Pierce County

Questionnaire

Continuum of Care: Renewal and New Project Application

2026-003-Homeless-COC

Project Questions

1

Administrative Questions

Type: sectionHeader

2

Proposer Confirmation

Type: confirmation

As an authorized representative of the Proposer, having carefully examined the Request for Proposals, propose to furnish services in accordance therewith as set forth in the attached proposal.I further agree that this proposal will remain in effect for not less than sixty (60) calendar days from the date that proposals are due, and that this proposal may not be withdrawn or modified during that time.I hereby certify that this proposal is genuine and not a false or collusive proposal, or made in the interests or on behalf of any person not therein named; and I have not directly or indirectly induced or solicited any Contractor or supplier on the above work to put in a false proposal or any person or corporation to refrain from submitting a proposal; and that I have not in any manner sought by collusion to secure to myself an advantage over any other contractor(s) or person(s).In order to induce the County to consider this proposal, the Proposer irrevocably waives any existing rights which it may have, by contract or otherwise, to require another person or corporation to refrain from submitting a proposal to or performing work or providing supplies to Pierce County, and Proposer further promises that it will not in the future directly or indirectly induce or solicit any person or corporation to refrain from submitting a response or proposal to or from performing work or providing supplies to Pierce County.
3

Ownership and Copyright of Submitted Materials

Type: confirmation

By submitting a proposal, I agree that all documents, reports, proposals, submittals, working papers, or other materials prepared by the Proposer pursuant to this proposal shall become the sole and exclusive property of the County, and the public domain, and not property of the Proposer. The Proposer shall not copyright, or cause to be copyrighted, any portion of items submitted to the County in response to this procurement.
4

Supplemental Attachment Confirmation

Type: confirmation

I confirm I have reviewed the content of the following attachments included under this RFP: Sample Agreement and any other documents as identified as "sample" in the Attachments section and acknowledge I understand and agree to these requirements should my organization receive a contract as a result of this proposal.
5

Insurance Requirements

Type: confirmation

By submitting a proposal, I understand and agree that if awarded funding from this RFP, the organization must be able to meet all insurance requirements based on services being purchased, prior to contract execution, and types of insurances may include, but are not limited to:Commercial General Liability Insurance: Required on all contracts. Standard levels are $1M occurrence/$2M aggregate (may be higher/lower, depending on value of contract and type of service).Commercial Automobile Liability Insurance: Required when the Contractor uses owned, rented, or leased automobiles to complete the services as required per the contract. Higher coverages may be required for fleet/large passenger vehicles. Workers Compensation Insurance: As required by Washington State.Professional Liability or Errors and Omissions Insurance: If the Contractor provides services such as analysis, consulting, counseling, daycare, legal, medical, nursing, pastoral, medical, or other services that require professional licensing.Abuse and Molestation: If the Contractor will be working directly with youth under the age of 18, elderly, disabled or other vulnerable populations.Cyber/Privacy and Security Insurance: If the Contractor is doing work that could give the Contractor access to personal or sensitive information from within the County's network or on the Contractor's personal computer, or lead to breaches of security, leading to a loss of privacy or identity theft.Crime/Employee Dishonesty Insurance: If the Contractor is in the custody or control of Pierce County funds such as cash, credit cards, checks or physical property.Other insurance(s) applicable to services being purchased: Such as Excess or Umbrella Liability Insurance if the contract is in excess of $500,000.In addition:Pierce County shall be named as an "Additional Insured" which must be provided in the insurance endorsement; andInsurance requirements also apply to any subcontractors hired by the main Contractor to deliver services, where applicable.Please see "Exhibit D" in the SAMPLE AGREEMENT under attachments to see full insurance requirements. If you have questions regarding insurance requirements, please submit them through the “Question & Answer” section of the RFP.
6

Debarment Certification

Type: confirmation

As an authorized representative of the Proposer, I certify to the best of my knowledge and belief that the organization and its principals:Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal department or agency;Have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a 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 of records, making false statements, or receiving stolen property;Are not presently indicted for or otherwise criminally or civilly charged by a government entity (Federal, State, or local) with commission of any of the offenses enumerated in paragraph (1)(b) of this certification; andHave not within a three-year period preceding this proposal had one or more public transactions (Federal, State, or local) terminated for cause or default.Does not employ any person nor contracts with any person or agency excluded from participation in federal health care programs under either 42 U.S.C. 1320a-7 (§§1128 or 1128A Social Security Act) or debarred or suspended.By checking the confirmation, I understand that a false statement on this certification may be grounds for rejection of this proposal or termination of any award. In addition, under 18 USC Sec. 1001, a false statement may result in a fine of up to $10,000 or imprisonment for up to 5 years, or both.
7

