S-44300-00008989 RFGP Round 6 HOWTO Opportunity Notice Final combined with all addenda.pdf

Oregon Buys Number S-44300-00008989 HOWTO RFGP Round 6

HOWTO Request for Grant Proposal (RFGP) Round 6

Table of Contents

1. BACKGROUND

2. PURPOSE

3. PROPOSAL REQUIREMENTS AND PARAMETERS

4. TO APPLY

5. PROPOSAL AND GRANT AWARD TIMELINES

6. CONTACT INFORMATION

7. SUBMISSION PROCESS DETAILS

8. CONTENT AND FORM OF PROPOSAL

9. PROPOSAL REVIEW PROCESS

10. GRANT RECIPIENT REQUIREMENTS

11. GRANT FUND DISBURSEMENTS

12. GRANT AGREEMENT DOCUMENTS

LIST OF ADDITIONAL DOCUMENTS

Document 1 – HOWTO Proposer Information Form Document 2 – HOWTO Timeline Document 3 – HOWTO Grant Budget Table Document 4 – HOWTO Review Scoring Form Document 5 – HOWTO Team Scoring Form Document 6 – HOWTO Grant Proposal Checklist

HOWTO RFGP Round 6 Page 3 of 14

1. BACKGROUND

The State of Oregon (“State”) is committed to a health care workforce that appropriately meets the needs of all Oregonians and is reflective of the communities being served. To advance this goal, Oregon Health Authority (OHA) and Oregon Health & Science University (OHSU) have dedicated approximately $9 million over the 2023-25 biennium for the Healthy Oregon Workforce Training Opportunity Grant Program (hereinafter “HOWTO Grant Program”). This grant program is being administered under the direction of the Oregon Health Policy Board, in partnership with OHA and OHSU. Up to $9 million will be awarded in this round, with up to $1 million of that amount designated to support organizations applying for projects requesting under $300,000. We encourage Proposers to apply for the amount appropriate for the project. No single award will be made in excess of $1 million.

2. PURPOSE

The HOWTO Grant Program is intended to expand health professional training within the State to address health care workforce shortages for people in:

• Culturally and linguistically diverse groups;

• Groups that have been economically and socially marginalized;

• Tribal communities;

• Rural communities; and

• Communities experiencing inequities throughout Oregon.

The program is designed to support innovative, transformative, and community-based training initiatives that will address health care workforce shortages and expand the diversity of the health professional workforce.

3. PROPOSAL REQUIREMENTS AND PARAMETERS

a. Core Values

Below are the core values through which OHA will view proposals.

Proposers are required to explain how their proposals address the following core values:

1) Support greater ethnic, racial, cultural, and linguistic diversity in

Oregon’s health care workforce;

2) Advance trauma informed care in workforce training programs;

3) Address health inequities and social determinants of health; and

4) Expand current and/or develop new health professional training in a local area.

b. Proposal Requirements and Award Determination Criteria

1) OHA will consider proposals from across all disciplines of the health care system. Examples include medical, oral health, behavioral health, and public health.

2) Proposers must be organizations launching innovative training initiatives that address documented shortages in specific areas of the local health care workforce. Eligibility to apply is not dependent on organization type/business designation.

Examples include educational institutions, consortia, health care service organizations, community-based organizations, and other entities seeking funding.

3) Only one HOWTO proposal per organization per round may be submitted.

c. Funding Guidelines

1) Proposers may request funding for up to 3 years.

2) Proposals requesting up to $1 million are allowed.

3) Grant funds may not be used for capital construction costs.

4) Grant funds may not be used for maintenance of effort of existing activities.

Maintenance of effort consists of maintaining current funding levels and existing activities. The objective of this Round 6 HOWTO funding is for new project or expansion efforts to support innovative, transformative, and community-based training initiatives.

5) Grant funding may not be used to expand current or previous rounds of HOWTO grant projects; these Round 6 HOWTO funds are intended only for new HOWTO grant projects that utilize different workforce training strategies and innovations distinct from an organization’s previous HOWTO grant project. Current HOWTO recipients may apply for a NEW project, but they will be scored with respect to their new project only and will need to demonstrate capacity to support the new program.

6) OHA divisions or programs cannot be a direct beneficiary of the funding or serve as direct partners in a proposal.

d. Notice of non-discrimination Any grant recipient must represent that it does not and will not discriminate against anyone on the basis of age, ancestry, disability, race, color, citizenship, national origin, creed, political or religious affiliation, sex (including pregnancy-related conditions), familial or marital status, sexual orientation, gender identity or expression, military status, unfavorable discharge from the military, status as a protected veteran, or other groups protected by law.

4. TO APPLY

For those interested in applying, refer to this Request for Grant Proposals

(RFGP) and the additional documents that outline eligibility requirements, expected contents of the proposal packet, review process and timeline.

5. PROPOSAL AND GRANT AWARD TIMELINES

a. Timeline

• September 23, 2024: Request for Grant Proposal announcement released

• October 23, 2024 11:00am- 12:30pm Pacific Time: HOWTO Grant Proposal Webinar – Information Session I:

Join ZoomGov Meeting https://www.zoomgov.com/j/1602448778?pwd=RStFdXBJTkdMVmNHakNqZ 0hhcnlrdz09

Meeting ID: 160 244 8778 Passcode: 890279 One tap mobile +16692545252,,1602448778# US (San Jose) +16468287666,,1602448778# US (New York)

• November 7, 2024 12:00-1:30pm Pacific Time: HOWTO Grant Proposal Webinar Information Session II:

Join ZoomGov Meeting:

https://www.zoomgov.com/j/1602320664?pwd=Y1VERHEyL3RMMGZJY3h3Z

1I1R1FVQT09

Meeting ID: 160 232 0664 Passcode: 526345 One tap mobile +16692545252,,1602320664# US (San Jose) +16468287666,,1602320664# US (New York)

• December 2, 2024, 1:00PM Pacific Time: Questions/Requests for clarification submitted via OregonBuys Q&A tab.

