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Union County
Workforce Investment Board
Request for Proposals: Program Year 2015 WorkFirst New Jersey
Programs
RELEASE OF RFP JULY 23, 2015
RFP DUE DATE AUGUST 12, 2015 11:00AM
TENTATIVE CONTRACT/FUNDED PERIOD SEPTEMBER 1, 2015-DECEMBER 31, 2016 (subject to availability of funds)
http://ucnj.org/rfqs-rfps-rccps
2
Request for Proposal
Program Year 2015
TABLE OF CONTENTS
1.0 Request for Proposal Instructions …………………………………………….. 5 - 10
1.1 Name of Grant Program
1.2 Purpose of Solicitation
1.3 General Information
1.4 Proposal Due Date
1.5 Eligible Applicants
1.6 Target Populations
1.7 Qualifications of Applicants
1.8 How to Obtain RFP
1.9 RFP Technical Assistance
1.10 Questions Regarding RFP
1.11 Estimated RFP Timeline
1.12 Available Funding
1.13 Funding Match Requirement
1.14 Compliance
1.15 Duplication of Services
1.16 Suspension of Program Funding
1.17 Conflict of Interest
2.0 Proposal Application Instructions …………………………………………… 11-12
2.1 Proposal Format
2.2 Protests
3.0 Requirements ……………………………………………………………………13 - 14
3.1 Administrative Requirements
3.2 Insurance
3.3 Contracting
4.0 Scope of Services …………………………………………………………… . 15 - 27
4.1 General Guidelines
4.2 TANF Clients - Requested Services & Programs
I. Core Activities
A) Job Search
B) Work Experience
i. Community Work Experience (CWEP)
3
II. Non-Core Activities
-Education Directly Related to Employment (ABE/ ESL)
(Clients without a HS Diploma or GED)
-Job Skills training directly related to employment (ESL/Occupational
Cert, or Degree)
(Clients with a HS Diploma, GED, or college education)
-Satisfactory School Attendance- schooling leading to certificate of
general equivalence.
4.3 GA/SNAP Clients – Requested Services & Programs
A) Job Readiness / Life Skills
B) Work Experience - Community Work Experience Program
C) Education and Vocational Alternative Work Experience Program
4.4 Test of Adult Basic Education (TABE)
5.0 Performance Based Fee-for-Service Schedule ………………………… 28
6.0 Benchmarks for WFNJ PY 2015 Subcontracts ……………...…………… 29 - 36
7.0 Program Fundamentals and Requirements ……………………............... 37
8.0 Specific Responsibilities of the Sub-Grantee / Provider ……………… 37 - 40
9.0 Proposal Evaluation Criteria ………………………………….……..……. 40 - 41
10.0 Proposal Response …………………….…………………………………....... 42 - 45
10.1 Specification for Proposal Narrative
11.0 Proposal Compliance Assessment …………………….………...……….. 46
Attachments
A-1: Cover Page (included)
A-2: Proposal Summary Page (included)
A-3: Assurances (included)
A-4: Organization Chart (Proposer to provide)
A-5: Agency’s Current Board Membership List (Proposer to provide)
A-6: Copy of New Jersey Business Registration Certificate (Proposer to provide)
A-7: Proof of non-profit status (Proposer to provide - if applicable)
A-8: Proof of NJ Department of Labor and Workforce Development Eligible Training
Provider approval or NJDOE equivalent (Proposer to provide - if applicable)
4
A-9: Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion
Lower Tiered Covered Transactions (included)
A-10: Certification Regarding Lobbying for Contracts, Grants, Loans and Cooperative
Agreements (included)
A-11: Instruction for Certification (included)
A-12: Year 2014 or most recent Audited Financial Statement (Proposer to provide)
A-13: Affirmative Action Statement (included)
A-14: Americans with Disabilities Act: Equal Opportunity for Individuals with Disabilities
(included)
A-15: Stockholder Disclosure Certification (included - if applicable)
A-16: Affidavit of No Conflict of Interest (included)
A-17: Non-Collusion Affidavit (included)
A-18: Insurance Requirements (included)
A-19: Disclosure of Investment Activities in Iran (included)
5
1.0 RFP INSTRUCTIONS
1.1 Name of Grant Program
Program Year 2015 WorkFirst New Jersey Programs
1.2 Purpose of Solicitation
WorkFirst New Jersey funds programs designed to provide welfare applicants, recipients, non-
custodial parents and non-cash recipients a connection to the labor market resulting in
unsubsidized employment that leads to self-sufficiency. Work experience activities provide
an individual with an opportunity to acquire the general skills, training, knowledge and work
habits necessary to obtain employment. Programs are to provide services to assist these
individuals with job placement, transitional employment and other employment related
training and support services they need to make the successful progression into long-term
unsubsidized employment. Programs should be labor market driven, and consistent with the
Union County Workforce Investment Board’s “To-Work” Consolidation Plan. Programs funded
under this RFP will assist the County of Union to exceed the federally mandated 50% TANF
Client Participation Rate.
The Union County Workforce Investment Board is seeking proposals that provide employment
preparation services to eligible WorkFirst New Jersey customers that not only support and
prepare these participants for success in employment and improved educational
achievement, but also provide intensive service strategies that have a long-term impact on a
participant’s future as members of both the community and the workforce.
Proposed programs should assist the County of Union in achieving its required Level of Service
as mandated by the NJ Department of Labor & Workforce Development. To that end, the
County shall provide the Vendor with a performance based, fee-for-service Micro Block Grant
that would enable the Vendor to voucher the County based on services provided.
This solicitation in no way implies a contractual obligation to any proposer. The award of
funds shall be contingent upon receipt of funds for these purposes from the New Jersey
Department of Labor and Workforce Development (NJLWD) and the appropriate approval of
the Union County Board of Chosen Freeholders.
1.3 General Information
The Deficit Reduction Act of 2005 maintains State flexibility and many provisions of the
Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA) that
created the Temporary Assistance to Needy Families (TANF) block grant that fundamentally
reformed welfare from a cash benefits program to a program focused on work and
temporary assistance. Under TANF, adults receiving assistance are required to engage in
work activities and develop the capability to support themselves before their time-limited
assistance expires. States, and in turn, the local areas receiving TANF funding, are required to
assist recipients in making the transition to employment and also meet the federal work
participation rates, and other critical program requirements, in order to maintain full Federal
funding and avoid penalties.
6
As of October 1, 2006, the Deficit Reduction Act requires consistent definitions of work activity
categories across States as well as consistent measurements of work participation. This Act
also improves verification and documentation for actual hours of participation holding States
accountable for establishing and maintaining effective internal control systems to ensure that
laws and regulations are followed: that program goals and objectives are met; that resources
are safeguarded; that reliable data is obtained, maintained and disclosed. Unsubsidized
employment is the primary goal of TANF.
The WorkFirst New Jersey services funded in this RFP include employment directed activities
for the TANF and General Assistance (GA) / Supplemental Nutrition Assistance Programs
(SNAP). The WorkFirst NJ General Assistance (GA) program provides welfare services for
individuals and couples without children. The goal of the WorkFirst New Jersey program is to
help people get off welfare, secure employment and become self-sufficient, through job
training, education and work activities.
1.4 Proposal Due Date
Proposals must be received and date-stamped by Union County Workforce Investment Board
staff no later than August 12, 2015 at 11:00 a.m. in order to be considered for funding.
Proposals shall be clearly labeled “PROPOSALS FOR COUNTY OF UNION / WORKFIRST NEW
JERSEY PROGRAMS” and submitted to:
Union County Workforce Investment Board
Administration Building, 4th Floor
10 Elizabethtown Plaza
Elizabeth, New Jersey 07207
Attention: Planner, WFNJ Programs
Respondents who hand-deliver the proposal will be issued a “Notice of Proposal Receipt”.
Hand-delivered proposals shall be accepted up to the day and time of the proposal due
date as indicated above and at the corresponding address. If the proposal is being
delivered on the due date and time, please deliver the proposal to the Union County
Administration Building, 6th Floor, Freeholders Meeting Room, 10 Elizabethtown Plaza,
Elizabeth, NJ 07207. Proposals will be marked with the time and date received by Union
County Workforce Investment Board staff. If a commercial carrier (FedEx, UPS, or USPS) is
used to submit a proposal, it is the responsibility of Respondent to ensure that they receive a
receipt of delivery from the commercial carrier. Timely submission of the proposal is the sole
responsibility of Respondent.
PROPOSALS SUBMITTED AFTER THE CLOSING DATE AND TIME
WILL NOT BE CONSIDERED FOR FUNDING AND WILL BE RETAINED UNOPENED BY THE COUNTY
1.5 Eligible Applicants
Any public or private agency/organization with demonstrated ability in the proposed
program area and:
Applicants must be a legally established non-profit entity or private for-profit
organization or school/university or government agency;
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Applicants must have a New Jersey address and be able to conduct business out of a
facility located in New Jersey; and
Applicants must be in good standing with all State and/or Federal agencies with which
the applicant has had a grant or a contractual relationship.
Respondents must be approved by NJ Department of Labor & Workforce Development or NJ
Department of Education equivalent for programs that include an occupational training
classroom component and/or a comprehensive educational component, i.e. adult basic
education, English as a Second Language, preparation for the GED, Work Readiness and
other training related courses. The program must be listed on the NJ Department of Labor &
Workforce Development Eligible Training Provider List.
Priority funding consideration will be given to agencies/organizations located in Union County
and providers who can accommodate the client’s needs for non-traditional service hours.
Agencies, organizations or consortia may propose to provide more than one service. Those
applicants applying for funds for more than one service must indicate the services in the
program description and Attachment A-2. If your programs work in conjunction with each
other, this relationship should be described completely.
Respondents are not eligible if the organization, or if 2/3 of the officers of the organization,
have been debarred from any other public agency in the United States; including, at the
time of proposal submission, those listed as “debarred, suspended, or proposed for
debarment” on the Excluded Parties List System in use by the United States General Services
Administration.
The Union County Workforce Investment Board will accept joint proposals (submitted by two
or more entities) as long as the proposal identifies a lead agency to be the fiscal agent and
responsible for the attainment of performance standards.
The Union County Workforce Investment Board will not discriminate against any firm or
individual on the grounds of race, creed, color, sex, age, handicap status or national origin in
the contract award.
1.6 Target Populations
∙ Single parent and two parent families with minor children who are eligible for, or are
receiving benefits under WorkFirst New Jersey Temporary Assistance to Needy Families
(TANF) Program.
∙ General Assistance (GA) and Supplemental Nutritional Assistance Program (SNAP)
recipients. The GA, SNAP, GA/SNAP targeted population for EDA activities must be all
employable individuals. Priority should be given to GA and GA/SNAP individuals in
receipt of assistance for 34 months or more.
The Union County Division of Social Services (UCDSS) is the referring agency for all funded
programs. However, once the funded agency receives the referral list(s) from the UCDSS, it is
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the responsibility of the funded agency to conduct outreach efforts that will increase the
likelihood that the client will arrive at their designated work activity. In addition, the funded
agency will be required to document client attendance on a daily basis.
To better serve public assistance recipients and reduce possible travel time and expense,
programs will be funded to provide services at both the eastern and western regions of the
County. The Proposal Summary Page – Attachment A-2 requires the applicant to check-off
the areas to be served by the applicant.
Eastern Union County area includes the following municipalities: Clark, Cranford, Elizabeth,
Hillside, Kenilworth, Linden, Roselle, Roselle Park, Springfield, Union and Winfield.
Western Union County area includes the following municipalities: Berkeley Heights, Fanwood,
Mountainside, Plainfield, Rahway, New Providence, Scotch Plains, Summit and Westfield.
1.7 Qualifications of Applicants in Order To Be Considered for Funding Under the Grant
Program
All grant proposals must identify a lead agency. The lead agency will be the applicant and
the legally recognized fiscal agent for the grant project and the single point of contact for
the Workforce Investment Board. The lead agency will be responsible for overseeing the
implementation of all aspects of the grant including: grant project monitoring and
reporting; outreach and recruitment; and fiscal management. It is essential that the
applicant carefully construct result-driven goals and objectives that support the
program’s stated goals and objectives, which together with the program description
provide a comprehensive plan for the successful accomplishment of the proposed
program. Proposals that do not meet the above will not be considered for the grant.
Applicants will be evaluated on the basis of quality, comprehensiveness, completeness,
accuracy and appropriateness of response to the RFP. The evaluation criteria detailed in
Section 9.0. Proposal Evaluation Criteria (page 39) will be used to review and select
applications.
Applicants under this grant program must provide a narrative describing their organizational
capacity, resources, commitment and any demonstrated ancillary program successes in
similar type of programs. Applicants must detail their experience in administering
employment directed activities for WorkFirst New Jersey clients as part of the applicant’s
“History & Expertise in Proposed Program Area” Section 2 ( p a g e 4 2 ) of this application.
All activities are to be conducted in accordance with the policy directives of the Workforce
Investment Board, NJ Department of Labor & Workforce Development and the US
Department of Health and Human Services. All successful grantees will be required to
coordinate employment directed activities with the Union County One-Stop Career Center(s)
and/or Division of Social Services for referral and reporting requirements.
