Comprehensive Youth Services RFP 2008 9 Final

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    RREEGGIIOONNIIWWOORRKKFFOORRCCEEIINNVVEESSTTMMEENNTTBBOOAARRDD

    200 VALUE CITY CENTER, SUITE 200 - BECKLEY, WV 25801

    www.region1workforcewestvirginia.org

    Request for Proposals

    For

    Comprehensive Youth Services

    March 21, 2008

    As required by State and Federal Laws and Regulations, the Region 1 WORKFORCE West VirginiaCareer Center system does not discriminate on the basis of sex, race, color, religion, handicap condition,

    marital status, or national origin in employment or in its educational programs and activities.

    Auxiliary aids and services are available upon request to individuals with disabilities.

    Alternative formats will be made available upon request.

    http://www.region1workforcewestvirginia.org/http://www.region1workforcewestvirginia.org/
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    TABLE OF CONTENTS

    I. RFP Schedule Pg. 1II. General Information and Background Pg. 2III. Purpose Pg. 2IV. Available Resources Pg. 4V. Requested Services Pg. 4VI. Participant Requirements Pg. 5VII. Proposer/Service Provider Guide Pg. 5VIII. Collaboration Guidelines Pg. 6IX. Performance Goals Pg. 6X. Statement of Work Pg. 7XI. Bidders Conference Pg. 9XII. Proposal Submission, Deadline Pg. 9XIII. Who Can Submit a Proposal Pg. 10XIV. Required Documentation Pg. 10XV. Renewal Pg. 11XVI. Evaluation of Proposals Pg. 11XVII. Evaluation of Criteria Pg. 11XVIII. Disclosures Pg. 13XIX. Contract Award Pg. 13XX. Transition Plan Pg. 14

    Attachments:

    1. Proposal Transmittal Document Pg. 152. Proposal Package Inventory List Pg. 163. Checklist for Service Providers Pg. 174. Certification Regarding Lobbying Pg. 215. Certification Regarding Debarment, Suspension, etc. Pg. 226. Equal Opportunity Non-Discrimination Notice Pg. 237. Certification Regarding Drug-Free Workplace Pg. 248. Youth Program Budget & Narrative Instruction Pg. 259. Self Evaluation 504 Checklist Pg. 26

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    I. The Region 1 Workforce Investment Board (R1WIB) is issuing a Request for Proposal(RFP) to solicit agencies/organizations with the capacity and expertise to administer and operatethe Workforce Investment Act In-School and Out-of-School Youth programs in the 11-countyregion. The expected term for contracts awarded under this solicitation will be one year fromJuly 1, 2008 and extending through June 30, 2009. The R1WIB reserves the right to renew thecontract for an additional one year period beyond June 30, 2009.

    RFP Schedule Date Time

    RFP Available March 21, 2008 8:30 AM

    Bidders Conference April 4, 2008 10:00 AM

    Proposal Due April 25, 2008 4:00 PM

    Announcement of Awards May 16, 2008 4:00 PM

    Contract Negotiations May 30, 2008 10:00 AM

    Transitional Meeting June 13, 2008 10:00 AM

    Program Startup July 1, 2008

    Region 1 Youth Council

    Vision StatementThe Region 1 Youth Council provides opportunities and guidance

    through coordinated efforts to empower youth to become skilled, self-

    sufficient members of their communities.

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    II. General Information and Background

    A. Region 1 Workforce Investment Board

    The Region 1 Workforce Investment Board (R1WIB) is a non-profit organization designated asan administrative entity of Workforce Investment Act (WIA) funds for the 11-county region,encompassing the West Virginia counties of Fayette, Greenbrier, Mercer, McDowell, Monroe,Raleigh, Nicholas, Pocahontas, Summers, Webster and Wyoming. This Request for Proposal

    (RFP) is issued to solicit proposals for innovative workforce development programs serving In-School and Out-of-School youth under the provisions of the Workforce Investment Act.Targeted populations include youth not less than age 14 and not more than age 21, is a low-income individual and has one or more barriers to employment as defined by the WorkforceInvestment Act listed in Section VI Participants Eligibility of this RFP.

    Funds awarded must be utilized to serve Workforce Investment Act eligible youth at a ratio of30% In-School and 70% Out-of -School Youth. All proposals should clearly indicate whetherthey are for In-School Youth or Out-of-School Youth. (Proposals cannot be combined).

    B. Legislation

    A portion of R1WIBs programs are funded through the Workforce Investment Act (WIA).Therefore, each proposer must be familiar with state and federal requirements of this programand the R1WIBs strategic plan. Specific information can be found in the Workforce InvestmentAct, Section 129(c) and 20 CFR Part 664.

    C. Information Resources

    Internet Web Addresses for additional workforce development resource information:

    Region 1 Workforce Investment Board www.region1workforcewestvirginia.org

    Workforce West Virginia www.workforcewv.org

    US Department of Labor, Employment and Training http://www.doleta.gov/

    Federal Laws and Regulations http://thomas.loc.gov/

    US Workforce http://usworkforce.org

    III. Purpose

    The mission of the Region 1 Workforce Investment Board Youth Council is to encourage thedevelopment of comprehensive programs and services to ensure that Region 1 youth have thenecessary skills and personal qualities to become successful, productive adults.

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    This solicitation is for comprehensive, region-wide proposals that address training, employment,education needs and skill deficiencies of eligible youth. The desire of the Region 1 WIB YouthCouncil is to supplement existing services, programs, and staff where possible to leverage fundswhereas they could be utilized to operate a system in a context of all youth. Specifically, theWIA funds would then be used to assist the disadvantaged youth. Proposals that emphasize

    http://www.region1workforcewv.org/http://www.workforcewv.org/http://www.doleta.gov/http://thomas.loc.gov/http://usworkforce.org/http://usworkforce.org/http://thomas.loc.gov/http://www.doleta.gov/http://www.workforcewv.org/http://www.region1workforcewv.org/
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    3

    creativity and innovation, partnership, community involvement, fund leveraging, and systemintegration will be rated highest.

    Region 1 Workforce Investment Board Youth Council adopted a branding name for the YouthProgram. Henceforth, the youth service provider must provide services under the Region 1Youth Councils designated brand name of Connections and use the brand name and logo onall marketing materials and/or related program activities.

    Proposals must include an employment component with strong documented linkages betweenacademic and occupational learning, thus tying textbook knowledge to real world experience.

    Partnerships are required with private businesses to provide work experiences.

    All proposals should emphasize a youth development perspective designed to meet the humandevelopment needs of youth and to build a set of core assets and competencies needed toparticipate successfully in adolescent and adult life. The youth service provider will be requiredto track customer progress throughout enrollment and will assume all follow-up responsibilitiesfor youth carried in from the previous service provider. All proposals must includecomprehensive counseling and follow-up for at least 12 months after the youth exits the programor whenever the program ends; whichever comes first. Proposals must include explicit plans forfollow-up procedures and estimated budget reserve to provide follow-up services.

    All proposals must include the process and instrument used for tracking Literacy and Numeracy

    Gains.

    The youth development approach is designed to focus on thepositive outcomes desired by youngpeople; not the negative outcomes that adults hope to prevent. The distinction may appearsubtle, but it is a significant shift in policy and practice.

    The intent of the Workforce Investment Act legislation is to move away from one-time, short-term interventions for youth and move towards a longer term, systematic set of service strategiesthat establishes close link to the labor market and occupational demands.