• December 16, 2024, at 3:00pm Pacific Time: Grant proposal deadline

• December 17, 2024- February 28, 2025: Grant proposal evaluation by Grant Evaluation Committees

• March 7, 2025: Grant Proposers notified (recipients and non-recipients)

• March 10-June 13, 2025: Grant Agreement development and execution

• June 16, 2025: New Grant cycle begins

b. Submission Deadline

December 16, 2024 at 3:00pm Pacific Time https://www.zoomgov.com/j/1602448778?pwd=RStFdXBJTkdMVmNHakNqZ0hhcnlrdz09 https://www.zoomgov.com/j/1602448778?pwd=RStFdXBJTkdMVmNHakNqZ0hhcnlrdz09 https://www.zoomgov.com/j/1602320664?pwd=Y1VERHEyL3RMMGZJY3h3Z1I1R1FVQT09 https://www.zoomgov.com/j/1602320664?pwd=Y1VERHEyL3RMMGZJY3h3Z1I1R1FVQT09

OHA must receive proposals by the date and time specified above. Proposals received after the closing date and time will not be considered. Proposers should allow sufficient time for uploading the required documents into OregonBuys and to confirm that all required documents have been uploaded in the proposal to the OregonBuys system. Incomplete documents cannot be submitted after the deadline.

6. CONTACT INFORMATION

a. RFGP Sole Point of Contact (SPC):

All communications concerning this RFGP must be directed only to the sole point of contact named below using the process in section b. below. Any unauthorized contact regarding this RFGP with other State employees or officials may result in proposal rejection. Any oral communications will be considered unofficial and non-binding.

OC&P Contact Name: Suzanne Christman Oregon Department of Human Services Office of Contracts and Procurement 500 Summer Street NE, E-03 Salem, OR 97301 Telephone: 971-283-4505

Email: suzanne.christman@odhsoha.oregon.gov

b. Questions/Requests for Clarification

All inquiries, whether relating to the solicitation process, administration, deadline, or method of award, or to the intent or technical aspects of the solicitation must:

(1) Be submitted through OregonBuys using the Q&A tab.

Vendors must register in OregonBuys to submit a question.

(2) Refer to the specific area of the solicitation being questioned (i.e., page, section, and paragraph number); and

(3) Be received by the due date and time for Questions/Requests for

Clarification identified in Section 5. “PROPOSAL AND GRANT

AWARD TIMELINES.

7. SUBMISSION PROCESS DETAILS

Proposals must be submitted electronically through the OregonBuys website (https://OregonBuys.gov) under number S-44300-00008989. To submit a proposal, a Proposer will need to create an account. Instructions to create an account can be found at the following link:

https://www.periscopeholdings.com/assets/uploads/misc/OregonBuys_RegistrationGui de.pdf If you have questions about OregonBuys website, please contact the OregonBuys Supplier Help Desk at 855-800-5046.

The deadline for submission is December 16, 2024 at 3:00pm Pacific Time. Proposers are encouraged to submit proposals prior to the deadline to allow time for the OregonBuys mailto:suzanne.christman@odhsoha.oregon.gov https://oregonbuys.gov/ https://www.periscopeholdings.com/assets/uploads/misc/OregonBuys_RegistrationGuide.pdf https://www.periscopeholdings.com/assets/uploads/misc/OregonBuys_RegistrationGuide.pdf mailto:funding@ohsu.edu system downtime or errors. In the event a Proposer receives an error message at the time of submission of their proposal, Proposers must contact the OregonBuys Helpdesk at 855- 800-5046 to resolve submission issues to ensure proposals are received by the deadline.

Document 6 “HOWTO Grant Proposal Checklist” has been provided for use to help ensure all documents are included in the proposal packet during submission.

8. CONTENT AND FORM OF PROPOSAL (to be submitted as 1 PDF file and 1 budget table Excel file, as described in the Document 6 HOWTO Grant Proposal Checklist)

a. Proposer Information Form

The Proposer must complete and submit the HOWTO Proposer Information Form provided in Document 1.

The Proposer Information Form also includes the Project Summary (No more than 500 words). The summary will be used to provide reviewers with an overview of the proposal and will form the basis for the proposal summary in grants management and program documents. If the project is funded, the Project Summary may be published on the HOWTO Grant Program website and in other online and hard-copy publications.

The Project Summary should include a brief description of the proposed project, including targeted workforce need, goal(s), objectives, outcomes, and evaluation plan; and explain how this project will center on and advance health equity and antiracism and contribute to increasing the diversity of Oregon’s health care workforce.

b. Project Narrative [Suggested Length: Less than 15 pages] For the following documents, Proposers should include a cover page and table of contents using 12-point font with margins of one inch on all sides. When creating your proposal, Proposers should consider the suggested page lengths using plain language that is clear, relevant, brief, and active. A plain language guide can be found at:

https://www.oregon.gov/das/Docs/plain_language_guide.pdf .

