zilongwang/ReadingBank huggingface dataset:
2. Decision Unit Performance Information PERFORMANCE AND RESOURCES TABLE Decision Unit: JMD/OCIO/Justice Information Sharing Technology (JIST) RESOURCES Final Target Actual Projected Changes Requested (Total) FY 2011 FY 2011 FY 2012 Current Services Adjustments and FY 2013 Program Change FY 2013 Request Total Costs and FTE (reimbursable FTE are included, but reimbursable costs are bracketed and not included in the total) FTE $000 FTE $000 FTE $000 FTE $000 FTE $000 72 60,164 [124,242] 72 60,164 [88,015] 72 44,307 [79,191] -13 -10,881 [-48,691] 59 33,426 [30,500] TYPE/ STRATEGIC OBJECTIVE PERFORMANCE FY 2011 FY 2011 FY 2012 Enacted Current Services Adjustments and FY 2013 Program Change FY 2013 Request Program Activity FTE $000 FTE $000 FTE $000 FTE $000 FTE $000 72 60,164 [124,242] 72 60,164 [88,015] 72 44,307 [79,191] -13 -10,881 [-48,691] 59 33,426 [30,500] Performance Measure Percentage of offenders booked through JABS 98% 98% 98% N/A 98% Performance Measure Percentage of total JCON workstations deployed in the fiscal year 100% 100% 100% N/A 100% Performance Measure Maintain mainframe enterprise system availability for client organizations 99% 100% 99% N/A 99% Performance Measure Maintain JMD/SMO JCON system availability for client organizations 99% 99% 99% N/A 99% Performance Measure Ensure IT systems are certified and accredited 100% 100% 100% N/A 100% Performance Measure Ensure IT help desk calls are answered and resolved within service level agreement terms 75% 90% 75% N/A 75% PERFORMANCE MEASURE TABLE
How does the request advance the strategic priorities stated in the Cabinet Strategic Guidance in Attachment V? Does the request fill a gap, remedy a problem, or respond to an external requirement (e.g. accreditation or professional standard)? Internal MBU Reallocation. (Will any funds be reallocated internally to support this effort?) 3. Statewide System Performance Measures. What is the anticipated impact of the requested increment on one or more of the SWS performance measures? If there is no obvious link between the request and an existing SWS Performance Measure, it is not necessary to fill out this section. For each performance measure related to this request, provide the estimated timeframe for realization. (Example: This increment will increase student credit hours by FY14, because FY13 will be used to hire the additional professor. University-generated revenue and student credit hours will be impacted in FY14 by the additional course offerings provided by the new professor.) What strategy-specific sub-metric will be used to demonstrate return on investment? Which strategy specific sub-metric will be used to track intermediate progress. (Example: Program major enrollment will be tracked as a preliminary indicator of eventual increases in high-demand graduates.) For this sub-metric, what is the current baseline, the expected change, and the timeframe for realizing it if the requested funding is received? (Example: In Fall 2010, there were 120 program majors enrolled. This increment would grow enrollment by 20 majors in FY13. 4. Other Output Measures. If no SWS Performance Measure is applicable, what measure will you use to assess the effectiveness of this investment? What change in the measure, from what baseline, within what time frame? Provide specific estimates.) 5. Total Amount Requested. (In the table below, list the general funds requested, any non-general fund revenue that may be generated as a result of new general fund received, and the number of positions requested. Enter the fiscal year(s) for which the request is being made.) Request Type Fiscal Year General Funds Non-General Funds Generated Number of Positions
PROJECT LEVERAGING CHART Please complete the attached chart by indicating all additional resources that will be leveraged by your project. You will need to show proof of these resources if your project is selected for funding by HUD. See Instructions on the following page (use as many pages as necessary). You do not need to attach copies of commitment letters when submitting your proposal to DHS. 1 Type of Leveraged Contribution 2 Source or Provider 3 Value of Written Commitment. General MUST choose one: Cash, Services, Equipment, or Building Specific i.e., rent, case mgmt., computer supplies, etc. Example: Services – Case Management NYS-Office Mental Health $56,250 Total Amount of Leveraged Resources
