Proposal Form CCPG F26-214P5 Exhibit A.docx

CHILD CARE PARTNERSHIP GRANT (CCPG) NOFO F26-214P5

CCPG PROPOSAL FORM

3. PROPOSAL CONTENTS

Click here to access the Proposal Form as a Word document that you will upload with all other required documents on the PORTAL.

Proposal documents must be written in English and submitted electronically in the PORTAL by Thursday, April 17, 2025 at 11:59pm PST.

Please include your organization name in the title of your submitted NOFO documents: (You may use the check list below to ensure that you have completed and attached the 3 required documents)

REQUIRED NOFO DOCUMENTS

I. |_| Proposal Form (Exhibit A to this NOFO), which includes:

|_| Certifications and Assurances (Exhibit C to this NOFO) |_| Diverse Business Inclusion Plan (Exhibit D to this NOFO) |_|Workers’ Rights Certification (Exhibit E to this NOFO) II. |_| Scope of Work and Cost Proposal Worksheet (Exhibit B to this NOFO) III. |_| Organizational chart (include Board members) IV. |_| Contract edits, if applicable

You must provide an answer to each question. If any answer is “unknown”, “no” or “not applicable (N/A)”, please indicate with “unknown”, “no” or “N/A”. Required questions that are left blank will be given 0 points.

PROPOSER INFORMATION

The entity that will receive and manage the grant and will work with coalitions and local partners to implement the activities is the “Proposer.” Only persons authorized to legally bind the Proposer to a contractual relationship or has been delegated authority by the Proposer shall submit the Proposal.

All fields are required.

A. Verify your eligibility for this grant by checking each box in 1-4.

Proposers must meet all of the following minimum qualifications:

|_| 1. Licensed to do business in the state of Washington and

· must have an active Washington Uniform Business Identification Number and

· must have an active Federal Employer Tax Identification Number |_| 2. Populations served must be located in the state of Washington.

|_| 3. Must be headquartered in the state of Washington. AND |_| 4. Meets one of the following entity designations. Please also select one:

|_| Federally recognized tribes in Washington;

|_| Local government entity;

|_| Nonprofit organization registered with the Washington Secretary of State as a nonprofit Corporation and having a 501(c)(3) or 501(c)(6) status with the Internal Revenue Service (IRS);

|_| Public agency;

|_| School district; or |_| Educational Service District (ESD).

(If you do not meet all the above qualifications 1-4, do not continue with Proposal and contact Kari Sample, NOFO Coordinator kari.sample@commerce.wa.gov)

B. Indicate if any of the prioritized areas below are applicable to your Proposal. Commerce reserves the right to verify responses. Select all that apply.

|_| Project will be operating in a rural community (see definition on page 5).

|_| Will conduct intentional outreach to serve historically underserved and marginalized families and communities (For example, Black, Indigenous and People of Color (BIPOC); immigrants and refugees; children with disabilities and special needs; and or LGBTQIA2S+).

|_| Proposer and or community partners has not received CCPG funding in the past.

C. Proposer’s Legal Entity Name D. Proposer’s Physical Address City State Zip Code E. Counties to be served in this Proposal:

F. Name of Person submitting this Proposal G. Title of Person submitting this Proposal H. Telephone number of Person submitting this Proposal I. E-mail address of Person submitting this Proposal

PROPOSAL

The Proposal must contain a response to each question and sub-question to be considered complete. If any answer is “unknown”, “no” or “not applicable (N/A)”, please indicate with “unknown”, “no” or “N/A”. Required questions that are left blank will be given 0 points.

1) GENERAL PROJECT DETAILS

a) What is the specific child care access problem you plan to address with this project Proposal? (Limit your response to 200 words or fewer)

b) Define the geographic area for this Proposal. This will be the service area of your proposal. (Include County/ies, city/ies, and neighborhood/s, as applicable)

c) Describe the community demographics in the geographic area listed in question 1.b above (for example, groups; race and ethnic populations; historically underserved and marginalized communities; people with disabilities and special needs; immigrants; and refugees).

d) How has your organization historically served this demographic within the geographic area?

e) In the geographic area, what data do you have that shows child care availability is limited?

f) What efforts will your project take to better understand child care needs in the community?

g) How will your project efforts increase child care slots in your community?

h) What type of child care slots will your project increase?

