Pierce County

Questionnaire

Low Barrier Family Shelter

2026-004-Homeless-LBFS

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for not less than sixty (60) calendar days from the date that proposals are due, and that this proposal may not be withdrawn or modified during that time.I hereby certify that this proposal is genuine and not a false or collusive proposal, or made in the interests or on behalf of any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 Contacts

Type: longAnswer

Please provide the name, phone, and email for:Executive Director/CEO/PresidentFinancial Manager/CFOContract Manager
13

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.
14

Threshold Review Questions

Type: sectionHeader

15

Ownership Type

Type: multipleChoice

Must choose at least two (2) answers: Profit status (1 or 2) and organizational structure (3, 4, 5, or 6).
16

Organization Tax ID Number

Type: shortAnswer

Please provide the Employee Identification Number (EIN).
17

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.
18

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.
19

Scored Proposal Questions (100 Points)

Type: sectionHeader

20

Describe the family shelter program you are proposing. (20 Points)

Type: longAnswer

Provide the following information:Describe the shelter model you will operate (congregate, non-congregate, hotel/motel, day center, or a combination).Describe the location of the program and the geographic area to be served.Describe the number of families, units, beds, or shelter spaces that will be available.Describe the staffing model, hours of operation, and supervision provided.Describe how the program will provide a safe, low-barrier, and family-centered environment.
21

Describe how families will move from shelter to permanent housing. (15 Points)

Type: longAnswer

Provide the following information:Describe the housing-focused case management approach.Describe how staff will help families identify and obtain permanent housing.Describe how housing assistance funds will be used.Describe how staff will address common housing barriers.What outcomes do you expect to achieve related to housing placement, housing retention, and length of stay?
22

Describe how your program will support family stability and child well-being. (15 Points)

Type: longAnswer

Provide the following information:Describe how the program will support children and youth while families are in shelter.Describe how the program will support school enrollment, attendance, and educational stability.Describe how families will access childcare, healthcare, behavioral health, domestic violence services, and other community resources.Describe how the program will help families increase income, access benefits, and improve long-term housing stability.Describe how services will be tailored to the needs of diverse families.
23

Describe the need for this program and the population you will serve. (10 Points)

Type: longAnswer

Provide the following information:Describe the families and communities you intend to serve, including the geographic area to be served.Describe the unmet need for family shelter and housing assistance within the proposed service area.Describe barriers families face when accessing shelter, housing, and supportive services.Describe how this program will improve access to shelter and housing resources.Describe the impact you expect the program to have on the community.
24

Describe how your program will coordinate with the homeless response system and community partners. (10 Points)

Type: longAnswer

Provide the following information:Describe how participants will be connected to Coordinated Entry.Describe how the program will coordinate with the Shelter Access Hub.Describe how the program will participate in HMIS, PIT Count activities, and other system requirements.Describe partnerships that will support housing outcomes and family stability.Describe how the program will coordinate with Pierce County during Inclement Weather activations.
25

Describe your organization's experience and ability to operate this program. (10 Points)

Type: longAnswer

Provide the following information:Describe your experience operating shelter, housing, or family-serving programs.Describe your experience serving families experiencing homelessness.Describe the qualifications of key staff responsible for program implementation.Describe your experience administering public funds and meeting reporting requirements.Describe your organization's capacity to begin or expand services within the proposed timeline.
26

Describe how the proposed budget will support successful program outcomes. (10 Points)

Type: longAnswer

Provide the following information:Describe how requested funds will be allocated across shelter operations and housing assistance.Describe the major budget categories and planned expenditures.Describe how the proposed budget is cost-effective.
27

Data in HMIS. (10 Points)

Type: sectionHeader

28

Does the project have data in HMIS for which it currently receives a performance scorecard from the County?

Type: yesNo

29

Average Time in Project – Goal 45 days

Type: longAnswer

Based on your most recent score card, please provide your current performance (i.e., X%) and provide a narrative to explain the performance.
30

Bed Utilization - Goal 80%

Type: longAnswer

Based on your most recent score card, please provide your current performance (i.e., X%) and provide a narrative to explain the performance.
31

Coordinated Entry Connection - Goal 95%

Type: longAnswer

Based on your most recent score card, please provide your current performance (i.e., X%) and provide a narrative to explain the performance.
32

Exits to Permanent Housing - Goal 50%

Type: longAnswer

Based on your most recent score card, please provide your current performance (i.e., X%) and provide a narrative to explain the performance.
33

HMIS Data Quality Performance Measure - Goal 95%

Type: longAnswer

Based on your most recent score card, please provide your current performance (i.e., X%) and provide a narrative to explain the performance.
34

HMIS Timeliness Performance Measure- Goal 95%

Type: longAnswer

Based on your most recent score card, please provide your current performance (i.e., X%) and provide a narrative to explain the performance.
35

Grant Spending Timeliness Performance Measure (All project types) - Goal 100%

Type: longAnswer

Please email PCCCHMLSInv@piercecountywa.gov, no later than September 2, 2026, at 2:00pm, with Subject line: LOW BARRIER FAMILY SHELTER, to request your spending timeliness. Please provide the project name for which you are requesting spenddown in the body of the email. PCHS staff will respond to your email with data percentage (i.e., X%). Provide a narrative to explain the performance.
36

Data NOT in HMIS

Type: yesNo

Does the organization have data on the required project performance measures for the most recent 12-month period that is NOT in HMIS?
37

Data NOT in HMIS Upload (if applicable)

Type: longAnswer

If you answered "yes" to Question 5.1.8 above, please upload any project data demonstrating the required Performance Measures not in HMIS for the most recent 12-month period.
38

No Project Data

Type: longAnswer

If your project does not have any data (in HMIS or elsewhere), please provide a narrative description for how you will reach these goals. Otherwise, please indicate N/A.
39

Budget (Not Scored)

Type: sectionHeader

40

Budget Worksheet

Type: download

Please download the below documents, complete, and upload.
41

Multiple Applications

Type: sectionHeader

42

Additional Applications

Type: yesNo

Do you have additional applications to submit under this RFP?
43

Upload Additional Applications

Type: download

Please download the documents below, complete, and upload for EACH additional application:Application Questions (Word)Attachment A: Budget Workbook (Excel)