ࡱ>  q` bjbjqPqP :::1$$$')/b0D1D1Z1?@T>A,$hR'm=?mm'D1Z1 <yyymt<D1RZ1ymyy^q&|"Z1/ <$o\Ij<R0>Wr*>>,jAhOJ yZ<Xb/ jAjAjA''ypjAjAjAmmmm$$  State of Hawaii Department of Labor and Industrial Relations Office of Community Services Request for Proposals RFP No. OCS LBR 903-08 Youth Services for Immigrants September 12, 2008 Note: If this RFP was downloaded from the State Procurement Office RFP Website, each applicant must provide contact information to the RFP contact person for this RFP to be notified of any changes. For your convenience, you may download the RFP Interest form, complete and e-mail or mail to the RFP contact person. The State shall not be responsible for any missing addenda, attachments or other information regarding the RFP if a proposal is submitted from an incomplete RFP.  LINDA LINGLE DARWIN L. D. CHING GOVERNOR DIRECTOR COLLEEN Y. LaCLAIR DEPUTY DIRECTOR SAM AIONA EXECTUIVE DIRECTOR STATE OF HAWAII DEPARTMENT OF LABOR AND INDUSTRIAL RELATIONS OFFICE OF COMMUNITY SERVICES 830 PUNCHBOWL STREET, ROOM 420 HONOLULU, HAWAII 96813  HYPERLINK "http://hawaii.gov/labor/" http://hawaii.gov/labor/ Phone: (808) 586-8675 / Fax: (808) 586-8685 Email: dlir.ocs@hawaii.gov September 12, 2008 Dear Applicant: SUBJECT: Request For ProposalS (RFPs) FOR STATE FISCAL BIENNIUM 2010-2011 The Department of Labor and Industrial Relations (DLIR), Office of Community Services (OCS), is soliciting proposals from qualified applicants to provide the following human services for State Fiscal Biennium 2010-2011: RFP No. Service Activity Title LBR 903-01 Employment Core Services for Low-Income Persons LBR 903-02 Employment Core Services for Immigrants LBR 903-03 Employment Core and Support Services for Refugees LBR 903-04 Employment Creation for Low-Income Persons, Immigrants and Refugees LBR 903-05 Child Care Services for Head Start Parents LBR 903-06 Transportation Services for Low-Income Persons LBR 903-07 Food Collection and Distribution Services for Low-Income Persons LBR 903-08 Youth Services for Immigrants LBR 903-09 Weatherization Assistance Program Services for Low-Income Persons LBR 903-12 Legal Advocacy, Outreach, and Referral Services to Protect the Rights of Children and Their Families Page 2 September 12, 2008 All prospective applicants are hereby notified that this RFP for competitive purchase of services is issued under the provisions of the Hawaii Revised Statutes, Chapter 103F and its administrative rules. The enclosed materials outline the application requirements of these RFPs. Included for your use are the administrative requirements, service specifications, proposal applications, budget instructions, as well as other reference materials. Prior to application submittal, it is imperative that the applicants closely review all information and follow detailed instructions provided. Hand deliveries will be accepted at DLIR-OCS until 4:30 p.m., Hawaii Standard Time (HST), December 15, 2008. Mail-ins must be postmarked by the United States Postal Service (USPS) no later than December 15, 2008, and received by DLIR-OCS no later than ten days from the submittal deadline. Hand deliveries as well as mail-ins will be accepted at the following address: Office of Community Services 830 Punchbowl Street, Room 420 Honolulu, Hawaii 96813 Proposals postmarked after December 15, 2008, or hand delivered after 4:30 p.m. H.S.T. on December 15, 2008, shall be considered late and rejected. There are no exceptions to this requirement. Proposals delivered by facsimile transmission or e-mail will not be accepted. One original and four copies of the proposal are required. DLIR-OCS will conduct an orientation session on September 25, 2008, from 9:00 a.m. to 12:00 noon, at 830 Punchbowl Street, Room 420, Honolulu, Hawaii. All prospective applicants are strongly encouraged to attend the session. An additional orientation covering only LBR 903-06, Transportation Services for Low-Income Persons, will be held on Tuesday, September 30, 2008, from 10:00 a.m. to 12:00 noon, at Maui Economic Opportunity, Incorporated, Fiscal Conference Room, 99 Mahalani Street, Wailuku, Hawaii. The deadline for submission of written questions is 4:30 p.m. H.S.T. on Friday, November 28, 2008. DLIR-OCS will address all written questions with a written response by Monday, December 8, 2008. Written questions may be submitted to DLIR-OCS by facsimile or e-mail. However, all applicants who submit written questions by facsimile or e-mail bears the full and exclusive responsibility for assuring the complete, correctly formatted, and timely transmission of their questions. DLIR-OCS reserves the right to amend the terms of this RFP, to issue addenda, or to withdraw this RFP at any time. Page 3 September 12, 2008 All applicants will be notified in writing regarding OCS decision on his/her proposal(s) in mid- to late- March 2009. Contracts are expected to be in effect from July 1, 2009 to June 30, 2011. Any questions or inquiries regarding these RFPs should be directed to the RFP Contact Person, Keith Yabusaki, by mail at 830 Punchbowl Street, Room 420, Honolulu, Hawaii 96813, or e-mail at  HYPERLINK "mailto:keith.y.yabusaki@hawaii.gov" keith.y.yabusaki@hawaii.gov or by telephone to (808) 586-8680. Thank you for your interest in applying and for working with us to provide quality services. Sincerely,  SAM AIONA Executive Director AN EQUAL OPPORTUNITY AGENCY PROPOSAL MAIL-IN AND DELIVERY INFORMATION SHEET NUMBER OF COPIES TO BE SUBMITTED: 5 ADDITIONAL COPIES MAY BE REQUESTED ALL MAIL-INS SHALL BE POSTMARKED BY THE UNITED STATES POSTAL SERVICE (USPS) NO LATER THAN December 15, 2008, and received by the state purchasing agency no later than 10 days from the submittal deadline. All Mail-insDLIR-OCS RFP COORDINATORALL HAND DELIVERIES SHALL BE ACCEPTED AT THE FOLLOWING SITES UNTIL 4:30 P.M., Hawaii Standard Time (HST), December 15, 2008. Deliveries by private mail services such as FEDEX shall be considered hand deliveries. Hand deliveries shall not be accepted if received after 4:30 p.m., December 15, 2008. Drop-off Sites  RFP ORIENTATION SESSIONS All prospective applicants are invited and encouraged to attend the following scheduled informational session. At this meeting, DLIR-OCS staff will present the proposal application requirements, service specifications and be available to respond to questions. PLACE: KEELIKOLANI BUILDING, CONFERENCE ROOMS 310, 313, & 314, 830 PUNCHBOWL STREET, HONOLULU DATE: THURSDAY, SEPTEMBER 25, 2008 TIME: 9:00 A.M. - 12:00 NOON  INCLUDEPICTURE "http://image.maps.yahoo.com/mapimage?MAPData=xQ7wlfhyzy1Orz3uW6_2AY31ncvYbGD_F5_GTEpJ8RNM4ude3qq_HaQy3wTqqI24qfa8t51ehuB75tXGUsgG9an9xLCnYUv4a8cQcsgLgCjM5jvmYQ--" \* MERGEFORMATINET  An additional orientation session will cover only LBR 903-06, Transportation Services for Low-Income Persons. This orientation session will be held on Tuesday, September 30, 2008, from 10:00 a.m. to 12:00 noon, at Maui Economic Opportunity, Incorporated, Fiscal Conference Room, 99 Mahalani Street, Wailuku, Hawaii. If you are unable to attend these sessions, alternative arrangements may be requested. Should you have any questions contact Keith Yabusaki at (808) 586-8680. DEPARTMENT OF LABOR AND INDUSTRIAL RELATIONS OFFICE OF COMMUNITY SERVICES YOUTH SERVICES FOR IMMIGRANTS REQUEST FOR PROPOSAL NUMBER: OCS LBR 903-08 IMPORTANT DATES* Public Notice Announcing Request for Proposals September 12, 2008 Distribution of Request for Proposals September 12, 2008 Orientation Session (Honolulu) September 25, 2008 Orientation Session in Wailuku only for LBR 903-06, September 30, 2008 Transportation Services for Low-Income Persons Deadline for Submission of Written Questions November 28, 2008 Response to Written Questions December 8, 2008 Proposal Submittal Deadline December 15, 2008 Proposal Evaluation Period Late December 2008 March 2009 Provider Selection and Notice of Award Mid - Late March 2009 Notice of Statement of Findings and Decisions March 18, 2009 Contract Terms Finalized May 7, 2009 Contract Start Date July 1, 2009 * This schedule of activities is provided for planning purposes only. DLIR-OCS reserves the right to cancel any activity or modify the schedule at any time. DEPARTMENT OF LABOR AND INDUSTRIAL RELATIONS OFFICE OF COMMUNITY SERVICES REQUEST FOR PROPOSALS (RPFs)* FISCAL BIENNIUM 2010 2011  RFP NO. Service Activity Title FY 2010 FY 2011 LBR 903-01 Employment Core Services for Low-Income Persons $1,284,494 $1284,494 LBR 903-02 Employment Core Services for Immigrants 560,000 560,000 LBR 903-03 Employment Core and Support Services 75,000 75,000 for Refugees LBR 903-04 Employment Creation for Low-Income Persons, 355,500 355,500 Immigrants and Refugees LBR 903-05 Child Care Services for Head Start Parents 313,000 313,000 LBR 903-06 Transportation Services for Low-Income Persons 275,000 275,000 LBR 903-07 Food Collection and Distribution Services for 61,000 61,000 Low-Income Persons LBR 903-08 Youth Services for Immigrants 50,000 50,000 LBR 903-09 Weatherization Assistance Program Services for 203,581 203,581 Low-Income Persons** LBR 903-12 Legal Advocacy, Outreach, and Referral Services to 300,000 300,000 Protect the Rights of Children and Their Families**  All funds amounts subject to availability. * DLIR-OCS reserves the right to move funding within or between RFPs or to reallocate suggested funding of each RFP. ** Federal Funds. TABLE OF CONTENTS INTRODUCTION Letter Announcing Request for Proposals i Proposal Mail-In and Delivery Information Sheet iv RFP Orientation Session v Important Dates vi RFPs Purchase of Services for Fiscal Biennium 2010 2011 vii Table of Contents viii SECTION 1 ADMINISTRATIVE OVERVIEW I. Procurement Timetable* 1-1 II. Website Reference 1-2 III. Authority IV. RFP Organization V. Contracting Office 1-3 VI. Orientation VII. Submission of Questions 1-4 Submission of Proposals Forms/Formats Program Specific Requirements Multiple or Alternate Proposals Tax Clearance 1-5 Wages and Labor Law Compliance Hawaii Compliance Express (HCE) Campaign Contributions by State and County Contractors Confidential Information Proposal Submittal 1-6 IX. Discussions with Applicants X. Opening of Proposals XI. Additional Materials and Documentation 1-7 XII. RFP Amendments XIII. Final Revised Proposals XIV. Cancellation of Request for Proposal XV. Costs for Proposal Preparation XVI. Provider Participation in Planning XVII. Rejection of Proposals XVIII. Notice of Award 1-8 XIX. Protests Availability of Funds 1-9 General and Special Conditions of Contract Cost Principles SECTION 2 SERVICE SPECIFICATIONS Program Title RFP I.D. No. Youth Services for Immigrants OCS LBR 903-08 I. Introduction A. Overview, Purpose or Need 2-1 B. Planning Activities Conducted in Preparation for this RFP C. Description of the Goals of the Service 2-2 D. Description of the Target Population E. Geographic Coverage of Service F. Probable Funding Amounts, Source and Period of Availability II. General Requirements 2-3 Specific Qualifications or Requirements, Including but Not Limited to Licensure or Accreditation B. Secondary Purchaser Participation 2-4 C. Multiple or Alternate Proposals D. Single or Multiple Contracts to Be Awarded E. Single or Multi-Term Contracts to Be Awarded F. RFP Contact Person Scope of Work 2-5 Service Activities (Minimum and/or Mandatory Tasks and Responsibilities) Management Requirements (Minimum and/or Mandatory Requirements) 1. Personnel 2. Administrative 3. Quality Assurance and Evaluation Specifications 4. Output and Performance/Outcome Measurements 2-6 5. Experience 2-7 6. Coordination of Services 7. Reporting Requirements for Program Data 8. Pricing Structure or Methodology 9. Unit Rate 2-8 10. Compensation and Method of Payment IV. Facilities SECTION 3 PROPOSAL APPLICATION INSTRUCTIONS General Instructions for Completing Application 3-1 Program Overview 3-2 Experience and Capability A. Necessary Skills B. Experience C. Quality Assurance and Evaluation D. Coordination of Services 3-3 E. Facilities III. Project Organization and Staffing A. Project Organization 1. Supervision and Training 2. Organization Chart B. Staffing 3-4 1. Proposed Staffing 2. Staff Qualifications IV. Service Delivery 3-5 V. Financial A. Pricing Structure 1. Pricing Structure Based on Cost Reimbursement 3-6 2. Budget Forms 3. Budget Justification B. Other Financial Related Materials 3-8 1. Accounting System 2. Need for Funding 3. Cost Effectiveness VI. Other 3-9 A. Litigation VII. Appendix (Optional) SECTION 4 PROPOSAL EVALUATION I. Introduction 4-1 II. Evaluation Process