    The youth program provider must ensure that any applicants who meet the WIA eligibilityenrollment requirements, but cannot be served through the youth program, are referred foradditional assessment and/or other services through WORKFORCE West Virginia Career Center

    partners.

    All youth service proposals must be designed around the 10 key elements outlined within SectionV Requested Services of this RFP and are required to meet specific performance measuresoutlined in Section IX Performance Goals/Common Measures of this RFP.

    Successful proposals will not create or duplicate services that already exist and are easilyaccessible in Region 1. The basic principals of the Workforce Investment Act are as follows:

    Move from one-time, short-term intervention to a consolidated, long-termapproach.

    Ensure non-duplication of services. Provide a broad array of youth services. Design a comprehensive youth plan and system. Include strong business involvement. Align training with needs of the job market. Ensure performance accountability.

    The youth service provider will be required to maintain and monitor the confidentiality of allyouth records and will also be required to provide documentation that work sites comply with

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    local, state, and federal child labor laws. The youth service provider must document that it hasmade on-site visits to ensure compliance and to ensure the safety of all youth participants.

    IV. Available Resources

    The estimated funds* available for all of Region 1 for the period July 1, 2008 through June 30,2009 for Out-of-School Youth total is up to $ 550,000 for all 11 counties within the region.

    Proposals must include a detailed budget.

    The estimated funds* available for all of Region 1 for the period of July 1, 2008 through June 30,2009 for In-School Youth total up to $_240,000 for all 11 counties within the region. Proposalsmust include a detailed budget.

    The youth service provider will be advanced 15% of the value of the award (to be used as startup funds and not to be maintained as a reserve). The youth service provider must submitprojected cost documentation for the 15% advance. Actual cost documentation must besubmitted for each draw inclusive of the 15% advance as well as the continued draw downs onan as-needed monthly basis.

    Draw downs may take up to 14 working days to process from time received at the Region 1Workforce Investment Board office.

    When submitting your budget, please incorporate a copy of your individual approved cost rate.Indirect cost rates in excess of three percent (3%) must include detailed explanations which mayresult in contract modifications. (See attachment 8)

    * Resources available are solely based on availability of funds because of the funds beingawarded from a state/federal program, recessions and/or a change in overall budget may occur atany point throughout the contact period.

    V. Requested Services

    The 10 key program elements required by the Workforce Investment Act to be made available toall youth participants, as appropriate, are:

    Tutoring, study skills, and instruction leading to completion of secondary school,including dropout prevention strategies.

    Alternative secondary school services. Summer employment opportunities directly linked to academic and occupational

    learning.

    Paid or unpaid work experiences including job shadowing and internships.

    Occupational skills training. Leadership development opportunities, which may include community services

    and peer-centered activities encouraging responsibility and other positive socialbehaviors during non-school hours.

    Supportive services may include transportation, childcare and needs-relatedpayments that are necessary to participate in activities.

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    Adult mentoring for the period of participation and subsequent period, for a totalof not less than 12 months.

    Follow-up services for not less than 12 months after the completion ofparticipation.

    Comprehensive guidance and counseling, which may include drug and alcoholabuse counseling and referrals.

    VI. Participant Eligibility Requirements*

    In accordance with the WIA, an eligible youth is defined as an individual who at the time ofapplication is, and has been verified by the local WORKFORCE West Virginia Career Center tobe:

    1. Age l4-21; and2. Low income as defined in the WIA section 101(25); and3. With one or more of the following six serious barriers to employment:

    a.

    A school dropoutb. Deficient in basic literacy skills as defined by WIA (at or below a grade level

    of 8.9) or who is unable to compute or solve problems, read, write or speakEnglish at a level necessary to function on the job, in a family, or in society

    c. Pregnant or parentingd. Homeless, runaway or foster childe. An offender; orf. Individual (including a youth with a disability) who requires additional

    assistance to complete an education program or hold or secure employment.

    4. A United States citizen or eligible non-citizen; and5. Meets the Selective Service requirements.

    *WIA Re-Authorization Amendments Prevail

    VII. Youth Service Provider (Proposer) Guidelines

    Requirements for In-School Youth Service Providers

    Proposer must have Memoranda of Understandings with the 11 local Boards ofEducation. [A letter of intent to receive a Memorandum of Understanding (MOU) fromeach local Board of Education will satisfy this requirement prior to grant award. Lettersof Intent must be included in the proposal.] However, MOUs with Boards of Educationwill be expected to be received by the WIB office within the first 30 days of the start ofthe contract period.

    Proposer must limit the In-School participants to 30% of total youth served. In-School youth must be served by programs already available in their area with WIA

    services concentrating on a summer component along with after-school activities.

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    Requirements for Youth Service Provider (Proposer)

    Meet all administrative requirements including providing all required reports to theRegion 1 WIB on a quarterly basis.

    Limit administrative costs to a maximum of 10% of award. 70% of program costs must go directly to participants. Execute an MOU with the comprehensive WORKFORCE Career Centers for eligible

    youth to enter and be tracked within the system.

    Maintain at least one physical office in a Region 1 comprehensive WORKFORCE WestVirginia Career Center during the contract period by July 1, 2008.

    All participant records must be kept in one central location within the Region. All services must demonstrate the ability to serve all Region 1 counties through

    coordinated resources, partnerships, and/or collaborative agreements.

    Evaluation of the total program will be an ongoing process. Although the youth serviceprovider is responsible for the evaluation, a systematic means of communication must beestablished which allows the Region 1 Executive Director and/or a monitoring agency ofthe Region 1 Workforce Investment Board to monitor and observe, making

    recommendations, and commendations at any time during the grant period.

    VIII. Collaboration Guidelines

    No duties may be subcontracted with other agencies. The youth service provider must acceptfull responsibility for contract performance and monitoring. Again, it is important to state,where possible, the youth service provider should leverage other funds and/or resources withpartnering organizations that eliminates duplication or resources and services.

    IX. Performance Goals

    A. Common Measures Youth (Age 14-21)

    All providers will be subject to minimum common measures performance standards and thenegotiated standards will be financially tied to their contracts. While the negotiated performancestandards for the 2008-2009 program year are still unknown at the time of this RFP, we will usethe 2007-2008 negotiated standards until those are made known. They are as follows:

    PY%* Youth Measures Definition Exclusions

    61% Placement inEmployment orEducation

    Percentage of participants who are in employment, themilitary, post-secondary education, and/or advancedtraining/occupational training during 1st quarter afterprogram exit.

    1) Youth in post-secondary education,employment or the military at date ofparticipation.

    45% Attainment of aDegree or Certificateby Participants

    Percentage of participants who are in education whoattained a diploma, GED or certificate by the end of the3rd quarter after exit.

    1) Youth not enrolled in education at thedate of participation or at any pointduring the program.

    50% Literacy andNumeracy Gains

    Number of participants who increase one or moreeducational functioning levels within one year of thedate of participation.

    1) Out-of-School youth who are notbasic skills deficient. 2) In-Schoolyouth.

    6

    *Note: Any participants institutionalized/incarcerated or relocated to a mandated residential program at exit, customers exited for health/medicalreasons or deceased, and participants called up for active duty are excluded from all performance measures.

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    Historically, Region 1 has exceeded performance measures. While the above measures are at aminimum, our Board expects quality performance to continue.

    X. Statement of Work

    Proposer must clearly indicate whether the services outlined in this proposal is for either In-School Youth or Out-of School Youth.