12 Global Field Studies Program in General Education CAS $18,470 Expand opportunities for global studies to all UB students. 13 Empowering Students for Professional Success EMSA $8,095 Expand model developed by MSB to educate students about career planning and professional presentation. 14 Hispanic Students Moving Forward: Building Partnerships CPA $24,733 Development of a collaborative program with area high schools to help Hispanic students in Baltimore achieve success in high school and support their aspirations to attend college. 15 Faculty and staff retreat as part of Law School’s long-range planning process Law $24,469 Retreat focusing on enhancements & innovations in the law school curriculum & the student experience. 16 Finding Justice – History of Women Lawyers in Maryland Law $25,000 Support publication of a book highlighting the development of women in the law in Maryland and nationally. 17 Microbial Source Tracking in the Lower Jones Falls CAS $23,645 Two pieces of equipment: real time thermocycler, microtube homogenizer TOTAL $304,406
39 39 40-43 44 45 46 24 Certificate Regarding Lobbying, Debarment, etc. 47 48-49 50 51-54 55-56 57 58 59-60 61-63 64 65 66 1 67 PROJECT CENTURY COMMUNITY LEARNING CENTERS BUDGET BUDGET BUDGET ORGANIZATIONAL CAPACITY STATEMENT FORM SUMMARY ABSTRACT SUMMARY ABSTRACT SITE SUMMARY STANDARDS
Site Name Site Name Physical Site Address Physical Site Address City, State, and Zip City, State, and Zip Site Contact Person Site Contact Person Site Contact Phone Site Contact Phone Site Contact E-mail Site Contact E-mail Site Name Physical Site Address City, State, and Zip Site Contact Person Site Contact Phone Site Contact E-mail PROGRAM AND A. List each site name to be served in table below. For each site, answer columns across the table. Specify: Name of each site Urban (U), Rural (R), or Suburban (S) List all grade levels of students to be served at each CCLC site Data regarding the school/district attended by the students during the regular school day. Proposed # of students to be served at each site School Name (if more than one school sends students to this site, list all schools) District Name School Type *% Free or Reduced Cost Lunch of each school building ** Actual enrollment for each school building Site: □ U □ R □ S □ Public □ Private Site: □ U □ R □ S □ Public □ Private Site: □ U □ R □ S □ Public □ Private
List of Officers Recommended for Career Status NAME RANK DESIG ARNOTT DAVID PATRICK LT 4100 BARAKEH IMAD NICOLAS LT 4100 BURCHELL JASON CHRISTOPHER LTJG 4100 BURD BRIAN EDWARD LT 4100 CURTIS MILO COLLINS LT 4100 CURTY JAMES L LT 4100 ENGLE TRISTAN A LT 4100 EUBANKS GRANT DOUGLAS LTJG 4100 FERGUSON DAVID MICHAEL LT 4100 FLYNN PATRICK ANDREW LT 4100 GRIMES AUSTIN LT 4100 HARDY JAMES THOMAS LT 4100 HENSON DEREK MICHAEL LT 4100 HUNT ERIK CRAIG LTJG 4100 JIMENEZ JOSE F LT 4100 KEIM DONALD EDWARD III LT 4100 KNIPP JOHN D LT 4100 LAUGHREY CHAD ROGERS LT 4100 MARSHMAN KEVIN WESLEY LTJG 4100 MAYFIELD GRANT TERRIL LT 4100 MILLER MARK ALAN JR LT 4100 MONZON JOSE DAVID LT 4100 OFFOR CELSIUS LT 4100 OKWORI JOSHUA RALPH LCDR 4100 OWENS JEFFREY EDWARD LTJG 4100 PETITFRERE LOUIS V JR LT 4100 REDMOND JAMES DAREN LT 4100 REN TIANNA DING LT 4100 RIVERARIVERA DANIEL LT 4100 SCARLETT JAMAL LT 4100 SCHMIDT GEORGE MICHAEL LTJG 4100 SCROGGS CARL DAVID LTJG 4100 SHAFFER RICHARD PAUL LT 4100 SHIELDS SCOTT LEE LCDR 4100 SPELLER MERCEDES LTJG 4100 STEVENS VICTOR BLAKE LTJG 4100 SUNDERMEYER TROY C LT 4100 TAGERT JEFFREY S LT 4100 TERRELL CHRISTOPHER DOUGLAS LT 4100 VANDESLUNT DEREK N LT 4100 WALKER NETETIA KAY LT 4100 WEBSTER PHILLIP LOUIS II LT 4100 --- AND NO OTHERS ---
May 21 6,825.00 June 21 6,825.00 July 21 6,825.00 August 21 6,825.00 September 22 7,150.00 October 22 7,150.00 November 22 7,150.00 December 22 7,150.00 Annual Total 252 $81,900.00
Hospital Name Hospital Number Narrative Report PDF Link to CHNA Link or PDF of Implementation Strategy Meritus Medical Center 210001 UMMC 210002 Same – See action plan Dimensions Prince Georges Hospital Center 210003 Holy Cross Hospital 210004 Frederick Memorial 210005 Same – See Part VI UM Harford Memorial 210006 Mercy Medical Center 210008 Johns Hopkins Hospital 210009 See Appendix 5 of Johns Hopkins Hospital Fiscal Year 2014 Community Benefits Report Narrative UM Shore Medical Dorchester 210010 Same – See action plan St. Agnes 210011 Same Document LifeBridge Sinai 210012 Same – See Part V – Implementation Strategy Bon Secours 210013 MedStar Franklin Square 210015 Same – See Pages 25-28 Adventist Washington Adventist 210016 Garrett County Hospital 210017 MedStar Montgomery General 210018 Same – See Pages 22-23 Peninsula Regional 210019 Same – See Pages 47-56
