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State of Nevada

Department of Human Services

Division of Social Services

Notice of Funding Opportunity

(Revised effective 3/5/2026)

SFY 27

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*See revisions effective 3/5/2026 highlighted in yellow.

Opportunity Summary

The Nevada Division of Social Services (DSS) is requesting $5 million for State Fiscal Year SFY27 from the Opioid

Settlement funds under the “Fund for a Resilient Nevada.” DSS is seeking applications from qualified nonprofit entities and governmental agencies statewide to provide rapid-response emergency assistance and stabilization services for families in crisis due to substance use. Multiple qualified entities/agencies will be selected through a competitive bid process, with funding awarded to those eligible entities/agencies demonstrating success with providing emergency and supportive services to families impacted by opioid and other substance use disorders. The goal is to reduce the risk of child removal, promote family stability, and support reunification efforts.

Purpose

• Expand access to emergency and stabilization services.

• Address barriers that contribute to child abuse and neglect.

• Prevent unnecessary foster care placements.

• Support family preservation and reunification.

• Serve as a match for TANF Maintenance of Effort (MOE) reporting and help meet the state’s Work Participation

Rate.

The $5 million annual allocation is based on historical TANF sub-award data and current unmet needs. Funds will be awarded through a competitive bid process open to both nonprofit and governmental agencies statewide. Awards will be based on regional needs and application merit.

Program Requirements

Funding will be awarded to eligible agencies through a competitive bid process to provide rapid-response emergency assistance and stabilization services for families in crisis due to substance use. These services are designed to address immediate safety and stability concerns, promote long-term family preservation, and align with TANF Maintenance of

Effort (MOE) requirements.

Programs must offer a wrap-around, family-centered approach, combining multiple supports such as behavioral health, child care, employment assistance, transportation, and parenting services. Services may include, but are not limited to:

• Basic Needs: Rent, utilities, groceries, formula, diapers, car seats, beds, clothing, and other stabilization items.

• Family Support: Day care, respite care, parenting classes, transportation, and job-find assistance.

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• Clinical and Stabilization Services: Counseling, case management, crisis intervention, and home management skills.

• Placement Support: In-home navigation, home studies, and licensing support for relatives and fictive kin.

Programs will prioritize high-need and underserved populations, including:

• Families with children at risk of out-of-home placement

• Low-income households

• Families facing multiple barriers such as housing instability, unemployment, or mental health needs

• Programs that align with TANF MOE requirements. Some services (e.g., non-recurrent short-term benefits) may be time-limited (e.g., 4 months), while others (e.g., school-based education) may not have such restrictions.

Applicants must demonstrate:

• Collaboration and coordination with community-based providers, governmental agencies, and social-service organizations

• Capacity building efforts, including infrastructure for case management, data collection, and performance tracking

• Equity and accountability, with clear plans for outcome measurement and service evaluation

Grant Period:

• Type of Award: Sub-award

• Funding Type: Fund For A Resilient Nevada

• Funding Available: $5 million (SFY27)

• Fiscal Responsibility: Applicants must comply with all state fiscal and reporting requirements.

• Eligible Applicants: County child welfare agencies, nonprofit organizations, and other governmental agencies

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Allowable Expenditures Allowable costs include:

• Personnel (case managers, behavioral health staff)

• Subcontracted services

• Emergency assistance (rent, utilities, food, diapers, etc.)

• Transportation and job assistance

• Licensing support for kinship caregivers

Non-allowable costs:

• Supplanting existing local or state funds

• Travel/ Conferences

• Rental expenses

• Lobbying

• Capital expenditure

Award Overview TimeLine:

Webinar

All nonprofit agencies that would like the opportunity to apply for this award are encouraged to attend the webinar at the following date and time:

• Tuesday, March 03, 2026, 9:00 am PT – 10:00 am PT Webinar Link - to be provided upon email request submission to NVFRN-RFA@dss.nv.gov.

