Montgomery County Department of Job and Family ServicesBy the Authority of the

Montgomery County Board of County Commissioners

REQUEST FOR PROPOSALS

RFP # 57-5-2018/2020

FOR

OHIO WORKS FIRST (OWF) AND SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM EMPLOYMENT

AND TRAINING (SNAP E&T) SERVICES

2018

Issued by:

Montgomery County Department of Job and Family Services1111 South Edwin C. Moses Boulevard

Dayton, Ohio 45422

Release Date: September 20, 2017

Mission Statement“Protecting children and the elderly, strengthening families and individuals, and providing opportunities

through coordinated services for the residents of Montgomery County.”

REQUEST FOR PROPOSALS (RFP) FOROhio Work First and Supplemental Nutrition

Assistance ProgramEmployment Training Services

TABLE OF CONTENTS1.0 Project Deliverables and Work Schedule.....................................................................................42.0 Purpose....................................................................................................................................... 43.0 Work Activities............................................................................................................................. 53.1 Unsubsidized Employment:..........................................................................................................53.2 Subsidized Employment..............................................................................................................53.3 Work Experience.......................................................................................................................... 53.4 On-the-Job Training..................................................................................................................... 53.5 Job Search and Job Readiness Assistance.................................................................................53.6 Community Service...................................................................................................................... 53.7 Vocational Educational Training...................................................................................................53.8 Providing child care services to an individual who is participating in a community service

program....................................................................................................................................... 63.9 Job Skills Directly Related to Employment...................................................................................63.10 Education Directly Related to Employment..................................................................................63.11 Satisfactory attendance at secondary school or in a course of study leading to a certificate of

general equivalence, in the case of a recipient who has not completed secondary school or received such a certificate.....................................................................................................6

3.12 Alternate Work Activities..............................................................................................................63.13 Sanction Recommendations........................................................................................................63.14 Ohio Works First - Penalties........................................................................................................7

4.0 Ohio Works First (OWF) Program Overview................................................................................74.1 Applicant Job Search................................................................................................................... 84.2 Required Hours............................................................................................................................ 84.3 MCDJFS Responsibilities............................................................................................................84.4 Work Activities............................................................................................................................. 94.5 Coordination and Provision of MCDJFS Supportive Services:...................................................104.6 Data Collection, Tracking, Analysis and Reporting....................................................................104.7 Deliverables............................................................................................................................... 12

5.0 Supplemental Nutrition Assistance Program Employment & Training Program Overview.........135.1 Work Activities........................................................................................................................... 145.2 Job Search/Job Readiness........................................................................................................145.3 Education and Training..............................................................................................................155.4 Unsubsidized Employment.........................................................................................................155.5 Work Requirements for Able Bodied Adults Without Dependents (ABAWD).............................165.6 Sanction Recommendations......................................................................................................185.7 Data Collection, Tracking, Analysis and Reporting....................................................................185.8 Deliverables............................................................................................................................... 18

6.0 Scope of Work........................................................................................................................... 20 7.0 Responsibilities.......................................................................................................................... 21

7.1 Vendor Responsibilities.............................................................................................................217.2 Montgomery County DJFS Responsibilities...............................................................................21

8.0 Partnership Agreements, Subcontracts, Professional Fees and Contracted Services..............219.0 Minimum Qualifications and Requirements...............................................................................22

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10.0 Time Table................................................................................................................................. 24 11.0 Contact Person.......................................................................................................................... 24 12.0 Bidder’s Conference.................................................................................................................. 24

12.1 Written Questions......................................................................................................................24 12.2 Bidder Disclosures.....................................................................................................................24 12.3 Conflict of Interest......................................................................................................................24 12.4 Bidder Examination of the RFP..................................................................................................24

13.0 Ability to Award Contract...........................................................................................................25 14.0 Insurance Requirements............................................................................................................25 15.0 Taxes......................................................................................................................................... 25 16.0 Compliance with the Law...........................................................................................................25 17.0 Equal Opportunity Provisions Required.....................................................................................27 18.0 Submitting Proposals.................................................................................................................28

18.1 Preparation of Proposal.............................................................................................................28 18.2 Proposal Cost............................................................................................................................ 28 18.3 False or Misleading Statements.................................................................................................28 18.4 Bidder Representative’s Signature.............................................................................................28 18.5 Delivery of Proposals.................................................................................................................28 18.6 Acceptance & Rejection of Proposals........................................................................................29 18.7 Evaluation & Award of Contract.................................................................................................29 18.8 Proposal Evaluation Rating Sheet.............................................................................................31 18.9 Post Selection Meeting..............................................................................................................32 18.10Caveat....................................................................................................................................... 32 18.11Termination for Convenience.....................................................................................................32 18.12Termination for Default/Suspension of Referrals.......................................................................32 18.13Complaint Process.................................................................................................................... 32 18.14Conducting Business Involving Relatives..................................................................................32 18.15Nepotism................................................................................................................................... 32 18.16Political and Sectarian Activities................................................................................................32

19.0 Terms and Conditions................................................................................................................33 19.1 Type of Contract and Subcontracting.........................................................................................33 19.2 Contract Period, Funding & Invoicing.........................................................................................33 19.3 Confidentiality & Security...........................................................................................................33 19.4 Duplicate Billing.........................................................................................................................33 19.5 Additional Contract Information..................................................................................................33

20.0 Mission of Montgomery County DJFS.......................................................................................34 21.0 Application Format.....................................................................................................................34

21.1 Required Format Specifications.................................................................................................34 21.2 Collaboration Letters (Bid Opening Package): .........................................................................34 21.3 Personnel Qualifications (Bid Opening Package)......................................................................34 21.4 Budget Narrative and Budget Form (Proposal Package)...........................................................34

INSTRUCTIONS FOR COMPLETING THE CONTRACT BUDGET..........................................................35 22.0 Attachments & Application Checklist.........................................................................................38

22.1 Attachments............................................................................................................................... 38 22.2 Application Checklist..................................................................................................................38

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MONTGOMERY COUNTY DEPARTMENT OF JOB AND FAMILY SERVICES REQUEST FOR PROPOSALS (RFP)

FOROhio Work First and Supplemental

Nutrition Assistance Program Employment &Training– Work Activities Services and

Management

1.0 Project Deliverables and Work Schedule MCDJFS has designated a projected $850,000.00 and $150,000.00 for the provision of the services specified in this RFP. Bidders are required to provide performance measures that clearly delineate the number of people to be served and program specific program goals and measurable customer outcomes. Should the bidder be awarded a contract, all outcome measures will be negotiated, based upon the specifications in the successful bidder’s proposal, and included in the contract language developed with MCDJFS contract staff. The selected service contract must be cost effective and utilize service strategies that are based upon current research that corresponds to the specific service needs of the populations to be served.

Any interested Bidder must submit a completed proposal following the procedure outlined in this Request for Proposal no later than October 13, 2017 at 12:00 noon (EST). The Contract Period for a selected Bidder’s proposal will begin on the award date through December 31, 2018. Two (2) additional one (1) year extension options may be available at the discretion of the Director of MCDJFS; January 1, 2019 through December 31, 2019 and January 1, 2020 through December 31, 2020.

2.0 PurposeThis Request for Proposal (RFP) is seeking bidders to serve two (2) populations; Ohio Works First (OWF) and the Supplemental Nutrition Assistance Program (SNAP) Employment and Training Program. The OWF Program has a need to serve approximately 200-400 customers annually and the SNAP E&T Program has a need to serve approximately 2,100 customers annually, including, but not limited to Able Bodied Adults Without Dependents (ABAWD) as follows:

A.) With the passage of the Deficit Reduction Act of 2005 (DRA), a central component of the Temporary Assistance for Needy Families (TANF) program is the emphasis on work. Adult TANF recipients, with some exceptions, must participate in work activities as a condition of receiving cash benefits. Federal regulations established a Federal Work Participation Rate requirement that each State must achieve to avoid monetary sanctions to the State. In Ohio, the TANF program is known as the Ohio Works First Program (OWF). Montgomery County Department of Job and Family Services (MCDJFS) is the local governmental entity responsible for the administration of this program. MCDJFS is seeking proposals from qualified vendors to assist the agency with the provision of services and management of the primary work activity requirements for MCDJFS OWF customers.

B.) The Supplemental Nutrition Assistance Program Employment and Training (SNAP E&T) Program was established under the Food Nutrition Act of 2008. It requires mandatory, non-exempt work registrants in receipt of Supplemental Nutrition Assistance Program to participate in employment and training (OAC Rule 5101:4-3-11). Montgomery County Department of Job and Family Services (MCDJFS) is the local governmental entity responsible for the administration of this program. MCDJFS is seeking proposals from qualified vendors to assist the agency with the provision of services and management of the primary work activity requirements for Supplemental Nutrition Assistance Program Employment & Training customers.

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The programmatic rules and requirements of the OWF Program can be found in the Ohio Administrative Code 5101:1-3-12 Ohio Works First, Work Activities http://codes.ohio.gov/oac/5101%3A1-3-12

3.0 Work Activities There are federally prescribed activities that count towards hours of participation and limitations for the number of hours an individual can be assigned to a particular work activity. MCDJFS is responsible for tracking and assigning individuals accordingly. The list of allowable work activities and the requirements of each can be found starting at http://codes.ohio.gov/oac/5101:1-3-12.1 through OAC 5101:1-3-12.12 as follows: Unsubsidized employment Subsidized public or private employment Work experience program On-the-job training Job search and job readiness assistance Community service Vocational educational training Providing child care services to an individual who is participating in a community service program

(this must be approved by MCDJFS prior to utilization) Job skills training directly related to employment (Must include services such as ESOL (English

for speakers of other languages for the limited English Proficiency and Refugee communities) Education directly related to employment in the case of a recipient who has not received a high

school diploma or a certificate of high school equivalency Satisfactory attendance at secondary school or in a course of study leading to a certificate of

general equivalence, in the case of a recipient who has not completed secondary school or received such a certificate

Alternate Work Activities

3.1 Unsubsidized Employment: This work activity will primarily be managed by MCDJFS unless the customer is still in receipt of cash benefits and required to complete additional hours to meet their work requirement.

3.2 Subsidized Employment: The Selected Provider may utilize this activity contingent upon the approval of MCDJFS and availability of funding. The subsidy cost must be included in the Selected Provider budget.

3.3 Work Experience: This activity provides an individual the opportunity to acquire the general skills, knowledge, and work habits necessary to obtain employment. It is anticipated that the majority of customers will be assigned to this work activity, therefore additional information on the Ohio Work First (OWF) Program can be found in section 4.0.

3.4 On-the-Job Training: this activity is training in the public or private sector that is given to a paid employee while he or she is engaged in productive work and that provides the knowledge and skills essential to the full and adequate performance on the job.

3.5 Job Search and Job Readiness Assistance: This activity is primarily used for applicant job search and compliance job search. Because of the restrictions on the hours and weeks available these services must be closely monitored with MCDJFS to assure the customer does not exceed the number of hours allowed.

3.6 Community Service: This activity is similar to WEP but with the purpose to benefit the community while obtaining employment skills. The Selected Provider will be responsible to develop and obtain approved site agreements with each entity.

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3.7 Vocational Educational Training: this work activity will be managed by MCDJFS and the Selected Provider – the Selected Provider will be responsible for the time periods when the customer is not actively engaged in training – i.e. semester/quarter breaks, days prior to class beginning, when a customer withdraws, etc.)

3.8 Providing child care services to an individual who is participating in a community service program: due to the restrictions relate to this activity. The Selected Provider must receive prior approval by MCDJFS.

3.9 Job Skills Directly Related to Employment: This activity is training or education for job skills required by an employer to provide an individual with the ability to obtain employment, to advance or adapt to the changing demands of the work place

3.10 Education Directly Related to Employment: This work activity is defined as education related to a specific occupation, job or job offer. When as a prerequisite for employment by employers or occupation this activity may include, but is not, limited to the following: Courses designed to provide the knowledge and skills for specific occupations or work setting; or Adult basic education or English as a second language.

3.11 Satisfactory attendance at secondary school or in a course of study leading to a certificate of general equivalence, in the case of a recipient who has not completed secondary school or received such a certificate: This work activity is defined as regular attendance, in accordance with the requirements of the secondary school or course of study at a secondary school, or in a course of study leading to a certificate of general equivalence, in the case of a recipient work eligible individual who has not completed secondary school or received such a certificate. This includes attendance in the following activities as long as they are an integral part of attaining a high school equivalence diploma (HSED): English for Speakers of Other Languages (ESOL), Career training; Alternative schooling, Tutoring, Drop-out prevention or Teen pregnancy or parenting programs.