The preferred method of access to information systems is through the use of public key infrastructure, or PKI, which enables your agency to issue electronic keys, called digital certificates, to authorized users. PKI allows users to encrypt and digitally sign emails and documents. Tips for Creating a Secure Password John thinks having to change passwords frequently and memorize them is complicated and inconvenient. So he writes them down and leaves them under his computer keyboard. Maybe John just needs some tips for creating secure passwords that he can remember? Many federal information systems still identify and authenticate users by his or her user ID and password. The user ID and password determines the user's right to access the system. Remember, it is your responsibility to ensure that all activity performed under your user ID is appropriate use of federal information systems resources. What you need to know. It is important to create a complex password in order to protect government information systems from being compromised. Combine letters, numbers, special characters. (ex: !,@,#,$) Use alphanumeric combinations or phrase associations. (ex: P@$$w0rd T1p$) Avoid words or phrases that can be found in the dictionary. Avoid using personal information. (ex: birthday, home address, phone number) Memorize password and refrain from writing it down. Change passwords regularly. Physical Security Protecting federal information systems and the information they contain starts with physical security. Physical security includes protection of the entire facility, from the outside perimeter to the offices inside the building, including all the information systems and infrastructure.
Table 5. APT Domain Ratings for All Program Sites APT Domain Ratings for Elementary and Middle School Programs Ratings for High School Programs Arrival Time 3.61 n/a Transitions 3.80 n/a Informal Program Times Staff Approaches 3.71 4.00 Youth Approaches 3.88 4.00 Program Space Supports Goals of Programming 3.85 4.00 Overall Program Schedule & Offerings 3.58 3.90 Overall Social-Emotional Environment 3.92 3.88 Organization 3.79 4.00 Nature of Activity 3.06 3.18 Staff Promote Engagement & Stimulate Thinking 3.11 3.72 Staff Positively Guide Behavior 3.81 3.76 Staff Build Relationships – Support Individual Youth 3.54 3.66 Youth Relations w/Adults 3.68 3.59 Youth Participation 3.37 3.51 Peer Relations 3.78 3.93
39 39 40-43 44 45 46 24 Certificate Regarding Lobbying, Debarment, etc. 47 48-49 50 51-54 55-56 57 58 59-60 61-63 64 65 66 1 67 PROJECT CENTURY COMMUNITY LEARNING CENTERS BUDGET BUDGET BUDGET ORGANIZATIONAL CAPACITY STATEMENT FORM SUMMARY ABSTRACT SUMMARY ABSTRACT SITE SUMMARY STANDARDS
Itemize items and cost of each. 6. Contractual $ Itemize such costs as consultant fees and related expenses such as travel, lodging, meals, training room, etc... 7. Indirect (5% maximum) $ Itemize administrative expenses such as phones, postage, advertising, etc.) 8. Transportation (Program) $ Estimate mileage costs and includes related costs such as bus rental, bus drivers, etc.) 9. Other (Specify and Itemize) $ TOTAL REQUESTED = $ PAGE- New Applicants PRICE FOR SERVICE: The applicant must state a firm, fixed price for services provided for the original award period and a maximum price for services provided for each of the four renewal periods, in accordance with the provisions and requirements of this RFA. Please Note: New Applicants amount requested on first year of the grant will be the amount awarded for year 2 and 3. Original Award Period (Year One) 150,000 max 2013-2014 School Year Continuation Funding (Year Four) 75% of grant amount 2016-2017 School Year Continuation Funding (Year Five) 50% of grant amount, not be less than $50,000 2017-2018 $_________________ $_________________ $_________________ PAGE- Continuation Applicant or Expansion Applicant Original Award Period (Year One) First Renewal Period (Year Two) – Second Renewal Period (Year Three) – Third Renewal Period (Year Four) – Fourth Renewal Period (Year Five) –
Site Name Site Name Physical Site Address Physical Site Address City, State, and Zip City, State, and Zip Site Contact Person Site Contact Person Site Contact Phone Site Contact Phone Site Contact E-mail Site Contact E-mail Site Name Physical Site Address City, State, and Zip Site Contact Person Site Contact Phone Site Contact E-mail PROGRAM AND A. List each site name to be served in table below. For each site, answer columns across the table. Specify: Name of each site Urban (U), Rural (R), or Suburban (S) List all grade levels of students to be served at each CCLC site Data regarding the school/district attended by the students during the regular school day. Proposed # of students to be served at each site School Name (if more than one school sends students to this site, list all schools) District Name School Type *% Free or Reduced Cost Lunch of each school building ** Actual enrollment for each school building Site: □ U □ R □ S □ Public □ Private Site: □ U □ R □ S □ Public □ Private Site: □ U □ R □ S □ Public □ Private
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 Contracts ● Standard Board Resolution (indicating authorized signatories for contracts) ● Checklist and Copy of Award Letter ● The contracted 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’s Board of Directors, 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
STATE OF NEW JERSEY DIVISION OF FAMILY DEVELOPMENT List of Contracts/Grants Check here if this information already appears on the Annex B, Contract Information Form. If so, do not duplicate 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