    The Statement of Work should sufficiently describe the proposed program in detail, including ademonstrated understanding of the challenges, the work to be performed, the needs of the youthparticipants, already existing resources, and the desired results.

    1. Statement of the Challenges: In order to provide a foundation for the proposalbeing made, describe the challenges that your proposed program seeks to corrector improve. The statement of the challenges must relate to the goals andobjectives you will identify later in the proposal. The proposal should focus on theneeds and/or challenges of the population targeted to be served, not on the needs/challenges of the agency.

    This section should be no longer than six pages.

    2. Work Plan: Describe the technical plan in narrative form for accomplishing thework proposed, indicating which components are already in place and a time linefor implementation of planned components.

    At a minimum, include the following components:

    Measurable goals and objectives with a listing of the actual numbers ofeligible youth whom the proposed program will serve. (Efficiency RateIndicator)

    A description of the methods to be implemented in achieving the stated goalsand objectives and why these methods will work.

    A description of existing or planned strategic collaboration among multiplepartners, including community involvement. (Memoranda of Understandingsor agreements of existing collaborations with service providers can be madeas attachments to your proposal.)

    A description of how the Proposer plans to leverage funds and link withexisting programs. Define how the proposed program builds on existingservices/resources in your agency; what their funding source is; whichservices will be funded with WIA dollars; how you will leverage otherfunding sources and how you plan to generate additional funds to support theprogram outcomes.

    A description of how the Proposer will link with the local WORKFORCEWest Virginia Career Centers to coordinate eligibility, assessment,enrollment, and tracking.

    A description of how the Proposer will coordinate its services withcommunity-based organizations, especially those who are faith based.

    A description of how the Proposer will solicit the help of Youth Councilmembers, WIB members and LEO members.

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    Proposals for Out-of-School Youth must include information on how youragency plans to reach hard-to-serve populations. Describe your recruitmenttechniques for Out-of-School Youth and your ability to serve this population.

    A description of how you will ensure the safety of all work sites for youth. A description of your record-keeping methods and how you will maintain the

    confidentiality of youth participants.

    A description of the comprehensive year-round Youth Program thatincorporates the following 10 key elements: Tutoring, study skill training and instruction leading to the completion of

    secondary school, including dropout prevention

    Alternative secondary school services Summer employment opportunities directly linked to academic and

    occupational learning

    Paid or unpaid work experiences including Job Shadowing & Internships Occupational skills training Leadership development opportunities Supportive services (may include transportation, childcare, need-related

    payments that are necessary to participate in activities)

    Adult mentoring for not less than 12 months Follow-up services for not less than 12 months after exit Comprehensive guidance and counseling

    The 10 elements do not have to be provided with WIA funds or by WIA fundedpartners. It is not only acceptable, but also desirable, to connect WIA youth to othercommunity resources and services while monitoring service delivery. At a minimum,all proposals must address providing comprehensive guidance and counseling andproviding follow-up services.

    The R1WIB and its Youth Council recognizes the desire and need in our region tointroduce youth to the option of entrepreneurial opportunities. The provider will beexpected to offer an introduction and facilitate exploration of options, including butnot limited to, workshops, field trips, mentoring connections, and work experiences.

    This section should be no longer than 20 pages (not including attachments).

    3. Agency Information: Provide a narrative description of your agency to includewhen, how, and why the organization was started; its purpose, goals andphilosophy, prior and current relevant activities, accomplishments, size and

    characteristics of clients served, linkages and/or coordination with other agenciesand services in the community. This section should form the basis for determiningwhether or not your agency is qualified and credible to deliver the program asproposed.

    Information should include experience in the past or currently on-goingtraining/service programs that are relevant to the training/service beingrequested through this Request for Proposal.

    Briefly describe the facility(ies) where this system is to be principally operated;include size, location, accessibility, and any special features relevant to the

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    system. If specialized equipment is proposed, please include description andquantity. (Resumes may be attachments and should not be included in pagecount.) State the ADA compliance status of facility(ies) by submitting acompleted Self-Evaluation for Compliance with Section 504 of theRehabilitations Act of 1973 Checklist. (Checklist submitted as an attachment andshould not be included in page count.)

    This section should be no longer than one page plus personnel narratives,resumes, and 504 Checklist.

    4. Performance Outcomes: Discuss the measurable results and benefits anticipatedand how they will be measured against the programs goals and objectives.Describe the process, outcomes expected, and how you will evaluate and monitoryour programs performance.

    Discuss how your programs outcomes correlate with the Region 1 WorkforceInvestment Board performance goals for youth. This section should state clearlythe actual numbers the proposed program will serve and the costs per youth.(Efficiency rate.)

    Include examples of past performances serving WIA participants and withwhom the service contract was made.

    Strategically, our Board is reinventing the delivery of services to its customers. Itis very important that the Youth Service Provider creatively and innovativelythinks out of the box as to how to provide services that are quality oriented andconnects leadership opportunities to the customer. It should be noted that thesefactors will also be included during performance monitoring of the Youth ServiceProvider throughout the program year.

    This section should be no longer than three pages.

    The entire Statement of Work should be no longer than 30 pages not including attachments.

    XI. Bidders Conference

    All parties interested in submitting proposals for the Region 1 In-School and Out-of-Youthservices program MUSTattend the mandatory bidders conference at 200 Value City Center,Beckley, WV, April 4, 2008, 10:00 am. Technical assistance will not be provided after that dateand proposals from parties who did not attend the bidders conference will not be considered.

    XII. Proposal Submissions, Deadline and Format

    In order to be considered for funding in the program period July 1, 2008 June 30, 2009 yourproposal must be submitted no later than April 25, 2008, 4:00 p.m. An original, 5 copies, and anelectronic copy (thru email or CD) must be submitted to the Region 1 Workforce InvestmentBoard office at 200 Value City Center, Suite 200, Beckley, WV 25801. The proposal packetmust be sealed and clearly marked Youth Services Bid on the outside. FAX ORELECTRONIC COPIES ONLY WILL NOT BE ACCEPTED.

    An acknowledgement receipt of each proposal will be given to or mailed to the proposingagency, indicating time and date received. A proposal received after the closing date will not be

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    considered. The proposer assumes all responsibility for the submission of the proposal andmeeting all of the required deadlines.

    Proposals should be prepared simply and economically providing a straightforward, concisedescription of the operators intentions and ability to meet the administrative and operationalrequirements of the program. Emphasis should be on completeness, clarity of content, programquality, leveraging of resources, and effective customer service delivery.

    Proposer must follow the instructions outlined in this RFP package and submit all appropriateforms. All proposals must be typewritten, single-spaced, single-sided, on 8.5 X 11 paper in a

    12-point font and a binder clip or paper clip used for each individual copy. DO NOT USESTAPLES OR ANY OTHER TYPE OF BINDING.

    For proposals that exceed the section page limitations, only the number of pages that are withinthe set page limits for each section will be considered. Evaluators will not read proposals beyondthe set page limit.

    Incomplete proposals will be considered non-responsive and will not be considered; therefore,they will be returned to sender.

    XIII. Who Can Submit a Proposal

    All public or private not-for-profit 501(c)(31) or (6) corporations, an education organization,governmental units, public agencies, community-based organizations, faith-based organizationsor private-for-profit corporations properly organized in accordance with State and Federal lawand been in existence for 5 years, may submit a proposal for funding.