III. Evaluation Criteria 4-2 A. Phase 1 Evaluation of Proposal Requirements 1. Administrative Requirements 2. Proposal Application Requirements B. Phase 2 Evaluation of Proposal Application 1. Program Overview 2. Experience and Capability 3. Project Organization and Staffing 4-3 4. Service Delivery 4-4 5. Financial IV. Phase 3 Recommendation for Award SECTION 5 ATTACHMENTS Proposal Application Checklist Proposal Application Sample Table of Contents Output and Performance/Outcome Measurements Table Criminal Conviction Record Check Standards Protective Services Central Registry Standards  Section 1 Administrative Overview Each applicant is encouraged to thoroughly read all sections of the RFP. While sections such as the administrative overview may appear similar among RFPs, state purchasing agencies may add additional information as applicable. It is the responsibility of the applicant to understand the requirements of each RFP. I. Procurement Timetable* Note that the procurement timetable represents the States best estimated schedule. Contract start dates may be subject to the issuance of a notice to proceed. ActivityScheduled DatePublic notice announcing RFPSeptember 12, 2008Distribution of RFPSeptember 12, 2008RFP orientation session (Honolulu) RFP orientation session for LBR 903-06 only (Wailuku)September 25, 2008 September 30, 2008Deadline for submission of written questions for written responsesNovember 28, 2008State purchasing agency's response to applicants written questionsDecember 8, 2008Discussions with applicant prior to proposal submittal deadline (optional)Sept. 12 Dec. 14, 2008, as neededProposal submittal deadlineDecember 15, 2008Discussions with applicant after proposal submittal deadline (optional)Dec. 16, 2008 - March 9, 2009, as neededFinal revised proposals (optional)Dec. 16, 2008 - March 9, 2009, as neededProposal evaluation periodLate Dec. 2008 March 2009, as neededProvider selection/Notice of statement of findings and decisionLate March Early April 2009Contract terms finalizedMay 7, 2009Contract start dateJuly 1, 2009 * This timetable of activities is provided for planning purposes only. OCS reserves the right to cancel any activity or modify the timetable at any time. II. Website Reference The State Procurement Office (SPO) website is  HYPERLINK "http://hawaii.gov/spo/" http://hawaii.gov/spo/ ForClick1Procurement of Health and Human Services Health and Human Services, Chapter 103F, HRS2RFP websiteHealth and Human Services, Ch. 103F and The RFP Website (located under Quicklinks)3Hawaii Administrative Rules (HAR) for Procurement of Health and Human ServicesStatutes and Rules and Procurement of Health and Human Services4FormsHealth and Human Services, Ch. 103F and For Private Providers and Forms5Cost PrinciplesHealth and Human Services, Ch. 103F and For Private Providers and Cost Principles6Standard Contract - General ConditionsHealth and Human Services, Ch. 103F For Private Providers and Contract Template General Conditions7Protest Forms/ProceduresHealth and Human Services, Ch. 103F and For Private Providers and Protests Non-SPO websites (Please note: website addresses may change from time to time. If a link is not active, try the State of Hawaii website at  HYPERLINK "http://hawaii.gov" http://hawaii.gov) ForGo to8Tax Clearance Forms (Department of Taxation Website)  HYPERLINK "http://www.hawaii.gov/tax/" http://www.hawaii.gov/tax/ click Forms9Wages and Labor Law Compliance, Section 103-055, HRS, (Hawaii State Legislature website) HYPERLINK "http://www.capitol.hawaii.gov/" http://www.capitol.hawaii.gov/ click Bill Status and Documents and Browse the HRS Sections. 10Department of Commerce and Consumer Affairs, Business Registration HYPERLINK "http://www.hawaii.gov/dcca" http://www.hawaii.gov/dcca click Business Registration11Campaign Spending Commission HYPERLINK "http://hawaii.gov.campaign" http://hawaii.gov.campaign III. Authority This RFP is issued under the provisions of the Hawaii Revised Statutes (HRS), Chapter 103F and its administrative rules. Each prospective applicant is charged with presumptive knowledge of all requirements of the cited authorities. Submission of a valid executed proposal by any prospective applicant shall constitute admission of such knowledge on the part of such prospective applicant. IV. RFP Organization This RFP is organized into five sections: Section 1, Administrative Overview--Provides applicant with an overview of the procurement process. Section 2, Service Specifications--Provides applicant with a general description of the tasks to be performed, delineates applicant responsibilities, and defines deliverables (as applicable). Section 3, Proposal Application Instructions--Describes the required format and content for the proposal application. Section 4, Proposal Evaluation--Describes how proposals will be evaluated by the state purchasing agency. Section 5, Attachments--Provides applicant with information and forms necessary to complete the application. V. Contracting Office The Contracting Office is responsible for overseeing the contracts resulting from this RFP, including system operations, fiscal agent operations, monitoring and assessing provider performance. The Contracting Office is: Office of Community Services Department of Labor and Industrial Relations, State of Hawaii 830 Punchbowl Street, Room 420 Honolulu, Hawaii 96813 Phone: (808) 586-8675 Fax: (808) 586-8685 VI. Orientation An orientation session for applicants in reference to the RFP will be held as follows: Date: September 25, 2008 Time: 9:00 a.m. to 12:00 Noon Location: Keelikolani Building Conference Rooms 310, 313 & 314 830 Punchbowl Street, Honolulu An additional orientation session will cover only LBR 903-06, Transportation Services for Low-Income Persons. This orientation session will be held on: Date: September 30, 2008 Time: 10:00 a.m. to 12:00 Noon Location: Maui Economic Opportunity, Inc., Fiscal Conference Room 99 Mahalani Street, Wailuku Each applicant is encouraged to submit written questions to OCS prior to the orientation session. Impromptu questions will be permitted and spontaneous answers provided at the orientation session at the state purchasing agencys discretion. Verbal answers provided during the orientation session are only intended as general direction and may not represent the state purchasing agencys position. Formal official responses will be provided in writing. To ensure a written response, any oral questions should be submitted in writing following the close of the orientation, but no later than the submittal deadline for written questions indicated in the next paragraph (VII. Submission of Questions). VII. Submission of Questions The applicant may submit written questions to the RFP Contact Person identified in Section 2 of this RFP. All written questions will receive a written response from the state purchasing agency. Deadline for submission of written questions: Date: November 28, 2008 Time: 4:30 p.m. HST State agency responses to applicant written questions will be provided by: Date: December 8, 2008 Submission of Proposals Forms/Formats Forms, with the exception of program specific requirements, may be found on the State Procurement Office website (See page 1-2, Website Reference). Refer to the Proposal Application Checklist for the location of program specific forms. Proposal Application Identification (Form SPOH200) Provides identification of the proposal. Proposal Application Checklist Provides applicants with information on where to obtain the required forms; information on program specific requirements; which forms are required and the order in which all components should be assembled and submitted to the state purchasing agency. Table of Contents A sample table of contents for proposals is located in Section 5, Attachments. This is a sample and meant as a guide. The table of contents may vary depending on the RFP. Proposal Application (Form SPO-H-200A) Applicant shall submit comprehensive narratives that addresses all of the proposal requirements contained in Section 3 of this RFP, including a cost proposal/budget if required. Program Specific Requirements Program specific requirements are included in Sections 2, Service Specifications and Section 3, Proposal Application Instructions, as applicable. If required, Federal and/or State certifications are listed on the Proposal Application Checklist located in Section 5. Multiple or Alternate Proposals Multiple or alternate proposals shall not be accepted unless specifically provided for in Section 2 of this RFP. Tax Clearance Pursuant to HRS Section 103-53, as a prerequisite to entering into contracts of $25,000 or more, providers shall be required to submit a tax clearance certificate issued by the Hawaii State Department of Taxation (DOTAX) and the Internal Revenue Service (IRS). The certificate shall have an original green certified copy stamp and shall be valid for six (6) months from the most recent approval stamp date on the certificate. Tax clearance applications may be obtained from the Department of Taxation website. (Refer to this sections part II. Website Reference.) Wages and Labor Law Compliance If applicable, by submitting a proposal, the applicant certifies that the applicant is in compliance with HRS Section 103-55, Wages, hours, and working conditions of employees of contractors performing services. Refer to HRS Section 103-55, at the Hawaii State Legislature website. (See part II, Website Reference.) Compliance with all Applicable State Business and Employment Laws All providers shall comply with all laws governing entities doing business in the State. Prior to contracting, owners of all forms of business doing business in the state except sole proprietorships, charitable organizations unincorporated associations and foreign insurance companies be registered and in good standing with the Department of Commerce and Consumer Affairs (DCCA), Business Registration Division. Foreign insurance companies must register with DCCA, Insurance Division. More information is on the DCCA website. (See part II, Website Reference.) Hawaii Compliance Express (HCE) Providers may register with HCE for online proof of DOTAX and IRS tax clearance Department of Labor and Industrial Relations (DLIR) labor law compliance, and DCCA good standing compliance. There is a nominal annual fee for the service. The Certificate of Vendor Compliance issued online through HCE provides the registered providers current compliance status as of the issuance date, and is accepted for both contracting and final payment purposes. Refer to this sections part II. Website Reference for HCEs website address. Campaign Contributions by State and County Contractors Contractors are hereby notified of the applicability of Section 11-205.5, HRS, which states that campaign contributions are prohibited from specified State or county government contractors during the term of the contract if the contractors are paid with funds appropriated by a legislative body. For more information, FAQs are available at the Campaign Spending Commission website (See part II, Website Reference). Confidential Information If an applicant believes any portion of a proposal contains information that should be withheld as confidential, the applicant shall request in writing nondisclosure of designated proprietary data to be confidential and provide justification to support confidentiality. Such data shall accompany the proposal, be clearly marked, and shall be readily separable from the proposal to facilitate eventual public inspection of the non-confidential sections of the proposal. Note that price is not considered confidential and will not be withheld. Proposal Submittal All mail-ins shall be postmarked by the United States Postal System (USPS) and received by the State purchasing agency no later than the submittal deadline indicated on the attached Proposal Mail-in and Delivery Information Sheet. All hand deliveries shall be received by the State purchasing agency by the date and time designated on the Proposal Mail-In and Delivery Information Sheet. Proposals shall be rejected when: Postmarked after the designated date; or Postmarked by the designated date but not received within 10 days from the submittal deadline; or If hand delivered, received after the designated date and time. The number of copies required is indicated on the Proposal Mail-In and Delivery Information Sheet. Deliveries by private mail services such as FEDEX shall be considered hand deliveries