zilongwang/ReadingBank huggingface dataset:
Applications will be scored based upon: Meets the 50/50 match requirement Yes = Eligible for scoring No = Ineligible for scoring Does Project target invasive weeds threatening forested areas? Yes = Eligible for scoring No = Ineligible for scoring Is the problem statement clearly written? (20 points possible) Yes = 20 No = 0 Methodology 40 points total for a, b, c, d, e and f Are the weed species clearly listed in the application, are they species linked to the New Mexico Noxious Weed List? (5 points possible) Yes = 5 No = 0 Does the application clearly indicate the number of acres to be mapped and/or treated? (5 points possible) Yes = 5 No = 0 Does the application clearly state the per acre cost of treatment (5points possible) Yes = 5 No = 0 Does the application clearly explain Project activities and tasks? (10 points possible) Yes = 10 No = 0 Does the application include a clear explanation of who will perform the work? (10 points possible) Yes = 10 No = 0 Is there a qualitative or quantitative monitoring plan to track the results? (5 points possible) Yes = 5 No = 0 Does application include a clear timeline, with achievable goals? (5 points possible) Yes = 5 No = 0 Are the partner organizations clearly named with their contribution detailed? (10 points possible) Yes = 10 No = 0 Does the application clearly demonstrate how the Project and CWMA will remain effective over time? (5 points possible) Yes = 5 No = 0 Does the budget include match and sources? Does the budget narrative clearly explain all costs associated with the proposed Project? (15 points possible) Yes = 15 No = 0 Does the Project use an existing Cooperative Weed Management Area (CWMA) or create a new one? (5 points possible) Yes = 5 No = 0 Has the Applicant had successful past contract performance with this program? New Applicants will receive full points in this category. (5 points possible) Yes = 5 No = 0
Request for Proposals for New FY16 PIF Projects COVER PAGE Project Title: Program Partners (list all): Projected number of students served upon implementation: Target population: Authorizing Agent: Name: ___________________________ Title: ____________________________ Telephone:_______________________ Fax:_____________________________ E-mail:___________________________ Institution: ____________________________________ Mailing Address: ____________________________________ ____________________________________ ____________________________________ Total Funds Requested: Total Matching Funds (30%): Total Project Cost: Please indicate the type of grant for which you are applying: Consortium Grants _____Early College Programming _____Competency-Based Pathways in Early Education Individual Campus Grants _____Commonwealth Commitment _____Co-requisite models to reduce remediation I certify that the information reported herein is accurate and complete. Authorized Agent Signature: __________________________________ Date: _______________
Revision History Date Author Version Description 2017.04.04 Chelsea Burnett 1.0 Initial Release 2017.04.10 Kaye Chrisman and Shaun Edens 1.0 Peer Reviewed 2017.04.11 Chelsea Burnett 1.0 Updated and Revised 2017.04.11 Shaun Edens 1.0 Final 2017.04.28 Chelsea Burnett 2.0 Updated and Revised 2017.04.28 Shaun Edens 2.0 Final
Option 3 (2 points): My organization’s proposed project will increase the number of priority groups that comprise our ownership/membership by one or more priority group, the application is eligible to receive two points*. Discuss how the proposed project will increase the number of priority groups that comprise the ownership/membership of your organization (include outreach/recruitment efforts; training/technical assistance; other incentives) Insert explanation *(Note: If an applicant group’s membership is already comprised of all four priority groups, such an applicant would not be eligible for points under this criterion because there is no opportunity to increase the number of priority groups). All Options Discuss how your proposed project will create or increase marketing opportunities for the priority groups indicated, and describe new or increased marketing opportunities will result: Insert explanation APPENDIX F. Alcohol and Tobacco Tax and Trade Bureau - Compliance Per 4284.905(a), Applicants must comply with other applicable Federal laws. Applicants who are proposing working capital grants to produce and market value-added products in the industries of wine, beer, distilled spirits or other alcoholic merchandise must comply with Alcohol and Tobacco Tax and Trade Bureau (TTB) regulations, including but not limited to permitting, filing of taxes and operational reports. Please attach proof of current TB alcohol permit and or submission of application to obtain an alcohol permit through TTB. (Proof may be in the form of a copy the active permit, a receipt from TTB, or online screen print) Please visit for more information. If you are not compliance with TTB’s requirements, the Agency may determine that you are not qualified to receive a Federal award and use that determination as a basis for making an award to another applicant. If, at any time after you have already received a VAPG award, you are found to be in noncompliance with TTB’s operational reporting or tax requirements, the Agency may determine that you are not in compliance with your grant terms and conditions.