(Select all that apply) |_| Family, friend and neighbor provider (FFN) |_| Licensed child care centers |_| Licensed home-based care |_| School-aged after school or summer care |_| Unknown at this time (to be determined with needs assessment) |_| Other (list)

i) List the local challenges your proposal may potentially encounter as you implement the proposed activities and how you plan to address those barriers?

j) Has your organization or coalition received any CCPG funding in the past?

|_| Yes. If YES, please describe how an additional year of funding will show a measurable impact to increase child care slots or improve child care access in your community.

|_| No

k) Grantees are expected to implement collaborative community activities that make progress on two or more of the following project outcomes that will ultimately increase the number of child care slots in their community. What outcomes will your project prioritize in your work? Please select at least two. Selecting more than two will not increase score.

|_| Completed child care needs assessment (community informed) identifying specific barriers and gaps |_| Diverse partners collaborate to develop and implement a strategic action plan to address identified needs and barriers |_| Increased access to capital project funding specific to child care |_| Increased number of child care providers in the community |_| Expanded capacity of existing child care providers (Optional) Please share any additional anticipated project outcomes not listed above

2) COMMUNITY ENGAGEMENT EFFORTS

a) Describe the intended outreach to specific historically marginalized and underserved families and communities to access the newly created slots or benefit from the project efforts. (For example, BIPOC; immigrants and refugees; children with disabilities and special needs; and LGBTQIA2S+). If no specific intended outreach, indicate with “none”.

b) Explain how you will involve the families and child care providers who will benefit or be impacted from the project during the implementation of the project activities?

c) Is this proposal supported by a locally driven, multi-sector, child care coalition or group currently established in the community and actively participating in this work?

i) If YES, please briefly describe when and how the coalition was established, how it is currently funded and include a list of the organizations and individuals involved.

ii) If YES, what additional partners will be invited to participate and what community engagement strategies will you use to recruit?

iii) If NO, how does your organization intend to recruit a multi-sector coalition or group of individuals to engage in this work?

iv) If NO, or not multi-sector, please list the organizations, community partners and individuals that were involved in developing this project Proposal 1) 2)

3) PROPOSED ACTIVITES AND COST PROPOSAL

To be considered responsive to this NOFO, the total amount proposed must not exceed $70,000.

The evaluation process is designed to award this procurement not necessarily to the Proposer of least cost, but rather to the Proposer whose Proposal best meets the requirements of this NOFO. However, Proposers are encouraged to submit Proposals that are consistent with state government efforts to conserve resources. Cost estimates will be used to determine deliverable payments. Final budget will be deliverable based. Proposers are required to collect and pay applicable Washington state sales and use taxes.

a) Using the Scope of Work and Cost Proposal Worksheet (Exhibit B), please provide the following:

I. Proposed activities you plan to implement.

II. Proposed deliverables (draft / final products or outputs of the proposed activities).

III. Identification of Estimated Costs. Include estimates in U.S. dollars for salaries and benefits, professional services, goods or other services, travel, supplies and non-direct administrative costs associated with the project (up to 10% of total grant award).

IV. Proposed completion date of each deliverable.

V. Explain the partner roles and responsibilities (indicate on the document if you plan to subcontract) VI. If you need assistance filling out the this document, download the Scope of Work and Cost Proposal Worksheet .

b) Outline the proposed project timeline indicating when key activities will begin, occur, and be completed. Show a clear, realistic sequence of project activities (steps) during the performance period:

4) ORGANIZATION INFORMATION

Tell us about you (Proposer) If any answer is “no” or “not applicable”, indicate no or N/A.

a) What makes you an appropriate and effective entity to lead this work? Include your experience or understanding with the child care system. (Limit response to 200 words or less)

b) In the following areas, check the boxes to indicate the Proposer’s experience (select all that apply):

a. |_| Analyzing data to form conclusions

b. |_| Capital project development

c. |_| Child care or early learning

d. |_| Communications or marketing

e. |_| Community capacity development

f. |_| Community coalition or committee facilitation or participation

g. |_| Community organizing

h. |_| Fundraising

i. |_| Strategic action planning

j. |_| Workforce development

k. |_| Other experience related to the proposed activities (list)

l. |_| No experience in these areas

c) Proposer references: List names, telephone numbers, and e-mail addresses of three (3) business references for whom work has been accomplished and briefly describe the type of service provided to the reference. Do not include current COMMERCE staff as references. By submitting a Proposal the Proposer and any partners or agents authorize COMMERCE to contact these references and any others who, from COMMERCE’S perspective, may have pertinent information. COMMERCE may or may not contact references in its sole discretion.