and shall be rejected if received after the submittal deadline. Dated USPS shipping labels are not considered postmarks. Faxed proposals and/or submission of proposals on diskette/compact disc or transmission by e-mail, website or other electronic means are not permitted. Discussions with Applicants Prior to Submittal Deadline Discussions may be conducted with potential applicants to promote understanding of the purchasing agencys requirements. After Proposal Submittal Deadline Discussions may be conducted with applicants whose proposals are determined to be reasonably susceptible of being selected for award, but proposals may be accepted without discussions, in accordance section 3-143-403, HAR. X. Opening of Proposals Upon receipt of proposal by a state purchasing agency at a designated location, proposals, modifications to proposals, and withdrawals of proposals shall be date-stamped, and when possible, time-stamped. All documents so received shall be held in a secure place by the state purchasing agency and not examined for evaluation purposes until the submittal deadline. Procurement files shall be open to public inspection after a contract has been awarded and executed by all parties. XI. Additional Materials and Documentation Upon request from the state purchasing agency, each applicant shall submit any additional materials and documentation reasonably required by the state purchasing agency in its evaluation of the proposals. XII. RFP Amendments The State reserves the right to amend this RFP at any time prior to the closing date for the final revised proposals. XIII. Final Revised Proposals If requested, final revised proposals shall be submitted in the manner, and by the date and time specified by the state purchasing agency. If a final revised proposal is not submitted, the previous submittal shall be construed as the applicants best and final offer/proposal. The applicant shall submit only the section(s) of the proposal that are amended, along with the Proposal Application Identification Form (SPO-H-200). After final revised proposals are received, final evaluations will be conducted for an award. XIV. Cancellation of Request for Proposal The RFP may be canceled and any or all proposals may be rejected in whole or in part, when it is determined to be in the best interest of the State. XV. Costs for Proposal Preparation Any costs incurred by an applicant in preparing or submitting a proposal are the applicants sole responsibility. XVI. Provider Participation in Planning Provider participation in a state purchasing agencys efforts to plan for or to purchase health and human services prior to the state purchasing agencys release of a RFP, including the sharing of information on community needs, best practices, and providers resources, shall not disqualify providers from submitting proposals if conducted in accordance with sections 3-142-202, and 3-142-203. XVII. Rejection of Proposals The State reserves the right to consider as acceptable only those proposals submitted in accordance with all requirements set forth in this RFP and which demonstrate an understanding of the problems involved and comply with the service specifications. Any proposal offering any other set of terms and conditions contradictory to those included in this RFP may be rejected without further notice. A proposal may be automatically rejected for any one or more of the following reasons: Rejection for failure to cooperate or deal in good faith (HAR Section 3-141-201) Rejection for inadequate accounting system (HAR Section 3-141-202) Late proposals (HAR Section 3-143-603) Inadequate response to request for proposals (HAR Section 3-143-609) Proposal not responsive (HAR Section 3-143-610(a)(1)) Applicant not responsible (Section 3-143-610(a)(2)) XVIII. Notice of Award A statement of findings and decision shall be provided to all applicants by mail upon completion of the evaluation of competitive purchase of service proposals. Any agreement arising out of this solicitation is subject to the approval of the Department of the Attorney General as to form, and to all further approvals, including the approval of the Governor, required by statute, regulation, rule, order or other directive. No work is to be undertaken by the awardee prior to the contract commencement date. The State of Hawaii is not liable for any costs incurred prior to the official starting date. XIX. Protests Any applicant may file a protest against the awarding of the contract. The Notice of Protest form, SPO-H-801, is available on the SPO website (See paragraph II, Website Reference). Only the following matters may be protested: A state purchasing agencys failure to follow procedures established by Chapter. 103F of the Hawaii Revised Statutes. A state purchasing agencys failure to follow any rule pursuant to Chapter 103F of the Hawaii Revised Statutes. A state purchasing agencys failure to follow any procedure, requirement, or evaluation criterion in a request for proposal issued by the state purchasing agency. The Notice of Protest shall be postmarked by USPS or hand delivered to 1) the head of the state purchasing agency conducting the protested procurement and 2) the procurement officer who is conducting the procurement (as indicated below) within five working days of the postmark of the Notice of Findings and Decision sent to the protestor. Delivery services other than USPS shall be considered hand deliveries and considered submitted on the date of actual receipt by the state purchasing agency. Head of State Purchasing AgencyProcurement OfficerName: Sam AionaName: Keith YabusakiTitle: Executive DirectorTitle: Planning AdministratorBusiness and Mailing Address: 830 Punchbowl Street, Room 420 Honolulu, Hawaii 96813Business and Mailing Address: 830 Punchbowl Street, Room 420 Honolulu, Hawaii 96813 XX. Availability of Funds The award of a contract and any allowed renewal or extension thereof, is subject to allotments to be made by the Director of Budget and Finance, State of Hawaii, pursuant to Chapter 37, Hawaii Revised Statutes, and subject to the availability of State and/or Federal funds. XXI. General and Special Conditions of Contract The general conditions that will be imposed contractually are on the SPO website (see paragraph II, Website Reference). Special conditions may also be imposed contractually by the state purchasing agency, as deemed necessary. XXII. Cost Principles To promote uniform purchasing practices among state purchasing agencies procuring health and human services under Chapter 103F, HRS, state purchasing agencies will utilize standard cost principles outlined in Form SPO-H-201 which is available on the SPO website (see paragraph II, Website Reference). Nothing in this section shall be construed to create an exemption from any cost principle arising under federal law.  Section 2 Service Specifications Program Title: Youth Services for Immigrants I. Introduction A. Overview, Purpose or Need Language and cultural barriers place many low-income immigrant youth at-risk for failure in school and juvenile delinquency. Adolescent immigrant youth are especially vulnerable to developmental and social issues that arise during teen years, in addition to the particular stresses and problems confronted by newly-arrived immigrant families. The purpose of this Request for Proposal (RFP) is to contract for bilingual services for at-risk immigrant youth that will assist them with (1) overcoming cultural and language barriers in school, at home, and in their communities; (2) improving their understanding of an adaptation to American life and culture; and (3) preparing older youth (adolescents) to enter the workforce. The frustrating demands of surviving in a new country, and socio-economic, cultural, as well as language barriers that block pathways to success require positive avenues of transition. Overcoming language, cultural and social barriers and assisting adolescents to attain work is made possible through federal and state funded programs designed especially to address these matters. Without a targeted youth services program, immigrant youth will continue to fall through the cracks of society and the lack of assistance during the early transition stages may for many end up in a needless life struggle perpetuated through several generations. A strong positive correlation exists between adolescent positive youth acculturation to their adopted country, and future accomplishments in their personal, emotional, and chosen professional careers as a result of transitional successes and after school counseling support. B. Planning Activities Conducted in Preparation for this RFP Pursuant to the Hawaii Administrative Rules 3-142-301 State Agency Planning Activities, OCS conducted planning activities, including, but limited to the following: Took into account the views of provider organizations on how to improve service specifications to better achieve mandated goals. A request for information was utilized as designated in Section 3-142-202; Analyzed information from program monitoring and evaluation reports of current provider organizations; Analyzed socio-economic and health data for trends to determine demand factors; Considered the views of service recipients and community advocacy organizations on conditions affecting the achievement of mandated goals; and Requested information from other state agencies on services to the same target population or on cooperative strategies to progress towards achieving a shared goal. Description of the Goals of the Services The primary goal of the service is for newly-arrived immigrant-youth, who are at-risk of failing or dropping out of school and/or juvenile delinquency, to remain in school, improve their academic performance, participate and acculturate positively within the school community settings, and to avoid the juvenile justice system. Another goal is to assist high school junior and senior immigrant youths, who choose to work after school, to enter the workforce through employment preparation services. D. Description of the Target Population The target population is the newly-arrived (less than two-years from time of entry into the United States) limited or non-English speaking immigrant youth, up to age 18, who are students in public schools, grades 7-12, and are at-risk for failure, drop-out, or juvenile delinquency, as determined by public education and/or law enforcement officials. Eligible youth must be from families or households whose combined income is at or below 150 percent of the Federal Poverty Guidelines for Hawaii. Youth from the Freely Associated States (Federated States of Micronesia, Republic of the Marshall Islands, and the Republic of Palau), who meet the above qualifications, are eligible for services. E. Geographic Coverage of Service The service area is the City and County of Honolulu. The applicant shall demonstrate capability to provide the required services in the areas and centers for which it applies. The applicant is responsible for identifying clearly the geographic areas that it proposes to serve. Preference shall be given to proposals that provide services in areas with a demonstrated high concentration of low-income youth immigrant population and problematic immigrant juvenile delinquency rates. F. Probable Funding Amount, Source, and Period of Availability Subject to the availability of funds, $50,000 in State General Funds is allotted for each year of the State Fiscal Biennium 2010-2011. Funding is anticipated to be from state sources, though the source of funding may be subject to change prior to the effective date and over the life of the contract(s). II. General Requirements A. Specific Qualifications of Requirements, Including but Not Limited to, Licensure or Accreditation The applicant shall hold all licenses, permits, and accreditations, and meet all standards required by applicable federal, state and county laws, ordinances, codes and rules to provide services. The applicant shall also be in good standing with required licensing bodies, and in compliance with professional standards and requirements. The applicant shall have a minimum of one-year experience in Hawaii directly providing youth immigrant services for the benefit of low-income youth. The applicant shall have the immigrant youth program services in operation in the geographic areas where the contract is awarded and be able to provide services beginning July 1, 2009 through June 30, 2011. The applicant shall comply with Chapter 