Contact: Jennifer Schertz Certified Angus Beef LLC 330-354-2333, ext. 383 The Certified Angus Beef ® brand marks 11th consecutive year of record sales Farmers and ranchers respond like never before to growing consumer demand WOOSTER, Ohio – Oct. 5, 2017 – Propelled by continuously growing consumer demand for beef, and the intentional efforts of family farmers and ranchers to hit that target, Certified Angus Beef LLC reported record sales of its signature Certified Angus Beef ® brand: 1.121 billion pounds marketed in Fiscal 2017 (ending Sept. 30). That’s the 11th consecutive annual sales record, continuing a 13-year streak of year-over-year growth. Fiscal 2017 is the second year sales topped 1 billion pounds, and marked an increase of 10.4%, or 106 million pounds, over last year. “Our partners, from the farm to the plate, all fit together in the effort to fulfill demand for beef,” said brand president John Stika. “We are all singularly focused on the same quality endpoint. The growth in sales this year was fueled by the dramatic and positive shift that we continue to see in the supply of high-quality cattle – the best we’ve ever seen.” Focus on quality, from the start Since the Certified Angus Beef ® brand’s start in 1978, as the brainchild of Angus cattlemen who wanted to give consumers a promise of consistent beef quality, family farmers and ranchers have been its foundation. By raising cattle that target the brand’s 10 exacting standards for product quality, they enable processors, distributors, restaurateurs and retailers to meet ever-growing consumer demand for premium beef. Responding to these strong economic signals over the past several years, family Angus ranchers have continued to grow the size and improve the quality of their herds through the best genetics and management practices. This collective improvement translated into 4.53 million cattle certified for the brand – an increase of 610,000 head, or 15.6%, over Fiscal 2016. In addition, the rate of cattle eligible to earn the brand name by meeting all 10 of its quality specifications rose to a record 29.7%, up from just 16% a decade ago. -more-
An onsite visit is required by the TSP or their qualified representative to inventory and evaluate the enterprise components. Criteria for Specific Elements of an AgEMP Cover Page The AgEMP must have a cover page providing the following: Farm identification Farm name, owner name, street address, and county/state. Primary phone number of producer. All enterprises of the farm, with addressed enterprises identified. TSP identification Name, mail address, email, and primary phone number and TSP number. Staff involved in site visit, analysis, report writing. Date that the AgEMP field visit was completed and date of plan delivery to the producer. Summary Report of Energy Practices Present the findings of the AgEMP in the ‘Summary’ section using Tables 1 and 2 with the headings as shown below. Table 1: Summary of Energy Improvements (Examples of recommended measures shown.) Recommended Measure Estimated Annual Reduction in Energy Use Estimated Costs, Savings, Payback, and Prioritization for Implementation Electric Savings (kWh) Natural Gas Savings (ccf) Propane Savings (gal) Other1 Energy Savings (MMBtu) Installed Cost2 [a] Annual Cost Savings [b] Payback in Years [a/b] Est. Life in Years3 Lighting 25,210 86 $1,740 $2,094 0.8 7 Seal Air Leaks 477 44 $1,500 $809 1.9 8 Insulate Brood Curtain 98 9 $450 $167 2.7 10 Exposed Foundation Wall Insulation 383 35 $5,621 $651 8.6 20 Curtain to Solid Insulated Sidewalls 442 41 $7,168 $754 9.5 20 Totals: 25,210 1,400 215 $16,479 $4,475 3.7 --- Table 1 Notes Use the Other column to aggregate any miscellaneous sources of energy. It is recommended that local cost estimates be obtained by the landowner. Estimated installed costs can be adjusted for completed AgEMP based on written local estimates for NRCS planning purposes without TSP rework. Estimated Life is expected useful life of the equipment recommended with standard O&M activities.
PART I – THE SCHEDULE SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30 1. REQUISITION NUMBER PAGE 1 OF 101 2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER 5. SOLICITATION NUMBER QMAC-KB-160001-D 6. SOLICITATION ISSUE DATE 03/10/2016 7. FOR SOLICITATION INFORMATION CALL: a. NAME Kwanita A. Brown b. TELEPHONE NUMBER (No collect calls) 703-605-2987 8. OFFER DUE DATE/ LOCAL TIME Group 1: 04/06/16, 4:30 PM ET Group 2: 04/28/16, 4:30 PM ET 9. ISSUED BY CODE QMACB 10. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: % FOR: General Services Administration Travel Acquisition Support Division 1800 F Street, NW 3rd Floor, Hub 3400 Washington, DC 20405 SMALL BUSINESS HUBZONE SMALL BUSINES SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESS WOMEN-OWNED SMALL BUSINESS (WOSB) ECONOMICALLY DISADVANTAGED NAICS: 481111 WOMEN-OWNED SMALL BUSINESS (EDWOSB) 8 (A) SIZE STANDARD: 1,500 11. DELIVERY FOR FOB DESTINATION UNLESS BLOCK IS MARKED SEE SCHEDULE 12. DISCOUNT TERMS 13a. THIS CONTRACT IS A RATED ORDER UNDER DPAS (15 CFR 700) 13b. RATING 14. METHOD OF SOLICITATION RFQ IFB RFP 15. DELIVER TO CODE 16. ADMINISTERED BY CODE SEE BLOCK 9
