ReuseandRepairMMGrantApp2020.pdf

Oregon DEQ Materials Management Workforce Development Grant Application 2020 Page 1

State of Oregon Department of Environmental Quality

Repair and Reuse Workforce Development Grant Application 2020 Materials Management Grant Program

Use this application for Reuse and Repair Workforce Development Grants ONLY.

This grant is not the same as the General Materials Management, which is starting later in 2020.

Updated April 6, to offer more flexibility on types of costs covered Applications for Reuse/Repair Workforce Development Grants must be received by 11:59 p.m. PDT, June 5, 2020

Application sections:

Administrative Questions Organization mission and Internal Procedures Content-based Questions Timeline Financial Questions Reminders

Applicant Information

Administrative Questions Name of organization: Federal taxpayer ID #/EIN:

Dun & Bradstreet #:

Organization Type: Small business 501(c)(3) nonprofit (attached reference document to share status) 501(c)(4) nonprofit (attached reference document to share status)

Address:

County:

State Legislative Districts (only one, indicate numbers where project is based):

House: Senate:

(For help with your Senate and House Districts, see:

http://bluebook.state.or.us/state/legis/legis.htm)

Phone: Website:

Contact person (that would be managing the grant project):

Title:

Address (if different from above):

Email:

Name of project:

Funding Amount requested from DEQ:

Funding Eligibility: Reuse and/or repair are core activities of the organization

Reuse and/or repair are NOT core activities of the organization, but funding is for a new role focusing on reuse/repair

How did you learn about this opportunity? Click all that are appropriate. Colleagues, partners Word of mouth Chamber of Commerce Social media Email Seen or received flyer DEQ staff directly GovDelivery/subscription to DEQ email list Other:

Continue to next page

Back to top http://bluebook.state.or.us/state/legis/legis.htm

Oregon DEQ Materials Management Project Grant Application 2020 Page 2

Organization’s Mission and Internal Procedures Questions

Fill in the answers to Questions A – C starting in the shaded rectangle. Refer to the instructions for assistance. Adherence to character limits will be accounted for during the evaluation.

A) Provide a brief description of your organization - Activities, services, number of employees, years in operation, mission and values, which can include your values linked to diversity, equity and inclusion. (2500 character limit with spaces)

Oregon DEQ Materials Management Project Grant Application 2020 Page 3

B) How is your entity committed to creating a welcoming and equitable environment for patrons/clients in the community that you are serving? If applicable, provide data to support evidence of this commitment (e.g. Is your building accessible for people with disabilities? Do you offer communication material in different languages? What are your organization’s efforts to hire or support the community it serves?) (3000 character limit with spaces)

Oregon DEQ Materials Management Project Grant Application 2020 Page 4

(C) Bonus Question (5 points): Does your business have a Minority/Women Business certification with Certification Office for Business Inclusion and Diversity (COBID) with Business Oregon? If not, while considering the criteria to do so online here, would your business be eligible? You will be eligible for bonus points, if you qualify but do not have the certification, even as a nonprofit.

Check the appropriate box.

☐Minority Business Enterprise (MBE) certification ☐ Women Business Enterprise (WBE) certification ☐ Do not have certification, but would qualify as a Minority Business Enterprise ☐ Do not have certification, but would qualify as a Women Business Enterprise ☐ Not Applicable

Back to top Continue to next page http://www.oregon4biz.com/How-We-Can-Help/COBID/MWBE/

Oregon DEQ Materials Management Project Grant Application 2020 Page 5

Content-Based Questions

Fill in the answers to Questions 1 – 3 starting in the shaded rectangle. Refer to the instructions document starting at page 6 for assistance. Adherence to character limits will be accounted for during the evaluation.