1.8 How to Obtain the RFP
The RFP is available at http://ucnj.org/rfqs-rfps-rccps
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1.9 RFP Technical Assistance
It is the policy of the Local Workforce Investment Area (LWIA) to provide technical assistance
to all prospective bidders to the extent feasible that will ensure fair evaluation of all proposals
submitted.
Therefore, a Bidders Technical Assistance Conference will be held on Thursday, July 30, 2015
at 1:00 p.m. at the Union County Administration Building, 4th Floor, Training Room, 10
Elizabethtown Plaza, Elizabeth, NJ 07207.
1.10 Questions Regarding the RFP
All questions must be submitted in writing to:
Elizabeth Paskewich, Employment Service Aide
Union County Workforce Investment Board
Administration Building, 4th Floor
10 Elizabethtown Plaza
Elizabeth, New Jersey 07207
No questions will be answered after Friday, August 7, 2015 at 4pm.
1.11 Estimated RFP Timeline
The dates on the following timeline are tentative dates only and are subject to revision
without further notice by the Union County Workforce Investment Board:
Release of RFP July 23, 2015
Bidders Technical Assistance Conference July 30, 2015 at 1:00pm
End of Question Submittal Period August 7, 2015 at 4:00pm
RFP Due Date August 12, 2015 at 11:00am
Review and Independent Evaluation of Proposals August 13-14, 2015
Funding Recommendations – WIB Executive
Committee August 17, 2015
Award and Denial Letters Released August 18, 2015 at 4pm
Appeals Letter Due at UCWIB August 25, 2015 at 4pm
Appeals Hearing if Applicable TBD
Start of Projects September 1, 2015
1.12 Available Funding
Funding for this Request for Proposal (RFP) is made available through the PY 2015 WorkFirst
New Jersey - NJ Department of Labor & Workforce Development, (WFNJ / NJLWD)
Employment Directed Activities (EDA) Funds.
As of the date of the release of this Request for Proposal, the anticipated amount of funding
is not available. Funding will be allocated to provide services in both the eastern and
western areas of the County.
10
Funding awards require the approval of the Union County Board of Chosen Freeholders, as
well as the funding sources WorkFirst New Jersey / NJ Department of Labor & Workforce
Development.
1.13 Funding Match Requirement – No match is required.
1.14 Compliance
All agencies must comply with the assurances and requirements of all required governmental
agencies.
1.15 Duplication of Services
All funds and services provided with the funding sources herein mentioned must not
duplicate payment or services provided by any other funding source; these funds cannot be
used to supplement services provided by any other funding source.
1.16 Suspension of Program Funding
The Union County Workforce Investment Board reserves the right to suspend program funding
if vendor cannot meet the minimum performance standards as part of the contractual
agreement between the vendor and the County of Union. The vendor will be required to
attend a special meeting with the representatives of the Union County Workforce Investment
Board to answer questions relating to non-performance.
1.17 Conflict of Interest
Each Grantee shall avoid organizational conflict of interest, and their personnel shall avoid
personal conflict of interest or the appearance of conflict of interest in receiving financial
assistance involving funds under the WIA. The “New Jersey Conflict of Interest Law” Chapter
182, P.L. 1971, as amended, shall apply. Where provisions of local laws exist, these too, shall
apply.
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2.0 PROPOSAL APPLICATION INSTRUCTIONS
2.1 Proposal Format
12-pitch size, Arial font
Single spacing
Pages numbered sequentially
a. Cumulative narrative section shall adhere to the page limit indicated for each
question. State the number and question and then provide your response.
b. Ensure all attachments are numbered and included. If questions are not applicable to
your organization indicate the reason in the attachments.
c. Proposal submission must include:
One (1) signed original
Two (2) copies
2.2 Protests
a. In the event a Respondent believes that the County’s solicitation is unfairly restrictive,
ambiguous, contains conflicting provisions, or the Respondent believes that any
resulting Contract would be commercially impractical to perform, the Respondent
must file a written protest with the Union County Workforce Investment Board.
b. An appeal of the selection process will be heard only if it is alleged that the Workforce
Investment Board has violated a statutory or regulatory provision in the awarding of a
grant. An appeal will not be heard based on a challenge to the evaluation of a
proposal. Applicants may appeal on statutory or regulatory grounds by submitting a
written request to the Union County Workforce Investment Board no later than 5 days
following receipt of funding notification. Protests should be addressed to:
Phil Kandl, Senior Planner
Union County Workforce Investment Board
Administration Building, 4th Floor
10 Elizabethtown Plaza
Elizabeth, New Jersey 07207
c. The following reasons shall be grounds for automatic rejection of an application due
to failure to conform to the requirements of the RFP:
1. Applicant did not meet the required application deadline;
2. The application is not signed in the appropriate places. Signatures on
attachments or other documents do not count as signatures on the
application;
3. Application is incomplete;
4. Non-compliance with administrative requirements, including but not limited to
absence of attachments; and
5. Application submitted in an unacceptable manner, e.g. telephone, fax, e-mail.
12
d. All protests related to bid or proposal specifications must be submitted to the Union
County Workforce Investment Board no later than five (5) business days prior to the
close of the bid or proposal. Protests received after the five (5) business day deadline
will not be considered by the County.
e. In the event the protest of specifications is denied and the protester wishes to
continue in the solicitation process, they must still submit a bid prior to the close of the
solicitation in accordance with the bid/proposal submittal procedures provided in the
bid/proposal.
f. In protests related to the award of a contract, the protest must be submitted no later
than five (5) business days after the notice of the proposed contract award is
provided by the Union County Workforce Investment Board. Protests relating to a
proposed contract award which are received after the five (5) business day deadline
will not be considered by the County.
g. All protests shall be typed under the protester’s letterhead and submitted in
accordance with the provisions stated herein. All protests shall include at a minimum
the following information:
The name, address and telephone number of the protester;
The signature of the protester or the protester’s representative;
The solicitation or contract number;
A detailed statement of the legal and/or factual grounds for the protest; and
The form of relief requested.
h. In the event of a timely protest, the County shall not proceed with the solicitation or
award of the contract until the Union County Workforce Investment Board renders a
decision on the protest.
i. Upon receipt of a timely protest, a review panel will be convened to review the
information presented by all parties and the review of the protest data shall be
completed within ten (10) days from the receipt of the protest request.
j. The Union County Workforce Investment Board will within five (5) business days from
the termination of the panel review, issue a decision in writing which shall state the
reasons for the actions taken.
k. The decision of the Union County Workforce Investment Board will be final.
l. The County may, after providing written justification to be included in the
procurement file, make the determination that an immediate award of the contract is
necessary to protect the substantial interests of the County. The award of a contract
shall in no way compromise the protester’s right to the protest procedures outlined
herein.
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3.0 REQUIREMENTS
3.1 Administrative Requirements
a. Proposals that are submitted shall not be marked as confidential or proprietary.
Proposals submitted in response to this RFP process are subject to public disclosure as
permitted by the New Jersey Open Public Records Act. Additionally, all proposals
shall become the property of the County. The County reserves the right to make use
of any information or ideas in the proposals submitted.
b. All materials will be retained by the County. The County reserves the right to reject
any or all proposals and to award and contract as is in its best interest. The County
reserves the right to solicit additional information from any Respondent after the
proposals have been received, including the requesting of interviews by Respondents.
c. This RFP does not commit the Union County Workforce Investment Board or the
County to award a contract, pay any costs incurred in the preparation of a proposal
to this request, or contract for services and supplies.
d. The County reserves the right to withdraw the RFP in the event that the Union County
Workforce Investment Board determines there is a failed competition, which can be
defined by:
1. Response to RFP is insufficient to proceed;
2. Responses to RFP make it economically unfeasible to proceed;
3. Any changing circumstances in status, as determined by the Union County
Workforce Investment Board, that would negate the requirement of the RFP; or
4. Any changing circumstance, as determined by the County, which would
require postponement of the RFP.
e. The scope of services to be provided must be in accordance with all applicable
federal, State, and local laws, regulations, rules and policies, and with specifications of
this RFP.
f. Respondents will be subject to reference checks and performance information
validations. This may include, but is not limited to, a review of Respondent's
recordkeeping procedures, management systems, and accounting and
administrative systems.
g. All proposals are subject to negotiation following selection by the Union County
Workforce Investment Board. Proposals which cannot be successfully negotiated will
not be funded. Submitted proposals must be valid for a period of time no less than
one year from the date of submission.
h. A “Joint Proposal” is defined as one proposal submitted by two or more entities, with a
clearly identified lead agency. The lead agency shall be the fiscal agent and will be
responsible for the attainment of performance measures and results. The Union
County Workforce Investment Board will accept joint proposals for this RFP. The lead
agency must provide a minimum of 50% of the required services.
i. Pursuant to N.J.A.C. 17:44-2.2, the vendor shall maintain all documentation related to
products, transactions or services under this contract for a period of five (5) years from
the date of final payment. Such records shall be made available to the New Jersey
Office of the State Comptroller upon request.
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3.2 Insurance
Respondents shall refer to the Insurance Requirements Information (Attachment A-18) of this
RFP for specific requirements.
3.3 Contracting
a. The contract will be awarded through the County of Union. It is anticipated that the
contract period will be September 1, 2015 - December 31, 2016.
b. The period for client enrollment is September 1, 2015 through June 30, 2016.
c. Participants enrolled prior to July 1, 2016 shall continue to be served until the end of
their program activity. All employment directed activities must end no later than the
end of contract period: December 31, 2016.
d. The Union County Workforce Investment Board retains the right to contract with
Respondents selected for funding in the following ways:
1. Directly with each joint proposing entity individually, if it is in the best interest of
the Union County Workforce Investment Board or the County.
2. Directly with proposed subcontracted entities as identified in the proposal, if it is
in the best interest of the Union County Workforce Investment Board or the
County.
e. The Union County Workforce Investment Board retains the authority before and during
any contract period to approve proposed subcontracts or purchase agreements that
amount to $10,000 or more prior to their execution. A “Subcontractor” is defined as
any entity undertaking part of the work under the terms of the contract, by virtue of
an agreement with the Contractor.
1. The Union County Workforce Investment Board retains full authority to enforce
performance standards upon the subcontractor through the Contractor.
2. The Union County Workforce Investment Board retains full authority to direct the
Contractor in all matters pertaining to subcontractors, including cancellation of
subcontractor’s contract.
f. The Union County Workforce Investment Board will utilize performance-based
benchmarks for programs offered in this RFP. Contracts resulting from this RFP will
require monthly billing. g. Contracts will be developed as a Micro-Block Grant to have the Program Provider
offer various employment directed activities to WorkFirst New Jersey clients. The
optimal service strategy is to have the Vendor offer a menu of services the best fits the
needs of clients.
h. Contracts awarded under this RFP are subject to change based on funding
availability. Available funding (or anticipated funding) and service delivery strategies
will dictate the recommendations that are ultimately considered by the Union County
Workforce Investment Board and the County.
i. Payment is anticipated to be completed within 45-60 days upon receipt of complete
voucher with appropriate supporting documents.
15
4.0 SCOPE OF SERVICES
4.1 General Guidelines
All Proposers must:
• Have an office in Union County as of September 1, 2015.
• Meet all administrative requirements of the RFP.
The County of Union is required to maintain on a monthly basis, at a minimum, the 50%
federally mandated program participation rate for recipients of WFNJ-TANF. The Participation
Rate refers to the number of mandatory participants who must be in a countable activity as a
percentage of all the TANF cases. It does not refer to the percentage of customers that must
remain in any individual program on a monthly basis. Applicants that are awarded contracts
through this funding will be expected to ensure that customers meet the required hours of
participation in their TANF programs and to meet appropriate performance goals. Activities
must allow the TANF Customer to participate 35 hours per week in order to fulfill the work
requirements.
For the purposes of this RFP, the allowable activities for TANF customers include Job Search
and Community Work Experience Program (CWEP) as stand-alone 35 hour “core” activities or
a combination of the following:
Core Activities – at minimum 20 hours per week as a service program component
- Work Experience – Community Work Experience Program (CWEP)
Non-Core Activities – 15 hours per week as a service program component
- Education Directly Related to Employment (those without a High School Diploma or
GED)
- Job Skills training directly related to employment (those with a High School Diploma or
GED)
- Satisfactory School attendance at a secondary school or course of study leading to a
certificate of general equivalence, in the case of a recipient who has not completed
secondary school
TANF Regulations focus on work through the following program requirements:
- Counting only actual hours of participation and limited scheduled hours for non-paid
work activities
- All activities used to satisfy work requirements must be supervised
- Education and training must be directly related to a specific job.
- “Job readiness activities” may count substance abuse and mental health treatment
and rehabilitation activities for only 6 weeks per year (only 4 weeks consecutive).
- Further simulate work by allowing countable participation to include actual hours with
limited excused absence.
Services provided as a result of this RFP are subject to change in accordance with Federal TANF Guidelines.
16
PLEASE NOTE: Because there are differences in the regulations and policies that govern the
provision of services to the TANF and GA/SNAP populations, the information on those services
are listed separately in the following parts. Although the service titles may be the same or
similar, it is important that applicants to the RFP understand and provide responses separately
and distinctly.
