Loading...
HomeMy WebLinkAboutReso 143-2017 (17-1058)City of South San Francisco P.O. - Box 711 (City Hall, 400 Grand Avenue) South San Francisco, CA City council Resolution: RES 143 -2017 File Number: 17 -1058 Enactment Number: RES 143 -2017 RESOLUTION AUTHORIZING THE ACCEPTANCE OF $200,000 IN GRANT FUNDING FROM THE SILICON VALLEY COMMUNITY FOUNDATION, SOCIAL INNOVATION FUND AND COUNTY OF SAN MATEO MEASURE A SALES TAX FUNDS FOR THE THIRD YEAR OF THE BIG LIFT LITTLE STEPS PRESCHOOL AT THE COMMUNITY LEARNING CENTER, AND AMENDING THE PARKS AND RECREATION DEPARTMENT'S FISCAL YEAR 2017 -18 OPERATING BUDGET PURSUANT TO BUDGET AMENDMENT # 18.013. WHEREAS, the Big Lift initiative, a collaborative led by the Silicon Valley Community Foundation, the San Mateo County Office of Education and the County of San Mateo, aims to close the achievement gap and improve third -grade reading proficiency in San Mateo County by supporting preschools and reading readiness activities; and WHEREAS, the Department of Parks and Recreation was awarded $20,500 for Fiscal Year 2014 -15, $252,175 for Fiscal Year 2015 -16, $286,619.39 for Fiscal Year 2016 -17, and $200,000 for Fiscal Year 2017 -18 for a total of $759,294.39 in grant funds to create additional preschool space at the Little Steps Preschool at the Community Learning Center; and WHEREAS, these grant funds will be utilized to amend the Department's 2017 -18 operating budget to fund the Little Steps Preschool and support reading readiness, parent engagement, improved attendance, and enhanced preschool teacher trainings, as allowed by the terms of the grant agreement, a draft attached herewith as Exhibit A; and WHEREAS, acceptance of these funds does not commit the City to ongoing funding after the close of the grant cycle; and WHEREAS, receipt of these grant funds will enable the Parks and Recreation Department to implement preschool programs, which would not otherwise be funded, and to work collaboratively with our Big Lift partners to increase outreach and enhance the quality of City and community preschools. NOW, THEREFORE, BE IT RESOLVED, by the City Council of the City of South San Francisco that the City Council hereby authorizes the acceptance of $200,000 in grant funding from Silicon Valley Community Foundation, the Social Innovation Fund, and County of San Mateo Measure A Sales Tax City of South San Francisco Page 1 File Number. 17 -1058 revenue to support preschool and reading readiness activities. Enactment Number. RES 143 -2017 BE IT FURTHER RESOLVED, that the City Council amends the Parks and Recreation Department's 2017 -18 Operating Budget by $200,000. BE IT FURTHER RESOLVED that the City Council hereby authorizes the City to execute the documents necessary to accept the grant funding and take any other actions necessary to carry out the intent of this resolution on behalf of the City Council, subject to approval as to form by the City Attorney. At a meeting of the City Council on 11/8/2017, a motion was made by Mark Addiego, seconded by Richard Garbarino, that this Resolution be adopted. The motion passed. Yes: 5 Vice Mayor Normandy, Councilmember Garbarino, Councilmember Matsumoto, Mayor Gupta, and CouncilmemberAddiego Atte t by K ' a go I' City of South San Francisco Page 2 September 30, 2017 Mr. Mike Futrell City Manager City of South San Francisco 33 Arroyo Drive South San Francisco, CA 94080 Dear Mr. Futrell: On behalf of Silicon Valley Community Foundation, I am pleased to inform you that the community foundation has awarded City of South San Francisco a renewal grant award not to exceed $200,000 from The Big Lift collaborative for the grant period of September 1, 2017 – August 31, 2017. We are delighted to support City of South San Francisco with this award to improve outcomes for children in San Mateo County, made possible through San Mateo County Measure A tax dollars and a Social Innovation Fund (SIF) grant from the Corporation for National and Community Service (CNCS). Once we receive the signed agreement, you may begin invoicing for this award. All questions related to your award (including your scope of work, budget and the Terms and Conditions) should be directed to [email protected]. The enclosed grant agreement is City of South San Francisco contract with Silicon Valley Community Foundation detailing how the funds will be spent. You may not use the funds in any way other than as described in the grant proposal and agreement unless you receive written permission from the community foundation. The community foundation is proud to partner with you in our shared mission to strengthen the common good and support innovative solutions to the region’s most challenging issues. Sincerely, Erica Wood Chief Community Impact Officer Enclosure: Grant Agreement Approved Budget (Attachment A) Scope of Work (Attachment B) Certifications regarding (A) Debarment, Suspension and Other Responsibility Matters; (B) Drug-free Workplace Requirements; and (C) Lobbying (Attachment C) The Big Lift Background Check Policies (Attachment D) Reporting Calendar – 2017-2018 (Attachment E) The Big Lift SIF Subgrantee Terms and Conditions (Attachment F) CNCS SIF Cooperative Agreement Terms and Conditions (Attachment G) Exhibit A Exhibit A - Page 1 2 Silicon Valley Community Foundation Grant Agreement Amount: $200,000 Date: September 30, 2017 Subgrantee Name: City of South San Francisco Subgrantee Contact: Mr. Mike Futrell CityManager City of South San Francisco 650.877.8500 [email protected] Foundation Staff: Elisa Espinoza Grants Coordinator – The Big Lift Silicon Valley Community Foundation 2440 West El Camino Real, Suite 300 Mountain View, CA 94040 Phone:650.450.5506 Fax: 650.450.5545 Email: [email protected] Grant Purpose: The Big Lift Federal Grant Number: CFDA 94.019 Grant Amount: $70,000 in Federal funds $130,000 in Match funds Grantee Cash-Match Contribution: $23,239 Grant Period: September 1, 2017 to August 31, 2018 Special Conditions: (1.) This is a not to exceed amount. Renewed funding for each additional year is dependent upon the subgrantee’s compliance with all provisions in the attached The Big Lift SIF Subgrantee Terms and Conditions and the continued availability of funding. Funding that is not spent during the grant period will not roll over into other funding periods. (2.) Subgrantees will secure a resolution by their governing body (city council, school board, board of directors or equivalent), within 60 days of execution of this grant agreement, which acknowledges receipt of The Big Lift grant funds and commits staff to deliver services as described in their scope of work. (3). Subgrantees commit to providing cash and in-kind match each year, as follows: •FY 2015/16 – Grantee Match - 10% of Big Lift grant expenditures, 5% of which must be a cash contribution •FY 2016/17 – Grantee Match - 15% of Big Lift grant expenditures, 7.5% of which must be a cash contribution •FY 2017/18 – Grantee Match - 20% of Big Lift grant expenditures, 10% of which must be a cash contribution Exhibit A Exhibit A - Page 2 3 Reporting Requirements: Silicon Valley Community Foundation requires reporting at specified dates in order for reimbursements to be made. Please note that future grant requests may be jeopardized if a subgrantee has failed to submit a required report. Financial Invoices are due on the 15th day of each month following the end of the reporting period (or on the next business day if the 15th falls on a holiday or weekend), utilizing the SVCF-approved form. Final requests for reimbursement are due no later than 35 days (to the nearest business day) following the end date of the contract unless amended. Final reimbursements are to be inclusive of the final month or final quarter of the respective contract for services up to and including those provided on the final day of the contract. Programmatic Progress reports are due two times a year on March 31st and September 30th utilizing the SVCF-approved form. Inspection, Audit and Retention of Records: The subgrantee agrees to provide for an audit of its activities, in accordance with the federal Office of Management and Budget (OMB) Circulars A-128 and A-110. The subgrantee agrees to conduct these audits annually. Accounts and records of all subgrantees that disburse or utilize grant funds must be accessible to authorized officials for the purpose of audit of the subgrantee’s records pertaining to the use of grant funds. Financial records, supporting documents, statistical records, and all other organizational records pertinent to this award must be retained for a period of three (3) years from the date of submission of the final expenditure report, and made available to SVCF and/or CNCS upon request. Nondiscrimination: The subgrantee agrees to certify that no person shall be excluded from participation in, denied the benefits of, subjected to discrimination under, or denied employment in connection with any activity receiving funds from SVCF on the basis of race, color, religion, national origin, sex, handicap, veteran status, sexual orientation or age. The subgrantee agrees to comply with all federal statutes relating to nondiscrimination, including E.O. 11246, ‘‘Equal Employment Opportunity’’ (30 FR 12319, 12935, 3 CFR, 1964–1965 Comp., p. 339), as amended by E.O. 11375, ‘‘Amending Executive Order 11246 Relating to Equal Employment Opportunity,’’ and as supplemented by regulations at 41 CFR part 60, ‘‘Office of Federal Contract Compliance Programs, Equal Employment Opportunity, Department of Labor.’’ Environmental Law Compliance: The subgrantee agrees to comply with all applicable standards, orders or regulations issued pursuant to the Clean Air Act (42 U.S.C. 7401 et seq.) and the Federal Water Pollution Control Act as amended (33 U.S.C. 1251 et seq.). Violations shall be reported to the Federal awarding agency and the Regional Office of the Environmental Protection Agency (EPA). CCR and DUNS: The subgrantee agrees to comply with applicable requirements regarding Central Contractor Registration (CCR) and to provide a Data Universal Numbering System (DUNS) number. The subgrantee must maintain the currency of its information in the CCR until it submits the final financial report required under this award or receives the final payment, whichever is later. This requires that the subgrantee review and update the information at least annually after the initial registration, and more frequently if required by changes in information or another award term. No subgrantee will receive a SIF award until it has provided its DUNS number to SVCF. To learn how to obtain CCR registration, go to http://www.ccr.gov. To obtain a nine digit Exhibit A Exhibit A - Page 3 4 DUNS number that will uniquely identify your business call 866-705-5711 or go to http://fedgov.dnb.com/webform. Intellectual Property: By signing below, City of South San Francisco and Silicon Valley Community Foundation agree that all copyright and other interests in materials produced as a result of this grant shall be owned by the subgrantee organization. To ensure the widest possible distribution of such materials and ensure that they enter and remain in the public domain, the subgrantee organization and any individuals who may have some interest hereby grant to the Foundation a non-exclusive, transferable, perpetual, irrevocable, royalty-free, paid-up worldwide license to use or publish the materials or other work products arising out of or resulting from the subgrantee’s use of the grant funds and any earnings thereon, including all intellectual property rights, and to sublicense to third parties the rights described herein. The subgrantee, at Foundation’s request, agrees to execute any additional documents required to affect such license. Hold Harmless: The subgrantee hereby irrevocably and unconditionally agrees, to the fullest extent permitted by law, to defend, indemnify and hold harmless the community foundation, its officers, directors, trustees, employees, and agents from and against any and all claims, liabilities, losses and expenses (including reasonable attorney’s fees) directly, indirectly, wholly or partially arising from or in connection with the grant, the application of funds furnished pursuant to the grant, the program or project funded or financed by the grant or in any way relating to the subject of this Agreement. This paragraph shall survive the termination of this Agreement. Agreement to Terms and Conditions: By signing below, City of South San Francisco agrees to comply with all provisions outlined in this Grant Agreement and the attached The Big Lift SIF Subgrantee Terms and Conditions. Failure to comply with any of these requirements may jeopardize and/or result in termination of funding. Exhibit A Exhibit A - Page 4 5 By signing below, the City of South San Francisco also acknowledges that the proposal submitted and this grant agreement constitutes the contract with Silicon Valley Community Foundation detailing the purpose(s) of the grant, including what activities are supported by this grant. Please inform the community foundation if there are changes in agency personnel who are important to the administration of the grant, or if the grant funds cannot be expended for the purpose or in the time period described in the proposal. The subgrantee may not use the funds in any way other than as described in the approved scope of work and budget unless the subgrantee receives written permission from the community foundation. As outlined in the attached Terms and Conditions, any changes to the approved scope of work or budget must be reported and, in some cases, approved by SVCF before implementation. Accepted on behalf of City of South San Francisco by: Signature Printed or Typed Name (Authorized Signatory) Title Date Accepted on behalf of Silicon Valley Community Foundation by: Erica Wood Signature Printed or Typed Name Chief Community Impact Officer Title Date Exhibit A Exhibit A - Page 5 Fo r m A Th e B i g L i f t So c i a l I n n o v a t i o n F u n d Fu n d i n g R e q u e s t Su b g r a n t e e : CF D A : 9 4 . 0 1 9 Co n t a c t : Gr a n t # : E- m a i l : Co n t r a c t P e r i o d : 9-1-2017 - 6-30-2018 Ph o n e N u m b e r : To t a l P r o g r a m Co s t Bi g L i f t G r a n t Re q u e s t C a s h M a t c h Di r e c t C o s t s (G r a n t R e q u e s t ) Admin Costs (Grant Request) 15 6 , 3 7 0 . 5 3 $ 12 0 , 3 5 6 . 8 8 $ 14 , 4 9 3 . 6 6 $ 1 2 0 , 3 5 6 . 8 8 $ -$ 10 9 , 8 9 2 . 9 9 $ 79 , 6 4 3 . 1 2 $ 17 , 7 8 7 . 8 7 $ 79 , 6 4 3 . 1 2 $ -$ 1, 5 0 0 . 0 0 $ - $ 2, 5 0 0 . 0 0 $ - $ -$ 4, 2 5 0 . 0 0 $ - $ 4, 2 5 0 . 0 0 $ - $ -$ 2, 5 0 0 . 0 0 $ - $ 2, 5 0 0 . 0 0 $ - $ -$ 1, 5 0 0 . 0 0 $ - $ 1, 5 0 0 . 0 0 $ - $ -$ - $ - $ - $ - $ -$ - $ - $ - $ - $ -$ 27 6 , 0 1 3 . 5 2 $ 20 0 , 0 0 0 . 0 0 $ 43 , 0 3 1 . 5 3 $ ADM I N T O T A L S : 10 0 . 0 0 % 0 . 0 0 % To t a l C A S H M a t c h : 15 . 5 9 % In - K i n d M a t c h : 13 . 0 9 % Pl e a s e l i s t I n - k i n d M a t c h C o n t r i b u t i o n s on So u r c e s o f M a t c h T a b . I n - K i n d M a t c h Mu s t b e n o l e s s t h a n 1 0 % o f t o t a l pro gra m c o s t . Ex p e n s e C a t e g o r y Co o r d i n a t i o n (i f a p p l i c a b l e ) Ci t y o f S o u t h S a n F r a n c i s c o La u r a A r m a n i n o la u r a . a r m a n i n o @ s s f . n e t 65 0 - 8 7 5 - 6 9 0 0 To t a l C A S H M a t c h M U S T b e n o l e s s t h a n 10 % o f t o t a l p r o g r a m c o s t Ad m i n  ra t e  ca n n o t  exceed 15% of the total grant request -$ 20 0 , 0 0 0 . 0 0 $ Ot h e r Th i s i s a s u m m a r y t a b l e t h a t p u l l s b u d g e t i n f o r m a t i o n a u t o m a t i c a l l y f r o m F o r m s B a n d C . Y o u o n l y n e e d t o i n p u t i n f o r m a t i o n i n t h e f o l l o w i n g f i e l d s ab o v e : " a g e n c y n a m e , " c o n t a c t , " " e - m a i l , " " p h o n e n u m b e r , " a n d " c o n t r a c t p e r i o d . " T h e n u m b e r s b e l o w a r e p o p u l a t i n g b a s e d o n s a m p l e d a t a i n t h e ot h e r t a b s . O n c e y o u d e l e t e s a m p l e d a t a a n d i n p u t y o u r o w n n u m b e r s , i t w i l l r e p o p u l a t e . P l e a s e c o m p l e t e a l l b u d g e t i n f o r m a t i o n o n F o r m s B a n d C, a n d t h e n r e t u r n t o t h i s s h e e t t o v e r i f y t h a t t h e i n f o r m a t i o n i s c o r r e c t . Su p p l i e s Em p l o y e e S a l a r i e s Em p l o y e e B e n e f i t s To t a l Tr a v e l In d i r e c t / O v e r h e a d Co n t r a c t s / C o n s u l t a n t s Exhibit A Ex h i b i t A - Pa g e 6 FO R M B Th e B i g L i f t So c i a l I n n o v a t i o n F u n d Fu n d i n g R e q u e s t Su b g r a n t e e : SA L A R I E S Em p l o y e e E m p l o y e e D i r e c t o r A d m i n T o t a l % G r a n t Na m e T i t l e C o s t S a l a r y ( 1 0 m o n t h s ) F T E T o t a l C o s t R e q u e s t Kat hl ee n C on e fre y Tea c her Di re c t 46 ,65 9 .76 $ 10 0 % 46 ,65 9 .76 $ 46 ,65 9 .76 $ St e f a n i e D u m p i t Te a c h e r Di r e c t 40 , 4 0 0 . 5 2 $ 10 0 % 40 , 4 0 0 . 5 2 $ 40 , 4 0 0 . 5 2 $ Re c r e a t i o n L e a d e r I I I RE C L e a d e r I I I D i r e c t 22 , 1 9 7 . 7 3 $ 15 0 % 33 , 2 9 6 . 6 0 $ 33 , 2 9 6 . 6 0 $ La u r a A r m a n i n o As s i s t a n t S u p e r v i s o r A d m i n i s t r a t i v e 6 5 , 1 5 9 . 6 2 $ 15 % 9, 7 7 3 . 9 4 $ 9, 7 7 3 . 9 4 $ Di a n a G o n z a l e z Pr e s c h o o l C o o r d i n a t o r D i r e c t 57 , 3 9 5 . 1 5 $ 30 % 17 , 2 1 8 . 5 5 $ Li s t e d a s i n - k i n d Ke l l i J o C u l l i n a n S u p e r v i s o r A d m i n i s t r a t i v e 8 6 , 0 2 8 . 9 3 $ 5% 4, 3 0 1 . 4 5 $ Li s t e d a s i n - k i n d Bl d g M a i n C u s t o d i a n B l d g M a i n t C u s t o d i a n D i r e c t 4 7 , 1 9 7 . 2 2 $ 10 % 4, 7 1 9 . 7 2 $ 4, 7 1 9 . 7 2 $ Gr a n d T o t a l s : BE N E F I T S Em p l o y e e E m p l o y e e D i r e c t o r A d m i n T o t a l C o s t G r a n t Na m e T i t l e C o s t ( 1 0 m o n t h s ) R e q u e s t Ka t h l e e n C o n e f r e y T e a c h e r D i r e c t 3 6 , 4 3 7 . 8 4 $ 36 , 4 3 7 . 8 4 $ St e f a n i e D u m p i t Te a c h e r Di r e c t 34 , 9 8 0 . 0 6 $ 34 , 9 8 0 . 0 6 $ Re c r e a t i o n L e a d e r I I I RE C L e a d e r I I I D i r e c t 15 , 5 2 0 . 1 0 $ 8, 2 2 5 . 2 2 $ 7, 2 9 4 . 8 8 $ La u r a A r m a n i n o As s i s t a n t S u p e r v i s o r A d m i n i s t r a t i v e 4 , 2 9 5 . 2 6 $ 6, 4 4 2 . 8 8 $ Di a n a G o n z a l e z Pr e s c h o o l C o o r d i n a t o r D i r e c t 12 , 1 1 7 . 7 4 $ Ke l l i J o C u l l i n a n Su p e r v i s o r Ad m i n i s t r a t i v e 2 , 4 9 1 . 8 8 $ Bl d g M a i n C u s t o d i a n Bl d g M a i n t C u s t o d i a n D i r e c t 4, 0 5 0 . 1 1 $ 4, 0 5 0 . 1 1 $ Gr a n d T o t a l s : $ 1 0 9 , 8 9 2 . 9 9 Ci t y o f S o u t h S a n F r a n c i s c o N a r r a t i v e Li s t e d a s i n - k i n d Li s t e d a s i n - k i n d 79 , 6 4 3 . 1 2 $ 1 7 , 7 8 7 . 8 7 $ N a r r a t i v e Su b g r a n t e e C a s h Ma t c h Su b g r a n t e e C a s h Ma t c h 15 6 , 3 7 0 . 5 3 $ 1 4 , 4 9 3 . 6 6 $ 12 0 , 3 5 6 . 8 8 $ Exhibit A Ex h i b i t A - Pa g e 7 FORM C The Big Lift Social Innovation Fund Funding Request Subgrantee: TRAVEL Direct or AdminTotalGrant Item/VendorBudget Calculation CostCostRequest MileageMileage .535 Administrative 500.00$ $ 500.00 TravelTravel, air and hotel Administrative1,000.00$ $ 2,000.00 Grand Totals SUPPLIES Direct or AdminTotalGrant Item/VendorBudget Calculation CostCostRequest Program Supplies Direct2,000.00$ $ 2,000.00 Janitorial Direct1,000.00$ $ 1,000.00 Office/technology Administrative1,250.00$ $ 1,250.00 Grand Totals Direct or AdminTotalGrant Item/VendorBudget Calculation CostCostRequest TBA Fieldtrip/Buses Direct 2,500.00$ $ 2,500.00 Grand Totals OTHER Direct or AdminTotalGrant Item/VendorBudget Calculation CostCostRequest staff trainings Direct1,000.00$ $ 1,000.00 books publications Administrative 500.00$ $ 500.00 1,500.00$ -$ $ 1,500.00 City of South San Francisco $ 2,500.00 $ 4,250.00 1,500.00$ -$ 4,250.00$ -$ $ 2,500.00 2,500.00$ -$ Subgrantee Cash Match CONTRACTS/CONSULTANTS Subgrantee Cash Match Subgrantee Cash Match Subgrantee Cash Match Exhibit A Exhibit A - Page 8 FORM C The Big Lift Social Innovation Fund Funding Request Grand Totals Direct or AdminTotalGrant Item/VendorBudget Calculation CostCostRequest Grand Totals Direct or AdminTotalGrant CostCostRequest Administrative Grand Totals $ - -$ -$ -$ -$ $ - Overhead Calculation Subgrantee Cash Match COORDINATION (If applicable) INDIRECT/OVERHEAD Subgrantee Cash Match Exhibit A Exhibit A - Page 9 So u r c e s o f M a t c h Th e B i g L i f t So c i a l I n n o v a t i o n F u n d Fu n d i n g R e q u e s t Su b g r a n t e e : So u r c e o f C a s h M a t c h C o n t a c t N a m e Co n t a c t E m a i l Amo u n t S t a t u s - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ In - K i n d C o n t r i b u t i o n C a l c u l a t i o n Fu n d i n g S o u r c e Amo u n t S t a t u s Sa l a r i e s a n d B e n e f i t s S a l a r i e s f o r m B G e n e r a l F u n d 2 1 , 5 1 9 . 9 9 $ Ac t i v e Sa l a r i e s a n d B e n e f i t s B e n e f i t s f r o m B G e n e r a l F u n d 1 4 , 6 0 9 . 4 2 $ Ge n e r a l F u n d Ge n e r a l F u n d - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ 36 , 1 2 9 . 4 1 $ Ci t y o f S o u t h S a n F r a n c i s c o To t a l I n - K i n d C o n t r i b u t i o n To t a l C a s h M a t c h Exhibit A Ex h i b i t A - Pa g e 10 St a f f o r a g e n c y r e s p o n s i b l e Ta r g e t # Progress to Date 3 P a r t i c i p a t e i n q u a r t e r l y m e e t i n g s o f t h e P e n i n s u l a Pa r t n e r s h i p L e a d e r s h i p C o l l a b o r a t i v e a n d m e e t w i t h ot h e r B i g L i f t s c h o o l c o m m u n i t y c o l l a b o r a t i v e s co u n t y w i d e a p p r o x i m a t e l y 3 t i m e s a y e a r . So u t h S a n F r a n c i s c o U n i f i e d Sc h o o l D i s t r i c t Ci t y o f S o u t h S a n F r a n c i s c o Pe n i n s u l a F a m i l y S e r v i c e 2 s t a f f La u r a A r m a n i n o & K e l l i J o C u l l i n a n h a v e be e n a t t e n d i n g m e e t i n g s . 