    No entity may compete for funds if: (1) the entity has been debarred or suspended or otherwisedetermined to be ineligible to receive federal funds by an action of any governmental agency; (2)the entitys previous contracts with the R1WIB have been terminated for cause; (3) the entity hasnot complied with an official order to repay disallowed costs incurred during its conduct ofprograms or services.

    The Region 1 Workforce Investment Board is an equal opportunity/affirmative action employer

    and agency.

    XIV. Required Documentation

    1. Proposal Transmittal Document2. Proposal Package Inventory List3. Check List for Service Providers4. Executive Summary5. Statement of Work Narrative6. Budget Preparation Sheet and Narrative7. Detailed Budget8. Resumes of Staff9. Letters of Intent10.Certificate of Insurance

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    11.Copy of most recent agency audit12.Self-Evaluation for Compliance with Section 504 (Proof of ADA Compliance)13.Certification Regarding Lobbying14.Certification Regarding Debarment, Suspension, etc.15.Equal Opportunity Non-Discrimination Notice16.Drug-Free Workplace Statement

    XV. Renewal

    Although the initial award will be for a 12-month period, the Region 1 Workforce InvestmentBoard will have the option to negotiate continued funding and performance standards for anadditional 12-month period based on funding allocations, timeliness of start-up, quality ofservice , and successful performance.

    XVI. Evaluation of Proposals

    All proposals submitted in accordance with this RFP will be rated based on the criteria outlinedin the Evaluation Criteria section. The Region 1 Workforce Investment Boards Ad Hoc RFPEvaluation Committee will rate the proposals. The Board may choose to have the processmonitored by an outside neutral observer.

    The Ad Hoc RFP Committee will complete evaluation summaries based upon the ratings of theproposals and forward a recommendation for all Requests for Proposals to the Region 1Workforce Investment Board Executive Committee. After the final decision is made by theExecutive Committee with the approval of the Region 1 Workforce Investment Board and theLocal Elected Official Board, the Executive Director will be responsible for the awardannouncement, the final negotiations, and the contract signing.

    All individuals involved in the development, evaluation and award process of this RFP mustadhere to the Region 1 Conflict of Interest Policy. Proposers should disclose potential conflict ofinterest issues by identifying any relationship to a board or committee member in a lettersubmitted with the original proposal.

    XVII. Evaluation Criteria

    Proposals will be evaluated using the following criteria:

    A. Program Design - 25 Points

    The extent to which the proposal understands and addresses the challenges in assistingand mentoring youth.

    The ability to access other services/resources to encourage the development ofcomprehensive programs and services.

    Creates a program to ensure that youth have the necessary skills and personal qualities tobecome successful, productive adults.

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    The extent to which the proposal designs a year-round program around the 10 keyprogram elements required by WIA.

    For out-of-school youth, the proposers ability to recruit this hard-to-serve population ofyouth must be addressed.

    The methodology and ability to provide for one year follow-up on participants no longerreceiving services.

    B. Soundness of Approach/Responsiveness to the Required Elements - 30 Points

    The ability of the proposer to meet the outlined performance goals and objectives,including placement in employment or education, attainment of a degree or certificate,and literacy/numeracy gains.

    The extent and successful history the proposer has of designing and delivering high-quality, innovative and comprehensive programming for the target populations.

    C. Leveraging Funds/Partnership Collaboration/Community Involvement - 15 Points

    The ability of the Proposer to leverage funds and link with existing programs andservices, involving the local community, Youth Council, WIB, and LEO members.

    The ability of the Proposer to develop significant partnerships with employers to provideample work-based career experiences and mentoring activities.

    Ability to build on existing services in Proposers agency. The ability of the Proposer to build a collaborative consortium of youth service providers

    to achieve desired outcomes.

    The ability to integrate with WORKFORCE West Virginia Career Centers and itspartners while also involving youth participants in one-stop services.

    The ability in which Proposer links to Career and Technical Education Centers,Community Colleges, and other educational institutions in building career pathways andladders.

    D. Financial Management/Programs Cost Effectiveness - 15 Points The cost per youth of the proposed program is evaluated to determine if it is fair and

    reasonable.

    The demonstrated ability of the Proposer to provide accurate reports for prior existingcontracts for services.

    The congruence of the budget with the proposed program. The ability to limit administrative funds with emphasis in maximizing dollars expended

    directly on the customer.

    E. Agency Qualifications/Qualifications of Personnel - 15 Points

    The competency of the professional personnel involved in the delivery of the service. Close scrutiny will be applied to the qualifications of the staff who will be providing the

    training/services/activities directly to the youth, measured by experience and education.

    The proposal shall be signed by an official authorized to bind the agency and shall contain astatement to the effect that the proposal is a firm bid until withdrawn in writing by the submittingorganization. The proposal shall also provide the name, title, address, e-mail, and telephonenumber of the individual(s) with authority to negotiate during the period of contract negotiations.

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    Any evidence of fraud in the proposal or in the performance of the resulting contract will beturned over to the proper authorities for enforcement.

    XVIII. Disclosures

    The United States Congress is in the process of reauthorizing the Workforce Investment Act of1998 which may bring about changes and/or additions to the current law. The Region 1

    Workforce Investment Board reserves the right to resend, amend, modify and/or add to thisRequest for Proposal and any precipitating grant(s) awarded there under to comply with subjectlegislation, recessions, and/or grant allowed allocations.

    The Region 1 Workforce Investment Board and its youth services program are under noobligation to award any contract(s) prepared in response to this Request for Proposal.

    The Region 1 Workforce Investment Board and its Youth Council are under no obligation toreimburse any party for the fees involved in the submission of any such proposals.

    XIX. Contract Award

    A. Announcement

    The R1WIB intends to award a contract(s) to the organization(s) whose proposal best meets theneeds and goals outlined in this RFP. The contracts may be awarded based on proposalsreceived without discussion of such proposed programs with the bidders. Therefore, each offershould be submitted in most favorable terms from a price and technical standpoint that the biddercan make to the R1WIB. The notice to intended contract awardees is expected to be madeno later than May 16, 2008.

    The R1WIB reserves the right to designate and fund the type and mix of specialized services thatensure the creation and maintenance of Youth Programs that enhance the range and quality ofworkforce services to be made available in its constituent counties.

    B. Protests or Disputes

    Any Proposer denied funding through this RFP may submit a letter to the R1WIBs ExecutiveDirector requesting further details on the evaluation of the proposals. In the event the response isnot satisfactory to the applicant, an appeal to the R1WIBs Executive Committee may be written.The decision of the R1WIBs Executive Committee shall be final.

    C. Type of Contract

    Proposed costs will be analyzed and a contract will be negotiated on a demonstrated performancebasis. All contracts awarded will have a significant portion of the funds tied to the achievement

    of measurable outcomes. The type of contract will be determined at the time of contractnegotiation with each bidder.

    All budgets should be designed in anticipation of performance-based funding and all costs willbe reimbursed based upon adequate and allowable expenditures and the documentation thereof.

    D. General Contract Conditions

    Should a proposal be selected for funding, the Proposer will then complete contract negotiations.In order for a contract to be executed, the successful Youth Services Provider must meet thefollowing requirements:

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    All programs must be operational July 1, 2008. Must have current fiscal and compliance audits as required by law. Required to be an Equal Employment Opportunity Employer (EEO). Must provide a certificate of insurance for comprehensive general public liability

    insurance with combined single-limit coverage of at least $1,000,000 and WorkersCompensation Insurance with the Region 1 Workforce Investment Board and the Region1 Local Elected Officials Board becoming also insured at the time of contract

    implementation. Other insurance coverage may be required and is subject to negotiation. Ensure by signing the contract, that adequate and qualified staff will be dedicated to the

    contracted program services. Qualifications of key staff associated with theimplementation of this program should be included in the proposal.

