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for not less than sixty (60) calendar days from the date that proposals are due, and that this proposal may not be withdrawn or modified during that time.I hereby certify that this proposal is genuine and not a false or collusive proposal, or made in the interests or on behalf of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

In order for an organization to be eligible to submit a proposal under this procurement, the organization must meet the following eligibility requirements:Be any IRS designated 501(c)(3) non-profit, public, or government agency serving residents of unincorporated Pierce County or be one of the Pierce County Consortium cities or towns, per Section 4.4.At the time of application, have an ACTIVE Unique Entity Identifier (UEI) number issued by SAM.gov at the time of application.Have a Unique Business Identifier (UBI) number as issued by the Washington State Department of Revenue and a Federal Tax ID number.By checking 'Confirm', I agree that the organization meets all eligibility requirements as stated under this section. If you have questions regarding eligibility requirements, please submit a question through the "Question & Answer" section of this RFP.

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

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.

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. Insurance 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.

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 application/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.

I understand that all potentially successful Proposers will be required to complete a financial risk assessment prior to a formal contract offer. This audit requires the organization to submit detailed financial information about the organization’s financial history, current status, and details regarding boards, internal processes, and controls. The results of the risk assessment shall be utilized to determine the potential financial risk and stability of the organization – the outcome of the assessment shall be scored low, medium, high. The County reserves the right not to contract with an organization considered financially “high risk.” If you have questions regarding risk assessments, please submit a question through the "Question & Answer" section of this RFP.

The Applicant assures that no person who presently exercises any functions or responsibilities in connection with the Pierce County Community Development Block Grant (CDBG) program has any personal financial interest, direct or indirect, in this proposal or any resulting Agreement. The Applicant further assures that it presently has no interest and shall not acquire any interest, direct or indirect, which would conflict in any manner or degree with the performance of its services hereunder. The Applicant further assures that in the performance of this project/proposal, no person having any conflicting interest will be employed. Any interest on the part of the Applicant or its employees must be disclosed to Pierce County Human Services. No officer, employee, or agent of the Applicant shall participate in the selection, award, or administration of activity funded in whole or in part with CDBG funds if a conflict of interest, real or apparent, would exist, nor shall their families, or those with whom they have business ties, so benefit.

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

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.

Please provide the organization's Federal Tax Number (EIN).

Please provide the organization's Washington State Unified Business Identifier (UBI) number.WARNING: Failure to provide a UBI number may be cause for the application to be disqualified from competition.

An organization must have, at the time of submission, an active UEI number when the funding 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 number OR if the UEI number is NOT ACTIVE may be cause for the application to be disqualified from competition.

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

If awarded funds, the responses to the following question(s) will be input into the Federal Sub-award Reporting System (FSRS) by Pierce County Human Services staff and the public will have access to this information online at http://www.USASpending.gov.

In your business or organization’s previous fiscal year, did your business or organization (including parent organization, all branches, and all affiliates worldwide) receive: Eighty percent (80%) or more of your annual gross revenues in U.S. federal contracts, subcontracts, loans, sub-grants, and/or cooperate agreements; AND $25,000,000 or more in annual gross revenues from U.S. federal contracts, subcontracts, loans, grants, sub-grants, and/or cooperative agreements? If "Yes" two additionally required questions will appear. If "No" proceed to Project Information.

Does the public have access to information about the compensation of the senior executives in your business or organization (including parent organization, all branches, and all affiliates worldwide) through periodic reports filed under Section 13 (a) or 15 (d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m (a), 780 (d)) or Section 6104 of the Internal Revenue Code of 1986?

Provide the full Name(s), Titles and Compensations of all highly compensated officers in your organization (including parent organization, all branches, and all affiliates worldwide).

In one sentence, please describe the project.

If known; indicate TBD if unknown.

If you selected "Other" in Question 11.4, please provide an explanation.

Are you requesting funding for a continuation of prior year(s) CDBG funding?Select "No" if this is a new project.

If requesting a continuation, please indicate the past funding Fiscal Year (FY) and Amount for each year.

Please provide a detailed timeline or work schedule for implementing this project including anticipated milestone and/or phase dates. Indicate whether this is a phased project and if yes, whether the phase for which you are requesting funds is stand-alone.

Which eligible activity does the project fall under, per the Eligibility Requirements in the Description of Solicited Services section of this RFP?

Please indicate the specific activities here.