3.12 Alternate Work Activities: Alternative Work Activities are for individuals with long term barriers to participating or short term disabling conditions where physician and/or rehabilitation appointments are the norm. Hours completed under Alternate Work Activities do not meet the participation requirements. Alternative Work Activities may include: medical appointments, substance abuse counseling, mental health counseling, rehabilitation, or other activities to help lead to self-sufficiency. Given the conditions of the population that are assigned to this activity, the bidder is required to have staff with the technical expertise, credentials and experience of working with individuals with physical and mental health issues. This activity will be closely coordinated with MCDFJS.

3.13 Sanction Recommendations: A sanction is a period of ineligibility for assistance under the OWF and/or Supplemental Nutrition Assistance Program programs, imposed as the result of an individual’s, without good cause, failure to adhere to the signed Self-Sufficiency Contract & Plan. Customers face sanctions when they fail to participate for the required number of hours as detailed in their Self-Sufficiency Contract and Plan, unless good cause documentation is provided and approved.

The Selected Provider must track participation attendance daily to manage the customer’s full participation. If the customer is not meeting his/her participation the Selected Provider must engage the customer and possibly MCDJFS in a strategy to complete the missing hours prior to adverse action dates. Adverse action is the date each month where a negative action needs to be taken by the MCDJFS worker to adversely affect the customer’s benefits for the following month due to Work Activity failure.

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When a customer has missed hours with good cause, the Selected Provider is responsible for collecting the documentation and submitting it to MCDJFS for final determination on the imposition of a sanction.

3.14 Ohio Works First – Penalties (5101:1-3-14): A penalty is a negative action that occurs in certain situations that are not subject to the three tier sanction policy set forth in rule 5101:1-3-15 of the Administrative Code but continue to be subject to existing statutory and administrative rule penalties even if the requirement is included as part of the assistance group's self-sufficiency contract. The individual who is under penalty remains a work eligible individual as defined in paragraph (B) of rule 5101:1-3-12 of the Administrative Code.

The Selected Provider will not be required to provide services to the customer during their sanction period unless the customer has applied for fair hearing benefits. However, when applicable the Selected Provider will be responsible for the provision of Compliance Job Search for customer returning for benefits and services. See

4.0 Ohio Works First (OWF) Program OverviewThe goal of the Ohio Works First (OWF) Program is to connect MCDJFS customers to organizations that can provide the opportunity to acquire general skills, training, knowledge, and work habits necessary to obtain and retain employment. The Selected Provider must develop and manage Work Experience Program (WEP) sites for an adequate number of slots for the projected participants; ensure that all of the sites adhere to all applicable Department of Labor regulations, are ADA compliant, and are in high-demand occupational fields (when applicable). The selected provider will be required to investigate any WEP site concerns and provide the information and have any necessary discussions with MCDJFS. It is expected that the work experience and knowledge expansion will lead to permanent unsubsidized employment.

The Selected Provider must develop a recruitment strategy for the development of the sites. The Selected Provider will need to work closely with MCDJFS and other Workforce entities in the community to ascertain the types of WEP Sites that accommodate the diverse needs and skills of the customers including specialized placements for ex-offenders, individuals with physical and mental health barriers and those with Limited English Proficiency.

The Selected Provider must utilize an MCDJFS WEP Worksite Agreement Packet which includes a description of the site organization, industry sector, position description(s), number of slots, contact information, other pertinent information (TBD) and an executed agreement between the site organization and the Selected Provider. Each site that is identified must complete a worksite agreement. MCDJFS must approve and sign off on all site agreements. The Selected Provider will submit progress reports on recruitment and development efforts on a monthly basis or upon request.

The development and management of WEP Sites must meet the following criteria (including, but not limited to):

Hours at these sites must meet all applicable federal, state and local requirements Be in a high-demand occupational field Be a combination of public, private and non-profit Have varying days and shifts available (1st shift; Monday – Friday) Accommodate customers who need to complete missed hours Have the potential to lead to permanent employment (when available) Not displace an employee at the WEP site Be located throughout Montgomery County. Be in locations that are accessible by public transportation when possible

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Closed to customers for the ten (10) recognized federal holidays (listed in Ohio Administrative Code 5101:1-3-12 E.1). Should a WEP site be closed any day outside of these 10, the hours scheduled for the customer shall be modified to accommodate all monthly required hours for that customer.

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Bidders must describe, in detail, proposed agreements with multiple area businesses and/or agencies that accommodate the number, hours and needs of the projected 200-400 OWF customers to be served. Sites must accommodate flexible hours and varying numbers of individuals for immediate placement, temporary placement and for the completion of missed hours. MCDJFS strongly suggests that the potential provider explore all options available throughout the Montgomery County community and to be as inclusive as possible regarding those entities with whom they choose to subcontract; to the fullest extent possible. The potential provider shall partner with community agencies that serve a diversified and varied consumer base; are physically situated throughout the area in various geographic locations; and whose staff has experience delivering services and programming to a multi-cultural and multi-ethnic clientele.

4.1 Applicant Job Search: When a customer applies for OWF benefits they are required to complete 40 hours of Applicant Job Search before the cash benefit is approved. This activity includes basic job readiness activities, resume development, job search, employment application completion, interviewing, and activities that reduce barriers to employment such as medical appointments, securing transportation and child care. To receive OWF benefits the customer must complete their required hours. Failure to do so results in the denial/closure of the application/case.

4.2 Required Hours: Once an OWF customer is determined “Work Required” and completes the Applicant Job Search they must participate for a prescribed number of hours in a federally established appropriate work activity/activities according to the composition of their household. Per OAC (Ohio Administrative Code) 5101:1-3-12 Ohio Works First, Work Activities (C)(1) a-g: all work eligible individuals shall be assigned to one or more work activities or alternate activities, and participate in at least the following number of hours, except as provided in paragraphs (C)(2) to (C)(4) of this rule: (the following chart is a summary of the rule):

If the OWF Customer Case (Assistance Group) Contains: Average RequiredWeekly Hours (minimum)

One work eligible individual 30

A work eligible individual who is the only parent or specified relative in need in the family of a child under six years of age 20

Two work eligible individuals and NOT receiving federally funded child care

35

Two work eligible individuals and ARE receiving federally funded child care

55

Two work eligible individuals where one parent is disabled 30

MCDJFS may exempt certain individuals or assign them to alternate work activities.

4.3 MCDJFS Responsibilities Determine the required number of hours for each customer Tracking and reporting the hours completed to ODJFS (Ohio Department of Job and Family

Services) Imposing sanctions on customers who fail to complete their assigned work activity Conducting State Hearings when necessary

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4.4 Work Activities: There are federally prescribed activities that count towards hours of participation and limitations for the number of hours an individual can be assigned to a particular work activity. MCDJFS is responsible for tracking and assigning individuals accordingly. The list of allowable work activities and the requirements of each can be found starting at http://codes.ohio.gov/oac/5101:1-3-12.1 through OAC 5101:1-3-12.12 as follows:

Unsubsidized employment Subsidized public or private employment Work experience program On-the-job training Job search and job readiness assistance Community service Vocational educational training Providing child care services to an individual who is participating in a community service

program (this must be approved by MCDJFS prior to utilization) Job skills training directly related to employment (Must include services such as ESOL

(English for speakers of other languages for the limited English Proficiency and Refugee communities)

Education directly related to employment in the case of a recipient who has not received a high school diploma or a certificate of high school equivalency

Satisfactory attendance at secondary school or in a course of study leading to a certificate of general equivalence, in the case of a recipient who has not completed secondary school or received such a certificate

Alternate Work Activities

There may be individuals who may be temporarily excused from work participation and therefore assigned to “Alternate Work aka “Alt. Work”. Alternative activities are designed to promote self-sufficiency and personal responsibility and are intended to address temporary and permanent barriers to participating in work activities. See http://codes.ohio.gov/oac/5101:1-3-12.12 for a complete description of Alternate activities.

The Selected Provider should conduct a thorough assessment of each customer’s needs and circumstances. It should consist of an in-depth identification of barriers to employment and the adoption of strategies and plans to overcome those barriers. Re-assessment of barriers and employability should be made as necessary throughout the customer’s participation in the program.

Case management must be available for all referred customers. The Case Manager should conduct in-depth interviews to survey, monitor and develop individualized case plans to address identified barriers such as, but not limited to: domestic violence, substance abuse, physical and mental health issues of the customer and/or dependent family members, disabilities, education history, employment history, legal/criminal history, housing needs, language barriers, transportation, childcare, etc. Appropriate referrals, linkages and follow-up should be conducted to ensure compliance with the case plan.

The Selected Provider must provide wrap around services by coordinating with other county-wide partner agencies. If the Selected Provider determines that an individual’s barriers prevent him/her from participating in a work activity, the Selected Provider must promptly notify MCDJFS.

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Case management services should provide needed supportive services to individuals and their families. Services must include but are not limited to: Barrier removal services (assist in reducing or eliminating barriers not only to OWF

participation but to self-sufficiency in general) Work allowance distribution (distribution of transportation assistance)

Parent engagement activities related to the academic support and success of their children (this may be included as part of the customer’s assigned hours or supportive services, whichever is most appropriate)

Strategies to support full participation in assigned work activities on a weekly and monthly basis

The Selected Provider must have an electronic case management and reporting system with the ability to transmit real time data at regularly scheduled intervals and on an ad hoc basis.

4.5 Coordination and Provision of MCDJFS Supportive Services: In addition to the case management services identified above, the Selected Provider will also coordinate with MCDJFS for the provision of MCDJFS supportive services for customers. To avoid duplication of services, prior to granting supportive services to an OWF customer, the Selected Provider will verify that services are not otherwise available free of charge in the community. MCDJFS provides the following supportive services: Child Care (MCDJFS is the entity responsible for determining eligibility for publicly funded

child care. We also have staff onsite to assist with identifying Selected Providers and referrals);

Public Assistance Programs (MCDJFS is the entity responsible for determining eligibility for Medicaid and Supplemental Nutrition Assistance Program, in addition to Ohio Works First);

Interpretation and Translation services (Provided onsite or via telephone for customers when accessing MCDJFS services);

Transportation Work Allowances: The Selected Provider is required to address transportation issues/barriers and service location(s). Transportation allowances may be approved in cases where it can be shown that a hardship exists and that it would be impossible for the participant to attend his/her assigned work activity without assistance. Support services payments are not an entitlement. In order for customers to receive transportation assistance they must be attending their assigned work activity. Transportation assistance may be provided in the form of bus passes. The allowance is not to exceed $55.00 a month (or the market rate for a monthly bus pass).

4.6 Data Collection, Tracking, Analysis and Reporting: The Selected Provider must have an electronic system to document, manage, track, and report all required work participation activities and hours, and all support services for all assigned customers. The system must have the capacity to generate reports, sort, filter and query on all data elements, and submit canned and ad hoc reports. It is essential that the system must have the ability for real-time data and timekeeping of participation hours with the ability to track and report required hours daily, weekly and monthly. This system should alert staff and customers to hours completed to-date and hours needed to meet participation for the reporting period (calendar month, not “30 day period”). MCDJFS requires a system that will allow the customer to sign in and out of their assigned work activity assignment with supervisory approval.

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Data documentation, collection, analysis, and reporting are critical to the success of the program. At a minimum MCDFJS requires the following data elements to be tracked on individual customers must include, but is not limited to the following:

a. Customer Identification and Contact Information

Case name Case number SSN, Address, Email Phone numbers (home and cell) Emergency Contact

b. Customer Demographics Ethnicity, Race, Gender Primary language Citizenship Marital status Disability Education level Employment history Legal/Criminal history

c. Case Management Needs Identified needs and/or barriers Action steps to address barriers Referrals and linkages to services Community services utilized MCDJFS support services utilized

d. Referral information

Date referred Date scheduled for Applicant Job Search (if

applicable) Show Date/No Show Date Hours Completed

e. Assignment Information Site Information

Site Name Site Address Site Contact Person Site Contact Information

f. Assignment Details: PSC code, provided by MCDJFS Start date of assignment End date of assignment Duration of assignment Number of hours assigned

g. Participation Tracking (by day, week and calendar month):

Hours required (including those deemed)

Hours completed Hours missed Hours with good cause (must be

supported by documentation) Participation Met/Failed

h. Compliance Job Search Date referred Date scheduled for Applicant Job Search (if applicable) Show Date/No Show Date Hours Completed

Data elements will be frequently transmitted between MCDJFS and the Selected Provider. All data elements are subject to revision based on operational, programmatic and policy needs of MCDJFS. Regular reporting requirements will be established with MCDJFS at the time of contract negotiations and throughout the term of the contract.