Pre-Award Financial Risk Assessment Submission Confirmation

Type: confirmation

Pierce County is now requiring applicants to complete and submit a Financial Risk Assessment and related documentation annually. In addition, applicants must update their submission six months after their most recent annual submission.An updated Financial Risk Assessment must also be submitted at any time within the 12-month period following the most recent assessment if either of the following occurs:A change in leadership has occurredThe agency has experienced a funding loss or reduction of 20% or more of its total budgetPierce County is collecting Financial Risk Assessment documentation through this form. Upon completion and submission of the form, whether for an initial Financial Risk Assessment or any required update, you will receive a confirmation email. The confirmation email is REQUIRED as part of this application, so save the email confirmation as a .PDF and upload it here. WARNING: Failure to provide evidence of an acceptable and up-to-date Financial Risk Assessment may be cause for the application to be disqualified from competition. I understand and agree that my organization has completed the Financial Risk Assessment form within the last six months and/or has updated the Financial Risk Assessment form submission if any of the above conditions apply. Completing the Financial Risk Assessment does not guarantee an award.
8

Proof of Completed Pre-Award Financial Risk Assessment (Upload)

Type: fileUpload

Once you have submitted the Pre-Award Financial Risk Assessment Form, you will receive an email confirmation. Save the email confirmation as a .PDF and UPLOAD HERE.WARNING: Failure to provide evidence of an acceptable and up-to-date Risk Assessment may be cause for the application to be disqualified from competition.
9

Organization Information

Type: sectionHeader

10

Authorized Individual

Type: shortAnswer

Please provide the name and title of the individual authorized to execute a contract on behalf of the organization.
11

Organization Information

Type: longAnswer

Please provide the legal name, any d/b/a names, years in business, local address, billing address if different, email address, and phone number of the organization making the proposal.
12

Organization Tax ID Number

Type: shortAnswer

Please provide the Employee Identification Number (EIN).
13

Organization Contacts

Type: longAnswer

Please provide the name, phone, and email for:Executive Director/CEO/PresidentFinancial Manager/CFOContract Manager
14

Proposer Threshold Review Questions

Type: sectionHeader

15

Unique Entity Identification (UEI) Number

Type: shortAnswer

An organization must have, at the time of submission, an active UEI number when the funding for the procurement is identified as federal. Please list your UEI as issued by Sam.gov. Funding may or may not create a subrecipient relationship between the organization and the County. WARNING: Failure to provide a valid and active UEI number may result in the disqualification of the application from further consideration.
16

Washington State Unified Business Identification (UBI) Number

Type: shortAnswer

Please provide the organization's UBI number. WARNING: Failure to provide a UBI number will be cause for the application to be disqualified from competition.
17

Certification of Compliance with Illicit Drug Enablement Policy

Type: confirmation

By checking this box, the Applicant certifies that it has reviewed Attachment D: Advancing Recovery by Prohibiting Illicit Drug Enablement Policy and agrees to comply with all of its requirements as a condition of receiving and administering any award made under this solicitation.
18

Ownership Type

Type: multipleChoice

Please select the appropriate entity type below. For-profit organizations, institutions of higher education, and individuals are NOT eligible to apply.
19

Documentation of Non-Profit Status

Type: fileUpload

If you selected "7. Non-profits having 501(c)(3) status with the IRS, EXCLUDING Institutions of Higher Education" above, upload documentation of non-profit status here.
20

Notice of Judgement

Type: yesNo

Has the organization received notice of judgement imposed against them for either of the violations listed below?the Fair Housing Act or a substantially equivalent state or local fair housing law for discrimination because of race, color, religion, sex, national origin, disability or familial status; orTitle VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, Section 109 of the Housing and Community Development Act of 1974, the Americans with Disabilities Act, or the Violence Against Women Act or substantially equivalent state or local laws.
21

Judgement Resolution

Type: yesNo

Has the judgement been resolved? Examples of actions that may be sufficient to resolve the matter include, but are not limited to: Current compliance with a voluntary compliance agreement signed by all the parties;Current compliance with a HUD-approved conciliation agreement signed by all the parties;Current compliance with a conciliation agreement signed by all the parties and approved by the state governmental or local administrative agency with jurisdiction over the matter;Current compliance with a consent order or consent decree; orCurrent compliance with a final judicial ruling or administrative ruling or decision.
22

Judgement Resolution (if applicable)