Forms that are not included in the following pages, can be found by accessing the website at and clicking on the link to Standard Contract Documents. Document Number of copies to be submitted Please check if submitted with package If not submitted with package, indicate anticipated date of submission or reason for non-submission Complete copy of signed DHS Standard Language Document (SLD) 2 Checklist, DVS and Award Letter 1 Executive Order 129 Source Disclosure 1 Certification of Suspension or Debarment 1 Standardized Board Resolution indicating who is authorized to sign: Contracts and Checks 1 Annex A – Parts I and II (including summary sheets, supporting schedules and LOS). 3 Annex B –Budget Form (Expense Summary, Details and Schedules 1-6) and required Budget Narrative. 3 List of Grants / Contracts 1 Contract Acquired Equipment Inventory 1 Liability Insurance 1 Bonding Certificate 1 Names, Titles, Addresses and Terms of Board of Freeholders / Directors 1 Copy of Audit Report 1 Current Affirmative Action Certificate or copy of renewal application sent to Treasury (AA302) 1 Disclosure In Investment Activities in Form 1 Federal Funding Accountability and Transparency Act (FFATA) Worksheet (if applicable) 1 Copies of Subcontracts 1 Document Number of Copies to be submitted Notification of Licensed Public Accountant (NLPA) (include copy of Accountant’s Certification) 1 Private/Public Donor Agreement for Match Responsibilities 1 Organization Chart 1 Conflict of Interest Policy 1
FY 17 HA Contract # Division of Family Development Annex A -Service Delivery Information Program Name: Site Address: City, State, and Zip Site Phone Number: Program Director/Coordinator Telephone #: Fax: E-Mail: Service will be provided as follows (designate time): From To Sunday Monday Tuesday Wednesday Thursday Friday Saturday Services will not be provided on the following occasions: # Holidays _______ Date (s) Occasion Emergency Provisions: Describe any special arrangements which have been made to handle emergencies, e.g. voice mail instructions, special telephone numbers etc.:_________________________________________________
Contract Number: Program Name: PERFORMANCE OUTCOMES GOALS OBJECTIVES ACTIVITIES PERFORMANCE OUTCOMES 1. 1. 1. 2. 3. 4. 5. 2. 1. 2. 2. 3. 4. 5. 3. 1. 3. 2. 2 . . 1 1
Contract Number: STATE OF JERSEY - DIVISION OF FAMILY DEVELOPMENT Annex A PROGRAM PERSONNEL INFORMATION Program Name: POSITION NAME/TITLE NAME OF EMPLOYEE DAILY HOURS % OF TIME TO (DEGREES, LICENSES, FUNCTIONAL DUTIES FROM TO FT PT % FT PT % FT PT % FT PT % FT PT % FT PT % FT PT % FT PT % FT PT %
STATE OF NEW JERSEY DIVISION OF FAMILY DEVELOPMENT List of Contracts/Grants Check here if this information already appears on the Annex B, Schedule 2 - Contract Information Form. If so, then it is not necessary to duplicate the information here. Contracting Division/Office Program Name Type of Service Contract Number Contract Term Amount Division/Office Contact Person and Phone Number Provider Agency Contact Person and Phone Number
Certificate (filed with the Division of Revenue) Annual Report to Secretary of State and Ownership Disclosure Form Annual Report - Charitable Organization Agency By-Laws and Copy of Board Meeting Minutes Business Associate Agreement (unless new provider or revised agreement) Business and Professional Licenses Personnel Manual and Employee Handbook (including current job descriptions for staff) Tax Exempt Certification, Copy of Form 990 U.S Corporation Income Tax Return, Form 1120 Procurement Policy Certificate of Occupancy or Continued Certificate of Occupancy and Health and Fire Certificates Property Lease/Mortgage and Equipment Leases Affirmative Action Policy and copy and acknowledgment of NJ State Police Policy on EEO/AA I hereby certify that all documents are current and are available for review. Agency Director (Please Print or Type) Agency Director’s Signature Agency Date
STATE OF NEW JERSEY DIVISION OF FAMILY DEVELOPMENT List of Contracts/Grants Check here if this information already appears on the Annex B, Schedule 2 - Contract Information Form. If so, then it is not necessary to duplicate the information here. Contracting Division/Office Program Name Type of Service Contract Number Contract Term Amount Division/Office Contact Person and Phone Number Provider Agency Contact Person and Phone Number
PROGRAM ADDRESS(ES) (Please attach additional pages as needed) PROGRAM SCHEDULE (Start and End Dates, Days of the Week & Hours) PROJECTED ENROLLMENT (Unduplicated In Numbers) 1. 2. 3. 4. ONE-DAY EVENTS (Do not complete for non-one-day events; attach additional pages as needed) Type of Event Event location Event date and time Estimated number of participants PROJECTED DEMOGRAPHICS OF PARITICIPANTS TO BE SERVED (UNDUPLICATED NUMBERS NOT A PERCENTAGE) Ethnicity # Age # Borough # Gender # White 0-4 Bronx Black 5-9 Brooklyn Male Hispanic 10-13 Manhattan Female Asian 14-16 Queens Native American 17-24 Staten Island Others 24+ Citywide* In the Citywide numbers please do not include any borough participants.
Focus Please select your focus. You must choose only one focus area. ☐ Perkins Deficient Performance Measure 1P1 Technical Skill Attainment 2P1 Credential, Certificate, or Degree Completion 3P1 Retention or Transfer 4P1 Student Placement 5P1 Nontraditional Participation 5P2 Nontraditional Completion Retention Program Review Transfer Pathways Adult Career Pathways Secondary to Postsecondary Transitions Minority-Serving Institutions Pathways Evaluation of Existing High-Impact Practices Narrative Complete the following sections. Rationale Explain why you selected the particular focus area.