    Must provide criminal background checks, drug screening, and child clearances for allstaff directly involved with youth either prior to contracting or prior to hiring the staff.

    Must agree to arrange for and have completed an independent, stand-alone financial auditno later than 90 days after the program year end. Auditors must be Certified PublicAccountants or supervised by a Certified Public Accountant.

    E. Contract and/or Budget Modifications

    The successful Youth Service Provider is ensuring, by signing a contract, that the negotiatedcontract/budget for services provided cannot be changed without the R1WIBs approval. Allrequests for contract/budget modifications must be submitted to the R1WIB with writtenjustification prior to implementation of any changes.

    XX. Transition Plan

    In the event during or at the end of the contract year, a new Youth Services Provider is selected,the existing provider must be willing to invest uncompensated time and effort to the transitionprocess in order for services to continue with no interruptions. Describe how your organization

    would deal with this investment in order to conduct an orderly transition to another provider toensure that there is no disruption in services or negative impact on youth participants.

    It is important for Proposers to understand that the infrastructure for delivery of services is inplace and that no break in services to current youth participants can be experienced as a result ofa transition. It is important for current Providers to understand that a transition plan may also berequired for significant changes in processes.

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    Attachment 1

    Region 1 Workforce Investment Board

    Proposal Transmittal Document

    I. Proposing Organization:

    Address:

    Street City State Zip Code

    Phone: Fax:

    E-Mail Address:

    Authorized Representative:

    Collaborative: In Place ( ) In Development ( ) (List Partners)

    II. Dollar Amount of Proposal: WIA Funds Other Funds

    Number of Participants to be served

    Projected Cost per participant

    III. Federal Employer Identification Number:

    (If consortium, list number of lead organization)

    IV. Category of Proposal: ( ) In School Youth Programs

    ( ) Out of School Youth Programs

    (Each category requires a separate proposal)

    V. Certification: I, ______________________________, certify that I have read,understand, and accept the terms and conditions of the solicitation as stated in the R1WIBProposal Package; that the enclosed package is a firm offer effective through the ______day of_____, 2008; and that the information contained therein is true and correct to the best of myknowledge. I am authorized by my Board of directors, Trustees, other legally qualified officer oras the owner of this agency or business to submit this proposal. I understand that if any

    information has been misrepresented or is found to be untrue, this proposal will be disqualifiedfor consideration and may be grounds for contract cancellation.

    Signature:

    Title: Date:

    15

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    Attachment 2

    PROPOSAL PACKAGE INVENTORY CHECKLIST

    Proposal Transmittal Document Proposal Package Inventory List Check List for Service Providers Executive Summary Statement of Work Narrative Budget Preparation Sheet and Narrative Detailed Budget Resumes of Staff Letters of Intent Certificate of Insurance Copy of Most Recent Agency Audit Self-Evaluation for Compliance with Section 504 (Proof of ADA Compliance) Certification Regarding Lobbying Certification Regarding Debarment, Suspension, etc. Equal Opportunity Non-Discrimination Notice Drug-Free Workplace Statement One Original, 5 Copies, and an electronic copy of the Proposal Package Other pertinent information that may lend strength to your proposal

    Agency:

    Signed:

    Date:

    16

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    17

    Attachment 3

    Checklist For Service Providers

    APPLICANT: ____________________________________________________

    Agency Information

    Please provide information relative to applicants status, experience, qualifications, etc. Please

    check appropriate responses.1. Organization

    _______ Corporation

    _______ Partnership

    _______ Individual Ownership or Sole Proprietorship

    _______ City Agency

    _______ State Agency

    _______ Educational Institution

    2. Status

    _______ For Profit

    _______ Non-Profit

    3. Experience/Information

    _______ Number of years in business

    _______ Number of years in Training business

    _______ Number of permanent employees (salaried and hourly)

    4. Have any of the applicants Federal, State or City contracts or grants ever been

    terminated or suspended (either totally or partially) for any reason?

    _______ Yes

    _______ No

    If YES, briefly explain on an attached sheet of paper.

    5. Is applicant in receivership or bankruptcy, or are any such proceedings pending?

    _______ Yes

    _______ No

    If YES, briefly explain on an attached sheet of paper.

    6. Has the applicants organization ever been cited, fined or reprimanded for any lawor code violation within the last three years or has any business license beensuspended or revoked?

    _______ Yes

    _______ No

    If YES, briefly explain on an attached sheet of paper.

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    Attachment 3

    7. Are all of the applicants required permits current?

    _______ Yes

    _______ No

    List on an attached sheet all of your required permits and expiration dates.

    8. Subcontracting

    Will the applicant subcontract for any of the services?

    _______ Yes

    _______ No

    If YES, type in the page number(s) where the subcontracting is described in theproposal. Page(s) _______________________

    Will the applicant utilize the services of a consultant in the operation of thisprogram?

    _______ Yes_______ No

    If YES, type in the page number(s) where the consultant services are described in theproposal. Page(s) ________________________

    9. Union Concurrence

    List any and all unions that may be associated with this training.

    Does your agency have union approval of the proposed training?

    _______ Yes

    _______ No

    If YES, please attach written proof of union concurrence.

    10. Insurance Coverage

    Are persons authorized to handle and disburse governments fidelity bonded?

    _______ Yes

    _______ No

    If yes, attach proof of fidelity bonding. Note: If you cannot show proof of your abilityto obtain fidelity bonding, Region I WIB cannot contract with the applicant, and theproposal will be returned.

    Does applicant carry General Liability Insurance?

    _______ Yes

    _______ No

    If yes, attach proof of General Liability Insurance. Note: If you cannot show proof ofgeneral liability insurance, Region 1 WIB cannot contract with the applicant and theproposal will be returned.

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    Attachment 3

    Does the applicant carry Workers Compensation Insurance?

    _______ Yes

    _______ No

    If yes, attach proof of General Liability Insurance. Note: If you cannot show proof

    of your ability to obtain workers compensation insurance, Region 1WIB will notcontract with the applicant and the proposal will be returned.

    Is the applicant current with Unemployment Insurance?

    _______ Yes

    _______ No

    Note: If you cannot show proof of good standing with Unemployment Insurance, Region1 WIB will not contract with the applicant, and the request for proposal will be returned.

    11. Fiscal Responsibilities

    Does the applicant organization presently have any outstanding unresolved audit

    deficiencies with any Federal, State or Local agencies?

    _______ Yes

    _______ No

    If yes, please explain on attached sheet of paper.

    List the date of most recent independent audit and by whom.

    Is the applicant providing an AUDITED financial statement for the past accounting yearwhich identifies all sources of revenue, donations, and income as well as the offsettingexpenses?

    _______ Yes_______ No

    If your response is NO, your proposal will be returned to you.

    12. Are your facilities and other planned sites to be used accessible to individuals withdisabilities?

    _______ Yes

    _______ No

    13. Certification and Compliance

    Does the applicant certify and agree to provide assurances of Equal Opportunity andnondiscrimination and to develop appropriate mechanisms to ensure that affirmativeaction will be taken in all practices and program activities?

