Request for Proposal (RFP) Foundation for Developmental Disabilities Cycle II

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Request for Proposal (RFP) Foundation for Developmental Disabilities Cycle II - 2014 Page 1 of 9 The Foundation for Developmental Disabilities (FDD) supports individuals with developmental disabilities and their families when needed services are not available from public or private resources. Through a competitive process, the FDD will award start-up funding for programs to assist people with developmental disabilities and their families in San Diego and Imperial counties. The FDD may elect to fund all, part, or none of the projects, depending on funding availability as approved by the Board of Directors, and the quality of proposals received. Applications that propose innovative, personcentered service delivery models, as alternatives to the traditional resources described will be favorably considered. APPLICANT ELIGIBILITY Proposals may be submitted by nonprofit agencies, or individuals. The applicant must have experience in providing services to persons with developmental disabilities. Board Directors of the Foundation for Developmental Disabilities and its employees are prohibited from submitting proposals. SUBMISSION OF PROPOSALS Please direct all proposals to: Foundation for Developmental Disabilities - RFP Attn: Kamaria Allen 4355 Ruffin Road San Diego, CA 92123 Email: kallen@sdrc.org Proposals must be received at the above address and additionally by email to Kamaria Allen no later than 4:00 p.m. on March 7, 2014. Proposals received after this deadline will not be considered. Reliance on the postal service will not be an acceptable excuse for late proposals. Faxed copies of the proposals will not be accepted. PROPOSAL CONTENT AND SUBMISSION Proposals must comply with the instructions, format, and time lines described in this request. Proposals should be written in 12 point font, Times New Roman or Arial preferred. All pages in the proposal must be numbered consecutively on 8½" by 11" paper and include an identifying footer with agency name and project number. Each applicant must submit an original proposal and six (6) complete copies. Each copy should be bound only by a single staple.

Page 2 of 9 FORMAT AND APPLICATION REQUIREMENTS Each proposal must contain the following: 1. Applicant/Agency Information Form The Applicant/Agency Information Form, Appendix A, included with this RFP, must be completed to provide the pertinent information about the applicant. The information provided should indicate the applicant s ability to implement the proposed project. This form should contain the dated original signature of an individual with authority to submit the proposal. 2. Proposal Methodology In no more than five (5) pages the applicant must provide the following information about the proposed project: a. The applicant s philosophy and values related to the proposed project and related to how services to persons with developmental disabilities should be delivered. b. The outcome objectives that will be achieved at the completion of the proposed project, and the methods by which those outcomes will be documented. This should include the applicant s work plan for the proposed project with corresponding timelines identifying how and when each outcome objective will be met. c. A description of the needs of the clients who will be served by the project. d. The applicant s proposed use of personnel, including the selection, management, and training of staff. The names and qualifications of any additional consulting/professional staff (if known) that will be associated with the project should be included. e. Identification of the geographic area within San Diego and Imperial counties where services will be provided. f. A description of the proposed environment/facilities in which services would be provided, including a description of any special adaptations that may be made to that environment/facility. g. A description (rates, funding sources, and funding categories) of the on-going funding that will be required to maintain the services that are developed. 3. Budget and Financial Information Form The Budget and Financial Information Form, Appendix B, that is included with this RFP, must be completed to provide information concerning the applicant s finances and the proposed budget for this project. POST GRANT REPORTING REQUIREMENTS Each selected project administrator will be required to submit a semi-annual summary describing progress made toward meeting project objectives to the Foundation for Developmental Disabilities. The project administrator will submit a final report upon completion of the project. (Copy of post grant report form is attached)

Page 3 of 9 PROPOSAL SELECTION PROCESS Each proposal will be evaluated by a selection committee. The FDD Board will make decisions based on recommendations of selection committee. The evaluation will be based on responsiveness, innovation, previous experience of applicant, and demonstrated applicant financial responsibility. The Proposal Review/Selection Criteria worksheet is included with this RFP. Additional information may be required from selected applicants with regard to the proposal submitted prior to the awarding of a contract. References will be contacted and interviews may be conducted. The Foundation for Developmental Disabilities reserves the right to reject any or all proposals and to cancel the RFP process at its discretion. FUNDS The total of start-up funding for project(s) available for Cycle II is $100,000. ADDITIONAL INFORMATION Any questions regarding the requirements of this RFP should be directed to: Foundation for Developmental Disabilities - RFP Attn: Kamaria Allen 4355 Ruffin Road San Diego, CA 92123 (858) 576-2909 Email: kallen@sdrc.org

APPLICANT/AGENCY INFORMATION Page 4 of 9 Appendix A Applicant/Agency Name Address: Phone: Non-Profit Agency Individual Contact Person s Name and Job Title: Phone: ( ) A. List up to four current or previous services implemented by the applicant/agency that provide evidence of experience related to your proposal. Include the service name, the dates that services started (and ended if not currently being provided), and a one sentence description of the type/purpose of the indicated service: 1. 2. 3. 4. B. List two references that can be contacted in regards to applicant s experience, qualifications and ability to implement this proposal: 1. Name and Title Agency Affiliation Address Phone 2. Name and Title Agency Affiliation Address Phone Application submitted by: Signature Date Print Name:

FINANCIAL INFORMATION Appendix B Page 5 of 9 Applicant/Agency Name FINANCIAL STATUS AS OF, 20 Line of Credit Available? Yes No Amount ASSETS Cash on hand and in commercial and savings accounts Notes and Receivables Inventory, Equipment, Furniture and Furnishings Real Estate (Market Value) Other Assets: TOTAL ASSETS..................................... LIABILITIES Accounts and Notes Payable (Balance Due) Salaries and Wages Payable Real Estate Loans or Mortgages (Balance Due) Payroll and Real Estate Taxes Payable Other Liabilities: TOTAL LIABILITIES................................ Reference who may be contacted regarding applicant/agency s qualifications and experience in financial management: Name/TitleAgency/Company Address Phone Budget/Financial Information Submitted by N Name Date

BUDGET FOR PROJECT START-UP Page 6 of 9 Appendix B Budget Category Start-Up Expenses a. Salaries & Wages FDD Funds Other Sources (Include amount and name of source) Total Start-Up Budget b. Fringe Benefits c. Consultant/Contract Services Total Personnel Budget d. Office Rent e. Utilities f. Telephone g. Office Supplies h. Equipment i. Printing/Duplication j. Travel/Conferences k. Other (specify) Total Non-Personnel Budget Total Start-Up Budget Notes: SUBMITTED BY: Print Name Signature Date

FOUNDATION REQUEST FOR PROPOSAL PROPOSAL REVIEW/SELECTION CRITERIA Page 7 of 9 Applicant/Agency: A. Agency Description 1. The applicant/agency has prior relevant experience and credentials in the developmental disabilities and/or mental health field. 2. The applicant/agency s philosophy is positive, client oriented and appropriate to the goals of the proposed project. 3. The applicant/agency s history indicates the capability of developing, managing, and operating the proposed project in San Diego and Imperial counties. B. Project Description 1. The expected service outcomes are clear and consistent with the goals of the proposed project. 2. The proposed use of personnel (direct care staff and consultants), including the selection, management and training of staff should ensure quality outcomes in the project. 3. The plan for providing services, including the description of the needs of the clients who will be served, is consistent with the goals of the project. C. Work Plan/Timelines 1. The work plan indicates a thorough knowledge of the processes and procedures needed to complete the project. 2. The timeline for project development is realistic and meets deadlines. D. Budget/Finances 1. The applicant/agency s financial statement reflects sound fiscal practices. Assets are sufficient to undertake the proposed project. 2. The start-up budget is reasonable and demonstrates a good appraisal of actual costs involved in completing the project. 3. The estimate for on-going service rates is cost-effective and consistent with funding for similar programs. E. Proposal Responsiveness 1. The overall proposal indicates an ability to follow directions and is an appropriate response to the RFP. 2. The proposal provides evidence of innovative practices in providing services. F. Project Sustainability 1. The proposal identifies sources for funding to continue project after start-up.

Page 8 of 9 Post Grant Report The Foundation requires every grant recipient to submit a grant report. These reports are reviewed by the Foundation s staff and shared with the Board, and they become part of a grant recipient s application portfolio in the event that the organization reapplies for funding. Attach additional pages as necessary. Grantee Grantee Organization Name and Address: Primary Contact Name: Phone: Fax: Email: Award Award Amount: To date, Grant Recipient has spent grant funds totaling: $. Award Period: Program Area: 1. Program Background Overview (brief description of the program's original goals, objectives and success criteria) 2. Overall Performance a. Describe to what extent the outcomes in the proposal were achieved. b. Describe in detail the benefits to persons with developmental disabilities and their families. 3. Lessons Learned and Shared a. A description of the "necessity" of the grant award to your project would be helpful, was it: critical (couldn't have done it without); essential (would have had to scale back project without); or good to have (expanded project, added features, etc.)? b. Are you satisfied with your results? Attachments (Optional) Please attach copies of public recognition, awards, news articles as well as photos related to this grant. We would love to promote your good works on our website! Post Grant Meeting: The post grant evaluation may also include a site visit from a representative of the Foundation. In the event this is to occur, we will contact you in order to arrange an appropriate time.

Page 9 of 9 If you have any questions regarding the completion of the post grant report, please contact the Foundation office. Prepared By By: [signature] Title Name: [printed] Date Approved By By: [signature] Title Name: [printed] Date Please return the completed form as a Word or PDF attachment via email to: Kamaria Allen; kallen@sdrc.org. A confirmation email must be received for the submission to be valid. If you do not receive a confirmation email within three days, please resend or call the Foundation Office at (858) 576-2909. If you would like an electronic copy of this form please email kallen@sdrc.org.