Embed Size (px)
Citation preview
1. EFSP Phase CARES - Introduction
Orange County United WayEFSP - Phase CARES (Coronavirus, Aid, Relief and Economic Security) Request for Proposals
EFSP Phase CARES Applicant,
The Emergency Food and Shelter Program was awarded $200 million in the Coronavirus Aid, Relief,and Economic Security (CARES) Act signed into law on Friday, March 27, 2020. The law is meant toaddress the economic fallout of the 2020 coronavirus pandemic in the United States.
Funding will be awarded to Orange County agencies providing food and/or shelter during thecoronavirus pandemic. Local agencies chosen to receive funds must meet all of the following criteria:
1) Be a qualified non-profit or an agency of government2) Have an accounting system3) Practice nondiscrimination4) Have a program in place that was operating prior to the start of the coronavirus pandemic in OrangeCounty (agency must have provided services in Orange County for the months of January 2020 andFebruary 2020).5) Have demonstrated the capacity to deliver emergency food and/or shelter programs during thecoronavirus pandemic (agency must have provided services in Orange County for the months ofMarch 2020, April 2020 and May 2020).6) Have a voluntary board if private, not-for-profit.
NOTE: The reimbursement period for Phase CARES is January 27, 2020 - December 31, 2020. Allfunding must be spent by December 31, 2020.
Thank you,Jeff DronkersEFSP Administrator, Orange County United WayEmail: [email protected]: 714-209-8853
1
2. Completing the Application
Orange County United WayEFSP - Phase CARES (Coronavirus, Aid, Relief and Economic Security) Request for Proposals
The Phase CARES application consists of 12 sections. Sections #3, #4, #10 and #11 must becompleted by all applicants.
Complete the program section(s) that your agency is seeking funds for: Food Distribution, Food Bank,Mass Feeding (Congregate Meal Service), Mass Shelter and/or Rent/Mortgage Assistance,
Sections
1. EFSP Phase CARES Introduction2. Completing the Application3. Phase CARES Eligibility - to be completed by all applicants4. Agency Information - to be completed by all applicants5. Program Profile - to be completed by all applicants6. Food Distribution Program Metrics - to be completed by food distribution agencies. Example:
food pantry7. Food Bank Program Metrics - to be completed by food banks8. Mass Feeding (Congregate Meal Service) Program Metrics - to be completed by mass feeding
agencies9. Mass Shelters Program Metrics - to be completed by shelters
10. Rent/Mortgage Assistance Program Metrics - to be completed by rent/mortgage assistanceprograms
11. Program Budget & Funding Sources - to be completed be all applicants12. Required Attachments - to be completed by all applicants
Navigating the ApplicationComplete the program section(s) that you are seeking funds for. There will be program sections thatyou will not need to complete. Scroll down to the bottom of the page and select "Next" to advance tothe next section.
You can start the application and come back at a later time to complete but it must be from the samedevice.
2
3. Phase CARES Eligibility
Orange County United WayEFSP - Phase CARES (Coronavirus, Aid, Relief and Economic Security) Request for Proposals
1. Agency/Organization has the capability to provide emergency food and/or shelter services during thecoronavirus pandemic in Orange County, California?
*
Yes
No
2. Will use funds to supplement and/or extend existing resources?*
Yes
No
3. Agency/Organization must have a current program operating in the category of funds requested.*
Yes
No
4. Nonprofit or government agency.*
Yes
No
5. Will NOT utilize EFSP funds as a cost-match for other federal funds or programs.
Yes
No
6. Conducts an independent annual review if receiving $25,000 or more in EFSP funding.Conducts an Annual Audit if receiving more that $49,000 in EFSP funds AND if receiving $500,000 or more infederal funding must comply with OMB Circular A-133;If requesting less that $24,999 must have financial statements for the last two fiscal years.
*
Yes
No
3
7. Has not received an adverse or no opinion audit within the last 5 - years.*
Yes
No
8. Agency/Organization understands that cash payments (including petty cash) are not eligible under EFSP.*
Yes
No
9. Is not debarred or suspended from receiving federal funds.*
Yes
No
10. Can provide a Data Universal Number System (DUNS) number issued by Dun and Bradsheet (D&B) andrequired associated information to EFSP.
