or State governmental agencies) to expand TEFAP’s reach in remote, rural, Tribal, and/or low-income areas underserved by the program. Your response to this question should correlate with the list of proposed activities provided in response to SECTION 5: Activities/Indicators, and should identify the remote, rural, Tribal, and/or low-income areas that will be reached with grant funding.

If you are only utilizing grant funds to conduct an assessment of current reach (to identify remote, rural, Tribal, and/or low-income areas that are underserved by the Program), you do not need to answer this question.

6. Below, please describe how you consulted with relevant stakeholders and/or utilized available data to form your project plans as outlined in your response to Question #5.

7. What are the expected results of the grant project activities and how will you monitor and measure progress toward those expected results? Please describe below. Note that your plan to monitor and measure progress should detail how you will track the Indicators listed in Section 5: Activities/Indicators.

8. Below, please list the name and title of the grant Project Manager(s) or Coordinator(s), and a description of their qualifications to manage or coordinate project activities. If someone will be hired for this purpose using grant funds, please indicate so.

9. If not otherwise described, below, please list any partnerships that the State will enter into to carry out grant activities, or any sub grant processes that will be established.

10. If grant funds are to be awarded as sub grants, please indicate below, and discuss how you will provide monitoring and oversight to subgrantees.

11. Please provide below, or as an attachment if necessary, a summary timeline of grant activities. Please note that a more detailed timeline of individual project activities is required for SECTION 5: Activities/Indicators.

SECTION 5: Activities/Indicators (suggested two pages) The information requested in Section 5 of this application template is required for your application to be considered complete. If this application template is not used, applicants must submit all requested information as outlined in Section 5 of the TEFAP Reach and Resiliency grant application template, in a similar format.

List the activities that you plan to conduct to accomplish the grant objective. Provide an estimated timeline for each activity (e.g., when you expect the activity to occur), and insert an indicator(s) for each activity. An indicator is defined as a metric that relates to the grant objective (Expand TEFAP’s reach into remote, rural, Tribal, and/or low-income areas that are underserved by the program) and that you anticipate that you will be able to track during the period of performance of the grant. You may insert more than one indicator per activity if necessary. The items listed here should support your response to SECTION 3: Application Project Summary, SECTION 4: Application Project Narrative, SF-424A, and SECTION 6:

Budget Narrative. Please see Section 5 of the RFA for additional examples of activities and indicators.

Expand TEFAP’s reach into remote, rural, Tribal, and/or low-income communities that are underserved by the program

Activity Estimated Start Date

Estimated Completion

Date

Indicator (may have multiple indicators for one activity)

Indicator Target(s)

(Ex.) 1 – Establish TEFAP distribution site in rural Clay County.

(Ex.) March

(Ex.) March

(Ex.) 1.1 – Community meetings held (Ex.) 3 meetings held

(Ex.) 1.2 – ERA agreement signed (Ex.) 1 agreement signed

(Ex.) 1.3 –ERA staff/volunteers trained in food safety and social service delivery

(Ex.) 6 staff/volunteer s trained

(Ex.) 1.4 – Food distributed through

ERA

(Ex.) 20,000 lbs. distributed

(Ex.) 1.5 – Eligible recipients accessing TEFAP foods in Clay County

(Ex.) 300 recipients served

(Ex.) 2 – Expand TEFAP distribution hours for eligible populations living on Tribal land through mobile distributions.

(Ex.)

September

(Ex.)

September

(Ex.) 2.1 – Mobile distribution trucks purchased

(Ex.) 4 trucks purchased

(Ex.) 2.2 – Eligible recipients accessing TEFAP on Tribal land

(Ex.) 5000 recipients served

(Ex.) 2.3 – Eligible recipients satisfied with program access

(Ex.) 80% of recipients satisfied

SECTION 6: Budget Narrative (suggested eight pages, but will depend on project) The information requested in Section 6 of this application template is required for your application to be considered complete. If this application template is not used, applicants must submit all requested information as outlined in Section 6 of the TEFAP Reach and Resiliency grant application template, in a similar format. A Budget Narrative checklist is found in Appendix G of the Request for Applications for your use in filling out this section.

1. Use the format below to outline project expenses, providing cost breakdowns for each line item in the Narrative/Justification column such that the expected cost of each item is listed. For example, the total cost of office supplies should include prices for specific items (e.g., pens, pencils, ink, etc.). Use the categories and columns that are relevant for your budget request. Be sure to explain how you calculated each cost and the reason each expense is necessary in the Narrative/Justification column. All dollar amounts should be rounded up to the nearest whole dollar, and should align with information provided in the

SF 424A.

2. Please state the percentage of requested grant funds that will be kept at the State level or that will be expended on State expenses in the space below:

A. Personnel– Budget Narrative Please use the format provided below to list all personnel to be funded by this grant. You may insert additional rows as needed.

Note: FTE stands for Full-Time Equivalent, which represents what a person would be paid for full-time employment.

Federal Funds Requested Narrative/Justification A1. [Insert Title Here], at X% FTE, salary $XX,XXX per yr

[Insert job duties and responsibilities here]

A2. [Insert Title Here], at X% FTE, salary $XX,XXX per yr

[Insert job duties and responsibilities here]

Personnel Subtotal B. Fringe Benefits– Budget Narrative Provide the Fringe Benefits cost for all personnel listed in Section A. You may insert additional rows as needed. As a reminder, please provide your organization’s Fringe Benefit Rate Agreement as an attachment

Organization Fringe Benefit Rate:________

Federal Funds Requested Narrative/Justification B1. Personnel A1 Fringe Benefits

[List benefits covered]

B2. Personnel A2 Fringe Benefits

[List benefits covered]

Fringe Benefits Subtotal

C. Contractual– Budget Narrative For all contract work, provide the number of hours the contract is expected to take as well as the anticipated hourly rate (e.g., # hrs. at $XXX per hour).