1) Problem Statement:

• Briefly identify and define the workforce shortage and contributing factors that will be addressed by the proposed project and activities.

• Include data to document the significance or prevalence of the problem being addressed.

2) Goals, Objectives, and Outcomes:

• Goals: Briefly describe overall project goals (broad, long-term expectations resulting from the project). Goals must be ambitious and achievable in the project timeframe.

• Objectives: Include short-term and long-term objectives and https://www.oregon.gov/das/Docs/plain_language_guide.pdf clearly describe how they support the project goals.

• Outcomes: Identify measurable outcomes for the proposed activities and explain how outcomes tie to project goals and long-term objectives.

3) Program Plan: Provide a clear and concise description of the project, explaining how the project will address the workforce shortage and advance health equity.

• Specify evidence-based strategies and practices to be used in proposed project activities in relation to the workforce shortage to be addressed.

• The proposal should strive to demonstrate the effectiveness of a highly innovative approach.

• Describe any products to be developed by the project, if applicable.

• Clearly describe how the project will be carried out and the role(s) of collaborating organizations or subrecipients.

• Describe how the Proposer envisions that the project may be applicable to other communities across the State

• Timeline: Using Document 2 “HOWTO Timeline” as a template, describe specific strategies or activities planned to achieve each objective. For each activity, describe how, when, where, by whom, and for whom it will be conducted.

o Be clear, specific, and concise. At minimum, Proposers should include the start and end dates, duration of each activity, the activity’s relationship to each objective and who is responsible to complete that activity.

4) Evaluation Plan: Explain how the proposal will evaluate project components.

• Based on the outcomes and program plan described in

2) and 3), the evaluation plan should include the steps the proposal will take to assess the program throughout the award period (including implementation of an evaluation plan at the start of the project).

• Describe what steps Proposer will take to assess processes and outcomes to determine if changes need to be made during implementation of the program.

• Include any quantitative and qualitative methods of evaluation that will be used to measure if the program and its implementation are successful, and identify victories, challenges, and lessons learned throughout the project.

5) Organizational Capability:

• Describe how the Proposer (or the division within Proposer’s organization that will have responsibility for this project) is organized, the nature and scope of its work, and the capabilities it possesses to support the success of the proposed project. The Proposer should document significant experience working in health care workforce development or be in a partnership with an organization that does have significant documented health care workforce experience.

• Provide a description of the proposed staff Proposer will utilize for the project, including job descriptions for key staff (including the Project Director), qualifications and responsibilities of each staff member and percentage of time each will commit to the project. Provide a description of duties for proposed consultants and volunteers, if applicable.

6) Plan for Program Sustainability:

Please Note: Ongoing sustainability beyond the funded grant period is a key factor considered in the review.

• Include a detailed description of how the Proposer expects to sustain the proposed project after the end of the award including key partnerships that will aid in project sustainability.

c. Budget Narrative [Suggested Length: Less than 2 Pages]

1) The Proposer must submit a Budget Narrative.

• The Budget Narrative is a detailed budget justification and is a key part of the proposal.

• In the Budget Narrative, discuss the necessity, reasonableness, and allocation of the proposed costs.

Budget calculations must include estimation methods, quantities, unit costs, and other similar quantitative detail sufficient to verify the calculations. While proposals must clearly identify the investments and/or resources being committed by the communities or partners in support of the proposed program, there is not a specified financial match requirement. The Proposer must include a detailed listing of any community/partner funding sources identified. The Proposer must indicate the method being used to calculate any overhead/indirect costs.

2) Each Budget Narrative must also include:

• Plan for Oversight of Award Funds. This section should:

o Describe how Proposer will provide oversight of funds.

o Describe the organizational systems that demonstrate effective control over and accountability for funds and program income, compare outlays with budget amounts, and provide accounting records supported by source documentation.

o Describe organizational controls that will ensure timely and accurate submission of annual and final financial reports.

• Object Class Category:

The Budget Narrative must align with the provided Document 3 Grant Budget Table and list of object class category definitions for items through the life of the proposed project. Object Class Category Definitions and Descriptions and Required Justifications include the following:

o Program Income Description: Program income means gross income earned by your organization that is directly generated by this project if it is funded. Program income includes but is not limited to income from fees for services performed or the use or rental of real or personal property acquired under the award. Interest earned on advances of funds is not program income. Program income does not include rebates, credits, discounts, and interest earned on any of them.

o Program Income Justification: Description and estimation of the sources and amounts of Program Income that this project may generate if funded.

o Community Resources: Detailed description of the community investment and other resources that will be used to support the project.

o Personnel Description: Costs of staff salaries and wages, excluding benefits.

o Personnel Justification: Identify the project director or principal investigator, if known at the time of proposal.