4 P r o v i d e l e a d e r s h i p t o t h e c o m m u n i t y i n i d e n t i f y i n g a n d se c u r i n g m a t c h i n g f u n d s . So u t h S a n F r a n c i s c o U n i f i e d Sc h o o l D i s t r i c t Ci t y o f S o u t h S a n F r a n c i s c o Pe n i n s u l a F a m i l y S e r v i c e no n e 5 E n g a g e f a m i l i e s i n d e c i s i o n - m a k i n g p r o c e s s e s r e l a t e d t o Th e B i g L i f t . So u t h S a n F r a n c i s c o U n i f i e d Sc h o o l D i s t r i c t Ci t y o f S o u t h S a n F r a n c i s c o Pe n i n s u l a F a m i l y S e r v i c e 5 f a m i l i e s t o j o i n c o l l a b o r a t i v e no n e 6 Me e t T h e B i g L i f t l e a d a g e n c y r e p o r t i n g a n d e v a l u a t i o n re q u i r e m e n t s . So u t h S a n F r a n c i s c o U n i f i e d Sc h o o l D i s t r i c t Ci t y o f S o u t h S a n F r a n c i s c o Pe n i n s u l a F a m i l y S e r v i c e Qu a r t e r l y su b m i t i n g s c o p e o f w o r k , Q I P a n d pr o g r e s s r e p o r t s Th e B i g L i f t So c i a l I n n o v a t i o n F u n d Sc o p e o f W o r k Se p t e m b e r 1 , 2 0 1 7 - A u g u s t 3 1 , 2 0 1 7 Ma j o r a c t i v i t i e s Co - L e a d A g e n c i e s G o a l B i g L i f t a c t i v i t i e s a r e a l i g n e d a n d t h e c o m m u n i t y i s m a k i n g s t e a d y p r o g r e s s t o w a r d s t h i r d g r a d e r e a d i n g p r o f i c i e n c y f o r a l l c h i l d r e n Ag e n c y : C i t y o f S o u t h S a n F r a n c i s c o Big Lift Scope of WorkExhibit A Ex h i b i t A - Pa g e 11 St a f f o r a g e n c y r e s p o n s i b l e Ta r g e t # Pr o g r e s s t o D a t e 2 I m p l e m e n t n e w q u a l i t y p r e s c h o o l s p a c e s f o r 3 a n d 4 - y e a r ol d c h i l d r e n ( l i s t t h e n u m b e r o f p a r t a n d f u l l - d a y n e w sp a c e s i n c o l u m n D ) . Ci t y o f S o u t h S a n F r a n c i s c o FD : 2 0 3 M a i n t a i n q u a l i t y s t a n d a r d s s u f f i c i e n t t o m e e t a m i n i m u m of T i e r 3 o n t h e S a n M a t e o Q u a l i t y R a t i n g a n d Im p r o v e m e n t S y s t e m ( Q R I S ) a n d m a k e p r o g r e s s t o w a r d ac h i e v i n g h i g h e r t i e r s . Ci t y o f S o u t h S a n F r a n c i s c o Te a c h e r s , C o o r d i n a t o r , Su p e r v i s o r 4 T e a c h e r s , s i t e s u p e r v i s o r s & p r o g r a m d i r e c t o r s t a f f pa r t i c i p a t e i n p r o f e s s i o n a l d e v e l o p m e n t , t e c h n i c a l as s i s t a n c e a n d c o a c h i n g o f f e r e d t h r o u g h T h e B i g L i f t t o me e t t h e g o a l s e s t a b l i s h e d i n e a c h p r o g r a m ' s Q u a l i t y Im p r o v e m e n t P l a n . Ci t y o f S o u t h S a n F r a n c i s c o Te a c h e r s , C o o r i d i n a t o r a n d Su p e r v i s o r 5 Pa r t i c i p a t e i n B i g L i f t c o m m u n i t y c o l l a b o r a t i v e m e e t i n g s an d c o n v e n i n g s t o s u p p o r t p r o g r e s s t o w a r d a c h i e v i n g t h e go a l o f i m p r o v e d t h i r d g r a d e r e a d i n g p r o f i c i e n c y C i t y o f S o u t h S a n F r a n c i s c o Co o r d i n a t o r , S u p e r v i s o r Th e B i g L i f t So c i a l I n n o v a t i o n F u n d Sc o p e o f W o r k Se p t e m b e r 1 , 2 0 1 7 - A u g u s t 3 1 , 2 0 1 7 Ma j o r a c t i v i t i e s Pr e s c h o o l G o a l 1 - Q u a l i t y P r e s c h o o l : C h i l d r e n a r e p r e p a r e d f o r k i n d e r g a r t e n w i t h t h e s o c i a l - e m o t i o n a l , a c a d e m i c , l i n g u i s t i c a n d p h y s i c a l f o u n d a t i o n s t h e y n e e d to b e s u c c e s s f u l . Ag e n c y : C i t y o f S o u t h S a n F r a n c i s c o Big Lift Scope of WorkExhibit A Ex h i b i t A - Pa g e 12 St a f f o r a g e n c y r e s p o n s i b l e Ta r g e t # Progress to Date 1 I m p l e m e n t t h e R a i s i n g a R e a d e r ( o r R A R P l u s ) e a r l y li t e r a c y p r o g r a m f o r c h i l d r e n i n n e w a n d e n h a n c e d pr e s c h o o l s p a c e s Ci t y o f S o u t h S a n F r a n c i s c o 1 C l a s s r o o m 2 W o r k w i t h T h e B i g L i f t t o i d e n t i f y a n d i m p l e m e n t ad d i t i o n a l f a m i l y e n g a g e m e n t s t r a t e g i e s t h a t b u i l d u p o n fa m i l y s t r e n g t h s , c u l t u r e a n d l a n g u a g e a n d e s t a b l i s h au t h e n t i c p a r t n e r s h i p s w i t h f a m i l i e s Ci t y o f S o u t h S a n F r a n c i s c o 1 s t a f f 3 C o n d u c t p a r e n t c o n f e r e n c e s f o r e a c h c h i l d t w i c e p e r ye a r a n d s h a r e i n d i v i d u a l s c h o o l r e a d i n e s s i n f o r m a t i o n wi t h p a r e n t s o f c h i l d r e n w h o w i l l b e e n t e r i n g ki n d e r g a r t e n . Ci t y o f S o u t h S a n F r a n c i s c o 1 Cl a s s r o o m 4 Pr o v i d e m e a n i n g f u l a n d c u l t u r a l l y r e s p o n s i v e en g a g e m e n t o p p o r t u n i t i e s f o r f a m i l i e s t h a t s t r e n g t h e n th e i r a b i l i t y t o s u p p o r t a n d a d v o c a t e f o r t h e i r c h i l d r e n ' s we l l - b e i n g a n d a c a d e m i c s u c c e s s . C i t y o f S o u t h S a n F r a n c i s c o 1 Cl a s s r o o m Th e B i g L i f t So c i a l I n n o v a t i o n F u n d Sc o p e o f W o r k Se p t e m b e r 1 , 2 0 1 7 - A u g u s t 3 1 , 2 0 1 7 Ma j o r a c t i v i t i e s Pr e s c h o o l G o a l 2 - F a m i l y E n g a g e m e n t : F a m i l i e s h a v e t h e t o o l s a n d i n f o r m a t i o n t h e y n e e d t o s u p p o r t a n d a d v o c a t e f o r t h e i r c h i l d r e n ' s w e l l - b e i n g a n d a c a d e m i c su c c e s s Ag e n c y : C i t y o f S o u t h S a n F r a n c i s c o Big Lift Scope of WorkExhibit A Ex h i b i t A - Pa g e 13 St a f f o r a g e n c y r e s p o n s i b l e T a r g e t # Progress to Date 1 P a r t i c i p a t e i n B i g L i f t e f f o r t s t o i m p r o v e p r e s c h o o l a n d s c h o o l at t e n d a n c e Ci t y o f S o u t h S a n F r a n c i s c o 2 Tr a c k a n d m a k e a v a i l a b l e d a t a o n a t t e n d a n c e a n d c h r o n i c ab s e n t e e i s m a n d p a r t i c i p a t e i n t h e B i g L i f t a t t e n d a n c e p r o j e c t w i t h t h e Ha r v a r d ' s S 3 R & D L a b . Ci t y o f S o u t h S a n F r a n c i s c o 1 c l a s s r o o m 3 E d u c a t e f a m i l i e s a b o u t t h e i m p o r t a n c e o f a t t e n d a n c e i n p r e s c h o o l a n d th e e a r l y e l e m e n t a r y y e a r s Ci t y o f S o u t h S a n F r a n c i s c o 20 F a m i l i e s 4 Co l l e c t a n d r e p o r t s t u d e n t a t t e n d a n c e d a t a t h r o u g h t h e C o c o a da t a b a s e Ci t y o f S o u t h S a n F r a n c i s c o 1 c l a s s r o o m 5 U s e i P a d s t o r e c o r d d a i l y a t t e n d a n c e a n d i n t e r f a c e w i t h t h e C o c o a da t a b a s e Ci t y o f S o u t h S a n F r a n c i s c o 1 c l a s s r o o m Th e B i g L i f t So c i a l I n n o v a t i o n F u n d Sc o p e o f W o r k Se p t e m b e r 1 , 2 0 1 7 - A u g u s t 3 1 , 2 0 1 7 Ma j o r a c t i v i t i e s Pr e s c h o o l G o a l 3 - A t t e n d a n c e : F a m i l i e s u n d e r s t a n d t h e i m p o r t a n c e o f a n p r i o r i t i z e a t t e n d a n c e i n p r e s c h o o l a n d e a r l y e l e m e n t a r y s c h o o l Ag e n c y : C i t y o f S o u t h S a n F r a n c i s c o Big Lift Scope of WorkExhibit A Ex h i b i t A - Pa g e 14 St a f f o r a g e n c y r e s p o n s i b l e Ta r g e t # Progress to Date 1 P a r t i c i p a t e i n a l i g n m e n t a n d a r t i c u l a t i o n e f f o r t s w i t h fe e d e r e l e m e n t a r y s c h o o l s , s u c h a s p r o v i d i n g p r e s c h o o l as s e s s m e n t d a t a t o s u p p o r t , s m o o t h t r a n s i t i o n s t o ki n d e r g a r t e n . Ci t y o f S o u t h S a n F r a n c i s c o te a c h e r s , c o o r d i n a t o r a n d su p e r v i s o r 2 P a r t i c i p a t e i n P r e K - 3 a l i g n m e n t s t r a t e g i e s s u c h a s c r o s s - gr a d e p r o f e s s i o n a l d e v e l o p m e n t , c o a c h i n g a n d in s t r u c t i o n a l a l i g n m e n t Ci t y o f S o u t h S a n F r a n c i s c o c o o r d i n a t o r , t e a c h i n g s t a f f Th e B i g L i f t So c i a l I n n o v a t i o n F u n d Sc o p e o f W o r k Se p t e m b e r 1 , 2 0 1 7 - A u g u s t 3 1 , 2 0 1 7 Ma j o r a c t i v i t i e s Pr e s c h o o l G o a l 4 - A r t i c u l a t i o n a n d A l i g n m e n t : B i g L i f t a c t i v i t i e s a r e a l i g n e d a n d t h e c o m m u n i t y i s m a k i n g s t e a d y p r o g r e s s t o w a r d s t h i r d g r a d e r e a d i n g pr o f i c i e n c y f o r a l l c h i l d r e n Ag e n c y : C i t y o f S o u t h S a n F r a n c i s c o Big Lift Scope of WorkExhibit A Ex h i b i t A - Pa g e 15 St a f f o r a gen c y r e s pon s i b l e T a r get # Pr o gress to Date 1 P a r t i c i p a t e i n t h e e v a l u a t i o n o f T h e B i g L i f t t o e n s u r e t h a t p r o g r e s s i s do c u m e n t e d a n d t h a t d a t a a r e a v a i l a b l e t o s u p p o r t c u r r i c u l u m a n d pr o g r a m d e v e l o p m e n t , i d e n t i f y c h i l d r e n ' s u n i q u e s t r e n g t h s a n d n e e d s an d m e a s u r e t h e e f f e c t i v e n e s s o f T h e B i g L i f t . Ci t y o f S o u t h S a n F r a n c i s c o co o r d i n a t o r H a v e b e e n a t t e n d i n g t h e E A C m t g s . 2 C o l l e c t a n d e n t e r i n d i v i d u a l l e v e l c h i l d , f a m i l y a n d t e a c h e r d a t a i n t o th e C o c o a d a t a s y s t e m , a s r e q u i r e d b y T h e B i g L i f t . Ci t y o f S o u t h S a n F r a n c i s c o co o r d i n a t o r , ad m i n s t a f f al l a r e a s w i l l b e i m p l e m e n t e d o n c e pr e s c h o o l h a s s t a r t e d 3 P a r t i c i p a t e i n t h e e x t e r n a l e v a l u a t i o n o f T h e B i g L i f t , w h i c h m a y in c l u d e s u r v e y s , f o c u s g r o u p s , i n t e r v i e w s , a s s e s s m e n t s a n d ob s e r v a t i o n s . Ci t y o f S o u t h S a n F r a n c i s c o co o r d i n a t o r , ad m i n s t a f f 4 C o n d u c t o b s e r v a t i o n a l a s s e s s m e n t s t w i c e p e r y e a r o f a l l c h i l d r e n i n Bi g L i f t c l a s s r o o m s u s i n g a v a l i d a n d r e l i a b l e c h i l d a s s e s s m e n t t o o l al i g n e d w i t h t h e C A F o u n d a t i o n s a n d F r a m e w o r k s ( e . g . D R D P - P S ) . Ci t y o f S o u t h S a n F r a n c i s c o 20 c h i l d r e n 5 M a k e p r o g r e s s t o w a r d s c o n d u c t i n g d e v e l o p m e n t a l s c r e e n i n g s o f ch i l d r e n i n B i g L i f t c l a s s r o o m s t o i d e n t i f y p o s s i b l e d e v e l o p m e n t a l de l a y s , d i s a b i l i t i e s o r o t h e r s p e c i a l n e e d s i n o r d e r t o h e l p t h e m a c c e s s ne e d e d e a r l y i n t e r v e n t i o n s e r v i c e s . P r o g r a m s m u s t u s e a B i g L i f t ap p r o v e d t o o l ( e . g . A S Q a n d A S Q - S E ) . Ci t y o f S o u t h S a n F r a n c i s c o 1 c l a s s r o o m s w o r k i n g w i t h W a t c h M e G r o w o n A S Q sc r e e n i n g s o n - l i n e a n d a t t h e s i t e f o r pa r e n t s . Th e B i g L i f t So c i a l I n n o v a t i o n F u n d Sc o p e o f W o r k Se p t e m b e r 1 , 2 0 1 7 - A u g u s t 3 1 , 2 0 1 7 Ma j o r a c t i v i t i e s Pr e s c h o o l G o a l 5 - E v a l u a t i o n a n d A s s e s s m e n t : E v a l u a t i o n e f f o r t s d e m o n s t r a t e t h e e f f e c t i v e n e s s o f B i g L i f t a p p r o a c h a n d i n t e r v e n t i o n s . C h i l d - l e v e l as s e s s m e n t s i n f o r m c u r r i c u l u m a n d p r o g r a m d e v e l o p m e n t a n d i d e n t i f y e a c h c h i l d ' s u n i q u e n e e d s Ag e n c y : C i t y o f S o u t h S a n F r a n c i s c o Big Lift Scope of WorkExhibit A Ex h i b i t A - Pa g e 16 St a f f o r a g e n c y r e s p o n s i b l e T a r g e t # o r N / A Pr o g r e s s t o D a t e 1 P r o v i d e l e a d e r s h i p t o t h e l o c a l B i g L i f t c o l l a b o r a t i v e t o en s u r e t h a t a c t i v i t i e s a r e a l i g n e d a n d t h e c o m m u n i t y i s ma k i n g s t e a d y p r o g r e s s t o w a r d s t h i r d g r a d e r e a d i n g pr o f i c i e n c y Pr e s c h o o l D i r e c t o r 2 C o n v e n e a n d f a c i l i t a t e m e e t i n g s o f t h e c o l l a b o r a t i v e re g u l a r l y Pr e s c h o o l D i r e c t o r Qu a r t e r l y 3 P a r t i c i p a t e i n c o u n t y w i d e B i g L i f t m e e t i n g s , c o n v e n i n g s an d e v e n t s . Pr e s c h o o l D i r e c t o r Su p e r i n t e n d e n t Qu a r t e r l y 4 M a k e p r o g r e s s t o w a r d s i m p l e m e n t i n g P r e K - 3 a l i g n m e n t st r a t e g i e s s u c h a s c r o s s - g r a d e p r o f e s s i o n a l de v e l o p m e n t , c o a c h i n g a n d i n s t r u c t i o n a l a l i g n m e n t Pr e s c h o o l D i r e c t o r El e m e n t a r y S c h o o l P r i n c i p a l s Su p e r i n t e n d e n t 5 A l l o c a t e f u n d i n g t o e a r l y l e a r n i n g t h r o u g h t h e d i s t r i c t ' s Lo c a l C o n t r o l a n d A c c o u n t a b i l i t y P l a n a n d b u d g e t s be g i n n i n g i n 2 0 1 6 / 1 7 . Sc h o o l B o a r d 6 Me e t t h e r e q u i r e m e n t s o f B i g L i f t d a t a c o l l e c t i o n a n d ex t e r n a l e v a l u a t i o n , i n c l u d i n g i m p l e m e n t i n g d a t a - s h a r i n g ag r e e m e n t s w i t h B i g L i f t e v a l u a t o r s . Pr e s c h o o l D i r e c t o r Su p e r i n t e n d e n t Qu a r t e r l y 7 Tr a c k a n d m a k e a v a i l a b l e d a t a o n a t t e n d a n c e a n d ch r o n i c a b s e n t e e i s m a n d p a r t i c i p a t e i n t h e B i g L i f t at t e n d a n c e p r o j e c t w i t h t h e H a r v a r d ' s S 3 R & D L a b . Pr e s c h o o l D i r e c t o r Su p e r i n t e n d e n t 8 Sh a r e e l e m e n t a r y s t u d e n t a s s e s s m e n t d a t a ( e . g . , m a t h an d r e a d i n g a s s e s s m e n t d a t a , r e p o r t c a r d d a t a a n d st a n d a r d i z e d t e s t d a t a ) a s r e q u e s t e d b y B i g L i f t ev a l u a t o r s . Su p e r i n t e n d e n t 9 Co l l e c t a n d r e v i e w p r e s c h o o l a s s e s s m e n t d a t a a s p a r t o f th e k i n d e r g a r t e n e n t r y p r o c e s s . Ki n d e r g a r t e n T e a c h e r s El e m e n t a r y S c h o o l P r i n c i p a l s 10 Ma k e p r o g r e s s t o w a r d e s t a b l i s h i n g a n d i m p l e m e n t i n g co m m o n k i n d e r g a r t e n r e a d i n e s s a n d e l e m e n t a r y s t u d e n t as s e s s m e n t t o o l s c o u n t y w i d e . El e m e n t a r y S c h o o l P r i n c i p a l s Su p e r i n t e n d e n t 11 W o r k w i t h T h e B i g L i f t t o i d e n t i f y a n d i m p l e m e n t s u m m e r le a r n i n g p r o g r a m s t h a t m e e t t h e n e e d s o f s t r u g g l i n g re a d e r s . Pr e s c h o o l D i r e c t o r El e m e n t a r y S c h o o l P r i n c i p a l s Su p e r i n t e n d e n t Th e B i g L i f t So c i a l I n n o v a t i o n F u n d Sc o p e o f W o r k Se p t e m b e r 1 , 2 0 1 7 - A u g u s t 3 1 , 2 0 1 7 Ma j o r a c t i v i t i e s Sc h o o l D i s t r i c t G o a l : T h e s c h o o l d i s t r i c t i s m a k i n g p r o g r e s s t o w a r d s e n s u r i n g t h a t i n c r e a s i n g p e r c e n t a g e s o f c h i l d r e n a r e r e a d i n g p r o f i c i e n t l y b y t h i r d g r a d e Di s t r i c t : S o u t h S a n F r a n c i s c o U n i f i e d S c h o o l D i s t r i c t Big Lift Scope of WorkExhibit A Ex h i b i t A - Pa g e 17 12 W o r k w i t h T h e B i g L i f t t o i d e n t i f y a n d i m p l e m e n t f a m i l y en g a g e m e n t s t r a t e g i e s t h a t b u i l d u p o n f a m i l y s t r e n g t h s , cu l t u r e a n d l a n g u a g e a n d e s t a b l i s h a u t h e n t i c pa r t n e r s h i p s w i t h f a m i l i e s . Pr e s c h o o l D i r e c t o r El e m e n t a r y S c h o o l P r i n c i p a l s Su p e r i n t e n d e n t Big Lift Scope of WorkExhibit A Ex h i b i t A - Pa g e 18 CERTIFICATIONS REGARDING (A) DEBARMENT, SUSPENSION AND OTHER RESPONSIBILITY MATTERS; (B) DRUG-FREE WORKPLACE REQUIREMENTS; AND (C) LOBBYING A. Debarment, Suspension, and Other Responsibility Matters As required by the regulations implementing Executive Order 12549, Debarment and Suspension, implemented at 34 CFR Part 85, Section 85.510, Participants’ responsibilities. A. As authorized representative of the applicant, I the applicant certify that neither the applicant nor its principals: · Are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal department or agency. · Has, within a three-year period preceding this application, been convicted of, or had a civil judgment entered against them for commission of fraud or other criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction or records, making false statements, or receiving stolen property. · Is presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State or local) with commission of any of the offenses enumerated in paragraph (2) (b) of this certification, and · Has not, within a three-year period preceding this application, had one or more public transactions (federal, state or local) terminated for cause or default; B. Where the applicant is unable to certify to any of the statements in this certification, he or she shall attach an explanation to this application. B. Drug-Free Workplace7 As required by the Drug-Free Workplace Act of 1988, and implemented at 34 CFR Part 85, Subpart F. The regulations require certification by grantees, prior to award, that they will maintain a drug-free workplace. The certification set out below is a material representation of fact upon which reliance will be placed when the agency determines to award the grant. False certification or violation of the certification may be grounds for suspension of payments, suspension or termination of grants, or government-wide suspension or debarment (see 34 CFR Part 85, Section 85.615 and 85.620). The applicant certifies that it has or will continue to: (a) Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is prohibited in the grantee’s workplace and specifying the actions that will be taken against employees for violation of such prohibition; (b) Establish an ongoing drug-free awareness program to inform employees about— (1) the dangers of drug abuse in the workplace, (2) the grantee’s policy of maintaining a drug-free workplace. (3) any available drug counseling, rehabilitation, and employee assistance programs, and (4) the penalties that may be imposed upon employees for drug abuse violations occurring in the workplace; (c) Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by paragraph (a) (d) Notifying the employee in the statement required by paragraph (A) that, as a condition of employment under the grant, the employee will: (1) abide by the terms of the statement, and (2) notify the employer, in writing of his or her conviction for a violation conviction for a violation of any criminal drug statute occurring in the workplace no later than five days after such conviction (e) Notifying the agency in writing within ten days after receiving notice under subparagraph (d) (2)) from an employee or otherwise receiving actual notice of such conviction; (f) Taking one of the following actions, within 30 days of receiving notice under subparagraph (d) (2), with respect to any employee who is so convicted— (1) Taking appropriate personnel action against such an employee, up to and including termination…; or (2) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency; (3) Making a good faith effort to continue to maintain a drug-free workplace through implementation of paragraphs (a), (b), (c), (d), (e) and (f) C. Certification – Lobbying Activities (a) No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a member of Congress, an officer of Congress in connection with the making of any federal grant, the entering into of any cooperative agreement, and the extension, renewal, amendment or modification of any federal grant, or cooperative agreement; (b) If any funds other than federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal grant or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, “Disclosure Form to Report Lobbying,” in accordance with its instructions; (c) The undersigned shall require that the language of this certification be included in the award documents for all tiers (including subawards, subgrants, contracts under grants and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. By signing this Certification page, you certify that you agree to perform all actions and support all intentions in the Certification sections of this application. __________________________________________________________ ____________________________________________________________ Legal Applicant Printed Name and Title of Authorized Representative ____________________________________________________________ _______________________________________________________________ Signature of Authorized Representative Date 22 Exhibit A Exhibit A - Page 19 Big Lift Background Check Policies According to the Big Lift Subgrantee Terms and Conditions, and in accordance with regulations established by the federal Social Innovation Fund grant, all grant-funded staff is subject to a mandated criminal history screening procedure. The Corporation for National and Community Service (CNCS) requires that subgrantees complete the appropriate criminal history checks on every individual listed in the final budget, including those who are paid with match funds, those who donate their time or services as in- kind match, and those who are employed as contractors, consultants, and program partners. These checks must be completed before any employee time is charged to the grant or the grant’s matching funds. CNCS regulations require that subgrantees:  Verify grant funded staff identity against government photo identification  Obtain written authorization from individual to preform background check  Document understanding that selection is subject to the checks  Determine the types of checks required and from where they are to be obtained  Pay for the background checks  Preform the NSOPW (nsopw.gov) check before service/work begins  Initiate the criminal history information check(s) no later than the start of service/work  Provide opportunity for review of findings  Keep information confidential  Accompany those with pending checks when in contact with vulnerable populations1  Maintain the results of checks  Document that you verified identity and conducted the required checks  Document that you considered the results of the checks Staff with recurring2 access to vulnerable populations must pass a three-part criminal history check before beginning work (or charging time to this grant). The check must include: 1) A nationwide check of the Department of Justice’s National Sex Offender Public Website (NSOPW) 2) A name or fingerprint based search of the official state criminal history registry in California 3) Submission of fingerprints through the state central record repository to the FBI for a national criminal background check. All grant-funded staff (including consultants) that do not have recurring access vulnerable populations must have passed at least: 1) the NSOPW check AND EITHER 2) the state criminal history background check OR 3) the FBI national criminal history background check. Staff cannot begin service until checked against the NSOPW, however, individuals may begin service while criminal registry checks are pending. Staff with pending background checks, however, may not have unaccompanied access to vulnerable populations while waiting for the results of the State or FBI checks. 