4.2 TANF CLIENTS - REQUESTED SERVICES AND PROGRAMS
I. CORE ACTIVITIES
A) JOB SEARCH (JS): means the act of seeking of obtaining employment, preparation to
seek or obtain employment and includes the provision of life skills training. Job search
includes a job readiness assistance component. Job search and job readiness
assistance consists of activities designed to help an individual find employment or
improve an individual’s employment prospects.
Work activities reported under job search and job readiness are:
Job search is an up to four-week workshop directed to the individual’s needs and the
local job market conditions and will serve participants in either group or individual
activities. Job search is an appropriate up front activity for job ready recipients who
have basic workplace skills and experience applicable to the labor market. It will also
be used for individuals to successfully learn labor market skills after participating in other
work activities.
Job readiness activities will be combined with job search to enhance the effectiveness
of job search activities for those in need of additional skills development. Job readiness
activities will include an assessment to determine past work history, job interest areas,
employability strengths, marketable employment-related skills, education level, and the
identification of barriers to employment. This assessment should include screening and
testing to determine employment eligibility, exploring careers, developing a personal
portfolio and concentrating on the soft skills necessary for workplace literacy. Activities
include:
• Effective resume writing
• Interviewing techniques
• Monitored employment search
• Business writing
• Career exploration
• Returning to the workforce
• Job search techniques
• Marketing
• Realistic job goals
• Telephone etiquette
• Financial literacy
• Personal appearance
• Interest inventory
• Skill assessment testing
• Job retention
17
Job Readiness Activities (JRA) must be a component of Job Search and must assist
clients to:
- be able to market themselves;
- become familiar with workplace expectations;
- develop a positive attitude toward employment to maintain successful
employment in the labor market;
- develop a resume;
- have the information necessary to initiate a job specific search plan;
- set realistic job goals;
- use the Internet to search job listings; and
- be able to fill out a job application.
Job search activities must be supervised and monitored on an ongoing basis no less
frequently than daily. Job search activities include making contact with potential
employers, whether by telephone, in person or via the Internet, to learn of suitable job
openings, applying for vacancies, and interviewing for jobs.
This program is designed to provide employment-directed activities in which
participants must remain engaged with the immediate goal of obtaining full-time
employment. Job Search activities include four (4) consecutive weeks of classroom
training focusing on job seeking and retention skills such as intensive job search, job
applications, resume writing, interviewing skills, instruction in workplace expectations
(including instruction on appropriate attire and behavior on the job), training in
effective job seeking, life skills training and post-interview follow-up. Employment Profile
Testing is also to be made available for clients to determine appropriate enrollment into
other WFNJ “To Work” activities if a job is not obtained in four (4) weeks.
Job Search (JS) must be organized, employment-related activities in which participants
engage with the immediate goal of obtaining full-time employment. Job Search is
limited to four consecutive weeks for a 12-month period. Job Search can be group or
self-directed, or a combination of both. Job Search is a stand-alone activity that will
keep the client engaged for a minimum of 35 hours per week/140 hours per month to
count for Federal participation in an activity.
Program Outcomes – Job Search (JS)
Approximately 75% of the clients enrolled will successfully complete the Job Search
objectives as stated in the Individual Responsibility Plan (IRP). When deemed
appropriate, the Job Search staff will also perform individualized job search assistance
to guide the client. This will not be limited to existing job openings, but will also include
the process of job search development to secure full-time unsubsidized employment
opportunities.
All Job Search provider sub-contracts are expected to result in a 50% employment
placement rate. Job placement may be attributed to the job search provider if
placement occurs within 30 days of the Job Search activity. This rate may be subject to
18
change based on adjustments made by the NJ Department of Labor and Workforce
Development.
State Mandated Placement Rate = 50%
B. WORK EXPERIENCE is a work activity, performed in return for public assistance that
provides an individual with an opportunity to acquire the general skills, training,
knowledge, and work habits necessary to obtain employment. The purpose of work
experience is to improve the employability of those who cannot find unsubsidized
employment due to lack of work history and/or job readiness skills. It allows customers
the opportunity to adjust to and learn how to function in an employment setting. The
activity must be supervised by an employer, work site supervisor, or other responsible
party on an ongoing basis no less frequently than daily.
i. THE COMMUNITY WORK EXPERIENCE PROGRAM (CWEP) is a core activity designed to
provide work and training experience for customers not otherwise able to obtain
employment, in order to improve their employability. CWEPs are structured
programs in which TANF recipients perform work for the direct benefit of the
community under the auspices of public or non-profit organizations. CWEP is a
program with employers who agree to provide training opportunities for customers
at approved local worksites. Sponsorship is limited to non-profit agencies, such as
federal, local, State government, and not-for-profit community based employers.
CWEP activity is limited to public service projects in fields such as health, social
services, environmental protection, education, urban development and/or re-
development, welfare, recreation, public activities, public safety, and child and
adult care (for the public good).
Providers will be responsible for developing CWEP sites at public and private non-
profit agencies, monitoring of the participants attendance/progress while enrolled
at the sites and periodic feedback on participants’ status. The CWEP sites to be
developed may be on an individual referral basis and/or small group slots consistent
with the need of the participant and the capacity of the CWEP site.
A list of Union County CWEP sites will be provided to the CWEP vendor by a NJLWD
representative who is responsible to develop and contract out sites for Union
County. All potential CWEP sites developed by program providers must be
approved by a NJLWD representative prior to client placement.
Sub-grantees should select CWEP experiences that are closely aligned with skill
development that leads to employment readiness and are tailored to match the
client’s abilities, goals, and interests to ensure the provision of meaningful and
effective work experiences for our customers. The sub-grantees will be responsible
for monitoring of customers’ attendance/progress while enrolled at the sites, and
periodic feedback on customer status. This activity will be supervised on an ongoing
basis no less frequently than daily. Periodic assessment will be integrated into this
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activity as an ongoing tool in determining an individual’s continued program
eligibility and suitability for this work activity.
Examples of programs and activities that fit under the definition of community
service include, but are not limited to, work performed for a school (e.g. serving as a
teacher’s aide), Head Start Program (e.g. helping as a parent volunteer), church
(e.g. preparing meals for the needy), or government / non-profit agency (e.g.
providing clerical support), as well as participation in volunteer organizations such as
AmeriCorps, Volunteers in Service to America (VISTA), or private volunteer
organizations. Some examples of work experience: a receptionist at a local housing
authority, a grounds worker at a municipal park or a child care assistant at a
childcare provider. The primary purpose is to provide work experience and training
to enable participants to adjust to and learn how to function in an employment
setting.
CWEP is a stand-alone 35 hour activity. The CWEP program will be up to six (6)
months in duration that assists clients in the development of the skills necessary to
obtain unsubsidized employment. Acknowledging that a majority of the welfare
population is hard to serve, the program allows enough time to adequately assess
candidates, to identify and develop appropriate job slots and encourage the client
to actively look for employment.
Vendors are expected to identify possible barriers to employment and should strive
to place participants in positions that will enable them to gain the skills needed to
move into unsubsidized employment. The vendor is expected to act as a go-
between, working with CWEP site program operators to address issues relating to the
participant’s ability to attend work regularly and on time, and to mediate any
disputes that may arise between the participant and his/her supervisor.
The CWEP vendor will focus on two areas:
1) SITE SUPPORT
- Vendor will outreach to all existing sites to update and refine placement
information
- Vendor will make all appointments with the site manager for prospective client
placement
- Vendor will act as liaison for the site when client conflicts occur
- Vendor will open and maintain an ongoing line of communication with the site
manager to facilitate client flow and successful placements
- Vendor will report site placements and terminations to Union County Division of
Social Services
- Vendor will report activity that affects client’s eligibility to the Union County
Division of Social Services
- Vendor will maintain an accurate listing of clients currently placed in CWEP.
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2) CLIENT SUPPORT
- Vendor will conduct face-to face pre-placement interviews with clients. At this
time, the client will have the CWEP thoroughly explained to them. They will sign a
CWEP agreement of Cooperation outlining basic generic information including
appropriate behavioral responsibilities while on site.
- Vendor will also send a CWEP client profile to the site that will briefly highlight
positive attributes such as training and education. It will also contain a schedule
of CWEP hours for the client.
- Vendor will contact the site(s) for the client to arrange for CWEP placement
interviews with the site manager.
- Vendor will collect and review attendance forms and progress reports, providing
counseling to the client as needed.
- Vendor will continually provide job leads to the client.
- Vendor will arrange for the clients to leave the site periodically, reported as an
excused absence, to actively search for employment.
- Vendor will meet with the client after job interviews to review results.
- Vendor will collect and review job search forms, counseling the client as
needed.
- Vendor will act as liaison between the client and their Division of Social Services
case manager to ensure uninterrupted client flow (ex. Problems with
transportation, childcare, emergency assistance, sanction intervention, etc.).
Vendors are encouraged to identify placements where the employer might
consider hiring the participant if the placement is a success. Work assignments
should provide participants the opportunity to develop marketable skills and the
appropriate behaviors needed in the workforce. Also, the intent of the program is to
stress the development of soft skills like teamwork, the ability to communicate
effectively with co-workers and supervisors, dependability, help participants
understand how to apply skills learned to other occupations and encourage them
to continue their job search. It is expected that clients will remain in the activity for a
minimum of two months to gain useful work experience, establish good work skills
and maintain good attendance.
After the client has successfully completed a two month minimum at the CWEP
worksite and the CWEP vendor can substantiate the ability of the client to succeed
in job search and find full-time unsubsidized employment, utilizing standardized
assessments and work history information, the vendor can recommend to referring
case manager that the client be referred to Job Search as the next activity prior to
the end of the six month program. Vendor must document good attendance and
work habits at CWEP placement site. It is up to the case manager to evaluate
vendor request utilizing job readiness criteria in consultation with client for possible
referral to next activity.
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CWEP can be a stand-alone 35 hour activity or may be combined with another countable activity such as part-time employment or one of the non-core activities1 to meet the weekly requirement.
Because of Fair Labor Standards Act (FLSA), an individual cannot be required to
participate in a work experience for more hours than the welfare grant divided by
the minimum wage. Specific hours of participation per week will be determined on
an individual basis by the Division of Social Services.
Program components are designed around a practical strategic service strategy
that best helps a client achieve unsubsidized employment. The program includes
client assessment, community work experience, life skills and job readiness activities.
The minimum client engagement in the activity is expected to be for two months to
prepare client properly to be able to take advantage of job search activities.
Utilizing a six (6) month timeline, the vendor is expected to:
First Month – Enroll client in the program, provide program orientation and assess
client utilizing either TABE 9 / 10 or BEST+ and assessment results must be received by
referring case manager no later than by the end of the month. Vendor is
responsible to input client attendance utilizing Web-based E-Timesheet at the point
of client enrollment in the activity. In addition, vendor is responsible to forward
CWEP site placement information to referring case manager with client name and
CWEP site address.
Vendor must provide job readiness guidance in workplace expectations (including
instruction on appropriate attire and behavior on the job).
Second Month – The vendor is required to complete client progress report which
should include an assessment of client performance and evaluation of job readiness
and forward report to referring case manager by the end of the month. If the client
is doing well in the activity it is the vendor’s responsibility to procure a
recommendation letter from the CWEP site supervisor to attest to client’s good
performance and work habits. The recommendation letter is an important
reference for a prospective employer. Assistance with job preparation skill
development includes resume writing and interviewing skills.
Third through Sixth Month - The client should be better prepared to explore job
opportunities and attend job interviews having successfully participated in the CWEP
activity and having acquired valuable work experience. If the client is determined
job ready, the client should be given “excused” time to explore job opportunities
and attend job interviews (up to two (2) a week). Employment referrals and job
interview information must be in writing to document time allowed. The vendor
should confirm job interviews, and closely monitor time away from activity and
appropriate time to return to CWEP site to closely replicate real world employment
1 See Section 4.2 Part II Non-Core Activities page 23
22
expectations. The goal is to have the client placed in full-time unsubsidized
employment.
If the CWEP vendor can substantiate the ability of the client to succeed in job
search and find full-time unsubsidized employment, utilizing standardized
assessments and work history information, the vendor can recommend to referring
case manager that the client be referred to Job Search as the next activity prior to
the end of the six month program.
If the client is determined in need of more intensive services to better prepare for
employment, vendor will communicate with case-manager prior to end of activity a
recommendation for next client activity. Case manager will confer with client prior
to end of activity to determine next appropriate service/activity, i.e. ESL/ABE or
occupational training.
An exit report is required to be sent to referring case manager prior to end of the
activity. The exit report should include a detailed client assessment, a list of client
work experience(s), identification of barriers that may impede client progress, a
description of client’s performance, work habits, limitations and capabilities.
Program Time Frame
The CWEP activity will last for up to six consecutive months and 35 hours per week.
We will define hours of participation as those hours beginning with the actual start of
the activity to the end of the activity.
The CWEP may include a short-term CWEP Transitional Component designed for
immediate placement of a client in an activity and /or as a bridge between
activities. The CWEP Transitional Component has the same program requirements as
the CWEP Program but is shorter in duration: on a month by month basis.
Worksite Placement Procedures
1. The Division of Social Services refers the CWEP client to the CWEP
Vendor/Monitor.
2. The CWEP Vendor/Monitor individually interviews the client and explains the
rules and requirements of the CWEP Program.