1. FVPSA Community-Based Database: No later than 30 days after the end of each quarter, the grantee will ensure that program data are reported through the FVPSA Community-Based database. The grantee will be responsible and liable for reviewing all data entered into the database for completeness, accuracy, and compliance with CJCC reporting requirements which includes programmatic and financial reporting. 2. Surveys for Service Outcomes: Surveys that indicate victims have strategies to enhance safety and increased knowledge of community resources. 3. Safety Plans: Safety plan development that indicates victims have access to safety planning and strategies to enhance safety. 4. Performance Deliverables: All performance deliverables are due 30 calendar days following the close of the period. REPORTING PERIOD PERFORMANCE DELIVERABLES DUE DATES FIRST PERIOD Fully executed grant award agreement and attachments 45 calendar days from receipt of award packet SECOND PERIOD January 1 – March 31 Submission of program data through FVPSA Community-Based database Completion of project-specific outcome measures and/or performance deliverables Submission of Community Awareness and Outreach Narrative Report (all projects) Attendance at all required quarterly meetings and trainings April 30, 2015 THIRD PERIOD April 1 –June 30 Submission of program data through FVPSA Community-Based database Completion of project-specific outcome measures and/or performance deliverables Submission of Community Awareness and Outreach Narrative Report (all projects) Attendance at all required quarterly meetings and trainings July 30, 2015 FOURTH PERIOD July 1 –September 30 Submission of program data through FVPSA Community-Based database October 30, 2015
United States Mint (Mint) Treasury Inspector General for Tax Administration (TIGTA) Financial Crimes Enforcement Network (FinCEN) Treasury Learning Management System (TLMS) Training records in TLMS will be used to demonstrate employees received the No FEAR Act training. TLMS will automatically update the training records of employees who complete the training. When employees receive the No FEAR Act training via a method other than TLMS, EEO Office will work with their TLMS POCs to update the employee’s training record. Bureau EEO Offices will cross-check the current list of all employees against the TLMS training records to verify how many current employees have in fact completed the training. Bureau EEO Offices are responsible for notifying their workforce of this mandatory training requirement and providing alternative means of training delivery when needed. Biennial training was completed in FY 2015. The percentage of employees who completed No FEAR training by bureau: MINT: 100% TIGTA: 100% FINCEN: 95% Training will be conducted in FY 2017. Internal Revenue Service (IRS) Internal Revenue Service Office of the Chief Counsel (IRSCC) Enterprise Learning Management System (ELMS) Training records in ELMS will be used to demonstrate employees received the No FEAR Act training. ELMS automatically updated the training records of employees who completed the training. When employees received the No FEAR Act training via a method other than ELMS, IRS manually updated the employee’s ELMS training record. IRS cross-checked the current list of all employees against the ELMS training records IRS Office of Equity, Diversity and Inclusion (EDI) is responsible for notifying their workforce of this mandatory training requirement and providing alternative means of delivery to those employees who did not have access to ELMS. Biennial training was completed in FY 2015. The percentage of employees who completed No FEAR training by bureau: IRS: 99% IRSCC: 97% Training will be conducted in FY 2017.
to verify how many current employees completed the training. Office of the Special Inspector General for Troubled Asset Relief Program (SigTARP) Office of the Inspector General (OIG) Departmental Offices (DO) Office of the Comptroller of the Currency (OCC) Bureau of Engraving and Printing (BEP) Bureau of Fiscal Service (BFS) Alcohol and Tobacco Trade and Tax Bureau (TTB) Treasury Learning Management System (TLMS) Training records in TLMS were used to demonstrate employees received the No FEAR Act training. TLMS automatically updated the training records of employees who completed the training. When employees receive the No FEAR Act training via a method other than TLMS, EEO Office worked with their TLMS POCs to update the employee’s training record. Bureau EEO Offices cross-checked their current list of employees against the TLMS training records to verify how many current employees completed the training. EEO Office and Training Office notified their workforce of this mandatory training requirement and provided alternative means of training delivery when needed. Biennial training completed in FY 2014. Training will be conducted in FY 2016.