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4.7 DeliverablesScope of Work Deliverable

The provision of allowable work activities for all customers referred that allow for each customer the opportunity to successfully complete the required participation hours monthly

Weekly and Monthly Work Activity Report to detail the status of each work activity offered, to include but not be limited to:

Work activities being provided Number of customers enrolled in each activity

The tracking, monitoring and reporting of all work participation activities and hours

Notify MCDJFS if the participant does not attend dailyWeekly and Monthly Participation Report (see above)

Current Assignment (work activity i.e. WEP, Community

Service, job search, etc.) Hours Required Hours Met Good Cause Hours Hours Failed Reason For Failure Action Taken (i.e. continue with assignment, referral

back to MCDJFS, Obtained Employment, No Show,Recommended Sanction)

Sanction Recommendation The report must include any required support

documentation

The provision of Case Management Services to all referred customers to assist in the reduction of barriers to participation and self sufficiency

Monthly Report that details: Case management services provided Services successfully addressed Services in progress Barrier identification

Regular Demographic Reports based on data elements identified in sections 3.2 and 3.3. Frequency (TBD)

The development and maintenance of a sufficient number of appropriate worksites to meet the number of OWF customers assigned to the program. The worksites may be work experience or community service sites

Monthly Worksite Report that details; Number of Worksites (new sites for the month, site

closings, total number of sites) Number of Slots (per site, total) Type of Site (WEP or Community Service Number of Slots Filled, Number of Slots Vacant Total Number of Customers Assigned to the

Program Industry/Field Sector (business, non-profit, government, other) Ability to serve special populations (disability, LEP,

criminal history, etc.) Location (by zip code) Issues

Monitoring of Worksite - WEP, Community Service, and subsidized employment (if

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applicable)

The Selected Provider will submit a quarterly Monitoring Report based on its actual site monitoring. The report should include (but not limited to)

Basic site information Review of compliance standards Number of slots filled and vacant Pressing issues or concerns Action Steps to remedy issues/concerns, etc.

Employment Placement and Retention Services

The Selected Provider will submit a monthly report that details:

1) Employment Placement data: 30-day placements Name of customer Name of employer Industry of employer Date of Hire Rate of Pay Hours worked per week Benefits2) Retention Data: 90 day retention 180 day retention Rate of pay (denote if increase from hire) Hours worked per week (denote if increase or

decrease from hire) Benefits The report must include all required

support/verification documentationData, information and reporting timeframes detailed in each specified report or review outlined above may be adjusted at the discretion of MCDJFS.

Expected Outcomes for VendorsOWF Customers Activities

50% of all assigned Single Parents must complete all hours assigned90% of all assigned Two-Parent Assistance Groups must complete all assigned hours

Employment (placement and retention)40% of participants must be placed in a job within the contract year

20% of participants placed in a job must retain the job for at least 6 months

5.0 Supplemental Nutrition Assistance Program Employment & Training (SNAP E&T)

Program Overview SNAP E&T individuals cannot be required to participate more than 8 hours on any given day without his/her consent. Additionally, an assignment to an activity cannot interfere with an individual’s hours of paid employment, provided the employment produces countable income. There are four main types of assignment activities: Job Search, Work Experience Program (WEP), and Education and Training and unsubsidized employment, which can take the place of an assignment. The programmatic rules and requirements of the SNAP Program can be found in the Ohio Administrative Code 5101:4-3-11, 5101:4-3-11.1 and 5101:4-3-11.2.

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5.1 Work Activities: The Selected Provider must develop, coordinate and manage the allowable work activities in accordance with Ohio Administrative Code 5101:1-3-12 -5101:1-3-15.1. There are federally prescribed activities that count towards hours of participation and limitations for the number of hours an individual can be assigned to a particular work activity. MCDJFS is responsible for tracking and assigning individuals accordingly. The list of allowable work activities are:

Job search and job readiness assistance Work Experience Program (WEP) - an activity that provides an individual the opportunity to

acquire the general skills, knowledge, and work habits necessary to obtain employment. Education and Training which includes vocational educational training, education directly

related to employment in the case of a recipient who has not received a high school diploma or a certificate of high school equivalency, satisfactory attendance at secondary school or in a course of study leading to a certificate of general equivalence, in the case of a recipient who has not completed secondary school or received such a certificate, must include services such as ESOL (English for speakers of other languages for the limited English Proficiency and Refugee communities)

Unsubsidized employment

The development and management of WEP Sites must meet the following criteria (including, but not limited to):

Hours at these sites must meet all applicable federal, state and local requirements Be in a high-demand occupational field Be a combination of public and non-profit Have varying days and shifts available (1st shift; Monday – Friday) Accommodate customers who need to complete missed hours Have the potential to lead to permanent employment (when available) Not displace an employee at the WEP site Be located throughout Montgomery County. Be in locations that are accessible by public transportation when possible Closed to customers for the ten (10) recognized federal holidays (listed in Ohio

Administrative Code 5101:1-3-12 E.1). Should a WEP site be closed any day outside of these 10, the hours scheduled for the customer shall be modified to accommodate all monthly required hours for that customer.

5.2 Job Search/Job Readiness: SNAP individuals should be assigned the number of hours scheduled by the county agency or contracted provider. This activity includes basic job readiness activities, resume development, job search, employment application completion, interviewing, and activities that reduce barriers to employment such as medical appointments, securing transportation and child care. Job Search shall be assigned for no more than 30 days following the certification prior to making another assignment in Education and Training or Work Experience Program. Because of the restrictions on the hours and weeks available these services must be monitored closely with MCDJFS to assure the customer does not exceed the number of hours allowed.

Bidders must describe, in detail, existing relationships with multiple area businesses and/or agencies that accommodate the number, hours and needs of the 2,100 Supplemental Nutrition Assistance Program Employment and Training customers to be served. Sites must accommodate flexible hours and varying numbers of individuals for immediate placement, temporary placement and for the completion of missed hours.

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MCDJFS strongly suggests that the potential provider explore all options available throughout the Montgomery County community and to be as inclusive as possible regarding those entities with whom they choose to subcontract; to the fullest extent possible. The potential provider shall partner with community agencies that serve a diversified and varied consumer base; are physically situated throughout the area in various geographic locations; and whose staff has experience delivering services and programming to a multi-cultural and multi-ethnic clientele.

5.3 Education and Training Vocational Educational Training: this work activity will be managed by MCDJFS and

the Selected Provider – the Selected Provider will be responsible for the time periods when the customer is not actively engaged in training – i.e. semester/quarter breaks, days prior to class beginning, when a customer withdraws, etc.)

Adult basic education or English as a second language Satisfactory attendance at secondary school or in a course of study leading to a

certificate of general equivalence, in the case of a recipient who has not completed secondary school or received such a certificate: This work activity is defined as regular attendance, in accordance with the requirements of the secondary school or course of study at a secondary school, or in a course of study leading to a certificate of general equivalence, in the case of a recipient work eligible individual who has not completed secondary school or received such a certificate. This includes attendance in the following activities as long as they are an integral part of attaining a High School Equivalence Diploma (HSED): English Speakers of Other Languages (ESOL), Career training; Alternative schooling, Tutoring, Drop-out prevention or Teen pregnancy or parenting programs.

5.4 Unsubsidized Employment: This work activity will primarily be managed by MCDJFS unless the customer still is required to complete additional hours to meet their work requirement for Supplemental Nutrition Assistance Program.

SNAP Work Activities(See section 5.5 for Able Bodied Adults Without Dependents (ABAWD) Work

Requirements)

ActivityRequired HoursOf ParticipationOAC 5101:4-3-31

Time Limit in Activity Sanctions

Job Search/Job Readiness

The number of hours scheduled by the county agency or contracted provider.

Job Search shall be assigned for no more than 30 days following certification prior to making a workfare assignment. Job search may be assigned later in the certification period if the county determines it necessary and the most suitable assignment for the individual

Failure or refusal to complete the appraisal process as defined in rule 5101:4-3-29 of the Administrative Code

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Work Experience Program (WEP)OAC 5101:4-3-34If there are multiple SNAP required participants in the assistance group the total hours must be shared by all SNAP required participants. WEP placements are limited to public and private non-profit sponsors which serve a useful public service.

Supplemental Nutrition Assistance Program allotment divided by the higher of the state or federal minimum wage.

No limit

Failure or refusal without good cause to accept an offer of suitable employment will result in a sanction

Failure or refusal without good cause to provide the county agency with sufficient information to allow the county agency to determine the employment status or the job availability of the individual will result in a sanction

Voluntarily and without good cause: quits a job of thirty or more hours a week or reduces work effort and, after the reduction, the individual is working less than thirty hours per week will result in a sanction

Education and TrainingOAC Rule 5101:4-3-35Consists of basic education and vocational education (technical and post-secondary, which includes 2 and 4 year degree programs.

The number of hours needed to complete the assignment. No limit

Failure or refusal without good cause

to participate in SNAP E&T to the

extent required by the county agency

5.5 Work Requirements for Able Bodied Adults without Dependents (ABAWD):

Every individual not exempt from work registration in accordance with rule 5101:4-3-11 of the Administrative Code is an ABAWD and subject to the requirements of this rule and rule 5101:4-3- 20.1 of the Administrative Code unless the individual is: Meets a SNAP E&T exemption listed in OAC rule 5101:4-3-11(B); Under eighteen or fifty years of age or older; Residing in an assistance group (AG) where an AG member is under age eighteen, even if

the AG member who is under eighteen is not himself/herself eligible for supplemental nutrition assistance program (SNAP); or

Pregnant; Determined by the county agency to be medically certified as physically or mentally unfit

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for employment; Residing in a county where the ABAWD time limit was waived

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The 3 of 36 Rule: Individuals determined to be ABAWDs are not eligible to participate in the food assistance (FA) program as a member of any assistance group if they have received food assistance for more than three countable months during any three-year period, unless they meet the criteria that makes them not subject to ABAWD work requirements.

The Selected Provider is responsible for monitoring the attempt to regain eligibility when there is failure of the 3 of 36 rule.

Regaining Eligibility: An ABAWD whose FA was terminated due to the 3 of 36 month time limit and reapplies, can regain eligibility if, during any 30 consecutive days, he/she: Worked 80 or more hours or any combination of employment and work program

participation for 80 hours or more hours (prorate FA benefits to the date the 80 hours were completed or the date of application, whichever is later);

Completed WEP assignment (prorate FA benefits to the date of application); Is no longer subject to an ABAWD work requirement; If the case is open, but there is an ineligible ABAWD member. The person completes 80

hours (employment, not WEP). He is not required to re-apply. The begin date of aid is the date the 80 hours were completed;

If the case is open, but there is an ineligible ABAWD member. A 7200 is not required. If assigned to WEP the begin date of aid goes back to when he started WEP.

Able Bodied Adults Without Dependents Work Requirements (ABAWD)Notes: ABAWD's have to participate 20 hours per week and 80 hours per month unless in a WEP

assignment.If an ABAWD is working 20 hours per week and is still eligible for SNAP, they must complete an Education & Training assignment: Job Search/Job Readiness or Education & Training or WEP

Activity Required Hours of Participation Time Limit in Activity

Work Experience Program (WEP) placements for SNAP

are limited to public and non-profit sponsors which serve

useful public service.

Supplemental Nutrition Assistance Program (SNAP) allotment divided by the higher of the state or federal minimum wage. Only assignment for ABAWD's where they do not have to work 20 hours per week.

No Limit

Job Search/Job Readiness9 hours per week limit and 12 hours per month minimum. Required 20 hours per week and 80 hours per

month

9 hours per week limit and 12 hours per month minimum.

Required 20 hours per week and 80 hours per month

Education & Training

Assigned number of hours in education and training component.

(can include study time). If Education & Training assignment is

less than 20 hours per week will need to add another assignment to

meet the requirement.

Limit based on education and training activity program length.

Work- Includes: Employment

Unpaid/In-kind Work WIOA Participation

20 hours per week/ 80 hours per month. If not working 20 hours per

week and 80 hours per month - another assignment is needed.

No Limit/Applicable WIOA Program Limits apply

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5.6 Sanction Recommendations: A sanction is a period of ineligibility for assistance under the Supplemental Nutrition Assistance Program, imposed as the result of an individual’s, without good cause, failure to adhere to the signed Employability Plan. Customers face sanctions when they fail to participate for the required number of hours as detailed in the Employability Plan, unless good cause documentation is provided and approved.

The Selected Provider must track participation attendance daily to manage the customer’s full participation. If the customer is not meeting his/her participation the Selected Provider must engage the customer and possibly MCDJFS in a strategy to complete the missing hours prior to adverse action dates.