Provide personnel costs detailing for each proposed staff person: the title; full name (if known at time of proposal), time commitment to the project as a percentage of full-time equivalent; annual salary and/or annual wage rate. Do not include the costs of consultants, personnel costs of delegate agencies, or of specific project(s) and/or businesses to be financed by the Proposer. Contractors and consultants should not be placed under this category.

o Fringe Benefits Description: Costs of employee fringe benefits unless treated as part of an approved indirect cost rate.

o Fringe Benefits Justification: Provide a breakdown of the amounts and percentages that comprise fringe benefit costs such as health insurance, Federal Insurance Contributions Act (FICA) taxes, retirement insurance, and taxes.

o Travel Description: Costs of travel by Proposer’s staff .

o Travel Justification: For each trip, show the date of the proposed travel, total number of traveler(s); travel destination; duration of trip; per diem; mileage allowances, if privately owned vehicles will be used; and other transportation costs and subsistence allowances.

o Equipment Description: "Equipment" means an article of nonexpendable, tangible personal property having a useful life of more than one year per unit and an acquisition cost that equals or exceeds the lesser of: (a) the capitalization level established by the organization for the financial statement purposes, or (b) $5,000. (Note: Acquisition cost means the net invoice unit price of an item of equipment, including the cost of any modifications, attachments, accessories, or auxiliary apparatus necessary to make it usable for the purpose for which it is acquired. Ancillary charges, such as taxes, duty, protective in-transit insurance, freight, and installation, shall be included in or excluded from acquisition cost in accordance with your organization's regular written accounting practices.)

o Equipment Justification: For each type of equipment requested PProposers must provide a description of the equipment; the cost per unit; the number of units; the total cost; and a plan for use of the equipment in the project; as well as a plan for the use, and/or disposal of, the equipment after the project ends. A Proposer that uses its own definition for equipment should provide a copy of its policy, or section of its policy, that includes the equipment definition as an Appendix. Reference the policy in this justification.

o Supplies Description: Costs of all tangible personal property other than those included under the Equipment category. This includes office and other consumable supplies with a per-unit cost of less than $5,000.

o Supplies Justification: Specify general categories of supplies and their costs. Show computations and provide other information that supports the amount requested.

o Contractual Description: Costs of all contracts or subawards* (*for purposes of clarification, when referenced herein, subawards, subrecipients, and the like, are referring to the generic use of the terms, not the Federal definitions) for services and goods except for those that belong under other categories such as equipment, supplies, construction, etc. Include third-party evaluation contracts, if applicable, and contracts or subawards with subrecipient organizations (with budget detail), including delegate agencies and specific project(s) and/or businesses to be financed by the Proposer. This line item is not for individual consultants.

o Contractual Justification: Demonstrate that all procurement transactions will be conducted in a manner to provide, to the maximum extent practical, open, and free competition.

Recipients may be required to make pre-award review and procurement documents, such as requests for proposals or invitations for bids, independent cost estimates, etc., available to OHA upon request.

o Other Description: Enter the total of all other costs. Such costs, where applicable and appropriate, may include but are not limited to: consultants; insurance; professional services (including audit charges); space and equipment rent; printing and publication; training, such as tuition and stipends; staff development costs; and any other costs not addressed elsewhere in the budget. Food is not generally allowed unless an allowable program expense within the applying organization.

o Other Justification: Provide computations, a narrative description, and a justification for each cost under this category.

o Overhead Cost Description: Total amount of overhead costs requested (if applicable) and justification for such costs in the execution of the project.

d. Appendices The Proposer must submit the following in the Appendices:

• Appendix A: Letters of Commitment from each Partner Organization.

The PProposer must submit with its proposal a Letter of Commitment

(LOC) between the Proposer organization and each partner organization.

Partner organizations are those that have a substantial role in the project and are contributing roles and/or resources to (or are receiving funding from) the project. Each LOC must clearly delineate the roles and resources (including in-kind) that each entity will bring to the project; state the duration and terms of the agreement and cover the entire project period.

Each LOC must be signed by the authorized representatives of each partner organization.

Signatures on the LOC may be by facsimile transmission or other electronic means, and the LOC may be executed in any number of counterparts, all of which together shall constitute one signed LOC.

Note: Letters of Commitment are not the same as letters of support.

Letters of support are letters that are general in nature that speak to the writer’s belief in the capability of a PProposer to accomplish a goal/task. Letters of support also may indicate an intent or interest to work together in the future, but they lack specificity. You should NOT provide letters of support, and letters of support such as this will not be considered during the review.

• Appendix B: Curriculum Vitae/Resume/ Biographical Sketches for Key Project Personnel The Proposer must submit with its proposal curriculum vitae, resumes, or short biographical sketches of all key personnel.

e. Budget Table Using Document 3 “HOWTO Grant Budget Table” as a template, the Proposer must submit a budget table in the Excel file format with no rounding. This file shall be uploaded to the OregonBuys Bid Solicitation Number S-44300-000008989 with the naming convention:

OrganizationName_LastNameOfMainContact_HOWTO_6 Budget Table On the provided grant budget table, the HOWTO Grant Program funds being requested are not to be listed as Revenue. Ensure that the Budget Table and Budget Narrative items are in alignment with the Project Narrative. It should be easy to identify the relationship between the financial requests and the project. Not doing so could negatively impact the score during the evaluation.

9. PROPOSAL REVIEW PROCESS

a. Proposal Evaluations:

Proposers must follow the guidelines in this RFGP. Any proposal submission missing the required information will be returned to the Proposer ineligible.

Proposals not meeting other RFGP requirements may be returned to Proposers upon administrative review/determination.

b. Upon closing of the RFGP, the RFGP SPC will review Proposals to ensure that document requirements are received and met. Proposals that are complete and meet the requirements will then be forwarded to an evaluation committee (the “Grant Evaluation Committee”) made up of OHA staff and community members (“Reviewers”) for review and evaluation. Reviewers will evaluate their assigned proposals independently and will excuse themselves from the review process if there is a conflict of interest (all reviewers will sign a conflict-of-interest form).