Permanent Workforce of All EEO Groups (On GS Pay Scale) Data for the Permanent Workforce indicate a decrease (▼) in personnel in all EEO groups except Women. There is a percentage ratio increase (▲) in Women, Hispanic/Latino, Asian, and Multiple Races. There is a percentage ratio decrease (▼) in Men, White, Black/African American, and Targeted Disabilities. Native Hawaiian or Pacific Islander and American Indian or Alaska Native remained the same. FY15 Quarter I FY15 Quarter II Difference (#) # % # % # % Total Workforce 43,761 100 43,190 100 -571▼ -------- Men Women Hispanic/Latino 24,432 19,329 2,084 55.83 44.16 4.76 23,855 19,335 2,064 55.23 44.76 4.77 -577▼ 6▲ -20▼ -.60▼ .60▲ .01▲ White 28,732 65.65 28,297 65.51 -435▼ -.14▼ Black or African American 6,937 15.85 6,832 15.81 -105▼ -.04▼ Asian 5,254 12.00 5,252 12.16 -2▼ .16▲ Native Hawaiian or Pacific Islander 76 .17 72 .17 -4▼ = American Indian or Alaska Native 244 .55 240 .55 -4▼ = Multiple Races Targeted Disabilities 434 212 .99 .48 433 205 1.00 .47 -1▼ -7▼ .01▲ -.01▼
Temporary Workforce Comparison of All EEO Groups (On GS Pay Scale) Data for Temporary Workforce indicates an increase (▲) in personnel in all EEO groups except Native Hawaiian or Pacific Islander. There was a ratio increase (▲) in Women, White, Black/African American, American Indian or Alaska Native, and Targeted Disabilities. There was a ratio decrease (▼) in Men, Hispanic/Latino, Asian, Native Hawaiian or Pacific Islander, and Multiple Races. FY15 Quarter I FY15 Quarter II Difference (#) # % # % # % Total Workforce 1,766 100 2,982 100 1,216▲ -------- Men Women Hispanic/Latino 959 807 140 54.30 45.69 7.92 1,427 1,555 210 47.85 52.14 7.04 468▲ 748▲ 70▲ -6.45▼ 6.45▲ -.88▼ White 1,198 67.83 1,976 68.32 778▲ 0.49▲ Black or African American 242 13.70 546 18.31 304▲ 4.61▲ Asian 122 6.90 137 4.59 15▲ Native Hawaiian or Pacific Islander 9 .50 6 .20 -3▼ -.30 ▼ American Indian or Alaska Native 8 .45 16 .54 8▲ .9▲ Multiple Races Targeted Disabilities 47 2 2.66 .11 64 5 2.15 .17 17▲ 3▲ -.51▼ .6▲
etc.) in conjunction and collaboration with other key stakeholders and partners to improve the quality and availability of child care and support programs. Summer Enrichment Program – 2015 Summer Program details will be provided. CDA Assessment - $425 assessment fee is available to those child care professionals employed as a registered family child care provider, head teacher, group teacher, assistant teacher, or afterschool provider working with children up to age eight in the field of early care and education. CDA Scholarships – Additional program details to be provided. Quality Initiatives Coordination, Tracking and Data Management Requirements Administer an efficient and effective data management system for all eligible programs, and providers identified by DFD. Meet reporting requirements, and ensure program integrity to meet all State and Federal compliance and performance standards. Coordinate services and efforts with key partners involved with DFD initiatives. Cooperate with DHS/DFD to allow access to data compiled. Cooperate with DHS/DFD to meet Federal reporting requirements related to quality expenditures. Submit reports as defined by DFD. Engage and encourage participation in DFD’s sponsored initiatives. Monitor and track utilization. Conduct an annual evaluation of scholarship and grants procedures and make recommendations to DFD with regard to program improvements and adjustments to maintain the integrity of the process. General Project, Data Collection and Management Requirements: Coordinate and collaborate with the CCR&Rs and other key partners to include all DFD sponsored trainings administered by the CCR&R and agencies into the registry. Create a statewide calendar of training. Post CCR&R and DFD sponsored trainings on-line. Assist and/or coordinate trainings, which may include and not be limited to locating venues, contracting with vendors, and handling registrations. Conduct ongoing training and technical assistance to CCR&R staff on the data system.
