Request for Applications Announcement for. Healthcare Skills Gap Partnerships

Transcription

1 Request for Applications Announcement for Healthcare Skills Gap Partnerships Issued by Commonwealth Corporation= Funded by the American Recovery and Reinvestment Act RESPONSES DUE: First Opportunity: December 4, 2009 at 12:00 p.m. Second Opportunity: January 15, 2010 at 12:00 p.m. electronic submission to: ( Healthcare Skills Gap Partnerships Application must appear in the e- mail subject line.) CONTACT: WEBSITE: Karen Shack Commonwealth Corporation The Schrafft Center 529 Main Street, Suite 1M8, Boston, MA Page 1

2 HEALTHCARE SKILLS GAP PARTNERSHIPS REQUEST FOR PROPOSALS TABLE OF CONTENTS SECTION ONE: OVERVIEW... 3 SECTION TWO: SUBMISSION SCHEDULE... 4 SECTION THREE: GOALS AND PROGRAM APPROACH... 6 SECTION FOUR: PROGRAM REQUIREMENTS... 8 SECTION FIVE: INSTRUCTIONS FOR SUBMISSION... 9 SECTION SIX: SUBMISSION EVALUATION PROCESS AND CRITERIA ATTACHMENT 1: APPLICATION FORM ATTACHMENT 2: PROJECT NARRATIVE ATTACHMENT 3: BUDGET AND BUDGET NARRATIVE ATTACHMENT 4: OUTCOMES PLAN FORM ATTACHMENT 5: SAMPLE MEMORANDUM OF AGREEMENT ATTACHMENT 6: CONTRACT TERMS AND CONDITIONS SIGNATURE APPENDIX A: CURRICULUM SUBMISSION GUIDELINES Page 2

3 HEALTHCARE SKILLS GAP PARTNERSHIPS REQUEST FOR PROPOSALS SECTION ONE: OVERVIEW A. Purpose: As part of Governor Patrick s Massachusetts Recovery Plan to secure the state s economic future, the Executive Office of Labor and Workforce Development (EOLWD) seeks to support healthcare workforce development partnerships that connect Massachusetts residents with critically needed healthcare jobs and further education to advance in healthcare careers. B. Program Sponsors: This solicitation is offered by the Executive Office of Labor and Workforce Development. The grant program is funded by the American Recovery and Reinvestment Act and administered by Commonwealth Corporation through the Workforce Competitiveness Trust Fund. C. Application Submission Deadlines: Applications will be accepted on two dates. Applicants submitted for the earlier deadline will be eligible to begin their contracts earlier and to be awarded an additional $10,000. First Opportunity: December 4, 2009 at 12:00 p.m. Second Opportunity: January 15, 2010 at 12:00 p.m. D. Funding Availability: Up to 16 grants Not more than $210,000 each for grants submitted for the first deadline Not more than $200,000 each for grants submitted for the second deadline E. Eligible Applicants: Workforce Investment Boards F. Match Requirement: At least 30% of the grant amount from employers, philanthropic and public or private organizations. G. Anticipated Duration of Contract(s): Contracts will start no later than January 18, 2010 for the first opportunity, and no later than March 1, 2010 for the second opportunity. All contracts will end no later than June 30, Page 3

4 SECTION TWO: SUBMISSION SCHEDULE Request for Applications Release Date September 18, 2009 Close of Applicants' Webinar Registration October 6, 2009 Applicants' Webinar October 9, :00 a.m. 12:00 p.m. Deadline for Letters of Intent October 16, 2009 Written Questions Accepted September 18 - November 13, 2009 Final Questions & Answers Posted November 20, 2009 Application Submission Due Dates Applicants submitting on the first deadline will be eligible for a longer contract period and an additional $10,000. First Submission Period Second Submission Period Due Date December 4, 2009 at 12:00 p.m. January 15, 2010 at 12:00 p.m. Applicants Notified of Status January 4, 2010 February 12, 2010 Estimated Contract Start January 18, 2010 March 1, 2010 Contract End No later than June 30, 2011 No later than June 30, 2011 A. Submission Deadlines: Applicants may apply for one of two deadlines as outlined above. Submissions will be reviewed in two separate groups according to the timeline above. Applicants prepared to begin work are encouraged to apply for the earlier deadline in order to maximize the contract time period. An additional $10,000 will be added to the $200,000 grant maximum for contracts awarded in the first group. B. Optional Applicants Webinar: An optional Applicant s Webinar will be held on October 9, 2009 at 11:00 a.m. All potential applicants interested in participating in the Webinar must register by October 6, To register, please your name and contact information to srs@commcorp.org. Please include Healthcare Skills Gap Partnerships Applicants Webinar in the subject line of the . All registrants will receive the Webinar login information by October 8. Applicants are encouraged to ensure they have received this login information prior to the end of that day. Please note that there is only one Webinar. It is open to applicants for both deadlines. C. Clarification Period: Questions about the Healthcare Skills Partnerships Request for Applications will be accepted in writing from September 18 through November 13. Please submit questions via to Karen Shack at kshack@commcorp.org. Commonwealth Corporation will respond to all questions and post them on our website at by November 20. However, all potential applicants are advised to check the Commonwealth Corporation s website periodically for additional information and updates until submissions are due. Please note that there is only one clarification period for applicants for both deadlines. Applicants planning to submit on the second deadline should submit their questions during this period. D. Letter of Intent: Applicants are required to submit a Letter of Intent indicating that they intend to apply, and whether they will apply for the first or second deadline. This letter must be received by Commonwealth Corporation by October 16, Letters for both the first and second submission opportunities are required for this deadline. Page 4

