Fillable Docs RFA KONA 2025000256- Thrive-ELA.docx

Attachment A - CDLE RFA Cover Sheet & Signature Page

Company Tax ID Number (FEIN)

Company SAM/UEI Number

Company Legal Name

Company DBA, if applicable

Company Address

Contact Name

Contact Phone

Contact Fax

Contact Email

Should this RFA be modified, applicants should indicate review of all modifications as published on VSS.

Our Company acknowledges receipt of RFA KONA 2025000256 Modification Numbers (List all applicable numbers):

Printed Name Title

PARENT COMPANY - A vendor, owned or controlled by a parent company should provide the name, main office address, and tax identification number of that company on a copy of this form. The tax identification number provided should be that of the vendor’s parent company who will be legally responsible for performing services under any commitment document resulting from this RFA.

THIS FORM SHOULD ACCOMPANY ALL PROPOSALS. A PERSON LEGALLY AUTHORIZED TO BIND THE COMPANY SHOULD SIGN.

Page of

Attachment B - Financial Risk Assessment Questionnaire

FINANCIAL RISK ASSESSMENT FORM

Please complete all of the questions below in their entirety. Failure to complete a question will result in the question being assessed at the highest risk rating for that question. Please retain a copy of this form for your records.

Please note that the term “Sub-recipient” refers to the applicant filling out this form.

SUBRECIPIENT DETAILS

Full legal company or organization name of Subrecipient: Type Answer Here Name and title of person completing this form: Type Answer Here Amount of funding requested on this grant application: $ Type Answer Here

OPERATION CONSIDERATION

The significant aspects of Sub-recipient’s operations, the failure of which could impact Sub-recipient’s ability to perform and account for the grant deliverables.

1) Sub-recipient’s total annual operating budget: Type Answer Here

2) Total state, federal and private grants that Subrecipient expects to receive in its current fiscal year, including this grant:

· Total number of all grants: Type Answer Here

· Total dollar amount of all grants: $ Type Answer Here

3) Total dollar amount of all grant funding Subrecipient will receive from CDLE in its current fiscal year, including this grant: $ Type Answer Here

4) Will the Subrecipient sub-grant any portion of this award?

· Yes

· No

5) Total dollar amount of grant funds Subrecipient received in its last fiscal year: $ Type Answer Here

EXPERIENCE CONSIDERATION

Sub-recipient’s experience and history with the same or similar Federal awards or grants.

6) How many years has Subrecipient been in existence? Type Answer Here

7) Has Subrecipient administered programs similar to this grant?

· Yes

· No

· If yes, please list and explain. Type Answer Here

8) Has Subrecipient satisfactorily met any State, Federal or private grant deliverables in the past?

· Yes

· No

· Not Applicable

· If no, please explain what deliverables were not met and why Subrecipient was unable to meet them: Type Answer Here

FINANCIAL CONSIDERATION

Sub-recipient’s financial stability and ability to comply with the grant’s financial reporting requirements.

9) Does Subrecipient have a time and effort reporting system in place or maintain time cards to account for 100% of each employee’s time (both salaried and hourly employees) broken down by time spent per funding source (or grant), with evidence of supervisory approval?

· Yes

· No

· If no, If no, explain how Subrecipient intends to document each employee’s time by funding source: Type Answer Here

10) Does Subrecipient have an accounting system to track expenditure activity by funding source (or grant), with mechanisms to track multiple activities within the grant?

· Yes

· No

· If no, explain how Subrecipient intends to keep CDLE’s grant segregated from other regular or grant activities of the Subrecipient: Type Answer Here

11) Does Subrecipient maintain time records (timesheets or personnel activity reports) for all employees when their effort cannot be specifically identified to a particular program or cost objective: for example, general administrative staff such as accountants?

· Yes

· No

· If not, does Subrecipient have an approved alternative system to account for time distribution of overhead salaries and when was it adopted? Type Answer Here

12) Does Subrecipient have a cost allocation plan that spreads all common costs, such as phone, rent, utilities, etc. among all funding sources based on a systematic metric; for example, FTE or square footage?

· Yes

· No

· If no, describe how the Subrecipient allocates common costs. Type Answer Here

MONITORING AND AUDIT RESULT CONSIDERATION

Results of Sub-recipient’s previous audits or monitoring visits.

13) Has Subrecipient received an audit under the Single Audit Act/Uniform Administrative Requirements, 2 CFR Part 200, Subpart F (Government Auditing Standards)?

· Yes

· No

· If yes, provide a copy (electronic preferred) of its most recent audit report.

14) Has the Sub-recipient received an annual financial statement audit under Generally Accepted Auditing Standards (GAAS)?