The Reviewers will document their evaluation of each proposal based on Document 4 “HOWTO Review Forms.” Document 5 will be used by OHA staff for further evaluation of alignment with the HOWTO Program “Purpose” and “Core Values” sections. Upon conclusion of Reviewer’s individual reviews, the Grant Evaluation Committee will come together to discuss proposals and finalize the scores and feedback for Proposers. Reviewer scores and comments will then be utilized by the HOWTO Recommender Panel for holistic consideration of proposals, along with regional distribution, health care workforce needs, discipline, and utilize a statewide perspective.

Final selection of the Proposals to receive grant awards under this RFGP, will be made by OHA based on the scores and justifications provided by the Grant Evaluation Committee from Document 4 and 5, and the HOWTO Recommender Panel. Proposals may also be prioritized for selection based on specialty populations, region (i.e., rural regions), and especially those proposing projects that are advancing trauma-informed, ethnic, racial, cultural, and linguistic diversity in the health care workforce. Once final awards are decided, all Proposers will be informed of their decision in accordance with the timeline listed above.

Upon notification of award results, a Proposer may contact the RFGP SPC to obtain the Document 4 and 5 “HOWTO Review Forms” used by each reviewer as justification for the outcome of that Proposer’s proposal. A Proposer may also ask for additional feedback.

c. Proposal Rejection:

OHA may reject a Proposer’s proposal if the Proposer attempts to influence a member of any of the Committees serving this Request for Grant Proposal solicitation opportunity.

d. Negotiable Items:

OHA may negotiate the following items with a successful Proposer:

• The amount of the grant award and payment provisions subject to a maximum grant limit stated in this RFGP.

• The description of program activities provided; and

• The approved budget line items of the grant award.

e. Changes/ Modifications and Clarifications When appropriate, OHA will issue revisions, substitutions, or clarifications as addenda to this RFGP by uploading the addenda to OregonBuys. Changes and modifications to the RFGP shall be recognized only if in the form of written addenda uploaded to OregonBuys by OHA.

f. Reservations of OHA Rights OHA reserves all rights regarding this RFGP, including, without limitation, the right to:

• Amend or cancel this RFGP without liability if it is in the best interest of

OHA to do so.

• Waive any minor informality or non-conformance with the provisions or procedures of this RFGP.

• Seek clarification of any proposal.

• Negotiate the program activities described in this RFGP.

• Amend or extend the term of any Agreement that is issued as a result of this RFGP.

• Engage Proposer(s) by selection or procurement for different or additional program activities independent of this RFGP process and any agreements entered into pursuant hereto,

• Enter into direct negotiations to execute a grant agreement with a successful Proposer in the event that the Proposer is the sole Proposer to this RFGP, and OHA determines that the Proposer satisfies the minimum RFGP requirements; and

• Reject any proposal upon finding that to accept the proposal may impair the integrity of the solicitation process or that rejecting the proposal is in the best interest of OHA.

g. Selection Notice:

The apparent successful Proposer(s) shall be notified in writing by OHA.

h. Release of Information:

No information shall be given to any Proposer (or any other individual) relative to proposal scoring while the RFGP review process is in progress.

i. Public Information:

After recipients are notified, the grant solicitation file is subject to public disclosure in accordance with the Oregon Public Records Law (ORS 192.311- 192.478). If any part of a proposal is considered a trade secret as defined in Oregon Revised Statues 192.502(2) or otherwise exempt from disclosure under Oregon Public Records Law, the Proposer shall submit one additional copy of their proposal that redacts only the exempt language. Any person may request copies of public information. However, copies of proposals will not be provided until the evaluation process has been completed and the recipients are notified.

Requests for copies of public information shall be in writing. Requestors will be charged according to the current OHA policies and rates for public records requests in effect at the time OHA receives the written request for public information. Fees, if applicable, must be received by OHA before the records are delivered to the requestor.

Information on how to request public information may be found here: https://www.oregon.gov/oha/ERD/Pages/Records.aspx

j. Cost of Proposals and Obligation:

All costs incurred in preparing and submitting a proposal in response to this RFGP will be the responsibility of the Proposer and will not be reimbursed by

OHA.

All Proposers who submit a proposal in response to this RFGP understand and agree that OHA is not obligated to select any Proposer and, further has absolutely no financial obligation to any Proposer arising from this RFGP.

10. GRANT RECIPIENT REQUIREMENTS

a. Prior to signing a Grant Agreement, a Grant Recipient must provide proof through a certificate of Insurance, of meeting the minimum Insurance Requirements which include:

• $1,000,000 per occurrence and $2,000,000 in aggregate in Commercial

General Liability Insurance.

• $1,000,000 per occurrence and $2,000,000 in the aggregate in

Professional Liability Insurance.

• Other insurance as may be required depending upon the nature of the project (i.e., auto insurance, etc.).

b. Grant Recipients will be asked to submit semi-annual (January and July) progress reports, financial reports, and invoices.

The progress reports will include broadly a description of activities, performance against goals described in the grant proposal, an explanation of steps taken if goals were not met, plans for the following period and any changes to budget expenditures in the upcoming period. Financial reports are expected to include detailed financial summaries of grant expenditures and include invoices.

c. After the last year of the grant, Recipient will be required to submit a final progress report summarizing the work achieved throughout the grant and the outcomes in relation to those initially described in the grant proposal. The final progress report will also describe how the program will be maintained following the end of the award.

d. Additionally, a final financial report will be required to close out the project.

e. Awardees will have a minimum of once-per-year site visits by the Grant

Program Administration Office.