*
Yes
No
11. Does your organization practice non-discrimination. Agencies with a religious affiliation wishing toparticipate in the EFSP program must not refuse services to an applicant based on religion or requireattendance at religious services as a condition of assistance, nor will such groups engage in anyreligious proselytizing in any program receiving EFSP funds.
*
Yes
No
12. Will not charge a fee to clients for EFSP funded services.*
Yes
No
13. If a private nonprofit agency, does your organization have a volunteer board of directors.*
Yes
No
4
14. If funded; will attend all mandatory training and will provide required reports to the Local BoardAdministrator in a timely manner:
Monthly Service ReportInterim/Second Payment RequestFinal Report and all required documentation
*
Yes
No
15. Will expend monies on eligible costs and keep complete documentation on all expenditures for a minimumof three years after end-of-program date and for compliance issues until resolved.
*
Yes
No
16. Will spend all funds and close out the program by my jurisdiction's selected end-of-program date andreturn any unused funds exceeding $5.00 to the National EFSP Board.
*
Yes
No
17. Will not use EFSP funding for any lobbying activities. If receiving $100,000 or more in EFSP funds willcomplete the, Certification Regarding Lobbying. If applicable will complete Standard Form LLL, DisclosureForm to Report Lobbying in accordance with its instructions.
*
Yes
No
18. Will ensure that employees, volunteers or other individuals associated with the program, will not engage inany trafficking of persons.
*
Yes
No
19. Will ensure that employees, volunteers or other individuals associated with the program, will not use EFSPfunds to support access to classified National Security Information.
*
Yes
No
20. Has no known EFSP compliance exceptions in this or any other jurisdictions.*
Yes
No
5
6
4. Agency Information
Orange County United WayEFSP - Phase CARES (Coronavirus, Aid, Relief and Economic Security) Request for Proposals
1. Agency Name*
Agency EIN/FederalEmployer ID Number
Agency DUNS Number
Address
Address 2
City
State
ZIP Code
Agency Website
2. Agency Information*
3. Agency's fiscal year.*
Name
Title
Email Address
Phone Number
4. Agency EFSP Contact *
Name
Email Address
Phone Number
5. Agency CEO/Executive Director*
7
Name
Email Address
Phone Number
6. Agency Board Chair*
8
5. Program Profile
Orange County United WayEFSP - Phase CARES (Coronavirus, Aid, Relief and Economic Security) Request for Proposals
1. Program Name*
2. What year did the program begin delivering service in Orange County?*
3. Program service area*
4. Amount Requested
Food Distribution: Award Ceiling $10,000/Award Floor $5,000Food Bank: Award Ceiling $250,000Mass Feeding (Congregate Meal Service): Award Ceiling $75,000Mass Shelters: $60,000Rent/Mortgage Assistance: Award Ceiling $75,000
*
5. Total Program Budget*
9
6. Provide a general description of program activities and processes used by the agency to deliver service.*
7. Provide a summary of the program's target population.*
10
8. How will Phase CARES funds be used to enhance the current services?*
9. During the coronavirus pandemic, please describe program collaboration with all local partnerships.*
11
Location #1
Location #2
Location #3
Location #4
Location #5
10. List all of the proposed service locations and/or areas for the program for which Phase CARES funds arebeing requested.
*
11. Describe the eligibility criteria for individuals requesting services and how this is documented. NOTE: Ifclient eligibility is different for the coronavirus pandemic how is this documented?
*
12
12. How will services be coordinated with other programs within your agency and within the community?*
13
6. Food Distribution - Program Metrics
Orange County United WayEFSP - Phase CARES (Coronavirus, Aid, Relief and Economic Security) Request for Proposals
Food DistributionAward Ceiling - $10,000Award Floor - $5,000
Total Number of peopleserved by the food pantryfor the last completedfiscal year:
Number of total poundsdistributed by the foodpantry for the lastcompleted fiscal year:
1. Service data for last completed fiscal year.
January 2020
February 2020
March 2020
April 2020
May 2020
2. How many people did the food pantry serve in:
January 2020
February 2020
March 2020
April 2020
3. How many pounds of food did the food pantry distribute in:NOTE: Include all food sources: food bank, government commodities, purchased food and donated.