Section A: APPLICATION INFORMATION (Please read before completing the application.) INTRODUCTION In accordance with Section 21 of Article X (Tobacco Taxes for Health Related Purposes) of the State Constitution, an increase in Colorado’s tax on cigarettes and tobacco products became effective January 1, 2005, and created a cash fund that was designated for health related purposes. House Bill 05-1262 divided the tobacco tax cash fund into separate funds, assigned 19% of the moneys to establish the Primary Care Fund, set forth how the funds will be allocated and designated the Department of Health Care Policy and Financing (the Department) as the administrator of the Primary Care Fund. The Primary Care Fund provides an allocation of moneys to health care providers that make basic health care services available in an outpatient setting to residents of Colorado who are considered medically indigent. Moneys shall be allocated based on the number of medically indigent patients served by one health care provider in an amount proportionate to the total number of medically indigent patients served by all health care providers who qualify for moneys from this fund. DEFINITIONS
States Public Health Service). NOTE: This number should not include CICP clients. Any other Third-Party Payer not mentioned above (such as private insurance) STEP 3 - Subtract all of the numbers identified in STEP 2 from the total identified in STEP 1 to compute the total number of uninsured patients served by the applicant agency STEP 4 - From the population identified in STEP 3, state the number of patients served by the applicant agency whose family incomes are above 200% of the Federal Poverty Level (200% FPL). STEP 5 - Subtract the total listed in STEP 4 from the total identified in STEP 3 to compute the total number of Medically Indigent Patients with incomes below 200% FPL. Note that this number will include CICP clients whose family income is below 200% FPL. Since the CICP provides discounted medical services to individuals up to 250% FPL (CICP rating H and I) the figure may not include all CICP patients served by the applicant agency Question 1 Table 2 UNDUPLICATED USER/PATIENT COUNT - PERCENTAGES Use the following formula to identify the percent of Unduplicated Users/Patients served by the applicant agency who are enrolled in Medicaid, enrolled in CHP+ or are Medically Indigent Patients. Freeze Date: ITEM A - List the total number of Unduplicated Users/Patients served by the applicant agency during the calendar year January 1, 2015– December 31, 2015 that were Enrolled in Medicaid (Report STEP 2a from Question 1 Table 1) in CHP+ STEP 2b from
Describe your agency’s approach to completing the outreach activities. Explain how the intensive targeted program improvement activities will be accomplished. Describe how your agency will conduct the trainings for the At-risk Meal program and the Social Emotional Learning program. Describe how your agency will select the 10 recipients for the scholarships. Please indicate your current staffing level. What affiliations or collaborations have been established during the last contract period? How will you evaluate the effectiveness of your above strategies? STATE OF NEW JERSEY DIVISION OF FAMILY DEVELOPMENT CONTRACT ADMINISTRATOR: CONTRACT NUMBER: NAME OF AGENCY: CONTRACT PERIOD: INDEX OF REQUIRED CONTRACT DOCUMENTS This index provides details of all required documents that must either be included with the contract package (see checklist) or must be available on site for inspections as noted in the Document Verification Sheet (DVS). Forms that are not included in the following pages, can be found by accessing the website at and clicking on the link for Standard Contract Documents. Document Required with first Contract and as Amended Required Annually and as Amended Checklist Required for on-site - DVS Form Check if submitted with package Contract Documents Standard Language Document (SLD) with original signatures (additional copies requested must also have original signature) 2 copies Annex A (including summary sheet and supporting schedules) 3 copies Annex B – Budget Form with all required forms, schedules, and signatures and required Budget Narrative. 3 copies Executive Order 129 (Public Law 2005, Chapter 92) Source Disclosure Certification Form ●
Order 134) and copy of NJ Business Registration Certificate (see separate link) Ownership Disclosure Form (Chapter 51) Agency Policies and Organizational Information Organizational Chart ● Personnel Manual and Employee Handbook (including job descriptions of staff) ● Affirmative Action Policy/Plan ● Conflict of Interest Policy ● Procurement Policy ● Equipment Inventory (contract acquires property with DFD funds) ● Audit Notification of Licensed Public Accountant (NLPA) - include copy of Accountant’s Certification (see separate link) ● Copy of Single Audit or Independent Audit for recent FY ● Other Supporting Documents Annual Report to Secretary of State ● Annual Report – Charitable Organizations ● Page 3 Document Required with first contract Required Annually and as Amended Required for on-site – DVS Form Check if submitted with package ACH – Credit authorization for automatic deposits (for new requests only) ● W-9 Form (for new Agencies only) ● Additional Division/Office Specific Forms Document Verification Sheet (DVS) ● List of Agency Grants / Contracts ● Standard Board Resolution (indicating authorized signatories for contracts) ● Checklist and Copy of Award Letter ● Other: The agency agrees to submit, to the DFD Contract Administrator, any and all changes regarding the information presented in these documents during the term of the contract. All documents should be current and reflect the approval of the agency officials, when applicable.
ACKNOWLEDGEMENT BY CITY STATE OF ) :ss: ) On this _____ day of ________________ 20 _____, before me personally came Caroline Press, to me known and known to me to be the General Counsel of the NEW YORK CITY DEPARTMENT OF YOUTH AND COMMUNITY DEVELOPMENT, the person described in and who is duly authorized to execute the foregoing instrument on behalf of the Commissioner, and she acknowledged to me that she executed the same for the purpose therein mentioned. ________________________________ Notary Public or Commissioner of Deeds ACKNOWLEDGMENT OF CONTRACTOR IF A CORPORATION State of _________________________County of _______________________________ ss: On this_ _ day of 20 before me personally came _________________________________________________________, to me known, who, being by me duly sworn did depose and say that he/she resides at _______________________________________________________________; that he/she is the ______________________ of ____________________ the corporation described in and which executed the foregoing instrument; and that he signed his name to the foregoing instrument by order of the directors of said corporation as the duly authorized and binding act thereof. _________________________________ Notary Public or Commissioner of Deeds
Paragraph 1 is not applicable to this Contract if it valued at or less. Subparagraphs (a), (b), (d) and (e) of paragraph 1 are not applicable to this Contractor if it was solicited pursuant to a finding of an emergency. Subparagraph (c) of paragraph 1 is neither applicable to this Contract if it was solicited prior to October 18, 2012 nor if it is a renewal of a contract executed prior to October 18, 2012.