11. GRANT FUND DISBURSEMENTS

Upon execution of a Grant Agreement, a 1/6 payment will be made to a Recipient and payment will be distributed bi- annually in 1/6 payments upon approval of the submitted invoice. This disbursement schedule assumes a 3-year grant and is subject to change.

12. GRANT AGREEMENT DOCUMENTS

https://www.oregon.gov/oha/ERD/Pages/Records.aspx

The final Grant Agreement(s) for Recipients of this RFGP will be substantially in the form of Exhibit A, “Sample Grant Agreement”.

SECTION 12. SAMPLE GRANT AGREEMENT

Grant Agreement Number 000000

STATE OF OREGON

GRANT AGREEMENT

You can get this document in other languages, large print, braille, or a format you prefer free of charge. Contact the Agreement Administrator at the contact information found below. We accept all relay calls.

This Agreement is between the State of Oregon, acting by and through its Oregon Health Authority, hereinafter referred to as “OHA,” and

Recipient Legal Entity Name d.b.a. Facility or Assumed Name

Address Address

Attention: (required) Telephone: (required)

Fax: (optional) E-mail address: (required) hereinafter referred to as “Recipient.”

The program to be supported under this Agreement relates principally to OHA’s

Health Policy and Analytics Delivery System Innovation Office (DSI)

Clinical Supports, Integration, and Workforce Unit 421 SW Oak Street Portland, OR 97204

Agreement Administrator: Melissa Yates or delegate Telephone: 503-508-5263

E-mail address: HOWTO.Grant.Program@odhsoha.oregon.gov mailto:HOWTO.Grant.Program@odhsoha.oregon.gov

1. Effective Date and Duration. This Agreement shall become effective on the later of: (I) the last date all required signatures in Section 6., below have been obtained, or (II) [insert start date] provided it is (i) signed by all parties on or before such date, and (ii) when required, approved in writing by the Oregon Department of Justice on or before such date, and (iii) when required, approved in writing by the Oregon Department of Administrative Services. Unless extended or terminated earlier in accordance with its terms, this Agreement shall expire on [insert end date]. Agreement termination shall not extinguish or prejudice OHA’s right to enforce this Agreement with respect to any default by Recipient that has not been cured.

2. Agreement Documents.

a. This Agreement consists of this document and includes the following listed exhibits which are incorporated into this Agreement:

(1) Exhibit A, Part 1: Program Description

(2) Exhibit A, Part 2: Disbursement and Financial Reporting

(3) Exhibit B: Standard Terms and Conditions

(4) Exhibit C: Insurance Requirements There are no other Agreement documents unless specifically referenced and incorporated into this Agreement.

b. In the event of a conflict between two or more of the documents comprising this Agreement, the language in the document with the highest precedence shall control. The documents comprising this Agreement shall be in the following descending order of precedence: this Agreement less all exhibits, Exhibits B, A, and C.

3. Grant Disbursement Generally. The maximum not-to-exceed amount payable to Recipient under this Agreement, which includes any allowable expenses, is $[insert amount]. OHA will not disburse grant to Recipient in excess of the not-to-exceed amount and will not disburse grant until this Agreement has been signed by all parties.

OHA will disburse the grant to Recipient as described in Exhibit A.

4. Contractor or Subrecipient Determination. In accordance with the State Controller’s Oregon Accounting Manual, policy 30.40.00.104, OHA’s determination is that:

Recipient is a subrecipient Recipient is a contractor Not applicable Catalog of Federal Domestic Assistance (CFDA) #(s) of federal funds to be paid through this Agreement: NA

5. Recipient Information and Certification.

a. Recipient Information. Recipient shall provide the information set forth below.

PLEASE PRINT OR TYPE THE FOLLOWING INFORMATION

Recipient Name (exactly as filed with the IRS):

Street address:

City, state, zip code:

Email address:

Telephone: ( ) Fax: ( )

Is Recipient a nonresident alien, as defined in 26 USC § 7701(b)(1), a foreign person, or a foreign entity? (Check one box): YES NO Business Designation. (Check one box):

Professional Corporation Nonprofit Corporation Limited Partnership Limited Liability Company Limited Liability Partnership Sole Proprietorship Corporation Partnership Other

Recipient Proof of Insurance. Recipient shall provide the following information upon submission of the signed Agreement. All insurance listed herein and required by Exhibit C, must be in effect prior to Agreement execution.

If Recipient is self-insured for any of the Insurance Requirements specified in Exhibit C of this Agreement, Recipient may so indicate by: (i) writing “Self-Insured” on the lines below; and (ii) submitting a certificate of insurance as required by Exhibit C.