    _______ Yes

    _______ No

    If you answered no please explain on a separate sheet of paper.

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    Attachment 3

    Does the applicant agree to comply with all applicable Federal, State and local lawsand directives relating to equal opportunity and affirmative action in services andprogram operations?

    _______ Yes

    _______ No

    If you answered no please explain on a separate sheet of paper.

    14. A copy of the organizations cost allocation plan must be included to support all costsbudgeted for this program that are not directly related to the project. These items areusually rent, utilities, insurance and other overhead items.

    ____________________________________________

    Typed Name of Authorized Representative

    ____________________________________________ _________________

    Original Signature of Authorized Representative Date

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    Attachment 4

    CERTIFICATION REGARDING LOBBYING

    Certification for Contracts, Grants, Loans, and Cooperative Agreements

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

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

    2. If any funds other than Federal appropriated funds have been paid or will be paidto any person for influencing or attempting to influence an officer or employee ofany agency, a Member of Congress, an officer or employee of Congress, or anemployee of a Member of Congress in connection with this Federal contract,

    grant, loan, or cooperative agreement, the undersigned shall complete and submitStandard Form-LLL, Disclosure Form to Report Lobbying, in accordance withits instructions.

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

    This certification is a material representation of fact upon which reliance was place when thistransaction was made or entered into. Submission of this certification is a prerequisite for makingor entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who

    fails to file the required certification shall be subjected to a civil penalty of not less than $10,000and not more than $100,000 for each such failure.

    _______________________________________________________________________

    Organization

    _______________________________________________________________________

    Name of Certifying Official Signature Date

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    Attachment 5

    Certification Regarding Debarment, Suspension, and Other Responsibility

    Matters Primary Covered Transactions

    This certification is required by the regulations implementing Executive Order 12549,

    Debarment and Suspension, 29 CFR Part 98, Section 98.510, participants responsibilities. Theregulations were published as Part VII of the May 26, 1988 Federal Register (pages 19 160-19211.)

    (BEFORE SIGNING CERTIFICATION, READ ATTACHED INSTRUCTIONS WHICH AREAN INTEGRAL PART OF THE CERTIFICATION)

    1. The prospective primary participant certifies to the best of its knowledge and belief, that it andits officers/ principals:

    a. Are not presently debarred, suspended, proposed for debarment, declared ineligible orvoluntarily excluded from covered transactions by any Federal, State or localgovernmental department or agency.

    b. Have not been convicted of or had a civil judgment rendered against them forcommission of fraud or a criminal offense in connection with obtaining, attempting toobtain, or performing a public (Federal, State, or local) transaction or contract under apublic transaction: violation of Federal or State antitrust statutes or commission orembezzlement, theft, forgery, bribery, falsification or destruction of statutes orcommission or embezzlement, theft, forgery, bribery, falsification or destruction ofrecords, making false statements, or receiving stolen property:

    c. Are not presently indicted for or otherwise criminally or civilly charged by a governmententity (Federal, State, or local) with commission of any of the offenses enumerated inparagraph (1) (b) of this certification; and

    d. Have not had one or more public transactions (Federal, State, or local) terminated forcause or default.

    2. Where the prospective primary participant is unable to certify to any of the statements in thiscertification, such prospective participant shall attach an explanation to this proposal.

    _______________________________________________________________________

    Organization

    _______________________________________________________________________Name of Certifying Official Signature Date

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    Attachment 6

    EQUAL OPPORTUNITY NON-DISCRIMINATION NOTICE

    ______________________________________________ (Name of agency), as a recipient ofWorkforce Investment Act (WIA) Title I financial assistance, shall provide initial and continuingnotice that it does not discriminate on any prohibited ground to: registrants, applicants, eligible

    applicants/recipients, participants, applicants for employment, employees, and members of thepubic; including those with impaired vision or hearing, and unions or professional organizationsholding collective bargaining or professional agreements with the recipients.

    ASSURANCE

    As a condition of the award of financial assistance from the U. S. Department of Labor underTitle I of WIA, the grant applicant assures that it will comply fully with the nondiscriminationand equal opportunity provisions of the following laws:

    Section 188 of the Workforce Investment Act of 1998 (WIA), which prohibits discriminationagainst all individuals in the United States on the basis of race, color, religion, sex, nationalorigin, age, disability, political affiliation or belief, and against beneficiaries on the basis ofeither citizenship/status as a lawfully admitted immigrant authorized to work in the United Statesor participation in any WIA Title I financially assisted program or activity.

    Title VI of the Civil Rights Act of 1964, as amended, which prohibits discrimination on the basisof race, color, and national origin;

    Section 504 of the Rehabilitation Act of 1973, as amended, which prohibit discrimination againstqualified individuals with disabilities;

    The Age Discrimination Act of 1975, as amended, which prohibits discrimination on the basis ofage; and

    Title IX of the Education Amendments of 1972, as amended, which prohibits discrimination on

    the basis of sex in educational programs.

    The grant applicant also assures that it will comply with 29 CFR part 37 and all other regulationsimplementing the laws listed above. This assurance applies to the grant applicants operation ofthe WIA Title I financially assisted program or activity. The grant applicant understands that theUnited States has the right to seek judicial enforcement of this assurance.

    _______________________________________________________________________

    Typed Name of Agency Official and Title

    _______________________________________________________________________

    Signature Date

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    Attachment 7

    CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS

    A. The contractor certifies that it will or will continue to provide a drug-free workplace by:

    a. Publishing a statement notifying employees that the unlawful manufacture,distribution, dispensing, possession, or use of a controlled substance is prohibitedin the contractors workplace and specifying the actions that will be taken against

    employees for violation of such prohibition;b. Establishing an ongoing drug-free awareness program to inform employeesabout:

    1. The dangers of drug abuse in the workplace;

    2. The grantees policy of maintaining a drug-free workplace;

    3. Any available drug counseling, rehabilitation, and employee assistance programs, and

    4. The penalties that may be imposed upon employees for drug abuse violationsoccurring in the workplace.

    c. Making it a requirement that each employee to be engaged in the performance of

    the grant be given a copy of the statement by paragraph a above;d. Notifying the employee in the statement required by paragraph a that, as acondition of employment under the grant, the employee will:

    1. Abide by the terms of the statement; and

    2. Notify the employer in writing of his or her conviction for a violation of a criminaldrug statute occurring in the workplace no later than five (5) calendar days after suchconviction;

    e. Notifying the agency in writing, within 10 calendar days after receiving notice undersubparagraph d.2 from an employee or otherwise receiving actual notice of such conviction.Employers of convicted employees must provide notice, including position title, to every grant

    officer or other designee on whose contract activity the convicted employee was working, unlessthe Federal agency has designated a central point for the receipt of such notices. Notice shallinclude the identification number(s) of each affected grant;

    f. Taking one to the following actions, within thirty (30) calendar days of receiving notice undersubparagraph d.2, with respect to any employee who is so convicted:

    1. Taking appropriate personnel action against such an employee, up to and includingtermination, consistent within the requirements of the Rehabilitation Act of 1973, asamended: or,

    2. Requiring such employee to participate satisfactorily in a drug abuse assistance or

    rehabilitation program approved for such purposed by Federal, State, or local health, lawenforcement, or other appropriate agency.

    g. Making a good faith effort to continue to maintain a drug-free workplace throughimplementation of paragraphs a, b, c, d, e, and f.