STATE OF NEW JERSEY DIVISION OF FAMILY DEVELOPMENT List of Contracts/Grants Check here if this information already appears on the Annex B, Contract Information Form. If so, do not duplicate 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
CONTRACT FORMS Available at the DFD website: AA 302 Federal Financial Accountability Transparency Act (FFATA) Worksheet Notification of Licensed Public Accountant Purchase and Property Disclosure Form (Iran Form) ANNEX B - Helpful Hints Detailed instructions in completing the Annex B including the Cost reimbursement Manual (CRM), Section 5.3 and an Annex B tutorial are located at The budget should detail costs to administer program and meet program goals and objectives including: Personnel Fringe Benefits Consultants and Subcontractors Materials Equipment Facility Costs and Other Costs The budget must be: Agency wide budget Include list of all other contracts/revenue Identify costs as direct and indirect Detail the indirect cost basis of allocation G&A Costs Have two (2) separate original signatures on the summary page
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 (including summary sheet and supporting schedules) 3 Annex B –Budget Form (Expense Summary, Details and Schedules 1-6) 3 List of Contracts 1 Equipment Inventory 1 Liability Insurance 1 Bonding Certificate 1 Names, Titles, Addresses and Terms of Board of Directors 1 Copy of Audit Report 1 Current Affirmative Action Certificate or copy of renewal application sent to Treasury (AA302) 1 Chapter 51, Public Law 2005—For-Profit agencies only 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 W-9 Form (for new provider only) 1 Conflict of Interest Policy 1 1 As Applicable: ACH – Credit authorization for automatic deposits (for new requests only) 1 W-9 Form (for new providers) 1
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 . 2 4
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 %
County: Contract #: Contact Person: Telephone Number: - - Service Being Provided Unit of Service Total Dollar Amount Allocated Number of Projected Families Total Number of Units Emergency Food Meal Shelter Bed Nights Motel/Hotel Bed Nights Case Management Cases Served Prevention-- Rent Rent Payment Prevention-- Mortgage Mortgage Payment Prevention-- Utility Utility Payment Prevention— Security Deposit Security Payment Prevention— Other Service (Specify) Prevention— Other Service (Specify)
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 (including summary sheet and supporting schedules) Annex B –Budget Form (Expense Summary, Details and Schedules 1-6) 3 List of Contracts 1 Equipment Inventory 1 Liability Insurance 1 Bonding Certificate 1 Names, Titles, Addresses and Terms of Board of Directors 1 Copy of Audit Report 1 Current Affirmative Action Certificate or copy of renewal application sent to Treasury (AA302) 1 Chapter 51, Public Law 2005—For-Profit agencies only 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 W-9 Form (for new provider only) 1 Conflict of Interest Policy 1 1 As Applicable: ACH – Credit authorization for automatic deposits (for new requests only) 1 W-9 Form (for new providers) 1 Other: Purchase and Property Disclosure Form (Iran Form) 1
STATE OF NEW JERSEY DIVISION OF FAMILY DEVELOPMENT List of Contracts/Grants Check here if this information already appears on the Annex B, Contract Information Form. If so, do not duplicate 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
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 (including summary sheet and supporting schedules) 3 Annex B –Budget Form (Expense Summary, Details and Schedules 1-6) 3 List of Contracts 1 Equipment Inventory 1 Liability Insurance 1 Bonding Certificate 1 Names, Titles, Addresses and Terms of Board of Directors 1 Copy of Audit Report 1 Current Affirmative Action Certificate or copy of renewal application sent to Treasury (AA302) 1 Chapter 51, Public Law 2005—For-Profit agencies only 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 W-9 Form (for new provider only) 1 Conflict of Interest Policy 1 1
STATE OF NEW JERSEY DIVISION OF FAMILY DEVELOPMENT List of Contracts/Grants Check here if this information already appears on the Annex B, Contract Information Form. If so, do not duplicate 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
Dated List of Names, Titles, Addresses, and Terms of Board of Directors ● Copy of the most recently approved Board Minutes ● Agency By-Laws ● Tax Exempt Certification ● ● Form 990 – Return of Organization Exempt From Income Tax ● Documents Required for Profit Agencies only U.S. Corporation Income Tax Return, Form 1120 ● Chapter 51/Executive Order 117 Vendor Certification and Disclosure of Political Contributions (formerly known as Executive 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 Contracts ● Standard Board Resolution (indicating authorized signatories for ●
STATE OF NEW JERSEY DIVISION OF FAMILY DEVELOPMENT List of Contracts/Grants Check here if this information already appears on the Annex B, Contract Information Form. If so, do not duplicate 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
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: Date (s) Occasion
STATE OF NEW JERSEY DIVISION OF FAMILY DEVELOPMENT List of Contracts/Grants Check here if this information already appears on the Annex B, Contract Information Form. If so, do not duplicate 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
DIVISION OF FAMILY DEVELOPMENT Family Development Credential (FDC) Annex A BACKGROUND: The purpose and intent of this contract component is to provide training to Family Workers employed in former Abbott child care centers contracting with school districts. SCOPE OF SERVICES: Provide FDC training to 120 Family Workers Conduct orientation meetings with the Center Directors of those Family Workers enrolled in FDC training. Attend quarterly Administrator Meetings facilitated by Prevent Child Abuse-New Jersey Meet with portfolio advisors quarterly Conduct a 2.5 day training for new FDC portfolio advisors Provide TA to instructors and advisors as related to/needed for the FDC program; Coordinate the review of submitted portfolios, collaborate with PCA-NJ to support FOP efforts Schedule individual meetings with students who do not pass the initial exam to review the exam and prepare them to retake the exam OTHER: General Requirements of the Contract Contract Policy and Information Manual and the Provider Agency Contract Reimbursement Manual. Standard Language Document Annex A RFP Performance Requirements of the Contract 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).
