Applicant Transmittal Cover Page.pdf
PDF 159 KB Posted
- Solicitation number
- PE-29016-NONST-2026-000000049
- Issued by
- Cherokee County, Georgia
About this file
This document is a Fiscal Years 2027 & 2028 Applicant Transmittal Cover Page for Older Americans Act (OAA) Services issued by the Atlanta Regional Commission. The document serves as an application for agencies seeking to provide multi-funded services across nine counties (Cherokee, Clayton, Cobb, DeKalb, Douglas, Fayette, Fulton, Gwinnett, Henry, and Rockdale). Agencies can apply for funding and service provision in multiple categories including Assistive Technology, Caregiver Services, Case Management, Congregate Meals, Consumer Directed Care, Culturally Appropriate Info and Referral, Elderly Legal Assistance, Home Delivered Meals, Home Modifications and Repairs, Homemaker Services, Kinship Care, Material Aid, Personal Care, Senior Recreation, Telephone Reassurance, and Transportation.
The application requires comprehensive documentation including a signed transmittal cover page, proposal response template, financial components workbook, organizational chart, liability insurance copies, various policy documents, recent financial statements, and three business references. Applicants must specify which services they are seeking ARC funding for, whether they currently provide these services with non-ARC funding, and in which specific counties they intend to serve. The document also includes a section for dementia-specific funding across the same nine counties. Agencies must certify their fiscal, data collection, and managerial capabilities to implement services in accordance with federal regulations and Georgia Department of Human Services, Division of Aging guidelines.
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Other files
| File | Type | Posted |
|---|---|---|
| Older Americans Act Multi_Funded Services _ .pdf | ||
| Directions for Responding.pdf |
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Text version
Atlanta Regional Commission FY2027 & FY2028 Applicant Transmittal Cover Page for OAA Services
*No individuals may apply*
Complete the following table for all services you are bidding on:
AGENCY NAME:
County:
Address:
City/State/Zip Code:
EXECUTIVE DIRECTOR:
Email & phone:
FINANCIAL CONTACT:
Email & Phone:
SERVICES Are you applying for ARC funding for this service? (Yes/No)
Do you provide this service with non- ARC funding? (Yes/No)
Assistive Technology
Caregiver Services
Case Management
Congregate Meals
Consumer Directed Care (Support Options)
Culturally Appropriate Info and Referral
Elderly Legal Assistance Program (ELAP)
Home Delivered Meals
Home Modifications and Repairs
Homemaker
Kinship Care
Material Aid
Personal Care
Senior Recreation
Telephone Reassurance
Transportation
Multi-funded/OAA Services: Place an X in all counties you intend to serve with multi-funded/OAA dollars.
SERVICES Cherokee Clayton Cobb DeKalb Douglas Fayette Fulton Gwinnett Henry Rockdale
Assistive Technology
Caregiver Services
Case Management Congregate Meals
Consumer Directed Care (Support Options)
Culturally Appropriate Info and Referral
Elderly Legal Assistance Program (ELAP)
Home Delivered Meals Home Modifications and Repairs
Homemaker
Kinship Care
Material Aid
Personal Care
Senior Recreation
Telephone Reassurance
Transportation
Dementia-Specific funding: Place an X in all counties you intend to serve with dementia-specific funding.
Checklist of Required Items at Submittal:
☐ Signed Transmittal Cover Page
☐ Proposal Response Template
☐ Financial Components Workbook
☐ Organizational Chart with staff names, job titles and job descriptions
☐ DHS Pre Award Risk Assessment Form (completed within Financial Components Workbook)
☐ Copy of liability insurance for all programs and facilities
☐ Cost Share Policy
☐ Client Contribution Policy
☐ Complaint Policy and Procedures
☐ Most recent audit’s Financial Statement & Current Budget of Applicant Organization(s) ☐ Three references from entities that have previous or current business relationships with the applicant, wherein the role of the applicant in the relationship is clearly stated
SERVICES Cherokee Clayton Cobb DeKalb Douglas Fayette Fulton Gwinnett Henry Rockdale
Assistive Technology Caregiver Services
Home Modifications and Repairs
Homemaker Material Aid
Personal Care
APPLICATION SIGNATURE:
I certify, to the best of my knowledge, that the information submitted in the attached proposal is true and accurate and that this organization has the necessary fiscal, data collection, and managerial capability to implement and manage the services bid on in this proposal in accordance with both federal regulations and Georgia Department of Human Services, Division of Aging regulations.
Signature Date
Printed Name and Title
File details come from the government source that posted it. Updated .