Professional Liability Insurance Company: ___________________________________________ Policy #: ______________________________________ Expiration Date: ________________ Commercial General Liability Insurance Company: ____________________________________ Policy #: ______________________________________ Expiration Date: ________________ Automobile Liability Insurance Company: ___________________________________________ Policy #: ______________________________________ Expiration Date: ________________

Workers’ Compensation: Does Recipient have any subject workers, as defined in ORS 656.027? (Check one box): YES NO If YES, provide the following information:

Workers’ Compensation Insurance Company: ________________________________________ Policy #: ______________________________________ Expiration Date: ________________

b. Certification. Without limiting the generality of the foregoing, by signature on this Agreement, the undersigned hereby certifies under penalty of perjury that:

(1) Recipient is in compliance with all insurance requirements in Exhibit C of this Agreement and notwithstanding any provision to the contrary, Recipient shall deliver to the OHA Agreement Administrator (see page one of this Agreement) the required Certificate(s) of Insurance within 30 days of execution of this Agreement. By certifying compliance with all insurance as required by this Agreement, Recipient acknowledges it may be found in breach of the Agreement for failure to obtain required insurance. Recipient may also be in breach of the Agreement for failure to provide Certificate(s) of Insurance as required and to maintain required coverage for the duration of the Agreement;

(2) Recipient acknowledges that the Oregon False Claims Act, ORS 180.750 to 180.785, applies to any “claim” (as defined by ORS 180.750) that is made by (or caused by) the Recipient and that pertains to this Agreement or to the project for which the grant activities are being performed.

Recipient certifies that no claim described in the previous sentence is or will be a “false claim” (as defined by ORS 180.750) or an act prohibited by ORS 180.755. Recipient further acknowledges that in addition to the remedies under this Agreement, if it makes (or causes to be made) a false claim or performs (or causes to be performed) an act prohibited under the Oregon False Claims Act, the Oregon Attorney General may enforce the liabilities and penalties provided by the Oregon False Claims Act against the Recipient;

(3) The information shown in this Section 5.a. “Recipient Information”, is Recipient’s true, accurate and correct information;

(4) To the best of the undersigned’s knowledge, Recipient has not discriminated against and will not discriminate against minority, women or emerging small business enterprises certified under ORS 200.055 in obtaining any required subcontracts;

(5) Recipient and Recipient’s employees and agents are not included on the list titled “Specially Designated Nationals” maintained by the Office of Foreign Assets Control of the United States Department of the Treasury and currently found at: https://www.treasury.gov/resource-center/sanctions/SDN-List/Pages/default.aspx;

(6) Recipient is not listed on the non-procurement portion of the General Service Administration’s “List of Parties Excluded from Federal procurement or Non-procurement Programs” found at:

https://www.sam.gov/SAM;

(7) Recipient is not subject to backup withholding because:

(a) Recipient is exempt from backup withholding;

(b) Recipient has not been notified by the IRS that Recipient is subject to backup withholding as a result of a failure to report all interest or dividends; or https://www.treasury.gov/resource-center/sanctions/SDN-List/Pages/default.aspx https://www.treasury.gov/resource-center/sanctions/SDN-List/Pages/default.aspx https://www.sam.gov/SAM

(c) The IRS has notified Recipient that Recipient is no longer subject to backup withholding.

(8) Recipient’s Federal Employer Identification Number (FEIN) or Social Security Number (SSN) provided to OHA is true and accurate. If this information changes, Recipient shall provide OHA with the new FEIN or SSN within 10 days.

RECIPIENT, BY EXECUTION OF THIS AGREEMENT, HEREBY ACKNOWLEDGES

THAT RECIPIENT HAS READ THIS AGREEMENT, UNDERSTANDS IT, AND

AGREES TO BE BOUND BY ITS TERMS AND CONDITIONS.

6. Signatures. This Agreement and any subsequent amendments may be executed in several counterparts, all of which when taken together shall constitute one agreement binding on all parties, notwithstanding that all parties are not signatories to the same counterpart.

Each copy of the Agreement and any amendments so executed shall constitute an original.

Recipient Name By:

Authorized Signature Printed Name

Title Date

State of Oregon, acting by and through its Oregon Health Authority By:

Authorized Signature Printed Name

Title Date

Approved for Legal Sufficiency:

With Protect Form on, click here With Protect Form on, click here

Oregon Department of Justice Date

EXHIBIT A to SAMPLE AGREEMENT

Part 1 Program Description

Content will be provided in successful Proposer(s) Grant Agreement

EXHIBIT A to SAMPLE AGREEMENT

Part 2 Disbursement and Financial Reporting

Content will be provided in successful Proposer(s) Grant Agreement

EXHIBIT B to SAMPLE AGREEMENT

Standard Terms and Conditions

1. Governing Law, Consent to Jurisdiction. This Agreement shall be governed by and construed in accordance with the laws of the State of Oregon without regard to principles of conflicts of law. Any claim, action, suit or proceeding (collectively, “Claim”) between OHA or any other agency or department of the State of Oregon, or both, and Recipient that arises from or relates to this Agreement shall be brought and conducted solely and exclusively within the Circuit Court of Marion County for the State of Oregon; provided, however, if a Claim must be brought in a federal forum, then it shall be brought and conducted solely and exclusively within the United States District Court for the District of Oregon. In no event shall this Section be construed as a waiver by the State of Oregon of the jurisdiction of any court or of any form of defense to or immunity from any Claim, whether sovereign immunity, governmental immunity, immunity based on the eleventh amendment to the Constitution of the United States or otherwise. Each party hereby consents to the exclusive jurisdiction of such court, waives any objection to venue, and waives any claim that such forum is an inconvenient forum. This Section shall survive expiration or termination of this Agreement.

2. Compliance with Law. Recipient shall comply with all federal, state and local laws, regulations, executive orders and ordinances applicable to the Recipient and this Agreement. This Section shall survive expiration or termination of this Agreement.