· Yes

· No

· If yes, provide a copy (electronic preferred) of its most recent audit report.

15) Are there any outstanding audit findings from prior audits?

· Yes

· No

· If yes, identify the following:

· Number of Outstanding Control Deficiencies: Type Answer Here

· Nature of Outstanding Control Deficiencies: Type Answer Here

· Number of Outstanding Significant Deficiencies: Type Answer Here

· Nature of Outstanding Significant Control Deficiencies: Type Answer Here

· Number of Outstanding Material Weaknesses: Type Answer Here

· Nature of Outstanding Material Weaknesses: Type Answer Here

INTERNAL CONTROL CONSIDERATION

Sub-recipient’s ability to safeguard its assets and resources, deter and detect errors, fraud and theft, ensure accuracy and completeness of accounting data, produce reliable and timely financial and management information, and ensure adherence to its policies and plans.

16) Has Subrecipient updated any of its policies and procedures within the last two years?

· Yes

· No

· If no, please indicate when policies and procedures were last updated. Type Answer Here

17) Does Sub-recipient’s accounting system allow it to segregate all assets, liabilities, revenues and expenditures by funding source, and produce a balanced trial balance by funding source or grant?

· Yes

· No

· If no, explain how the Subrecipient intends to segregate this grant from its other activities. Type Answer Here

18) Does Subrecipient have an active oversight committee/board, and is it provided financial reports and information on a regular basis?

· Yes

· No

19) Does Subrecipient have fidelity bond insurance coverage (or any other form of insurance coverage) to protect itself from fraudulent acts of its employees, at a minimum all employees who handle cash?

· Yes

· No

IMPACT CONSIDERATION

Potential impact of Sub-recipient’s non-compliance to the overall success of the program objectives.

20) This grant will be disbursed on a cost reimbursement basis. Does the sub-recipient have sufficient liquid assets, including cash, to allow it to manage its finances between the time costs are incurred and reimbursed?

· Yes

· No

· If no, explain how Subrecipient intends to cover its costs prior to receiving reimbursement. Type Answer Here

21) Has Sub-recipient had any significant changes in its key personnel (e.g. Controller, Executive Director, Accounting Manager, Program Manager, etc.) or its time keeping or accounting systems in the last year?

· Yes

· No

· If yes, explain the changes. Type Answer Here

22) Does Sub-recipient have any potential conflicts of interest in accordance with the State of Colorado which includes any potential or actual situations where any employee’s objectivity, professional judgment, professional integrity or ability to perform work related to procurements is compromised by financial, personal or familial interests (see 2CFR §200.112)?

· Yes

· No

· If yes, explain the potential conflict of interest. Type Answer Here Please Sign and Date below, electronic signatures are acceptable.

Signature

Attachment C - Grant Funding Sources

Please list all grant funding sources your organization currently has under an Active Grant Agreement and their purpose below.

Attachment D - Division Specific Questionnaire / Program Plan

Instructions

· Enter the Applicant’s name in the header and the page number in the footer.

· Use 12-point font single-spaced with space after each paragraph

· Sections III and VI include instructions for including the following attachments:

a. Organizational chart with the proposed staffing plan. - Required

b. Full organizational budget. - Required

c. Federally negotiated indirect rate agreement, cost allocation plan, and any additional supporting documentation. - If applicable

d. Most recent year-end financial statement. - Required

e. List of the Board of Directors and other information about Governance. - Required

I. Mandatory Requirements Page Limit: 1 page, use 12-point font, single-spaced with space after each paragraph The purpose of this section is to establish the minimum requirements to go under contract with CRSP.

Please respond with an affirmative statement and explanation of how your organization meets the following minimum mandatory requirements.

1. Are you able to serve all populations eligible for services under 45 C.F.R. 400.43?

2. Are you able to demonstrate that they can equitably serve all ORR-eligible populations regardless of age, ability, ethnicity, language, religion, gender identity, sexual orientation, national origin, and/or race? In order to advance equity, ORR-funded projects must be consistent with the Executive Order on Advancing Racial Equity and Support for Underserved Communities (E.O. 13985).

3. Are you a public or private nonprofit or for-profit organization operating in Colorado, including community-based organizations with or without 501(C)(3) status, school districts, public housing authorities, resettlement agencies, or institutions of higher education with at least three years of demonstrated experience serving ORR-eligible or other newcomer populations in Colorado?

4. Are you able to demonstrate data collection and outcome reporting capabilities that support the goals and purposes of this RFA?

5. Are you able to demonstrate financial tracking and reporting capabilities necessary to fully meet fiscal requirements of federal funding? Funds can only be used to serve ORR-eligible participants in their first 60 months after arrival.