Federal Funds Requested Narrative/Justification C1. [Insert Service/Personnel Here]

[provide a justification for why this service is justified;

explain rationale for estimated cost]

C2. [Insert Service/Personnel Here]

[provide a justification for why this service is justified;

explain rationale for estimated cost]

Contractual Subtotal Amount of Contractual Not Subject to Indirect Costs

Are there indirect costs associated with any of the proposed contractual costs? [Yes/No]

If yes, provide the total amount of indirect costs associated with contracts in the space below.

D. Travel– Budget Narrative For all travel, include origin and destination information as well as the anticipated dates of travel.

Provide justifications for each trip and each person traveling. Enter each trip as a separate line item (e.g., flights to two separate conferences should be two line items: one for flights for Conference 1 and one for Conference 2). Examples for how to report each form of travel are included below. GSA per diem rates can be found here.

D1. Out-of-State Federal Funds Requested Narrative/Justification Airfare: round trip name of Airport to and from name of Airport, name of Airline, cost as of date, # people at $XXX per person ($XXX base fare + $XX tax and fees)

Airline checked baggage fee:

# bags at $XX per bag

Airport parking: # days x # people at $XX per day

Ground transportation: # days x # people at est. $XX per day

Lodging: out-of-state rate, date, # nights x # people at $XX per day

Lodging tax: out-of-state rate, XX% per day, # nights x # people at $XX.XX per day

Mileage: round trip from place of business to destination, type of transportation, # mi. x # people at $0.XXX per mi.

https://www.gsa.gov/travel/plan-book/per-diem-rates

Per diem (M&IE): out-of-state rate, full day, # days x #

Per diem (M&IE): out-of-state rate, first & last days of travel, # days x # people at $XX.XX per day

Out-of-State Travel Subtotal

D2. In-State Travel Follow the format utilized for Out-of-State Travel (Section D1).

Federal Funds Requested Narrative/Justification Airfare: round trip name of Airport to and from name of Airport, name of Airline, cost as of date, # people at $XXX per person ($XXX base fare + $XX tax and fees)

Airline checked baggage fee:

# bags at $XX per bag

Airport parking: # days x #

Ground transportation: # days x # people at est. $XX per day

Lodging: in-state rate, date, # days x # people at $X per day

Lodging tax: in-state rate, XX% per day, # days x # people at $XX.XX per day

Mileage: round trip from place of business to destination, type of transportation, # mi. x # people at $0.XXX per mi.

Per diem (M&IE): in-state rate, full day, # days x #

Per diem (M&IE): in-state rate, first & last days of travel, # days x # people at $XX.XX per day

In-State Travel Subtotal Combined Out-of-State and In-State Travel Subtotal

E. Materials and Supplies – Budget Narrative Materials and Supplies are items with a unit cost of less than $5,000. See Section 2.0 of the RFA for restrictions. Requests for supplies must be accompanied by a justification for the need for such items.

Federal Funds Requested Narrative/Justification

E1. [Insert item here] [include an itemized list of the supplies requested and prices]

E2. [Insert item here] [include an itemized list of the supplies requested and prices]

E3. [Insert item here] [include an itemized list of the supplies requested and prices]

E4. [Insert item here] [if applicable; include an itemized list of the supplies requested and prices]

E5. [Insert item here] [if applicable; include an itemized list of the supplies requested and prices]

Materials and Supplies Subtotal

F. Equipment – Budget Narrative Equipment is non-expendable, tangible personal property with a unit cost of $5,000 or more with a useful life of more than one year. See Section 2.0 of the RFA for restrictions. Requests for equipment must be accompanied by a justification of the need for such items.

F1. [Insert Item Here] [provide a justification for why this item is justified;

explain rationale for estimated cost]

F2. [Insert Item Here] [provide a justification for why this item is justified;

explain rationale for estimated cost]

Equipment Subtotal G. Other – Budget Narrative Provide a description for any other budget items here. As a reminder, any costs for renovations should be included here.

Federal Funds Requested Narrative/Justification G1. [Insert item here] [provide a justification for why this item is justified;

explain rationale for estimated cost]

G2. [Insert item here] [provide a justification for why this item is justified;

explain rationale for estimated cost]

G3. [insert item here] Other Subtotal H. Totals – Budget Narrative Total Direct Costs (Section H1): The total direct costs should be the sum of all bolded subtotals listed for Sections A-G. This number represents the total of all costs prior to calculating indirect costs.

Indirect Costs (Section H2): The Indirect Cost Rate should be applied to all appropriate funds as stipulated in your organization’s Indirect Cost Rate Agreement. Be sure to reference the terms of your organization’s Indirect Cost Rate Agreement prior to calculating indirect costs, and include the Indirect Cost Rate Agreement as an attachment to your grant application. If you require assistance, please contact your FNS Regional Office or the Grants Officer listed in Section 7.0 of the RFA.

Total Project Cost (Section H3): In Section H3, the value in your Federal Funds Requested should be the sum of the total direct costs (H1) and the total indirect costs (H2).

Federal Funds Requested Narrative/Justification

H1. Total Direct Costs [Leave Blank]

H2. Indirect Costs

[Insert Indirect Cost Rate applied to your budget here as well as the effective and termination dates of your Indirect Cost Rate Agreement]

H3. Total Project Cost