103F, HRS Cost Principles for Purchases of Health and Human Services identified in SPO-H-201 (Effective 10/1/98), which can be found on the SPO website (See Section 1, paragraph II, Website Reference). The applicant must provide reasonable accommodations to assure capacity to deliver services to those clients with limited physical limitations. The applicant must assure and be responsible for the continuity of service activities in the event of staff illness, medical emergencies, vacancies, or other situations that result in program resources that are less than proposed and contracted for. The provider must not require nor depend on the State agencys staff to provide service activities in the event that program resources are not available due to the above situations. The applicant must use credible and tested measurement tools to evaluate program effectiveness in achieving outcomes. The applicant shall conduct criminal history checks to ensure that no employee has a record of criminal conviction that would pose a risk to the program. The applicant shall develop and implement procedures to document client eligibility for these services. When a disagreement arises between the Provider and the State in regards to the performance of specific service activities within contracted specifications, the wishes of the State shall prevail. Failure on the part of the Provider to comply shall be deemed cause for corrective action and subject to contractual remedies. The applicant shall conduct criminal history and Hawaii DHS Protective Services Registry checks to ensure that no employee has a record of criminal conviction or Child Protective Services involvement that would pose a risk to children or families. See DHS Social Services Divisions Criminal Conviction Record Check Standards and Protective Services Central Registry Check Standards in Section 5 of this RFP. B. Secondary Purchaser Participation (Refer to 3-143-608, HAR) After-the-fact secondary purchases will be allowed. Planned secondary purchases None. C. Multiple or Alternate Proposals (Refer to 3-143-605, HAR) [ ] Allowed [X] Unallowed D. Single or Multiple Contracts to Be Awarded (Refer to 3-143-206, HAR) [X] Single [ ] Multiple [ ] Single and Multiple E. Single or Multi-Term Contracts to Be Awarded (Refer to 3-149-302, HAR) [X] Single Term (< 2 years) [ ] Multi-Term (> 2 years) Initial term of contract: 2 years Length of each extension: N/A Number of possible extensions: 0 Maximum length of contract: 2 years Conditions for extension: N/A The initial period shall commence on the contract start date or Notice to Proceed, whichever is later. F. RFP Contact Person The individual listed below is the sole point of contact from the date of release of this RFP until the selection of the successful provider or providers. Written questions should be submitted to the RFP contact person and received on or before the day and time specified in Section I, Paragraph I (Procurement Timetable) of this RFP. Oral questions will be addressed through the deadline for submission of proposals. Sole Point of Contact: Keith Yabusaki, Planning Administrator Phone Number: (808) 586-8680 E-mail:  HYPERLINK "mailto:keith.y.yabusaki@hawaii.gov" keith.y.yabusaki@hawaii.gov III. Scope of Work The scope of work encompasses the following tasks and responsibilities. A. Service Activities (Minimum and/or Mandatory Tasks and Responsibilities) Services shall include, but not limited to: (1) outreach, screening, intake and assessment; (2) service planning; (3) bilingual counseling, guidance, tutoring, and/or mentoring that assists youth participants to resolve communication problems, foster acculturation, improve study and socialization skills, establish positive support systems and networks, and problem solve; (4) involving youth participants in community services and activities; (5) providing youth with age appropriate substance abuse prevention education; and (6) preparing high-school junior/senior participants with pre-employment training and job placement. The applicant shall describe in detail where and how it proposes to provide the required services, including the location, days and hours of operation, age of students, classroom size, and a schedule of services. The applicant must describe the design and approach of the proposed program and how it will meet the needs of the population it plans to serve. B. Management Requirements (Minimum and/or Mandatory Requirements) 1. Personnel The applicant shall demonstrate that personnel possess sufficient language capability in both English and in the language(s) of the predominant ethnic group(s) that the applicant intends to serve. The applicant shall have standards and procedures to ensure that all employees are fully qualified to engage in activities and perform the services required. The applicant shall have written position descriptions, requirements and qualifications, policies and procedures to ensure that all employees are fully qualified to engage in activities and perform the services required. 2. Administrative Written policies and procedures are required for all services including personnel standards, operating procedures, determination of client eligibility, documentation, record-keeping, data gathering, reporting, financial administration, quality assurance, monitoring and evaluation. The applicant is required to have a written outcome-based program plan, and an on-going planning and evaluation process for these services. 3. Quality Assurance and Evaluation Specifications The applicant shall have a written quality assurance plan, including procedures to assure that its services are provided in conformance with all federal, state, and county requirements, the requirements of this RFP and contract. The plan shall include procedures to monitor administrative, program and fiscal operations for compliance with all requirements. It shall also provide for procedures to determine whether clients receive consistent, high quality services. The quality assurance plan shall identify roles and responsibilities for on-going implementation. The applicant shall have a written plan for evaluation of performance in providing the required services, including procedures and methodology to measure, monitor and collect data on outputs and outcomes, and to evaluate the outcomes and other results of its services. The evaluation plan should also include procedures to identify and resolve problems, and make improvements to the program as needed. The evaluation plan should identify staff roles and responsibilities for assuring on-going implementation. The applicant must also indicate the specific measurement tool(s) and/or procedures that will be utilized to document and verify that each proposed program output and outcome was accomplished. Annual contract monitoring by the State may include on-site visits with comprehensive evaluation of several areas of performance. These may include review of conformance with standard contractual requirements, agency files, accounting practices, and case record keeping. In addition, on-going contract monitoring shall include a review of required reports and periodic assessment of program effectiveness. The applicant must maintain throughout the term of the contract a system of self-appraisal and program evaluation to track and validate effectiveness of the activities provided. The evaluation process must include tools or instruments to identify client barriers, which are relevant to client outcomes and include a process for making improvements or taking corrective action based upon the evaluation findings. 4. Output and Performance/Outcome Measurements The applicant shall set forth, using the attached table in Section 5, the amount of the following output and performance/outcomes that it expects to achieve. Program outputs and outcomes reported to OCS for each specific activity must be a direct result of OCS funding for this program. Outputs Number of youth assessed for program eligibility. Number of youth assessed and enrolled in the program. Number of youth completed pre-employment preparation services. Number of youth assisted with schoolwork through group or one-on-one tutoring. Number of youth completed substance abuse prevention education. Number of youth joined/participated in community service organizations or activities. c. Outcomes Number of youth improved academic performance. Number of youth improved English language competency. Number of youth placed in employment or vocational training. Number of youth fulfilled goals of Individual Service Plan. The applicant may also propose other measures of effectiveness. Please use the Output and Performance/Outcome Measurements Table located at the end of this RFP No. LBR 903-08 in Section 5 and include it in the Service Delivery section of your proposal application. 5. Experience The applicant shall have a minimum of one-year experience in providing support services to youth and working with immigrant populations in Hawaii. 6. Coordination of Services The applicant shall describe the agencies that will coordinate its services with and indicate those which it already has established partnerships. Provide a list of organizations, cooperating entities, consultants or other key individuals who will work on the project along with a short description of the nature of their effort or contribution. 7. Reporting Requirements for Program Data Quarterly program progress and fiscal reports are required within thirty (30) calendar days after the last day of each quarter. The final report on the total contract period is required within sixty (60) calendar days after the last day for the contract period. The applicant shall describe its ability to provide quarterly and final reports on program progress, particularly on the outputs and outcomes of services, and on the results of its program evaluations and needs assessments. The applicant shall also provide quarterly reports on the number of persons from Compact of Free Association nations that were provided services, identified by the following: Republic of the Marshall Islands Federated States of Micronesia Chuuk Yap Pohnpei Kosrae c. Republic of Belau (Palau) Other reports may be required. 8. Pricing Structure or Methodology Pricing shall be based on cost reimbursement (See Section 3.V., Financial). The applicant shall submit a cost proposal on the appropriate budget forms listed in Section 3.V. that are provided on the SPO website (See Section 1, paragraph II, Website Reference) and other financial requirements as stated in Section 3.V. The cost proposal shall be in accordance with Chapter 103F, HRS, Cost Principles for Purchases of Health and Human Services in form, SPO-H-201 provided on the SPO website. 9. Unit Rate Not applicable. 10. Compensation and Method of Payment The method of payment will be cost reimbursement. The cost reimbursement pricing structure reflects a purchase arrangement in which the purchasing agency pays the provider for budgeted agreed-upon costs that are actually incurred in delivering the services specified in the contract, up to a stated maximum obligation. An initial advance payment of up to one eighth of the total contract amount will be made upon contract execution and receipt of a written cash request. Subsequent payments shall be made to the applicant in quarterly installments, upon submission by the applicant of written requests for payment. The State may retain some or all of each payment requested by the applicant. Payment of the retained amount shall be made based upon: acceptance of: (1) the written quarterly fiscal and program progress reports, and (2) acceptance of final written fiscal and program progress report. The reports shall be reviewed by the State and shall be subject to the States preliminary determination of appropriateness and allowability of the reported expenditures. The States preliminary determination of appropriateness and allowability of the reported expenditures shall be subject to later verification and subsequent audit. IV. Facilities The applicant shall provide a description of its facilities and demonstrate its adequacy in relation to the proposed services. If facilities are not presently available, describe plans to secure facilities. Also describe how the facilities meet the Americans with Disabilities Act (ADA) requirements, as applicable and special equipment that may be required for the services.  