1 Vulnerable populations are defined as children, persons age 60 or older, or individuals with disabilities. 2 Recurring access is defined as the ability on more than one occasion to approach, observe, or communicate through physical proximity or other means, including but not limited to electronic or telephonic communications, Exhibit A Exhibit A - Page 20 Individuals with pending checks must at all times be in the physical presence of someone who has been cleared for access. Any individual who is registered, or required to be registered, on a sex offender registry or was convicted of murder will not be cleared to participate in the program, even if the organization’s policy may, under some circumstances (such as through an appeal process), allow it. Anyone who refuses to undergo the National Service Criminal History Check or makes a false statement in connection with a program’s inquiry concerning the person’s criminal history is ineligible to serve. Subgrantees may use a pre-approved alternative search procedure to conduct background checks, including maintaining clearance letters in lieu of actual results for FBI and state checks. Subgrantees using an approved alternative procedure must satisfy documentation requirements by entering into a written agreement with the organization conducting the background check that specifies that any individual who is registered, or required to be registered, on a sex offender registry or was convicted of murder will not be cleared to participate in the program, even if the organization’s policy, may under some circumstances, allow it. Please review CNCS guidance on Pre-Approved Alternative Search Procedures3 and contact The Big Lift at [email protected] to receive approval if your organization plans to use an alternative search procedure. _____________________ agrees to conduct the appropriate background checks on all grant funded staff and agrees to maintain a record of all results either by printing the screen(s) or by some other method that retains paper or digital images that show the date the searches were performed and the results. Subgrantees must allow SVCF and/or CNCS access to these records for oversight and monitoring purposes. SVCF will review the results and proper documentation of background checks during desk audits and site visits. Failure to comply with this requirement could jeopardize funding. Failure to comply with background check procedures can result in a fine made payable to Silicon Valley Community Foundation. Background checks are an ongoing requirement. Subgrantees are required to initiate/complete appropriate checks and maintain appropriate records for any new hire to subgrantee program. Please refer to CNCS’ FAQs on criminal history checks for more useful information on meeting the requirement. Signature: ________________________________ Date: ________________ Name ___________________________________________________________ Title _____________________________________________________________ 3 http://www.nationalservice.gov/sites/default/files/resource/Current_Pre- Approved_ASPs_as_of_January_4_2016_0.pdf Exhibit A Exhibit A - Page 21 The Big Lift Reporting Calendar September 1, 2017 through August 31, 2018 2017 S M T W T F S S M T W T F S S M T W T F S S M T W T F S SEPTEMBER OCTOBER NOVEMBER DECEMBER 1 2 1 2 3 4 5 6 7 1 2 3 4 1 2 3 4 5 6 7 8 9 8 9 10 11 12 13 14 5 6 7 8 9 10 11 3 4 5 6 7 8 9 10 11 12 13 14 15 16 15 16 17 18 19 20 21 12 13 14 15 16 17 18 10 11 12 13 14 15 16 17 18 19 20 21 22 23 22 23 24 25 26 27 28 19 20 21 22 23 24 25 17 18 19 20 21 22 23 24 25 26 27 28 29 30 29 30 21 26 27 28 29 30 24 25 26 27 28 29 31 31 2018 S M T W T F S S M T W T F S S M T W T F S S M T W T F S JANUARY FEBRUARY MARCH APRIL 1 2 3 4 5 6 1 2 3 1 2 3 1 2 3 4 5 6 7 7 8 9 10 11 12 13 4 5 6 7 8 9 10 4 5 6 7 8 9 10 8 9 10 11 12 13 14 14 15 16 17 18 19 20 11 12 13 14 15 16 17 11 12 13 14 15 16 17 15 16 17 18 19 20 21 21 22 23 24 25 26 27 18 19 20 21 22 23 24 18 19 20 21 22 23 24 22 23 24 25 26 27 28 28 29 30 31 25 26 27 28 25 26 27 28 29 30 31 29 30 MAY JUNE JULY AUGUST 1 2 3 4 5 1 2 1 2 3 4 5 6 7 1 2 3 4 6 7 8 9 10 11 12 3 4 5 6 7 8 9 8 9 10 11 12 13 14 5 6 7 8 9 10 11 13 14 15 16 17 18 19 10 11 12 13 14 15 16 15 16 17 18 19 20 21 12 13 14 15 16 17 18 20 21 22 23 24 25 26 17 18 19 20 21 22 23 22 23 24 25 26 27 28 19 20 21 22 23 24 25 27 28 29 30 31 24 25 26 27 28 29 30 29 30 31 26 27 28 29 30 31 SEPTEMBER 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 = Reimbursement Request Due = Progress Report Due Exhibit A Exhibit A - Page 22 Effective 9/1/2017 The Big Lift Subgrantee Terms and Conditions 2017 Exhibit A Exhibit A - Page 23 Page | ii Big Lift Subgrantee Terms and Conditions 2017 Table of Contents I. Introduction .................................................................................................................................................... 1 II. Authority and Scope ...................................................................................................................................... 1 III. Programmatic Terms and Conditions ........................................................................................................ 2 a. Definitions and Roles ................................................................................................................................. 2 b. Project Period ............................................................................................................................................. 3 c. Programmatic Compliance ....................................................................................................................... 3 d. Family Eligibility .......................................................................................................................................... 7 e. Programmatic Amendments .................................................................................................................... 7 f. Progress Reports ......................................................................................................................................... 8 IV. Fiscal Terms and Conditions ........................................................................................................................ 8 a. Fiscal Compliance ....................................................................................................................................... 8 b. Cost reimbursement ................................................................................................................................. 8 c. Direct Costs Priority ................................................................................................................................... 9 d. Allowable Costs and Activities .................................................................................................................. 9 e. Unallowable Costs ................................................................................................................................... 11 f. Collaborating Organizational Costs ........................................................................................................ 12 g. Supplantation ........................................................................................................................................... 12 h. Matching Requirements .......................................................................................................................... 12 i. Program Income ........................................................................................................................................ 14 j. Budgets and Budget Amendments ......................................................................................................... 14 k. Fraud, Waste and Abuse ......................................................................................................................... 16 V. Reporting Requirements ............................................................................................................................. 16 a. Programmatic Reporting ......................................................................................................................... 16 b. Fiscal Reporting ........................................................................................................................................ 17 c. Grant Close Out ........................................................................................................................................ 18 VI. Appendix ...................................................................................................................................................... 18 Resources ...................................................................................................................................................... 18 Exhibit A Exhibit A - Page 24 Page | 1 Big Lift Subgrantee Terms and Conditions 2017 I. Introduction The Big Lift is a collective impact approach where school districts partner with nonprofit preschool programs and community-based agencies to work toward the long-term goal of third grade reading success. This collaborative is led by three agencies – Silicon Valley Community Foundation (SVCF), the San Mateo County Office of Education (SMCOE) and the County of San Mateo, and funding for this grant is made available through San Mateo County Measure A tax dollars and a Social Innovation Fund (SIF) grant from the Corporation for National and Community Service (CNCS). There are five conditions that, together, lead to meaningful results from collective impact and that are integral to The Big Lift’s approach: a shared vision for change or common agenda, shared measurement, mutually reinforcing activities, continuous communication and backbone support. To achieve this ambitious goal, The Big Lift has committed to advancing the national Campaign for Grade-Level Reading framework, which specifies the following evidence-based interventions, or “four pillars”: 1) A comprehensive school readiness strategy focused on high-quality preschool for 3- and 4-year-olds, leading to an aligned and sequenced set of high-quality learning experiences in kindergarten through third grade; 2) A focus on reducing chronic absence in the early grades, based on research about the importance of attendance in the early years to improving academic outcomes; 3) Development of inspiring summer learning opportunities that enable children to maintain their academic and developmental gains from high-quality preschool throughout the early grades; and 4) Strengthening family and community engagement through investments in strategies that support meaningful partnerships between families and schools. Subgrantees of these funds will be expected to participate in all aspects of The Big Lift, to support the implementation of all four of the above pillars, to work collaboratively with SVCF, SMCOE and the County of San Mateo and to be active partners in leading this change effort. More information about The Big Lift can be found at www.thebiglift.org, and more information about the Social Innovation Fund can be found at www.nationalservice.gov/programs/social-innovation-fund. II. Authority and Scope These Terms and Conditions, developed by SVCF, set forth the requirements of the Big Lift Social Innovation Fund (SIF) grant program in compliance with all applicable laws, rules and regulations and are to be adhered to by both SVCF and all subgrantees of SIF federal funds, whether or not they are explicitly stated here. These include, but are not limited to: the National and Community Service Act (NCSA) of 1990 (42 U.S.C. 12501 et seq., at §12653(d)); Exhibit A Exhibit A - Page 25 Page | 2 Big Lift Subgrantee Terms and Conditions 2017 the Social Innovation Fund Cooperative Agreement Terms and Conditions; Criminal History Check Requirements (45 CFR, Part 2540); Cost Principles for Non-Profit Organizations (2 CFR Part 230) or Cost Principles for State, Local, and Indian Tribal Governments (2 CFR, Part 225) or Cost Principles for Educational Institutions (2 CFR, Part 220); Uniform Administrative Requirements for Grants and Cooperative Agreements with Institutions of Higher Education, Hospitals, and Other Non-Profit Organizations (2 CFR, Part 215); Audits of States, Local Governments and Non-Profit Organizations (OMB Circular A-133); Government wide Requirements for Drug-Free Workplace (45 CFR Part 2545); and Nondiscrimination on the Basis of Sex in Education Programs or Activities Receiving Federal Financial Assistance (45 CFR Part 2555). SVCF may waive any provision within its authority contained in these Terms and Conditions; however, waivers cannot be given for provisions that are beyond the scope of SVCF’s authority. Any subgrantee that desires a waiver of any of the provisions of these Terms and Conditions must initiate the process in writing, to SVCF. A written request for a waiver does not excuse a subgrantee from following the provisions of these Terms and Conditions until such a waiver is (or is not) granted. SVCF may choose to grant a waiver request in full, grant a request in part, or not grant a request for a waiver. SVCF reserves the right, at any time, to terminate grants with subgrantees that are not in compliance with the requirements set forth in The Big Lift SIF Terms and Conditions. III. Programmatic Terms and Conditions a. Definitions and Roles Federal Awarding Agency: The Corporation for National and Community Service (CNCS) is the federal awarding agency for the Social Innovation Fund (SIF). All entities receiving funding from this agency, either directly or through an intermediary, must comply with the SIF Terms and Conditions and all applicable federal regulations, statutes and administrative authorities. Intermediary: The Silicon Valley Community Foundation (SVCF) is the intermediary entity for the SIF award from CNCS. SVCF is responsible for ensuring that the SIF award meets all applicable CNCS and federal regulations, statutes and administrative authorities, in conformance with the approved application. SVCF is legally accountable to CNCS for the use of SIF award funds, is bound by the provisions of the award, and is responsible for ensuring that co-lead organizations and subgrantee organizations comply with The Big Lift SIF Terms and Conditions, federal regulations and OMB circulars, etc. Co-Lead: The entities that are responsible for coordinating and collaborating with organizations in their communities to perform the activities of the SIF Big Lift award are Exhibit A Exhibit A - Page 26 Page | 3 Big Lift Subgrantee Terms and Conditions 2017 “co-lead” entities. The co-lead is expected to provide leadership to The Big Lift collaborative and ensure that activities are aligned and that the community is making steady progress towards third grade reading proficiency. Subgrantee: Any entity that receives a Big Lift SIF grant award from SVCF to provide a direct service is a “subgrantee” and is accountable to SVCF for the use of the federal (and matching) funds provided. Each subgrantee is expected to work collaboratively with its co- lead agency(ies) to carry out the work outlined in its grant agreement, scope of work and budget. Matching Contributions: SIF requires that both intermediaries and subgrantees provide a 1:1 match for funds received from CNCS. By law, SIF match must be in non-federal cash. Unlike most Federal grant programs, the market value of goods and services donated by third parties as “in kind” matching costs does not count toward the matching requirement. However, a significant amount of matching contributions for The Big Lift awards will be provided by Measure A Tax dollars. For this reason, subgrantees will be asked to provide matching contributions in small, increasing amounts, and The Big Lift will consider in-kind contributions as a part of meeting this requirement. All matching contributions are bound by the provisions of federal rules and regulations, statutes and administrative authorities. b. Project Period A project period is the complete length of time a subgrantee is proposed to be funded to complete approved activities under the agreement. A project period may contain one or more budget periods. A budget period is a specific interval of time for which Federal funds are being provided to fund an Awardee's approved activities and budget. Unless otherwise specified, the subgrantees grant agreement covers a 36-month project period. Contracts and budgets will be reviewed and renewed annually up to the 36-month project period. Funding is contingent upon satisfactory performance as determined by SVCF and the availability of funds. Please review your grant agreement and approved budget to see the specific dates of your budget period. c. Programmatic Compliance By entering into a grant agreement, the subgrantee has agreed to participate and contribute to the larger Big Lift community collaborative, to support progress on all four pillars of The Big Lift and to comply with the following: Eligibility. Big Lift eligible communities are defined by school district boundaries and include: Bayshore, Brisbane, Cabrillo, Jefferson Elementary, La Honda-Pescadero, Pacifica, Ravenswood, Redwood City, San Bruno Park, San Mateo-Foster City and South San Exhibit A Exhibit A - Page 27 Page | 4 Big Lift Subgrantee Terms and Conditions 2017 Francisco. Big Lift preschool classrooms will be required to meet and maintain a Tier 3 or higher rating on the San Mateo County Quality Rating and Improvement System (QRIS). Licensure in good standing. Preschool subgrantees must have a license to operate preschool facilities and must ensure that licensed sites are in good standing with Community Care Licensing. Background check requirements. All grant-funded staff (including consultants) that have recurring access1 to children, persons age 60 or older, or individuals with disabilities must have passed a three-part criminal history check before beginning work (or charging time to this grant). This check must include: (1) a nationwide check of the Department of Justice’s National Sex Offender Public Website (http://www.NSOPW.gov), (2) a name- or fingerprint- based search of the official state criminal history registry in the state in which the subgrantee is operating and of the official state criminal history registry in which the individual resides and (3) submission of fingerprints through the state central record repository to the FBI for a national criminal history background check. All grant-funded staff (including consultants) that do not have recurring access to children, persons age 60 or older, or individuals with disabilities must have passed at least: (1) the NSOPW check AND EITHER (2) the state criminal history background check OR (3) the FBI national criminal history background check. Subgrantees must retain a record of all results either by printing the screen(s) or by some other method that retains paper or digital images that show the date the searches were performed and the results. Subgrantees must allow SVCF and/or CNCS access to these records for oversight and monitoring purposes. Any individual who is registered, or required to be registered, on a sex offender registry or was convicted of murder will not be cleared to participate in the program, even if the organization’s policy may, under some circumstances (such as through an appeal process), allow it. Anyone who refuses to undergo the National Service Criminal History Check or makes a false statement in connection with a program’s inquiry concerning the person’s criminal history is ineligible to serve. Failure to conduct proper background checks may jeopardize your grant, or require organization to pay a fine for every staff member without the proper background checks in place. 