When a customer has missed hours with good cause, the Selected Provider is responsible for collecting the documentation and submitting it to MCDJFS for final determination on the imposition of a sanction. Good cause guidelines can be found at 5101:4-3-11(c).

The Selected Provider will not be required to provide services to the customer during their sanction period unless the customer has applied for fair hearing benefits. However, when applicable the Selected Provider will be responsible for the provision of Compliance Job Search for customer returning for benefits and services.

The Selected Provider will not be involved in a sanction compliance for ABAWDs but will need to provide the attendance record for appropriate assignments.

5.7 Data Collection, Tracking, Analysis and Reporting: The Selected Provider must have an electronic system to document, manage, track, and report all required work participation activities and hours, and all support services for all assigned customers. The system must have the capacity to generate reports, sort, filter and query on all data elements, and submit canned and ad hoc reports. It is essential that the system must have the ability for real-time data and timekeeping of participation hours with the ability to track and report required hours daily, weekly and monthly.

This system should alert staff and customers to hours completed to-date and hours needed to meet participation for the reporting period (calendar month, not “30 day period”). MCDJFS requires a system that allows for both customers enter data (sign in/out) at their assigned work activity and for supervisory approval.

Data documentation, collection, analysis, and reporting are critical to the success of the program. At a minimum MCDFJS requires the following data elements to be tracked on individual customers must include, but is not limited to the following:

a. Customer Identification and Contact Information

Case name Case number SSN, Address, Email Phone numbers (home and cell) Emergency Contact

b. Customer Demographics Ethnicity, Race, Gender Primary language Citizenship Marital status Disability Education level Employment history Legal/Criminal history

c. Referral information

Date referred

d. Assignment Information Site Information Site Name Site Address

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Date scheduled for Applicant Job Search (if applicable)

Show Date/No Show Date Hours Completed

Site Contact PersonSite Contact Information

e. Assignment Details: PSC code, provided by MCDJFS Start date of assignment End date of assignment Duration of assignment Number of hours assigned

f. Participation Tracking (by day, week and calendar month):

Hours required Hours completed Hours missed Hours with good cause (must be

supported by documentation) Participation Met/Failed

Data elements will be frequently transmitted between MCDJFS and the Selected Provider. All data elements are subject to revision based on operational, programmatic and policy needs of MCDJFS. Regular reporting requirements will be established with MCJDFS at the time of contract negotiations and throughout the term of the contract.

5.8 Deliverables

Scope of Work Deliverable

The provision of allowable work activities for all customers referred that allow for each customer the opportunity to successfully complete the required participation hours monthly

Weekly and Monthly Work Activity Report to detail the status of each work activity offered, to include but not be limited to:

Work activities being provided Number of customers enrolled in each activity

The tracking, monitoring and reporting of all work participation activities and hours

Weekly and Monthly Participation Report (see above) Current Assignment (work activity i.e. WEP,

Community Service, job search, etc.) Hours Required Hours Met Good Cause Hours Hours Failed Reason For Failure Action Taken (i.e. continue with assignment,

referral back to MCDJFS, Obtained Employment, No Show, Recommended Sanction)

Sanction Recommendation The report must include any required support

documentation

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The development and maintenance of a sufficient number of appropriate worksites to meet the number of SNAP customers assigned to the program. The worksites may be work experience or community service sites

Monthly Worksite Report that details; Number of Worksites (new sites for the month,

site closings, total number of sites) Number of Slots (per site, total) Type of Site (WEP or Community Service Number of Slots Filled, Number of Slots Vacant Total Number of Customers Assigned to the

Program Industry/Field Sector (non-profit, government (public)) Ability to serve special populations

(disability, LEP, criminal history, etc.) Location (by zip code) Issues

Monitoring of Worksite - WEP, Community Service, and subsidized employment (if applicable)

The Selected Provider will submit a quarterly Monitoring Report based on its actual site monitoring.

The report is should include (but not limited to) basic site information review of compliance standards number of slots filled and vacant pressing issues or concerns Action Steps to remedy issues/concerns, etc.

Data, information and reporting timeframes detailed in each specified report or review outlined above may be adjusted at the discretion of MCDJFS.

Expected Outcomes for Vendors

Supplemental Nutrition Assistance Program Employment and Training Customers50% Participation of assigned participants

Employment (placement)20% of participants must be placed in a job within the contract year

6.0 Scope of Work

There are four key components to this proposal - the service delivery of the required work activities; the provision of case management services; the management, tracking, analysis and reporting of the OWF customer’s demographics and participation; and the provision of employment placement and retention services.

Services will result in supervised placement and management of approximately 200-400 OWF customers annually and 2,100 SNAP E&T customers annually in suitable work activities. Bidders are encouraged to foster community partnership agreements to provide a diverse variety of employment activity services to the target population to ensure placement and retention.

Services should include: Job Search/ Job Readiness Activities, also to include customer assessments WEP Site Development WEP Site Management

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WEP Site Monitoring Case Management Services Education and Training Assignment and Monitoring

Services should be detailed (See 4.0-5.8) as performance based and describe specific outcomes and milestones to achieve during the duration of the contract period.

7.0 Responsibilities

7.1 Vendor Responsibilities Comply with all applicable rules and regulations governing the source of funding for this

program Provide all services identified within RFP and within the contract terms and conditions Work with MCDJFS to develop and maintain appropriate service levels Follow all rules and regulations governing the implementation and provision of services The Vendor agrees to comply with Ohio Revised Code 2151.86 relating to Criminal

Records Checks. Maintenance of documentation of the delivery of services, inclusive of, but not limited to

data elements listed in sections 4.6 and 5.7 Data Collection, Tracking, Analysis and Reporting

Other data elements as defined by MCDJFS on a regular or ad hoc basis Collection and Maintenance of fiscal data as required by MCDJFS Maintain and report to MCDJFS fiscal data and all related service expenditures, Maintain fiscal records in accordance with generally accepted accounting practices Submit invoices and reports according to the guidelines established by MCDJFS Permit site and monitoring visits by MCDJFS staff or the agency’s designees in order to

monitor files, financial records and service implementation Monitoring participants’ sanction compliances for all programs

7.2 Montgomery County DJFS Responsibilities Provide ongoing technical assistance related to, but not limited to, overall program

implementation, eligibility, and allowable activities and expenses Determine the eligibility and work requirements for each customer referred for services Impose sanctions on customers who fail to complete their assigned work activity and

determine good cause Act as the final authority regarding eligibility questions and the handling of grievances Conduct state hearings when necessary Track and report the hours completed to the Ohio Department of Job and Family

Services (ODJFS) Review, and process invoices for payments Monitor all programs at least once during the course of the sub-award. Monitoring will

include, but may not be limited to, the following requirements:o Programmatic Monitoring

Verify the contracted scope of service has been implemented Review participant files Review Attendance Tracking Documentation Monitor and review program performance in relationship to stated program

goalso Fiscal monitoring

Payroll monitoring, including paycheck distribution Review any expenditures attributed to this funding Documentation of and adherence to internal controls

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8.0 Partnership Agreements, Subcontracts, Professional Fees and Contracted Services A partnership agreement is needed when the Bidder’s proposal includes one or more entities in the provision of the program or services. A subcontract agreement is applicable when a Bidder submits a proposal but later deems it necessary to involve additional entities in the provision/operation of the program. Because this is done post-contract approval, subcontract agreements are subject to federal procurement requirements. Each subcontract must be procured in accordance with The Montgomery County Purchasing Department’s Manual of Procedures or the Bidder (Vendor’s) procurement requirements, whichever are more restrictive, and be approved prior to the award of a sub-contract by MCDJFS.

Professional Fees and Contracted Services are services for which the Bidder has an established service agreement or plans to engage in a service agreement with a non-staff individual or entity for the provision of a specified service.

All agreements (partnership, subcontract, professional fee and/or contracted service) must include: A description of the services to be rendered, rate of pay, estimate of time required, total

amount of the agreement, time period of the agreement, termination provisions and any other descriptive information regarding the services to be provided.

A clear definition of the role that each entity will assume in implementation of the program/service

The name and contact information of the authorized representative in order to confirm the details of the relationship

Once the Bidder’s proposal has been recommended and approved for funding all agreement types are subject to the same terms, conditions and covenants contained in the contract for the Vendor (Bidder). The Vendor is responsible for all applicable monitoring and compliance of their subcontracted agreements. Additionally, the vendor is required to secure the following documentation that verifies that the partner/subcontractor is in no way excluded from receiving federal, state or local funds: (a) System for Award Management (https://www.sam.gov/ portal/public/SAM) ; and (b) The Auditor of the State of Ohio Findings for Recovery Database.

All partnership agreements, professional fees and contracted services costs must be accounted for in the Bidder’s/Vendor’s budget as Professional Fees or Contracted Services. The Vendor must submit a copy of any/all partnership agreements at the time of the submission of the proposal and subcontract agreements no later than (30) thirty days after the effective date of the agreement. No payment shall be made without an agreement on file at MCDJFS. The Vendor is responsible for making direct payment for such services to the partner or subcontractor. No partnership or subcontract agreement shall in any case relieve the Vendor of any duty, obligation, or liability.

9.0 Minimum Qualifications and Requirements MCDJFS will only accept proposals from organizations that demonstrate the capacity to provide the services described in this RFP. For the purpose of this RFP, the term “Bidder” shall be defined as an individual or entity that may submit or has submitted a proposal in pursuit of this opportunity. The term “Vendor” is used in reference to the Bidder selected through this RFP that has a contract with MCDJFS to provide the services described in this RFP.

In order to be considered for funding under this RFP, MCDJFS requires that interested Bidders must:1. Have a minimum of three (3) years of experience with the target population as described within

the stated Request for Proposal (RFP). Preference is in but not limited to, managing work activity and workforce services programs for OWF customers and/or Supplemental Nutrition Assistance Program Employment and Training customers.

2. Demonstrate the ability to successfully manage similar size and scope projects with acceptable quality of work, timeliness, and cost effectiveness. Submit three (3) letters of

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reference from current and/ or recent past contractual relationships3. Demonstrate the organizational capacity to manage the size and scope of the services

identified in the RFP as demonstrated by a thorough staffing plan, management structure and project timeline Staffing plan must include education, career history, workforce development

competencies and experience, staff position descriptions, resumes, Management Plan must demonstrate the overall structure of the proposed service delivery

model and how that structure will be sufficiently managed. This should be inclusive of all established and proposed

Sub-contracted relationships. Project timeline should include but not be limited to hiring and training, services schedules,

reporting timelines and other major activities related to the operation of these services4. Demonstrate the ability to provide services (i.e. WEP, Community Service, Job Placement) to

the projected number of customers as evidenced by creating county-wide partnerships and relationships with local service providers, public and private business sectors and other relevant local entities and community organizations to provide a diverse variety of employment activities.

5. Demonstrate the IT capacity to manage the project and all requisite data as evidenced by electronic case management, timekeeping and reporting systems. The organization must have data back-up processes and disaster recovery plan.

6. Demonstrate sound fiscal and administrative management inclusive of an accounting system with adequate financial controls; adequacy of approved cost allocation plan; audits and fiscal monitoring reports free of findings; historically accurate and timely financial and programmatic information

7. Demonstrate how the Selected Provider will provide services that are culturally and linguistically appropriate.

8. Bidders must provide meaningful access to services to all eligible customers. The ODJFS Office on Civil Rights defines meaningful access as: the ability to use services and benefits comparable to those enjoyed by members of the mainstream cultures. It is achieved by eliminating communication barriers and ensuring that the client or potential client can communicate effectively. An organization must ensure that the LEP person: is given adequate information is able to understand the services and benefits available is able to receive services for which he or she is eligible can effectively communicate the relevant circumstances of his or her situation to the

Selected Provider; and receives language assistance at no cost

Bidders must meet all of the above referenced qualifications or they will be disqualified from further consideration.

Any interested Bidder must submit a completed proposal following the procedure outlined in this Request for Proposal no later than October 13, 2017 at 12:00 noon (Eastern Standard Time). If a suitable proposal or proposals made in response to this RFP is/are selected, MCDJFS, through the Board, may enter into a contract with a Bidder whose proposal has been chosen (“Selected Bidder”). The RFP provides details on what is required to submit a proposal, how MCDJFS will evaluate the proposal, and what will be required of the Selected Bidder once they are performing the work.

Once awarded, the Contract Period will begin on the award date and will last through December 31, 2018. The Director of MCDJFS shall have the discretion to extend two (2) additional options as follows: January 1, 2019 through December 31, 2019 and January 1, 2020 through December 31, 2020.

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The provider of Ohio Works First (OWF) and Supplemental Nutrition Assistance Program Employment and Training (SNAP E&T) Services will be responsible for providing services to the Target Population throughout the program year.