3. The CWEP Vendor/Monitor matches the client’s skills and/or abilities with an
existing, already created site (could be a site created by NJLWD representative
for CWEP development and authorization or created by the CWEP
Vendor/Monitor). The CWEP Vendor/Monitor contacts the prospective CWEP
site to make arrangements for client referral. The client is then referred to the
site for interview and/or enrollment into the CWEP Program.
4. All potential CWEP sites developed by program providers must be approved by
a NJLWD representative prior to client placement.
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5. The contact person for the CWEP Site and the CWEP Vendor/Monitor agree on
attendance sheet procedures and monitoring of the client through a system
established between the CWEP Site and the CWEP Vendor/Monitor.
6. The CWEP participant is instructed to report to the site and to comply with all
the rules and requirements of the CWEP Program.
7. If a CWEP site is not appropriate, or does not work out for the client, another
CWEP site should be available and ready for referral of the participant to that
site.
8. The CWEP Vendor/Monitor is responsible for the monitoring of the
attendance/progress of the CWEP participant at the CWEP activity.
Program Reporting Requirements
In addition to the LOS report required by the State, the provider agency is expected to
report the following additional requirements:
1. Total number of referrals received from Union County Division of Social
Services;
2. Total number of referrals sent back/no shows;
3. Total number of enrollments;
4. Total number of completions;
5. Total Number of terminations;
6. Total number entered employment;
7. Total number of clients place at CWEP sites; and
8. Lists of names for all of the above.
II. NON-CORE ACTIVITIES: 15 HOURS PER WEEK
1. EDUCATION DIRECTLY RELATED TO EMPLOYMENT
Education Directly Related to Employment, in the case of a recipient who has
not received a high school diploma or a certificate of high school equivalency
means education related to a specific occupation, job, or job offer.
Specific occupational skill development can be provided such as Adult Basic
Education and English as a Second Language if the individual’s career goals
require them.
2. JOB SKILLS TRAINING DIRECTLY RELATED TO EMPLOYMENT
Job skills training directly related to employment is directed to those recipients
who have received a high school diploma, GED, or higher education. Job skills
training directly related to employment includes training or education for job
skills required by an employer to provide an individual with the ability to obtain
24
employment or to advance or adapt to the changing demands of the
workplace.
Job skills training directly related to employment promotes basic skills including
English as a second language, computer and workplace literacy, work values,
occupational and transferable skills, personal career portfolio development, and
other skills necessary for the individual to obtain employment. All training and
basic skills will be targeted to a particular occupation. This activity could include
certificates that enhance occupational skills such as a Forklift Certificate or
Associate of Bachelor degree programs for specific occupational skills at State
certified colleges or Universities.
3. SATISFACTORY SCHOOL ATTENDACE AT A SECONDARY SCHOOL OR COURSE OF
STUDY LEADING TO A CERTIFICATE OF GENERAL EQUIVALENCE, IN THE CASE OF A
RECIPIENT WHO HAS NOT COMPLETED SECONDARY SCHOOL:
This activity requires regular attendance, in accordance with the requirements
of a secondary school or course of study, leading to a certificate of general
equivalence, for recipients who have not completed secondary school or
received such a certificate.
All Non-Core Activities must be supervised on an ongoing basis no less frequently than
daily. Hours of participation will be defined as those hours beginning with the actual
start of the activity to the end of the activity. Non-Core Activities may count for up to 15
hours when combined with at least 20 hours from the “core activities.” The combination
of CWEP plus a Non-Core activity has a maximum duration of three (3) months.
Documentation will include school attendance records with the following information:
- Participation in a full-time class schedule as defined and documented by the
educational institution;
- Maintaining a course/class attendance rate that meets the school’s established
standard; and
- Making satisfactory education progress as defined and documented by the school.
The State's Unified Plan for Workforce Investment requires that all training providers who
expect to receive public funds must be included on the Eligible Training Provider List. To
register a training program with the state please visit:
https://njtrainingsystems.dol.state.nj.us/ProviderLogin.aspx
4.3 GA/SNAP CLIENTS - REQUESTED SERVICES & PROGRAMS
A) JOB READINESS / LIFE SKILLS
These are employment-related activities with the immediate goal of obtaining full-time
employment. The Job Readiness / Life Skills activity is limited to four consecutive weeks per
12-month period. Job Readiness activities are combined with job search to enhance the
effectiveness of job search activities for those in need of additional skills development. Job
25
Readiness / Life Skills is a stand-alone activity and provider agency must keep the client
engaged for the required 30 hours of participation in the activity.
The ultimate goal is to prepare the client for long-term successful employment in the labor
market. Services may include, but are not limited to, life coping skills, financial
management, stress reduction, dressing for work, interviewing skills, resume writing and time
management.
The Job Readiness/Life Skills program provider shall take steps to ensure that the participant
can interpret and complete job application questions and is otherwise able to make
proper presentation for employment.
REQUIRED PROGRAM ELEMENTS
Job Readiness/Life Skills (JR/LS) must be organized, employment-related activities in which
participants engage with the immediate goal of obtaining full-time employment. Job
Readiness/Life Skills is limited to four consecutive weeks per 12-month period. Job
Readiness Activities (JRA) must assist clients in becoming familiar with work place
expectations while developing a client’s positive attitude toward employment to maintain
successful employment in the labor market.
The provider will be responsible for reviewing participation in job readiness/life skills
activities and communicate client’s progress to the Division of Social Services (DSS). If a job
has not been secured at the end of the four-week period, the job readiness/life skills
provider must recommend to case management the next appropriate work activity. The
preferred method of job search is a group activity.
State Mandated Placement Rate = 50%
B) WORK EXPERIENCE - COMMUNITY WORK EXPERIENCE PROGRAM (CWEP)
The CWEP activity for GA/SNAP customers has the same program requirements as CWEP
for TANF customers (see pages 18 – 23). The difference between the TANF and
GA/SNAP/ABAWD programs is the weekly client participation requirement: GA/SNAP/
ABAWD customers must be kept engaged in the activity for 30 hours per week as opposed
to 35 hours per week for TANF customers.
GA clients who do not successfully complete their Job Readiness/Life Skills activity may be
referred to a CWEP activity as their next activity. If clients do not have recent and/or
extensive employment or training history, the CWEP would be the most appropriate
activity.
The CWEP component may be used:
- As a training tool for participants to help them develop good work habits and basic
work skills;
- As a sheltered work environment for those participants not ready to compete in the
regular labor market and who may need close supervision.
26
The CWEP Program may include a short-term CWEP Transitional Component designed for
immediate placement of a client in an activity and /or as a bridge between activities. The
CWEP Transitional Component has the same program requirements as the CWEP Program
but is shorter in duration: on a month by month basis.
C) EDUCATIONAL AND VOCATIONAL ALTERNATIVE WORK EXPERIENCE PROGRAM (AWEP)
Educational and Vocational AWEP services address the educational or vocational needs
of WFNJ customers. This program is designed as a combination of Community Work
Experience2, for 20 hours per week, at a non-profit or public sector employer to develop
and enhance workplace competency, and a 10 hours a week job training component or
education classes for English as a Second Language (ESL), Basic Remedial Education
(BREM), and Adult Basic Education (ABE). WFNJ participants who are in AWEP are required
to continually seek employment. Priority funding consideration will be given to those
agencies/organizations proposing BREM activities which include the Secretary’s
Commission on Achieving Necessary Skills (SCANS) or comparable component in their
curriculum or scope of services.
It is the responsibility of the AWEP provider to develop and monitor CWEP slots that are
utilized by customers as part of AWEP services. A review of monitoring activities and reports
on the CWEP placements that must be completed by the AWEP provider will be a part of
the County’s monitoring of that agency’s contract.
All CWEP sites must be pre-approved by the New Jersey Department of Labor prior to
placement at the site. Proof of NJDOL site and program approval must be submitted with
the vendor’s response. The State's Unified Plan for Workforce Investment requires that all
training providers who expect to receive public funds must be included on the Eligible
Training Provider List. To register a training program with the state please visit:
https://njtrainingsystems.dol.state.nj.us/ProviderLogin.aspx.
The goal of the educational or training component of AWEP is to assist the WFNJ
participant to become work ready by helping them achieve academic or vocational
progress that will support their ability to fully utilize vocational and occupational training
services or enter unsubsidized employment.
The Alternative Work Experience Program includes program orientation and client
assessment utilizing either TABE 9 / 10 or BEST+. The AWEP program has a maximum duration
of three (3) months.
4.4 TEST OF ADULT BASIC EDUCATION (TABE)
The Test of Adult Basic Education (TABE) is a diagnostic test used to determine a person's
skill levels and aptitudes. The TABE test is used by public service agencies to help guide
program participants into meaningful activities that may include Community Work
Experience Programs, adult education programs, or going to trade school, etc. It tests skills
and aptitudes in reading, math, and English.
2 See Section 4.2 Part I Subpart B Subsection i: page 18
27
The Division of Social Services requires periodic TABE assessment services to gauge a
WorkFirst NJ participant’s skill levels. It is anticipated that 20-25 TABE assessments will be
conducted monthly.
The request for services includes the ability to provide approximately 20-25 TABE 9/10
assessments monthly on an as needed basis. The results must be submitted to the Division
of Social Services in a timely manner.
28
5.0 PERFORMANCE BASED FEE-FOR-SERVICE SCHEDULE
Please use the following as a guide to fill-out funding request information in Program
Proposal Summary: Attachment A-2
EMPLOYMENT DIRECTED ACTIVITIES BENCHMARK
1 BENCHMARK
2 BENCHMARK
3 BENCHMARK
4 BENCHMARK
5 BENCHMARK
6 TOTAL SLOT
COST
TANF Job Search $250 $250
$500
Community Work Experience Program $250 $250 $250 $250 $250 $250 $1,500
CWEP Transitional $250 $250
$500
CWEP + Education Directly Related to Employment $500 $500 $500
$1,500
CWEP + Job Skills Training Directly Related to Employment $500 $500 $500
$1,500
CWEP + Satisfactory School Attendance- CERT. OF General Equivalence $500 $500 $500 $1,500
GA/SNAP Job Readiness/Life Skills $250 $250
$500
Community Work Experience Program $250 $250 $250 $250 $250 $250 $1,500
CWEP Transitional $250 $250
$500
Alternative Work Experience Program $500 $500 $500
$1,500
TABE Testing Services $50 $50
Placement and Retention Benchmarks
Placement in Unsubsidized Employment $500
$500
Retention – 90 days $250 $250
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6.0 Benchmarks for WFNJ PY 2015 Subcontracts
The Union County Workforce Investment Board will utilize performance-based benchmarks
for programs offered in this RFP.
The sub-contract billing process will be based upon achieved benchmarks. The sub-
grantee will be required to submit monthly: a voucher, a request for payment, a
comprehensive report and a statistical LOS report no later than the 12th calendar day
immediately following the reporting period in order to receive payment on a monthly
basis without interruption of reimbursement.
Performance Based: Under a Performance-Based contract the contractor will be
reimbursed as customers attain certain benchmarks or services.
Service Providers that place clients in unsubsidized employment will achieve the
Placement Benchmark of $500: this benchmark is achievable across all employment
directed activities. Also, service providers can achieve the 90 day employment retention
benchmark of $250 which is available to all employment directed activities.
BENCHMARKS
PROGRAM YEAR 2015
TANF
JOB SEARCH 4 WEEKS $500.00
1st Benchmark 50% Or $ 250.00
Program orientation, enrollment, at the end of 2
weeks: retention of participant in the activity for
up to 2 weeks and compliance with inputting
attendance information into the E-Timesheet
System on a weekly basis.
2nd Benchmark 50% Or $ 250.00
At the end of 2 more weeks: retention of
participant in the activity for up to 2 more
weeks and compliance with inputting
attendance information into the E-Timesheet
System on a weekly basis.
30
BENCHMARKS
PROGRAM YEAR 2015
TANF
CWEP PROGRAM 6 MONTHS $1,500.00
1st Benchmark 16.7% Or $ 250.00
At the end of one month: Assessment, enrollment in a
CWEP site; report assessment scores and CWEP site
address to DSS and compliance with inputting
attendance information into the E-Timesheet System
on a weekly basis. In addition, all assessment results
(i.e. TABE Test, Employability Assessment) must be
attached to the voucher.
2nd Benchmark 16.7% Or $ 250.00
At the end of two months: monitor client in CWEP site,
update client’s resume, send client’s
recommendation from CWEP site, progress report
and if appropriate communicate recommendation
for next activity to DSS and compliance with
inputting attendance information into the E-
Timesheet System on a weekly basis.
3rd Benchmark 16.7% Or $ 250.00
At the end of three months – retain, monitor
participant in a CWEP site (up to 1 month) and
compliance with inputting attendance information
into the E-Timesheet System on a weekly basis.
4th Benchmark 16.7% Or $ 250.00
At the end of four months – retain, monitor
participant in a CWEP site (up to 1 month) and
compliance with inputting attendance information
into the E-Timesheet System on a weekly basis.
5th Benchmark 16.7% Or $ 250.00
At the end of five months – retain, monitor
participant in a CWEP site (up to 1 month) and
compliance with inputting attendance information
into the E-Timesheet System on a weekly basis.