Section 3 Proposal Application Instructions General instructions for completing application(s): Proposal Application shall be submitted to state purchasing agency using the prescribed format outlined in this section. The proposal shall be organized and presented in the sections and subsections designated in the RFP and with prescribed content for each section. The numerical outline for the application, the titles/subtitles, applicant organization and RFP identification information on the top right hand corner of each page should be retained. The instructions for each section may be omitted. Page numbering of the Proposal Application should be consecutive, beginning with page one (1) and continuing through the complete proposal. Document binding is optional. Tabbing of sections is recommended. Applicant must also include a Table of Contents with the Proposal Application. A sample format is reflected in Section 5, Attachment B. Applicant is encouraged to use single spacing, 12 point Times New Roman font with 1 margins on all sides. A written response is required for each item. Failure to answer any of the items will impact upon an applicants score. Other supporting documents may be submitted in an Appendix, including visual aids to further explain specific points in the proposal; if used, they should be referenced. Applicant may submit either one-sided or two-sided proposal application(s). Proposal Application should not exceed 50 pages of main text, not including appendices, attachments, identification form (and/or title page), required forms, and table of contents. Appendices, attachments, identification form (and/or title page), required forms, and table of contents should not exceed 100 pages. Form SPO-H-200A is available on the SPO website (see Section 1, page 1-2, Website Reference). However, the form will not include items specific to each RFP. If using the website form, the applicant must include all items listed in this section. One (1) original and three (3) copies of each proposal are required. Applicant is strongly encouraged to review evaluation criteria in Section 4, Proposal Evaluation, when completing the proposal. The Proposal Application comprises of the following sections: Proposal Application Identification Form Table of Contents Program Overview Experience and Capability Project Staffing and Organization Service Delivery Financial Other Appendix (optional). I. Program Overview The applicant shall clearly and concisely summarize and highlight the contents of the proposal to orient and provide evaluators with a broad understanding as to the program/services being offered. II. Experience and Capability A. Necessary Skills The applicant shall demonstrate that it has the necessary skills, abilities, and knowledge that would enable it to effectively deliver the proposed services. Identify the key skills, abilities, and knowledge necessary to effectively deliver the requested services. Identify the specific staff in your organization who possess these skills, abilities and knowledge. B. Experience The applicant shall provide a short description of the projects/contracts pertinent to the proposed services. The applicant shall also provide a brief description and listing of past pertinent contract experience that includes all of the following the contracting agency, address, current telephone number(s) and/or email address, contract period, contract/program title, funding amount, contact person at contracting agency, and performance outcomes and ratings. The State reserves the right to contact references to verify experience. C. Quality Assurance and Evaluation The applicant shall describe its plans for quality assurance and evaluation for the proposed services, including methodology. Explain how applicant intends to determine whether or not the program was a success. Describe what evidence or documentation will be used to verify program accomplishments. The applicant shall also demonstrate that it has a written evaluation plan that effectively measures, monitors and evaluates program performance and detect and addresses issues/problems in a timely manner. (Refer to the quality assurance and evaluation requirements in Section 2, Service Specifications.) D. Coordination of Services The applicant shall demonstrate the capability to coordinate services with other agencies and resources in the community. The applicant will describe proposed partnerships or cooperative agreements with other public or private agencies that will assist the applicant in providing high quality youth services for immigrants. If letters of support are submitted, include only letters that establish genuine support and actually make a commitment of time, money, personnel, space, or resources to the program. Include letters that are absolutely necessary to support your proposal or that will enhance the program. E. Facilities The applicant shall provide a description of its facilities (i.e. location(s), layout, available technology and resources, etc.) and demonstrate its adequacy in relation to the proposed services. If facilities are not presently available, describe plans to secure them. Also describe how the facilities meet the Americans with Disabilities Act (ADA) requirements, as applicable and special equipment that may be required for the services. III. Project Organization and Staffing A. Project Organization Supervision and Training The applicant shall describe and demonstrate its ability to supervise, train and provide administrative direction relative to the delivery of the proposed services. The applicant shall explain how the program organization and assignment of personnel are sufficient for the effective administration, management, supervision, and provision of services to meet the projected requirements of this RFP. The applicant shall describe the training that would be provided for the staff and sub-recipient agencies to strengthen their capability to effectively provide the program services. The applicant shall propose a clear plan for reviewing the qualifications and effectiveness of existing qualified staff and sub-recipient agencies. 2. Organization Chart The applicant shall reflect the position of each staff and line of responsibility/supervision. (Include position title, name, and full-time equivalency.) Both the Organization-wide and Program organization charts shall be attached to the Proposal Application. The applicant shall provide an Organization-wide chart that shows the program placement of the required services within the overall agency, and a Program organization chart that shows the lines of communication between program administration and staff. Written explanations of both organization charts shall be included. Demonstrate that the applicants proposed organization would be sufficient to effectively administer, manage and provide the required services. B. Staffing 1. Proposed Staffing The applicant shall describe and demonstrate that (1) the proposed staffing pattern, client/staff caseload capacity appropriate for the viability of the services, and that applicants assignment of staff would be sufficient to effectively administer, manage, supervise and provide required services. (Refer to the personnel requirements in Section 2, Service Specifications, as applicable.) and (2) that applicants assignment of staff would be sufficient to effectively administer, manage, supervise, and provide the required services. Any proposed use of subcontractor shall be fully explained, justified, and demonstrated to be effective as in-house staff for the provision of required services. The applicant shall demonstrate that a proposed subcontractor is fully qualified for the specific work that is subcontracted, by including description of the proposed subcontractors experience, capability, project organization, staffing, and proposed services as set forth for applicants in the RFP. The applicant shall also explain how it will assure quality and effectiveness of the subcontractor, and assure compliance with all requirements of the RFP. Any proposed use of volunteer(s) shall be fully explained, justified, and demonstrated to be effective as in-house staff for the provision of required services. The applicant shall demonstrate that a proposed volunteer(s) are or would be fully qualified for the specific work assigned, could be relied on, and would be available when and where needed to provide the required services. The applicant shall also explain how it would provide sufficient management, supervision, oversight, and evaluation of volunteers, and otherwise assure that their work quality and effectiveness. The applicant shall also explain how it will assure that volunteers perform in compliance with all requirements of the RFP. 2. Staff Qualifications The applicant shall provide the minimum qualifications (including experience) for staff assigned to the program. (Refer to the personnel qualifications in Section 2, Service Specifications, as applicable.) The applicant shall provide job descriptions of proposed administrative and program staff that include the minimum qualifications necessary for the positions. If available, the applicant shall provide resumes of persons proposed for this RFP. The applicant shall also explain how the minimum qualifications and/or actual qualifications would assure that qualified persons would administer and provide the required services. IV. Service Delivery The applicant shall clearly identify and describe the geographic area(s) and the targeted population groups that it proposes to serve. The applicant shall demonstrate, with demographic data and other documentation, that the geographic area(s) it proposes to serve contains significant numbers of the target population of this RFP; there is a determined need for the services; the services available to the area are insufficient to fill the need; and the extent of services proposed for each area will effectively address the needs. The applicant shall describe its program in sufficient detail to provide a complete and comprehensive picture of its total program design. The applicant shall explain how it would provide all of the services required in Section 2, Item III Scope of Work, addressing all service locations, tasks, activities, time lines, milestones, and other pertinent information. Time lines should include goals and objectives with start and completion dates, major milestones or special events, important deadlines, scheduled reports and evaluations, as well as special requirements by the funding source. If applicant is proposing a new program, applicant shall provide a detailed start-up plan. The plan shall include tasks, activities, personnel, and timeframe. The plan shall clearly show how the applicant would have the program established with necessary staffing to meet the anticipated caseload and provide the required services in all applicable geographic areas by July 1, 2007. The applicant shall describe and justify its overall approach and methodology in addressing the need identified in this RFP, including a logical step-by-step progression of proposed program services from start to finish and how it would effectively serve clients with multiple barriers to obtain successful outcomes. The applicant shall state the amounts of the required outputs that it proposes to provide, outcomes that it expects to achieve or that will result from its services, and why these outputs and outcomes are feasible and demonstrate the effectiveness of services. Explain in sufficient detail how the outputs and outcomes will be tracked and documented in the participant file and/or agency records. Projected outputs and outcomes shall be submitted on the performance output and outcome measurements tables provided at the end of each Section 5, Attachments for each RFP. Where the applicant proposes different or additional outputs and outcomes than those provided by OCS, a justification should be provided. V. Financial A. Pricing Structure The applicant shall submit a cost proposal utilizing the pricing structure designated by the state purchasing agency. The cost proposal shall be attached to the Proposal Application. 1. Pricing Structure Based on Cost Reimbursement The cost reimbursement pricing structure reflects a purchase arrangement in which the purchasing agency pays the provider for budgeted agreed-upon costs that are actually incurred in delivering the services specified in the contract, up to a stated maximum obligation. 