• Join by phone option – this information will be provided upon email request submission

During the webinar, potential applicants will receive an overview of the RFA process and will be given the opportunity to ask additional questions. Following the conclusion of the webinar, interested agencies will have the opportunity to submit additional questions via email (NVFRN-RFA@dss.nv.gov) for a specified period of time. The due date for submission of questions will be provided during the webinar.

Event Date/Time (Pacific Time)

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Grant opportunity announced Tuesday, February 17, 2026

Webinar Tuesday, March 03, 2026, 9:00am –

10:00am

Webinar follow-up questions accepted via email Tuesday, March 03, 2026 through Friday, March 06, 2026 at 5:00pm.

Responses to questions submitted via email

Emailed to applicants in a Q&A format and posted to the website on or around

Tuesday, March 24, 2026

Deadline for RFA submission Tuesday, April 14, 2026

Evaluation period (approximate time frame) Tuesday, April 28, 2026 (Two weeks)

Announcement of awards To Be Determined OR no later than

Tuesday, May 5, 2026

Notification and Award Process

A. DSS staff will notify all applicants of the final outcome after the Administrator’s decisions have been made.

B. DSS staff will conduct negotiations with the applicants recommended for funding. During these negotiations, any specific issues identified by the DSS or the DSS Administrator will be addressed. These issues may include, but are not limited to:

• Revisions to the project budget;

• Revisions to the Scope of Work;

• Revisions to Performance Indicators; and/or

• Enactment of Special Conditions (e.g. certain fiscal controls, more stringent performance requirements or more frequent reviews.).

C. Upon successful conclusion of negotiations, DSS staff will complete and distribute to subrecipients the

Notices of Grant Award (NOGA), General Conditions and Grant Assurances, and Grant Instructions and

Requirements (GIRS).

D. Not all applicants who are contacted for final negotiations will necessarily receive an award. All questions and concerns must be resolved before a grant will be awarded. All funding is contingent upon availability of funds.

NOTE: DSS is not responsible for any costs incurred in the preparation of the application and, upon receipt, applications become the property of DSS. DSS, in coordination with the DHS, reserves the right to accept or reject any or all applications.

Award Contact Information Please contact the Division of Social Services to speak with Program staff regarding Program related questions or the Contracts/ Subawards Team for questions regarding the application process.

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Program Staff:

Shelly Aguilar, Chief of Eligibility and Payments 3 702-631-2337 SAguilar@dss.nv.gov

Diana Marchetti, Management Analyst 4 702-631-4389 DMarchetti@dss.nv.gov

Elizabeth Augustine, SSPS 2 702-631-4391 EAugustine@dss.nv.gov

Contracts/ Subawards Team:

Monique Pomerleau, Contracts Manager dsscontracts@dss.nv.gov Shannon Jones, Administrative Services Officer dsscontracts@dss.nv.gov

Application Instructions

• This packet includes the application, the Scope of Work template, and Budget Narrative which are all required to be completed as part of the application.

• The completed application package consists of three sections and a checklist.

• Late and/or incomplete applications will not be scored.

• The total possible score for the entire application is 100.

Section I – Application Form (20 points)

Each letter below corresponds to a field in the application that all applicants must complete. Missing information or unchecked boxes on the application form will result in an incomplete application.

A. Organization Type. Check the type of organization that is requesting funds.

B. Geographic Area of Service. Check only one type of geographic area and provide a brief description of that area (up to 100 words). Applicant organizations that serve more than one geographic area within Nevada are encouraged to submit multiple applications.

C. Applicant Organization. Enter the official name of the agency submitting the application. The address refers to the physical and mailing address of the applicant agency (the 9-digit zip code is required). DSS will consider the application incomplete if the Federal Tax ID field is incomplete.

D. Project Point of Contact. This field refers to the identified person at the applicant organization that the

State Grant Office will contact with follow-up questions about the application. This is also the person DSS will contact regarding questions about quarterly reports, monthly financial claim forms, etc.