6th Benchmark 16.7% Or $ 250.00
At the end of six months – retain, monitor participant
in a CWEP site (up to 1 month) and compliance with
inputting attendance information into the E-
Timesheet System on a weekly basis.
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BENCHMARKS
PROGRAM YEAR 2015
TANF
CWEP TRANSITIONAL 2 MONTHS $500.00
1st Benchmark 50% Or $ 250.00
At the end of one month: placement, retention,
monitoring of participant in the CWEP site (up to 1
month) and compliance with inputting attendance
information into the E-Timesheet System on a weekly
basis.
2nd Benchmark 50% Or $ 250.00
At the end of two months: retain, monitor participant
in the CWEP site (up to 1 month) and compliance
with inputting attendance information into the E-
Timesheet System on a weekly basis.
BENCHMARKS
PROGRAM YEAR 2015
TANF
CWEP + EDUCATION DIRECTLY RELATED TO EMPLOYMENT
CWEP + JOB SKILLS DIRECLTY RELATED TO EMPLOYMENT
CWEP+ SATISFACTORY SCHOOL ATTENDANCE-CERT. OF GENERAL
EQUIVALENCE
3 MONTHS $1,500.00
1st Benchmark 33.33% Or $ 500.00
At the end of one month – orientation, assessment,
attendance to educational/job training,
placement, retention & monitoring of participant in
a CWEP site, report assessment scores and CWEP
site address and compliance with inputting
attendance information into the E-Timesheet
System on a weekly basis.
2nd Benchmark 33.33% Or $ 500.00
At the end of two months – attendance to
educational/job training, retain & monitor
participant in a CWEP site (up to 1 month) and
compliance with inputting attendance information
into the E-Timesheet System on a weekly basis.
3rd Benchmark 33.33% Or $ 500.00
At the end of three months – attendance to
educational/job training, retain & monitor
participant in a CWEP site (up to 1 month) and
compliance with inputting attendance information
into the E-Timesheet System on a weekly basis.
32
BENCHMARKS
PROGRAM YEAR 2015
GA/SNAP
JOB READINESS /LIFE SKILLS 4 WEEKS $500.00
1st Benchmark 50% Or $ 250.00
At orientation, enrollment, at the end of 2
weeks: retention of participant in the activity
for up to 2 weeks and compliance with
having the participants provide a signature
on a sign-in sheet attesting to the clients'
presence/absence. Sign-in sheets must be
maintained on site as an audit trail.
2nd Benchmark 50% Or $ 250.00
At the end of 2 more weeks: retention of
participant in the activity for up to 2 more
weeks and compliance with having the
participants provide a signature on a sign-in
sheet attesting to the clients'
presence/absence. Sign-in sheets must be
maintained on site as an audit trail.
33
BENCHMARKS
PROGRAM YEAR 2015
GA/SNAP
CWEP PROGRAM 6 MONTHS $1,500.00
1st Benchmark 16.7% Or $ 250.00
At the end of one month - placement, retention,
monitoring of participant in a CWEP site (up to 1 month)
and compliance with having the participants provide a
signature on a sign-in sheet attesting to the clients’
presence/absence. Sign-in sheets must be maintained on
site as an audit trail. In addition, all assessment results
(i.e. TABE Test, Employability Assessment) must be
attached to the voucher.
2nd Benchmark 16.7% Or $ 250.00
At the end of two months - retain, monitor participant in a
CWEP site (up to 1 month) and compliance with having the
participants provide a signature on a sign-in sheet attesting
to the clients’ presence/absence. Sign-in sheets must be
maintained on site as an audit trail.
3rd Benchmark 16.7% Or $ 250.00
At the end of three months - retain, monitor participant in a
CWEP site (up to 1 month) and compliance with having the
participants provide a signature on a sign-in sheet attesting
to the clients’ presence/absence. Sign-in sheets must be
maintained on site as an audit trail.
4th Benchmark 16.7% Or $ 250.00
At the end of four months - retain, monitor participant in a
CWEP site (up to 1 month) and compliance with having the
participants provide a signature on a sign-in sheet attesting
to the clients’ presence/absence. Sign-in sheets must be
maintained on site as an audit trail.
5th Benchmark 16.7% Or $ 250.00
At the end of five months - retain, monitor participant in a
CWEP site (up to 1 month) and compliance with having the
participants provide a signature on a sign-in sheet attesting
to the clients’ presence/absence. Sign-in sheets must be
maintained on site as an audit trail.
6th Benchmark 16.7% Or $ 250.00
At the end of six months - retain, monitor participant in a
CWEP site (up to 1 month) and compliance with having the
participants provide a signature on a sign-in sheet attesting
to the clients’ presence/absence. Sign-in sheets must be
maintained on site as an audit trail.
CWEP TRANSITIONAL 2 MONTHS $500.00
1st Benchmark 50% Or $ 250.00
At the end of one month: placement, retention, monitoring
of participant in the CWEP site (up to 1 month) and
compliance with having the participants provide a
signature on a sign-in sheet attesting to the clients’
presence/absence. Sign-in sheets must be maintained on
site as an audit trail.
2nd Benchmark 50% Or $ 250.00
At the end of two months: retain, monitor participant in the
CWEP site (up to 1 month) and compliance with having
the participants provide a signature on a sign-in sheet
attesting to the clients’ presence/absence. Sign-in sheets
must be maintained on site as an audit trail.
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BENCHMARKS
PROGRAM YEAR 2015
GA/SNAP
ALTERNATIVE WORK EXPERIENCE PROGRAM (AWEP) 3 MONTHS $1,500.00
1st Benchmark 33.33% Or $ 500.00
At the end of one month – orientation,
assessment, attendance to educational/job
training, placement, retention & monitoring
of participant in a CWEP site, report
assessment scores and CWEP site address and
compliance with having the participants
provide a signature on a sign-in sheet attesting
to the clients’ presence/absence. Sign-in
sheets must be maintained on site as an audit
trail.
2nd Benchmark 33.33% Or $ 500.00
At the end of two months - attendance to
educational/job training, retain & monitor
participant in a CWEP site (up to 1 month)
and compliance with having the participants
provide a signature on a sign-in sheet attesting
to the clients’ presence/absence. Sign-in
sheets must be maintained on site as an audit
trail.
3rd Benchmark 33.33% Or $ 500.00
At the end of three months - attendance to
educational/job training, retain & monitor
participant in a CWEP site (up to 1 month)
and compliance with having the participants
provide a signature on a sign-in sheet attesting
to the clients’ presence/absence. Sign-in
sheets must be maintained on site as an audit
trail.
BENCHMARKS
PROGRAM YEAR 2015
TEST OF ADULT BASIC EDUCATION (TABE 9/10)
Benchmark $ 50.00
Participant provided full battery of TABE 9/10
and the results submitted to Division of Social
Services
35
BENCHMARKS
PROGRAM YEAR 2015
JOB PLACEMENT AND RETENTION
PLACEMENT Benchmark $ 500.00
Placement- Full time (30 to 35 hours) unsubsidized
employment at or above the NJ minimum wage of
$8.25 per hour.
RETENTION Benchmark $ 250.00 90 Day Job Retention
36
7.0 PROGRAM FUNDAMENTALS AND REQUIREMENTS
a. Periodic contract monitoring reviews in order to assess the vendor’s compliance with
program and contract standards.
b. Providers must be in compliance with the most recent Pay-to-Play legislation.
c. The County reserves the right to modify contracts based on benchmark performance
and results obtained through the contract monitoring and compliance process.
d. Providers must attend mandated Service Provider meetings, as scheduled.
e. Periodic reviews of contracts and services will be conducted, and funds may be re-
allocated based upon customer need.
f. Services and activities approved by the County must be contracted directly with the
applicant. No third party subcontracting will be allowed without the prior written
approval of the Workforce Investment Board.
8.0 SPECIFIC RESPONSIBLITIES OF THE SUB-GRANTEE/PROVIDER
a. Program providers must document attendance daily. For all activities, vendors are
required to have the participant provide a signature on a sign-in sheet attesting to the
presence of the person on that day. These sign-in sheets must be maintained on site as
an audit trail.
In addition, sites must record attendance/absence information for each individual
each day. Form WFNJ-87, Work First New Jersey (WFNJ) Work Attendance Form must
be used to document attendance.
1) For TANF program providers, vendors must report weekly the number of hours of
participation by each individual each day using the statewide standardized WEB-
based E-TimeSheet. Each vendor must have Internet capability on site to comply with
program requirements. The program requirements include recording of attendance
and transmission of attendance records via the Internet. The Web-based “E-
TimeSheet” application must be used by the vendor to post daily
attendance/absence information and actual hours of participation for each
participant.
2) For GA/SNAP program providers, vendors must report weekly the number of hours of
participation by each individual each day using the statewide standardized WEB-
based E-TimeSheet. This information must be reported to the supervisor and case
manager at UCDSS. Providers must complete daily attendance records and forward
attendance summaries weekly to the referring case manager, UCDSS Supervisor via e-
mail and hard copy on a weekly basis.
Failure to comply would delay reimbursement of expenditures.
b. Once the provider receives the referral list from the UCDSS, it is the responsibility of the
funded agency to outreach to the client. The provider must document the outreach
effort(s) to have client arrive at their designated work activity.
37
c. All vendors must notify the Supervisor and the Case-Manager from UCDSS
immediately when:
1. The client is in non-compliance for:
i. Failure to attend activities
ii. Failure to perform – client’s performance is below a satisfactory level - in the
activity
iii. Failure to progress in the activity
iv. Inappropriate behavior in the activity
2. The client has been terminated from the designated activity
3. The client has excessive consecutive absences (3 absences) during the one (1)
month period
d. The non-compliant client must be given a written referral back to the UCDSS.
e. Report client progress weekly to the UCDSS and it is required that copies be supplied to
the UCDSS Supervisor via e-mail and hard copy on a bi-weekly basis.
f. Provide ongoing participant assessment and evaluation to the UCDSS and it is required
that copies be supplied to the UCDSS Supervisor via e-mail and hard copy on a bi-
weekly basis.
g. To keep the client engaged in the activity, and if client not engaged (missed 3 or
more consecutive days) immediately contact UCDSS to inform of non-participation
in mandated activity.
h. All providers must demonstrate, in client’s progress notes, those efforts the provider
made to outreach to clients to ensure participation and attendance in the activity.
i. Upon completion of the activity, service providers are required to complete and
share with the Case-Manager a summary of customer’s progress in the program and
it is required that copies be supplied to the UCDSS Supervisor via e-mail and hard copy.
j. Job Placement - the job placement providers must address the clients’ need to find
full-time employment, accessible transportation, childcare and other support
services and answer the requirements of limited English proficiency participants,
disabled clients [including substance abuse clients] or participants with low-level
literacy issues. Wage rates should be competitive and benefit packages reasonable
(to include sick time and vacation time) and placement should be permanent and
long-term (at least 90 days). In addition to contacting the Division of Social Services,
contractors must notify the Workforce New Jersey Office if a recipient obtains
employment.
k. All providers will be required to notify the referring UCDSS Case Manager of each
customer’s enrollment in the program and their respective start/end date.
Notification of client’s enrollment, termination, and employment must be in writing
and forwarded to the UCDSS Case Manager and it is required that copies be
supplied to the UCDSS Supervisor via e-mail and hard copy on a weekly basis.
38
l. Site Closings - It is the responsibility of the funded agency to contact the UCDSS
when their site is scheduled to be closed other than for the ten (10) state recognized
holidays regarding the WFNJ Program.
1. New Year’s Day
2. Martin Luther King’s Birthday
3. Washington’s Birthday
4. Good Friday
5. Memorial Day
6. Independence Day
7. Labor Day
8. Columbus Day
9. Veteran’s Day
10. Thanksgiving Day
Furthermore, the funded agency is required to provide appropriate
accommodations, in the event of site closings, to enable the client to meet the
required number of hours during that month in order to satisfy the work activity
requirement for federal participation purposes.
m. All providers will be required to identify and document individual performance
benchmarks for each customer, as well as provide any necessary supporting
documentation.
n. CWEP and AWEP should be based on workplace competencies.
o. AWEPs must include workplace literacy as a component.
p. All contracts must include a client flow chart.
q. Statement of participant information release is to be retained in participant file.
r. Administration, management and operation of the contracted training program.
s. Involvement with client case management and case review meetings should occur
no less frequently than bi-weekly.
t. Completion of all monitoring, evaluation, progress reports and vouchers as required.
u. Each vendor must have Internet capability on site to comply with program
requirements.
v. Individual (CWEP) Worksite Agreement
No WFNJ participant may be placed on a worksite that has not been approved with
a signed Community Work Experience Program (CWEP) Work First New Jersey/FSETP
Worksite Agreement. All items of the worksite agreement must be completed
before the worksite is approved. The CWEP worksite agreements must include the
agency’s Federal Employer Identification Number.
39
On an ongoing basis, sub-grantee staff will provide a copy of all CWEP agreements
developed to the UCDSS Case Manager. A copy should be retained by the sub-
grantee.
- Participant Attest
This form is to be read to the participant end endorsed/dated by the appropriate
parties. The original and copies should be distributed in the same manner as the
CWEP Worksite Agreement.