    Applicant Organization Date Submitted

    24Name of Certifying Official Signature

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    Attachment 8

    Youth Program RFP Budget & Instruction

    Vendor Name:

    Program Name:

    Program Period:

    I. Funds Requested

    Category Basis Total AmountStaff Positions

    Fringes (Describe)

    Other Costs (Describe)

    Rent

    Supplies

    Travel

    Communications

    Equipment *

    Allowances

    Wages - Participants

    Audit

    Youth Supportive Services Costs (Describe)

    Subcontracts (Describe)

    Total

    II. In-Kind Funds Requested Description Source Amount

    Total

    *Any equipment purchased must be approved in advance, with title passing to the R1WIB at the conclusion of thecontract terms. Use additional pages as necessary for the line item budget narrative.

    25

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    26

    Attachment 9

    Self-Evaluation for Compliance With Section 504

    I. Introduction

    The Department of Labor regulations implementing Section 504 of the Rehabilitation Actof 1973, as amended, require at section 32.6 (c) that entities which receive financial

    assistance from the Department conduct a self-evaluation of their policies and practices toassess their programs accessibility. Programs shall be accessible to persons withmobility impairments, hearing and vision impairments, and mental problems, and anyother conditions which substantially limit a major life activity.

    The regulations do not prescribe a specific format for the self-evaluation. TheDepartments Civil Rights Center has prepared this self-evaluation tool to assistrecipients with this requirement. Recipients may, however, develop their owntool/instrument. Ideas and language for the format and content of this instrument wereobtained from the Section 504 Self-Evaluation and Checklist assessment toolsdeveloped by the Federal Programs Advisory Service, a Washington, D.C. entity,

    publishers of the Handicapped Requirements Handbook.

    A. Office/Program to be evaluated.

    Name:Address:

    B. Individual completing evaluation.

    Name:

    Title:Date:

    C. Disabled individual (s) assisting in the completion of the self-evaluation.

    Name (s): __________________________________________Title: __________________________________________Organization: __________________________________________Address: __________________________________________

    Administrative Practices

    A. Staff information:

    List steps to be taken to ensure that all staff involved in any aspect of this program(e.g., recruitment, admission, testing, the conduct of the program, the provision ofany services or benefits, etc.) will be informed periodically of, and understand fully,your policy of nondiscrimination on the basis of disability.______________________________________________________________________________________________________________________________________

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    Attachment 9

    B. Contracts, agreements, and sub-grants (e.g., labor unions, referral agencies,insurance companies, sub-grantees, educational institutions, etc.).

    1. Are entities with which you hold contracts, agreements, and/or sub-grantsaware of your policy of nondiscrimination on the basis of disability?No: Yes: If yes, explain how.

    ______________________________________________________________________________________________________________________________________

    2. Do you require these entities to sign an assurance of compliance?No: Yes: ___

    3. Have these entities been required to complete a self-evaluation of theprograms and activities they conduct for you? No: Yes: ___

    III. Recruitment and Advertisement

    A. Do you engage in any of the following kinds of activities to recruit program

    participants or otherwise inform persons about the services provided?No Yes

    Oral presentations/orientations _______ _______ Printed recruitment materials _______ _______ Printed informational materials _______ _______ Advertisements (radio, newspaper, etc.) _______ _______

    B. Do all materials and advertisements include a notice that you do not discriminateagainst persons with disabilities? No: Yes: ___

    C. Is the general public notified of the existence and location of services, activities,and facilities that are accessible to persons with disabilities?No: Yes: If yes, explain.______________________________________________________________________________________________________________________________________

    D. If outside persons or organizations are involved in your recruitment,advertisement or information efforts, have they been informed of yournondiscrimination policy?No: Yes: If yes, explain.

    _________________________________________________________________________________________________________________________________________________________________________________________________________

    E. Are posters recognizing the rights of individuals with disabilities prominentlydisplayed for employees, applicants, and participants to read? No: Yes:If yes, list which._________________________________________________________________________________________________________________________________________________________________________________________________________

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    Attachment 9

    F. Are articles on the accomplishments of participants with disabilities publicized inthe agencys publications? No: Yes: If yes, list examples.

    G. Are organizations representing persons with disabilities contacted for advice,technical assistance, and referrals? No: Yes: If yes, list examples.

    IV. Program Eligibility Requirements and Admission

    A. Are there any limitations on the number of qualified disabled persons who may

    participate or be admitted to the program? No: Yes: If yes, explain.

    B. Are any of the following criteria used in the admission process?

    Residency requirements _________________ Letters of recommendation _________________ Economically disadvantaged _________________ Educational attainment _________________ Age _________________ Physically fit _________________ Emotionally fit _________________

    No dependence on drugs _________________ No dependence on alcohol _________________ Unemployed _________________ Able and available for work _________________ Work experience _________________ Tests _________________ Other:

    ___________________________________________________________________________________________________________________________________________________________________________________________

    C.

    Have applications been reviewed for questions relating to health, receipt of WorkersCompensation, and particular disabling conditions? Unless clearly related to theparticular activity for which the application is used, delete those questions.No: Yes:

    D. If tests are used for screening applicants, describe the skill, level of achievement, orother factors being considered, and whether tests are written or oral.Name of Test:______________________________________________________________________________________________________________________________________

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    Attachment 9

    Name of Test: ________________________________________________________________________________________________________________________

    E. Identify any test (s) that has (or could have) a disproportionate, adverse impact onapplicants with disabilities, i.e., tests that instead of measuring only the factors thetest purport to measure, are measuring the applicants impaired manual and/or

    sensory skills (except where those are the skills being measured.)

    Name of Test: ______________________________________________________Possible adverse impact: ____________________________________________________________________________________________________________________________________________________________________________________

    F. Are employees which administer tests prepared to give alternative tests and/or tomodify the method of administering tests in order to accommodate persons whohave disabilities that impair sensory and/or manual skills? No: Yes: ___

    G. Describe some of the possible arrangements the staff are prepared to undertake:Examples: No Yes

    Eliminate the speed factor for persons withvisual or manual impairments _____ _____

    Use aids such as braillers and abaci by personswith visual impairments _____ _____

    Use of translators or typed material to provideinformation on tests instructions to persons withhearing impairments _____ _____

    Provide auxiliary aids to persons who cannotmake the marks required for mechanically scoredobjective tests _____ _____

    Other: __________________________________________________________Other: __________________________________________________________

    H. Describe the steps to be taken to ensure that criteria for testing alternatives andmodifications will be adequately communicated to all potential programparticipants, including those with hearing and vision impairments.