14
January 2020
February 2020
March 2020
April 2020
May 2020
4. How many days was the food pantry open for service in:
January 2020
February 2020
March 2020
April 2020
May 2020
5. Days and hours of operation for:Example: Monday, Wednesday and Friday 10:00 AM - 12:00 PM
June 2020
July 2020
August 2020
September 2020
October 2020
November 2020
December 2020
6. Estimate the number of people the food pantry will serve in:
food bank
donated food
food drives
purchased food
7. Based on the food pantry's April 2020 distribution, what percentage of the food came from:
15
7. Food Bank - Program Metrics
Orange County United WayEFSP - Phase CARES (Coronavirus, Aid, Relief and Economic Security) Request for Proposals
Food BankAward Ceiling - $250,000
Total number of peopleserved by the food bank forthe last completed fiscalyear:
Number of poundsdistributed by the foodbank for the last completedfiscal year:
1. Service data for last completed fiscal year.
January 2020
February 2020
March 2020
April 2020
May 2020
2. How many people did the food bank serve in:
January 2020
February 2020
March 2020
April 2020
May 2020
3. How many pounds of food did the food bank distribute in:
16
June 2020
July 2020
August 2020
September 2020
October 2020
November 2020
December 2020
4. Estimate the number of people the food bank will serve in:
government (include allgovernment programsTEFAP, CSFP, etc...
donated food
food drives
purchased food
5. Based on the food bank's April 2020 distribution, what percentage of your food came from:
6. Please describe any new practices that were implemented due to the coronavirus pandemic.
17
8. Mass Feeding (Congregate Meal Service) - Program Metrics
Orange County United WayEFSP - Phase CARES (Coronavirus, Aid, Relief and Economic Security) Request for Proposals
Mass Feeding (Congregate Meal Service)Award Ceiling - $75,000
Total number of breakfastsprovided for the lastcompleted fiscal year:
Total number of lunchesprovided for the lastcompleted fiscal year:
Total number of dinnersprovided for the lastcompleted fiscal year:
Total number of snacksprovided for the lastcompleted fiscal year:
1. Service data for last completed fiscal year.
Total number of breakfastsserved:
Total number of lunchesserved:
Total number of dinnersserved:
Total number of snacksserved:
2. For the month of January 2020:
Total number of breakfastsserved:
Total number of lunchesserved:
Total number of dinnersserved:
Total number of snacksserved:
3. For the month of February 2020:
18
Total number of breakfastsserved:
Total number of lunchesserved:
Total number of dinnersserved:
Total number of snacksserved:
4. For the month of March 2020:
Total number of breakfastsserved:
Total number of lunchesserved:
Total number of dinnersserved:
Total number of snacksserved:
5. For the month of April 2020:
Total number of breakfastsserved:
Total number of lunchesserved:
Total number of dinnersserved:
Total number of snacksserved:
6. For the month of May 2020:
Total number of breakfastsserved:
Total number of lunchesserved:
Total number of dinnersserved:
Total number of snacksserved:
7. Estimate the number of meals that would be provided in July 2020:
19
Total number of breakfastsserved:
Total number of lunchesserved:
Total number of dinnersserved:
Total number of snacksserved:
8. Estimate the number of meals that would be provided in August 2020:
Total number of breakfastsserved:
Total number of lunchesserved:
Total number of dinnersserved:
Total number of snacksserved:
9. Estimate the number of meals that would be provided in September 2020:
Total number of breakfastsserved:
Total number of lunchesserved:
Total number of dinnersserved:
Total number of snacksserved:
10. Estimate the number of meals that would be provided in October 2020:
Total number of breakfastsserved:
Total number of lunchesserved:
Total number of dinnersserved:
Total number of snacksserved:
11. Estimate the number of meals that would be provided in November 2020:
20
Total number of breakfastsserved:
Total number of lunchesserved:
Total number of dinnersserved:
Total number of snacksserved:
12. Estimate the number of meals that would be provided in December 2020:
13. Please describe any new practices that were implemented due to the coronavirus pandemic.
21
9. Mass Shelters - Program Metrics
Orange County United WayEFSP - Phase CARES (Coronavirus, Aid, Relief and Economic Security) Request for Proposals
Mass SheltersAward Ceiling - $60,000
The sum total of bedsavailable per night, forJanuary 2020:EXAMPLE: 200 availablebeds per night X number ofdays in a month (30) =6,000 beds
The sum total number ofbeds occupied for eachnight for the month ofJanuary 2020:EXAMPLE: The sum ofeach night's occupied bedsfor any given month
1. Service data for January 2020:
The sum total of bedsavailable per night, forFebruary 2020:EXAMPLE: 200 availablebeds per night X number ofdays in a month (30) =6,000 beds
The sum total number ofbeds occupied for eachnight for the month ofFebruary 2020:EXAMPLE: The sum ofeach night's occupied bedsfor any given month
2. Service data for February 2020:
22
The sum total of bedsavailable per night, forMarch 2020:EXAMPLE: 200 availablebeds per night X number ofdays in a month (30) =6,000 beds
The sum total number ofbeds occupied for eachnight for the month ofMarch 2020:EXAMPLE: The sum ofeach night's occupied bedsfor any given month
3. Service data for March 2020:
The sum total of bedsavailable per night, for April2020:EXAMPLE: 200 availablebeds per night X number ofdays in a month (30) =6,000 beds
The sum total number ofbeds occupied for eachnight for the month of April2020:EXAMPLE: The sum ofeach night's occupied bedsfor any given month
4. Service data for April 2020:
23
5. For the months of July 2020 - December 2020, how would the coronavirus pandemic effect your serviceplan?
6. Please describe any new practices that were implemented due to the coronavirus pandemic.
24
10. Rent/Mortgage Assistance - Program Metrics
Orange County United WayEFSP - Phase CARES (Coronavirus, Aid, Relief and Economic Security) Request for Proposals
Rent/Mortgage AssistanceAward Ceiling - $75,000
Total number of clientsreceiving rent or mortgageassistance:
1. Service data for last completed fiscal year.
January 2020
February 2020
March 2020
April 2020
May 2020
2. Number of people seeking rent/mortgage assistance. Please include all phone calls, walk-ins and referralsfor each month.
January 2020
February 2020
March 2020
April 2020
May 2020
3. Number of people receiving rent or mortgage assistance.
25
June 2020
July 2020
August 2020
September 2020
October 2020
November 2020
December 2020
4. Estimate the number of people the agency will serve in:
5. Please describe any new practices that were implemented due to the coronavirus pandemic.
26
6. For the months of July 2020 - December 2020, how does the coronavirus pandemic effect your serviceplan?
27
11. Program Budget and Funding Sources
Orange County United WayEFSP - Phase CARES (Coronavirus, Aid, Relief and Economic Security) Request for Proposals
No file chosen
1. Program Budget for the current fiscal year.
Choose File Choose File
No file chosen
2. Agency Budget for the current fiscal year.
Choose File Choose File
3. Budget narrative*
28
4. Please describe your agency's fundraising strategy during the coronavirus pandemic.*
29
12. Required Attachments
Orange County United WayEFSP - Phase CARES (Coronavirus, Aid, Relief and Economic Security) Request for Proposals
No file chosen
1. Federal Tax Exemption Letter
Choose File Choose File
No file chosen
2. Agency Organizational Chart
Choose File Choose File
No file chosen
3. Most recent independent financial audit, including footnotes and management letter, if request is over$25,000
Choose File Choose File
No file chosen
4. Financial statements for the organization for the last two yearsif request is under $25,000
Choose File Choose File
No file chosen
5. Most Recent Form 990
Choose File Choose File
No file chosen
6. Board RosterPlease include: names, title, address, phone number, and email address
Choose File Choose File
30
Emergency Food and Shelter Program (EFSP)Phase CARES Signature Page
Jeff Dronkers, EFSP [email protected] County United Way 18012 Mitchell South Irvine, CA 92614
NONDISCRIMINATION POLICYThis agency will assure through all possible means, equal opportunity for all persons – regardless of race, religious creed, color, nationalorigin, ancestry, physical disability, mental disability, medical condition, marital status, sex, sexual orientation, veteran status, age, or anyother protected categories.
AGREEMENTWe will report to the Local EFSP Board by December 1, 2020 any EFSP funds remaining or unspent as of November 30, 2020. At thattime, the local board may reallocate the remaining dollars due to the fact that all funds must be spent by December 31, 2020.
Name
Title
Date
7. We affirm that all information in this application is true and correct to the best of our knowledge, and thatour agency will execute its responsibility under EFSP Phase CARES and other applicable rules andregulations to the fullest extent.
31