6. Does programming target areas with high numbers of ORR-eligible newcomer arrivals in the past two years, including but not limited to Northeast Aurora and Northeast Denver, Southeast Denver, and West Aurora, the Pikes Peak Region, the North Metro Denver area, including Thornton, Northglenn, and Broomfield; Greeley and Evans; Jefferson County, and/or Grand Junction?

II. Service Areas- Activities Page Limit: none, use 12-point font, single-spaced with space after each paragraph For each Program, respond to all 9 questions below. For example, if the proposal requests funding for both Service Areas, Career Advancement ELA, Extended Services, and Older Adult Services, answer the questions below for each Program Area.

The purpose of this section is to serve as a basis for establishing a clear program Statement of Work (SoW).

Please provide details for each Service Area applicable in each Program. See Section III. Service Requirements, b. Required Programs and Services Areas in the RFA for more detailed information.

1. List the Program and Service Area(s) in this proposal.

2. Complete the Outcomes tab in Attachment E: Budget and Budget Narrative for each program using the template below. Include additional information as needed for required goals, activities, and outcomes.

3. What portion of your programming aims to serve refugees eligible for funding for Afghan Humanitarian Parolees (ORR Policy Letters 22-01, 22-02), Ukrainian Humanitarian Parolees (ORR Policy Letter 22-13), and all other populations eligible for ORR programming?

4. What needs, context, or circumstances does the program address?

5. What is the socio-economic and demographic make-up, age, sex, ethnic background, and other community characteristics of the proposed caseload?

6. How will the program ensure all services are culturally and linguistically accessible?

7. How will the program provide services using mobile, remote, and/or hybrid modalities?

8. What activities are needed to build the program's capacity before services can begin, and how much time is needed to begin providing services?

9. What existing and/or planned community partnerships will be leveraged in support of this program?

III. Background and Qualifications Page Limit: 2 (not including attachments), use 12-point font single-spaced with space after each paragraph The purpose of this section is to determine the ability of the organization to successfully serve ORR-eligible populations with the proposed program.

Respond to all questions below.

1. How does your experience, background, knowledge, expertise, or other qualities make it well-positioned to deliver the proposed activities?

2. Where are you located? Include the county where the organization's headquarters, offices, and services are provided.

3. List your current programs (active in FFY2025) that serve newcomers.

4. How many years of experience do you have in determining and documenting ORR eligibility? If none, what is the plan to determine and document eligibility? See ORR’s website, Status and Documentation Requirements for the ORR Refugee Resettlement Program[footnoteRef:1] for more information. [1: https://www.acf.hhs.gov/orr/policy-guidance/status-and-documentation-requirements-orr-refugee-resettlement-program]

5. How do you identify, recruit, and maintain participants?

6. How do you close and/or dismiss participants, what criteria is used to make case/participant closure determinations, and how are participants/clients informed? Please attach relevant Standard Operating Procedures if relevant.

7. What is the intake process for accepting referrals into the program? Describe the process for enrolling participants, including the collection of enrollment information and signatures.

8. Describe your efforts to foster inclusivity in hiring practices, programming, and input of ORR-eligible communities in developing and/or implementing programming.

9. What is your plan for staff development, training, and oversight to ensure high programmatic outcomes and client satisfaction?

10. Do you have a federally negotiated indirect rate and cost allocation plan? If yes, please describe below.

11. Attach an organizational chart with the proposed staffing plan for the program. Include an overview and resumes or short bios of key personnel (i.e., individuals who will be listed as personnel in this project). Note relevant languages spoken by key personnel.

IV. Evaluation Page Limit: 2, use 12-point font, single-spaced with space after each paragraph All provider organizations are required to participate in any evaluation activities for CRSP. Program providers are also required to participate in CDLE performance-based program analysis to identify positive trends and opportunities for improvement.

The purpose of this section is to demonstrate that proposals have monitoring and evaluation methods that encompass data collection, output and outcome measurement tools, and overall program performance.

Respond to the following questions below:

1. Describe how you collect outcomes and data on clients or program participants. List the type of software or system used.

2. List the staff who are or will be responsible for the collection and reporting of data (or refer to the staffing plan required as part of Section III, Background and Qualifications above).

3. Describe your internal controls for checking the accuracy of data.

4. Describe any past programmatic successes in showing pre- and post-program outcomes.

5. Detail areas in which you have identified data collection and/or monitoring & evaluation challenges, and what the organization can do to mitigate these challenges. Include areas that may benefit from additional technical assistance.

V. Finance Respond using Attachment B or the included attachments.

The purpose of this section is to demonstrate the organization's fiscal health, including financial controls.