    ______________________________________________________________________________________________________________________________________

    ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

    I. Is an interview required prior to an applicants entrance into the program?(Including intake interview.) No: Yes: ____

    J. From the following list, check the actions which have been taken/will be taken toensure nondiscrimination in interviewing:

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    Attachment 9

    No Yes

    Estimate the frequency of staff contact with _____ _____sensory impaired persons

    Contact and consult with sensory impairedpersons or organizations that represent themto discuss the particular communication needsof these persons and to gather input as to howbest to alleviate these challenges _____ _____

    Determine how staff will identify the specificlanguage need of an individual at the initialcontact, i.e., how they prefer to communicate(e.g., the interviewer may have key phraseswritten on cards, tapes of key phrases andmessages, etc.) _____ _____

    Make formal arrangements with individuals ororganizations to provide qualified interpreterswhen needed _____ _____

    Develop a list of all persons, organizations, orstaff persons with whom interpreter arrange-ments have been made, including terms of thearrangement, telephone numbers, addresses, etc. _____ _____

    Identify staff who will be responsible forimplementing effective communication with

    sensory impaired persons _____ _____

    Write down decisions made on all the aboveitems and notify and train all staff on itsimplementation. _____ _____

    V. Program Accessibility

    A. Are post-admission inquiries made regarding disability status in order to make

    accommodations for individuals with disabilities? No: Yes:

    B. Is the information requested voluntarily, not used to affect any disabled personadversely, and kept confidential? No: Yes:

    C. Is there an orientation program for new participants? No: Yes:

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    D. Have steps been taken to ensure that persons with visual and hearing impairmentscan understand the information, communicate with the staff, and use the writtenmaterials provided during the orientation? No: Yes: If yes, describe.______________________________________________________________________________________________________________________________________________________________________________________________________ __

    E. List the specific activities that comprise your program: (e.g., orientation, intake,classroom training, residential, sports, counseling, referrals, etc.)____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

    F. For each activity listed above, list those that are, or have the potential to be,inaccessible to individuals with disabilities.

    Activity Reason____________________________________________________________

    ___________________________ __________________________________________________________ _______________________________

    G. Describe steps to be taken to attain accessibility of those activities identified in Fabove, e.g., provision of auxiliary aids, use of alternative materials, special tools orequipment, modification of equipment, renovation of facility, moving program toanother facility, etc.

    Activity Reason____________________________________________________________

    ___________________________ __________________________________________________________ _______________________________

    H. Has a method been implemented for soliciting voluntary indications of disabilitystatus and requests for accommodations, i.e., channels for a disabled person to bringhis or her disability to the attention of management? No: Yes: If yes,describe method.___________________________________________________________________

    _________________________________________________________________________________________________________________________________________________________________________________________________________

    I. From the following list of possible reasonable accommodations, check those whichyou would be willing to make for disabled program participants:

    Modifying written examinations _____________________ Modifying work site _____________________

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    Attachment 9

    Making facilities accessible _____________________ Adjusting work schedules _____________________ Restructuring jobs _____________________ Providing assistive devices _____________________ Providing readers and interpreters _____________________ Adopting flexible leave policies _____________________ Reassigning and retraining participants _____________________ Eliminating transportation barriers _____________________ Others, depending on the persons particular

    disability _____________________

    VI. Facilities

    A. List all facilities, or portions of facilities, used to conduct your program.

    Facility Address________________________ __________________________________________________ __________________________________________________ __________________________________________________ __________________________

    B. The Uniform Federal Accessibility Standards (UFAS) (50 Federal Register, 49045,November 29, 1985) contain the specifications recipients should comply with whendesigning, constructing or altering facilities. Recipients may need to alter orconstruct facilities when other alternatives are not successful in ensuring disabledpersons full access to programs. The following sample items illustrate the range andspecificity of the accessibility standards your program must meet:

    a. Ground should be graded, even if it is contrary to existing topography, so that

    b. Public walks should be at least 48 inches wide and should have a gradient not

    c. Parking spaces that are accessible and proximate to the facility should be set

    d. A ramp shall not have a slope greater than 1 foot rise in 12 feet, or 8.33

    e. At least one primary entrance to each building shall be accessible toindividuals in wheelchairs.

    f. Doors shall have a clear opening of no less than 32 inches when open and

    shall be operable by a single effort, including doors to restrooms.

    g. Stairs should, whenever possible, and in conformation with existing step

    h. Floors shall have a surface that is non-slip.

    i. Some mirrors and shelves shall be provided above lavatories at a height aslow as possible and no higher than 40 inches above the floor, measured fromthe top of the shelf and the bottom of the mirror.

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    Attachment 9

    j. Water fountains or coolers shall have up-front spouts and controls.k. An appropriate number of public telephones should be equipped for those

    with hearing disabilities and so identified with instructions for use.

    l. At least one toilet stall shall be/have: 3 feet wide 4 feet 8 inches deep A door that is 32 inches wide and swings out Handrails on each side, 33 inches high and parallel to the floor, 1-1/2

    inches in diameter, with 1-1/2 inches clearance between rail and wall,fastened securely to the wall at the ends and center

    A toilet seat of 17-19 inches from standm. Elevators shall be accessible to, and usable by, the physically disabled on the

    level that they use to enter the building, and at all levels normally used by thegeneral public.

    n. Switches and controls for light, heat, ventilation, windows, draperies, firealarms, and all similar controls of frequent or essential use, shall be placedwithin the reach of individuals in wheelchairs.

    o. Raised letters or numbers shall be used to identify rooms or offices.

    p. Audible warning signals shall be accompanied by simultaneous visual signalsfor the benefit of those with hearing disabilities.

    q. Access panels or manholes in floors, walks and walls can be extremely

    hazardous, particularly when in use, and should be avoided.

    C. Using the aforementioned sample items, for each facility listed in A, identifythose inaccessible features that limit program accessibility.

    Facility Inaccessible Feature(use letter corresponding to sampleitem)

    e.g., (1) 200 M. Street c., e., m.__________________________________________________ ______________________________

    ______________________________

    ___________________________________________________________ ______________________________

    D. Identify person(s) who will be responsible for developing and implementing acorrective action plan for the elimination of the barriers identified in C above._________________________________________________________________________________________________________________________________________________________________________________________________________

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    Attachment 9

    VII. Employment PracticesNo Yes N/A

    A. Recruitment

    1. Are disabled employees included inpromotional and recruitmentadvertising?

    2. Are contacts maintained witheducational institutions whichtrain individuals with disabilities? ___

    3. Are organizations which representindividuals with disabilities contactedfor advice, technical assistance, andreferrals? ___

    4. Does all recruitment literature indicatethat the program does not discriminateon the basis of disability? ___

    B. Job Vacancies No Yes NA

    1. Are all vacancy announcements reviewedto ensure that physical, mental and com-munication requirements are job relatedand accurately reflect job functions? ___

    2. Are managers willing to consider reason-able accommodations for the disability ofotherwise qualified applicants? ___

    C. Job Interviews No Yes NA

    1. Is every hiring supervisor informed of therequirement that all questions asked in thejob interview must be related to duties andfunctions of the job? ___

    2. Is every hiring supervisor aware of whereand how to obtain assistance to interviewan applicant with a hearing impairment? ___

    3. Is the interviewing area accessible to anapplicant in a wheelchair? ___

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    Attachment 9

    D. Physical Examinations No Yes NA

    1. Does your organization conduct or requireany medical exams prior to making offersof employment? ___

    2. If yes,* Are all entering employees subject to

    the medical exam? ___

    * Are all offers of employment con-ditional based on the results of theexam? ___

    * Are the medical results not used in adiscriminatory manner? ___

    * Is all the information gatheredmaintained confidentially? ___

    3. Is every hiring supervisor aware of thefact that no offer of employment maybe withdrawn on the basis of medicalconditions that are not job-related? ___

    E. Reasonable Accommodations No Yes N/A

    1. Has a method been implemented for

    soliciting voluntary indications ofdisability status and requests foraccommodations? ___

    2. Have disabled employees requestedthat you make accommodations inconsideration of their limitations? ___

    3. If employees with disabilities haveresponded, is the informationkept confidential? ___

    4. Have you ever denied a request forreasonable accommodations? ___

    5. If so, was your denial based on theconcept of undue hardship?