E. Fiscal Officer. Enter the name of the person who will manage the fiscal requirements of the proposed project, if awarded. The Fiscal Officer must be someone other than the Project Point of Contact.

F. Subcontracting of Services. Some organizations subcontract services to a health organization or consultant, such as a community health nurse. If the applicant provides these services directly, check the No box, and continue to field H. Otherwise, confirm by checking the Yes box and entering the contact information for the subcontractor.

G. Key Personnel. Key personnel are employees, consultants, subcontractors, or volunteers who have the required qualifications and professional licenses to provide services. List all such personnel in the provided table, adding additional rows as necessary. Include an up-to-date résumé and a copy of all required licenses for each person as an addendum to the application.

mailto:SAguilar@dss.nv.gov mailto:sxjones@dss.nv.gov mailto:EAugustine@dss.nv.gov mailto:dsscontracts@dss.nv.gov mailto:dsscontracts@dss.nv.gov

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H. Services to Be Provided by Applicant. These specified services are the grant-funded activities allowed by the legislation. Check the box next to all services that will be provided during the project period.

I. Non-Allowed Services Provided by Applicant. Some organizations provide services in addition to the list in section H. If the applicant does not provide additional services, check the No box, and continue to field J.

Otherwise, confirm by checking the Yes box and name the additional services provided. Read and confirm the next two statements to provide assurances that any awarded grant funds will not be used for the services disclosed in this section or any other service not specified in section H.

J. Third-Party Payers of Services. Some organizations bill third-party payers (e.g. insurance companies) for some services. If the applicant does not bill any third-party payers, check the No box, and continue to field

K. Otherwise, confirm by checking the Yes box and for each third-party payer organization and provide the specified financial information for the applicant’s most recent, complete reporting period. Add rows to the table, if necessary.

K. Current Funding. Some organizations receive funding (e.g. Federal grant dollars, foundation grants, donations, etc.) for services. If the applicant does not receive funding, check the No box, and continue to field K. Otherwise, confirm by checking the Yes box and for each funding source, provide the name, type of funding, project period end date, and whole dollar amount. Add rows to the table, if necessary.

L. Certification by Authorized Official: The administrator, director, or other official ultimately responsible for this project/program must sign this document.

Section II – Narrative (60 points)

• This Section has five (5) fields assigned different numbers of points.

• The Statement of Need (field 3) must be substantiated with data.

• Use Arial 11-point font on single-spaced pages with one-inch margins.

Field Name Scoring

Points

Page

Limit Instructions

1. Overview 5 ½

(half)

1. Introduce the applicant organization and its role in providing services, including any subcontractor(s) as necessary.

2. Provide up to three (3) brief examples of the organization’s successes.

3. Describe the application’s desired outcome.

2. Availability and Accessibility of Services

(one)

1. Describe the geographic area and community the applicant organization serves.

2. Detail the availability of services within that geographic area.

3. Describe how methods of available transportation within that geographic area affect access to services.

3. Statement of Need 20

(one)

1. Establish the degree of need within the geographic area for services to persons who would otherwise have difficulty obtaining such services by providing and creating context for the following data:

(a) The rate of poverty (Data 1, p. 56)

(b) The rate of health insurance coverage (Data 1,

p. 79)

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(c) The rate of uninsured population under the age of 65 (Data 1, p. 81)

(d) The rate of females of child-bearing age (Data 2,

p. 1)

2. Provide details and additional data (see Data 1 pp.

102, 105-114) as needed to thoroughly establish the degree of need within the community.

4. Goals and Objectives 10

(one)

1. Describe the organization’s goals and objectives to meet the geographic area’s needs.

2. Provide the projected number of services that will be provided, either in clients/patients served or services provided with these grant funds. Note that these projections must match the Budget Narrative (Section III-2).