Type: fileUpload

If you responded yes to Question 3.5.1., please provide documentation of the resolved judgement and label the attachment "Resolved Judgement."
23

Project Eligibility Threshold

Type: sectionHeader

24

Certification of Eligibility Under the McKinney-Vento Homeless Assistance Act and CoC Program Rule

Type: confirmation

By checking this box, the Applicant certifies that it is an eligible applicant under the McKinney-Vento Homeless Assistance Act, as amended, and the Continuum of Care (CoC) Program Rule, and that it meets all applicable eligibility requirements for this solicitation.
25

Certification of Financial and Management Capacity

Type: confirmation

By checking this box, the Applicant certifies that it has the financial and management capacity and experience to carry out the proposed project as described in its application and the capacity to administer federal funds. The Applicant further certifies that the information provided in its application regarding its organizational experience and its administration of federal, state, local, or private funding is true and accurate.
26

Homeless Management Information System (HMIS) Certification

Type: confirmation

By checking this box, the Applicant certifies that, if awarded funding, it will collect and enter client and program data into the Homeless Management Information System (HMIS) in accordance with all applicable federal, state, and local requirements. If the Applicant is a victim service provider and is prohibited from entering data into HMIS, the Applicant certifies that it will collect and maintain client and program data in a comparable database that complies with all applicable confidentiality, privacy, and reporting requirements.
27

Required Certifications: Code of Conduct/Written Standards of Conduct

Type: fileUpload

Applicants MUST attach a copy of their Code of Conduct/Written Standards of Conduct. If the applicant is proposing a sub-recipient, then a copy of the sub-recipient's Code of Conduct/Written Standards of Conduct must be attached as well. (see Section 2.6.3 for additional details).
28

Required Certifications: Application for Federal Assistance

Type: download

Applicants MUST attach a copy of their Application for Federal Assistance. If the applicant is proposing a sub-recipient, then a copy of the sub-recipient's Application for Federal Assistance must be attached as well. (see Section 2.6.3 for additional details).
29

Required Certifications: Disclosure/Update Report

Type: download

Applicants MUST attach a copy of their Disclosure/Update Report. If the applicant is proposing a sub-recipient, then a copy of the sub-recipient's Disclosure/Update Report must be attached as well. (see Section 2.6.3 for additional details).
30

Required Certifications: Certification Regarding Lobbying

Type: download

Applicants MUST attach a copy of their Certification Regarding Lobbying. If the applicant is proposing a sub-recipient, then a copy of the sub-recipient's Certification Regarding Lobbying must be attached as well. (see Section 2.6.3 for additional details).
31

Disclosure of Lobbying Activities

Type: yesNo

Does the organization participate in lobby activities pursuant to 31 U.S.C 1352?
32

Required Certifications: Disclosure of Lobbying Activities

Type: download

Applicants MUST attach a copy of their Disclosure of Lobbying Activities. If the applicant is proposing a sub-recipient, then a copy of the sub-recipient's Disclosure of Lobbying Activities must be attached as well. (see Section 2.6.3 for additional details).
33

Required Certifications: Certification for a Drug-Free Workplace

Type: download

Applicants MUST attach a copy of their Certification for a Drug-Free Workplace. If the applicant is proposing a sub-recipient, then a copy of the sub-recipient's Certification for a Drug-Free Workplace must be attached as well. (see Section 2.6.3 for additional details).
34

Certification Regarding Compliance with Nondiscrimination Requirements

Type: confirmation

By checking this box, the Applicant certifies that it will not engage in racial preferences or any other form of unlawful discrimination in the administration of the proposed project or the use of awarded funds and will comply with all applicable federal nondiscrimination requirements, including 2 CFR § 200.300(a).
35

Certification Regarding Prohibited Drug-Related Activities

Type: confirmation

By checking this box, the Applicant certifies that, if awarded funding, it will not operate drug injection sites or "safe consumption sites" in violation of 21 U.S.C. § 856(a)(1); knowingly permit the use or distribution of illicit drugs on property under its control in violation of 21 U.S.C. § 856(a)(2); or knowingly distribute drug paraphernalia in violation of 21 U.S.C. § 863. The Applicant further certifies that it will comply with 2 CFR § 200.300(a) and, consistent with Greater Pierce County Continuum of Care policy, will not operate drug injection sites or "safe consumption sites"; knowingly distribute drug paraphernalia on or off property under its control; or conduct, permit, encourage, or allow any such activities under the pretext of harm reduction.
36

Application Submission

Type: sectionHeader

37

New or Renewal Project Application Upload

Type: download

Please download the appropriate New Project Application or Renewal Project Application below, complete, and upload here. Ensure the application is complete and submitted in the format specified in this RFP.
38