OTHER – MATCH REQUIREMENT: Provider agencies must be able to provide 100 percent matching funds from non-federal sources. 100% matching funds means that providers give the total 50% to match the amount of Federal funding. A qualifying agency means a local government, non-profit entity, institution of higher education, foundation or other eligible community-based organization that qualifies for allowable federal SNAP reimbursement pursuant to the Federal “Food and Nutrition Act of 2008,” Public Law 110-246(7 U.S.C. s.2011 et seq.) by providing allowable services that help SNAP recipients acquire the skills, training, work, or experience necessary to obtain regular employment. A qualifying agency may also include a consortium of organizations. General Requirements of the Contract: Provider agencies must ensure compliance with the: Contract Policy and Information Manual and the Provider Agency Contract Reimbursement Manual. Standard Language Document Annex A RFP The Provider Agency shall implement the program model according to the Annex A, RFP and technical guidance and specifications issued from DFD as communicated by the DFD Project Coordinator(s). REPORTING REQUIREMENTS: DHS shall, in consultation with the county welfare agencies and the DLWD: Submit requests for Federal SNAP ETP reimbursements and fulfill all reporting and other SNAP ETP administrative responsibilities required by the Food and Nutrition Service in the United States Department of Agriculture; Distribute Federal SNAP ETP reimbursements received by the State under this project to the partnering providers whose non-federal resources and program expenditures generated the Federal reimbursements; Collect data concerning partnering providers and project participants, activities, and outcomes; and Audit partnering providers on a routine basis to ensure fiscal and program integrity. PROGRAM REPORTING: Submit Monthly and Quarterly reports as specified no later than the 15th of the following month/quarter
Page 3 Document Required with first contract Required Annually and as Amended Required for on-site – DVS Form Check if submitted with package ACH – Credit authorization for automatic deposits (for new requests only) ● W-9 Form (for new Agencies only) ● Additional Division/Office Specific Forms Document Verification Sheet (DVS) ● List of Agency Grants / Contracts ● Standard Board Resolution (indicating authorized signatories for contracts) ● Checklist and Copy of Award Letter ● Other: The county agency agrees to submit, to the DFD Contract Administrator, any and all changes regarding the information presented in these documents during the term of the contract. All documents should be current and reflect the approval of the county officials, when applicable. The index is for reference and is not required to be retuned with the contract package. All documents noted here are either included in the Checklist or Document Verification Sheet (DVS). The checklist and DVS must be returned with the contract package. DFD OFFICE OF CONTRACT ADMINISTRATION CONTRACT CHECKLIST CONTRACT ADMINISTRATOR: CONTRACT NUMBER: NAME OF AGENCY: CONTRACT PERIOD: PROVIDER INSTRUCTIONS: This checklist must be completed and returned with all documents prior to contract approval. The correct number of copies and any additional Division documents must be returned to your Contract Administrator. Forms that are not included in the following pages, can be found by accessing the website at and clicking on the link to Standard Contract Documents. Document Number of copies to be submitted Please check if submitted with package If not submitted with package, indicate anticipated date of submission or reason for non-submission Complete copy of signed DHS Standard Language Document (SLD) 2 Checklist, DVS and Award Letter 1
STATE OF NEW JERSEY DIVISION OF FAMILY DEVELOPMENT List of Contracts/Grants Check here if this information already appears on the Annex B, Schedule 2 - Contract Information Form. If so, then it is not necessary to duplicate the information here. Contracting Division/Office Program Name Type of Service Contract Number Contract Term Amount Division/Office Contact Person and Phone Number Provider Agency Contact Person and Phone Number
Table #9 Performance Data (Based on most recent pre/post-test data) Neglected Programs Juvenile Detention Juvenile Corrections Adult Corrections Other Programs Long-term students who tested below grade level upon entry Long-term students who have completed both a pre-test and post-test Long-term students who completed a pre-test but not a post-test Long-term students who completed a post-test but not a pre-test Long-term students who completed neither a post-test or a pre-test Of the long-term students who have completed both a pre-test and post-test (reported in row 2 of Table #9 above), indicate the number who showed: Table #10 Performance Data (Based on most recent pre/post-test data) Neglected Programs Juvenile Detention Juvenile Corrections Adult Corrections Other Programs Negative grade level change from pre-test to post-test exams No change in grade level from pre-test to post-test exams Improvement up to one full grade level from the pre-test to post-test exams Improvement of more than one full grade level from the pre-test to post-test exams The sum of the categories in Table #10 must equal the number of “long-term students who have completed both a pre-test and post-test” (as reported in row two of Table #9). Academic Performance (Mathematics) – Subpart 1 Provide the unduplicated number of long-term students served by Title I, Part D, Subpart 1, who participated in pre-testing and post-testing in mathematics. Long-term refers to students who were enrolled for at least 90 consecutive calendar days from July 1, 2016 through June 30, 2017. In row 1 of Table #9, report the number of students who tested below grade level upon entry based on their pre-test. A post-test is not required to answer this item. Complete the remaining performance data items in Table #9 and Table #10. Report only information on student’s most recent testing data. Students who were pre-tested prior to July 1, 2016, may be included if their post-test was administered during the reporting year. Students who were post-tested after the reporting year ended should be counted in the following year. Students should be reported in only one of the four change categories.
