Gaston County Workforce Development Program Response Packet Documents Forms Applicable
To Request for Proposals
Program Year 2021
(July 1, 2021 to June 30, 2022)
with option to extend Workforce Innovation and Opportunity Act (WIOA)
Adult & Dislocated Worker Services
Notice of Request for Proposals Announcement:
Thursday April 22, 2021
RFP Release Date:
Friday April 23, 2021
DUE DATE:
May 14, 2021 12:00 Noon (Eastern Standard Time)
The Gaston County Workforce Development Program is an equal opportunity employer/program.
Auxiliary aids and services available upon request to individuals with disabilities.
Table of Contents
Forms Applicable to Request for Proposal Program year 2019
Response Packet Documents
Proposal Cover Sheet 3
Key Partners/Community References page 4
Proposal Checklist 5
Baseline Requirements 6
Budget Summary 7
Budget Detail 8
Planned Performance 9
Statement of Compliance 11
Proposal Cover Page
Lead Agency Name:
Mailing Address:
Physical Address: _____________________________________________________________________
Contact Person:
Phone: Fax: Email:
Applying As: q Single Agency/Organization Consortium of (#) Partners
Partner Agency Name(s):
Indicate the appropriate services(s) proposed in this RFP and budget summary:
BUDGET SUMMARY:
Adult Services: $ % of total
Number of participants to be served:
Cost per participant served:
Dislocated worker services: $ % of total
Number of participants to be served:
Cost per participant served:
Key Partners Page
Please provide names of the partner organizations with which you will have contractual relationship for the provision of services.
Community References
Provide contact information on community references that can talk about your workforce development experience. If your organization or partners in your proposal have not provided WIOA Adult or Dislocated Worker services in the Gaston County Workforce Development local area previously, please include a list of names and community references that can talk about your experience working with WIOA eligible clients.
Name: Phone:
Agency: Email: _________________
Address:
Name: Phone:
Agency: Email: __________________
Address:
Name: Phone:
Agency: Email: __________________
Address:
To the best of my knowledge and belief, all information in this application is true and correct, the document has been duly authorized by the governing body of the applicant, and the applicant will comply with the attached assurances if the contract is awarded.
Typed Name of Authorized Representative Title of Authorized Representative
Signature of Authorized Representative Telephone Number Date
Proposal Checklist:
It is the contractor’s responsibility to make sure that all required elements and forms are included in the proposal. Proposals that do not include the required elements and forms will be automatically disqualified. No exceptions will be granted. If you have questions about the requirements or feel that special circumstances apply to your proposal, please submit a question in writing to the Gaston Workforce Development Program to be answered by email.
Before submitting your proposal, check the following:
q A. One original proposal emailed along with required documents (plus 5 hard copies if dropping off in-person)
Proposal Response Package Requirements
- Proposal Cover Page
- Proposal Checklist
- Proposal Summary
- Baseline Requirements
- Organizational Experience and Past Performance
- Relationships and Collaboration
- Program Design and Staffing
- Program Cost and Performance
- Budget Summary and Detail Form and Narrative
- b) Outcome measurements for success and improvement
- c) Planned Performance Forms and Narrative
- Transition Plan
- Statement of Compliance Form
- B. One copy of each of the last two years’ audited financial statementsq C. One copy of your business license (if applicable)
q D. If a not-for-profit, letter evidencing incorporation per Section I., C. and verification of your 501 C-3 status.
Baseline Requirements:
Successful contractors to this RFP must demonstrate a commitment to several program elements deemed by the Gaston Workforce Development Program to be required components of the Adult and Dislocated Worker program design.
Please indicate your commitment below to implementing these elements into your program design:
Yes No
q q
Yes No
q q Yes No
q q
Yes No
q q
Yes No
q q
Agree that employers are key customers to the NCWorks Career Center system and assign resources and time to the development and implementation to a business development strategy.
Collaborate with the NC Department of Labor and Industry on system changes.
Partner with the Gaston Workforce Development Program in design and implementation of all programs. Additionally, collaborate and connect with other the Gaston Workforce Development Program initiatives, including but not limited to: industry partnerships, WIOA youth providers, NCWorks Career Centers and others.
With decreased funding and increased need, agree that the most money possible will be spent directly on participants without compromising the success and realistic costs associated with the system.
Provision of services that will produce the following results, at a minimum:
(see next page for Performance Measures Chart)
Budget Summary:
- Summarize total WIOA funds requested from your Budget Detail Form.
- Summarize total non-WIOA funds from you Budget Detail Form
Budget Summary
Gaston County | Adult | DW | Other | Total |
WIOA
|
||||
Non-WIOA (other leveraged funds)
|
||||
Total
|
||||
TOTAL WIOA
|
||||
TOTAL Non-WIOA
|
||||
GRAND TOTAL
|
Budget Detail Form
Gaston County |
Adult |
Dislocated Worker |
Other |
Total |
|
Total Number of Staff FTE
|
|||||
Adult |
Dislocated Worker |
Other |
Total |
Leveraged | |
|
|||||
Personnel Expenses
|
$ | $ | $ | $ | $ |
Program Expenses
|
$ | $ | $ | $ | $ |
|
|||||
Training
|
$ | $ | $ | $ | |
Support Services
|
$ | $ | $ | $ | |
Core Services
|
$ | $ | $ | $ | |
Intensive Services
|
$ | $ | $ | $ | |
Total Participant Expenses
|
$ | $ | $ | $ | |
|
|||||
Other – please describe
|
$ | $ | $ | $ | |
Total Other
|
$ | $ | $ | $ | |
TOTAL
|
$ | $ | $ | $ | |
|
|||||
Percent of total funds spent on participant expenses
|
% | % | % |
Planned Performance Form for Adult and Dislocated Worker
Gaston County Proposed Performance: Adult Program Year 2021-2022
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Carry-Ins
|
New enroll- ments |
Total |
Training Completions |
Exits |
Placements |
Replacement Rate |
Retention Rate |
Training related placements |
Training
related placement rate |
Cost Per Placement |
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
CORE
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
INTENSIVE
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
TRAINING
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
TOTAL
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Targeted Populations:
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Low income single parents
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Individual with disability
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Low income 18 – 24 year olds
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Veterans
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
TANF participants
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Working Poor
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Unemployment Insurance exhaustees
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Ex-offenders
|
|
Statement of Compliance Form:
As the authorized signatory official for: Submitting Lead Organization I hereby certify:
APPLICABILITY: This certification is only required for individuals and business associations conducting business in the State of North Carolina and who employ twenty-five (25) or more employees in the state (not counting temporary seasonal workers employed nine months or less within a calendar year), regardless of the location of the vendor’s headquarters. Subcontractors hired by in-state or out-of-state individuals or business associations, must also meet the aforementioned criteria. For information on E-Verify and methodology of compliance, see www.uscis.gov/e-verify; General Statute. 153A-449; Chapter 64, Article 2 of the North Carolina General Statutes.
CERTIFICATION: By signing and entering into a contract with Gaston County, I hereby certify that I comply with E-Verify, the aforementioned Federal program used to verify the work authorization of newly hired employees working in North Carolina. I certify compliance with the E-Verification program pursuant to Article 2 of Chapter 64 of the North Carolina General Statutes. If applicable, I am also certifying that any subcontractor hired or used by me will comply with E-Verify, as described herein.
Authorized Representative Signature
Typed Name and Title
Date |