STATE OF NEW JERSEY DIVISION OF FAMILY DEVELOPMENT List of Contracts/Grants Check here if this information already appears on the Annex B, Contract Information Form. If so, do not duplicate 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
FY 13: Grant number is 90RQ0039-01 CFDA 93.576 FY 14: Grant number is 90RQ0039-02-01 CFDA 93.576 Refugee REAP (RF) FY 14: Grant number is 90RT0185-01-02 CFDA 93.576 Food Bank (FB) Department of Agriculture FY 14 Grant Number is 1NJ400404 CFDA 10.561 SANDY FY 14 Grant Number is 2013G99WREE CFDA 93.667 DCM FY 13: Grant Number FEMA-DR-4086 CFDA 97.088
Design has been started, and 30% plans / 50% plans / 100% plans have been completed. 44a. Have these plans been reviewed by appropriate state / local official? Yes No 45. The ability to secure right of way (including easements) needed for a project is critical to a project’s success; which of the following best describes the right of way situation for this project: All right of way required is publicly owned (local and/or state) Right of way is privately owned but right of public use has been secured by deed (donated or purchased) Right of way is secured with the exception of some temporary / construction easements Right of way has not yet been secured for this project It is unknown what right of way and/or easements will be needed 46. This program will not participate in the cost of relocating overhead utilities for scenic beautification purposes. Are there existing utility poles within the proposed project area that will pose a conflict requiring relocation? Yes No If yes, include pictures of poles within the specified project area explaining how they will impact the project and explain how the conflicts will be resolved. 47. If overhead utilities are in conflict, has the local utility company(s) been consulted regarding removal and /or relocation of its facilities? Yes No If yes, please identify the utility carrier(s) and specify if these costs are included in the attached budget. 48. Are there other conflicts / obstacles that must be addressed for the project to move forward? Retaining wall Underground utilities (gas, water, sewer) Guardrail / other roadway structures Impact to historic properties/district Other 49. Attachment A – Supplemental Information for TMA projects – Required if project is located in an MPO within a TMA. Attached: 50. Attachment B – Supplemental Information for Safe Routes to School (SRTS) Projects – Required if answered “Yes” to Question 9a. Attached: 51. Attachment C – Project Budget – Required for ALL projects. Attached: 52. Attachment D – Existing Project Status – Required for EXISTING projects only. Attached: 53. Sponsor Certification 53a. Public Hearing / Information Meeting Held Date: Attached:
3. Current Travel Distance 4. Was a SRTS parent survey conducted by the school to determine whether they identified the project as a need? Yes No If yes, please summarize the results of the survey, particularly how they relate to the project. 5. Describe the barriers that currently prevent kids from walking/biking safely to school and how this project would mitigate or remove those barriers. In particular, how will this project improve the safety of the route to school and encourage more children to walk or bike? 6. Describe any efforts that the school or community is currently involved in to encourage kids to walk or bike to school. This would include any efforts that fit into the four “E’s” of SRTS – education, encouragement, enforcement and evaluation, as well as any policies the school has that promote or discourage walking or biking to school.