Enter all data requested in the form. Enter Agency Official responsible for the program administration. Authorized Signatories Enter Authorized Signatory for the Contract (as authorized by Agency Bylaws or Board Resolution). IMPORTANT - This is the address where the signed contract and all relevant legal correspondence will be mailed – so please ensure this is the accurate address. Service Delivery Information Please complete all details for the service delivery STATE OF NEW JERSEY - DIVISION OF FAMILY DEVELOPMENT ANNEX A – CONTRACT SUMMARY SHEET – FY 17TA Provider Agency Contract # TA Mailing Address Federal # Telephone Number Provider Agency Fiscal Year End Agency Contract Effective Date to Contract Ceiling $ Organization Type Agency Board of Social Services CWA Non-Profit
Supplies: (Per Month Cost X number of months charged X Rate of Allocation = Cost) NOTE: Please see the example below $ 900 4,500 300 375 1,000 Office Supplies (paper, pencils, pens, etc.) - $75 per month X 12 months = $900 Rent - $1,500 per month X 12 Months = $18,000 X 25% allocation. Phone - $100 per month X 12 months = $1,200 X 25% allocation. E-mail - $125 per month X 12 months = $1,500 X 25% allocation. 1 Computer for the project manager X $1000 per computer 4. Equipment $ 16,500 Equipment: The costs that are allowed to be included in this budget line item are equipment costs, per federal regulation, §200.33 Equipment. Equipment means tangible personal property (including information technology systems) having a useful life of more than one year and a acquisition cost which equals or exceeds the lesser of the capitalization level established by the non-Federal entity for financial statement purposes, or $5,000 per unit. The following details must be included in the details of expected expenses sections of the line item. Include a brief description of the item being charged. Include the cost of the item, per unit. Include the number of units that are being purchased. If the item’s cost is split between funding sources, then include the percentage of split being charged to this grant. NOTE: if one item’s cost is split at 25% then all other costs of items should share the same percent of the split. Equipment: (Per Unit Cost X Number of Units = Cost) NOTE: Please see the example below $ 16,500 Examination Table, $5,500 per unit X 3 units – 16,500 (this is almost never used; most expenditures will fall under Operating costs) 5. Contractual Consultant $ 99,575 Contractual: The costs that are allowed to be included in this budget line item are contract costs. List all sub-grants, consultants, contract,
Black-Eyed Susan Project and Party How do I get invited to the Black-Eyed Susan party? Read at least three Black-Eyed Susan nominees from either the 4 – 6, 6 – 9, or High School category. Keep track of the nominees that you have read on the tally sheet on the back of this page. Complete a quick and easy project about one nominated book. Turn your project and tally sheet in to Ms. Phelan by email or in person. What are the project options? Complete ONE of the following tasks for at least one B.E. S. nominated book. Complete the written summary below, and turn it in to Ms. Phelan in the Media Center along with the completed tally sheet on back. Make a cartoon strip about your chosen book. It should summarize the main events of the book. Be sure to include the title, author, and your name. Turn it in to Ms. Phelan in the Media Center along with your tally sheet. Create a animation about one book. When you finish making your Voki, click the “Publish” button, give it a title that includes your full name, and share it with Ms. Phelan by . Turn in your tally sheet to Ms. Phelan in the Media Center. Create an video about one book. Give your video a title that includes your full name, and share it with Ms. Phelan by . Turn in your tally sheet to Ms. Phelan in the Media Center. Title: ________________________________________________ Author: ________________________ I _______________________________ promise that I read the entire book, and that this summary is written in my own words. Book Summary: What happens at the party? The Black-Eyed Susan party is lots of fun. You eat pizza, cupcakes, and candy with your friends, while discussing the different books that you read over the year. We listen to music and everyone gets to vote for their favorite nominees online.