Question 1. Project Description and Goals

Provide a brief summary of your project. Include the types of materials/products to be reused and/or repaired, the types of work that the current/new employee will be performing, and the general nature of any training potentially funded by this grant. Include the outcomes linked to workforce development/maintenance you hope to achieve and how you will measure them. (3500 character limit with spaces)

Oregon DEQ Materials Management Project Grant Application 2020 Page 6

Question 2. Overview of How Funds will be Used

Provide a description of how the grant funds will be used in your project (e.g. wage subsidies, training programs, capital equipment). Please refer to the instructions document to review the allowed uses (and limits) of funds on page 4. **Please note these have been updated to reflect the needs of small businesses during the current health crisis. The project budget will be entered in the ‘Project Budget’ section starting at page 9 of this application document. (3000 character limit with spaces)

Oregon DEQ Materials Management Project Grant Application 2020 Page 7

Question 3. Ongoing Work (Beyond Grant Period)

How will the position(s) created/maintained with the help of these grant funds be continued and supported after the end of the grant period? (2500 character limit with spaces)

Oregon DEQ Materials Management Project Grant Application 2020 Page 8

Timeline

Project Timeline Outline the proposed timeline for your project. Include projected start date, end date, and milestones in between. Note that funding is anticipated to be available no sooner than two months following announcement of grant awards. Remember you cannot start asking for reimbursements before your grant agreement is signed. You do not have to fill in all rows and you can add rows if needed.

Planned Project Beginning Date: Planned Project Ending Date:

Task or Activity

Beginning Date

Ending Date Person/Group Responsible for

Completion

Oregon DEQ Materials Management Project Grant Application 2020 Page 9

Financial Questions

Project Budget

This section allows you to specify the exact proposed uses of grant funds. For tables A-D, complete only the tables applicable to your project. You must also complete the (E) Project Budget Summary table.

(A) Personnel Costs - List principal personnel of the applicant who will be working on the project.

This may include new employees and existing employees. Include their names, titles, and hourly compensation. Give subtotals of funds requested, and total costs in the spaces provided.

Note that DEQ broadened the types of current employee costs that can be covered though this grant. For further information refer to the instructions on the website.

(A) List Personnel Name, Title and Role

(Trainee, Trainer)

Hourly Rate Including Benefits

Hours Needed Total Costs

DEQ Grant Funds

Requested per person

1.

2.

3.

4.

5.

SUBTOTAL

If yes, please give details about this other source of funding. (1000 character limit with spaces):

Is your organization receiving any other financial assistance for new employees or training?

Yes No https://www.oregon.gov/deq/mm/Pages/Product-Lifespan-Extension.aspx

Oregon DEQ Materials Management Project Grant Application 2020 Page 10

(B) External Training – List any external training for the new or current employee(s), the providers involved, the recipient and the training type. Give the total training costs per person, the funds requested per person to DEQ per person, and total costs requested to DEQ for external training in the spaces provided.

Not applicable

(B) List External Training Providers, Recipient and Training Type

Training Costs Per person

DEQ Grant Funds Requested per person

1.

2.

3.

4.

Have you provided documentation of training costs? Yes No

(C) Equipment and Supplies - List all items to be purchased (such as tools and machinery).

Keep in mind that a maximum of 50% of the total requested grant funding may be used for capital equipment.

(C) List Equipment and Supplies Total Costs DEQ Grant Funds Requested

1.

2.

3.

4.

Oregon DEQ Materials Management Project Grant Application 2020 Page 11

(D) Other Costs - Include items not listed in “Personnel Costs,” “External Training” and “Equipment and Supplies.” Any items listed in this section should be discussed (at a minimum) in your answers to Question 2 above. If you need to clarify further, you may provide additional information below. Examples of other costs may be indirect costs or overhead.

(D) List Other Costs Total Costs DEQ Grant Funds

1.

2.

3.

4.

5.

6.

7.

8.

SUBTOTAL

Provide any needed clarification of the other costs listed above. For example, if your organization is charging an indirect cost rate, what is your rate. Remember, if your organization is charging an indirect rate, that indirect rate cannot be greater than 10%, unless you have a negotiated indirect rate with the federal government. If you have a negotiated agreement with the Federal Government, please supply executed letter with Federal Agency. (1000 character limit with spaces):

Oregon DEQ Materials Management Project Grant Application 2020 Page 12

(E) Project Budget Summary - Fill in all applicable spaces.