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10.0 Time Table The following timetable shall apply to this RFP, subject to the contract(s) awarded under this RFP (“Contract”) being finalized and approved by the Board.

RFP #57-03-15/17 Release Date September 20, 2017Bidders’ Conference September 29, 2017 10:30am-12:00pmQ& A due from responders October 2, 2017 by 5:00pmDeadline for Posting of Q&A October 3, 2017 by 5:00pmDeadline for Submitting Proposals October 13, 2017 by 12:00pm (Eastern Standard Time)Contract Development November 3, 2017 (approximately)Project Implementation January 1, 2018

11.0 Contact Person

On Behalf of the Montgomery County Department of Job and Family Services:Diana Fugate, Contract Evaluator/NegotiatorJob & Family Services, Finance & Administrative Division1111 South Edwin C. Moses BoulevardDayton, Ohio 45422Phone: 937-225-4195Fax: 937-496-7608Email: mcdjfs-cd@jfs.ohio.gov

12.0 Bidder’s Conference

A Bidder’s Conference will be held on Friday, September 29, 2017 at 10:30 am at Montgomery County JFS, 1111 S. Edwin C. Moses Blvd., Dayton, Ohio 45422, Conference Room 1133. MCDJFS will require attendees to sign an attendance sheet at the Bidder’s Conference and this attendance sheet will be retained as the official record of attendance. If any changes are made to the RFP as a result of the Bidder’s Conference, an addendum to the RFP will be issued to attendees.

12.1 Written Questions To ensure a fair and objective process, any follow-up questions related to

this RFP must be presented, in writing, by 5:00 p.m. on October 2, 2017. Bidders contacting any member of the review committee regarding this RFP, or any member of MCDJFS staff or its agents, other than at the Bidders’ Conference, risk elimination of their Proposal from further consideration.

12.2 Bidder Disclosures: Any Bidder must disclose any and all current, pending, or threatened court actions and/or claims against the Bidder. This information may not cause rejection of the proposal but withholding the information may give cause to reject the proposal.

12.3 Conflict of Interest: No Bidder will promise, or give to a MCDJFS employee or agent anything of value that could influence that employee’s decision on awarding a contract. No Bidder shall attempt to influence an employee of MCDJFS, to violate the procurement policies of MCDJFS, the ORC, OAC, or Federal Procurement Regulations. In addition, Bidder acknowledges and agrees to abide by MCDJFS written code of minimum ethical standards. A copy of the ethics code may be requested from the Contact Person.

12.4 Bidder Examination of the RFP: Bidders are expected to be familiar with the entire RFP. Bidders are expected to respond to the RFP in a manner that makes it clear they understand and have responded to all sections of the RFP. If Bidders discover any mistakes in the RFP,

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they must notify the Contact Person in writing (an email attachment on organizational letterhead is acceptable).

Acceptable proposals will meet the specifications contained in this RFP and all applicable policies and regulations. It is incumbent upon bidders to familiarize themselves with these documents during proposal development.

13.0 Ability to Award Contract

This RFP and all MCDJFS contracts are contingent upon the availability of funds. If at any time during the RFP process, funds are not available for the proposed services, the RFP process will be canceled. In such an event, the Bidders will be notified at the earliest possible time. MCDJFS shall not compensate the Bidders for any expenses incurred as a result of the RFP process.

14.0 Insurance Requirements

If RFP specifications require the performance of labor for MCDJFS, a Selected Bidder must agree to indemnify and protect MCDJFS, and the Board against all liabilities, claims, or demands for injuries or damages to any person or property growing out of the performance of the Contract, by the Selected Bidder/Contractor, its servants, employees, agents, and/or representatives. Prior to the issuance of the Contract, the Selected Bidder must furnish a Bureau of Worker’s Compensation certificate and a Certificate of Insurance Liability showing adequate insurance coverage for the following: General Liability, Ohio Employer’s Liability, Professional Liability and Cyber Liability coverage. (Note: The insurance policy shall have limits of not less than one million dollars ($1,000,000.00) per claim and three million dollars ($3,000,000.00) in the annual aggregate to cover any loss, liability or damage alleged to have been committed by the Provider or the Provider’s agents, servants, or employees.)

1. General Liability – with a limit of $1,000,000 for each occurrence, $3,000,000 products and completed operations aggregate, $1,000,000 personal and advertising injury and $3,000,000 in general aggregate. 

2. Ohio Employers Liability – with a limit of $1,000,000 for each accident, $1,000,000 for each disease per employee and $1,000,000 in disease aggregate.

3. Professional Liability – with a limit of $1,000,000 each claim/$3,000,000 aggregate. 4. Cyber Liability Coverage – with a limit of $1,000,000 per claim/aggregate

Information/Security & Privacy, $1,000,000 per claim/aggregate Regulatory Action (defense & penalties), $1,000,000 per claim/aggregate Website-Media content, and $1,000,000 per claim/aggregate for privacy breach response.

15.0 Taxes MCDJFS does not pay local, state, or Federal taxes. If requested, a Selected Bidder will be furnished with an exemption certificate.

16.0 Compliance with the Law A Selected Bidder must agree to comply with all applicable Federal, State, and local laws in the conduct of the work specified in this RFP including applicable state and federal laws regarding drug-free work places. The Selected Bidder will be required to accept full responsibility for payment of all taxes and insurance premiums including, but not limited to: Unemployment Compensation insurance premiums, Workers’ Compensation, all income tax deductions, Social Security Deductions, and any other tax or payroll deductions required for all employees engaged by the Selected Bidder in the performance of the work specified in this RFP.

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Both for-profit and not-for-profit Contractors are required to comply with federal rules as specified in Office of Management and Budget (OMB) Circular A-133 audit requirements. Contractors that expend $500,000 or more in a year in Federal awards shall have a single or program-specific audit conducted for that year. Contractors that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year but records must be available for review or audit by appropriate officials and auditors of the federal agency, the pass-through entity, and the General Accounting Office (GAO). Any biennial (two year) audit shall cover both years within the biennial period in the scope of the audit.

A Contractor is required to follow all federal, state and local procurement rules regarding the purchase of equipment, sub-contracting and program materials, including making efforts to utilize small and minority-owned businesses, women’s business enterprises and labor surplus area firms when they are potential resources for supplies, equipment and services. MCDJFS will provide training to the Selected Bidder regarding such rules.

Procurement rules for these funding sources must be adhered to. This includes the emphasis on full transparency and accountability regarding the expenditure of ARRA funds.

ORC Section 9.24 prohibits MCDJFS from awarding a contract to any Bidder against whom the Auditor of State has issued a finding of recovery if the finding of recovery is “unresolved” at the time of award. By submitting a proposal, Bidder warrants that it is not now, nor will it become, subject to an “unresolved” finding for recovery under ORC Section 9.24, prior to the award of the Contract, without notifying MCDJFS of such findings.

Any proposal or other material submitted by a Bidder becomes the property of MCDJFS and may be returned only at MCDJFS option. Proprietary information should not be included in a proposal or supporting materials because MCDJFS will have the right to use any materials or ideas submitted in a proposal without compensation to the Bidder. Additionally, all proposals are open to the public after a Bidder’s proposal is selected.

MCDJFS will retain all proposals, or a copy of such, as part of the Contract file for at least three (3) years from the date the Contract has been awarded. After the retention period, MCDJFS may destroy or otherwise dispose of the proposal and/or any copies.

MCDJFS may disclose to the Selected Bidder written or other information that it treats as confidential. All such confidential information and all related material and documents MCDJFS delivers to the Selected Bidder remain the property of MCDJFS. The Selected Bidder must treat such information as confidential if it is so marked, otherwise identified as such, or when by its very nature it deals with matters, if generally known, would be damaging to the best interests of the public, contractor, other contractors, or potential contractors with MCDJFS, or individuals or organizations with whom MCDJFS keeps information. For example, information should be treated as confidential if it includes proprietary documentation, materials, flow charts, codes, software, computer information, techniques, models, diagrams, know-how, trade secrets, data, business records, or marketing information. By further example, the Selected Bidder must also treat as confidential information any material, to which attorney-client, physician-patient, or other privilege recognized by law may apply, and any documents or records expressly excluded by Ohio law from public records disclosure requirements.

Additionally, MCDJFS (and by extension, Contractor) is required to follow the following federal procurement policies, specifically the following:

Compliance with the Copeland “Anti-Kickback” Act (18 U.S.C. 874) as supplemented in Department of Labor regulations (29 C.F.R. Part 3).

Compliance with the Davis-Bacon Act (40 U.S.C. 276a to 276a-7) as supplemented by Department of Labor regulations (29 C.F.R. Part 5).

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Compliance with Sections 103 and 107 of the Contract Work Hours and Safety Standards Act (40 U.S.C. 327-330) as supplemented by Department of Labor regulations (29 C.F.R. Part 5).

Compliance with all applicable standards, orders, or requirements issued under section 306 of the Clean Air Act (42 U.S.C. 1857 (h)), section 508 of the Clean Water Act (33 U.S.C. 1368), Executive Order 11738, and Environmental Protection Agency regulations (40 C.F.R. part 15).

Mandatory standards and policies relating to energy efficiency which are contained in the state energy conservation plan issued in compliance with Energy Policy and Conservation Act (Pub. L. 94-163, 89 Stat. 871).

Limits on Funds: None of the funds appropriated or otherwise made available under ARRA funding may be used for any casino or other gambling establishment, aquarium, zoo, golf course, or swimming pool.

Wage Rate Requirements: Subject to further clarification issued by the Office of Management and Budget and notwithstanding any other provision of law and in a manner consistent with other provisions of ARRA, all laborers and mechanics employed by contractors and subcontractors on projects funded directly by or assisted in whole or in part by and through MCDJFS pursuant to this award shall be paid wages at rates not less than those prevailing on projects of a character similar in the locality as determined by the Secretary of Labor in accordance with subchapter IV of chapter 31 of title 40, United States Code. With respect to the labor standards specified in this section, the Secretary of Labor shall have the authority and functions set forth in Reorganization Plan Numbered 14 of 1950 (64 Stat. 1267; 5 U.S.C. App.) and section 3145 of title 40, United States Code. (ARRA Sec. 1606).

Whistleblower Protection: Each sub-recipient awarded funds made available under the ARRA shall promptly refer to Grantor Office of Inspector General any credible evidence that a principal, employee, agent, contractor, sub-recipient, subcontractor, or other person has submitted a false claim under the False Claims Act or has committed a criminal or civil violation of laws pertaining to fraud, conflict of interest, bribery, gratuity, or similar misconduct involving those funds. (ARRA Sec. 1553).

Buy American: Use of American Iron, Steel, and Manufactured Goods: None of the funds appropriated or otherwise made available by the ARRA may be used for a project for the construction, alteration, maintenance, or repair of a public building or public work unless all of the iron, steel, and manufactured goods used in the project are produced in the United States. (ARRA Sec. 1605).

Mandatory disclosure to MCDJFS of any modifications to names, addresses, phone numbers, facsimiles, email, etc. when such occurs during the duration of this Contract.

17.0 Equal Opportunity Provisions Required All Bidders must be willing to enter into a Contract containing the following express language contained in ORC Section 125.111:

Every contract for or on behalf of the State or any of its political subdivisions for the purchase of materials, equipment, supplies, contracts of insurance, or services shall contain provisions similar to those required by Section 153.59 of the Revised Code in the case of construction contracts by which the Bidder agrees to both of the following:

That in the hiring of employees for the performance of work under the contract or any subcontract, no Bidder or subcontractor shall, by reasons of race, color, religion, sex, age, handicap, national origin or ancestry, discriminate against any citizen of this state in the employment of a person qualified and available to perform the work to which the contract relates.

That no Bidder, subcontractor, or any person acting on behalf of any Bidder or subcontractor shall comment in any manner, discriminate against, intimidate, or retaliate against any employee hired for the performance of work under the contract on account of race, color, religion, sex, age, handicap, national origin, or ancestry.

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A Selected Bidder who contracts with the State or any of its political subdivisions for materials, equipment, supplies, contracts of insurance, or services shall have a written affirmative action program for the employment and effective utilization of economically disadvantaged persons, as defined in ORC Section 122.71. Annually, each Selected Bidder/Contractor shall file a description of the affirmative action program and a progress report on its implementation with the Ohio Civil Rights Commission and the Minority Business Development Office established under ORC Section 122.92. In addition, all Selected Bidders who contract with the State or any of its political subdivisions for materials, equipment, supplies, and services must also adhere to requirements as set forth in Section 16.0 which addresses the utilization of small and minority-owned businesses, women’s business enterprises and labor surplus area firms.

