1.Attachment A- Letter of Intent to Bid One-Stop Career Center Request for Proposals

Submit this letter to REBHC by September 16, 2016

Name of Lead Organization:______

Address:______

______

Contact Person:______

Telephone:______Fax: ______

Collaborating Organizations (if any):

Organization Name:______

Address:______

Contact Person:______

Telephone:______Fax: ______

Organization Name:______

Address:______

Contact Person:______

Telephone:______Fax: ______

Organization Name:______

Address:______

Contact Person:______

Telephone:______Fax: ______

Organization Name:______

Address:______

Contact Person:______

Telephone:______Fax: ______

Which center(s) do you plan to bid on?

Springfield-based____ Holyoke-based ____ Both____

______

Authorized Signatory, including name and titleDate

(from lead organization)

Submit to: Christine Abramowitz

Vice-President of Planning and Workforce Systems

Regional Employment Board of Hampden County, Inc.

1441 Main Street, Springfield MA 01103

fax letters accepted: 413-755-1364

emailed letters accepted:

3.Attachment C - APPEAL REQUEST FORMS

TO: A. Craig Brown, REBHC Chair DATE:

Regional Employment Board of Hampden County, Inc.

1441 Main Street

Springfield MA 01103

FROM: Name:

Address:

Lead Organization:

Phone Number:

I(we) wish to exercise the right to appeal the decision of the REBHC which is described in the Request for Proposal document. I(we) have been provided with the information about the REBHC Appeal process. A written statement that describes the grounds for this appeal is attached.

NOTE: ALL PARTIES/ORGANIZATIONS IN A COLLABORATIVE BID MUST SIGN THIS APPEAL FORM.

Signature, OrganizationDate

Signature, Organization Date

Add more as necessary

REBHC APPEAL REQUEST FORM

The issue(s) which I(we) wish to appeal is/are: (please describe your disagreement with the REBHC, indicating how you were denied full and fair consideration and how the selection process as described in the RFP was violated:)

4.Attachment D - Proposal Cover Sheet

Name of Organization (lead agency): ______

______

Address:______

______

Telephone:______Fax: ______

Contact Name: ______

Name of Chief Executive Officer: ______

Telephone (if different from above): ______

Type of Organization Public Private:

Not-for-Profit Sole Proprietorship Partnership

Corporation

Other, List, City: ______

EIN/TIN: ______

If the bidder is a partnership, under the penalties of perjury, state the true name and addresses and interests of all partners on a separate page attached to this Certification.

If bid is from a collaboration, list all collaborators:

______

Which center are you proposing to operate?

Springfield-based:____Holyoke-based: ____

Number of Customers to be ServedJob SeekersEmployers

First Year______

Second Year______

Third Year______

Fourth Year______

Bidder Certification:I certify that I am empowered to commit the bidding organization to a charter with the Regional Employment Board of Hampden County, Inc., that I have reviewed the contents of this proposal and verify its accuracy, and that I understand and agree to the commitments and obligations made.

______

Signature, Title, Date

______

Type Name and Title

5.Attachment E - Proposal Checklist of Materials to Be Submitted

One-Stop Career Center Operator Proposal Submission Components:

One (1) electronic copy (in .pdf format via USB flash drive) of entire submission

One (1) Original (so marked with original signatures) and ten (10) copies of the following:

Signed Proposal Cover Sheet (Attachment A) and Table of Contents (for all parts of proposal, including attachments listed below)

No more than 2-page Executive Summary

Proposal Narrative

Budget Form and Narrative Information (Attachment G)

No more than 3 pages of Additional Budget Narrative

Attachments:

Memorandum of Agreement (if bidder is a collaborative)

Organizational chart

Resumes of Principles

Customer flow chart for Job seekers

Customer flow chart for Employers

Monthly plan of operations for Year 1 – Job Seekers and Employer

Implementation Timeline

REMINDER: (Proposal Narratives are limited to 30, single-sided, 8.5” x 11” pages, using a typeface of no smaller than 12 point - not including cover sheet, table of contents, executive summary budgets, and other attachments.)

Attachments:

One (1) Original and one (1) copy of the following:

Last two years of financial audits with accompanying management letters

Certificate ofGood Standing that alltax liabilities have been met

Job Descriptions

Signed Proposal Checklist of Materials to be submitted (Attachment E)

Signed Organizational Assurances and Certifications (Attachment F)

I certify that the above requirements are included and/or met.

______

Signature (from lead organization)Date

All of the above information is required. Failure to provide this information will render the proposal non-responsive and will therefore not be reviewed.

Do not write in this space - FOR REBHC STAFF USE ONLY
This proposal meets does not meet minimum threshold requirements. (use other side for comments)
Authorized staff signature: ______Date: ______

6.Attachment F - Organizational Assurances and Certifications

CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND

VOLUNTARY EXCLUSION - LOWER TIER COVERED TRANSACTIONS

This certification is required by the Department of labor regulations implementing Executive Order 12549, Debarment and Suspension, 29 CFR Part 98, for all lower tier transactions meeting threshold and tier requirements.