1 Recurring access is defined as the ability on more than one occasion to approach, observe, or communicate with a person, through physical proximity or other means, including but not limited to, electronic or telephonic communication. Exhibit A Exhibit A - Page 28 Page | 5 Big Lift Subgrantee Terms and Conditions 2017 Involvement in evaluation efforts. Subgrantees must participate in evaluation efforts led by SVCF, SMCOE and the designated external evaluator, which may include participating in surveys, focus groups, interviews, assessments and/or classroom observations. Subgrantees will not be required to conduct their own evaluation but will be expected to collect and provide access to information as outlined in their scope of work and as necessary. This will include, but not be limited to: timely reporting of required data in the designated data system, conducting twice a year observational assessments using a valid and reliable child assessment tool, and making progress toward conducting a developmental screening on each child in a Big Lift-funded classroom using an approved tool. Compliance with subgrantee monitoring activities. Monitoring activities include, but are not limited to, site visits by SVCF staff and/or staff from CNCS, progress reports on implementation of goals and objectives, and submission of financial records, as required by SVCF. SVCF will conduct both in-person site visits and occasional desk reviews of subgrantees throughout the course of the contract to ensure compliance with these Terms and Conditions. Subgrantees are required to address all site visit or desk review report findings by the deadline as set forth by SVCF. State and other federal funding compliance. Subgrantees must maintain compliance with other funding sources. Subgrantees receiving Title 5 or Head Start funds must maintain good standing with the California Department of Education/Child Development Division and/or the Administration for Children and Families. Failure to do so may jeopardize Big Lift funding. Timely reporting. SVCF will track and monitor timely and accurate submissions of data, progress reports and requests for reimbursement, and efforts will be made to correct and implement improvements to any areas of concern identified at a site visit or at any other point during the grant cycle. Patterns of late and/or inaccurate reporting as well as minimal or no effort to improve compliance with these Terms and Conditions will be taken into consideration when making future funding recommendations, and in egregious cases may affect continued funding for the current grant year. Utilization of the Social Innovation Fund name and logo. Subgrantees must use the Social Innovation Fund name and logo on all public facing materials, signs, banners, press releases, social media, and publications related to their SIF program in accordance with CNCS requirements. To publicize the relationship between the program and the SIF, the subgrantee should use one of the following phrases when describing their program: “a Social Innovation Fund (SIF) program” or “a proud subgrantee of the Social Innovation Fund (SIF) program.” The subgrantee may not alter the SIF logo, and must obtain written permission before using the SIF name or logo on materials that will be sold, or permitting donors/affiliates to use the SIF name or logo in promotional materials. The subgrantee may Exhibit A Exhibit A - Page 29 Page | 6 Big Lift Subgrantee Terms and Conditions 2017 not use or display the SIF name or logo in connection with any activity prohibited in these Terms and Conditions. SIF logos can and more guidance can be found on our subgrantee portal: http://www.thebiglift.org/grantees Utilization of The Big Lift name and logo. Subgrantees must use The Big Lift name and logo on all public facing materials, signs, banners, press releases, social media, and publications related to their Big Lift SIF program, in addition to the SIF name and logo. The Big Lift logo can be found here. Communication collaboration. Subgrantees must participate in The Big Lift’s efforts to disseminate information about Big Lift SIF program(s) and The Big Lift through social media and other communication channels. This includes obtaining photo releases to be provided to SVCF for the purposes of communicating information about The Big Lift, when applicable, through social media, publications, reports, etc. Prohibited Program Activities. While charging time to this Award, subgrantees may not engage in the following activities: 1. Attempting to influence legislation. 2. Organizing or engaging in protests, petitions, boycotts, or strikes. 3. Assisting, promoting or deterring union organizing. 4. Impairing existing contracts for services or collective bargaining agreements. 5. Engaging in partisan political activities or other activities designed to influence the outcome of an election to any public office. 6. Conducting a voter registration drive or using Big Lift funds to conduct a voter registration drive. 7. Participating in, or endorsing, events or activities that is likely to include advocacy for or against political parties, political platforms, political candidates, proposed legislation, or elected Officers. 8. Engaging in religious instruction; conducting worship services; providing instruction as part of a program that includes mandatory religious instruction or worship; constructing or operating facilities devoted to religious instruction or worship; maintaining facilities primarily or inherently devoted to religious instruction or worship; or engaging in any form of religious proselytization. 9. Providing a direct benefit to: a. A for-profit entity; b. A labor union; c. A partisan political organization; d. An organization engaged in the religious activities described in the preceding sub clause; unless funds are not used to support the religious activities; or Exhibit A Exhibit A - Page 30 Page | 7 Big Lift Subgrantee Terms and Conditions 2017 e. A nonprofit entity that fails to comply with the restrictions contained in section(c)(3) of U.S.C. Title 26. 10. Providing abortion services or referrals for receipt of such services. 11. Grant funds may not be used for international travel or projects where the primary beneficiaries of an activity are outside of the United States 12. Such other activities as the Big Lift may prohibit Individuals my exercise their rights as private citizens and may participate in the above activities on their own initiative, on non-Big Lift time, and using non-Big Lift (or matching) funds. d. Family Eligibility The Big Lift strives for a diversity of income levels to be represented within classrooms, while giving overall priority for new spaces to low-income families. The goal is to increase accessibility for low- and middle-income families. The Big Lift’s definition of low-income households is those earning 80 percent of San Mateo County’s most current median income. The Big Lift programs are required to enroll only children whose family income meets this definition. The Big Lift uses HUD income guidelines to establish eligibility. Income guidelines for 2017 are as follows: Family size of 2: $84,300 annually or $7,025 monthly Family size of 3: $94,850 annually or $7,904 monthly Family size of 4: $105,350 annually or $8,779 monthly Family size of 5: $113,800 annually or $9,483 monthly e. Programmatic Amendments The scope of work outlined in the subgrantee’s contract details the activities to be carried out and goals to be accomplished over the course of the contractual period. Subgrantees are required to obtain written approval from SVCF before making any changes to the scope, objectives or goals of their program, whether or not a budgetary change is involved. For any changes to the previously-approved staffing of the program (resignation, hire, medical leave, etc.), SVCF must be notified within two weeks of the time the subgrantee is notified of the change, in writing via e-mail. Any submission beyond two weeks from the change date may impact the possibility of reimbursement and will be subject to SVCF Exhibit A Exhibit A - Page 31 Page | 8 Big Lift Subgrantee Terms and Conditions 2017 approval. For all new hires, a resume must be provided, as well as a certification of completed background check requirements. SVCF must also be notified if the Executive Director, Program or Fiscal Contact is changed to ensure contact information is updated, regardless of whether or not the individual(s) are on the approved budget. See the Budgets and Budget Amendments section for more information on changes that require a formal budget amendment. f. Progress Reports Subgrantees will be required to submit twice-yearly narrative reports that describe progress toward meeting identified goals from the approved scope of work and success and challenges in implementing their Big Lift-funded program. Subgrantees will also be asked to share interesting or inspiring stories and anecdotes that reflect the value of their program. These stories will be shared with CNCS and other interested parties, and may be disseminated and/or published via The Big Lift’s social media channels and The Big Lift reports. The report is due on the last business day of the first and third quarters only (September 30th and March 30th), utilizing an SVCF-approved form. IV. Fiscal Terms and Conditions a. Fiscal Compliance The subgrantee agrees to account for its federal grant funds, make monthly financial reports on prescribed forms and meet reasonable fiscal and administrative requirements, as described below. The subgrantee further agrees to establish fiscal control and fund accounting procedures which meet minimum requirements of these Terms and Conditions, CNCS SIF Terms and Conditions, and federal Office of Management and Budget Circulars, along with all other requirements, which assure proper disbursement of and accounting for grant funds. Accounting procedures should be established and those procedures must provide for an accurate and timely recording of receipt of funds by source, of expenditures made from such funds, and of unexpended balances. These requirements and all provisions in these Terms and Conditions are also applicable to all matching funds for this federal award, the details for which are outlined below under Matching Requirements. b. Cost reimbursement This is a cost reimbursement grant. Reimbursements will be made only for expenses included in the approved subgrantee budget, and only after the approved expenses have Exhibit A Exhibit A - Page 32 Page | 9 Big Lift Subgrantee Terms and Conditions 2017 been incurred and expensed. Funds will not be paid in a lump sum, such as by dividing a grant into a monthly or quarterly billing amount, or on a per-child per-day basis, but rather funds will be disbursed over time as the subgrantee incurs costs, and submits a request for reimbursement (invoice) to SVCF with appropriate back-up documentation. All items listed on invoices, including those covered through matching funds, must be accounted for and easily identifiable through receipts, a general ledger, timesheets, etc., and made available to SVCF for monitoring and review. Subgrantees will be required to submit monthly invoices. Invoices are due on the 15th day of each month following the end of the reporting period (or on the next business day if the 15th falls on a holiday or weekend), utilizing the SVCF-approved form. Final requests for reimbursement are due no later than 35 days (to the nearest business day) following the end date of the contract unless amended. Final reimbursements are to be inclusive of the final month or final quarter of the respective contract for services up to and including those provided on the final day of the contract. Supplemental billing (billing for additional dollars to supplement previous invoices) is not allowable. Late or inaccurate invoices that require resubmittal may result in delay of payment. c. Direct Costs Priority Subgrantees must allocate at least 85% of their total Big Lift SIF budget to providing direct services to children, parents and/or providers. The Big Lift award is not intended to defray administrative costs2 within an organization, and funding requests to pay for direct service activities will be given priority over requests for related administrative costs. When other sources of support are not available for these costs, no more than 15% of the total Big Lift budget can be allocated toward administrative costs. d. Allowable Costs and Activities In general, costs associated with coordinating the local Big Lift collaborative and dedicated staff time to ensure grant compliance are allowable costs, keeping in mind that priority is given to direct service costs. All items listed below are allowable costs for federal and matching funds, as they pertain to the implementation and administration of the subgrantee’s Big Lift award:  Administrative Costs: general administration and general expenses (not specific to one program but necessary for implementation) such as the director's office, accounting, auditing, personnel, general legal services, and operations and maintenance expenses 2 Administrative costs are defined as activities that do not provide a direct benefit to children, parents or providers, and include any allowance for indirect costs and audits, as well as general administration and expenses. Exhibit A Exhibit A - Page 33 Page | 10 Big Lift Subgrantee Terms and Conditions 2017  Advertising: includes only those costs for (1) the recruitment of personnel required for performance of the award, (2) the procurement of goods and services for the performance of the award, or (3) program outreach and other specific purposes necessary to meet the requirements of the award  Advisory council or committee costs  Audits: a reasonably proportionate share of the costs of audits required by, and performed in accordance with, the Single Audit Act Amendments of 1996  Consultants: includes costs of professional and consultant services rendered by persons who are members of a particular profession or possess a special skill that falls outside of the subgrantees capability, and who are not officers or employees of the subgrantee; requires evidence of the contractual agreement  Equipment: includes any single item with a value of $5,000 or more and an expected useful life of one year or more; requires prior approval before purchasing  Fringe Benefits: include FICA, unemployment insurance, workers compensation, disability, retirement/pension, life insurance, and medical/dental benefits  Indirect Cost Rate: For organizations that have an established indirect cost rate for Federal awards, administrative costs mean those costs that are included in the organization’s indirect cost rate. Such costs are generally identified with the organization’s overall operation and are further described in OMB Circular A-122 (for non-profits), A-87 (for state, local and Indian tribal governments) and A-21 (for educational institutions).  Insurance: refers to insurance the subgrantee is required to carry, or which is approved, under the terms of the award  Labor relations costs  Maintenance and repair costs: for necessary maintenance, repair or upkeep which neither adds to the permanent value nor appreciably prolongs its intended life  Memberships, subscriptions and professional activity costs  Public Relations: refers to community relations and those activities dedicated to maintaining the image of the organization or maintaining or promoting understanding and favorable relations with the community or public at large or any segment of the public, which includes only (1) costs specifically required by the award, (2) costs of communicating with the public and press pertaining to specific activities or accomplishments which result from performance of the award (these costs are considered necessary as part of the outreach effort for the award), or (3) costs of conducting general liaison with news media and government public relations officers, to the extent that such activities are limited to communication and liaison necessary to keep the public informed on matters of public concern, such as notices of funding opportunities, financial matters, etc.  Rental costs of buildings and equipment  Salaries and Wages: including all full- and part-time employees working on award activities  Supplies Exhibit A Exhibit A - Page 34 Page | 11 Big Lift Subgrantee Terms and Conditions 2017  Training: includes only training for staff and providers of award initiatives, and may also include materials and training-related travel  Travel e. Unallowable Costs The following list of costs cannot be supported with Big Lift grant awards, or matching contributions (either cash or in-kind):  Advertising: includes costs of displays, demonstrations and exhibits; costs of promotional items and memorabilia, including models, gifts and souvenirs; and costs of advertising and public relations designed solely to promote the organization  Alcoholic beverages  Alumni/ae activities (for Institutes of Higher Education)  Bad debts: including losses (whether actual or estimated) arising from uncollectable accounts and other claims, and related collection costs, and related legal costs, arising from such debts after they have been determined to be uncollectable  Construction  Entertainment costs: including for amusement, diversion, and social activities and any costs directly associated with such costs (such as tickets to shows or sports events, meals, lodging, rentals, transportation, and gratuities)  Facilities improvement  Fundraising  Goods or services for personal use  Impairing existing contracts for services or collective bargaining agreements  International activities: including travel or projects where the primary beneficiaries of an activity are outside the United States  Lobbying: any activity with the purpose of influence legislation, political parties, political platforms, political candidates or elected officers, including engaging in partisan political activities or other activities designed to influence the outcome of an election to any public office  Protests or strikes: including organizing or engaging in protests, petitions, boycotts, strikes or assisting, promoting or deterring union organizing  Public relations: includes costs of meetings, meeting rooms, conventions, convocations, hospitality suites or other events and facilities related to other activities of the organization; and salaries and wages of employees engaged in setting up and displaying exhibits, making demonstrations, and providing briefings  Religious activities: including engaging in religious instruction; conducting worship services; providing instruction as part of a program that includes mandatory religious instruction or worship; operating facilities devoted to religious instruction or worship; maintaining facilities primarily or inherently devoted to religious instruction or worship; or engaging in any form of religious proselytization  Voter registration drives Exhibit A Exhibit A - Page 35 Page | 12 Big Lift Subgrantee Terms and Conditions 2017  Other organizational costs: not related to the management or administration of this federal award  Other such activities as CNCS and/or SVCF may prohibit Individuals may exercise their rights as private citizens and may participate in the above activities on their own initiative, on non-Big Lift time, and using non-Big Lift (or matching) funds. f. Procurement The purchasing of goods and services at the subgrantee level must follow federal procurement standards set in the Uniform Guidance on Procurement Standards for Non- State Entities in 2 CFR Part 200.318-326. Procurement guidelines ensure materials and services are obtained in an effective manner and maintain a standard of quality and integrity with maximum purchasing power of Big Lift funds. Subgrantees must maintain written policies and procedures for procurement that meet federal standards and written standards of conduct covering conflicts of interest. Costs incurred must be necessary and cost-effective. Absent of sole-source justification, all procurement transactions must be conducted in a manner providing full and open competition. g. Supplantation Federal funds must be used to supplement and not to supplant funds that have been appropriated for the same purpose. Therefore, awarded funds cannot be used to supplant - or replace - existing state and local funds already allocated for the same purpose. In addition, these grant funds should not be used to purchase items or services that would otherwise be purchased with the subgrantee’s own funds for this project. Expenditure of funds for the acquisition of new equipment or services, when equipment and/or personnel required for the successful execution of projects are already available, or budgeted for within the subgrantee organization, will be considered supplanting and will be disallowed. It will be expected of Big Lift subgrantees, however, to pursue other sources of funding where applicable. For example, state preschools, when eligible, should apply for additional funding when it comes available for the expansion of new spaces. h. Matching Requirements SIF intermediaries and subgrantees must both provide a 1:1 cash match for federal dollars received and be able to track the receipt and expenditure of both federal and cash match dollars. However, SVCF and its partners are utilizing San Mateo County Measure A tax dollars to meet the cash match requirements for subgrantees. This means that subgrantees will not have to raise the entirety of the required cash match each year, but Exhibit A Exhibit A - Page 36 Page | 13 Big Lift Subgrantee Terms and Conditions 2017 will be required to make small, gradually increasing commitments of monetary and in-kind resources, as follows: Cohort 1: Year 1 (5/1/2015-8/31/2016) – 10% of grant award, 5% of which must be a cash contribution Year 2 (9/1/2016-8/31/2017) – 15% of grant award, 7.5% of which must be a cash contribution Year 3 (9/1/2017-8/31/2018) – 20% of grant award, 10% of which must be a cash contribution Cohort 2: Year 1 (7/1/2016-8/31/2017) – 10% of grant award, 5% of which must be a cash contribution Year 2 (9/1/2017-8/31/2018) – 15% of grant award, 7.5% of which must be a cash contribution Year 3 (9/1/2018-8/31/2019) – 20% of grant award, 10% of which must be a cash contribution Districts will allocate funding to early learning through the district’s Local Control and Accountability Plan and budgets in FY16/17. Cash Match vs. In-kind Match Cash match includes unrestricted new or existing funds garnered through other, non- federal grant sources and spent for program-related costs. They cannot be previously obligated funding that is redirected for purposes of meeting this match requirement. Allowable cash match must include those costs which are allowable with Federal funds. Possible sources of cash match include (but are not limited to): private or philanthropic grants or contributions, state or local government grants or contracts for supportive services, or state or local government rent subsidy programs. Federal grant funds, including federal block grants distributed or administered by state or local governments, are not eligible as matching funds. In-kind match includes, but is not limited to, the valuation of in-kind real property, equipment, supplies, services, and other expendable property. “In-kind” is the value of something received or provided that does not have a cost associated with it. For example, if in-kind match is permitted by law (other than cash payments), the fair market value of donated services/office space could be used to comply with the in-kind match requirement. Also, third party in-kind contributions may count toward satisfying Exhibit A Exhibit A - Page 37 Page | 14 Big Lift Subgrantee Terms and Conditions 2017 match requirements provided the subgrantee receiving the contributions expends them as allowable costs. All matching funds, provided by both the subgrantee and SVCF, must be tracked accordingly. SVCF and SMCOE will work with subgrantees to ensure compliance with this requirement. Subgrantees must maintain an audit trail for all matching contributions, whether cash or in-kind, and all supporting documentation must be maintained and made available for review and monitoring by SVCF. The matching requirement amounts will be tracked on an on-going basis, but must be fully expended within 12 months from the start of the award period. Failure to meet the matching requirement at any of the 12 month increments will jeopardize current and future grant funding and may result in contract termination. i. Program Income Subgrantees that choose to charge fees must use The Big Lift Family Fee Scale. Income generated from family fees must be reported during each reporting period may not be used as match for The Big Lift. Grantees charging program fees must report program income on monthly invoices. j. Budgets and Budget Amendments Subgrantees may not begin to incur costs for a program until the budget has been approved by SVCF, referred to as the “original budget” or the “originally approved budget,” and included as part of the subgrantee’s contract. Any deviations from this originally approved budget are required to be reported to SVCF, and, in some cases, may require prior approval and a formal budget amendment before such changes can be made and costs incurred. All changes must be reported to SVCF within two weeks of the time the subgrantee/program director is notified of the change, in writing via e-mail. Any submission beyond two weeks from the change date may impact the possibility of reimbursement and will be subject to SVCF approval. In addition, the following types of changes that are reported to SVCF must be accompanied by a formal budget amendment:  disengagement from the project for more than three months, or a 25 percent reduction in time devoted to the project, by the approved project director or program manager;  the inclusion/addition of specific costs that require prior approval (such as items that cost more than $5,000);  the transfer of funds budgeted for one category of expense to another category of expense in excess of 10% of the total budget category; and/or  transferring or contracting out of any work under The Big Lift award, unless included in the originally approved budget. Exhibit A Exhibit A - Page 38 Page | 15 Big Lift Subgrantee Terms and Conditions 2017 When requesting approval for budget revisions, the subgrantee must use the SVCF- approved form for budget requests, to be submitted via e-mail to SVCF along with a written explanation for the requested change(s). SVCF will review the request and notify the subgrantee whether or not the budget revisions have been approved. All allowable costs as listed above may be included in a budget request and in requests for reimbursement (invoices). However, these costs must be necessary and reasonable for the performance of the federal award, be determined in accordance with generally accepted accounting principles (GAAP), and not be included as a cost or used to meet cost sharing or matching requirements for any other federally-financed program during the contractual period of this award. All matching costs must also be included in budget and reimbursement requests, allocated appropriately. Specific allowable costs per category are detailed below: Categories  Salaries and Benefits: Any individual working on grant-funded activities must be identified on the budget in order to receive reimbursement for his/her time. The salary and fringe benefits for each employee must be identified, and appropriate documentation kept on file (including signed timesheets and background checks that were initiated prior to start date). Identify each employee as either direct or administrative, and if an employee is providing both direct and administrative services, divide his/her salary and benefits appropriately onto different lines to distinguish the two. The budget narrative should include hourly rate and number of hours working on The Big Lift.  