2. Budget Forms As applicable, provide a budget with line-item detail and detailed calculations for each budget object class identified in the budget forms below. Detailed calculations must include estimation methods, quantities, unit costs, and other similar quantitative detail sufficient for the calculation to be duplicated. All budget forms, instructions and samples are located on the SPO website (see Section 1, page 1-2, Website Reference). The following budget form(s) shall be submitted with the Proposal Application: SPO-H-205 Proposal Budget for FY 2008-2009 SPO-H-206A Budget Justification Personnel: Salaries and Wages SPO-H-206B Budget Justification Personnel: Payroll Taxes, Assessment and Fringe Benefits SPO-H-206C Budget Justification Travel: Inter-Island SPO-H-206D Budget Justification Travel: Out-of-State SPO-H-206E Budget Justification - Contractual Services: Administrative SPO-H-206F Budget Justification Contractual Services: Subcontracts SPO-H-206H Budget Justification - Program Activities SPO-H-206I Budget Justification - Equipment Purchases The applicant shall also utilize form SPO-H-201, Chapter 103F, HRS, Cost Principles in Purchases of Health and Human Services, in preparing its cost proposal. In completing the required budget forms, the applicant should consider the evaluation criteria contained in Section 4, whereby the comprehensiveness of the information presented and the justification of all cost items are particularly important factors. If more space is needed to fully explain and justify the proposed cost items, the applicant should attach additional sheets as necessary. 3. Budget Justification The budget justification should be in a narrative form. It evaluates the appropriateness and reasonableness of project costs in relation to anticipated program activities and planned outcomes. Personnel Description: Costs of employee salaries and wages. Justification: Identify key project staff if known at the time of application. For each staff person, provide: title, time commitment to the project as a percentage or full-time equivalent, and annual salary. Fringe Description: Costs of employee fringe benefits unless treated as part of an approved indirect cost rate. Justification: Provide a breakdown of the amounts and percentages that comprise fringe benefits, payroll taxes and assessment costs such as health insurance, FICA, retirement, unemployment insurance, social security, etc. c. Travel Description: Cost of project-related travel by applicant employees. Justification: For each trip, show: the total number of traveler(s); travel destination; duration of trip; per diem; mileage allowances, if privately owned vehicles will be used; and other transportation costs as well as subsistence allowances. d. Equipment Description: Equipment means an article including items of personal property, as distinguished from real property, having a useful life of more than one year and an acquisition cost of $250 or more. Justification: For each type of equipment requested provide: a description of the equipment, cost per unit, number of units, the total cost, and a plan for use on the project. e. Supplies Description: Cost of all tangible personal property other than that included under the Equipment category. Justification: Specify general categories of supplies and their costs. Show computation and provide other information that supports the amount requested. f. Contractual Description: Costs of all contracts for services and goods except for those that belong under other categories such as equipment, supplies, etc. Include third-party evaluation contracts, if applicable, and contracts with secondary recipient organizations, including delegate agencies and specific project(s) and/or businesses to be financed by the applicant. Justification: Demonstrate that all procurement transactions will be conducted in a manner provided, to the maximum extent practical, open and free competition. Note: Whenever the applicant intends to delegate part of the project to another agency, the applicant must provide a detailed budget and budget narrative for each delegate agency, by agency title, along with the required supporting information. g. Other Enter the total of all other costs. Such costs, where applicable and appropriate, may include but are not limited to: insurance; food; medical costs; professional services costs; space and equipment rentals; printing and publication; computer use; training costs, such as tuition and stipends; staff development costs; and administrative costs. Justification: Provide computations, a narrative description and a justification for each cost under this category. h. Indirect Charges Description: Total amount of indirect costs. This category should be used only when the applicant currently has an indirect cost rate approved by the Department of Health and Human Services (DHHS) or another cognizant Federal agency. In general, OCS does not allow indirect cost rates. Indirect costs will be approved only on a case-by-case basis and at OCS discretion. Justification: An applicant that will charge indirect costs to the grant must enclose a copy of the current rate agreement. If the applicant is requesting a rate that is less than what is allowed under the program, the authorized representative of the applicant organization must submit a signed acknowledgement that the applicant is accepting a lower rate than allowed. B. Other Financial Related Materials 1. Accounting System The applicant shall provide, as part of its cost proposal, its most recent independent financial audit, with the accompanying management letter, to demonstrate the adequacy of its accounting system. The requirements for an adequate accounting system may include, but not limited to, keeping accurate procurement and financial records required by law, the state purchasing agency, or the State Procurement Office (SPO); providing required cost data in acceptable form and in a timely manner; and compliance with generally accepted accounting principles. 2. Need for Funding If the services proposed by applicant are to be part of a larger project supported by other funding sources, the applicant shall identify the other funding amounts and sources, provide the planned or anticipated total project budget on form SPO-H-205 in columns (b), (c), (d), and explain its need for these funds. 3. Cost Effectiveness The applicant shall explain why it considers its proposed services to be cost effective for the area and target population group that it would serve. VI. Other A. Litigation The applicant shall disclose any pending litigation to which they are a party, including the disclosure of any outstanding judgment. If applicable, please explain. VII. Appendix (Optional)  Section 4 Proposal Evaluation I. Introduction The evaluation of proposals received in response to the RFP will be conducted comprehensively, fairly, and impartially. Structural, quantitative scoring techniques will be utilized to maximize the objectivity of the evaluation. II. Evaluation Process The procurement officer, or an evaluation committee of designated reviewers selected by the head of the state purchasing agency or procurement officer, shall review and evaluate proposals. When an evaluation committee is utilized, the head of the purchasing agency or the procurement officer shall select for each RFP a minimum of two employees from a state agency or agencies that meet the above criteria to evaluate the proposal received. Non-state employees may serve as advisors in the evaluation of the proposals but shall not represent or act on behalf of a purchasing agency in any selection or award. Unless stated otherwise, the evaluation of the proposal shall be based solely upon the criteria and their relative priorities as established in this RFP. A written evaluation shall be made for each proposal based on a numerical rating system. The evaluation will be conducted in three phases as follows: Phase 1 Evaluation of Proposal Requirements Phase 2 Evaluation of Proposal Application Phase 3 Recommendation for Award Evaluation Categories and Threshold  Evaluation CategoriesPossible PointsAdministrative RequirementsProposal Application100 PointsProgram Overview0 pointsExperience and Capability18 pointsProject Staffing and Organization 15 pointsService Delivery47 pointsFinancial20 pointsTOTAL POSSIBLE POINTS100 Points III. Evaluation Criteria A. Phase 1 Evaluation of Proposal Requirements 1. Administrative Requirements Application Checklist Proposal Application Requirements: Proposal Application Identification Form (Form SPO-H-200) Table of Contents Program Overview Experience and Capability Project Organization and Staffing Service Delivery Financial (all required forms and documents) Program Specific Requirements (as applicable) B. Phase 2 Evaluation of Proposal Application (100 Points) 1. Program Overview (0 Points) Not applicable. Note: No points are assigned to Program Overview. The intent is to give the applicant an opportunity to orient evaluators as to the services being offered. 2. Experience and Capability (18 Points) OCS will evaluate the experience and capability to provide the services as follows: a. Necessary Skills Identify key skills, abilities, and knowledge necessary to effectively deliver the requested services. Identify the specific staff in your organization that posses these skills, abilities, and knowledge. (3 points) b. Experience Demonstrates that applicant has substantial experience in effectively providing the required services through pertinent past and current contract accomplishments. (4 points) Contracting Agency Contact person Contact Information (address, telephone number, email address) Contract/Program Title Contract Period Funding Amount Performance Outcomes c. Quality Assurance and Evaluation Sufficiency of quality assurance and evaluation plans for the proposed services, including methodology. Demonstrates that applicant has (1) a written quality assurance plan sufficient to assure consistent and high quality of administration and services, and (2) a written evaluation plan to effectively measure, monitor, and evaluate program performance, and timely detect and resolve program problems. (4 points) d. Coordination of Services Demonstrates applicants capability to coordinate proposed services with relevant agencies and resources in the community. Provides examples of how relationship/agreements with other agencies, community groups, employers, etc., assist in achieving program goals and objectives. (3 points) e. Facilities Demonstrates that applicant would provide adequate facilities for the services proposed that are in compliance with Americans with Disabilities Act and other applicable laws and regulations. (4 points) 3. Project Organization and Staffing (15 Points) OCS will evaluate the project organization and staffing as follows: a. Project Organization (7 points) Supervision and Training: Demonstrates ability that applicant would supervise, train and provide administrative direction to staff relative to the delivery of the proposed services. Extent to which applicant proposes a clear plan for reviewing the qualifications and effectiveness of existing qualified staff. (4 points) Organization Chart: Approach and rationale for the structure, functions, and staffing of the proposed organization for the overall service activity and tasks. Demonstrates that applicants proposed organization would be sufficient to effectively administer, manage, and provide the required services. (3 points) b. Staffing (8 points) Proposed Staffing: That the staffing pattern, client/staff ratio, and caseload capacity is reasonable to insure viability of the services. Demonstrates that applicants assignment of staff would be sufficient to effectively administer, manage, supervise, and provide the required services. Staff Qualifications: Minimum qualifications (including experience) for staff assigned to the program. Extent to which the applicant demonstrates the proposed program director and key staff are qualified and knowledgeable about food collection, storage, and distribution regulations and standards. 