3. Independent Parties; Conflict of Interest.

a. Recipient is not an officer, employee, or agent of the State of Oregon as those terms are used in ORS 30.265 or otherwise.

b. If Recipient is currently performing work for the State of Oregon or the federal government, Recipient by signature to this Agreement, represents and warrants that Recipient’s participation in this Agreement creates no potential or actual conflict of interest as defined by ORS Chapter 244 and that no statutes, rules or regulations of the State of Oregon or federal agency for which Recipient currently performs work would prohibit Recipient’s participation under this Agreement. If disbursement under this Agreement is to be charged against federal funds, Recipient certifies that it is not currently employed by the federal government.

4. Grant Funds; Disbursements.

a. Recipient is not entitled to compensation under this Agreement by any other agency or department of the State of Oregon. Recipient understands and agrees that OHA’s participation in this Agreement is contingent on OHA receiving appropriations, limitations, allotments or other expenditure authority sufficient to allow OHA, in the exercise of its reasonable administrative discretion, to participate in this Agreement.

b. Disbursement Method. Disbursements under this Agreement will be made by Electronic Funds Transfer (EFT). Upon request, Recipient shall provide its taxpayer identification number (TIN) and other necessary banking information to receive EFT disbursement. Recipient shall maintain at its own expense a single financial institution or authorized disbursement agent capable of receiving and processing EFT using the Automated Clearing House (ACH) transfer method.

The most current designation and EFT information will be used for all disbursements under this Agreement. Recipient shall provide this designation and information on a form provided by OHA. In the event that EFT information changes or the Recipient elects to designate a different financial institution for the receipt of any disbursement made using EFT procedures, the Recipient shall provide the changed information or designation to OHA on an OHA-approved form. OHA is not required to make any disbursement under this Agreement until receipt of the correct EFT designation and disbursement information from the Recipient.

5. Recovery of Overpayments. Any funds disbursed to Recipient under this Agreement that are expended in violation or contravention of one or more of the provisions of this Agreement (“Misexpended Funds”) or that remain unexpended on the earlier of termination or expiration of this Agreement (“Unexpended Funds”) must be returned to OHA. Recipient shall return all Misexpended Funds to OHA promptly after OHA’s written demand and no later than 15 days after OHA’s written demand. Recipient shall return all Unexpended Funds to OHA within 14 days after the earlier of termination or expiration of this Agreement. OHA, in its sole discretion, may recover Misexpended or Unexpended Funds by withholding from payments due to Recipient such amounts, over such periods of time, as are necessary to recover the amount of the overpayment. Prior to withholding, if Recipient objects to the withholding or the amount proposed to be withheld, Recipient shall notify OHA that it wishes to engage in dispute resolution in accordance with Section 13 of this Exhibit.

6. Ownership of Work Product. Reserved.

7. Indemnity. RECIPIENT SHALL DEFEND (SUBJECT TO ORS CHAPTER 180)

SAVE, HOLD HARMLESS, AND INDEMNIFY THE STATE OF OREGON AND

OHA AND THEIR OFFICERS, EMPLOYEES AND AGENTS FROM AND AGAINST

ALL CLAIMS, SUITS, ACTIONS, LOSSES, DAMAGES, LIABILITIES, COSTS AND

EXPENSES OF ANY NATURE WHATSOEVER, INCLUDING ATTORNEYS FEES,

RESULTING FROM, ARISING OUT OF, OR RELATING TO THE ACTIVITIES OF

RECIPIENT OR ITS OFFICERS, EMPLOYEES, SUBCONTRACTORS, OR AGENTS

UNDER THIS AGREEMENT.

THIS SECTION SHALL SURVIVE EXPIRATION OR TERMINATION OF THIS

AGREEMENT.

8. Default; Remedies; Termination.

a. Default by Recipient. Recipient shall be in default under this Agreement if:

(1) Recipient institutes or has instituted against it insolvency, receivership or bankruptcy proceedings, makes an assignment for the benefit of creditors, or ceases doing business on a regular basis;

(2) Recipient no longer holds a license or certificate that is required for Recipient to perform its obligations under the Agreement and Recipient has not obtained such license or certificate within 14 calendar days after

OHA’s notice or such longer period as OHA may specify in such notice;

or

(3) Recipient commits any material breach or default of any covenant, warranty, obligation or agreement under this Agreement, fails to perform any obligation under this Agreement within the time specified herein or any extension thereof, or so fails to pursue performance of any obligation as to endanger Recipient’s performance under this Agreement in accordance with its terms, and such breach, default or failure is not cured within 14 calendar days after OHA’s notice, or such longer period as OHA may specify in such notice.

b. OHA’s Remedies for Recipient’s Default. In the event Recipient is in default under Section 8.a., OHA may, at its option, pursue any or all of the remedies available to it under this Agreement and at law or in equity, including, but not limited to:

(1) termination of this Agreement under Section 8.e.(2);

(2) withholding all or part of monies not yet disbursed by OHA to Recipient;

(3) initiation of an action or proceeding for damages, specific performance, or declaratory or injunctive relief; or

(4) exercise of its right of recovery of overpayments under Section 5. of this

Exhibit B.

These remedies are cumulative to the extent the remedies are not inconsistent, and OHA may pursue any remedy or remedies singly, collectively, successively or in any order whatsoever. If a court determines that Recipient was not in default under Section 8.a., then Recipient shall be entitled to the same remedies as if this Agreement was terminated pursuant to Section 8.e.(1).

c. Default by OHA.