5. Methods of Accomplishment

(one)

1. Describe the plan to achieve the outlined goals and objectives. Include how, who, where, and when these goals and objectives will be achieved.

2. Explain what measurements will be used to report on the program’s success.

Total for Narrative 60

Section III – Budget (20 points)

• This Section has two (2) fields assigned the same number of points.

• Use Arial 11-point font on single-spaced pages with one-inch margins.

Field Name Scoring

Points

Page

Limit Instructions

1. Proposed Project Budget

½

(half)

Use the provided table and designate a whole dollar amount for the seven (7) budget categories, or use a zero (0) to indicate that no funds are being requested.

Add these numbers to get the sum of the total amount of funding requested for the project period.

2. Budget Narrative 10

(two)

Provide justification for each non-zero budget category. Include projections of services to be provided and/or clients/patients to be served over the project period and the associated cost rate to justify the funding request. This should align with the

Narrative’s Goals and Objectives (Section II-4) and

Methods of Accomplishment (Section II-5).

Total for Budget 20

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Section IV – Overview of Certifications and Assurances By signing the Application Form comprising Sections I-IV of the Department of Human Services application, the applicant certifies:

1. The project described in this application meets all the requirements of the governing legislation.

2. All information contained in the application is correct.

3. The appropriate coordination with impacted organizations, including subcontractors, took place.

4. The applicant will read, understand and comply with all provisions of the governing legislation and all other applicable federal and state laws, current or future rules, and regulations.

5. The applicant further understands and agrees that any award received as a result of this application is subject to the grant conditions set forth in the Statement of Grant Award.

Submission Instructions

The grant application deadline is April 7, 2026

• Submit the signed, completed application with résumés and licenses of key personnel in a single PDF document to:

o NVFRN-RFA@dss.nv.gov (confirmation will be provided)

• Submitting a paper copy of the application is not required. Applicants without access to email may send their completed application to:

Department of Human Services Division of Social Services ATTN: Monique Pomerleau 1470 E. College Parkway Carson City, NV 89706-7924

Questions?

Please contact the Division of Social Services to speak with Program staff regarding Program related questions

Program Staff:

Shelly Aguilar, Chief of Eligibility and Payments 3 702-631-2337 SAguilar@dss.nv.gov

Diana Marchetti, Management Analyst 4 702-631-4389 DMarchetti@dss.nv.gov

Elizabeth Augustine, SSPS 2 702-631-4391 EAugustine@dss.nv.gov

Tips

• Read the application instructions carefully.

• Ask for clarification, if needed.

• Submit applications early to allow for any necessary revisions.

• Respond to all sections of the application.

mailto:NVFRN-RFA@dss.nv.gov mailto:SAguilar@dss.nv.gov mailto:sxjones@dss.nv.gov mailto:EAugustine@dss.nv.gov

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• Brevity is required. Observe page limits. Any pages over the page limit will not be reviewed.

• Follow stated formatting guidelines.

• Use only whole dollar amounts.

• Ensure budget figures are mathematically correct.

• Use data provided in the application packet.

• Spell out acronyms at initial use. Eliminate jargon whenever possible.

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Application: Section I

Application Form – 20 points

A. Organization Type

Local Government Agency 501(c)(3) Nonprofit

B. Geographic Area of Service

Town/City

County

Region

C. Applicant Organization

Name

Mailing Address

Physical Address

City NV

Zip (9-digit zip required)

Federal Tax ID # (xx-xxxxxxx)

D. Program Point of Contact

Title

Phone

Email

Same mailing address as section B? Yes No, use below address information

Address

City NV

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E. Fiscal Officer

Title

Phone

Email

Same mailing address as section B? Yes No, use below address information

Address

City NV

Does your organization subcontract its services? Yes No

Subcontractor

Mailing Address

Physical Address

City NV

Federal Tax ID # (xx-xxxxxxx)

Unique Entity

Identification # (11-digits)

Registration with the System for Award Management (SAM.gov) is required prior to submitting an application. Has your entity/agency registered with SAM.gov and can attach proof of registration with application? Yes No

G. Key Personnel

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Name Title Licensed?