Instructions for Certification

By signing and submitting this proposal/contract, the prospective lower tier participant is providing the certification set out below.
The certification in this clause is a material representation of fact upon which reliance was placed when this transaction was entered into. If it is later determined that the prospective lower tier participant knowingly rendered an erroneous certification, in addition to the other remedies available to the Federal Government, the REB may pursue available remedies, including suspension and/or debarment.
The prospective lower tier participant shall provide immediate written notice to the REB if at any time the prospective lower tier participant learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances.
The terms “covered transaction,” “debarred,” “suspended,” “ineligible,” “lower tier covered transaction,” “participant,” “person,” “primary covered transaction,” “principal,” “proposal,” and “voluntarily excluded,” as used in this clause, have the meanings as set out in the Definitions and Coverage sections of the rules implementing Executive Order 12549.
The prospective lower tier participant agrees by submitting this proposal that, should, the proposed covered transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by the funding source.
The prospective lower tier participant further agrees by submitting this proposal that it will include the clause titled “Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion - Lower Tier Covered Transactions,” without modifications in all lower tier covered transactions and in all solicitations for lower tier covered transactions.
A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that is not debarred, suspended, ineligible, or voluntarily excluded from the covered transaction, unless it knows that the certification is erroneous. A participant may decide the method and the frequency by which it determines the eligibility of its principals. Each participant may, but is not required to, check the Non-procurement List.
Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification required by the clause. The knowledge and information of a participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings.
Except for transactions authorized under paragraph 5 of these instructions, if a participant in a covered transaction knowingly enters into a lower tier covered transaction with a person who is suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to the Federal Government, the REB may pursue available remedies, including suspension and/or debarment.

______

Certification Regarding

Debarment, Suspension, Ineligibility and Voluntary Exclusion

Lower Tier Covered Transactions

______

This certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension, 34 CFR Part 85, Section 85.510, Participants' responsibilities. The regulations were published as Part VII of the May 26, 1988 Federal Register (pages 19160-19211). Copies of the regulations maybe obtained by the contacting the person to which this proposal is submitted.

(1)The prospective lower tier participants certifies, by submission of this proposal, that neither it 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.

(2)Where the prospective lower tier participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this proposal.

______

Name and Title of Authorized Representative

______

Signature Date

______

Certification Regarding Lobbying

Certification for Contracts, Grants, Loans and Cooperative Agreements

______

The undersigned certifies, to the best of his or her knowledge and belief, that:

(1) No Federal appropriated funds have been or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract; the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.

(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, “Disclosure Form to Report Lobbying”, in accordance with its instructions.

(3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly.

This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

______

Bidder

______

Name of Certifying OfficialSignature

______

Date

Statement of Assurances

The undersigned party acknowledges and assures that (Provider Name)

______and all of its employees responsible for providing the services for which it has applied will abide and comply fully with all state, federal, and local, laws, ordinances, rules, regulations and/or executive orders, including but not limited to provisions of the laws listed below:

WIOA Section 188, which prohibits discrimination against all individuals in the United States on the basis of race, color, religion, sex, national origin, age, disability, political affiliation or belief, and against beneficiaries on the basis of either citizenship/status as a lawfully admitted immigrant authorized to work in the United States or participation in any WIOA Title I-financially assisted program or activity;
Title VII of the Civil Rights Act of 1964, as amended, which prohibits discrimination on the basis of race, color and national origin;
Section 504 of the Rehabilitation Act of 1973, as amended, which prohibits discrimination against qualified individuals with disabilities;
The Americans with Disabilities Act (ADA) of 1990 which prohibits discrimination against qualified people with disabilities based on disability;
The Age Discrimination Act of 1975, as amended, which prohibits discrimination on the basis of age;
Title IX of the Education Amendments of 1972, as amended, which prohibits discrimination on the basis of sex in educational programs;
Debarment and Suspension (Executive Orders 12549 and 12689) – A contract award (see 2 CFR § 180.220) must not be made to parties listed on the government-wide exclusions in the System for Award Management (SAM), in accordance with the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR part 1986 Comp., p. 189) and 12689 (3 CFR part 1989 Comp., p. 235), “Debarment and Suspension.” SAM Exclusions contains the names of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549.52.[1]
29 CFR Part 38 and all other regulations implementing the laws listed above. This assurance applies to the operation of the WIOA Title I-financially assisted program or activity, and to all agreements the contractor makes to carry out the WIOA Title I-financially assisted program or activity. The undersigned understands that the United States has the right to seek judicial enforcement of this assurance.

Name and Title of Authorized Representative

______

Signature Date

[1]Appendix II to 2 CFR Part 200 (the 2 CFR )