- State CWEP Guidelines for Implementation
A copy of the State Guidelines should be given by the sub grantee by all public
and/or private non-profit agencies to enter into a County Worksite Agreement.
- Liability Insurance
A copy of the 2/26/91 NJDHS, Division of Economic Assistance letter, governing
participant insurance liability for CWEP enrollment, is required to be given by the
sub grantee to all public and/or non-profit agencies to enter into a County
Worksite Agreement.
w. The CWEP vendor will review CWEP responsibilities with the site, including necessary
absences when the clients go on job interviews (jobs developed by provider). Time
allowed for job interviews must be recorded as an excused absence. It would also
include an understanding that the CWEP site will provide letters of recommendation
for any participant that has successfully completed this activity so that they may use
them in their job search efforts.
x. The CWEP vendor will continually mediate between the site and the client to ensure
a positive CWEP experience for both parties.
y. Provide an explanation of the Earned Income Tax Credit for all participants.
9.0 PROPOSAL EVALUATION CRITERIA
If the proposal is determined to be incomplete as per RFP guidelines, the proposal may be
administratively rejected and may not be considered for funding.
1. Compliance with Proposal Specifications (5 Points)
(Includes appropriate signatures and attachments,)
2. Agency Description / Program History (20 Points)
(Includes experience in administering workforce development / preparation programs
including efforts of job placement for clients. Satisfactory record of past performance
or placement of participants; quality of training; ability to arrange for placement,
licensure and/or support services; good retention and earning rates; satisfactory
record of integrity, business ethics and fiscal responsibility; includes the ability to
provide services that lead to achievement of competency standards. Experience in
organization, accounting and operational controls. Agency’s goals, mission and
overall agency operation.)
40
3. Program Description/Management Criteria/Program Supervision (60 Points)
(Includes ability to meet program specifications and performance goals with
reasonable costs; program oversight; technical skills to perform the work; ability to
uphold programmatic standards as described in the RFP; Evaluation Tools to be used;
Client Outreach Efforts; Curriculum)
4. Goals and Objectives of the Program (15 pts)
(Includes establishment of measurable goals for participant outcomes)
EXPLANATION OF EVALUATION CRITERIA:
Cost per Entered Employment is obtained by dividing the total dollars requested by the
total dollars requested by the total number you plan to place in unsubsidized employment
or in post-secondary education.
Average Wage at Placement will be evaluated on the actual wage at placement
proposed by the bidder.
Strategies to meet Community (Business) needs in filling positions will look at how the
needs of local business plan in the overall structure of the program.
Experience Working with Proposed Population will look at past experience serving the
same or similar populations.
Strategic Plan/Goals will be evaluated based on the information provided in the Goals
and Objectives Section. Proposer should be aware point values will not be assigned to
proposals that only reiterate the goals.
Program Design will be evaluated based on information provided in the Program
Description Section. Proposer should consider designs that are unique, innovative, and
collaborate with partners and the community at-large.
Financial/Accounting Review will be evaluated based on information in the proposal
Management Capability Section and any additional information that was requested
including audit information, cost allocation plans (if appropriate), certification of
accounting system, budget worksheets, etc. Past or current contractors will also be
reviewed on the timeliness and accuracy of financial requests.
Organizational Capacity will be evaluated based on information provide in the proposal
and any additional information that may be requested.
41
10.0 PROPOSAL RESPONSE
10.1 SPECIFICATION FOR PROPOSAL NARRATIVE
The Written Narrative will be a comprehensive snapshot of the proposed program. The
Narrative must follow the order outline. USE THE HEADINGS AS OUTLINED.
Specifications for written narrative should be submitted as follows:
Each section of the response must adhere to the specified page limit
Font: Arial
Font Size: 12-point
Spacing: single
Margins: .55 to 1-inch margins
Pagination: pages must be numbered.
The proposal shall include the following and be submitted in the order described below:
PROPOSAL COVER PAGE – Complete Attachment A-1
PROGRAM SUMMARY – Complete Attachment A-2
ASSURANCES – Complete Attachment A-3
TABLE OF CONTENTS
EXECUTIVE SUMMARY (not to exceed 2 pages)
SECTION 1. AGENCY DESCRIPTION (not to exceed 2 pages)
a. Include a brief history and services provided to this population inclusive of
geographic area, number of people served per program and client
characteristics;
b. Include the agency’s goal or the overall purpose or mission of the agency. It
encompasses all of the agency’s programmatic efforts including placement into
unsubsidized employment for applicable programs.
c. Include the name of the person and title for authorized contract signatory and
the mailing address for contract mailing and correspondence.
d. Briefly describe the success or challenges your organization has faced in the
meeting the program goals.
e. Include the following attachments after your description (does not count against
the page limit):
Organizational Chart – Attachment A-4
Agency’s Current Board Membership List - Attachment A-5
Copy of New Jersey Business Registration Certificate – Attachment A-6
Proof of non-profit status (if applicable) - Attachment A-7
42
SECTION 2. HISTORY & EXPERTISE IN EACH PROPOSED PROGRAM AREA (not to exceed 5
pages)
a. What experience does the agency have in the proposed program or service
area?
b. Provide a detailed description of the agency’s ability to work with our clientele
(public assistance recipients), and particularly the agency’s ability to motivate
the clients to attend their designated activities, keep them engaged in the
activity and to complete them.
c. Has the agency ever provided the proposed program or one similar to the
program in this proposal or service (currently or in the past)?
If yes:
Detail list of projects/programs in the past 4 years
How long has the program been in operation?
Has it been successful?
If the program ended, explain why.
SECTION 3. STATEMENT OF NEED (not to exceed 2 pages)
a. Explain why the proposed program service is needed.
b. Identify the problems or service gaps(s). The trends, studies, needs assessments,
statistics, or other information cited should be specific to Union County. If
applicable to program requested, give the occupation demand areas
appropriate to training.
SECTION 4. PROGRAM DESCRIPTION FOR EACH OF THE PROPOSED SERVICES (not to
exceed 10 pages)
Describe the program in detail:
a. Give a concise picture of the daily programmatic operations.
b. Description of overall proposed services: all training, education, supportive,
outreach, engagement, retention and related activities.
c. Indicate Curriculum Outline – Identify & list major units and hours of instruction by
subject.
d. Cite special staff training or expertise.
e. Hours of program operation.
f. Cite affiliation agreements, if applicable.
g. Describe all job development activities.
SECTION 5. GOALS & OBJECTIVES OF EACH PROPOSED PROGRAM (not to exceed 5
pages)
a. Specifically state the outcomes your agency will achieve.
43
b. Describe in detail how your agency will ensure that, at minimum, 50% of clients
referred from Division of Social Services will be enrolled, remain engaged and
complete the program.
c. What are the measurable goals for participant outcomes?
d. What are the objectives of the program?
e. If employment is a goal, list area employers you will be working with and the
types of jobs they offer.
f. For Job Search & Job Readiness Activities describe how your program will
achieve the 50% placement rate.
SECTION 6. PROGRAM SUPERVISION (not to exceed 2 pages)
a. Briefly outline a description of the overall agency operation and the people
involved in oversight and the operation of this program.
SECTION 7. PROGRAM EVALUATION (not to exceed 2 pages)
a. What internal process is in place to assess the extent to which the program is
implemented as planned?
b. Explain what the internal monitoring procedures and assessment tools will be:
Who will perform the evaluation?
How frequently will it be performed?
What are the criteria for success?
Identify the mechanism for tracking the results?
What type of report or statistics will be generated?
Who will receive the report?
SECTION 8. MANAGEMENT CAPABILITY (not to exceed 2 pages)
a. Briefly outline agency ability to establish and maintain compliance with the funding
rules, governing regulations, the assurances, certifications and general provisions as
it pertains to its subcontract if awarded.
b. Describe agency's fiscal management systems which meet the minimum generally
accepted accounting principles overall, and their relationship to the receipt and
disbursement of funds if subcontract is awarded.
c. Describe agency's fiscal management systems which meet the minimum generally
accepted accounting principles overall, and their relationship to the receipt and
disbursement of funds if subcontract is awarded.
d. Identify what measures or processes are practiced by the agency to assure fiscal
accountability.
e. Identify the individual and position title of the person the agency has delegated
as the fiscal authority.
SECTION 9. GRANT PERSONNEL QUALIFICATIONS (not to exceed 2 pages)
a. List the key personnel who will be working directly on this contract, including names
of instructors.
44
SECTION 10. SITE CLOSINGS / HOLIDAYS OBSERVED (not to exceed 2 pages)
a. List in detail all scheduled site closings. What is your organization’s plan to serve
clients in the event of regular or unexpected site closings other than the ten (10)
recognized holidays? If your agency is scheduled to close for an extended period
of time, e.g. Christmas and Thanksgiving, what accommodations will be made for
clients to fulfill their required hours of participation?
b. Cite agreements with other agencies to have available activities for clients when
agency is closed (for other than the ten (10) approved holidays).
SECTION 11. PARTNERSHIP / COORDINATION WITH INSTITUTIONS & ORGANIZATIONS
(not to exceed 2 pages)
a. Describe your organization’s experience in working as a partner within the One-
Stop system. If applicable, describe the organization’s experience as a
participant in systems that deliver educational and/or employment and training
services to this population. Also describe any partnerships that provide
temporary activities in the event of agency closing(s).
SECTION 12. REQUIRED ATTACHMENTS
Attachment A-8: Training Program Certification: If applicable, attach proof of NJ
Department of Labor and Workforce Development Eligible Training
Provider approval or NJDOE equivalent by the authorized entity for
training programs. (Please attach a printed copy of the certification
as taken from the statewide list of approved vendors at
www.njtrainingsources.org)
Attachment A-9: Certification Regarding Debarment, Suspension, Ineligibility and
Voluntary Exclusion Lower Tiered Covered Transactions
Attachment A-10: Certification Regarding Lobbying for Contracts, Grants, Loans
and Cooperative Agreements
Attachment A-11: Instruction for Certification
Attachment A-12: Year 2014 or most recent Audited Financial Statement
Attachment A-13: Affirmative Action Statement (included)
Attachment A-14: Americans with Disabilities Act: Equal Opportunity for Individuals
with Disabilities (included)
Attachment A-15: Stockholder Disclosure Certification (included - if applicable)
Attachment A-16: Affidavit of No Conflict of Interest
Attachment A-17: Non-Collusion Affidavit
Attachment A-18: Union County Insurance Requirement
Attachment A-19: Disclosure of Investment Activities in Iran
45
11.0 PROPOSAL COMPLIANCE ASSESSMENT
This form will be used by Union County Workforce Investment Board staff for the initial
compliance assessment prior to submitting the proposal to the Evaluation Team for
review. Respondents may wish to use it before submitting the proposal to ensure that
all required documents have been submitted and all required elements have been
addressed. Proposals found lacking any item or section thereof may not be
considered for review.
Responsive proposal applications shall be submitted in the following manner:
Cover Page – Attachment A-1 Completed
Program Summary –Attachment A-2 Completed
Assurances – Attachment A-3 Completed
Table of Contents
Executive Summary
Section 1: Agency Description
Attachment A-4 - Organizational Chart
Attachment A-5 – Agency’s Current Board Membership List
Attachment A-6 – Copy of New Jersey Business Registration Certificate
Attachment A-7 - Proof of Non-Profit status
Section 2: History and Expertise in Each Proposed Program Area
Section 3: Statement of Need
Section 4: Program Description for Each of the Proposed Services
Section 5: Goals and Objectives of Each Proposed Program
Section 6: Program Supervision
Section 7: Program Evaluation
Section 8: Management Capability
Section 9: Grant Personnel Qualifications
Section 10: Site Closings / Holidays Observed
Section 11: Partnership / Coordination with Institutions and Organizations
Section 12: Required Attachments
Include Attachment A-8: Proof of Program Approval as an Eligible Training
Provider (if applicable)
Complete Attachment A-9: Certification Regarding Debarment, Suspension,
Ineligibility and Voluntary Exclusion Lower Tiered Covered Transactions
Complete Attachment A-10: Certification Regarding Lobbying for Contracts,
Grants, Loans and Cooperative Agreements
Include Attachment A-11: Instruction for Certification
Include Attachment A-12: Year 2014 or most recent Audited Financial Statement
Complete Attachment A-13: Affirmative Action Statement
Complete Attachment A-14: Americans with Disabilities Act
Complete Attachment A-15: Stockholder Disclosure Certification (if applicable)
Complete Attachment A-16: Affidavit of No Conflict of Interest
Complete Attachment A-17: Non-Collusion Affidavit
Include Attachment A-18: Union County Insurance Requirement
Complete Attachment A-19: Disclosure of Investment Activities in Iran
46
COUNTY OF UNION PROGRAM YEAR 2015 WORKFIRST NEW JERSEY
REQUEST FOR PROPOSALS
SECTION I A. AGENCY INFORMATION
Agency Name:
Authorized Signatory:
Mailing Address:
Telephone Number:
Fax Number:
Email:
B. AUTHORIZED TRAINING SITE:
Training Site Name:
Site Manager:
Site Address:
Telephone Number:
Fax Number:
Email:
Hours of Operation:
C. AUTHORIZED FISCAL REPRESENTATIVE
Fiscal Representative:
Title:
Address:
Telephone Number:
Fax Number:
Email:
D. TYPE OF AGENCY
Not-for-Profit 501(c)(3) Public Institution
Private for Profit Public / Government
Other (specify)
Federal ID #:_________________________________
Authorized Signatory:
(Signature Required)
Date:
COVER PAGE A-1
47
A. PROGRAM SERVICES (Check All that Apply)
B. FUNDING SUMMARY
In the “Requested Funding Columns” please indicate the amount of funding requested
per each activity / by geographical area. The total requested funding will be the basis
for the Micro-Block Grant.