18.0 Submitting Proposals

18.1 Preparation of Proposal: A proposal must clearly identify the Bidder’s qualifications to provide the services requested in this RFP. Bidder must respond to the specific services requested through this RFP and its instructions and requirements. A Bidder’s proposal must include all costs that relate to the proposed services to be provided and projected number of clients to be served. All proposals become the property of MCDJFS and will be considered public information available for inspection following the selection of a proposal.

18.2 Proposal Cost: The Bidder is fully responsible for all costs associated with the development and submission of the proposal. MCDJFS assumes no contractual or financial obligation as a result of the issuance of this RFP, the preparation and submission of the proposal by a Bidder, the evaluation of an accepted proposal, or the selection of an approved proposal.

18.3 False or Misleading Statements: Proposals containing false or misleading statements may be rejected.

18.4 Bidder Representative’s Signature: The Cover Page Form must be signed by an individual who is authorized to contractually bind the Bidder. The signature must indicate the title or position the individual holds in the Bidder’s organization.

It is the responsibility of the Bidder to clearly indicate which of the submitted proposal copies the original is. If the Bidder does not indicate an original, MCDJFS will designate and mark one of the copies as an original and that designation will become binding if there is ever a dispute concerning the original submission.

18.5 Delivery of Proposals: A Bidder’s written proposal must be received by 12:00 noon Eastern Standard Time on Friday, October 13, 2017. There are no exceptions to this deadline and any proposal received after the deadline will be immediately rejected. A Bidder must mail or hand deliver one (1) signed original proposal, six (6) copies of the document in Word or PDF format and in Excel for applicable forms. These must be submitted to:

RFP for MCDJFS ServicesAttention: Diana Fugate, CENJob & Family Services, Finance & Administrative Division1111 South Edwin C. Moses BoulevardDayton, Ohio 45422

A receipt will be issued for all proposals received via hand delivery. Proposals must be delivered as stated above. A designated and clearly marked proposal delivery area will be located in the office. Proposals may not be submitted at any other location. If mailed, the Bidder must use certified or registered mail with return receipt required, or a private delivery

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or courier service (e.g., Federal Express, UPS, etc.). Faxed or e-mailed proposals, as well as those sent by Standard U.S. mail, will not be accepted.

A Bidder should carefully review their final proposal. Once submitted, a Bidder cannot make any change in the proposal unless otherwise permitted under this RFP or by MCDJFS. Notwithstanding the foregoing, MCDJFS may request additional information for clarification purposes only.

18.6 Acceptance & Rejection of Proposals: MCDJFS reserves the right to reject any or all proposals. The selection of a proposal by the MCDJFS shall be final upon approval by the Board.

18.7 Evaluation & Award of Contract: The review process will be conducted in three (3) parts:

1. Preliminary Proposal Review examines the proposal to ensure it meets the minimum requirements and mandatory conditions specified in the RFP.

The proposal must have been received at the address indicated in the RFP by 12:00 noon (Eastern Standard Time), October 13, 2017. A proposal not received at the designated address by the specified date and time will be immediately rejected.

The proposal original cover sheet must be signed by an authorized representative. One (1) original proposal, six (6) copies and an individual budget must be submitted. Any variations from this requirement will result in a reduction in points during the Review Committee Process. Please refer to Section 1, “General Information” for additional details regarding this requirement.

2. Review Committee Process

All proposals meeting the requirements of Section 9.0 above will be reviewed, evaluated and rated by a Review Committee that may be composed of MCDJFS staff, specialists in the RFP program area and other community representatives. Review Committee representatives will not include Bidders to this RFP or anyone else who may have any conflict of interest that would prohibit a fair and equitable review process.

The Review Committee will evaluate each proposal against the criteria specified in the RFP. During the evaluation, the Review Committee may request additional information from the Bidder. Failure to respond to such requests for information will result in the Bidder’s proposal being reviewed as submitted. Such information requests and Bidder’s responses must always be in writing.

Proposal submission must meet format specifications as stated in Section 6 of this RFP, including maximum number of pages for the training description forms, font and line spacing specifications, and completion and inclusion of the cover page and all required attachments. Proposals must also include the required number of copies, as stated in the “Instructions for Completing the Contract Budget” Evaluation Points will be lost if these requirements are not met.

The Review Committee shall review all qualified proposals. A standard Proposal Evaluation Rating Sheet (see following page) will be used. The range of evaluation points and the evaluation criteria for each required section of the proposal is detailed in the Rating Sheet and Section 6 of this RFP. In order to be considered for funding, a proposal must earn a minimum of one hundred twenty (120) points out of one hundred and fifty (150) points or, 80%.

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3. Administrative Review - Following the detailed scoring by the Review Committee, the results will be evaluated by MCDJFS administration in order to ensure that all facets related to predicted performance were considered. In selecting the successful proposal, the MCDJFS evaluation will take into consideration, but will not be limited to:

Criteria used in the Review Committee’s review process; Strength and stability of the Bidder to provide the requested services; Ability to meet the project/program timelines; Overall responsiveness and completeness of the Proposal as well as the likelihood

that, in the opinion of MCDJFS, and at the sole discretion of MCDJFS, the Proposal best meets or exceeds MCDJFS expectations;

Scope of services being proposed; Collaboration letters; Any other factors considered relevant by MCDJFS and demonstrated by the Proposal

or investigation by MCDJFS; Budget analysis, including reasonableness and cost effectiveness of proposed

services; Any other factors considered relevant by MCDJFS, including performance on prior

and current contracts with MCDJFS; and Experience with a similar project/program of comparable size and scope, including

any available information regarding program results.

*The Application Format points will take into account the entire Proposal Packet.The Review Committee may consider information from sources other than the written proposal to evaluate the Bidder’s administrative abilities. Other sources of information may include, but are not limited to, written responses to any clarifying questions posed by the Review Committee, Bidder’s experience in administering similar services, and any monitoring data regarding Bidder’s performance of current or prior contracts with MCDJFS. This information must be based on factual data and provided in writing.

The final composite Review Committee Evaluation Rating Sheet, which includes the Bidder’s prioritized ranking, will be maintained on file by MCDJFS. The end result of the review process is a prioritized list of applications in descending order from highest scoring to lowest scoring proposals.

Any Bidder whose proposal was not selected (“Unsuccessful Bidder”) will be notified of their non-selection immediately after the Selected Bidder(s) is (are) notified. If a Selected Bidder fails to execute a Contract within the Contract development period specified in Section 10.0 of this RFP, MCDJFS may, at its sole discretion, award the Contract to another Bidder whose proposal met the requirements of the RFP and addenda. The period of time within which such an award of the Contract may be made shall be subject to the written agreement between MCDJFS and the new Selected Bidder.

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18.8 Proposal Evaluation Rating Sheet

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Maximum Points High Moderately High Average Below

Average Poor Unacceptable

5 points 5 4 3 2 1 0Application Format*Cover page signed, format specifications, application assembly order, and required number of copies.20 points 20-18 17-14 13-11 10-7 6-4 3-0Services SummarySummarization of the proposed services (OWF and SNAP E&T Services for WEP participants), activities, goals, collaborating activities (if applicable) and strategies for meeting MCDJFS desired results (not to exceed one page).10 points 10 9.8 7-6 5-4 3-2 1-0Service AvailabilityDescription of WEP Services for both OWF and SNAP E&T participants, listing of other known providers offering the same services, an explanation as to why this particular service will be in high demand (not to exceed two pages total).20 points 20-18 17-14 13-11 10-7 6-4 3-0Organizational Capacity Explain the organizational capacity to provide the proposed services and the methods in place. Sufficient staff in place with experience working with these services. Adequate policies and procedures in place. A demonstrated ability to work with public agencies and other organizations in meaningful collaborative

and/or partnership relationships. Not to exceed two pages.25 points 25-22 21-17 16-12 11-8 7-4 3-0Experience with Public Agencies Description of the organization’s experience in providing proposed services to this target population

(OWF participants and SNAP E & T participants). Description of your success in providing services to this target population. Not to exceed two pages.50 points 50-43 42-34 33-25 24-16 15-8 7-0Service Delivery A proposed service delivery model that responds to the areas described in Sections 4.0 through 6.0 of

this RFP. A clear identification of the key components of the service delivery model and description of the specific

strategies to achieve the intended results. Prior success in providing these services to the targeted population. A service model fostering community partnership agreements to provide a diverse variety of

employment activity services to the target population to ensure placement and retention. Not to exceed three pages. 20 points 20-18 17-14 13-11 10-7 6-4 3-0Internal Evaluation and Accountability Bidder should be able to demonstrate the ability to document, track, analyze data, and submit monthly

and quarterly reports to MCDJFS. Meaningful benchmarks, performance measures, and outcomes should be identified. The stated rationales for targeting these performance measures should be sound. Not to exceed two pages.150 Total Points 150-126 125-100 99-74 73-49 48-24 23-0

18.9 Post Selection Meeting: If an unsuccessful bidder wishes to discuss the selection process, a request for an informal meeting with MCDJFS, and the explanation for it, must be in writing and received within seven (7) working days from the mailing date of the notification of non-selection. The request shall state the reason(s) for the meeting, citing the law, rule, regulation, or RFP procedure(s) on which the request is based. All requests must be signed by an individual authorized to represent the Bidder and must be addressed to the Contact Person described in Section 18.5, hereof.

18.10 Caveat: Proposal selection does not guarantee that a contract for services will be awarded. All proposals will be evaluated based on the criteria in the RFP (see the Rating Sheet under Section 18.8, hereof). MCDJFS will work with the Selected Bidder(s) to finalize the details of the Contract document(s). If MCDJFS, in its sole discretion, determines that MCDJFS and the Selected Bidder(s) are unable to successfully come to terms regarding the Contract within a reasonable time period, MCDJFS reserves the right to terminate discussions. If this happens, MCDJFS, in its sole discretion, reserves the right to either 1) Select another Bidder from the bid process with whom to negotiate the Contract, 2) Cancel the RFP, or 3) Reissue the RFP.

18.11 Termination for Convenience: MCDJFS reserves the right to terminate the resulting Contract at its convenience during the contract period or any subsequent renewal period by giving the Contractor thirty (30) days written notice. Such terminations shall be subject to Board approval.

18.12 Termination for Default/Suspension of Referrals: MCDJFS shall terminate the Contract should a Selected Bidder fail to carry out the terms and conditions of the Contract after issuance of a notice of required improvement (“cure notice”) following approval by a resolution of the Montgomery County Board of Commissioners. MCDJFS may also suspend referrals and/or payment to a Selected Bidder pending the outcome of any investigations alleging breach of contract. A Selected Bidder will have thirty (30) days after the date of a cure notice to develop and submit to MCDJFS a Corrective Action Plan (“CAP”) that adequately addresses issues identified in the cure notice. Following the CAP’s approval by MCDJFS, a Selected Bidder will have sixty (60) days or another mutually-agreed upon timeframe, within which to implement the CAP and make any necessary corrections. If, after such notice, a Selected Bidder fails to remedy the conditions, MCDJFS will issue an order to stop work immediately and terminate the Contract without obligation.

18.13 Complaint Process: MCDJFS clients and bidder staff connected to MCDJFS activity shall have the right to use the complaint procedures outlined by the Ohio Department of Job & Family Services and the U.S. Department of Labor Civil Right Center (“CRC”) for resolution of any dispute relating to a MCDJFS program which involves discrimination on the basis of race, color, gender, national origin, religion, political affiliation or belief, or status as a MCDJFS participant.

The Successful Bidder shall cooperate in the investigation and resolution of any complaint to which it is a party, and shall abide by the terms of any resolution or decision made under the procedures.

18.14 Conducting Business Involving Relatives: No relative by blood, adoption, or marriage, which shall include: spouse, significant other, child (including adult children), parent, sibling, sibling’s spouse, aunt, uncle, niece, nephew, stepparent and stepchild (including adult stepchildren), of any executive or employee of the successful bidder shall receive favorable treatment from the successful bidder for enrollment into, or employment related to, the MCDJFS activity. The successful bidder shall also avoid entering into any subcontract or agreement to provide programs or services related to the MCDJFS activity with an executive’s or employee’s relative by blood, adoption, or marriage. When it is in the public’s interest for the organization to provide a service related to the MCDJFS activity with a relative, the successful bidder shall obtain written approval from MCDJFS before entering into an agreement. All correspondence shall be kept on file and available for monitoring and audit reviews.

18.15 Nepotism: No individual may be placed in any MCDJFS activity if a member of that person’s immediate family is directly supervised by, or directly supervises, that individual.