aerial map: Is the project site listed in the National Register of Historic Places (National Register), or in/near a designated local or National Register Historic District? The internet address for the National Register is: Yes No If Yes, identify the name of the historic property, site and/or district and the National Register document number: 3. Site photographs, maps and drawings Attach site photographs. Site photographs are required for all projects. Use the following as a checklist for photographs of your project. Attach photographs to this document or as accompanying documents in your submission. Labeled, color, ground-level photographs of the project site: Required Labeled, color photograph of each location where equipment would be attached to a building or structure: Required Labeled, color aerial photograph of the project site: Required Labeled, color aerial photographs that show the extent of ground disturbance (if applicable): Attached Labeled, color ground-level color photographs of the structure from each exterior side of the building/structure (applicable only if building/structure is more than 45 years old): Attached Are there technical drawings or site plans available? Yes No If yes, attach: Attached Appendix A has guidance on preparing photographs for EHP review Environmental documentation Is there any previously completed environmental documentation for this project at this proposed project site (e.g., Environmental Assessment, or wetland delineation, or cultural/archaeological study)? Yes No If Yes, attach documentation with this form: Attached Is there any previously completed agency coordination for this project (e.g., correspondence with the U.S. Fish and Wildlife Service, State Historic Preservation Office, Tribal Historic Preservation Office)? Yes No If Yes, attach documentation with this form: Attached Was a NEPA document was prepared for this project? Yes No If Yes, what was the decision? (Check one, and please attach): Finding of No Significant Impact (FONSI) from an Environmental Assessment (EA) or Record of Decision (ROD) from an Environmental Impact Statement (EIS). Name of preparing agency:
In a schoolwide site all instructional support paraprofessionals must meet the Title I, Part A requirements. In a targeted assistance site only those instructional support paraprofessionals who are paid in whole or in part with Title I, Part A funds must meet the Title I, Part A requirements. A paraprofessional must complete at least one of the following: Completed at least 2 years (48 credit hours) at an institution of higher education; Obtained an associate (or higher) degree; or Completed the Oklahoma General Education Test (OGET) or the ParaPro Test and achieved a passing score. Ask the following questions in the flowcharts on the following page to determine if you must meet the paraprofessional qualification requirements. PARAPROFESSIONAL QUALIFICATION FORM Certification of Qualified Instructional Support Paraprofessionals District Name Code County Name Code Title I of the Elementary and Secondary Education Act (ESEA), as amended by the Every Student Succeeds Act (ESSA), is designed to help disadvantaged children reach high academic standards. Properly trained paraprofessionals can play important roles in improving student achievement in Title I schools where they can reinforce and augment a teacher's effort in the classroom. Instructional paraprofessionals must work directly under the supervision of a state certified teacher. Please list all paraprofessionals providing instructional support, the site code where each is providing support, grade level for support, and enter a check mark in the column for the qualification requirement the paraprofessional has met. Paraprofessional has met requirement with: Has NOT met requirements Works under the direct supervision of a highly qualified teacher Associate Degree 48 Hours of College Credit Oklahoma General Education Test (OGET) Paraprofessional Test (ParaPro) WorkKey Name of Paraprofessional Site Code Grade Level Federal Funding Project Code (Example) John R. Doe 105 K-5 511 X Yes
RECRUITER CONTACT LOG FORM Oklahoma Migrant Program Project/District: _____________________________ Recruiter Contact Log Recruiter Signature: _________________________ DATE / TIME CONTACT PERSON / AGENCY CONTACTED PURPOSE NARRATIVE / COMMENT From:_________ To:___________ Face to Face School Home Agency Phone Other:____________ COE Completion Home School Liaison Social Service Referral/Assistance Active ID&R Other:_________________ From:_________ To:___________ Face to Face School Home Agency Phone Other:____________ COE Completion Home School Liaison Social Service Referral/Assistance Active ID&R Other:_________________ From:_________ To:___________ Face to Face School Home Agency Phone Other:____________ COE Completion Home School Liaison Social Service Referral/Assistance Active ID&R Other:_________________ PRIORITY FOR SERVICES FORM Oklahoma Migrant Education Program (MEP) - Student Selection and Priority for Services (PFS) (Using Data from the 2017-2018 Regular School Year)
________________________ School ___________________ Date _______________
*Name: _________________________________________________________________________________________ Last First Middle/Former Name Suffix STUDENT GOALS *What do you want to achieve by attending the adult education program? (Completed prior to assessment) Improve Skills in: Education Goals: Career Goals: Reading Math Writing Science Social Studies Earn a GED diploma Enroll in a technical college Enroll in a private training program Enroll in a 4-year college Find a job Keep my job Find a better job Complete a career assessment Pursue an apprenticeship Improve English Language Skills in: Speaking Listening Reading Writing *Integrated English Literacy/Civics Education (IEL/CE): Achieve citizenship skills Achieve U.S. citizenship (Georgia goal) Increase involvement in community activities Vote or register to vote FOR PROGRAM USE ONLY: The interviewer should complete this section during an initial conference with the student after his/her pre-assessment. What is the student’s primary reason for enrolling? What services will the program provide the student? What are the student’s college, career, or other goals? Did the student share any personal barriers that could affect program participation? If yes, please explain. Additional Notes: *Student’s Signature: Sign in ink *Date: *Interviewer’s Signature: Sign in ink *Date: Please note: Teachers should conference with the student at least once per quarter. Conference notes must be maintained either in hard copy format in the student permanent record or in GALIS. More information is available in the Intake Assessment Form Directions and Definitions document.
STARTUP PROCEDURES Within ninety (90) days of the adoption of this policy, the members of the Ethics Review Committee shall be appointed. The Commission representative and the alternate shall initially serve three (3) year terms. The employee representative shall initially serve a two (2) year term. The neutral third party shall initially serve a one (1) year term. This way at least one appointment will expire each year and yet continuity can be maintained. Within ninety (90) days of the adoption of this policy, the current Commissioners and all employees shall file the required acceptance of Code of Conduct and Ethics Policy with the Executive Director. New Commissioners and employees shall file required acceptance of Code of conduct and Ethics Policy with Executive Director prior to start date. _ July 14, 2010 Signature of Executive Director Date
Workshops: Sacramento, California Tuesday, June 6, 2017 9:00 am – 11:00 am Cal OES 3650 Schriever Ave. Mather, CA 95655 Los Angeles, California Wednesday, June 7, 2017 10:00 am – 12:00 pm LA City Emergency Operations Center 500 E. Temple Street Los Angeles, CA 90012 (Please park and get permit for your dashboard from security office) Riverside, California Thursday, June 8, 2017 2:30 pm – 4:30 pm City of Riverside Fire Department Office of Emergency Management 3085 Saint Lawrence Street Riverside, CA 92504 Santa Ana, California Thursday, June 8, 2017 9:00 am – 11:00 am Santa Ana Police Department 500 Boyd Way Santa Ana, CA 92703 (MAPQUEST or GPS USERS: 1020 W. Civic Center Plaza, Santa Ana, CA 92702) Dublin, California Friday, June 9, 2017 10:00 am – 12:00 pm Alameda County Office of Emergency Services 4985 Broder Blvd., Room 1013 Dublin, CA 94568 San Diego, California Friday, June 9, 2017 9:30 am – 11:30 am CalTrans District 11 4050 Taylor Street San Diego, CA 92110 Workshop Agenda The workshops will be conducted for approximately two hours and will include a presentation, as well as a question and answer session.