TANF GA/SNAP
Job Search Job Readiness / Life Skills
Work Experience (WE) – CWEP Work Experience (WE) – CWEP
WE / CWEP + Education Directly Related
to Employment
Alternative Work Experience Program
(AWEP)
TABE Testing Services (TANF & GA/SNAP)
EMPLOYMENT DIRECTED ACTIVITIES BENCHMARK
FEE REQUESTED FUNDING
East West
TANF
Job Search $500
Community Work Experience Program $1,500
CWEP Transitional $500
CWEP + Education Directly Related to
Employment $1,500
CWEP + Job Skills Directly Related to
Employment $1,500
CWEP + Satisfactory School
Attendance- Cert. of General Equiv. $1,500
GA/SNAP
Job Readiness/Life Skills $500
Community Work Experience Program $1,500
CWEP Transitional $500
Alternative Work Experience Program $1,500
Placement and Retention Benchmarks
Placement in Unsubsidized Employment $500
Retention- 90 days $250
TABE Testing Services $50
TOTAL REQUESTED FUNDING $ $
PROPOSAL SUMMARY PAGE A-2
48
ASSURANCES A-3
I recognize that I must give assurance for each item below. If I cannot, this proposal will be
automatically rejected. The assurances are:
1. I am authorized by my Board of Directors, Trustees, other legally qualified officer, or as the
owner of this agency or business to submit this proposal on behalf of the “Proposer.”
2. The submitted proposal shall remain valid for a period of at least 120 calendar days.
3. Proposer is not currently on any Federal, State of New Jersey, or local Debarment List.
4. Proposer will provide records to show fiscal solvency, if needed.
5. Proposer has/will have all of the fiscal control and accounting procedures needed to ensure
that funds will be used as required by law and contract.
6. Proposer will meet all applicable federal, state, and local compliance requirements. These
include, but are not limited to:
• Meeting County of Union Insurance requirements (see Attachment A-18)
• Ensuring that records accurately reflect actual performance
• Maintaining record confidentiality, as required
• Reporting financial, participant, and performance data, as required
• Complying with Federal and State non-discrimination provisions
• Meeting requirements of Section 504 of the Rehabilitation Act of 1973
• Meeting all lobbying certification and disclosure of lobbying activities requirements
I hereby assure that all of the above are true.
__________________________________ ________________________________
Name Title
_______________________________ ___ ________________________________
Signature Date
49
CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND
VOLUNTARY EXCLUSION LOWER TIER COVERED TRANSACTIONS A-9
This certification is required by the regulations implementing Executive Order 12549, Debarment and
Suspension, 29 CFR Part 98, Section 98.510, Participants' responsibilities. The regulations were
published as Part VII of the May 26, 1988 Federal Register (pages 19160-19211).
(BEFORE COMPLETING CERTIFICATION, READ ATTACHED INSTRUCTIONS WHICH ARE AN INTEGRAL
PART OF THE CERTIFICATION)
(1) The prospective recipient of Federal assistance funds certifies, by submission of this proposal,
that neither it nor its principals are presently debarred, suspended, proposed for debarment,
declared ineligible, or voluntarily excluded from participation in this transaction by any
Federal department or agency.
(2) Where the prospective recipient of Federal assistance funds is unable to certify to any of the
statements in this certification, such prospective participant shall attach an explanation to
this proposal.
Grantor/Contractor Organization Program/Title
Name of Certifying Official Signature Date
50
CERTIFICATION REGARDING LOBBYING FOR CONTRACTS, GRANTS,
LOANS AND COOPERATIVE AGREEMENTS
A-10
The undersigned certifies, to the best of his or her knowledge and belief, that:
(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the
undersigned, to any person for influencing or attempting to influence an officer or
employee of an agency, a Member of Congress, an officer of employee of Congress, or an
employee of a Member of Congress in connection with the awarding of any Federal
contract, the making of any Federal grant, the making of any Federal loan, the entering
into of any cooperative agreement, and the extension, continuation, renewal,
amendment, or modification of any Federal contract, grant, loan, or cooperative
agreement.
(2) If any funds other than Federal appropriated funds have been paid or will be paid to
any person for influencing or attempting to influence an officer or employee of any
agency, a Member of Congress, an officer or employee of Congress, or an employee of a
Member of Congress in connection with this Federal contract, grant, loan, or cooperative
agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure
Form to Report Lobbying," in accordance with its instructions.
(3) The undersigned shall require that the language or this certification be included in the
award documents for all sub-awards at all tiers (including subcontractors, sub-grants and
contracts under grants, loans, and cooperative agreements) and that all* sub-recipients
shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when
this transaction was made or entered into. Submission of this certification is a prerequisite for
making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any
person who fails to file the required certification shall be subject to a civil penalty of not less
than $10,000 and not more than $100,000 for each such failure.
Grantor/Contractor Organization Program/Title
Name of Certifying Official Signature Date
51
INSTRUCTION FOR CERTIFICATION A-11
By signing and submitting this proposal, the prospective recipient of Federal assistance funds is
providing the certification as set out below.
1. The certification in this clause is a material representation of fact upon which reliance was placed
when this transaction was entered into. If it is later determined that the prospective recipient of Federal
assistance funds knowingly rendered an erroneous certification, in addition to other remedies available
to the Federal Government, the Department of Labor (DOL) may pursue available remedies, including
suspension and/or debarment.
2. The prospective recipient of Federal assistance funds shall provide immediate written notice to the
person to whom this proposal is submitted if at any time the prospective recipient of Federal assistance
funds learns that its certification was erroneous when submitted or has become erroneous by reason of
charged circumstances.
3. The terms "covered transaction," "debarred," "suspended," "intelligible," "lower tier covered
transactions," "participant," "person," "primary covered transaction," "principal," "proposal," and "voluntarily
excluded," as used in this clause, have the meanings set out in the Definitions and Coverage sections of
rules implementing Executive Order 12549.
4. The prospective recipient of Federal assistance funds agrees by submitting this proposal that, should
the proposed covered transaction be entered into, it shall not knowingly enter into any lower tier
covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily
excluded from participation in this covered transaction, unless authorized by the DOL.
5. The prospective recipient of Federal assistance funds further agrees by submitting this proposal that it
will include the clause titled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary
Exclusion - Lower Tier Covered Transactions" without modification, in all lower tier covered transactions
and in all solicitations for lower tier covered transactions.
6. A participant in a covered transaction may rely upon a certification of a prospective participant in a
lower tier covered transaction that it is not debarred, suspended, ineligible, or voluntarily excluded from
the covered transaction, unless it knows that the certification is erroneous.
7. A participant may decide the method and frequency by which it determines the eligibility of its
principals. Each participant may but is not required to check the List of Parties Excluded from
Procurement or Non-procurement Programs.
8. Nothing contained in the foregoing shall be construed to require establishment of a system of records
in order to render in good faith the certification required by this clause. The knowledge and information
of a participant is not required to exceed that which is normally possessed by a prudent person in the
ordinary course of business dealings.
9. Except for transactions authorized under paragraph 5 of these instructions, if a participant in a covered
transaction knowingly enters into a lower tier covered transaction with a person who is suspended,
debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other
remedies available to the Federal Government, the DOL may pursue available remedies, including
suspension and/or debarment.
52
(REVISED 4/10)
EXHIBIT A
MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE
N.J.S.A. 10:5-31 et seq. (P.L. 1975, C. 127)
N.J.A.C. 17:27
GOODS, PROFESSIONAL SERVICE AND GENERAL SERVICE CONTRACTS
During the performance of this contract, the contractor agrees as follows:
The contractor or subcontractor, where applicable, will not discriminate against any
employee or applicant for employment because of age, race, creed, color, national origin,
ancestry, marital status, affectional or sexual orientation, gender identity or expression,
disability, nationality or sex. Except with respect to affectional or sexual orientation and
gender identity or expression, the contractor will ensure that equal employment opportunity
is afforded to such applicants in recruitment and employment, and that employees are
treated during employment, without regard to their age, race, creed, color, national origin,
ancestry, marital status, affectional or sexual orientation, gender identity or expression,
disability, nationality or sex. Such equal employment opportunity shall include, but not be
limited to the following: employment, upgrading, demotion, or transfer; recruitment or
recruitment advertising; layoff or termination; rates of pay or other forms of compensation;
and selection for training, including apprenticeship. The contractor or subcontractor agrees
to post in conspicuous places, available to employees and applicants for employment,
notices to be provided by the Public Agency Compliance Officer setting forth provisions of
this nondiscrimination clause.
The contractor or subcontractor, where applicable will, in all solicitations or
advertisements for employees placed by or on behalf of the contractor or subcontractor,
state that all qualified applicants will receive consideration for employment without regard to
age, race, creed, color, national origin, ancestry, marital status, affectional or sexual
orientation, gender identity or expression, disability, nationality or sex.
The contractor or subcontractor will send to each labor union, with which it has a
collective bargaining agreement, a notice, to be provided by the agency contracting
officer, advising the labor union of the contractor’s commitments under this chapter and shall
post copies of the notice in conspicuous places available to employees and applicants for
employment.
The contractor or subcontractor, where applicable, agrees to comply with any
regulations promulgated by the Treasurer pursuant to N.J.S.A. 10:5-31 et seq., as amended
and supplemented from time to time and the Americans with Disabilities Act.
The contractor or subcontractor agrees to make good faith efforts to meet targeted
county employment goals established in accordance with N.J.A.C. l7:27-5.2.
EQUAL EMPLOYMENT OPPORTUNITY / AFFIRMATIVE ACTION STATEMENT A-13
53
The contractor or subcontractor agrees to inform in writing its appropriate recruitment
agencies including, but not limited to, employment agencies, placement bureaus, colleges,
universities, and labor unions, that it does not discriminate on the basis of age, race, creed,
color, national origin, ancestry, marital status, affectional or sexual orientation, gender
identity or expression, disability, nationality or sex, and that it will discontinue the use of any
recruitment agency which engages in direct or indirect discriminatory practices.
The contractor or subcontractor agrees to revise any of its testing procedures, if
necessary, to assure that all personnel testing conforms with the principles of job-related
testing, as established by the statutes and court decisions of the State of New Jersey and as
established by applicable Federal law and applicable Federal court decisions.
In conforming with the targeted employment goals, the contractor or subcontractor
agrees to review all procedures relating to transfer, upgrading, downgrading and layoff to
ensure that all such actions are taken without regard to age, race, creed, color, national
origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression,
disability, nationality or sex, consistent with the statutes and court decisions of the State of
New Jersey, and applicable Federal law and applicable Federal court decisions.
All successful vendors must submit within seven days of the notice of intent to award or
the signing of the contract one of the following:
A photocopy of your Federal Letter of Affirmative Action Plan Approval
A photocopy of your Certificate of Employee Information Report
A completed Affirmative Action Employee Information Report (AA302)
If successful vendor does not submit the affirmative action document within the seven
days the County of Union will declare the vendor as being non-responsive and award the
contract to the next lowest Proposer.
______________________________________________________
Print or type FIRM NAME here
______________________________________________________
Sign NAME and TITLE here
(Original signature only, stamped signature not accepted)
______________________________________________________
Print or type NAME and TITLE here
______________________________________________________
Print or type DATE
54
AMERICANS WITH DISABILITIES ACT
EQUAL OPPORTUNITY FOR INDIVIDUALS WITH DISABILITIES
The Service Provider and the County do hereby agree that the provisions of Title II of the Americans With
disability by public entities in all services, programs, and activities provided or made available by public
entitles, and the rules and regulations promulgated pursuant thereunto, are made a part of this contract. In
providing any aid, benefit, or service on behalf of the County pursuant to this contract, the Service Provider
agrees that the performance shall be in strict compliance with the Act. In the event that the Service
Provider, its agents, servants, employees, or subcontractors violate or are alleged to have violated the Act
during the performance of this contract, the Service Provider shall defend the County in any action or
administrative proceeding commenced pursuant to this Act. The Service Provider shall indemnify, protect,
and save harmless the County, its agents, servants, and employees from and against any and all suits,
claims, losses, demands, or damages of whatever kind of nature arising out of or claimed to arise out of the
alleged violation. The Service Provider shall, at its own expense, appear, defend, and pay any and all
charges for legal services and any and all costs and other expenses arising from such action or
administrative proceeding or incurred in connection therewith. In any and all complaints brought pursuant
to the County’s grievance procedure, the Supplier agrees to abide by any decision of the County which is
rendered pursuant to said grievance procedure. If any action or administrative proceeding results in an
award of damages against the County or if the County incurs any expense to cure a violation of the ADA
which has been brought pursuant to its grievance procedure, the Service Provider shall satisfy and
discharge the same at its own expense.