18.16 Political and Sectarian Activities: No sectarian (i.e., religious) or political activities may be conducted in connection with MCDJFS activity. Participants shall not be employed through MCDJFS contracts to carry out the construction, operation, or maintenance of any part of any facility that is used or is to be used for sectarian instruction or as a place for religious worship, except that maintenance of a facility is allowed if it is not primarily or inherently devoted to sectarian instruction or religious worship, (i.e., where the person or entity operating the facility is part of a program or activity providing services to participants).

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19.0 Terms and Conditions

If a Contract ensues, the RFP and the commitments made in the selected proposal will become contractual obligations, including any information requested during Contract development by MCDJFS. Failure of the Selected Bidder(s) to accept these obligations may result in cancellation of the award.

19.1 Type of Contract and Subcontracting: The Contract will incorporate the requirements of the RFP, the Selected Bidder’s proposal, and all other agreements that may be reached during Contract negotiation.

The Contractor is responsible for the execution of the project/program and Contract requirements. If the Contractor chooses to provide services via sub-contractor(s), the Contractor is fully responsible for all sub-contractor(s) delivery of service and payment thereof. The Contractor will not subcontract or assign the Contract nor shall any subcontractor commence performance of any part of the work included in the resulting Contract, without the previous written consent of MCDJFS. Acceptance or rejection of a proposed subcontract is at the sole discretion of MCDJFS.

19.2 Contract Period, Funding & Invoicing: The term of the Contract shall be for a twelve (12) month period, commencing on January 1, 2018, and ending no later than December 31, 2018. This contract shall be subject to the availability of funds and at the sole discretion of MCDJFS (with the approval of the Board), a Contract may be extended for up to two (2) additional twelve (12) month periods. Any such Contract extension will be based on Contractor’s performance as determined solely by MCDJFS. Payments for all services provided in accordance with the provisions of this contract are contingent upon the availability of federal, state and/or local funds. In the event that local, state and/or federal reimbursement is no longer available to the MCDJFS, therefore requiring changes to, or termination of this contract, such changes or termination for this reason will be effective on the date that local, state and/or federal reimbursement is no longer available, or later as in other wise stipulated by the MCDJFS.

A Contractor can claim payment only for services already provided and must submit invoices for payment at a minimum of once per month. Invoices must be submitted within fifteen (15) days of the last day of the month of service delivery (for example, invoices for services delivered in the month of August must be presented to MCDJFS no later than September 15th.) Generally, reimbursement by MCDJFS is made within thirty (30) days of receipt of an accurate invoice reflecting actual expenses. The funds designated for the Contract Period are subject to funding requirements and restrictions under the various funding allocations.

19.3 Confidentiality & Security: A Selected Bidder/Contractor who has access to confidential information will be required to keep that information confidential. The Selected Bidder/Contractor must agree to comply with all Federal and State laws applicable to MCDJFS and/or clients of MCDJFS concerning confidentiality of MCDJFS clients. Any use or disclosure of information concerning MCDJFS clients for any purpose not directly related to the administration of the Contract is prohibited. If a Contractor subcontracts, the subcontractor shall also be subject to the foregoing confidentiality requirements and shall be required to agree to said confidentiality requirements in writing whether under a contract with the Contractor or in a separate document.

19.4 Duplicate Billing: A Contractor shall warrant that claims made to MCDJFS for payment shall be the actual cost for authorized services rendered to eligible individuals and such claims shall not be made against other funding sources for the same services. Use of funds awarded through any contract with MCDJFS by the Contractor to supplant any other existing funding sources is strictly prohibited.

19.5 Additional Contract Information Contractors will be subject to announced and unannounced monitoring by MCDJFS which is totally

independent and distinct from the audit requirements described in Section 16.0 hereof. MCDJFS will also conduct a contract Risk Assessment in accordance with the Ohio Department of Job and Family Services (“ODJFS”) procurement rules.

MCDJFS reimburses for services primarily on a cost reimbursement basis. All invoices for services must be submitted, at a minimum, monthly to MCDJFS. All amounts on the invoice are to be supported by documentation attached to the invoice. The Contractor must retain all documentation for actual expenses of those services for three (3) years or until the completion of an audit. There are no exceptions to this requirement.

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MCDJFS will only reimburse for the agreed upon rates and/or costs incurred under the terms of the Contract.

Payment of invoices will be contingent upon the Contractor’s use of mandated MCDJFS reporting mechanisms.

Project deliverables must be clearly defined in the Contract and progress will be monitored throughout the duration of the Contract.

Should future funding be available, the Contract may be extended. Contract extensions will be based upon performance, compliance with all Contract terms, requirements of any future RFP(s) and continued local need, as determined solely by MCDJFS.

MCDJFS reserves the right to extend and/or amend the Contract based on the Contractor’s performance as determined solely by MCDJFS, contingent upon Board approval.

20.0 Mission of Montgomery County DJFS

The mission of the Montgomery County Department of Job and Family Services (MCDJFS) is “Protecting children and the elderly, strengthening families and individuals, and providing opportunities through coordinated services for the residents of Montgomery County.”

21.0 Application Format

21.1 Required Format Specifications: Complete all sections of the application as instructed. Applications not meeting the following format specifications will have up to a maximum of five (5) points deducted.

8.5” x 11” plain white paper (No binders or coiled binders) A 12-point “Times New Roman” black font must be used. Pages are to be single sided. Lines must be single spaced. Must remain within the number of pages as instructed. Stapled once in the upper left hand corner

21.2 Collaboration Letters (Bid Opening Package): MCDJFS strongly encourages Bidders to demonstrate collaborations and service linkages that would assist in achieving the objectives stated in Section 4.0 of this RFP.

Those collaborative relationships that are integral to the program design should be described in the Description of Training Program and Service Delivery section of the Training Description Packet.

Please provide Letters of Support/Reference. Each Letter of Support must include: Organization name Address Phone number and fax number Contact person Nature of relationship

(MCDJFS, at its sole discretion, may elect to contact references during the review process. If references cannot be provided, explain why.)

21.3 Personnel Qualifications (Bid Opening Package)Please include the following information as it related to the training(s) contained in the proposal: Table of Organization Resumes of key personnel who will be directly involved with the proposed training Professional licenses Alternate signing letter-this letter, on company letterhead, indicates any other staff member(s) who is/are

permitted to contractually obligate the selected bidder.

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21.4 Budget Narrative and Budget Form (Proposal Package): Bidders should present a sound approach to budgeting for the various aspects of program management and implementation.

A. Budget Narrative (Proposal Package) Provide a description of revenues and expenses (“Budget Narrative”). The Budget Narrative must not exceed two (2) pages. Describe necessity and reasonableness of each budget line item. Statements should be concise and clear and not simply a restatement of the information presented in the budget. The budget should be developed with advice and assistance of Bidder’s fiscal officer (if applicable), or from an accounting professional knowledgeable in this type of programming and funding sources. Although there is no match requirement, provide a summary of other funding that Bidder receives and, specifically, reference funding that will contribute to overall funding for the proposed program.

B. Budget Form Complete MCDJFS Program Budget Form. The budget will be evaluated in accordance with standard accounting principles, clear support of proposed program components and cost effectiveness.

INSTRUCTIONS FOR COMPLETING THE CONTRACT BUDGET The Contract Budget is to include all of the financial information regarding the Bidder’s program. This includes all funding for the program, both federal and non-federal, and all related expenses. It is important that consideration be given to all projected program expenditures in preparation of the Contract Budget. The Contract Budget not only serves as a basis for Bidder’s funding and reimbursement for the program expenses, but also represents the amounts that will initially be considered as allowable program expenses. Any expenditures that are not included in the initial budget may require renegotiation of the budget prior to the expenditure being allowable for the program. Amounts approved on the budget do not indicate the amounts that will be reimbursed but are estimates of the possible reimbursement. All amounts invoiced to MCDJFS will be based on actual expenditures of funds and only those actual expenditures are reimbursable. Incentive payments, which will be paid upon verification of a qualified placement under both Short-Term Training Programs, will be paid outside the scope of the budget and therefore, should not be included in the total.The budget is broken down into the major areas of expense. Behind the Contract Budget, and an integral part of the budget process, are the detailed expenses determining the overall budget. The Contract Budget amounts are calculated based on the detail presented on the Estimated Cost of Delivery of Purchased Services pages. It is very important that these estimates are adequately developed to ensure the Contract Budget includes the funding needed to provide all program requirements.

Contract Budget PageThe basic information for Bidder’s program is entered in the top box of the Contract Budget page. No other information is needed.

Provider Information: The section referencing Bidder’s name, address, phone, fax, and e-mail in the left column of the box

Service Program: OWF/SNAP E&T Program Services Contract Period – Date of execution through December 31, 2018, contract dates subject to change.

No additional information needs to be input on this page but once all of the Estimated Cost of Delivery of Purchased Services pages are completed, the Contract Budget should be reviewed for accuracy.

Estimated Cost of Delivery of Purchased ServicesThese details support Bidder’s Contract Budget. These amounts are based on estimated expenditures to provide the program services outlined in the proposal. All related expenses required to provide these services need to be considered and included in these estimates. Reimbursement costs are based on actual expenditures, but are limited by the amounts included on these pages.

STAFF COSTS (SECTION I)

EMPLOYEE SALARIES: Include each position that will be directly charged to the program, the number of people in each position, and the position’s annual salary. Indicate whether each position is filled or vacant (to be filled later). Filled positions should include the names of those employees filling them. Indicate the estimated total hours per week worked and hours to be worked on the proposed program. Indicate the number of months the position will be charged to the program if not a full year (for example a vacant position that will be filled for only 6 months of the program). Based on this

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input, the total annual salary for each position, percentage of time to the program and reimbursable salary will be calculated. Input the percentage of the program that may be funded through this RFP. For example if this proposal covers $50,000 of a $200,000 program, insert 25%.

PAYROLL RELATED EXPENSES: This section includes expenses related to payroll for the employees listed under employee salaries including all fringe benefits such as employer matching amounts, worker’s compensation, retirement, insurance, etc. If a percentage is entered, the amount is calculated based on the total reimbursable salaries from the Employee Salaries section.Amounts may also be entered directly into the “amount” column. If items are included that are not listed, these must be specified.

NON-EMPLOYEE SALARIES: This section covers any positions that will be directly charged to the program which are paid outside of the normal payroll system, including contract employees such as an outside accounting firm, teachers, or health care professionals that are paid on an hourly basis. Enter the same information in this section as entered for the Employee Salaries section above.

ADMINISTRATIVE COSTS AND PROFESSIONAL FEES: This section includes all personnel costs that have not been previously recorded. Examples include an accounting firm paid on a contractual monthly basis, audit costs, legal fees, and administrative charges allocated to the proposed program. Any allocated charges to the program are to be derived from an accurate, documented cost allocation plan.

PROGRAM COSTS (SECTION II)

TRAVEL EXPENSES: Include any projected travel costs related to the service delivery of the proposed program. This may include field trips, home visits, meetings, employee travel expenses, and necessities for vehicles utilized for the program. Purchased transportation would include transportation for a fee such as taxi or bus fare.

AGENCY TRAINING EXPENSES: Include expenses related to training of staff to provide the proposed services. This may include registration fees, lodging, meals, transportation fees, conference materials, etc. If the training will benefit multiple programs or funding sources, only the portion directly applicable to the proposal should be included.

CONSUMABLE SUPPLIES: Include any projected need for supplies to implement the proposed program including direct program supplies such as books and materials, and indirect supplies for managing the program such as office and cleaning supplies.

OCCUPANCY COSTS: Occupancy costs are to be based on three factors: (i)The square footage needed by the proposed program as a percentage of total facilities square footage; (ii) the annual rent or depreciation cost (if Bidder owns the building); and (iii) the percentage of the overall program funded through the proposal to MCDJFS. Bidder must provide square footage for the program and the building; either the annual cost of rent per square foot or the annual depreciation figures, and the percentage of program funding provided through this RFP should the Bidder be awarded a contract. The charges to the Contract Budget will be calculated from these figures.

The expense for utilities and maintenance and repair should include the overall expenses which will then be prorated to the program based on building square footage and the portion of the proposed program to be funded through this RFP. If there are specific utilities related only to the portion of the program Bidder proposes MCDJFS fund, list these separately and the amount chargeable to the Contract Budget will be calculated based on the percentage of the program for which the proposal is seeking funding.

INSURANCE COSTS: Include all non-vehicle insurance costs in this section and the percentage of these costs directly related to the proposed program.

OTHER MISCELLANEOUS PROGRAM COSTS: Include in this section any projected expenses that are not listed under any other area of the Contract Budget.

