NGO-Criteria-Form-Sample.pdf
PDF 196 KB Posted
- Attached to
- Prop 47 HOME Diversion Program Services
- Solicitation number
- 2026-APP-0451
- Issued by
- Los Angeles County, California
About this file
This is a Non-Governmental Organization (NGO) Criteria and Assurance Form for the Pasadena City Attorney/City Prosecutor's Office and the California Board of State and Community Corrections (BSCC) related to the Prop 47 HOME Diversion Program Services contract opportunity. The document establishes eligibility requirements and compliance assurances for non-governmental organizations that will receive BSCC Prop 47 grant funds as subcontractors. The form requires successful applicants to submit documentation prior to contract execution and mandates that grantees ensure all subcontracted third parties continually meet specified requirements throughout the contract term. The program seeks to implement a pilot HOME Diversion Program that provides a low-barrier, trauma-informed alternative to prosecution for unhoused adults with mental health and substance use disorders cited or arrested for non-violent misdemeanors, offering interim housing, case management, behavioral health therapy, substance use counseling, housing navigation, and job training services.
Non-governmental organizations receiving Prop 47 funds must meet specific organizational and operational criteria, including having been duly organized and in good standing for at least six months prior to the grant agreement start date, being registered with the California Secretary of State if applicable, maintaining a valid Employer Identification Number and business license as applicable, and holding any necessary state or local licenses or certifications required to provide services. Grantees are required to maintain on-site source documentation verifying compliance with all requirements and must update the NGO assurance list and submit it to BSCC whenever new subcontracts are executed after the initial assurance date. The BSCC will not reimburse costs incurred by any third party that does not meet the stated requirements or for which a signed grantee assurance is not on file. The funding source is the California Board of State and Community Corrections Prop 47 Cohort 5 grant program.
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Text version
PART IV, Page 57
Appendix H: Criteria and Assurance for Non-Governmental Organizations that Receive BSCC Grant Funds as a Subcontractor
FOR REFERENCE ONLY
Successful applicants will be required to submit this form prior to contract execution.
This RFP includes requirements that apply to non-governmental organizations that receive BSCC grant funds as a subcontractor. Grantees are responsible for ensuring that all subcontracted third parties continually meet these requirements as a condition of receiving any Prop 47 funds. The RFP describes these requirements as follows. Any non-governmental organization that receives Prop 47 funds must:
• Have been duly organized, in existence, and in good standing for at least six (6) months prior to the start date of the applicant’s Grant Agreement with BSCC.
Note: Non-governmental organizations that have recently reorganized or have merged with other qualified non-governmental organizations that were in existence prior to the six (6) month date are also eligible, provided all necessary agreements have been executed and filed with the California Secretary of State prior to the start date of the applicant’s Grant Agreement with BSCC.
• Be registered with the California Secretary of State’s Office, if applicable.
• Have a valid Employer Identification Number (EIN), and/or Taxpayer ID (if sole proprietorship).
• Have a valid business license, if applicable.
• Have any other state or local licenses or certifications necessary to provide the services requested (e.g., facility licensing by the Department of Health Care Services), if applicable.
In the table below, provide the name of the Grantee and list all subcontracted third parties.
Name of Grantee:
Refer to next page for signature block.
Name of Subcontracted Third Party Address Email / Phone Meets All
Requirements
Yes ☐ No ☐
Yes ☐ No ☐
Yes ☐ No ☐
Yes ☐ No ☐
PART IV, Page 58
Grantees are required to update this list and submit it to BSCC any time a new third-party subcontract is executed after the initial assurance date. Grantees shall retain (on-site) applicable source documentation for each contracted party that verifies compliance with the requirements listed in the Prop 47 RFP. These records will be subject to the records and retention language found in Exhibits A and C of the Standard Agreement.
The BSCC will not reimburse for costs incurred by any third party that does not meet the requirements listed above and for which the BSCC does not have a signed grantee assurance on file.
A signature below is an assurance that all requirements listed above have been met.
AUTHORIZED SIGNATURE
(This document must be signed by the person who is authorized to sign the Grant Agreement.)
NAME OF AUTHORIZED OFFICER TITLE TELEPHONE NUMBER EMAIL ADDRESS
STREET ADDRESS CITY STATE ZIP CODE
APPLICANT’S SIGNATURE (verified e-signature is acceptable) DATE x
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