Job 4 Title % Attached Y/N 7 Title II, Part A Budget Tab: FY Budgeted Funds Complete Y/N Title II, Part A Budget Tab: Program Implementation Complete Y/N 8 If applicable, Schoolwide Consolidation Fund (Fund 400) budgeted items support allowable actions appropriate and reasonable for Title II, Part A funds (1000 881). Title II, Part A Specialist must review unsubmitted schoolwide budget before approving Title II, Part A budget. Schoolwide Budget Complete Y/N 9 Budget aligns with LEA goals/needs as outlined in the District Improvement Plan, Equity Plan or CNA Report Strengths/Challenges (CNA 3.2.7). Every budget item description includes an explicit reference to the need, goal, equity gap, or strength and challenge. DIP Goal 1 DIP Goal 2 DIP Goal 3 DIP Goal 4 CNA 3.2.7 Strengths/ Weaknesses Equity Gap 1 Equity Gap 2 Little/No Alignment Edit Descriptions
FY2018 Income Limit Area Median Income FY2018 Income Limit Category 1 2 3 4 5 6 7 8 Mecklenburg County $70,700 Very Low (50%) Income Limits ($) 24,750 28,300 31,850 35,350 38,200 41,050 43,850 46,700 Extremely Low (30%) Income Limits ($) 14,850 17,000 20,420 24,600 28,780 32,960 37,140 41,320 Low (80%) Income Limits ($) 39,600 45,250 50,900 56,550 61,100 65,600 70,150 74,650
SAMPLE FORM Ryan White Part A Implementation Plan Grantee Name: Big City EMA Fiscal Year: 2013 Page 7 of 15 Pages Service Priority Name: Medical Transportation Services Total Priority Allocation: $35,000 Service Priority Number: 9 Part A Core Medical ☐ Part A Support ☒ MAI Core Medical ☐ MAI Support ☐ Service Goal: Improve health outcomes by ensuring transportation is available to any client needing assistance with transportation to access medical services. Reference Current Comprehensive Plan: Section G. p. 25 1. Objectives: List quantifiable time-limited objectives related to the service priorities listed above 2. Service Unit Definition: Define the service unit to be provided 3. Quantity 4. Time Frame: Indicate the estimated duration of activity relating to the objective listed 5. Funds: Provide the approximate amount of funds to be used to provide this service. 3a) Number of people to be served 3b) Total Number of service units to be provided Start Date End Date a: By March 1, 2014, 100% of RW funded medical case management service providers will have bus passes available for distribution to clients requiring assistance with transportation to medical appointments 1-day pass 7-day pass 30-day pass 50 240 150 70 440 600 3/1/2013 2/28/2014 $280 $3,520 $16,200 Total: $20,000 b:By May 1, 2014, 100% of medical case management service providers will have taxi vouchers available for distribution to clients requiring assistance with transportation to medical appointments One-way trip 75 600 5/1/2013 2/28/2014 $15,000 6. Select a minimum of two objectives and list planned client level outcomes to be tracked: Decrease in the percentage of clients who identify transportation as a barrier to accessing medical care from 70% to 30%.
Since 1991, HHSC has overseen and coordinated the planning and delivery of health and human service programs in Texas. HHSC is established in accordance with Texas Government Code Chapter 531 and is responsible for the oversight of all Texas health and human service agencies (“HHS System Agencies”). HHSC’s chief executive officer is Cecile Erwin Young, Acting Executive Commissioner. Project Overview HHSC will work in collaboration with Contractors to provide rater services to rate a BEI interpreter test candidate's performance test based on established testing criteria prior to the possible issuance of certificates for sign language and oral interpreters for persons who are deaf or hard of hearing. Eligible Applicants To be eligible to apply for a contract and receive an award through this open enrollment, Applicants shall: Submit the required and completed Application, supporting documentation, and forms; Hold a valid Advanced, Master, SEE, MSS, OC:C, OC:V, Court, Trilingual Advanced, Trilingual Master, Level III, Level IV, or Level V, BEI interpreter certificate for a period of five years or more or hold a valid BEI CDI, Level V Intermediary, or BEI Medical interpreter certificate; Possess a knowledge of linguistics, sign language theory, and interpreting for the specified level of certification for which rating services are to be provided; Be a Texas resident; Be trained by ODHHS prior to participating in scoring sessions; Work effectively in teams; Possess a knowledge of the English language, paraphrasing, mirror writing, and oral interpreting support techniques to provide Oral rating services; Be an entity free to participate in state contracts and not be debarred by the Texas Comptroller of Public Accounts: ; Be free to participate in federal contracts with the System of Award Management (“SAM”). Applicant is ineligible to apply for funds under this open enrollment if currently debarred, suspended, or otherwise excluded or ineligible for participation in Federal or State assistance programs. Search the federal excluded list at the following website: ; and