EQUIPMENT COSTS (SECTION III)

EQUIPMENT SUBJECT TO DEPRECIATION: This section includes all equipment utilized by the program that exceeds Bidder’s fixed asset threshold or $5,000, whichever is lower. For example, if Bidder’s fixed asset threshold is $500, any

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piece of equipment over $500 is to be included here. However, if Bidder’s threshold is $7,500, all individual items over $5,000 are to be included here. The equipment costs listed here will be reimbursed based on the annual usage associated with the proposed program’s portion of the equipment’s usage. Please list each item of equipment separately with the required information in Part A. In Part B, include the useful life as determined by Bidder’s fixed asset policy and the percentage the equipment will be utilized by the proposed program. This percentage should take into consideration both the percentage of use by the program and the percentage of the program that may be funded through this RFP. For example, if a vehicle is 50% to the program and your proposal includes 50% of program funding from another source, the percentage would be 25% (50% of 50%).

SMALL EQUIPMENT PURCHASES: This section includes all purchased equipment utilized by the program that was not included above. This equipment will be reimbursed as purchased based on the proposed program’s percentage of the equipment’s use. To calculate the percentage to the Contract Budget, take the percentage to the program times the percentage of proposed MCDJFS funding of the program as noted above.

LEASED AND RENTED EQUIPMENT: Include those items of equipment to be utilized by the program that are leased or rented. Once again, to calculate the percentage to the Contract Budget, take the percentage of the equipment’s usage to the program times the percentage of the program that may be funded through this RFP as noted above.

EQUIPMENT REPAIR AND MAINTENANCE: Include repairs and maintenance to equipment utilized by the program. Remember to calculate the percentage to the Contract Budget by taking the percentage to the program times the percentage of the proposed portion of MCDJFS funding of the program as noted above.

TUITION CHARGES (SECTION IV)

TUITION BASED PROGRAMS ONLY: If the program is a tuition-based program, fill in the appropriate information for each type of program. “Total Program Units” will include all projected participants in the program. “Units Under Contract” will only include projected participants reimbursable by MCDJFS.

UNIT RATE CHARGES (SECTION V)

APPROVED PROGRAMS ONLY: If the proposed program has been approved for unit rate charges, fill in the appropriate information for each type of service unit. “Total Program Units” will include all projected units in the program. “Units Under Contract” will only include projected units reimbursable by MCDJFS.

INCOME PAGE: On this page Bidder must disclose all projected funding for the organization. Part A: Include all funds for the program for which Bidder is seeking funding. For example, if Bidder is proposing that MCDJFS fund $50,000 of a $200,000 program, there should be $50,000 listed under MCDJFS and another $150,000 in other funding categories. For each type of federal, state, or county funding, please specify the source and type of funding received. Part B: Include all projected funding for Bidder’s organization. Once again please specify each source and type of federal, state, or county funding Bidder plans to receive. Please be aware that many federal and state funds are passed through local governments and other organizations. Bidder may need to contact the granting agency to find out the true source of these funds.

UNALLOWABLE COSTS: Use of federal funds for prohibited purposes will result in the loss or recovery of those funds. Funds may not be utilized for the following:

Advancement of political or religious points of view, fund raising or lobbying. Distribution of factually incorrect or deceitful information. Consulting fees for salaried program personnel to perform activities related to the program. Bad debts of any kind. Lump sum indirect or administrative costs. Contributions to a contingency fund. Entertainment (for example paying for entertainment for management). Fines and penalties. Interest or other financial payments. Contributions made on behalf of program personnel. Costs to rent equipment or space owned by the funded agency. Inpatient services. The purchase or improvement of land. The purchase, construction, or permanent improvement of any building.

40

Satisfying non-federal fund matching requirements to receive any federal funding. Contracts for compensation with advisory board members.

A signed original and six (6) copies of the proposal along with the CD version shall be submitted to MCDJFS as specified in Section 18.5 of this RFP.Cover Page: Bidders must use Attachment 1 (cover page) as provided in this RFP. Complete all sections of the Cover Page form. Bidder’s authorized representative must sign the Cover Page of the original submitted proposal.All Bidders must include each of the following sections. The maximum number of points that can be awarded for each section is provided (Section 18.8 – Rating Sheet). Total possible points = 150.

22.0 Attachments & Application Checklist

22.1 AttachmentsThe documents listed below are to be completed in their entirety by the Bidder.

Attachment 1 -- RFP Cover SheetAttachment 2 -- Representations, Assurances and CertificationsAttachment 3 – Request for Taxpayer Identification Form

22.2 Application Checklist

Bid Opening Package□RFP Cover Sheet (signed)□Representations, Assurances and Certifications□Collaboration Letters□Personnel Qualifications (including Alternate Signing Letter, if applicable)□Table of Organization □Request for Taxpayer Identification Form

Proposal Package□Proposal (1 Original and 6 Copies)□Budget Narrative□Microsoft Compatible CD-Rom (Proposal and Budget)

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ATTACHMENT 1

Montgomery County Department of Job and Family ServicesBy the Authority of the

Montgomery County Board of County Commissioners

REQUEST FOR PROPOSALS

COVER PAGEFOR

OHIO WORKS FIRST (OWF) ANDSUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM EMPLOYMENT AND

TRAINING (SNAP E&T) SERVICES

(2018/2020)

___________________________________Authorized Provider Signature & Title

Issued by:Montgomery County Department of Job and Family Services1111 South Edwin C. Moses BoulevardDayton, Ohio 45422

Release Date: September 20, 2017

Mission Statement

“Protecting children and the elderly, strengthening families and individuals, and providing opportunities through coordinated services for the residents of Montgomery County.”

ATTACHMENT 2

REPRESENTATIONS, ASSURANCES, AND CERTIFICATIONS

Bidder Name:

Bidder Address:

Telephone Number: FAX: Email Address:

The name and telephone number of the person(s) who has (have) the authority to submit Proposals:

The name and telephone number of the person(s) who has (have) the authority to sign contracts:

Bidder’s organization type (e.g. corporation, sole proprietorship, post-secondary education institution, etc.):

Status of bidder’s organization or business (check one):Public agency Private non-profit Private for-profit Other

Bidder’s date of inception: Date of establishment/incorporation:

Federal Employer Identification Number (FEIN):

Worker’s Compensation Account Number: Unemployment Insurance Account Number:

Circle OneIs the Bidder independent or controlled by a parent company or organization? Yes NoIf yes, name of parent company or organization:

Is the Bidder authorized/licensed to do business in the State of Ohio? Yes No

Has Bidder ever filed for reorganization under the bankruptcy laws of Ohio or any other state? Yes NoIf yes, what was the date and disposition of this action?

Do Federal, State, or local Affirmative Action or Equal Employment Opportunity rules bind the Bidder? Yes No

If yes, has the Bidder filed all required EEO reports to the necessary agencies? Yes No

The Bidder certifies that he is neither debarred nor suspended under Federal and State rulings from receiving Federal funds. Yes No

Does the Bidder have current or future plans for a buyout or sale to another person or entity? Yes No

The Bidder certifies that he will not enter into contracts with subcontractors who are debarred or suspended from such transactions to complete work related to this Request for Proposals. Yes No

The Bidder certifies he will not use the contract funds to lobby. Yes No

The Bidder certifies he is a drug-free work place. Yes No

The Bidder certifies he is not delinquent on any Federal debt. Yes No

ATTACHMENT 3

MONTGOMERY COUNTY DEPARTMENT OF JOB AND FAMILY SERVICES

BUDGET FACE SHEET

COUNTY Montgomery

PROVIDER

ADDRESS

TELEPHONE NO.

SERVICE PROGRAM Ohio Works First (OWF)/Supplemental Nutrition Assistance Program (SNAP) Education & Training Services

BUDGET PERIOD January 1, 2018 – December 31, 2018

CONTRACT PERIOD January 1, 2018 – December 31, 2018

ServiceCode

Unit of Service

Total Cost by Service Code

Total Program

UnitsUnitCost

UnitsUnder

Contract

Amount Under

Contract

RECAP OF BUDGET ITEMS

EstimatedCosts

I. STAFF COSTS

A. Salaries $

B. Payroll Related Expenses

C. Consultation Fees

TOTAL STAFF COSTS $

II. OPERATIONAL COSTS

A. Travel $

B. Consumable Supplies

C. Occupancy

D. Insurance

E. Indirect Costs

F. Other - Miscellaneous

TOTAL OPERATIONAL COSTS $

III. EQUIPMENT COSTS

A. Equipment Subject to Depreciation $

B. Small Equipment Purchases

C. Leased and Rented Equipment

TOTAL EQUIPMENT COSTS $

IV. TOTAL PROFIT $

TOTAL PROGRAM BUDGET FOR SERVICE(S) UNDER CONTRACTS $

I.A. SALARIES

Position Title F/V

No. of Positions Required

Annual Salary

Hours per Week

Percent of Time to

Service(s) Under

ContractReimbursable

Salary

TOTAL $

I.B. PAYROLL RELATED EXPENSES

Payroll RelatedExpenses

Social Security $

Workers’ Compensation/Unemployment Insurance

Retirement Expense

Hospitalization Insurance Premium

Other (Identify)

TOTAL PAYROLL RELATED EXPENSES $

I.C. CONSULTATION FEES

Estimate ofFunction Use to Contract

Type Performed Fees Service(s) Consultation

TOTAL CONSULTATION FEES $

II. A. TRAVEL

TravelAGENCY VEHICLES EXPENSE:

a. Gasoline and Oil $

b. Vehicle Repair

c. Vehicle License

d. Vehicle Insurance

e. Other

Mileage Reimbursement @ mile

Conference, Meetings, etc.

Purchased Transportation

TOTAL TRAVEL $

II. B. CONSUMABLE SUPPLIES

ConsumableSupplies

Food $

(Less) USDA ( )

Kitchen Supplies

Office Supplies

Cleaning Supplies

Medical Supplies

Program Supplies

Other (Specify)

TOTAL CONSUMABLE SUPPLIES $

II. C. OCCUPANCY COSTS

– Rental @ $ per square foot OR

– Usage allowance/depreciation @ % rate of originalacquisition cost of $ by Program Square FootagePercentage (Program Square Footage divided byProvider Square Footage equals %) $

– Maintenance and Repairs

– Utilities* (*If not included in rent):

Heat & Light $ Telephone Water

TOTAL OCCUPANCY COSTS $

II. D. INSURANCE COSTS

– Liability $

– Property

– Accident

TOTAL INSURANCE COSTS $

II. E. INDIRECT COSTS

Direct Staff Program Costs

Direct Staff Total Costs

Indirect Cost Pool

Percent Indirect Cost Applicable to Contract

Indirect Cost for Contracted Services

$ $ $ $ % $

II. F. OTHER - MISCELLANEOUS

– Itemize Miscellaneous Costs:

$

$

TOTAL MISCELLANEOUS COSTS $

III. A. EQUIPMENT SUBJECT TO DEPRECIATION(Depreciation of any Item or Group of Items

Exceeding a Cost of $500)

Equipment to beDepreciated

New or Used

Date Purchased

Quantity

Total ActualCost

Salvage Value

Amount to beDepreciated

Useful Life

ChargeableAnnual Depreciation

Percent to Program

Net Amount to Program

TOTAL DEPRECIATION CHARGES TO PROGRAM $

III. B. SMALL EQUIPMENT PURCHASES(Equipment Costing Under $500)

Item QuantityTotal Cost

Percent to Program

Net Charge

TOTAL SMALL EQUIPMENT PURCHASES $

III. C. LEASED AND RENTED EQUIPMENT

Item of Equipment Model & Year Quantity

Leased & Rented Equipment Charge

% to Program Net Charges

TOTAL LEASED AND RENTED EQUIPMENT $

TOTAL INCOME FOR BUDGET PERIOD

A. INCOME FOR SERVICES UNDER CONTRACT:

1. Fees from Private Consumers $

2. Fees Generated by Contract for Recipients

3. Other Federal Support of Contracted Services

1. State, County, or Municipal Allocations

2. Contributions

1. Other Contracts

2. Miscellaneous

TOTAL INCOME FOR SERVICES(S) UNDER CONTRACT $

B. INCOME FOR OTHER SERVICES PROVIDED BY AGENCY OR UNIT NOT UNDER CONTRACT

1. From Private Consumers $

2. Federal Monies (Grants or Contracts)

3. State, County, or Municipal Allocations

4. Contributions

5. Miscellaneous

TOTAL OTHER SERVICES INCOME$

TOTAL AGENCY INCOME $ (Section A + B)

MCDFS #10556-B (Rev. 10/2002) Page of 9

ATTACHMENT 4

MCDFS #10556-B (Rev. 10/2002) Page of 9

MCDFS #10556-B (Rev. 10/2002) Page of 9