NOTE: Read the Program Eligibility in the Description of Solicited Services section of this RFP prior to completing the following questions. The proposed project MUST meet the National Objective of Benefiting Low- and Moderate-Income persons through ONE the of categories (area benefit, limited clientele or housing) to proceed further. Is the project applying under the HUD National Objective: Area Benefit (entire service area is more than 46.10% income eligible)?STOP. Contact Stephanie Bray at stephanie.bray@piercecountywa.gov to verify your project is in a low- moderate-income census tract(s) or if an income survey must be done prior to submittal of application.

What are the boundaries of the service area?

What is the percentage of low-income persons that reside in the service area?

What data did you use to determine the percentage of low-income persons (census tract/block group or survey)?

If the data you used was by survey, please upload the survey results here.

Is the project applying under the HUD National Objective: Limited Clientele?

Select only one.

Is the project applying under the HUD National Objective: Housing?

Please select the following qualifying criteria for your activity:

If your project includes design/engineering for a public facility, new construction of a public facility, or renovations to an existing facility, please describe in detail any steps taken to ensure that the services or programs offered in the facility are accessible to individuals with transportation barriers. If the application is for infrastructure improvements (e.g., storm water, sewer, etc.), please indicate “Not Applicable”.

Describe how the facility complies with the Americans with Disabilities Act (ADA) requirements regarding accessibility.

STOP. All applicants must contact Stephanie Bray, Community Development Supervisor, at stephanie.bray@piercecountywa.gov for a Uniform Act compliance screening before moving forward in completing the application. A consultation is required to review the project to determine whether the Uniform Relocation Assistance and Real Property Acquisition Policies Act (Uniform Act) and/or Section 104(d) apply to the project. County staff will identify acquisition requirements and/or the notifications to be sent to occupants of existing buildings prior to application. County staff will assist in developing a project relocation plan and budget for any Uniform Act costs to include in this RFP submittal. Consultation with the County to review Uniform Act requirements should be completed on or before the date indicated in the Anticipated Timelines section of this RFP to allow adequate time for the applicant to notify residents or businesses of the project if required prior to the RFP due date. A determination that the Uniform Act/Section 104(d) requirements do not apply or instructions on complying with these requirements will be provided based on each project to attach with the application in response to question C.10) below. Failure to contact Stephanie by the deadline listed in the Anticipated Timelines section of this RFP and/or to complete this requirement if residents and/or businesses need to be sent letters prior to submittal of the CDBG application could result in the application being ineligible for funding.

Do you currently own all property required to complete this project (including land, building(s), right-of-way, and/or easements)?

Describe the type of property to be acquired and your plan for acquisition, including a detailed timeline.

Is the project site undeveloped land?

Does the project include rehabilitation of property?

Describe your plan for rehabilitation, including a detailed timeline.

Does the project include demolition of property?

Describe your plan for demolition, including a detailed timeline.

Does the project at any point or phase include demolishing housing units or converting such units to a use other than low-income housing?

Is the project occupied by the applicant only with no other occupants on the project site?

Describe the current occupancy by the applicant.

Please copy or re-create the table below and include in your response. Indicate the number of residential and business units, farms, or other types of units that currently exist on site and will exist at project completion. If not applicable, please put N/A. UnitsCurrent Units Units Occupied at Application Units Occupied 90 days prior to Application Units at Completion of Project Residential Units Business or Nonprofit Organizations Farms Other Totals

If any of the property involved in this project is occupied by anyone besides the applicant, have you notified those people or businesses that the project is subject to the Uniform Act and informed them of their rights prior to application?

Upload sample Notice and Occupant List here.

Please indicate the reason you marked "No."

If the property contains residential units, would affordable rents be charged per the Pierce County CDBG Consortium definition of affordable rents for rental projects as listed under the Scope of Work, Section 4.4 Record Keeping and Other Requirements?

Please copy or re-create the table below and include in your response.Indicate the number of residents or businesses that will need to move as part of this project. Move ChartTemporary Move (less than one year) Permanent Move Residents Businesses Property Owner

Is a Relocation Plan required?

Upload Relocation Plan with e-mail it has been approved by Pierce County.

If a relocation plan is required, have you included the cost of relocation benefits in your project budget?

Upload verification email from Pierce County.

Federal funding regulations require that a HUD environmental review be completed, and in some cases, that a formal release of funds from HUD is received, prior to any “choice limiting actions” (i.e., acquisition, demolition, construction, remediation) taking place. These actions are prohibited, regardless of the funding source, until formal clearance has been established. Please read the Environmental Review criteria section of the RFP carefully for further information.

Has an environmental review or assessment been completed?