a. Name , telephone , email , service provided:

b. Name , telephone , email , service provided:

c. Name , telephone , email , service provided:

d) Describe the proposed project team structure and internal controls, including any subcontractors. Review all relevant requirements in the sample contract in Exhibit F before selecting subcontractors. (Limit response to 200 words or less)

e) Submit an organizational chart indicating lines of authority for personnel involved in the performance of grant and relationships of staff to other programs or functions of the organization(s). This chart must also show lines of authority to the next senior level of management. Include who will have prime responsibility and final authority for the work. Chart must also include your Board members.

f) Identify staff responsibilities and amount of time assigned to proposed activities, including any subcontractors.

a. List anticipated staff responsibilities

b. This grant will support what percentage of FTE (full time equivalent) staff time? (for example one full time staff, 40 hours per week, is 1.0 FTE, and a staff working 20 hours per week is 0.5 FTE)

c. List anticipated subcontractor responsibilities, if applicable. (If not applicable, list N/A)

d. Name of lead staff:

i. If applicable, please explain why lead staff cannot be identified at this time.

g) List all contracts and award amounts the Proposer has had during the last five years that relate to child care and or the services of this NOFO. (Indicate “N/A” if not applicable)

5) Related Information

a) Identify any state employees or former state employees employed or on the firm’s governing board as of the date of the proposal. Include their position and responsibilities within the Proposer’s organization. If following a review of this information COMMERCE determines that a conflict of interest exists, the Proposer may be disqualified from further consideration,

b) If the Proposer or any known subcontractor contracted with the state of Washington during the past 24 months, indicate the name of the agency, the contract number and project description and/or other information available to identify the contract. (Indicate “N/A” if not applicable)

c) If the Proposer’s staff or subcontractor’s staff was an employee of the state of Washington during the past 24 months, or is currently a Washington State employee, identify the individual by name, the agency previously or currently employed by, job title or position held and separation date. (Indicate “N/A” if not applicable)

If the Proposer has had a contract terminated for default in the last five years, describe such incident. Provide full details of the terms for default including the other party's name, address, and phone number. Present the Proposer’s position on the matter. COMMERCE will evaluate the facts and may, at its sole discretion, reject the Proposal on the grounds of the past experience. (Termination for default is defined as notice to stop performance due to the Proposer’s non-performance or poor performance and the issue of performance was either (a) not litigated due to inaction on the part of the Proposer, or (b) litigated and such litigation determined that the Proposer was in default.). If the Proposer has experienced no such termination for default in the past five years, indicate with “N/A.”

EXHIBIT C

CERTIFICATIONS AND ASSURANCES

I/we make the following certifications and assurances as a required element of the Proposal to which it is attached, understanding that the truthfulness of the facts affirmed here and the continuing compliance with these requirements are conditions precedent to the award or continuation of the related contract:

1. I/we declare that all answers and statements made in the Proposal are true and correct.

2. The prices and/or cost data have been determined independently, without consultation, communication, or agreement with others for the purpose of restricting competition. However, I/we may freely join with other persons or organizations for the purpose of presenting a single proposal.

3. The attached Proposal is a firm offer for a period of 60 days following receipt, and it may be accepted by COMMERCE without further negotiation (except where obviously required by lack of certainty in key terms) at any time within the 60-day period.

4. In preparing this Proposal, I/we have not been assisted by any current or former employee of the state of Washington whose duties relate (or did relate) to this NOFO or prospective contract, and who was assisting in other than his or her official, public capacity. If there are exceptions to these assurances, I/we have described them in full detail on a separate page attached to this document.

5. I/we understand that COMMERCE will not reimburse me/us for any costs incurred in the preparation of this Proposal. All Proposals become the property of COMMERCE, and I/we claim no proprietary right to the ideas, writings, items, or samples, unless so stated in this Proposal.

6. Unless otherwise required by law, the prices and/or cost data which have been submitted have not been knowingly disclosed by the Proposer and will not be knowingly disclosed by him/her prior to opening, directly or indirectly, to any other Proposer or to any competitor.

7. I/we agree that submission of the attached Proposal constitutes acceptance of the NOFO contents and the attached example contract and general terms and conditions. If there are any proposed edits to these terms, I/we have described those edits in detail on a page attached to this document.

