COMMONWEALTH OF PENNSYLVANIA

DEPARTMENT OF LABOR AND INDUSTRY

OFFICE OF VOCATIONAL REHABILITATION

Grant Agreement to Develop

The ACES (Access College-Employment Success) Project

Document Number

THIS GRANT AGREEMENT is made and entered into this day of , at Harrisburg, County of Dauphin, Commonwealth of Pennsylvania, by the Office of Vocational Rehabilitation, hereinafter called "OVR," and ______hereinafter called the "Grantee."

This Grant will be funded by the Reemployment Fund. The Reemployment Fund is to be used in part for programs and services to assist individuals to become employed or improve their employment, including without limitation job search and placement services, educational enhancement, job training and job readiness and workplace skills training. Section 605.1 of the Pennsylvania Unemployment Compensation Law, Act of December 5, 1936, Sec. Ex. Sess. P.L. (1937) 2897, as amended, 43 P.S. § 841.5.

OVR and the Grantee, intending to be legally bound, and in consideration of the acceptance of the terms and conditions contained in this grant and the award of a grant in the amount of $______, hereby agree as follows:

1. The Grantee, in consultation with OVR, will furnish all qualified personnel, facilities, materials, and perform all aspects of the grant project as hereinafter described in the Riders, attached hereto and made a part hereof as fully as if incorporated herein, as follows:

RIDER A, Specifications of Work to be Performed - Grantee Proposal

RIDER B, Terms and Conditions

RIDER C, Certification and Assurance Forms

RIDER D, Budget Information

2. The Grantee will comply with all applicable State and Federal laws, regulations, policies and guidelines, and furnish assurances and certifications of compliance as required herein.

In Witness whereof the parties hereto have affixed their signatures intending to be legally bound.

Office of Vocational Rehabilitation

Name of Agency

By:

Director Date OVR Executive Director Date

Approved As To Form And Legality:

Chief Counsel, Date Deputy General Counsel Date

Pa. Dept. of Labor & Industry Office of General Counsel

Attorney General Date

Office of Attorney General

Funding of this grant is contingent upon the availability of funds and approval of the grantor agency.

Approved:

Comptroller, Department Date

Subcontracting Agency Federal I.D. Number

or Social Security Number:

______

Instructions for completing the Grant Agreement Form

1. Leave the Document Number line blank.

2. Leave the date and year lines blank.

3. Type the name of your agency on the third line of paragraph one.

4. Leave the amount of the grant line blank.

5. On the top of the second page, type the name of your Agency on the first line.

6. Authorized Individual signs the Grant Agreement Form on the line under the Agency name.

7. Type the Federal I.D. Number or the Social Security Number for the Grantee on the appropriate line in the middle of the second page.

A copy of this signed form will be provided once the document has received approval and all the required parties’ signatures.