If yes to 14.1.1, what type of environmental review/assessment was done (NEPA, SEPA, Phase 1, etc.)? List the name of the firm that conducted the environmental review and provide the dates when the review was conducted.

If applicable, upload a copy of your Environmental Review report here.

Is your project in a FEMA designated regulatory floodway?

Is your project in a flood plain?

Is your project near a natural body of water (stream, lake, etc.)?

Please indicate the body of water type (stream, lake, etc.) and the approximate distance from the project site.

Provide a detailed description of the project and explain how the project will serve your target population. Explain the need your project addresses, citing demographics, statistics, and other information (including all sources of funding).

Describe the existing conditions of the project area and its surroundings, and what gaps in service the project will fill.How does this project fill an unmet or under-met need in the Pierce County Consortium?

Please describe how your project will address one of the CDBG Public Facilities funding priorities identified by the CAB in ranked order:1) Infrastructure Improvements, or2) Shelter and Housing Needs

Priority will be given to projects requesting $250,000 or greater.

How has the public and/or community stakeholders been involved in the development of this project?

The budget form is provided in the attachments section. Please complete and upload Attachment A: Project Budget here. Please note the following: A. Applicant should complete all applicable blue shaded cells, including the Applicant Agency and Project Name at the top of the form.B. The Project Budget should include all other financial resources to be used in the project.C. Applicants will not be able to change the Environmental Review and Contingency budget line items as these are set costs for each applicant.

Provide an explanation on how you determined the costs for your budget and reference any sources you used in that determination.If the project is phased, please indicate whether the project is dependent on future funding to fully complete the project.

Please describe all sources of project funding including dollar amounts and indicate if the source is committed or uncommitted. Please also indicate whether the project is dependent on future funding to fully complete this project and serve clients or households. If additional funds are committed, please upload a letter of commitment from the identified funding source(s) below.If additional funds are uncommitted, what are the plans to ensure that the project can be fully and successfully completed?

Upload any Letters of Commitment from identified funding sources here, if applicable.

In the event full funding cannot be provided, could your project be partially funded?

Please copy or re-create the table below in your response. If partial funding is acceptable, identify your funding priority items and amounts, and indicate what accomplishments/phases could be expected from partial funding. Priority ChartDescribe Funding Priorities $ Amount Priority #1 FULL FUNDING FULL FUNDING Priority #2 Priority #3 Priority #4 Indicate expected accomplishments below for partial funding.

When this project is complete, what will be the annual operation and maintenance costs?

Please copy or re-create the table below and include in your response.Indicate the anticipated sources of operation and maintenance funding (the total should equal or exceed the cost above): Organization Amount Firm Commitment? Length of Commitment $ Yes No $ Yes No $ Yes No

Briefly describe how you will monitor progress in implementing the program and who in your organization will be responsible for monitoring compliance.

Please describe how the project will meet and document income eligibility requirements.

Please describe how you intend to manage this project. Do you have the internal capacity to manage this project, or will you hire a consultant/project manager? If so, name the consultant firm, how the individual/firm was selected, and if they are currently under contract. Please provide a list of all team members for this project.

What percentage of the total population will benefit from the project will be from cities/town in the Pierce County Consortium? NOTE: If the percentage is less than 100%, the total budget request must not exceed that percentage.

How will you ensure Pierce County Consortium residents are benefitted by the project? Please include your method for ensuring that eligible Pierce County Consortium residents, residing outside the cities of Tacoma, Lakewood, Pacific, Auburn, and Enumclaw, will benefit from this project.

Please download the Pre-Award Risk Assessment, complete, and upload the completed assessment and all required supplemental materials, including: 2 most recent audited financial statements, including federal single audit, management letters and findings/corrective responses.Prior year Balance Sheet, Profit and Loss and Cash Flow Statements for entire year period.Current YTD Balance sheet, Profit and Loss and Cash Flow Statements.Most recent IRS annual submission, if this has not been sent, please detail why it not been filed yet.Agency’s policies and procedures for fiscal/grant accounting, including cost allocation and record retention policies.Third Party monitoring reports you may have received in last two years.1 example of a management timesheet and 1 example of an employee (non-management) timesheet.Additionally requested documents, as applicable based on Pre-Award Risk Assessment responses.

If your organization is submitting more than one application, please respond to Question 24.1.

Please download the below documents, complete, and upload for EACH additional application:Application Questions (Word) and any applicable attachmentsAttachment A: CDBG Public Facilities Budget Worksheet (Excel)