The County shall, as soon as possible after a claim has been made against it, give written notice thereof to
the Service Provider along with full and complete particulars of the claim. If any action or administrative
proceeding is brought against the County or any of its agents, servants, and employees, the County shall
expeditiously forward or have forwarded to the Service Provider every demand, complaint, notice,
summons, pleading, or other process received by the County or its representatives.
It is expressly agreed and understood that any approval by the County of the services provided by the
Service Provider pursuant to this contract will not relieve the Service Provider of the obligation to comply
with the Act and to defend, indemnify, protect, and save harmless the County pursuant to this paragraph.
It is further agreed and understood that the County assumes no obligation to indemnify or save harmless
the Service Provider, its agents, servants, employees and subcontractors for any claim which may arise out
of their performance of this Agreement. Furthermore, the Service Provider expressly understands and
agrees that the provisions of this indemnification clause shall in no way limit the Service Provider’s
obligations assumed in this Agreement, nor shall they be construed to relieve the Service Provider from any
liability, nor preclude the County from taking any other actions available to it under any other provisions of
this Agreement or otherwise by law.
Name____________________________________________________(Please print or type)
Signature_________________________________________________Date___________________
A-14
55
STOCKHOLDER DISCLOSURE CERTIFICATION A-15
STOCKHOLDER DISCLOSURE CERTIFICATION N.J.S.A. 52:25-24.2 (P.L. 1977 c. 33)
Failure of the Proposer to submit the required information is cause for automatic rejection. CHECK ONE ___ I certify that the list below contains the names and home addresses of all stockholders holding 10%
or more of the issued and outstanding stock of the undersigned. OR ___ I certify that no one stockholder owns 10% or more of the issued and outstanding stock of the
undersigned. LEGAL NAME OF PROPOSER:______________________________________________________________ Check the box that represents the type of business organization: __Partnership __Corporation __Sole Proprietorship __Limited Partnership __Limited Liability Corporation __Limited Liability Partnership __Subchapter S Corporation Complete if the Proposer/respondent is one of the 3 types of corporations: Date Incorporated:_____________________ Where Incorporated:________________________ BUSINESS ADDRESS:
Street Address City State Zip Code
Telephone # Fax # Pursuant to N.J.S.A. 52:25-24.2, also referred to as P.L. 1977, c. 33, no corporation or partnership shall be awarded any contract for the performance of any work or the furnishing of any materials or supplies, unless, prior to the receipt of the Proposal or accompanying the Proposal of said corporation or partnership, there is submitted a statement setting forth the names and addresses of all stockholders in the corporation or partnership who own ten (10) percent or more of its stock of any class, or of all individual partners in the partnership who own a ten (10) percent or greater interest therein. Further, the Attorney General has concluded that the provisions of N.J.S.A. 52:25-24.2, in referring to corporations and partnerships, are intended to apply to all forms of corporations and partnerships, including, but not limited to, limited partnerships, limited liability corporations, limited liability partnerships, and Subchapter S corporations. Proposers are required to disclose whether they are a partnership, corporation or sole proprietorship. The Stockholder Disclosure Certification form shall be completed, signed and notarized. Failure of the Proposer to submit the required information is cause for automatic rejection of the Proposal.
56
STOCKHOLDER DISCLOSURE CERTIFICATION - (Attachment A-15 Continued) Sign and notarize the form below, and, if necessary, complete the stockholder list below. NAME HOME ADDRESS TITLE % OF OWNERSHIP 1. 2. 3. 4. 5. If one or more of the owners of the Proposer/Respondent is itself a corporation or partnership, then for that corporation or partnership owner you must set forth the name, home address, title and percentage of ownership of every person who is an owner of that corporation or partnership.
NAME HOME ADDRESS TITLE % OF OWNERSHIP 1. 2. 3. 4. 5.
Subscribed and sworn before me this __________ day of ___________________________ , 2 __________. (Notary Public) My Commission expires: ___________, 20_____.
______________________________________
(Affiant)
_____________________________________ (Print name & title of affiant)
(Corporate Seal)
57
AFFIDAVIT OF NO CONFLICT OF INTEREST A-16
AFFIDAVIT OF
NO CONFLICT OF INTEREST
State of New Jersey :
: SS:
County of :
I, , the undersigned and
(Name) (Name of Office)
of the company/firm/agency named in the within proposal, do hereby swear to the following:
I have full authority to make the representations set forth in this Affidavit; and
I am unaware of any conflict of interest that could disqualify myself or my company/firm/agency should
said company/firm/agency be selected among the list of approved vendors for the services and work by
the County of Union, and shall immediately notify said County should one arise during the term of my
contract.
SUBSCRIBED AND SWORN TO
BEFORE ME THIS DAY
OF_______________ 20_____.
____________________________________
(Print Name)
NOTARY PUBLIC OF (Signature)
MY COMMISSION EXPIRES: ___________, 20_____.
58
NON-COLLUSION AFFIDAVIT A-17
NON-COLLUSION AFFIDAVIT State of New Jersey County of _________________ ss:
I, ________________________________ residing in ___________________________________ (name of affiant) (name of municipality)
in the County of _______________________________ and State of _____________________of full age, being duly sworn according to law on my oath depose and say that: I am _____________________________________ of the firm of ________________________________ (title or position) (name of firm) _____________________________________________ the Proposer making this Proposal for the RCCP entitled __________________________________________, and that I executed the said proposal with (title of proposal) full authority to do so that said Proposer has not, directly or indirectly entered into any agreement, participated in any collusion, or otherwise taken any action in restraint of free, competitive bidding in connection with the above named project; and that all statements contained in said proposal and in this affidavit are true and correct, and made with full knowledge that the COUNTY OF UNION, NEW JERSEY relies upon the truth of the statements contained in said Proposal and in the statements contained in this affidavit in awarding the contract for the said project. I further warrant that no person or selling agency has been employed or retained to solicit or secure such contract upon an agreement or understanding for a commission, percentage, brokerage, or contingent fee, except bona fide employees or bona fide established commercial or selling agencies maintained by _________________________________________________. Subscribed and sworn to before me this _______ day of _____________________________ Signature (Original signature only; ________________, 20______ stamped signature not accepted) ___________________________________ (Type or print name of affiant under signature) _____________________________ Notary public of the State of ____________ My Commission expires ________________
(Seal) NOTE TO NOTARY: WHEN COMPLETING THIS JURAT, ALL NOTARIES MUST: 1. Indicate date. 2. Indicate State. 3. Sign name. 4. Affix name by Printing it, typing it, using a rubber stamp, using an impression seal or using a mechanical stamp. Note to Proposer: The person who signed the Proposal form for the Proposer should sign this form also.
WARNING: IF YOU FAIL TO FULLY, ACCURATELY AND COMPLETELY FILL OUT THIS AFFIDAVIT OF NON-COLLUSION,
YOUR PROPOSAL WILL BE REJECTED.
59
UNION COUNTY INSURANCE REQUIREMENTS
CONTRACTED SERVICES Commercial General Liability (CGL) Each Occurrence (4) General Liability $1,000,000.00
Personal & Adv. Injury $1,000,000.00
Med, Expense Any One Person $ 5,000.00
Damage to Premises $ 50,000.00
General Aggregate $2,000,000.00
Products – Comp/Op Aggregate $1,000,000.00
Auto Liability – Incl BI and PD (AL) (2) Any Auto $1,000,000.00
Or
All Owned $1,000,000.00
All Hired $1,000,000.00
All Non-Owned $1,000,000.00
Workers Compensation and Employee Liability Each Employee Statutory
Each Accident Statutory
(1) The per occurrence and aggregate limits for specified coverage should apply on a per location or per project basis (2) Automobile Liability is required if an automobile is used in the execution of their contract (3) $5,000,000 CSL is required if driving out of state (4) Minimum limits for small contractors, artisans, consultants can be decreased to $500,000 per occurrence (5) Liquor liability is required is supplying alcohol beverages for event
Union County Insurance Requirements continued on next page
INSURANCE REQUIREMENTS APPLICABLE TO ALL VENDORS- PAGE 1 A-18
60
UNION COUNTY INSURANCE REQUIREMENTS
REQUIRED LANGUAGE NAMING THE COUNTY OF UNION AS AN ADDITIONAL INSURED
(Effective January 1, 2015) The following language is required to be added to all Certificates of Insurance provided by Vendors doing business with the County of Union. The language is as follows: “THE COUNTY OF UNION, ITS BOARD OF CHOSEN FREEHOLDERS, OFFICERS, EMPLOYEES, AGENTS, SERVANTS, (*AND THE STATE OF NEW JERSEY) ARE INCLUDED AS ADITIONAL INSURED UNDER THE GENERAL LIABILITY POLICY. THE GENERAL LIABILITY INSURANCE COVERAGE IS PROVIDED ON A PRIMARY, NON-CONTRIBUTORY BASIS, TO THE COUNTY OF UNION ET. AL. WHERE APPLICABLE, A WAIVER OF SUBROGATION IN FAVOR OF THE ABOVE-NAMED ADDITIONAL INSURED IS TO BE INCLUDED IN THOSE POLICIES OF INSURANCE WHERE PERMITTED BY LAW. SHOULD ANY OF THE ABOVE-DESCRIBED POLICIES BE CANCELLED BEFORE THEIR EXPIRATION DATES, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.”
“THE COUNTY OF UNION, ITS BOARD OF CHOSEN FREEHOLDERS, OFFICERS, EMPLOYEES, AGENTS, SERVANTS, (*AND THE STATE OF NEW JERSEY) ARE INCLUDED AS ADITIONAL INSURED UNDER THE GENERAL LIABILITY POLICY. THE GENERAL LIABILITY INSURANCE COVERAGE IS PROVIDED ON A PRIMARY, NON-CONTRIBUTORY BASIS, TO THE COUNTY OF UNION ET. AL. WHERE APPLICABLE, A WAIVER OF SUBROGATION IN FAVOR OF THE ABOVE-NAMED ADDITIONAL INSURED IS TO BE INCLUDED IN THOSE POLICIES OF INSURANCE WHERE PERMITTED BY LAW. SHOULD ANY OF THE ABOVE-DESCRIBED POLICIES BE CANCELLED BEFORE THEIR EXPIRATION DATES, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.”
INSURANCE REQUIREMENTS APPLICABLE TO ALL VENDORS- PAGE 2
61
A-19
DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN
Proposer:_________________________________________________________________________ Pursuant to Public law 2012, c. 25, any person or entity that submits a bid or proposal or otherwise proposes to enter into or renew a contract must complete the certification below to attest, under penalty of perjury, that the person or entity, or one of the person or entity’s parents, subsidiaries, or affiliates, is not identified on a list created and maintained by the Department of the Treasury as a person or entity engaging in investment activities in Iran. If the Director finds a person or entity to be in violation of the principles which are the subject of the law, s/he shall take action as may be appropriate and provided by law, rule or contract, including but not limited to, imposing sanctions, seeking compliance, recovering damages, declaring the party in default and seeking debarment or suspension of the person or entity.
I certify, pursuant to Public Law 2012, c. 25, that the person or entity listed above for which I am authorized to bid/renew:
[ ] is not providing goods or services of $20,000,000 or more in the energy sector of Iran, including a person or entity that
provides oil or liquefied natural gas tankers, or products used to construct or maintain pipe lines used to transport oil or liquefied natural gas, for the energy sector of Iran, AND
[ ] is not a financial institution that extends $20,000,000 or more in credit to another person or entity, for 45 days or more, if that
person or entity will use the credit to provide goods or services in the energy sector in Iran.
In the event that a person or entity is unable to make the above certification because it or one of its parents, subsidiaries, or affiliates has engaged in the above-referenced activities, a detailed, accurate and precise description of the activities must be provided in part 2 below to the Division of Purchase under penalty of perjury. Failure to provide such will result in the proposal being rendered as non-responsive and appropriate penalties, fines and/or sanctions will be assessed as provided by law.
PART 2: PLEASE PROVIDE FURTHER INFORMATION RELATED TO INVESTMENT ACTIVITIES IN IRAN. You must provide, accurate and precise description of the activities of the bidding person/entity, or one of its parents, subsidiaries or affiliates, engaging in the investment activities in Iran outlined above by completing the boxes below. Relationship to Name_____________________________________ Bidder/Offeror_______________________________________ Description of Activities___________________________________________________________________________ Duration of Engagement____________________ Anticipated Cessation Date_____________________________ Proposer Contact Name_____________________________ Contact Phone Number_________________________________ Certification: I, being duly sworn upon my oath, hereby represent and state that the foregoing information and any attachments thereto to the best of my knowledge are true and complete. I attest that I am authorized to execute this certification on behalf of the above referenced person or entity. I acknowledge that Union County is relying on the information contained herein and hereby acknowledge that I am under a continuing obligation from the date of this certification through the completion of any contracts with the County to notify the County in writing of any changes to the answers of information contained herein. I acknowledge that I am aware that it is a criminal offense to make a false statement or misrepresentation in this certification, and if I do so, I recognize that I am subject to criminal prosecution under the law and that it will also constitute a material breach of my agreement(s) with Union County, New Jersey and that the County at its option may declare any contract(s) resulting from this certification void and unenforceable. Full Name(Print)_________________________________________Signature__________________________________________ Title____________________________________________________Date_______________________________________________