Yes

No

H. Non-Allowed Services Provided by Applicant

Does your organization or its subcontractors offer services other than those specified in section

H? Yes, specified below No

Services

Do you agree that Services AB397 Grant funds, if awarded, will not be used by your organization or its subcontractors to provide any services other than those specified in section H?

Yes No

Do you agree to implement policies and procedures as necessary to ensure that any non-allowed services disclosed in this section (I) are not paid for using Services AB397 Grant funds, if awarded?

Yes No

I. Third-Party Payers of Services

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Does your organization or its subcontractors bill any third-party payers (e.g. insurance companies) for services?

Yes, specified below No

Third-Party Payers Period Billables Received

Percentage of

Operating Income

J. Current Funding

Funding Type Project Period

End Date

Amount Awarded

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Application: Section II

Application Narrative - 60 points

Begin typing below each field header.

1. Overview (1/2 page)

2. Availability and Accessibility of Services (1 page)

3. Statement of Need (1 page)

4. Goals and Objectives (1 page)

5. Methods of Accomplishment (1 page)

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Application: Section III

Budget - 20 points

1. Proposed Project Budget (1/2 page). Please use the Budget Narrative document to assist with your total budget.

Category Amount Requested ($)

Total Personnel Costs:

Personnel

Consultant/Contract Personnel

Other Personnel

Contractual:

Subcontracted Services

Operating:

Supplies

Equipment

Other:

Emergency assistance (rent, utilities, food, diapers, etc.)

Transportation and job assistance

Licensing support for kinship caregivers

Total Funding Requested ($)

2. Budget Narrative: Please use the Budget Narrative provided below (Just double click on the icon below). Be sure to include as much justification for each proposed cost for clarity and ensure that the numbers in your proposed budget above match with the Budget Narrative document.

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Links to required templates

Scope of Work

Template.docx

Budget Narrative.xls

Application: Section IV

Print and sign the completed application after reviewing the Application and Certified Assurances which the awarded vendor shall be required to comply.

1. GRANT CONDITIONS AND ASSURANCES

General Conditions

1. Nothing contained in this Agreement is intended to, or shall be construed in any manner, as creating, or establishing the relationship of employer/employee between the parties. The Recipient shall at all times remain an “independent contractor” with respect to the services to be performed under this Agreement. The Department of Human Services, Division of Social Services (hereinafter referred to as Division) shall be exempt from payment of all Unemployment Compensation, FICA, retirement, life and/or medical insurance and Workers’ Compensation Insurance as the Recipient is an independent entity.

2. The Recipient shall hold harmless, defend and indemnify the Division from any and all claims, actions, suits, charges and judgments whatsoever that arise out of the Recipient’s performance or nonperformance of the services or subject matter called for in this Agreement.

3. The Division or Recipient may amend this Agreement at any time provided that such amendments make specific reference to this Agreement, and are executed in writing, and signed by a duly authorized representative of both organizations. Such amendments shall not invalidate this Agreement, nor relieve or release the Division or Recipient from its obligations under this Agreement.

• The Division may, in its discretion, amend this Agreement to conform with federal, state, or local governmental guidelines, policies and available funding amounts, or for other reasons.

If such amendments result in a change in the funding, the scope of services, or schedule of the activities to be undertaken as part of this Agreement, such modifications will be incorporated only by written amendment signed by both the Division and Recipient.

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4. Either party may terminate this Agreement at any time by giving written notice to the other party of such termination and specifying the effective date thereof at least 30 days before the effective date of such termination. Partial terminations of the Scope of Work in Section B may only be undertaken with the prior approval of the Division. In the event of any termination for convenience, all finished or unfinished documents, data, studies, surveys, reports, or other materials prepared by the Recipient under this Agreement shall, at the option of the Division, become the property of the Division, and the Recipient shall be entitled to receive just and equitable compensation for any satisfactory work completed on such documents or materials prior to the termination.