4. Service Delivery (47 Points) OCS will evaluate the service delivery as follows: Demonstrates via data, and evidence-based knowledge and that the (a) geographic area the applicant proposes to serve contains significant numbers of the target population, (b) targeted population group in this area has a need for the required services, and (c) services already provided to this area are insufficient to meet this need. (8 points) Demonstrates that applicants program design is comprehensive and complete, by explaining in sufficient detail all services and information required, including descriptions of service locations, program tasks, activities, time lines, and other pertinent information. (13 points) Demonstrates that applicants proposed approach and methodology are sound by showing (a) a step-by-step progression of services provided to clients from intake to achievement of the desired outputs/outcomes, and (b) how applicant would effectively serve clients with multiple barriers to obtain successful outcomes through these services. (13 points) Demonstrates that applicant proposes feasible, effective program outputs and outcomes. Demonstrates applicants ability to propose the proper instruments, measuring tools, and documentation that it will use to verify each of the program outputs and outcomes. Explains in sufficient detail how outputs and outcomes will be tracked and documented in the participants files and/or agency records. Describes applicants ability to provide complete, accurate, and timely reports on program performance. (13 points) 5. Financial (20 Points) OCS will evaluate the financial proposal as follows: Demonstrates that applicants proposed costs are reasonable and necessary by providing adequate information and justification for all cost items, and explanation of applicants method of allocation of indirect costs. Demonstrates that the applicant has a need for the amount requested for the proposed services. (15 points) Demonstrates the adequacy of applicants accounting system and procedures to assure proper and sound fiscal administration of funding. (5 points) Where the applicant combines this funding resource with other youth services funding sources, clearly describe systems to track, manage, and account for multiple funding streams and allocate costs to different funding sources. IV. Phase 3 Recommendation for Award Each notice of award shall contain a statement of findings and decision for the award or non-award of the contract to each applicant. OCS reserves the right not to select and award the lowest price proposal application. In fact, OCS may decide at its discretion not to select and award any of the submitted applications.  Section 5 Attachments A. Proposal Application Checklist B. Sample Table of Contents C. Output and Performance/Outcome Measurements Table D. Criminal Conviction Record Check Standards Protective Services Central Registry Standards Proposal Application Checklist Applicant:RFP No.: The applicants proposal must contain the following components in the order shown below. This checklist must be signed, dated and returned to the purchasing agency as part of the Proposal Application. SPOH forms ore on the SPO website. See Section 1, paragraph II Website Reference.* ItemReference in RFPFormat/Instructions ProvidedRequired by Purchasing AgencyCompleted by ApplicantGeneral:Proposal Application Identification Form (SPO-H-200)Section 1, RFPSPO Website*XProposal Application ChecklistSection 1, RFPAttachment AXTable of ContentsSection 5, RFPSection 5, RFPXProposal Application (SPO-H-200A)Section 3, RFPSPO Website*XTax Clearance Certificate (Form A-6)Section 1, RFPDept. of Taxation Website (Link on SPO website)*Cost Proposal (Budget)SPO-H-205Section 3, RFPSPO Website*XSPO-H-205ASection 3, RFP SPO Website* Special Instructions are in Section 5SPO-H-205BSection 3, RFP, SPO Website* Special Instructions are in Section 5SPO-H-206ASection 3, RFPSPO Website*XSPO-H-206BSection 3, RFPSPO Website*XSPO-H-206CSection 3, RFPSPO Website*XSPO-H-206DSection 3, RFPSPO Website*XSPO-H-206ESection 3, RFPSPO Website*XSPO-H-206FSection 3, RFPSPO Website*XSPO-H-206GSection 3, RFPSPO Website*SPO-H-206HSection 3, RFPSPO Website*XSPO-H-206ISection 3, RFPSPO Website*XSPO-H-206JSection 3, RFPSPO Website*Certifications:Federal CertificationsSection 5, RFPDebarment & SuspensionSection 5, RFPDrug Free Workplace Section 5, RFPLobbyingSection 5, RFPProgram Fraud Civil Remedies ActSection 5, RFPEnvironmental Tobacco SmokeSection 5, RFPProgram Specific Requirements:Audit with Management LetterSection 3, RFPXOrganization ChartsSection 3, RFPXOutput and Performance/Outcome Measurements TableSection 5, RFPSection 5, RFPX Authorized Signature Date Proposal Application Table of Contents Program Overview 1 Experience and Capability 1 Necessary Skills 2 Experience 4 Quality Assurance and Evaluation 5 Coordination of Services 6 Facilities 6 Project Staffing and Organization 7 Staffing 7 Proposed Staffing 7 Staff Qualifications 9 Project Organization 10 Supervision and Training 10 Organization Chart (Program & Organization-wide) (See Attachments for Organization Charts) Service Delivery 12 Financial 20 See Attachments for Cost Proposal Litigation 20 Attachments Cost Proposal SPO-H-205 Proposal Budget SPO-H-206A Budget Justification - Personnel: Salaries & Wages SPO-H-206B Budget Justification - Personnel: Payroll Taxes and Assessments, and Fringe Benefits SPO-H-206C Budget Justification - Travel: Inter-Island SPO-H-206D Budget Justification - Travel: Out-of-State SPO-H-206E Budget Justification - Contractual Services Administrative SPO-H-206F Budget Justification - Contractual Services Subcontracts SPO-H-206H Budget Justification - Program Activities SPO-H-206I Budget Justification Equipment Purchases Other Financial Related Materials Financial Audit for fiscal year ended June 30, 2005 Organization Charts Program Organization-wide Output and Performance/Outcome Measurements Table Program Specific Requirements OUTPUT AND PERFORMANCE/OUTCOME MEASUREMENTS FY 2008FY 2009OutputsNumber of youth assessed for program eligibilityNumber of youth assessed and enrolled in programNumber of youth completed pre-employment preparation servicesNumber of youth assisted with schoolwork through group or one-on-one tutoringNumber of youth completed substance abuse prevention educationNumber of youth joined/participated in community service organizations or activitiesOutcomesNumber of youth improved academic performanceNumber of youth improved English language competencyNumber of youth placed in employment or vocational trainingNumber of youth fulfilled goals of Individuals Service Plan ATTACHMENT D CRIMINAL CONVICTION RECORD CHECK STANDARDS PROTECTIVE SERVICES CENTRAL REGISTRY STANDARDS DEPARTMENT OF HUMAN SERVICES Social Services Division CRIMINAL CONVICTION RECORD CHECK STANDARDS I. PURPOSE To protect the health, safety and welfare of Adult and Community Care Services Branch (ACCSB) and Child Welfare Service Branch (CWSB) clients, criminal conviction information on an individual who wishes to serve as a direct service provider shall be considered in determining whether the individual is suitable to serve as a direct service provider to ACCSB/CWSB clients. II. STATE CRIMINAL INFORMATION SYSTEM CHECK Upon implementation of these standards, a check of the Hawaii Criminal Justice Data Centers (HCJDC) criminal history record system for a criminal conviction record check shall be conducted when an individual is: Conditionally offered a position as a direct service provider by an agency, purchase of service contractor, or individual employer. Pending the completion of the criminal conviction record check, the individual may be placed in a direct service provider position on a probationary status not to exceed thirty (30) days; In a direct service provider position when these standards become effective. The criminal conviction record check shall be completed within six (6) months of the effective date of these standards. Individuals shall have a criminal conviction record check upon initial hire or implementation of these standards and a second criminal conviction record check twelve months later. Thereafter, criminal conviction record checks shall be conducted every other year. The responsibility for conducting a criminal conviction record check shall rest with the individual seeking to become a direct service provider or the individual/agency/organization hiring the individual as a direct service provider. The criminal conviction record checks shall be conducted through the Hawaii Criminal Justice Data Center, as follows: 1. Oahu: Hawaii Criminal Justice Data Center 465 South King Street, Room 101 Honolulu, Hawaii 96813 The Oahu office, for a fee, will process mailed-in requests for criminal conviction records checks. 2. Neighbor Islands: County police stations where HCJDC computer terminals are available. Molokai and Lanai are covered through the main police station on Maui. D. A printed report of each criminal conviction record check is required. A copy of each criminal conviction record check report shall be accompanied by a signed statement of authenticity that the criminal conviction record report is a true and unaltered copy. Copies of the criminal conviction record check report and statement of authenticity shall be retained in the hired individuals personnel file and made available for review by Department staff for compliance monitoring purposes. E. A printed criminal conviction record check report, dated no more than six (6) months before the date an initial criminal conviction record check is required may be accepted instead of a new criminal conviction record check being performed. F. The Department shall not be directly responsible for any cost related to the criminal conviction record check. Funds received through a Purchase of Service contract with the Department for administrative costs may be used to meet the cost for criminal conviction record checks. III. CONVICTION RECORDS IN HIRING AND TERMINATING DIRECT SERVICE PROVIDERS Information contained in criminal conviction record check reports shall be taken into consideration when hiring and terminating individuals as direct service providers. An offer of employment shall be withdrawn or the position of a direct service provider shall be terminated when a prospective or current direct service provider has a criminal conviction as indicated below: The criminal conviction shall have occurred within ten (10) years of the date of the criminal conviction record check; and The crime for which there is a conviction shall have a rational relationship to a direct service providers position. Rational relationship means the crime for which there is a conviction is substantially related to the qualifications, duties and responsibilities of a direct service provider position. Crimes having rational relationships to direct service provider positions include any felony, including but not limited to theft, abuse, neglect, assault, or crimes involving violence or sexual offenses. Exemptions from the requirements of sections III. A. and B. may be approved by ACCSB/CWSB. Requests for exemptions shall be made in writing by using form DHS 1673, Request for Exemption (From Criminal Conviction Records Check Standards), or a similar form. The individual seeking the exemption must complete the exemption form and a copy of the individuals current criminal conviction record check must accompany the request. The exemption request shall be submitted to the ACCSB/CWSB Administrator. Upon receipt of the written exemption request, the ACCSB/CWSB Administrator shall convene a panel to review the request. The panel shall include the ACCSB/CWSB Administrator or designee, the ACCSB/CWSB-Program Development Administrator, relevant ACCSB/CWSB Assistant Program and Section Administrators, and anyone else deemed appropriate by the ACCSB/CWSB Administrator or designee. The panel shall consider the following: The relevancy of the individuals conviction record to the qualifications, functions and duties of the direct service provider position the individual wishes to fill; Passage of time since the crime was committed; and Any evidence of rehabilitation, such as letters from counselors or therapists attesting to a sustained improvement in the individuals behavior, character references, and activities since conviction, such as employment. A single factor may not be evidence of rehabilitation. If necessary, the panel shall request additional information from the individual seeking the exemption. Individuals requesting exemptions shall be informed in writing of the panels decision within 45 calendar days from the date ACCSB/CWSB receives form DHS 1673, Request for Exemption (From Criminal Conviction Record Check Standards), or similar form. ACCSB/CWSB may extend the 45-day period with cause and a written explanation to the individual seeking the exemption. Individuals who are dissatisfied with the ACCSB/CWSB panel decisions on their