Pierce County

Questionnaire

Youth Violence Prevention FY 2026-2027

26-003-CD-VP26

Project Questions

1

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for not less than sixty (60) calendar days from the date that proposals are due, and that this proposal may not be withdrawn or modified during that time.I hereby certify that this proposal is genuine and not a false or collusive proposal, or made in the interests or on behalf of any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.
2

Proposer Eligibility

Type: confirmation

In order for an organization to be eligible to submit a proposal under this procurement, the organization must meet the following eligibility requirements:Applicants must be an IRS designated non-profit or government agency. All applicants for funding must be registered as a business entity with the State of Washington and possess a Washington State Unified Business Identifier (UBI) number 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.
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 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.
4

Supplemental Attachment Confirmations

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. 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.
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 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.
7

Financial Risk Assessment

Type: confirmation

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.
8

UEI Number

Type: shortAnswer

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.
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 Business IDs

Type: shortAnswer

Please provide the organization's Federal Tax Number (EIN) and Washington State Unified Business Identification (UBI).
13

Ownership Type

Type: multipleChoice

Must choose at least two (2) answers: Profit status (1 or 2) and organizational structure (3, 4, or 5).
14

Organization Contacts

Type: longAnswer

Please provide the name, phone, and email for:Executive Director/CEO/PresidentFinancial Manager/CFOContract Manager
15

Proposal Specifics (Informational Only)

Type: sectionHeader

Questions under this section are not scored but required as part of the proposal.
16

Proposed Program Title

Type: shortAnswer

17

Funding Amount Requested for 2026

Type: shortAnswer

Please enter the total proposed budget for the period 1/1/26 - 12/31/26.
18

Funding Amount Requested for 2027

Type: shortAnswer

Please enter the total proposed budget for the period 1/1/27 - 12/31/27.
19

Cost Per Unduplicated Youth Served

Type: longAnswer

Explain and provide the total cost per unit for this program.
20

New or Expansion Program

Type: multipleChoice

Please identify all that are applicable to the intent of this funding:
21

Previous Funding

Type: yesNo

Has your organization previously been awarded Violence Prevention funding?
22

Previous Funding Details

Type: longAnswer

Please describe and include:Service year.Brief description of services.
23

Site Address(es)

Type: longAnswer

Please provide the site address(es) from which services will be delivered.
24

Staffing

Type: yesNo

Will staff positions be funded though this award?
25

Staff Title & Summary

Type: longAnswer

Please list program staff title and provide a one- to two-sentence summary of their duties.
26

Summary of Services/Experience (35 Points)

Type: sectionHeader

27

Program Description (15 points)

Type: longAnswer

Provide a description of the program for which you are seeking funding. Please include how and where the program will be implemented.
28

Number Served (not scored)

Type: shortAnswer

How many youth will be served through the program for the 2026 funding cycle?How many youth will be served through the program for the 2027 funding cycle?
29

Target Population (Combined with 10.4 - 5 points)

Type: longAnswer

Who is your target population?
30

Referral Process (Combined with 10.3 above)

Type: longAnswer

How are youth referred to your program? How do you select youth for your program?
31

Experience (15 points)

Type: longAnswer

What is your agency’s experience in programming efforts to reduce youth violence?
32

Geographic Area Served (30 Points)

Type: sectionHeader

Violence Prevention funds shall be used to serve youth in unincorporated Pierce County. Services may be located anywhere in Pierce County, including in incorporated cities or towns, however, the clients being served under this violence prevention funding must reside in unincorporated Pierce County.
33

Geographic Area & Tracking Youth's Place of Residence (Combined with 11.2 - 15 points)

Type: longAnswer

Identify the geographic area your program intends to serve and explain how this program tracks and monitors the youth’s place of residence in order to comply with the violence prevention funds requirement to serve youth who live in unincorporated Pierce County.
34

Percentage of Youth in Unincorporated Pierce County Served (Combined with 11.1 above)

Type: longAnswer

Please indicate the percentage of youth served in both unincorporated and incorporated Pierce County by your program.For example: 80% Unincorporated, 20% Incorporated
35

Program Need (15 points)

Type: longAnswer

Based on the target population identified in question 10.3, what is the need for this program in the identified geographic area served by this funding request? Please include data to support the need in your identified geographic area.
36

Cooperative Efforts (35 Points)

Type: sectionHeader

37

Fairness and Belonging (Combined with 12.2 - 20 points)

Type: longAnswer

How does your organization ensure fair and just programming and organizational strategies, including how your agency makes youth feel a sense of inclusion and belonging while participating in your program?
38

Accessibility for Various Populations

Type: longAnswer

Describe how your program reaches out to, and addresses, the needs of persons with disabilities; persons with limited English capabilities; members of different communities across Pierce County.
39

Partnerships (15 points)

Type: longAnswer

Please describe pertinent partnerships this program has in place for program implementation. Do not include those partnerships that involve only referrals between programs. If you are actively working on new partnerships for this program, please include the agency and the current status of the collaboration. Please copy or recreate the table below.Partner AgencyRelationship Type - MOU, Contractual, Collaborator only, Building a partnership for implementation, etc.Describe how you collaborate with this partner for this program/how they support your program
40