Additional Applications

Type: yesNo

Do you have additional applications to submit under this RFP?
39

Upload Additional Applications

Type: fileUpload

Upload any additional New Project Applications or Renewal Project Applications here. Ensure the application(s) are complete and submitted in the format specified in this RFP.
40

Replacement Reserves

Type: yesNo

Will this project include replacement reserves in the Operating budget? For additional information see Replacement Reserves FAQ #3678 on the HUD Exchange. Select Yes if this project application includes an Operating budget and your organization intends to use some or all the CoC Program operating funds towards replacement reserves. Select No if your organization does not intend to include an Operating budget or if an Operating budget is included, does not intend to use operating funds for replacement reserves.If the organization is submitting more than one application in response to this RFP, select Yes if at least one of the applications meets the conditions above; only select No if none of the applications meet the criteria above.
41

Replacement Reserves Upload

Type: fileUpload

If you selected "yes" to the previous question, attach supporting documentation that includes:total amount of funds that will be placed in reserve during the grant term;system(s) to be replaced that includes the useful like of the system(s); andrepayment schedule that includes the payment amount.If the organization is submitting more than one application, please submit documentation for each project for which the answer is "Yes" to Question 5.3. Please include the project name in each attachment.
42

Supportive Service Requirement Agreement

Type: fileUpload

Upload the project's Supportive Service Requirement Agreement (policy, contract, occupancy agreement, or lease) here. If the organization is submitting more than one application and the Supportive Service Requirement Agreement is different for each application, upload all Agreements here and include the project name in the document title.
43

Project Type

Type: yesNo

Are you applying for a TH, RRH, or PSH project?
44

Policy for Assessing Program Participant Need for Higher Level of Care Upload

Type: fileUpload

For TH, RRH, PSH projects only, upload Policy for Assessing Program Participant Need for Higher Level of Care here. If the organization is submitting more than one TH, RRH, or PSH application and the policy is different for each application, upload all Policies here and include the project name in the document title.
45

Policy for Assessing Program Participant Readiness to Move on to Unsubsidized or Other Permanent Housing Upload

Type: fileUpload

For TH, RRH, PSH projects only, upload Policy for Assessing Program Participant Readiness to Move on to Unsubsidized or Other Permanent Housing here. If the organization is submitting more than one TH, RRH, or PSH application and the policy is different for each application, upload all Policies here and include the project name in the document title.
46

Indirect Cost Rate Plan

Type: yesNo

Does the organization have an approved indirect cost rate plan?
47

Approved Indirect Cost Rate Plan Upload

Type: fileUpload

If applicable, upload approved Indirect Cost Rate Plan here.
48

Required Certifications: Indirect Cost Rate Certification

Type: download

Applicants MUST attach a copy of their Indirect Cost Rate Certification. If the applicant is proposing a sub-recipient, then a copy of the sub-recipient's Indirect Cost Rate Certification must be attached as well. (see Section 2.6.3 for additional details).
49

MOU for In-Kind Match

Type: yesNo

Will the organization be providing any in-kind match?
50

MOU for In-Kind Match Upload

Type: fileUpload

Applicants must match all grant funds, except for leasing funds, with no less than 25 percent of funds or in-kind contribution from other sources. If your organization is using In-Kind Match for any portion of the grant match requirement, upload MOU for In-Kind Match here. If the organization is submitting more than one application, upload all MOUs for In-Kind Match here and include the project name in the document title.
51

Cash Match

Type: yesNo

Will the organization be providing any cash match?
52

Cash Match Letter

Type: fileUpload

Applicants must match all grant funds, except for leasing funds, with no less than 25 percent of funds or in-kind contribution from other sources. If your organization is using Cash Match for any portion of the grant match requirement, upload Match Letter for Cash Match here. If the organization is submitting more than one application, upload all Match Letters here and include the project name in the document title.
53

New Project Application?

Type: yesNo

Is the organization submitting a New Project Application?
54

New Project Data Upload

Type: fileUpload

New Project applicants must provide data showing experience with the selected project type for which they are applying. By providing this data, applicant is certifying this to be current, true, and accurate data. Data must be provided for the same project type in this application with the same eligibility and of similar size. Data must be 2024 through 2026 only. Applicant should pull and quote data from the same time period and project for all questions below and will attach a copy of that data. If applicant does not have the data or the experience, they will receive 0 points for this section.Upload data here (new project applications only). If the organization is submitting more than one new project application, upload data for each project application and include the project name in the document title.