Request for Assistance (RFA) FY16 American English (AE) E-Teacher Course RFA02 RFA #: FY16-AECD-RFA02 Issued on: May 5, 2017 For: Development and delivery of university-level online courses for non-native English speaking teachers (NNESTs) outside the United States related to Teaching English to Speakers of Other Languages (TESOL), under the American English (AE) E-Teacher Program Estimated Period of Performance: October 2, 2017 - September 28, 2018 Application Deadline: July 3, 2017 ___________________________________________________________________ FHI 360 Brief Background: FHI 360 is a nonprofit human development organization dedicated to improving lives in lasting ways by advancing integrated, locally driven solutions. Our staff includes experts in health, education, nutrition, environment, economic development, civil society, gender, youth, research and technology, creating a unique mix of capabilities to address today's interrelated development challenges. FHI 360 serves more than 70 countries and all U.S. states and territories. Table of Contents
Ryan White Part A Implementation Plan Provider: __________________________________ Fiscal Year______ Page ______ of ____ Pages Service Priority Name: Total Priority Allocation: Service Priority Number: n/a Part A Core Medical ☐ Part A Support ☐ MAI Core Medical ☐ MAI Support ☐ Service Goal: Reference Current Comprehensive Plan: n/a 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: b: c: d: e. 6. Select a minimum of two objectives and list planned client level outcomes to be tracked:
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%.
What are your concerns for CTE? What are the implications for ACTE? What should the Board do to address this issue? What are your concerns for ACTE? What are the implications for ACTE? What should the Board do to address this issue? Items To Be Placed on Board Agenda for Discussion (Only include items that require Board discussion or action. These will be placed on the Board meeting agenda.)
provided by the current contractor to the State for the past 12 months. General How many staff members (part time and full time) does the current contractor have? What are the salaries for each position? Please provide the organizational structure of the current CSED CSSC. 22 FTEs, fully staffed 1 Program Manager 1 Trainer 2 Supervisors 1 Lead Customer Service Representative (CSR) 3 CSR Level II 14 CSR Level I Salary information was not available; please refer to the budget provided in the Procurement Library. General Please provide the call flow of the current call center IVR and its options/functions. This document will be made available in the procurement library. General What is the current vendor’s phone system? Shortel. General Does the CSSC currently use chat? If so, how is chat used? How many chats are received per month? The current contractor does not use chat. General Is go-live June 1 or July 1, considering the incumbent’s contract ends June 30? Will HSD consider allowing a transition time of longer than 60 days, to enable the contractor to order, install and test telecom and technology? The CSSC must be operational not later than June 1, 2016, and the transition must be completed by June 30, 2016, with a “go live” date of July 1, 2016. NM CSED will work with the selected vendor during contract negotiations to develop a Deliverable One (1), Due July 1, 2016. Deliverable One (1) will include transitioning plan requirements and will require the contractor to deliver a fully functioning CSSC in accordance with RFP specifications on July 1, 2016. Offerors should include associated “start-up,” costs related to the transitioning requirements i.e., facilities, staff and equipment, etc. in their cost proposal. General What are the services expectations for the onsite services if a company has secure technologies established outside of NM? The expectation is that live call center agents and their managers will work from a location in New Mexico. This RFP has no expectations regarding the location of the technical systems that call center agents use.
d. Obligations for RB may be served concurrently with any other service obligation, to include IP, BCP, promotion, non clinical doctorate or master’s degree, and non-medical military schooling. All RBs run consecutively with Health Professional Loan Repayment Program (HPLRP) obligations, regardless of when it is taken. e. RB obligation is binding upon receipt of the first RB payment. 4. Annual Pay Amounts for Multiyear RB. Annual payment amounts for multiyear RB contracts shall be in the amounts listed below and as published in the fiscal year health profession special pay plan. Officers may be paid at the rate for any specialty for which they are currently credentialed, but the RB and IP specialty must be the same. a. Physician Assistant: $10,000 per year for officers who sign a two-year obligation. $15,000 per year for officers who sign a three-year obligation. $20,000 per year for officers who sign a four-year obligation. b. Clinical Psychologists: $10,000 per year for officers who sign a two-year obligation. $15,000 per year for officers who sign a three-year obligation. $20,000 per year for officers who sign a four-year obligation. 5. Submission Requirements a. Requesting member executes a written agreement, using the example provided on the BUMED special pay website, via their Commanding Officer. The Special Pay website is: HTTP://WWW.MED.NAVY.MIL/BUMED/SPECIAL_PAY/PAGES/DEFAULT.ASPX. All service agreements and pay requests should be forwarded to BUMED (M1) for approval and processing, via the member’s Commanding Officer and endorsed by the member’s privileging officer if not the CO. b. Commanding Officers must endorse and forward all requests for RB to BUMED (M1) with a recommendation dated no earlier than 60 days prior and no later than 30 days after the requested effective date and ensure that the effective date on the agreement has been verified to be correct following the release of this implementing guidance. Also, if the Commanding Officer is not the privileging official the request