Travel: Mileage and expenses for program related travel (excluding normal/personal commute) is reimbursable at the subgrantees established rate of reimbursement, but not to exceed the most current IRS standard mileage rate. If the subgrantee does not have a written policy for mileage reimbursement, the most current IRS standard mileage rate will apply. Maintain appropriate documentation (receipts), when applicable.  Supplies: Items, necessary to carry out the functions of the grant, are allowable, such as age-appropriate literature, classroom materials, brochures, pens, postage, etc. List the item and cost and the need for the expenditure in the budget narrative section. Maintain appropriate documentation (receipts). Items that cost more than $5,000 require prior approval before purchase.  Contractual and Consultant Services: Any individual or organization that is providing a contractual/consultant service must be listed, with the hourly rate and total budgeted hours for the duration of the contract listed in the budget narrative. This does not include fringe benefits. (The contractual agreement between the consultant and the subgrantee must be submitted to and approved by SVCF.)  Other: Any other allowable items that do not fall under the above categories, including, for example, an approved indirect cost rate, or rent and utilities, are to be Exhibit A Exhibit A - Page 39 Page | 16 Big Lift Subgrantee Terms and Conditions 2017 included and recorded appropriately (except costs to be paid for with additional funds as detailed below). List the item and cost and the need for the expenditure in the budget narrative section. Maintain appropriate documentation (receipts). Items that cost more than $5,000 require prior approval before purchase.  Coordination: Additional funds are provided for the coordination of The Big Lift collaborative efforts. Examples include salary and benefits for an employee to coordinate and facilitate meetings, or fees for a consultant to do so, and meeting- related expenses. List the item and cost and the need for the expenditure in the budget narrative section. Maintain appropriate documentation (receipts). k. Fraud, Waste and Abuse The Corporation for National and Community Service (CNCS) awards federal funds to recipients and subgrantees for specific purposes and requires them to use the funds within the established Terms and Conditions. A federal award agreement is a legally binding contract. Subgrantees are encouraged to be aware of common grant fraud schemes and to adopt effective fraud risk-management efforts within their organization, and encourage other recipients of federal awards to do the same in order to prevent and detect fraud as early as possible. Each subgrantee awarded funding is to promptly report any credible evidence that a principal, employee, agent, contractor, subgrantee, or other person has submitted a false claim or has committed a criminal or civil violation of laws pertaining to fraud, conflict of interest, bribery, gratuity, or similar misconduct involving grant funds. You may report potential fraud, waste, abuse or misconduct by contacting SVCF or by reporting directly to the CNCS Office of the Inspector General (OIG): By mail: Office of the Inspector General Corporation for National and Community Service 1201 New York Avenue, NW Suite 830 Washington, DC 20525 By e-mail or telephone: [email protected] 800-452-8210 Additional information is available from the CNCS OIG website at www.cncsoig.gov. V. Reporting Requirements a. Programmatic Reporting Programmatic Changes Exhibit A Exhibit A - Page 40 Page | 17 Big Lift Subgrantee Terms and Conditions 2017 Twice Per Year March 31st September 30th As stated above in Programmatic Amendments, any changes to the scope, objectives or goals of the program must be submitted to SVCF and require prior approval before changes are to be made. Changes to staffing of the program must be reported to SVCF in writing within two weeks of knowledge of the change (in order to ensure timely payment of affected invoices). Progress Reports Due Twice Per Year Twice annually, on March 31st and September 30th, Big Lift subgrantees must submit progress reports: 1. A narrative report using The Big Lift Progress Report Template and an updated scope of work will be collected. b. Fiscal Reporting Invoices Due monthly Budget Changes As stated above in Budgets and Budget Amendments, any major changes to the originally approved budget must be submitted to SVCF and require prior approval before changes are to be made. All other changes must be reported to SVCF in writing as soon as possible (in order to ensure timely payment of affected invoices). January 15th July 15th February 15th August 15th March 15th September 15th April 15th October 15th May 15th November 15th June 15h December 15th Exhibit A Exhibit A - Page 41 Page | 18 Big Lift Subgrantee Terms and Conditions 2017 c. Grant Close Out Grant close out is the process by which SVCF determines that all applicable administrative actions and all required work of the Federal award have been completed or if SVCF/subgrantee decides to discontinue contract. During grant close out SVCF will verify completion of program and financial requirements by subgrantee, reconcile funds expended and payments, ensure the proper match has been met, and account for equipment and supplies as necessary. Subgrantees must submit closeout documents within 45 days of the end of the contract period. Deliverables: Subgrantees will provide the following documents within 45 days of the end of award:  Final progress report  Cumulative Data Report  Final monthly Financial Report  Final reconciliation of revenue and expenses for each project year  Closeout Certification Form certifying information is accurate and supported by documentation  Equipment & Supply Inventory Forms (if applicable)  Inventory of Residual Supplies (if applicable) Record Retention: As a Subgrantee, it is important to maintain financial records, supporting documents, and all other records pertinent to your award. Subgrantees must retain all financial books, documents, papers and records directly related to this Agreement for a period of three (3) years after SVCF makes its final disbursement. VI. Appendix Resources Programmatic The Big Lift Website Corporation for National & Community Service Website Social Innovation Fund CNCS Criminal History Checks Quick Guide 2014 Social Innovation Fund Notice of Funding Availability 2014 Social Innovation Fund FAQs Fiscal Office of Management and Budget Circulars Exhibit A Exhibit A - Page 42 Page | 19 Big Lift Subgrantee Terms and Conditions 2017 List of Cost Items Contained in the OMB Cost Principles Fedesral Financial Management: Required Written Policies and Procedures Checklist Exhibit A Exhibit A - Page 43 CORPORATION FOR NATIONAL AND COMMUNITY SERVICE SOCIAL INNOVATION FUND COOPERATIVE AGREEMENT TERMS AND CONDITIONS (CFDA No. 94:019) Version 3.0 (effective July 31, 2012) Exhibit A Exhibit A - Page 44 Version 3.0 (effective July 31, 2012) TABLE OF CONTENTS I. GOVERNING AUTHORITIES, TERMS AND CONDITIONS OF SOCIAL INNOVATION FUND COOPERATIVE AGREEMENTS.......................................................................................................... 1 A. STATUTORY AUTHORITY. ............................................................................................. 1 B. OTHER APPLICABLE STATUTORY AND ADMINISTRATIVE PROVISIONS ....... 1 1. States, Indian Tribes, U.S. Territories, And Local Governments ................................... 1 2. Nonprofit Organizations .................................................................................................... 1 3. Educational Institutions..................................................................................................... 1 C. OTHER APPLICABLE STATUTES, REGULATIONS AND AUTHORITIES ............. 2 D. OTHER DOCUMENTS GOVERNING THE COOPERATIVE AGREEMENT ........... 2 E. ORDER OF PRECEDENCE ............................................................................................... 2 II. SOCIAL INNOVATION FUND SPECIAL PROVISIONS ..................................................................... 3 A. DEFINITIONS ..................................................................................................................... 3 B. ROLES AND RESPONSIBILITIES OF THE AWARDEE .............................................. 4 1. General ............................................................................................................................... 4 2. Sub-grants .......................................................................................................................... 4 3. Evaluation, Replication and Expansion ............................................................................ 5 4. SIF Learning Community ................................................................................................. 6 C. ROLES AND RESPONSIBILITIES OF THE CORPORATION..................................... 6 1. Sub-grants .......................................................................................................................... 6 2. Evaluation and Replication or Expansion ........................................................................ 6 3. SIF Learning Community ................................................................................................. 6 D. BUDGET AND PROGRAMMATIC CHANGES .............................................................. 6 1. Programmatic Changes ..................................................................................................... 6 2. Budgetary Changes ............................................................................................................ 7 E. NOTIFICATION OF STAFFING AND MANAGEMENT CHANGES........................... 7 F. MATCHING FUND REQUIREMENTS............................................................................. 7 G. REPORTING REQUIREMENTS ...................................................................................... 8 Exhibit A Exhibit A - Page 45 Version 3.0 (effective July 31, 2012) Social Innovation Fund Cooperative Agreement Terms and Conditions i Exhibit A Exhibit A - Page 46 Version 3.0 (effective July 31, 2012) 1. Awardee Progress Reports ................................................................................................ 8 2. Financial Reports ............................................................................................................... 8 3. Requests for Extensions ..................................................................................................... 8 4. Final Financial Reports ..................................................................................................... 9 H. COOPERATIVE AGREEMENT PERIOD AND INCREMENTAL FUNDING ............ 9 I. SITE VISITS .......................................................................................................................... 9 III. GENERAL PROVISIONS .............................................................................................................. 9 A. RESPONSIBILITIES FOR COOPERATIVE AGREEMENT ADMINISTRATION . 9 1. Accountability of the Awardee ........................................................................................ 9 2. Notice to Corporation ..................................................................................................... 10 B. FINANCIAL MANAGEMENT STANDARDS .............................................................. 10 1. General ............................................................................................................................. 10 2. Consistency of Treatment............................................................................................... 10 3. Audits ............................................................................................................................... 10 4. Indirect Cost Rates ......................................................................................................... 11 5. Payments Under The Cooperative Agreement............................................................. 11 6. Program Income.............................................................................................................. 12 C. AWARDEE PRODUCTS .................................................................................................. 12 1. Sharing Cooperative Agreement Products ................................................................... 12 2. Acknowledgment of Support ......................................................................................... 12 D. PROHIBITED PROGRAM ACTIVITIES ..................................................................... 13 E. CRIMINAL HISTORY CHECKS ................................................................................... 14 F. SUSPENSION OR TERMINATION OF GRANT ......................................................... 14 G. THE OFFICE OF INSPECTOR GENERAL ................................................................. 14 H. FEDERAL GRANT POLICIES ....................................................................................... 15 1. Nonprocurement Debarment And Suspension ............................................................ 15 2. Drug-Free Workplace ..................................................................................................... 15 3. Non-Discrimination......................................................................................................... 15 4. Trafficking In Persons .................................................................................................... 19 5. Central Contractor Registration (CCR) and Universal Identifier Requirement…..21 6. Transparency Act Award………………………………………………………………22 Appendices.................................................................................................................................. 276 Exhibit A Exhibit A - Page 47 Version 3.0 (effective July 31, 2012) Social Innovation Fund Cooperative Agreement Terms and Conditions ii Exhibit A Exhibit A - Page 48 Version 3.0 (effective July 31, 2012) Social Innovation Fund Cooperative Agreement Terms and Conditions 111 Exhibit A Exhibit A - Page 49 Version 3.0 (effective July 31, 2012) I. GOVERNING AUTHORITIES, TERMS AND CONDITIONS OF SOCIAL INNOVATION FUND COOPERATIVE AGREEMENTS A. STATUTORY AUTHORITY. This Cooperative Agreement is authorized by and subject to the National and Community Service Act of 1990, as amended by the Serve America Act (the “NCSA”), codified as 42 U.S.C. 12501 et seq. Awardees must comply with the requirements of the Act and its implementing regulations. B. OTHER APPLICABLE STATUTORY AND ADMINISTRATIVE PROVISIONS The following applicable federal cost principles, administrative requirements and audit requirements are incorporated by reference. 1. States, Indian Tribes, U.S. Territories, And Local Governments The following circulars and their implementing regulations apply to states, Indian tribes, U.S. territories, and local governments: a. OMB Circular A-102, Uniform Administrative Requirements for Grants and Cooperative Agreements to State and Local Governments – 45 CFR Part 2541. b. OMB Circular A-87, Cost Principles for State and Local Governments – 2 CFR Part 225. c. OMB Circular A-133, Audits of States, Local Governments and Non-Profit Organizations. 2. Nonprofit Organizations The following circulars and their implementing regulations apply to nonprofit organizations: a. OMB Circular A-110, Uniform Administrative Requirements for Grants and Agreements with Institutions of Higher Education, Hospitals and Other Nonprofit Organizations – 45 CFR Part 2543 or 2 CFR Part 215. b. OMB Circular A-122, Cost Principles for Nonprofit Organizations – 2 CFR Part 230. c. OMB Circular A-133, Audits of States, Local Governments and Non-Profit Organizations. 3. Educational Institutions The following circulars and their implementing regulations apply to educational institutions: Exhibit A Exhibit A - Page 50 Version 3.0 (effective July 31, 2012) a. OMB Circular A-110, Uniform Administrative Requirements for Grants and Agreements with Institutions of Higher Education, Hospitals and Other Nonprofit Organizations – 45 CFR Part 2543 or 2 CFR Part 215. b. OMB Circular A-21, Cost Principles for Educational Institutions – 2 CFR Part 220. c. OMB Circular A-133, Audits of States, Local Governments and Non-Profit Organizations. These documents can be found here: http://www.access.gpo.gov/nara/cfr/waisidx_07/2cfrv1_07.html#215 and here: http://ecfr.gpoaccess.gov/cgi/t/text/text- idx?sid=1289932cf6539210eb14f3d8d3052a8b&c=ecfr&tpl=/ecfrbrowse/Title02/2cfrv1_ 02.tpl#200 C. OTHER APPLICABLE STATUTES, REGULATIONS AND AUTHORITIES The Awardee must comply with all other applicable statutes, executive orders, regulations, and policies governing the Cooperative Agreement, including, but not limited to, those cited in the Notice of Federal Funds Opportunity, these Terms and Conditions, the Cooperative Agreement Assurances and Certifications, and those cited in 45 CFR Parts 2541 and 2543. D. OTHER DOCUMENTS GOVERNING THE COOPERATIVE AGREEMENT In addition to the applicable statutes and regulations referred to and incorporated above, the Awardee must perform its Cooperative Agreement consistent with the requirements stated in: 1. The Notice of Grant Award and Signature Page; 2. These Social Innovation Fund Cooperative Agreement Terms and Conditions; 3. The Social Innovation Fund Notice of Federal Funds Opportunity; 4. The Awardee’s approved Application (included the final approved budget). E. ORDER OF PRECEDENCE Any inconsistency in the documents governing this Cooperative Agreement shall be resolved by giving precedence in the following order (a) the NCSA and other applicable Federal Statutes, (b) Corporation and other Federal regulations, (c) Notice of Grant Award and Signature Page, (d) Social Innovation Fund Special Provisions (contained herein), (e) General Provisions (contained herein), (f) the Social Innovation Fund Notice of Federal Exhibit A Exhibit A - Page 51 Version 3.0 (effective July 31, 2012) Funds Opportunity, and (g) the approved Application (including all assurances, certifications, attachments, and pre-award negotiations). II. SOCIAL INNOVATION FUND SPECIAL PROVISIONS A. DEFINITIONS For purposes of this Cooperative Agreement the following definitions apply: 1. Application means all information and materials (including all assurances and certifications, the proposed budget as approved by the Corporation, or any information incorporated by reference) submitted by the Awardee in the Corporation’s eGrants system in response to the Notice of Federal Funds Opportunity, including any amendments or modifications to the information and materials made in response to any Corporation request for clarification. Copies of the assurances and certifications agreed to in the eGrants system are included for reference as appendices to these Terms and Conditions. 2. Awardee means the direct recipient of this award under section 198K of the NCSA (42 U.S.C. 12653k). 