1. Complete the Grant Funding Sources tab found in Attachment B: Budget, to demonstrate the funding diversity of the Applicant organization, in order to ensure the solvency of the organization and/or program in the event that available federal funding becomes unavailable or is reduced after the grant award. It is not CRSP’s intention to be the sole funder of programs and/or organizations, as funds should be used to leverage, not supplant, other funding opportunities.

2. Complete the Budget and Budget Narrative tabs in Attachment E: Budget and Budget Narrative.

3. Attach a full organizational budget.

4. Attach the organizations’ federally negotiated indirect rate agreement, cost allocation plan, and any additional supporting documentation.

5. Attach the most recent year-end financial statement.

6. Attach a list of the Board of Directors and other information about Governance.

7. Attach a Certificate of Good Standing from the Secretary of State’s website.

8. Attach a signed copy of the organization’s W9.

Attachment E - Project Budget and Narrative

Please submit an itemized budget and narrative for each line item for DIRECT COSTS covering the timeline of the Grant Program.

*Note sample itemized budget and narrative linked here: Example Direct Cost Line Item Budget and Narrative (this is a standard budget and narrative, but for a different grant program example)

**After review of the example, please use the provided Budget Template for your application submission linked HERE. You will need to make a copy of the template in order to edit.

*Travel expenses shall only be reimbursed at the State’s then current per diem and mileage rates, which is $0.63/mile effective 1/1/2025.

Attachment F - Sample Grant Agreement

See Separate Document - Titled “Attachment F - Sample Agreement” in Word Format.

Attachment G - Agreement Certification Form

RFA # RFP KONA 2025000256

I, on behalf of the applicant identified below, hereby certify I have read a copy of the sample agreement attached to the RFA and understand the terms and provisions contained in that contract. I further hereby certify it is the applicant’s intent to comply with each and every term and provision contained in the sample agreement and propose no modifications to the sample agreement except as provided as redlines (tracked changes) in the sample agreement Word Document included as Attachment E. Any proposed alternative language, if any, should be included in the redlined attachment.

I understand the modification(s) proposed in the sample agreement, if any, are offered for discussion purposes only and the State of Colorado reserves the right to accept, reject, or future negotiate any and all proposed modifications to the sample agreement.

Company Legal Name: ___________________________________________________

Authorized Signature: ____________________________________________________

Signatory’s Full Name: ___________________________________________________

Signatory’s Title: ________________________________________________________

Date of Signature: ______________________________________________________

Attachment H - Conflict of Interest Disclosure

Applicants should state whether there are, or potentially could be, actual or perceived organizational or other conflicts of interest with the State of Colorado, CDLE, or CDLE employees with regard to: this RFA, Applicant’s submission to this RFA, Applicant’s staff, or Applicant’s proposed subcontractors. Attach additional pages if necessary.

PCS reserves the right to make a non-responsive determination on an Applicant's application or cancel the award of a successful Applicant's application if there is a conflict and/or a perceived conflict disclosed from any other source.

Is your company registered with the Colorado Secretary of State (circle one):

· YES

· NO

If “Yes” please provide a copy of the respective Certificate of Good Standing

· ATTACHMENT I - M/WBE SELF-CERTIFICATION

Minority and Women-Owned Businesses (M/WBEs) Self Certification Mark with X if applicable

In an effort to track levels of participation by women and minorities doing business with the State of Colorado, the following information is requested. Please indicate the appropriate category of ownership for your company. “Owned” in this context means a business that is at least 51 percent owned by an individual(s) who also control(s) and operate(s) it. “Control” in this context means exercising the power to make policy decisions. “Operate” means actively involved in the day-to-day management. If your business is jointly owned by both men and women or is a large publicly held corporation, please check the box labeled “Not Applicable.”

GENDER INFORMATION:

Female Owned:

Male Owned:

Not Applicable:

OWNER ETHNICITY INFORMATION:

African American:

Asian/Pacific American:

White (non-Hispanic):

Hispanic American:

Native American:

Not Applicable:

Other:

SMALL BUSINESS INFORMATION:

A small business is defined as: a business organized for profit, is independently owned and operated, and has 25 or fewer full time equivalent employees. Are you a small business?

YES:

NO:

Attachment J - Applicant’s Checklist Applicants should ensure all documentation requested is provided with the RFA submission prior to the RFA submission deadline. Applicants may use this checklist as a guide.

CDLE RFA Cover Sheet and Signature Page Attachment A

Financial Risk Assessment Questionnaire Attachment B

Grant Funding Sources Attachment C

Sponsoring Division Specific Questionnaire / Work Plan Attachment D

Project Budget and Narrative Attachment E

Redlined Agreement Changes Attachment F

Agreement Certification Form Attachment G

Conflict of Interest Disclosure Attachment H

M/WBE Self Certification Attachment I