• The Division may also suspend or terminate this Agreement, in whole or in part, if the Recipient materially fails to comply with any term of this Agreement, or with any of the rules, regulations or provisions referred to herein; and the Division may declare the Recipient ineligible for any further participation in the Division’s grant agreements, in addition to other remedies as provided by law. In the event there is probable cause to believe the Recipient is in noncompliance with any applicable rules or regulations, the Division may withhold funding.

Grant Assurances

A signature on this packet indicates that the applicant is capable of and agrees to meet the following requirements, and that all information contained in this proposal is true and correct.

1. Adopt and maintain a system of internal controls which results in the fiscal integrity and stability of the organization, including the use of Generally Accepted Accounting Principles (GAAP).

2. Compliance with state insurance requirements for general, professional, and automobile liability;

workers’ compensation and employer’s liability; and, if advance funds are required, commercial crime insurance.

3. These grant funds will not be used to supplant existing financial support for current programs.

4. No portion of these grant funds will be subcontracted without prior written approval unless expressly identified in the grant agreement.

5. All reports for expenditures and requests for reimbursement processed by the Division are subject to audit.

• If all documentation requested as part of Subrecipient monitoring activities is not received in a timely manner and if the Subrecipient fails to adequately explain that lack of cooperation with the monitoring activities, subsequent reimbursement payments may be withheld.

6. Compliance with the requirements of Title VI of the Civil Rights Act of 1964 (42 U.S.C. 2000d et seq.), Title IX of the Education Amendments of 1972 (20 U.S.C. 1681 et seq.) as amended, and Section 504 of the Rehabilitation Act of 1973, P.L. 93-112, (29 U.S.C.794), Age Discrimination Act of 1975 (42 U.S.C.

6101 et seq.); as amended, and FNS directives and guidelines to the effect that no person shall, on the ground of race, color, national origin, age, sex, or disability, be excluded from participation in, be denied the benefits of, or otherwise be subjected to discrimination under any program or activity for which the Agency receives Federal financial assistance from FNS; and hereby gives assurance that it will immediately take measures necessary to effectuate this agreement.

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7. Compliance with Title II and Title III of the Americans with Disabilities Act of 1990 (P.L. 101-136), 42 U.S.C. 12101, as amended, by the ADA Amendment Act of 2008 (42 U.S.C.12131-12189) as implemented by Department of Justice regulations at (28 CFR Parts 35 and 36), Executive Order 13166, "Improving Access to Services for Persons with Limited English Proficiency." (August 11, 2000), all provisions required by the implementing regulations of the U.S. Department of Agriculture (7 CFR Part 15 et seq); and regulations adopted there under contained in 28 CFR 26.101-36.999 inclusive, and any relevant program-specific regulations.

8. Compliance with the Clean Air Act (42 U.S.C. 7401–7671q.) and the Federal Water Pollution Control Act (33 U.S.C. 1251–1387), as amended—Contracts and subgrants of amounts in excess of $150,000 must contain a provision that requires the non-Federal award to agree to comply with all applicable standards, orders or regulations issued pursuant to the Clean Air Act (42 U.S.C. 7401–7671q) and the Federal Water Pollution Control Act as amended (33 U.S.C. 1251–1387). Violations must be reported to the Federal awarding agency and the Regional Office of the Environmental Protection Agency

(EPA).

9. Compliance with Title 2 of the Code of Federal Regulations (CFR) and any guidance in effect from the Office of Management and Budget (OMB) related (but not limited to) audit requirements for grantees that expend $1,000,000 or more in Federal awards during the grantee’s fiscal year must have an annual audit prepared by an independent auditor in accordance with the terms and requirements of the appropriate circular.