3. Competitive sub-grant selection process means an open and merit-based process to select sub-grantees carried out by an Awardee in compliance with section 198k(j)(3) of the NCSA (42 U.S.C. 12653K9J)(3)), and in a manner which: a. Is open to all eligible nonprofit organizations (except nonprofit organizations previously funded or affiliated with the Awardee); b. Provides sufficient public notice of the availability of SIF subgrants to eligible nonprofit community organizations within the specific local geographic areas and issue area(s) covered under this Cooperative Agreement; c. Advises potential applicants of: i. What organizations are eligible for funding; ii. How to obtain and submit an application; iii. The criteria (including appropriate subcriteria) that will be considered in reviewing applications; and iv. Any relative percentages, weights, or other means used to distinguish among the criteria; and d. Ensures that sub-grant applications will be reviewed consistent with the established criteria and will be free from any actual conflicts of interest (or the reasonable perception of any such conflict). Exhibit A Exhibit A - Page 52 Version 3.0 (effective July 31, 2012) 4. Low-income community means either: a. A population of individuals or households being served by a sub-grantee on the basis of having a household income that is 200 percent or less of the applicable Federal poverty guideline, or b. Either a population of individuals or households, or a specific local geographic area, with specific measurable indicators that correlate to low-income status (such as, but not exclusive to, long-term unemployment, risk of homelessness, low school achievement, persistent hunger, or serious mental illness), as identified in the Awardee’s Application. 5. Sub-grantee means a community organization receiving funds awarded by an Awardee under section 198K(j) of the NCSA (42 U.S.C. 12653k(j)). B. ROLES AND RESPONSIBILITIES OF THE AWARDEE 1. General The Awardee must perform the activities supported by this Cooperative Agreement in compliance with the statutes, regulations and administrative authorities cited or referred to these Terms and Conditions, in conformance with its approved Application (including the approved budget), and consistent with any approvals or directions provided by the Corporation in the course of carrying out the Cooperative Agreement. The Awardee is legally accountable to the Corporation for the use of award funds and is bound by the provisions of the award. The Awardee is responsible for ensuring that sub-grantees or other organizations carrying out activities under this award comply with these Terms and Conditions, including regulations and OMB circulars incorporated by reference. 2. Sub-grants a. Within 15 business days of receipt of this Cooperative Agreement, the Awardee shall provide to the Corporation a detailed plan for carrying out its competitive sub-grant selection process. That detailed plan must: i. Fully comply with the requirements specified in section 198K((j)(3) of the NCSA (42 U.S.C. 12653k(j)(3)) and in the definition of “Competitive sub- grant selection process” in these Terms and Conditions; ii. Result in awards to subgrantees to serve low-income communities (as defined in these Terms and Conditions) either: (a) In the case of an Awardee that applied as a geographic-based SIF, within the specific local geographic area and addressing the specific measurable outcomes in the specific issue area(s) identified in the Awardee’s Application; or Exhibit A Exhibit A - Page 53 Version 3.0 (effective July 31, 2012) (b) In the case of an Awardee that applied as an issue-based SIF— (1) Addresses the specific measurable outcomes in the specific issue area identified in the Awardee’s Application; and (2) Are within the specific geographic areas of need related to that issue area, as identified in the Awardee’s Application or as approved by the Corporation; iii. Reflect that the Awardee will make more substantial investment in subgrantees which show the highest levels of effectiveness, impact and evidence, as described in the Social Innovation Fund Notice of Federal Funds Opportunity; and iv. Be otherwise consistent with the Awardee’s application and approved budget. b. The Awardee shall— i. Make its sub-grant awards consistent with the requirements of sections 198K(j) and (k) of the NCSA (42 U.S.C. 12653k(j) and (k)), and the Terms and Conditions of this Cooperative Agreement; ii. Complete its competitive sub-grant selection process and make its sub-grant awards within six-months of entering into this Cooperative Agreement; and iii. Ensure that no less than 80% of the funds provided by the Corporation under its Cooperative Agreement are awarded to sub-grantees. 3. Evaluation, Replication and Expansion a. With input from the Awardee, the Corporation will reasonably set the date by which the Awardee shall provide to the Corporation the Awardee’s detailed plans for evaluation of its major sub-grantees. The detailed plans shall include; i. the specific questions the evaluation(s) intend to answer; ii. the type of research design, timeline, and estimated budget for evaluation; iii. the selection of who will conduct the evaluations and the process to be employed to maintain independence, objectivity, and high-quality reports; and iv. any additional elements specified by the Corporation. b. With input from the Awardee, the Corporation will establish required elements of a detailed plan for an Awardee’s replication or expansion of sub-grantees and set a reasonable deadline for submission by the Awardee. Exhibit A Exhibit A - Page 54 Version 3.0 (effective July 31, 2012) 4. SIF Learning Community The Awardee shall participate in SIF Learning Community activities as reasonably requested by the Corporation from time to time and shall work collaboratively with the Corporation to develop such activities. C. ROLES AND RESPONSIBILITIES OF THE CORPORATION Performance under this Cooperative Agreement is subject to the general oversight and monitoring of the Corporation. Additional substantial involvement of the Corporation will include: 1. Sub-grants a. Reviewing and approving the Awardee’s final detailed plan for carrying out its competitive sub-grant selection process within 15 business days of receipt of the plan; and b. Reviewing the Awardee’s execution of its approved competitive sub-grant selection process for compliance with applicable requirements under the grant award. 2. Evaluation and Replication or Expansion a. Reviewing and reaching mutual agreement with the Awardee on the Awardee’s final, detailed plans for evaluation of major sub-grantees; and b. Reviewing and reaching mutual agreement with the Awardee on the Awardee’s final, detailed plans for replication or expansion of sub-grantees. 3. SIF Learning Community a. Coordination of activities between the Awardee, the Corporation, other Social Innovation Fund awardees, other recipients of assistance from the Corporation, public agencies, and other invited public or private organizations; and b. The development of best practices deliverables. D. BUDGET AND PROGRAMMATIC CHANGES 1. Programmatic Changes The Awardee must first obtain the prior written approval of the Corporation’s Social Innovation Fund Program Office before making the following changes: a. Changes in the scope, objectives or goals of the Awardee’s program, whether or not they involve budgetary changes; Exhibit A Exhibit A - Page 55 Version 3.0 (effective July 31, 2012) b. Entering into sub-grants or contracts for Social Innovation Fund activities funded by the Cooperative Agreement which had not been previously identified or included in the approved application and budget. c. Changes in deadlines identified in these Terms and Conditions. Deadlines may be reasonably extended or revised upon mutual agreement of the parties. Programmatic changes also require final approval of the Corporation’s Office of Grants Management after written recommendation for approval is received from the Program Office. The Grants Officers will execute written amendments, and Awardees should not assume approvals have been granted unless documentation from the Grants Office has been received. Changes in deadlines require prior approval, but are not considered programmatic changes requiring a grant amendment. 2. Budgetary Changes The Awardee must obtain the prior written approval of the Corporation’s Office of Grants Management before amending the approved budget in any of the following ways: a. Specific Costs Requiring Prior Approval before Incurrence under OMB Circulars A- 21 (2 CFR Part 220), A-87 (2 CFR Part 225) or A-122 (2 CFR Part 230). For certain cost items, the cost circulars require approval of the awarding agency for the cost to be allowable. Examples of these costs are overtime pay, rearrangement and alteration costs, and pre-award costs. b. Purchases of Equipment over $5,000 using Cooperative Agreement funds, unless specified in the approved Application and budget. c. Changes to cumulative and/or aggregate budget line items that amount to 10 per cent or more of the total budget must be approved in writing in advance by the Corporation. The total budget includes both the Corporation and Awardee shares. Awardees may transfer funds among approved direct cost categories when the cumulative amount of such transfers does not exceed 10 percent of the total budget. E. NOTIFICATION OF STAFFING AND MANAGEMENT CHANGES The Awardee will notify the Corporation of any change in the staffing of any key position included (in whole or in part) as a cost in the award budget. This requirement applies regardless of whether the position is included in the federal or matching cost portions of the budget. The Awardee will also notify the Corporation of any changes in any positions which are not included in the approved budget, but which involve leadership oversight of the activity under this award. The Awardee will also notify the Corporation of any change in the senior leadership of the Awardee. F. MATCHING FUND REQUIREMENTS Exhibit A Exhibit A - Page 56 Version 3.0 (effective July 31, 2012) As provided in section 198k(i) of the NCSA (42 U.S.C. 12653k(i), the Awardee must provide at least fifty percent (50%) of the overall cost of carrying out the activities supported under its Cooperative Agreement. In addition, under section 198k(k) of the NCSA (42 U.S.C.12653k(k)), all subgrantees must provide at least fifty percent (50%) of the cost of carrying out the activities supported under their sub-grants. In both cases, the matching funds must be provided in cash. References in any of the applicable OMB Cost Principles to providing matching funds in-kind do NOT apply to Social Innovation Fund award or sub-grants. G. REPORTING REQUIREMENTS 1. Awardee Progress Reports Each Awardee must submit quarterly reports in the appropriate electronic system summarizing progress on the specific measurable outcomes identified in the Awardee’s Application during the quarter. Each Awardee shall also report on other measures established by the Corporation in consultation with the Awardee. Deadlines are as follows: Due Date Reporting Period Covered October 31 Start of Award through September 30 January 31 October 1 through December 31 April 30 January 1 through March 31 July 31 April 1 through June 30 2. Financial Reports The Awardee must submit semi-annual cumulative Federal Financial Reports (FFR), summarizing expenditures during the reporting period. These reports will be submitted through the appropriate electronic system. The FFR deadlines are as follows: Due Date Reporting Period Covered October 31 Start of Award through September 30 April 30 October 1 – March 31 An Awardee must set its own submission deadlines for its respective sub-grantees sufficient to enable the Awardee to report on-time. All Awardees must also submit an FFR - Cash Transactions Report on a quarterly basis to the Department of Health and Human Services Payment Management System per the Electronic Funds Transfer Agreement. 3. Requests for Extensions Requests for extensions of reporting deadlines will be granted when 1) the report cannot be furnished in a timely manner for reasons legitimately beyond the control of the Awardee and 2) the Corporation receives a request explaining the need for an extension Exhibit A Exhibit A - Page 57 Version 3.0 (effective July 31, 2012) before the due date of the report. Extensions of deadlines for financial reports may only be granted by the Office of Grants Management, and extensions of deadlines for Progress Reports may only be granted by the Social Innovation Fund Program Office. 4. Final Financial Reports An Awardee completing the final year of its Cooperative Agreement must submit, in lieu of the last semi-annual financial report, a final financial report that is due within 90 days after the end of the Cooperative Agreement. H. COOPERATIVE AGREEMENT PERIOD AND INCREMENTAL FUNDING For the purpose of Social Innovation Fund Cooperative Agreements, a project period is the complete length of time an Awardee is proposed to be funded to complete approved activities under the agreement. A project period may contain one or more budget periods. A budget period is a specific interval of time for which Federal funds are being provided to fund an Awardee's approved activities and budget. Unless otherwise specified, the Awardee’s Cooperative Agreement covers a five-year project period. In approving a multi-year project period, the Corporation generally makes an initial award for the first year of operation. Additional funding is contingent upon satisfactory performance and the availability of funds. The project period and the budget period are noted on the Notice of Grant Award. I. SITE VISITS The Corporation reserves the right to make site visits to review and evaluate Awardee and sub- grantee records, activities, organizational procedures and financial control systems; to conduct interviews; to request additional information; and to provide technical assistance as necessary. III. GENERAL PROVISIONS A. RESPONSIBILITIES FOR COOPERATIVE AGREEMENT ADMINISTRATION 1. Accountability of the Awardee The Awardee has full responsibility for managing all aspects of the Cooperative Agreement and agreement-supported activities, subject to the oversight of the Corporation. The Awardee is accountable to the Corporation for its operation of the Social Innovation Fund program and the use of Corporation funds. The Awardee must expend Cooperative Agreement funds in a judicious and reasonable manner, and it must record accurately the activities performed and outcomes achieved under the grant. Although Awardees are encouraged to seek the advice and opinion of the Corporation on special problems that may arise, such advice does not diminish the Awardee’s responsibility for making sound judgments and does not mean that the responsibility for operational decisions has shifted to the Corporation. Exhibit A Exhibit A - Page 58 Version 3.0 (effective July 31, 2012) 2. Notice to Corporation The Awardee will notify the appropriate Corporation Program or Grants Officer immediately of any developments or delays that have a significant impact on funded activities, any significant problems relating to the administrative or financial aspects of the award, or any suspected misconduct or malfeasance related to the award or Awardee. The Awardee will inform the Corporation official about the corrective action taken or contemplated by the Awardee and any assistance needed to resolve the situation. B. FINANCIAL MANAGEMENT STANDARDS 1. General The Awardee must maintain financial management systems that include standard accounting practices, sufficient internal controls, a clear audit trail, and written cost allocation procedures, as necessary. The Awardee’s financial management systems must be capable of distinguishing expenditures attributable to its award from expenditures not attributable to its award. The systems must be able to identify costs by programmatic year and by budget category and to differentiate between direct and indirect costs or administrative costs. For further details about the Awardee’s financial management responsibilities, refer to OMB Circular A-102 and its implementing regulations (45 CFR Part 2541) or A-110 (2 CFR Part 215) and it’s implementing regulations (45 CFR Part 2543), as other applicable OMB regulaions. These regulations are currentlyunder review and likely to be amended. 2. Consistency of Treatment To be allowable under an award, costs must be consistent with policies and procedures that apply uniformly to both federally financed and other activities of the Awardee. Furthermore, the costs must be accorded consistent treatment in both federally financed and other activities, as well as between activities, supported by different sources of funds. 3. Audits Organizations that expend $500,000 or more in a year in Federal awards (grants or cooperative agreements) shall have a single or program-specific audit conducted for that year in accordance with the Single Audit Act, as amended, 31 U.S.C. 7501, et seq., and OMB Circular A-133. This regulation is currently under review and likely to be amended. If the Awardee expends federal awards under only one federal program, it may elect to have a program specific audit, if it is otherwise eligible. A grantee that does not expend $500,000 in federal awards is exempt from the single audit requirements of OMB Circular A-133 for that year. However, it must continue to conduct financial management reviews of its sub-grantees, and records must be available for review and audit. Exhibit A Exhibit A - Page 59 Version 3.0 (effective July 31, 2012) A recipient of a Federal grant (pass-through entity) is required in accordance with paragraph 400(d) of OMB Circular A-133, to do the following with regard to its subrecipients: (1) identify the Federal award and funding source; (2) advise sub- recipients of all requirements imposed on them; (3) monitor subrecipient activities and compliance; (4) ensure subrecipients have A-133 audits when required; (5) issue decisions and ensure follow-up on audit findings in a timely manner; (6) where necessary, adjust its own records and financial statements based on audits; and (7) require subrecipients to permit access by the pass-through entity and auditors to records and financial statements, as necessary, for the pass-through entity to comply with A-133. 4. Indirect Cost Rates Reimbursement for indirect costs, general and administrative costs, overhead, or any similar cost rate type agreement, will be at the rate(s) and on the base(s) specified in the approved award budget. These amounts are subject to finalization by the cognizant federal agency or the Corporation. Any provisional rate(s) is subject to downward adjustment only under this award. Accordingly, final approved rate(s) charged to this award may not exceed the maximum provisional rate(s). If the cognizant federal agency or the Corporation does not approve a final rate, then the maximum provisional rate will be considered the final rate. 5. Payments Under The Cooperative Agreement a. Advance Payments. The Awardee may receive advance payments of Agreement funds provided the Awardee meets the financial management standards specified in OMB Circular A-102 and its implementing regulations (45 CFR Part 2541) or A- 110 and its implementing regulations (45 CFR Part 2543), as applicable. b. Immediate Cash Flow Needs. The amount of advance payments requested by the Awardee must be based on actual and immediate cash needs in order to minimize federal cash on hand, in accordance with policies established by the U.S. Department of the Treasury in 31 CFR Part 205. c. Discontinuing Advance Payments. If an Awardee does not establish procedures to minimize the time elapsing between the receipt of the cash advance and its disbursement, the Corporation may, after providing due notice to the Awardee, discontinue the advance payment method and allow payments by reimbursement, or in advance only by individual request and approval. d. Interest-Bearing Accounts. The Awardee must deposit advance funds received from the Corporation in federally-insured, interest bearing accounts. The exceptions to this requirement are: i. Institutions of Higher Education and Other Non-Profit Organizations. If an Awardee is covered by 45 CFR Part 2543 it must maintain advance funds in interest-bearing accounts unless: Exhibit A Exhibit A - Page 60 Version 3.0 (effective July 31, 2012) (a) It receives less than $120,000 in federal funds per year; (b) The best reasonably available account would not be expected to earn interest in excess of $250 per year on federal cash balances; or (c) The required minimum balance is so high that it would not be feasible within expected federal and non-federal cash resources. Earned interest must be remitted annually to HHS-PMS, Rockville, MD 20852. Awardees may keep up to $250 of interest per year to offset administrative expenses. ii. State and Local Governments. All Awardees and sub-awardees covered by 45 CFR Part 2541, with the exception of State Governments and Indian Tribes, must remit earned interest quarterly to the Corporation. Awardees may keep up to $100 of the earned interest per year to offset administrative expenses. 6. Program Income a. General. Income, including any fees for service earned as a direct result of the Cooperative Agreement-funded program activities during the award period, must be retained by the Awardee and used to finance the Cooperative Agreement’s non- Corporation share. b. Excess Program Income. Program income earned in excess of the amount needed to finance the Awardee share must be added to funds committed to the project by the Corporation and the Awardee and used to further expand eligible program activities and objectives. C. AWARDEE PRODUCTS 1. Sharing Cooperative Agreement Products To the extent practicable, the Awardee agrees to make products produced under the grant available to others in the field at the cost of reproduction. 2. Acknowledgment of Support Publications created or developed by staff funded under the award must be consistent with the purposes of the grant. The Corporation’s logo may be included on such documents. The Awardee is responsible for assuring that the following acknowledgment and disclaimer appears in any external report or publication of material based upon work supported by this award. “This material is based upon work supported by the Corporation for National and Community Service under Social Innovation Fund Grant No. . Opinions or points of view expressed in this document are those of the authors and do not Exhibit A Exhibit A - Page 61 Version 3.0 (effective July 31, 2012) necessarily reflect the official position of, or a position that is endorsed by, the Corporation or the Social Innovation Fund program.” D. PROHIBITED PROGRAM ACTIVITIES The Awardee must comply with, and require all sub-grantees to comply with, the prohibitions on use of Corporation funds in section 174 of the NCSA (42 U.S.C.