(E) Project Budget and Summary Total Costs DEQ Grant Funds

A. Personnel Costs B. External Training Costs C. Equipment and Supplies D. Other Costs E. Total DEQ Grant Funds Requested F. Total Project Cost

(F) Financial Management

Describe briefly your financial management and accounting procedures:

Include: (1000 character limit with spaces)

• Accounting/Bookkeeping systems for tracking/monitoring

• Roles/Responsibilities of those who work with the finances

• Financial Policies/Procedures

Continue to signature requirements on the next page.

Oregon DEQ Materials Management Project Grant Application 2020 Page 13

Signatures

Scan signed page and attach to completed application form prior to emailing.

Authorized Representatives of the applicant must sign the application. An Authorized Representative is an official who has the authority to obligate the applicant’s resources. All necessary Authorized Representative signatures must be provided at the time of the grant application submittal for your project to be considered. If more than three (3) authorized signatures are required, contact the DEQ staff listed in the instructions.

I agree that if my application is selected, I will allow a DEQ representative to conduct a site visit to ensure that I am eligible to receive grant funds.

I agree that if my application is selected, I will submit a final report at the end of the grant period using a provided template.

I agree that if my application is selected, I will provide, or allow to be taken, photographs of the organization’s staff and premises in connection with this grant, and allow Oregon DEQ to use and publish the same in print and/or electronically. I agree that Oregon DEQ may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as education, web content and social media.

I certify that, to the best of my knowledge, the information provided in this application and attachments is correct and true. I certify that I have reviewed the Standard Grant Agreement Terms and Conditions and agree to commit to these Terms and Conditions if my application is selected. I understand and agree that if grant money is awarded as a result of this application, I will comply with all applicable statutory provisions and with applicable terms, conditions, and procedures of the DEQ grant agreement.

Signature of Authorized Representative Date

Title Telephone Number https://www.oregon.gov/deq/mm/Pages/Product-Lifespan-Extension.aspx

Oregon DEQ Materials Management Project Grant Application 2020 Page 14

Reminders Required Documentation

• Small businesses should attach financial statements (like an income statement) from the past two years.

• Nonprofit organizations should attach the last two IRS Form 990s and a copy of their nonprofit IRS letter or an equivalent document determining your nonprofit status.

• If applicable, businesses and nonprofits should attach documentation of their organization’s indirect cost rate.

Is your application complete?

Ensure that you have a complete application package, including:

Small Business Checklist Non-Profit Checklist ☐ All applicable questions answered ☐ Completed project timeline ☐ Completed project budget ☐ Required signatures scanned and attached to electronic document ☐ Financial statements from last 2 years ☐ If applicable, documentation of your organization’s indirect cost rate

☐ All applicable questions answered ☐ Completed project timeline ☐ Completed project budget ☐ Required signatures scanned and attached to electronic document ☐ IRS Form 990 from last 2 years ☐ Nonprofit 501(c)(3) and (c)(4) documents to share status ☐ If applicable, documentation of your organization’s indirect cost rate

Ready to submit?

Attach the completed application form saved in .pdf format and all required documentation to an email, and send to workforcegrants2020@deq.state.or.us. Applications must be received by 11:59 p.m. PDT, Friday June 5, 2020.

If you are having problems submitting electronically, please contact Marie Diodati, Diodati.Marie- Helene@deq.state.or.us, 503-229-5446, before 5 p.m. on June 5, 2020.

Emails have a 10MB limit. Most applications exceed 10MB. If your application exceeds 10MB, submit it in parts. Add to the subject line “Part 1 of (total number of parts),” “Part 2 of (total number of parts)” etc. Please list the items you are attaching to each email in the email body, list all attachments that are included in each email.

Applications must be received by 11:59 p.m. (PDT), June 5, 2020. Applicants are encouraged to participate in the conference call DEQ is hosting to answer any questions about the application document on Tuesday, April 21 for reuse and repair entities thinking about applying and Tuesday, April 28 for Oregon Tribes thinking about applying as well. The conference line number will be shared on the DEQ website shortly. You can find the recording of these calls on the website .

Back to top mailto:workforcegrants2020@deq.state.or.us mailto:Diodati.Marie-Helene@deq.state.or.us mailto:Diodati.Marie-Helene@deq.state.or.us https://www.oregon.gov/deq/mm/Pages/Product-Lifespan-Extension.aspx

Ready to submit?