10. Certification that neither the Recipient nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency. This certification is made pursuant to regulations implementing Executive Order 12549, Debarment and Suspension, 28 C.F.R. pt. 67 § 67.510, as published as pt. VII of May 26, 1988, Federal Register (pp. 19150-19211).

11. Compliance with Whistleblower protections under 41 U.S.C. 4712. No employee will be retaliated against for reporting concerns related to gross mismanagement, waste of Federal funds, abuse of authority, public health or safety risks, or violations of laws, rules, or regulations concerning Federal contracts or grants. The Subrecipient will inform its employees in writing about their rights and protections under 41 U.S.C. 4712 and related laws.

12. Compliance with Nevada Revised Statute, N.R.S. SB 318, § 7, and CFR Title 45, Part 92.201, by providing meaningful access to programs, services, and information for individuals with Limited English Proficiency (LEP). The Subrecipient shall implement policies to assess and identify LEP individuals' language assistance needs, notify LEP individuals about available free language services, translate vital documents, and ensure access to online services. Additionally, the Subrecipient will collect and maintain LEP-related data, and monitor LEP access to ensure compliance with these language access requirements.

13. Compliance with 2 CFR 200.303 (e), the subrecipient agrees to implement and maintain internal controls to protect sensitive data related to the grant, including personally identifiable information (PII) and other sensitive information as designated by the Federal agency or pass-through entity. The subrecipient shall take reasonable measures, including encryption and secure communication protocols, to safeguard this information against unauthorized access. The subrecipient also agrees

Grant | 20 to apply all applicable federal and state security controls to the grant’s operation and data protection requirements. Additionally, the subrecipient agrees to promptly notify the division of any cybersecurity incidents and take immediate action to mitigate risks, in compliance with applicable privacy and confidentiality laws.

14. No funding associated with this grant will be used for lobbying.

15. Disclosure of any existing or potential conflicts of interest relative to the performance of services resulting from this grant award.

16. Provision of a work environment in which the use of tobacco products, alcohol, and illegal drugs will not be allowed.

17. An organization receiving grant funds through the Nevada Department of Human Services shall not use grant funds for any activity related to the following:

• Any attempt to influence the outcome of any federal, state, or local election, referendum, initiative, or similar procedure, through in-kind or cash contributions, endorsements, publicity, or a similar activity.

• Establishing, administering, contributing to, or paying the expenses of a political party, campaign, political action committee or other organization established for the purpose of influencing the outcome of an election, referendum, initiative, or similar procedure.

• Any attempt to influence:

o The introduction or formulation of federal, state, or local legislation; or o The enactment or modification of any pending federal, state or local legislation, through communication with any member or employee of Congress, the Nevada Legislature or a local governmental entity responsible for enacting local legislation, including, without limitation, efforts to influence State or local officials to engage in a similar lobbying activity, or through communication with any governmental official or employee in connection with a decision to sign or veto enrolled legislation.

• Any attempt to influence the introduction, formulation, modification or enactment of a federal, state or local rule, regulation, executive order or any other program, policy or position of the United States Government, the State of Nevada or a local governmental entity through communication with any officer or employee of the United States Government, the State of Nevada or a local governmental entity, including, without limitation, efforts to influence state or local officials to engage in a similar lobbying activity.

• Any attempt to influence:

o The introduction or formulation of federal, state, or local legislation;

o The enactment or modification of any pending federal, state, or local legislation; or o The introduction, formulation, modification or enactment of a federal, state or local rule, regulation, executive order or any other program, policy or position of the United States Government, the State of Nevada or a local governmental entity, by preparing, distributing or using publicity or propaganda, or by urging members of the general public or any segment thereof to contribute to or participate in any

Grant | 21 mass demonstration, march, rally, fundraising drive, lobbying campaign or letter writing or telephone campaign.