§12634). While charging time to this Award, the Awardee, and anyone acting under the supervision or authority of the Awardee, may not engage in the following activities: 1. Attempting to influence legislation. 2. Organizing or engaging in protests, petitions, boycotts, or strikes. 3. Assisting, promoting or deterring union organizing. 4. Impairing existing contracts for services or collective bargaining agreements. 5. Engaging in partisan political activities or other activities designed to influence the outcome of an election to any public office. 6. Participating, in or endorsing, events or activities that is likely to include advocacy for or against political parties, political platforms, political candidates, proposed legislation, or elected Officers. 7. Engaging in religious instruction; conducting worship services; providing instruction as part of a program that includes mandatory religious instruction or worship; constructing or operating facilities devoted to religious instruction or worship; maintaining facilities primarily or inherently devoted to religious instruction or worship; or engaging in an y form of religious proselytization. 8. Providing a direct benefit to: a. A for-profit entity; b. A labor union; c. A partisan political organization; d. An organization engaged in the religious activities described in the preceding sub- clause, unless Agreement funds are not used to support the religious activities; or e. A nonprofit entity that fails to comply with the restrictions contained in section(c)(3) of U.S.C. Title 26. Exhibit A Exhibit A - Page 62 Version 3.0 (effective July 31, 2012) E. CRIMINAL HISTORY CHECKS The grantee must comply with, and require all sub-grantees to comply with, the requirements of 45 CFR sections 2540.200 – 2540.207 and related CNCS implementing guidance in effect at the time of award, and with any amendments to the requirements and guidance adopted during the period of performance. Under the Serve America Act (SAA), all grantees must conduct criminal history checks on all employees and others who receive a salary under Corporation grants, even if the activities don’t involve service with vulnerable populations. Therefore, this award is a covered program subject to these requirements. Further information, guidance and resources are found at http://nationalserviceresources.org/criminal-history. F. SUSPENSION OR TERMINATION OF GRANT Regulations related to the Corporation’s authority to suspend or terminate this award are contained in 45 CFR § 2540.400. In addition, an Awardee may suspend or terminate assistance to one of its sub-grantees, provided that such action affords the sub-grantee, at a minimum, the notice and hearing rights described in 45 CFR § 2540.400. G. THE OFFICE OF INSPECTOR GENERAL The Corporation’s Office of Inspector General (OIG) conducts and supervises independent and objective audits, evaluations, and investigations of Corporation programs and operations. Based on the results of these audits, reviews, and investigations, the OIG recommends policies to promote economy and efficiency and to prevent and detect fraud, waste, and abuse in the Corporation’s programs and operations. The OIG conducts and supervises audits of Corporation grantees, as well as legislativel y mandated audits and reviews. The legislatively mandated audits include the annual financial statement audit, and fulfilling the requirements of the Government Information Security Reform Act and its successor, the Federal Information Security Management Act. A risk- based approach, along with input received from Corporation management, is used to select grantees and grants for audit. The OIG hires audit firms to conduct some of its audits. The OIG audit staff is available to discuss its audit function, and can be reached at (202) 606- 9390. The OIG is available to offer assistance to Corporation grantees that become aware of suspected criminal activity in connection with the Corporation’s programs. Awardees should immediately contact OIG when they first suspect that a criminal violation has occurred. The OIG investigative staff is available to provide guidance and ensure that the appropriate law enforcement agency is notified, if required. The OIG may be reached by email at [email protected] or by telephone at (800) 452-8210. Exhibit A Exhibit A - Page 63 Version 3.0 (effective July 31, 2012) H. FEDERAL GRANT POLICIES 1. Nonprocurement Debarment And Suspension The Awardee must comply with, and require all sub-grantees to comply with, the requirements of 2 CFR Part 180, as implemented by 2 CFR Part 2200. 2. Drug-Free Workplace The Awardee must comply with, and require all sub-grantees to comply with, the requirements of 45 CFR Part 2545. 3. Non-Discrimination a. Assurances. The Awardee must assure that its program or activity, including those of its sub-grantees, will be conducted, and facilities operated, in compliance with the applicable statutes set forth below, as well as with their implementing regulations. The Awardee must obtain an assurance of such compliance prior to extending federal financial assistance to sub-grantees. The U.S. Government shall have the right to seek judicial enforcement of these assurances. b. Discrimination Prohibited. A person, a service recipient, or Program staff, may not, on the grounds of race, color, national origin, sex, age, political affiliation, disability, or religion be excluded from participation in, denied the benefits of, or be otherwise subjected to discrimination, directly or through contractual or other arrangements, under any program or activity receiving federal financial assistance. The prohibition on discrimination on the basis of disability protects otherwise qualified individuals with disabilities. The prohibition against discrimination on the basis of religion, with respect to Program staff, applies only to Program staff paid with Corporation funds but excludes staff paid with Corporation funds who were employed by the Awardee on the date the Corporation Agreement was awarded. This prohibition against discrimination includes, but is not limited to: i. Denying an opportunity to participate in, benefit from, or provide a service, financial aid, or other benefit; ii. Providing an opportunity which is different or provided differently; iii. Denying an opportunity to participate as a member of a planning or advisory body integral to the program; iv. Segregating or subjecting a person to separate treatment; v. Providing an aid, benefit, or service to a qualified disabled person that is less effective in affording opportunity to obtain the same result, gain the same benefit, or reach the same level of achievement; Exhibit A Exhibit A - Page 64 Version 3.0 (effective July 31, 2012) vi. Denying a qualified-disabled person the opportunity to participate in integrated programs or activities, even though permissibly separate or different programs or activities exist; vii. Restricting a person’s enjoyment of an advantage or privilege enjoyed by others; viii. Providing different or separate aid, benefits, or services to disabled persons, unless necessary in order to provide them as effectively as provided to others; ix. Treating a person differently in determining admission, enrollment, quota, eligibility, membership or other requirements; x. Using criteria or administrative methods, including failing to provide needed auxiliary aids for disabled persons, which have the effect of subjecting persons to discrimination, or defeating or substantially impairing achievement of the objectives of the program for a person; xi. Selecting a site or location of facilities with the purpose or effect of excluding individuals from, denying them the benefits of, or subjecting them to discrimination under the program; xii. Denying a qualified-disabled person a benefit, aid, or participation because facilities whose groundbreaking occurred after May 30, 1979 are inaccessible to or unusable by disabled persons or because programs or activities in facilities predating May 30, 1979, when viewed in their entirety, are inaccessible to or unusable by disabled persons; and xiii. Failing to provide reasonable accommodation to otherwise qualified individuals with disabilities. The Corporation's “Grant Program Civil Rights and Non-Harassment Policy,” which include additional discrimination prohibitions, is attached and incorporated herein in its entirety. c. Public Notice of Nondiscrimination. The Awardee must notify service recipients, applicants, Program staff, and the public, including those with impaired vision or hearing, that it operates its program or its activity subject to the nondiscrimination requirements of the applicable statutes. The notice must summarize the requirements, note the availability of compliance information from the Awardee and the Corporation, and briefly explain procedures for filing discrimination complaints with the Corporation. Sample language is: It is against the law for organizations that receive federal financial assistance from the Corporation for National & Community Service to discriminate on the basis of race, color, national origin, disability, sex, age, political affiliation, or, in Exhibit A Exhibit A - Page 65 Version 3.0 (effective July 31, 2012) most programs, religion. It is also unlawful to retaliate against any person who, or organization that, files a complaint about such discrimination. In addition to filing a complaint with local and state agencies that are responsible for resolving discrimination complaints, you may bring a complaint to the attention of the Corporation for National & Community Service. If you believe that you or others have been discriminated against, or if you want more information, contact: (Name, address, phone number – both voice and TDD, and preferably toll free – FAX number and e-mail address of the Awardee) or Office of Civil Rights and Inclusiveness Corporation for National Service 1201 New York Avenue, NW Washington, D.C. 20525 (202) 606-7503 (voice); (202) 565-2799 (TDD) (202) 606-3465 (FAX); [email protected] (e-mail) The Awardee must include information on civil rights requirements, complaint procedures, and the rights of beneficiaries in handbooks, manuals, pamphlets, and post information in prominent locations, as appropriate. The Awardee must also notify the public in recruitment material and application forms that it operates its Program or activity subject to the nondiscrimination requirements. Sample language, in bold print, is “This program is available to all, without regard to race, color, national origin, disability, age, sex, political affiliation, or, in most instances, religion.” Where a significant portion of the population eligible to be served needs services or information in a language other than English, the Awardee shall take reasonable steps to provide written material of the type ordinarily available to the public in appropriate languages. d. Records and Compliance Information. The Awardee must keep records and make available to the Corporation timely, complete and accurate compliance information to allow the Corporation to determine if the Awardee is complying with the civil rights statutes and implementing regulations. Where an Awardee extends federal financial assistance to sub-awardees, the sub-awardees must make available compliance information to the Awardee so it can carry out its civil rights obligations. The Corporation will provide specific guidance regarding records and compliance information. e. Obligation to Cooperate. The Awardee must cooperate with the Corporation so that the Corporation can ensure compliance with the civil rights statutes and implementing regulations. The Awardee shall permit access by the Corporation during normal business hours to its books, records, accounts, staff, facilities, and other sources of information as may be needed to determine compliance. Exhibit A Exhibit A - Page 66 Version 3.0 (effective July 31, 2012) f. Discrimination Complaints, Investigations and Compliance Reviews. The Corporation may review the practices of the Awardee to determine civil rights compliance. Any person who believes discrimination has occurred may file a discrimination complaint with the Corporation’s Office of Civil Rights and Inclusiveness. The Awardee may not intimidate, threaten, coerce, or discriminate against an individual to interfere with a right or privilege secured by the civil rights acts or because the person made a complaint, testified, assisted or participated in any manner in an investigation, proceeding, or hearing. The Corporation will keep the identity of complainants and witnesses confidential, except as necessary to conduct an investigation, hearing, or judicial proceeding. The Corporation will investigate whenever a compliance review, report, complaint, or other information indicates a possible failure to comply with the statutes and their implementing regulations. If an investigation indicates a failure to comply, the Corporation will so inform the Awardee and any applicable sub-awardees and will attempt to resolve the matter by voluntary means. If the matter cannot be resolved by voluntary means, the Corporation will initiate formal enforcement action. Discrimination complaints may be raised through the Awardee’s grievance procedure. Use of the Awardee’s grievance procedure may not be a required precursor to filing a federal discrimination complaint with the Corporation. Use of the Awardee’s grievance procedure does not preclude filing a federal discrimination complaint. The Awardee’s grievance procedure should advise individuals that use of the grievance procedure does not stop the running of Corporation time frames for filing a discrimination complaint with the Corporation. In all cases where discrimination allegations have been raised with the Awardee, the Awardee must submit a written report to the Corporation’s Equal Opportunity Office, which has a review authority over the investigation and disposition of all discrimination complaints. g. Self-Evaluation Requirements. The Awardee must comply with (1) the self- evaluation requirements under section 504 of the Rehabilitation Act regarding accessibility for individuals with disabilities; (2) the self-evaluation requirements of the Age Discrimination Act of 1975; and (3) the self-evaluation requirements under title IX of the Education Amendments of 1972 regarding discrimination based on sex. Guidance regarding the self-evaluation requirements may be obtained from the Corporation’s Office of Civil Rights and Inclusiveness, 1201 New York Avenue, NW, Washington, D.C. 20525, (202) 606-7503 (voice); (202) 565-2799 (TDD); (202) 606-3465 (FAX); or [email protected] (e-mail). h. Applicable Statutes. In accordance with its assurances, the Awardee must comply with all federal statutes relating to non-discrimination to the extent applicable, including, but not limited to titles VI and VIII of the Civil Rights Act of 1964 (42 U.S.C. 2000d and 3601 et seq.); section 504 of the Rehabilitation Act of 1973 (29 U.S.C. 794); title IX of the Education Amendments of 1972 (20 U.S.C. 1681 et seq.); the Age Discrimination Act of 1975 (42 U.S.C. 6101 et seq.); the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255); the Comprehensive Exhibit A Exhibit A - Page 67 Version 3.0 (effective July 31, 2012) Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616); the Public Health Service Act of 1912 (42 U.S.C. 290dd-3 and 290ee-3); and the requirements of any other non-discrimination provision in the NCSA (42 U.S.C. 12635), or any other applicable non-discrimination provision. 4. Trafficking In Persons This Grant is subject to requirements of Section 106(g) of the Trafficking Victims Protection Act (TVPA) of 2000, as amended (22 U.S.C. 7104). a. Provisions applicable to a recipient that is a private entity. i. You as the Awardee and your employees may not: (a) Engage in severe forms of trafficking in persons during the period of time that the Grant is in effect; (b) Procure a commercial sex act during the period of time that the Grant is in effect; or (c) Use forced labor in the performance of the Grant. ii. We as the Federal awarding agency may unilaterally terminate this Grant, without penalty, if it, (a) Is determined you have violated a prohibition in paragraph a.1 of this Grant term; or (b) Has an employee who is determined by the agency official authorized to terminate the Grant to have violated a prohibition in paragraph a.i of this Grant term through conduct that is either: (1) Associated with performance under this Grant; or (2) Imputed to you using the standards and due process for imputing the conduct of an individual to an organization that are provided in 2 CFR Part 180, “OMB guidelines to Agencies on Government-wide Debarment and Suspension (Non- procurement),” as implemented by our agency at 2 CFR Part 2200. b. Provisions applicable to an Awardee other than a private entity. We as the Federal awarding agency may unilaterally terminate this award, without penalty, if a subrecipient that is a private entity— i. Is determined to have violated an applicable prohibition of paragraph a.i of this Grant term; or Exhibit A Exhibit A - Page 68 Version 3.0 (effective July 31, 2012) ii. has an employee who is determined by the agency official authorized to terminate the Grant to have violated an applicable prohibition in paragraph a.1 of this Grant term through conduct that is – (a) Associated with performance under this Grant; or (b) Imputed to you using the standards and due process for imputing conduct of an individual to an organization that are provided in 2 CFR Part 180, “OMB Guidelines to Agencies on Governmentwide Debarment and Suspension (Nonprocurement),” as implemented by our agency at 2 CFR Part 2200. c. Provisions applicable to any grantee. i. You must inform us immediately of any information you receive from any source alleging a violation of a prohibition in paragraph a.i of this grant term. ii. Our right to terminate unilaterally that is described in paragraph a.ii or b of this section: (a) Implements section 106(g) of the TVPA of 2000, as amended (22 U.S.C. 7104(g)), and (b) Is in addition to all other remedies for noncompliance that are available to us under this Grant. iii. You must include the requirements of paragraph a.i of this Grant term in any sub-Grant you make to a private entity. d. Definitions. For purposes of this grant term: i. “Employee” means either: (a) An individual employed by you or a sub-grantee who is engaged in the performance of the project or program under this Grant; or (b) Another person engaged in the performance of the project or program under this Grant and not compensated b y you including, but not limited to, a volunteer or individual whose service are contributed by a third part as an in-kind contribution toward cost sharing or matching requirements. ii. “Forced labor” means labor obtained by any of the following methods: the recruitment, harboring, transportation, provision, or obtaining of a person for labor or services, through the use of force, fraud, or coercion for the Exhibit A Exhibit A - Page 69 Version 3.0 (effective July 31, 2012) purpose of subjection to involuntary servitude, peonage, debt bondage, or slavery. iii. “Private entity”: (a) Means any entity other than a State, local government, Indian tribe, or foreign public entity, as those terms are defined in 2 CFR Part 175.25. (b) Includes: (1) A non-profit organization, including any non-profit institution of higher education, hospital, or tribal organization other than one included in the definition of Indian tribe at 2 CFR Part 175.25(b). (2) A for-profit organization. “Severe forms of trafficking in persons,” “commercial sex act,” and “coercion” have the meanings given at section 103 of the TVPA, as amended (22 U.S.C. 7102). 5. Central Contractor Registration (CCR) and Universal Identifier Requirements a. Requirement for Central Contractor Registration (CCR): Unless you are exempted from this requirement under 2 CFR 25.110, you as the recipient must maintain the currency of your information in the CCR until you submit the final financial report required under this award or receive the final payment, whichever is later. This requires that you review and update the information at least annually after the initial registration, and more frequently if required by changes in your information or another award term. b. Requirement for Data Universal Numbering System (DUNS) Numbers. If you are authorized to make subawards under this award, you: i. Must notify potential subrecipients that no entity (see definition in paragraph 3. of this award term) may receive a subaward from you unless the entity has provided its DUNS number to you. ii. May not make a subaward to an entity unless the entity has provided its DUNS number to you. iii. Definitions. For purposes of this award term: (a) Central Contractor Registration (CCR) means the Federal repository into which an entity must provide information required for the conduct of business as a recipient. Additional information about registration procedures may be found at the CCR Internet site (currently at http://www.ccr.gov). Exhibit A Exhibit A - Page 70 Version 3.0 (effective July 31, 2012) (b) Data Universal Numbering System (DUNS) number means the nine- digit number established and assigned by Dun and Bradstreet, Inc. (D&B) to uniquely identify business entities. A DUNS number may be obtained from D&B by telephone (currently 866-705-5711) or the Internet (currently at http://fedgov.dnb.com/webform). (c) Entity, as it is used in this award term, means all of the following, as defined at 2 CFR part 25, subpart C: (1) A Governmental organization, which is a State, local government, or Indian Tribe; (2) A foreign public entity; (3) A domestic or foreign nonprofit organization; (4) A domestic or foreign for-profit organization; and (5) A Federal agency, but only as a subrecipient under an award or subaward to a non-Federal entity. (d) Subaward: (1) This term means a legal instrument to provide support for the performance of any portion of the substantive project or program for which you received this award and that you as the recipient award to an eligible subrecipient. (2) The term does not include your procurement of property and services needed to carry out the project or program (for further explanation, see Sec. ----.210 of the attachment to OMB Circular A-133, ``Audits of States, Local Governments, and Non-Profit Organizations''). (3) A subaward may be provided through any legal agreement, including an agreement that you consider a contract. (e) Subrecipient means an entity that: (1) Receives a subaward from you under this award; and (2) Is accountable to you for the use of the Federal funds provided by the subaward. 