Best Practices (20 Points)

Type: sectionHeader

The following questions in alignment with the YVPNA as described in the Description of Services section in this RFP.
41

Best Practices or Evidence-Based Programming (5 points)

Type: yesNo

Is this program an evidence-based or promising program?
42

Best Practice or Evidence-Based Programming Details

Type: longAnswer

Indicate the name of the best practice, evidence-based and/or promising program, including program references (name, program site, link, etc.) and any training staff have received for implementing the program. If no training has been taken, what are the plans for implementation training, if any.
43

Program Details

Type: longAnswer

Briefly describe the name and components of your intended program.
44

Meeting Targeted Need (15 points)

Type: longAnswer

Provide a detailed description of how this program meets the targeted need described in question 11.3. Explain the community need this program addresses, citing demographics, statistics, and other information.
45

Focus on Prevention and Elimination of Violent Behavior in Youth (20 points)

Type: sectionHeader

46

Prevention or Reduction of Violence (20 points)

Type: longAnswer

Provide a brief description of how this program prevents or reduces violence by, towards or between children and youth. Share data in your answer.
47

Demonstrability and Sustainability (40 Points)

Type: sectionHeader

48

Long-term Impacts (20 points)

Type: longAnswer

How does this program create a long-term reduction of violence for youth and/or families participating in this program? Please include data to support your response.
49

Program Activities and Goals (Combined with 15.3 - 20 points)

Type: longAnswer

Please list the resources (staff, service sites), activities to be provided (classes, meetings, sessions, etc.), and quantify the number of activities (number of classes, hours of counseling, etc.). An example has been provided.Please copy or replicate the table below.RESOURCESACTIVITIESOUTPUTSPROGRAM YEAR FOR ACTIVITIES(2026, 2027, OR Both)Family Support CoordinatorIn-home counselingWeekly in-home counseling for 2 hours flexible schedulingBoth
50

Effective Use of Resources (Combined with 15.2 above)

Type: longAnswer

Describe how this program effectively uses the resources and activities in the above table (Question 15.2) to achieve the selected Outcomes (Section 4.3 of this RFP) resulting in the reduction of occurrences or the impact of violence in the lives of youth.
51

Outcomes (60 points)

Type: sectionHeader

52

Risk & Protective Factors (5 points)

Type: multipleChoice

Based on the YVPNA, what is the risk and/or protective factor(s) this program will focus on?
53

None of the Above (Scored with 16.1, if applicable)

Type: longAnswer

If "None of the above" is selected in Question 16.1, please describe what risk and/or protective factor(s) this program will focus on.
54

Program Goals - Components (5 points)

Type: multipleChoice

Based on the YVPNA, what program type and/or program components does your program focus on?
55

None of the Above (Scored with 16.3, if applicable)

Type: longAnswer

If "None of the above" is selected in Question 16.3, please describe what program type and/or program components this proposed program will focus on.
56

Selected Program Outcomes (5 points)

Type: yesNo

Are you selecting an outcome and two indicators from the list in the Outcomes & Performance Measures Section 4.3 of this RFP?
57

Identify Outcome & Indicators

Type: longAnswer

Please list the outcome and two indicators from Section 4.3 that best fit your program.
58

Proposed Outcome & Indicators

Type: longAnswer

Please list a proposed outcome and two indicators for your program.
59

Process and Tools (Combined with 16.7 - 20 points)

Type: longAnswer

Describe the measuring tool(s) and process for tracking and measuring the outcome and indicators.
60

Determining Success (Combined with 16.6 above)

Type: longAnswer

Describe how outcome success is determined.
61

Outcome Tool (5 points)

Type: fileUpload

Include the tool that will be used to track and measure outcomes for the program.
62

Data (20 points)

Type: longAnswer

Share historical data that shows your organization’s outcomes related to the program for which you are seeking funding, including how your program has evaluated services and impacts on clients. If this is a new program, please provide data for a similar program that demonstrates related outcomes.
63

Fiscal Management (15 Points)

Type: sectionHeader

64

Current Funding (Not Scored)

Type: longAnswer

Indicate all funding sources that currently support this program. Please copy or replicate and complete the table below.Funding SourceType of funding (federal, local, grant, in-kind, supplies, volunteers, etc.AmountSecured, pending (applied for), plan on applying, etc.
65

Budget (15 points)

Type: fileUpload

Please upload Attachment A: Budget Worksheet
66

Program Priorities & Anticipated Impacts of Reduced Funding (Not Scored)

Type: longAnswer

Due to the limited availability of funding, Pierce County anticipates that some programs may receive less than their full requested amount. Please describe: What services or aspects of the program overview you would prioritize maintaining with a reduction in funding Why you would prioritize maintaining these services or aspects
67

Pre-Award Risk Assessment

Type: sectionHeader

68

Pre-Award Risk Assessment Upload

Type: download

Please download the below documents, complete, and upload the Pre-Award Risk Assessment and all required supplemental materials as listed in the attachment.
69

Multiple Applications

Type: sectionHeader

If your organization is submitting more than one application, please respond to Question 19.1.
70

Upload Additional Applications

Type: download

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