8. No attempt has been made or will be made by the Proposer to induce any other person or organization to submit or not to submit a Proposal for the purpose of restricting competition.

9. I/we grant COMMERCE the right to contact references and any others who may have pertinent information regarding the ability of the Proposer and the lead staff person to perform the services contemplated in this NOFO.

10. If any staff member(s) who will perform work on this contract has retired from the state of Washington under the provisions of the 2008 Early Retirement Factors legislation, his/her name(s) is noted on a separately attached page.

11. I/we are not debarred from doing business with the state of Washington or the United States.

I/We have reviewed the Contract and General Terms and Conditions and I/we: (check one) ☐ are submitting proposed contract edits. If proposed contract edits are being submitted for consideration, I/we have attached them to this form. (See Section 2.14) ☐ are not submitting proposed contract edits. (Default if neither are checked)

On behalf of the Proposer submitting this Proposal, my signature below attests to the accuracy of the above statement as well as my authority to bind the submitting organization.

Signature of Proposer Date

EXHIBIT D

DIVERSE BUSINESS INCLUSION PLAN

Please see Section 5.2 for more information regarding the Diverse Business Inclusion Plan.

If awarded a contract as a result of this NOFO, do you anticipate subcontracting* with or purchasing from any of the following:

Yes No State Certified Minority Owned Businesses? ☐ ☐ State Certified Woman Owned Businesses? ☐ ☐ State Certified Veteran Owned Businesses? ☐ ☐ Washington Small Businesses? ☐ ☐

Organizational Goals:

Please list the approximate percentage of funding received through this NOFO which is expected to be subcontracted to each subcontractor category:

For example, say the total funding is $10,000. Of that, $1,000 will be subcontracted to a business to create one of the deliverables and the organization plans to use a Washington Small Business. They would enter “10%” on the appropriate line below. On the other hand, if all subcontracts will be with nonprofit organizations or with businesses not described below, they would enter “0%”.

Please list the approximate percentage of purchases reimbursed by funding received as a result of this NOFO that will be made from each category:

For example, say allowable expenses are estimated to be $1000, most of which will reimburse the cost of supplies purchased from various sources. If the organization plans to make half of those purchases from a Certified Woman-Owned Business, they would enter “50%” on the appropriate line below.

If you plan to subcontract and/or purchase with funding received as a result of this NOFO and answered ‘No’ to all questions above, please explain:

Click or tap here to enter text.

☐ I/We do not plan to subcontract any of the work described in this NOFO.

☐ I/We do not plan to make any purchases reimbursable under this NOFO.

Please identify the person in your organization who will manage your Diverse Business Inclusion Plan related to this project:

Name: __________________ Title: __________________ Phone: __________________ E-Mail: __________________

*Please note that subcontracting must be done in accordance with contractual terms and conditions which may include specific subcontractor selection requirements. Do not select subcontractors until you have reviewed all applicable requirements.

EXHIBIT E

GRANTEE CERTIFICATION

EXECUTIVE ORDER 18-03 – WORKERS’ RIGHTS

WASHINGTON STATE GOODS & SERVICES CONTRACTS

Pursuant to the Washington State Governor’s Executive Order 18-03 dated June 12, 2018, the Washington Department of Commerce is seeking to contract with qualified organizations which certify that their employees are not, as a condition of employment, subject to mandatory individual arbitration clauses and class or collective action waivers. See Section 4.2.

I hereby certify, on behalf of the organization identified below, as follows (check one and sign below):

☐ NO MANDATORY INDIVIDUAL ARBITRATION CLAUSES AND CLASS OR COLLECTIVE ACTION WAIVERS FOR EMPLOYEES. This organization does NOT require its employees, as a condition of employment, to sign or agree to mandatory individual arbitration clauses or class or collective action waivers.

OR

☐ MANDATORY INDIVIDUAL ARBITRATION CLAUSES AND CLASS OR COLLECTIVE ACTION WAIVERS FOR EMPLOYEES. This organization requires its employees, as a condition of employment, to sign or agree to mandatory individual arbitration clauses or class or collective action waivers.

OR

☐ This organization certifies it has no employees.

I hereby certify, under penalty of perjury under the laws of the state of Washington, that the certifications herein are true and correct and that I am authorized to make these certifications on behalf of the organization listed herein.

NAME: ______________________________________________________________

Print full legal entity name of organization

Printed Name

Return to Procurement Coordinator as part of your complete response.

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