6. Reporting Subawards and Executive Compensation. a. Reporting of first-tier subawards. Exhibit A Exhibit A - Page 71 Version 3.0 (effective July 31, 2012) i. Applicability. Unless you are exempt as provided in paragraph d. of this award term, you must report each action that obligates $25,000 or more in Federal funds that does not include Recovery funds (as defined in section 1512(a)(2) of the American Recovery and Reinvestment Act of 2009, Pub. L. 111-5) for a subaward to an entity (see definitions in paragraph 5. of this award term). ii. Where and when to report. (a) You must report each obligating action described in paragraph a.i. of this award term to http://www.fsrs.gov. (b) For subaward information, report no later than the end of the month following the month in which the obligation was made. (For example, if the obligation was made on November 7, 2010, the obligation must be reported by no later than December 31, 2010.) iii. What to report. You must report the information about each obligating action that the submission instructions posted at http://www.fsrs.gov specify. b. Reporting Total Compensation of Recipient Executives. i. Applicability and what to report. You must report total compensation for each of your five most highly compensated executives for the preceding completed fiscal year, if-- (a) the total Federal funding authorized to date under this award is $25,000 or more; (b) in the preceding fiscal year, you received-- (1) 80 percent or more of your annual gross revenues from Federal procurement contracts (and subcontracts) and Federal financial assistance subject to the Transparency Act, as defined at 2 CFR 170.320 (and subawards); and (2) $25,000,000 or more in annual gross revenues from Federal procurement contracts (and subcontracts) and Federal financial assistance subject to the Transparency Act, as defined at 2 CFR 170.320 (and subawards); and (c) The public does not have access to information about the compensation of the executives through periodic reports filed under section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of 1986. (To determine if the public has access to the compensation information, see Exhibit A Exhibit A - Page 72 Version 3.0 (effective July 31, 2012) the U.S. Security and Exchange Commission total compensation filings at http://www.sec.gov/answers/execomp.htm.) ii. Where and when to report. You must report executive total compensation described in paragraph 2.a. of this award term: (a) As part of your registration profile at http://www.ccr.gov. (b) By the end of the month following the month in which this award is made, and annually thereafter. c. Reporting of Total Compensation of Subrecipient Executives. i. Applicability and what to report. Unless you are exempt as provided in paragraph 4. of this award term, for each first-tier subrecipient under this award, you shall report the names and total compensation of each of the subrecipient's five most highly compensated executives for the subrecipient's preceding completed fiscal year, if-- (a) in the subrecipient's preceding fiscal year, the subrecipient received-- (1) 80 percent or more of its annual gross revenues from Federal procurement contracts (and subcontracts) and Federal financial assistance subject to the Transparency Act, as defined at 2 CFR 170.320 (and subawards); and (2) $25,000,000 or more in annual gross revenues from Federal procurement contracts (and subcontracts), and Federal financial assistance subject to the Transparency Act (and subawards; and (b) The public does not have access to information about the compensation of the executives through periodic reports filed under section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of 1986. (To determine if the public has access to the compensation information, see the U.S. Security and Exchange Commission total compensation filings at http://www.sec.gov/answers/execomp.htm.) ii. Where and when to report. You must report subrecipient executive total compensation described in paragraph 3.a. of this award term: (a) To the recipient. (b) By the end of the month following the month during which you make the subaward. For example, if a subaward is obligated on any date during the month of October of a given year (i.e., between October 1 Exhibit A Exhibit A - Page 73 Version 3.0 (effective July 31, 2012) and 31), you must report any required compensation information of the subrecipient by November 30 of that year. d. Exemptions. If, in the previous tax year, you had gross income, from all sources, under $300,000, you are exempt from the requirements to report: i. Subawards, and ii. The total compensation of the five most highly compensated executives of any subrecipient. e. Definitions. For purposes of this award term: i. Entity means all of the following, as defined in 2 CFR part 25: (a) A Governmental organization, which is a State, local government, or Indian tribe; (b) A foreign public entity; (c) A domestic or foreign nonprofit organization; (d) A domestic or foreign for-profit organization; (e) A Federal agency, but only as a subrecipient under an award or subaward to a non-Federal entity. ii. Executive means officers, managing partners, or any other employees in management positions. iii. Subaward: (a) This term means a legal instrument to provide support for the performance of any portion of the substantive project or program for which you received this award and that you as the recipient award to an eligible subrecipient. (b) The term does not include your procurement of property and services needed to carry out the project or program (for further explanation, see Sec. ---- .210 of the attachment to OMB Circular A-133, ``Audits of States, Local Governments, and Non-Profit Organizations''). (c) A subaward may be provided through any legal agreement, including an agreement that you or a subrecipient considers a contract. iv. Subrecipient means an entity that: (a) Receives a subaward from you (the recipient) under this award; and Exhibit A Exhibit A - Page 74 Version 3.0 (effective July 31, 2012) (b) Is accountable to you for the use of the Federal funds provided by the subaward. v. Total compensation means the cash and noncash dollar value earned by the executive during the recipient's or subrecipient's preceding fiscal year and includes the following (for more information see 17 CFR 229.402(c)(2)): (a) Salary and bonus. (b) Awards of stock, stock options, and stock appreciation rights. Use the dollar amount recognized for financial statement reporting purposes with respect to the fiscal year in accordance with the Statement of Financial Accounting Standards No. 123 (Revised 2004) (FAS 123R), Shared Based Payments. (c) Earnings for services under non-equity incentive plans. This does not include group life, health, hospitalization or medical reimbursement plans that do not discriminate in favor of executives, and are available generally to all salaried employees. (d) Change in pension value. This is the change in present value of defined benefit and actuarial pension plans. (e) Above-market earnings on deferred compensation which is not tax- qualified. (f) Other compensation, if the aggregate value of all such other (g) Compensation (e.g. severance, termination payments, value of life insurance paid on behalf of the employee, perquisites or property) for the executive exceeds $10,000. Exhibit A Exhibit A - Page 75 Version 3.0 (effective July 31, 2012) Appendices ASSURANCES As the duly authorized representative of the applicant, I certify, to the best of my knowledge and belief, that the applicant:  Has the legal authority to apply for federal assistance, and the institutional, managerial, and financial capability (including funds sufficient to pay the non-federal share of project costs) to ensure proper planning, management, and completion of the project described in this application.  Will give the awarding agency, the Comptroller General of the United States, and if appropriate, the state, through any authorized representative, access to and the right to examine all records, books, papers, or documents related to the award; and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives.  Will establish safeguards to prohibit employees from using their position for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or personal gain.  Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency.  Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. 4728-4763) relating to prescribed standards for merit systems for programs funded under one of the nineteen statutes or regulations specified in Appendix A of OPM’s Standards for a Merit System of Personnel Administration (5 CFR 900, Subpart F).  Will comply with all federal statutes relating to nondiscrimination. These include but are not limited to: Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color, or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. 1681-1683, and 1685-1686). which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. 794), which prohibits discrimination on the basis of disability (d) The Age Discrimination Act of 1975, as amended (42 U.S.C. 6101-6107), which prohibits discrimination on the basis of age; (e) The Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; (f) The Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g) sections 523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. 290dd-3 and 290ee-3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. 3601 et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; (i) any other nondiscrimination provisions in the National and Community Service Act of 1990, as amended; and (j) the requirements of any other nondiscrimination statute(s) which may apply to the application.  Will comply, or has already complied, with the requirements of Titles II and III of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91-646) which provide for fair and equitable treatment of persons displaced or whose property is acquired as a result of federal or federally assisted programs. These requirements apply to all interests in real property acquired for project purposes regardless of federal participation in purchases.  Will comply with the provisions of the Hatch Act (5 U.S.C. 1501-1508 and 7324-7328) which limit the political activities of employees whose principal employment activities are funded in whole or in part with Federal funds.  Will comply, as applicable, with the provisions of the Davis-Bacon Act (40 U.S.C 276a and 276a-77), the Copeland Act (40 U.S.C 276c and 18 U.S.C. 874), and the Contract Work Hours and Safety Standards Act (40 U.S.C. 327-333), regarding labor standards for Federally assisted construction sub-agreements.  Will comply, if applicable, with flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973 (P.L. 93-234) which requires the recipients in a special flood hazard area to participate in the program and to purchase flood insurance if the total cost of insurable construction and acquisition is $10,000 or more.  Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of environmental quality control measures under the National Environmental Policy Act of 1969 (P.L. 91-190) and Executive Order (EO) 11514; (b) notification of violating facilities pursuant to EO 11738; (c) protection of wetlands pursuant to EO 11990; (d) evaluation of flood hazards in floodplains in accordance with EO 11988; (e) assurance of Exhibit A Exhibit A - Page 76 Version 3.0 (effective July 31, 2012) project consistency with the approved state management program developed under the Coastal Zone Management Act of 1972 (16 U.S.C 1451 et seq.); (f) conformity of federal actions to State (Clean Air) Implementation Plans under Section 176(c) of the Clean Air Act of 1955, as amended (42 U.S.C. 7401 et seq.); (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended (P.L. 93-523); and (h) protection of endangered species under the Endangered Species Act of 1973, as amended (P.L. 93-205).  Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C 1271 et seq.) related to protecting components or potential components of the national wild and scenic rivers system.  Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S.C. 470), EO 11593 (identification and protection of historic properties), and the Archaeological and Historic Preservation Act of 1974 (16U.S.C. 469a-l et seq.).  Will comply with P.L. 93-348 regarding the protection of human subjects involved in research, development, and related activities supported by this award of assistance.  Will comply with the Laboratory Animal Welfare Act of 1966 (P.L. 89-544, as amended, 7 U.S.C. 2131 et seq.) pertaining to the care, handling, and treatment of warm blooded animals held for research, teaching, or other activities supported by this award of assistance.  Will comply with the Lead-Based Paint Poisoning Prevention Act (42 U.S.C. §§ 4801 et seq.) which prohibits the use of lead based paint in construction or rehabilitation of residence structures.  Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act of 1984, as amended, and OMB Circular A-133, Audits of States, Local Governments, and Non-Profit Organizations.  Will comply with all applicable requirements of all other Federal laws, executive orders, regulations, application guidelines, and policies governing this program. For Social Innovation Fund Applicants ONLY  Will use the funds received through the award in order to make sub-grants to community organizations that will use the funds to replicate or expand proven initiatives, or support new initiatives, in low-income communities.  Will consult with a diverse cross section of community representatives in making decisions about sub-grants for communities (including individuals from the public, nonprofit private, and for-profit private sectors).  Will make sub-grants of a sufficient size and scope to enable the community organizations to build their capacity to manage initiatives, and sustain replication or expansion of the initiatives;  Will not make any sub-grants to--  the parent organizations of the applicant,  a subsidiary organization of the parent organization of the applicant, or,  if the applicant applied for a SIF award as a partnership, any member of the partnership.  Commits to meeting the matching cash fund requirements of section 198k(i) of the National and Community Service Act of 1990 (42 U.S.C. §12653k(i)).  Commits to use data and evaluations to improve the applicant’s own model and to improve the initiatives funded by the applicant.  Commits to cooperate with any evaluation activities undertaken by the Corporation. Exhibit A Exhibit A - Page 77 Version 3.0 (effective July 31, 2012) CERTIFICATIONS Certification – Debarment, Suspension, and Other Responsibility Matters This certification is required by the government-wide regulations implementing Executive Order 12549, Debarment and Suspension, 2 CFR Part 180, Section 180.335, What information must I provide before entering into a covered transaction with a Federal agency? As the duly authorized representative of the applicant, I certify, to the best of my knowledge and belief, that neither the applicant nor its principals:  Is presently excluded or disqualified;  Has been convicted within the preceding three years of any of the offenses listed in § 180.800(a) or had a civil judgment rendered against it for one of those offenses within that time period;  Is presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State, or local) with commission or any of the offenses listed in § 180.800(a); or  Has had one or more public transactions (Federal, State, or local) terminated within the preceding three years for cause or default. Certification – Drug Free Workplace This certification is required by the Corporation’s regulations implementing sections 5150-5160 of the Drug-Free Workplace Act of 1988 (P.L. 100-690), 45 CFR Part 2545, Subpart B. The regulations require certification by grantees, prior to award, that they will make a good faith effort, on a continuing basis, to maintain a drug-free workplace. The certification set out below is a material representation of fact upon which reliance will be placed when the agency determines to award the grant. False certification or violation of the certification may be grounds for suspension of payments, suspension or termination of grants, or government-wide suspension or debarment (see 2 CFR Part 180, Subparts G and H). As the duly authorized representative of the gran tee, I certify, to the best of my knowledge and belief, that the grantee will provide a drug-free workplace by: A. Publishing a drug-free workplace statement that: a. Notifies employees that the unlawful manufacture, distribution, dispensing, possession, or us e of a controlled substance is prohibited in the grantee’s workplace; b. Specifies the actions that the grantee will take against employees for violating that prohibition; and c. Informs employees that, as a condition of employment under any award, each employee will abide by the terms of the statement and notify the grantee in writing if the employee is convicted for a violation of a criminal drug statute occurring in the workplace within five days of the conviction; B. Requiring that a copy of the statement described in paragraph (A) be given to each employee who will be engaged in the performance of any Federal award; C. Establishing a drug-free awareness program to inform employees about: a. The dangers of drug abuse in the workplace; b. The grantee’s policy of maintaining a drug-free workplace; c. Any available drug counseling, rehabilitation, and employee assistance programs; and d. The penalties that the grantee may impose upon them for drug abuse violations occurring in the workplace; D. Providing us, as well as any other Federal agency on whose award the convicted employee was working, with written notification within 10 calendar days of learning that an employee has been convicted of a drug violation in the workplace; E. Taking one of the following actions within 30 calendar days of learning that an employee has been convicted of a drug violation in the workplace: a. Taking appropriate personnel action against the employee, up to and including termination; or b. Requiring that the employee participate satisfactorily in a drug abuse assistance or rehabilitation program approved for these purposes by a Federal, State, or local health, law enforcement, or other appropriate agency; Exhibit A Exhibit A - Page 78 Version 3.0 (effective July 31, 2012) F. Making a good faith effort to continue to maintain a drug-free workplace through implementation of paragraphs (A) through (E). Certification - Lobbying Activities As required by Section 1352, Title 31 of the U.S. Code, as the duly authorized representative of the applicant, I certify, to the best of my knowledge and belief, that:  No funds received from CNCS have been or will be paid, by or on behalf of the applicant, to any person or agent acting for the applicant, related to activity designed to influence the enactment of legislation, appropriations, administrative action, proposed or pending before the Congress or any State government, State legislature or local legislature or legislative body.  If any funds other than federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress in connection with this federal contract, grant, loan, or cooperative agreement, the applicant will submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions;  The applicant will require that the language of this certification be included in the award documents for all subcontracts at all tiers (including subcontracts, subgrants, and contracts under grants, loans and cooperative agreements) and that all subrecipients will certify and disclose accordingly. Erroneous certification or assurance The assurances and certifications are material representations of fact upon which we rely in determining whether to enter into this transaction. If we later determine that you knowingly submitted an erroneous certification or assurance, in addition to othe r remedies available to the federal government, we may terminate this transaction for cause or default. Notice of error in certification or assurance You must provide immediate written notice to us if at any time you learn that a certification or assurance was erroneous when submitted or has become erroneous because of changed circumstances. Definitions The terms “debarment”, “suspension”, “excluded”, “disqualified”, “ineligible”, “participant”, “person”, “principal”, “proposal”, and “voluntarily excluded” as used in this document have the meanings set out in 2 CFR Part 180, subpart I, “Definitions.” A transaction shall be considered a “covered transaction” if it meets the definition in 2 CFR part 180 subpart B, “Covered Transactions.” Assurance requirement for subgrant agreements You agree by submitting this proposal that if we approve your application you shall not knowingly enter into any lower tier covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by us. Assurance inclusion in subgrant agreements You agree by submitting this proposal that you will obtain an assurance from prospective participants in all lower tier covered transactions and in all solicitations for lower tier covered transactions that the participants are not debarred, suspended, ineligible, or voluntarily excluded from the covered transaction. Assurance of subgrant principals You may rely upon an assurance of a prospective participant in a lower-tier covered transaction that is not debarred, suspended, ineligible, or voluntarily excluded from the covered transaction, unless you know that the assurance is erroneous. You may decide the method and frequency by which you determine the eligibility of your principals. You may, but are not required to, check the List of Parties Excluded from Federal Procurement and Nonprocurement Programs. Non-assurance in subgrant agreements If you knowingly enter into a lower tier covered transaction with a person who is suspended, debarred, ineligible, or volunta rily excluded from participation in this transaction, in addition to other remedies available to the federal government, we may terminate this transaction for cause or default. Prudent person standard Exhibit A Exhibit A - Page 79 Version 3.0 (effective July 31, 2012) Nothing contained in the aforementioned may be construed to require establishment of a system of records in order to render in good faith the assurances and certifications required. Your knowledge and information is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. Social Innovation Fund Cooperative Agreement Terms and Conditions 31 Exhibit A Exhibit A - Page 80