• Legislative liaison activities, including, without limitation, attendance at legislative sessions or committee hearings, gathering information regarding legislation and analyzing the effect of legislation, when such activities are carried on in support of or in knowing preparation for an effort to engage in an activity prohibited pursuant to subsections 1 to 5, inclusive.

• Executive branch liaison activities, including, without limitation, attendance at hearings, gathering information regarding a rule, regulation, executive order or any other program, policy or position of the United States Government, the State of Nevada or a local governmental entity and analyzing the effect of the rule, regulation, executive order, program, policy or position, when such activities are carried on in support of or in knowing preparation for an effort to engage in an activity prohibited pursuant to subsections 1 to 5, inclusive.

18. An organization receiving grant funds through the Nevada Department of Human Services may, to the extent and in the manner authorized in its grant, use grant funds for any activity directly related to educating persons in a nonpartisan manner by providing factual information in a manner that is:

• Made in a speech, article, publication, or other material that is distributed and made available to the public, or through radio, television, cable television or other medium of mass communication; and

• Not specifically directed at:

o Any member or employee of Congress, the Nevada Legislature, or a local governmental entity responsible for enacting local legislation;

o Any governmental official or employee who is or could be involved in a decision to sign or veto enrolled legislation; or o Any officer or employee of the United States Government, the State of Nevada or a local governmental entity who is involved in introducing, formulating, modifying or enacting a Federal, State or local rule, regulation, executive order or any other program, policy or position of the United States Government, the State of Nevada or a local governmental entity.

This provision does not prohibit a recipient or an applicant for a grant from providing information that is directly related to the grant or the application for the grant to the granting agency.

To comply with reporting requirements of the Federal Funding and Accountability Transparency Act (FFATA), the sub-grantee agrees to provide the Division with copies of all contracts, sub-grants, and or amendments to either such documents, which are funded by funds allotted in this agreement.

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Certification by Authorized Official

As the authorized official for the applying agency, I certify that the proposed project and activities described in this application meets all requirements of the legislation governing the grant as indicated by AB397 and the certifications in the Application Instructions; that all the information contained in the application is correct; that the appropriate coordination with affected agencies and organizations, including subcontractors, took place; that this agency agrees to comply with all provisions of the applicable grant program and all other applicable federal and state laws, current or future rules, and regulations. I understand and agree that any award received as a result of this application is subject to the conditions set forth in the

Statement of Grant Award.

Name (type/print)

Phone

Title

Email

Signature

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Application: Checklist

Print and sign the completed application. Complete this checklist prior to scanning/submitting.

Section I: Application Form

All boxes are checked to indicate the correct answer.

All fields are completed according to instructions on pp.

Certification is signed.

Section II: Narrative

Section II-1: Overview covers three points according to instructions on p. 3.

Section II-2: Availability and Accessibility of Services covers three points according to instructions on p. 3.

Section II-3: Statement of Need includes required data from 2018 Nevada Rural and Frontier Health Data Book and 2016 Nevada Female Population 15-44 by County.

Section II-4: Goals and Objectives includes projected number of services provided or clients/patients served.

Section II-5: Methods of Accomplishment includes the measurements of success.

Page limits have not been exceeded.

Arial 11-point font has been retained.

One-inch margins have been retained.

Section III: Budget

Section III-1: Proposed Project Budget reflects whole dollar amounts or zeros for each category.

Section III-1: Proposed Project Budget is mathematically correct.

Numbers in the Proposed Project Budget match numbers in the Budget Narrative.

Justifications in Section III-2: Budget Narrative match the projected number of services provided or clients/patients served in Section II-4: Goals and Objectives.

Page limits have not been exceeded.

Arial 11-point font has been retained.

One-inch margins have been retained.

Section IV: Application and Certified Assurances

Section IV-1. Federal Laws and Authorities

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Section IV-2. Grant Assurances

Section IV-3. Certification by Authorized Official

Application Submission

Include résumés and copies of licenses of key personnel (including subcontractors).

A single PDF will be emailed no later than…