exemption requests may: Request an informal discussion with the ACCSB/CWSB Administrator; and/or Appeal the panels decision to the Social Service Division Administrator. D. ACCSB/CWSB clients may choose not to do criminal conviction record checks on individuals they hire on their own. Clients who choose not to have criminal conviction record checks shall complete form DHS 1672, Consumer-employer Choice Regarding Criminal Conviction Records Check, to acknowledge their understanding of these standards and the purpose for the checks, and their decision not to conduct criminal conviction record checks on individuals they plan to hire as direct service providers. DEPARTMENT OF HUMAN SERVICES Social Services Division PROTECTIVE SERVICES CENTRAL REGISTRY CHECK STANDARDS I. PURPOSE To protect the health, safety and welfare of Adult and Community Care Services Branch (ACCSB) and Child Welfare Services Branch (CWSB) clients, Protective Services Central Registry information on an individual who wishes to serve as a direct service provider shall be considered in determining whether the individual is suitable to serve as a direct service provider to ACCSB/CWSB clients. The Protective Services Central Registry may include information from the Adult Protective Services (APS) Central Registry and the Child Welfare Services (CWS) Central Registry. The APS Central Registry shall be checked for individuals serving as direct service providers for ACCSB clients. The CWS Central Registry shall be checked for individuals serving as direct service providers for CWSB clients. Both Registries shall be checked for individuals serving as direct service providers for both ACCSB and CWSB clients, and for ACCSB clients who are minor children. These Protective Services Central Registry Check Standards do not apply to direct service providers who must meet the licensing standards as specified in the Child-Caring Institution and/or Child-Placing Organization administrative rules. II. PROTECTIVE SERVICES CENTRAL REGISTRY CHECK A. Upon implementation of these standards, a check of the Protective Services Central Registry shall be conducted when an individual is: 1. Conditionally offered a position as a direct service provider by an agency, purchase of service contractor, or individual employer. Pending the completion of the Protective Services Central Registry check, the individual may be placed in a direct service provider position on a probationary status not to exceed thirty (30) days; or 2. In a direct service provider position when these standards become effective. The Protective Services Central Registry check shall be completed within six (6) months of the effective date of these standards. B. Individuals shall have a Protective Services Central Registry check upon initial hire or implementation of these standards and a second Protective Services Central Registry check twelve (12) months later. Thereafter, Protective Services Central Registry checks shall be conducted every other year. C. The Department of Human Services is responsible for conducting the Protective Services Central Registry checks upon request of the individual seeking to become a direct service provider. The individual shall sign and date the DHS 1507, Consent to Release Information From the Protective Services Central Registry, and mail the completed form to the Department of Human Services. The release of information by the Department of Human Services shall be limited to the following: APS CENTRAL REGISTRY CHECK Notification of whether the individual requesting the information is known to the Department of Human Services to have caused the abuse of a dependent adult; and Notification of whether the allegation of abuse is confirmed or not confirmed. CWS CENTRAL REGISTRY CHECK 1. Date of CONFIRMED incident(s) of child abuse or neglect; and 2. Type of abuse for each incident. D. The following offices shall conduct the Protective Services Central Registry check upon receipt of the DHS 1507 as specified in section II-C: APS CENTRAL REGISTRY CHECKS 1. Oahu: Adult Intake Unit Adult and Community Care Services Section 420 Waiakamilo Road, Suite 300A Honolulu, Hawaii 96817-4941 2. East Hawaii: Adult and Community Care Services Section 224 Haili Street Hilo, Hawaii 96720 3. West Hawaii: Adult and Community Care Services Section 75-5995 Kuakini Highway, #433 Kailua-Kona, Hawaii 96740 4. Kauai: Adult and Community Care Services Section 4370 Kukui Grove Street, Suite 205 Lihue, Hawaii 96766 5. Maui: Adult and Community Care Services Section 1773-B Wili Pa Loop Wailuku, Hawaii 96793-1250 The Maui Section shall conduct APS Central Registry checks for the islands of Maui, Molokai, and Lanai. CWS CENTRAL REGISTRY CHECKS 1. Oahu: Child Welfare Services Intake Unit 420 Waiakamilo Road, Suite 300A Honolulu, Hawaii 96817-4941 2. East Hawaii: East Hawaii Special Services Unit 120 Pauahi Street, Suite 210 Hilo, Hawaii 96720 3. West Hawaii: West Hawaii CWS Intake/Permanency Unit 75-5995 Kuakini Highway, Suite 523 Kailua-Kona, Hawaii 96740 4. Kauai: Intake/Central Child Welfare Services Unit Lihue State Office Building 3060 Eiwa Street, Room 102 Lihue, Hawaii 96766-1890 5. Maui: West Child Welfare Services Unit 1885 Main Street, Suite 306 Wailuku, Hawaii 96793 The Maui Unit shall conduct CWS Central Registry checks for the islands of Maui, Molokai, and Lanai. E. Upon completion of the Protective Services Central Registry check, the Department of Human Services shall mail a letter to the individual requesting the information or to the agency/organization identified by the individual to receive the information. A copy of each Protective Services Central Registry check shall be retained in the hired individuals personnel file and made available for review by Department staff for compliance monitoring purposes. F. A copy of a Protective Services Central Registry check, dated no more than six (6) months before the date an initial Protective Services Central Registry check is required, may be accepted instead of a new Protective Services Central Registry check being performed. III. PROTECTIVE SERVICES CENTRAL REGISTRY CHECKS IN HIRING AND TERMINATING DIRECT SERVICE PROVIDERS A. When the Protective Services Central Registry check indicates that abuse has been confirmed, the individual/agency/organization hiring the individual as a direct service provider must inquire of that individual as to the nature and circumstance of the confirmed abuse. Information obtained by the individual/agency/organization from the Protective Services Central Registry check shall be taken into consideration when hiring and terminating individuals as direct service providers. An offer of employment shall be withdrawn or the position of a direct service provider shall be terminated when: 1. A prospective or current direct service provider has a Protective Services Central Registry check indicating that abuse was confirmed and that the abuse occurred within ten (10) years of the date of the Protective Services Central Registry check; and 2. The confirmed abuse has a rational relationship to a direct service providers position. Rational relationship means the confirmed abuse is substantially related to the qualifications, duties and responsibilities of a direct service provider position. B. Exemptions from the requirements of sections III. A. 1 and 2 may be approved by ACCSB/CWSB. 1. Requests for exemptions shall be made in writing by using form DHS 1673, Request for Exemption (From Criminal Conviction Records Check or Protective Services Central Registry Check Standards) or a similar form. The individual seeking the exemption must complete the exemption form and a copy of the individuals current Protective Services Central Registry check must accompany the request. The exemption request shall be submitted to the ACCSB/CWSB Administrator. 2. The attached Checklist for Exemption Request may be used as a reminder of the documents to be submitted to the Department for EACH exemption request. Additional copies of this checklist may be photocopied as needed. 3. The employer agency must be involved in the exemption process to assure the timely submittal of all required documents and appropriateness of the exemption request. Requests for exemptions shall be routed through the prospective employer agency prior to submittal to the Department. 4. Upon receipt of the written exemption request, the ACCSB/CWSB Administrator shall convene a panel to review the request. The panel shall include the ACCSB/CWSB Administrator or designee, the ACCSB/CWSB Program Development Administrator, relevant ACCSB/CWSB Assistant Program and Section Administrators, and anyone else deemed appropriate by the ACCSB/CWSB Administrator or designee. 5. The panel shall consider the following: a. The relevancy of the individuals protective services history to the qualifications, functions and duties of the direct service provider position the individual wishes to fill; b. Passage of time since the abuse was committed; and c. Any evidence of rehabilitation, such as letters from counselors or therapists attesting to a sustained improvement in the individuals behavior, character references, and activities since the commission of abuse. 6. A single factor may not be evidence of rehabilitation. If necessary, the panel shall request additional information from the individual seeking the exemption. 7. Individuals requesting exemptions shall be informed in writing of the panels decision within 45 calendar days from the date ACCSB/CWSB receives all documents listed on the attached Checklist for Exemption Request and needed for a decision to be made. ACCSB/CWSB may extend the 45-day period with cause and a written explanation to the individual seeking the exemption. 8. Individuals who are dissatisfied with the ACCSB/CWSB panel decisions on their exemption requests may: a. Request an informal discussion with the ACCSB/CWSB Administrator; and/or b. Appeal the panels decision to the Social Services Division Administrator. C. ACCSB clients may choose not to do APS Central Registry checks on individuals they hire on their own. Clients who choose not to have APS Central Registry checks shall complete form DHS 1672, Consumer-Employer Choice Regarding Criminal Conviction Record Check or Adult Protective Services Central Registry Check, to acknowledge their understanding of these standards and the purpose for the checks, and their decision not to conduct criminal conviction record or Adult Protective Services Central Registry checks on the individuals they plan to hire as direct service providers. Attachment Checklist for Exemption Request      PAGE iii RFP Notice/Cover Letter (Rev. 4/08)  PAGE iv Proposal Mail-In and Delivery Info (Rev. 4/08) v Vi Important Dates (Rev. 04/08) vii viii RFP Table of Contents (Rev. 4/08) ix RFP Table of Contents (Rev. 4/08) x RFP Table of Contents (Rev. 4/08) xi RFP Table of Contents (Rev. 4/08) RFP No. OCS LBR 903-08 Youth Services for Immigrants 1- PAGE 9 RFP Administrative Overview (Rev. 4/08) RFP No. OCS LBR 903-08 Youth Services for Immigrants 2- PAGE 2 RFP Service Specifications (Rev. 4/08) RFP No. OCS LBR 903-08 Youth Services for Immigrants 3- PAGE 1 Proposal Application Instructions (Rev. 4/08) RFP No. OCS LBR 903-08 Youth Services for Immigrants 4- PAGE 4 Proposal Evaluation (Rev. 4/08) RFP No. OCS LBR 903-08 Youth Services for Immigrants PAGE  5-PAGE 1 RFP Attachments (Rev. 4/08) RFP No. OCS LBR 903-08 Youth Services for Immigrants PAGE 1 5-2 SPO-H (Rev. 4/08) RFP No. OCS LBR 903-08 Youth Services for Immigrants 5-3 SPO-H (Rev. 4/08) RFP No. OCS LBR 903-12 Youth Services for Immigrants 5-4 PAGE  Rev. as of 04/06  PAGE 3 of 3 pages  PAGE 1 of 3 pages as of 6/16/00 SPO-H (Rev. 4/08)  PAGE 5of 5 pages OCS Room 420 Department of Labor & Industrial Relations (DLIR) Office of Community Services Keelikolani Building 830 Punchbowl Street, Room 420 Honolulu, Hawaii 96813 Keith Yabusaki, Planning Administrator Phone: (808) 586-8680 Facsimile: (808) 586-8685 E-mail: HYPERLINK "mailto:keith.y.yabusaki@hawaii.gov" keith.y.yabusaki@hawaii.gov Department of Labor & Industrial Relations (DLIR) Office of Community Services Keelikolani Building 830 Punchbowl Street, Room 420 Honolulu, Hawaii 96813 Section 1 Administrative Overview Section 2 Service Specifications Section 3 Proposal Application Instructions Section 4 Proposal Evaluation Section 5 Attachments Public Parking Federal Building >[rsuv Ǽח{r{nj_QjhR UmHnHuh+IO5CJ 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