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6 SECTION THREE: GOALS AND PROGRAM APPROACH A. Need: Healthcare is one of the state s largest sectors, and one of the few with continuing growth during the recession. The sector suffers from persistent vacancies in a range of occupations. The most urgent skills gaps are in jobs requiring at least a two-year college degree, yet the path to higher education is too long and slow for many workers. While innovative efforts to address this skill gap have emerged around the state, there are still opportunities for greater strategic alignment among employers, educational institutions and the workforce development system. B. Goals of the Initiative: Commonwealth Corporation seeks applicants that can work collaboratively through regional partnerships to meet these healthcare workforce development challenges. By the end of the grant, partnerships will have: Enrolled and graduated participants from healthcare certificate programs in occupations with high regional demand. Placed graduates of those certificate programs in targeted healthcare jobs. Completed design work aimed to improve alignment and acceleration of healthcare education and training pathways that lead to Associate s Degrees. Developed a sustainable regional partnership among employers, post-secondary education institutions, the workforce development system, and community based organizations that will continue beyond the life of the grant. C. Target Population: The initiative targets participants who are either unemployed or employed but in need of skill enhancement to the Associate s Degree level to advance in the healthcare sector. D. Program Qualifications: We seek applicants capable of implementing a strong program that meets the following qualifications: Approach to Job Placement The ideal partnership will: Provide short-term opportunities for participants to complete certificates and access jobs. Engage employers in identifying job openings and placing participants in them upon successful completion of education and training. Page 6

7 Approach to Post-secondary Education and Training Pathways The ideal partnership will: Enroll participants in existing certificate programs that can demonstrate past success in their graduation rates and job placements. In addition, improve their pathways to Associate s Degrees in healthcare. This design work could include curriculum development, accreditation of non-credit courses, development of new certificate programs, and other strategies. To the extent possible within the timeframe of the grant, enroll students in these newly created or re-designed pathways. Partnerships may focus their design work on one or more areas, including but not limited to the following: Align coursework and certificates from one level to the next so that prior coursework, certificates, and/or work experience counts toward an Associate s Degree. Build in stepping-out points within a degree program at which students can obtain a certification leading to employment and then work while continuing their education toward the next certification or degree. Offer flexible scheduling alternatives that accommodate working students and allow for multiple starting points during the year. Integrate occupational and academic content. Accelerate the transition to credit-bearing coursework for students placed in developmental classes. Approach to Partnership The ideal partnership will: Facilitate closer working relationships among the partners, and establish clear roles and responsibilities. Develop mechanisms for regional information sharing and strategic workforce planning, based on identification of regional labor market supply and demand. Involve employers in sharing real-time vacancy information, crafting appropriate education and training programs and assessments, and placing trainees in jobs. Engage employers in program design extensively enough that they can see graduates of the program as one of their primary pipelines for new entrants to their workforce. Work toward a longer-term vision for regional workforce development beyond the implementation of this specific project. Serve as a model for regional workforce development that the WIB and its partners can apply to other sectors. Page 7

8 SECTION FOUR: PROGRAM REQUIREMENTS A. Eligible Applicants: Because this initiative seeks to facilitate the development of sustainable partnerships and strengthen the leadership role of regional Workforce Investment Boards (WIBs), submissions are invited from broad-based partnerships with WIBs as the leads. Lead Applicant The lead applicant must be a WIB. Required Partners The WIB must partner with other institutions in the region, including at a minimum: One accredited community college that grants certificates and Associate s Degrees in healthcare At least two healthcare employers One Career Center Additional Eligible Partners Partnerships are strongly encouraged to include some of the following partners as well: Community-based organizations Labor unions Local economic development agencies Healthcare professional/trade associations Adult basic education providers Public and private four-year degree colleges Vocational technical high schools Other education and training providers B. Participant Eligibility: The Healthcare Skills Gap Partnerships initiative is funded through the American Recovery and Reinvestment Act. Partnerships should be prepared to screen participants for Workforce Investment Act (WIA) eligibility and should identify partnership capacity to fill this role (e.g., through partnership with a Career Center). Further guidance will be provided to successful candidates during the implementation design phase. Page 8

9 SECTION FIVE: INSTRUCTIONS FOR SUBMISSION A. Application Submission Package Components: The following documents make up the required components of the Application Submission Package. Failure to provide any of the documents or materials listed below may result in the disqualification of the application. To facilitate submission review, please provide the following forms and documents in the order in which they are listed: Application Form (Attachment 1) Respond to all questions on the Application Form. You may adjust the spacing as needed to accommodate your answers. Project Narrative (Attachment 2) You may adjust the spacing in each section to accommodate your answers. The Project Narrative may not exceed 15 pages, using a font size of 11 or smaller. Tables, figures, charts, and appendices are included in the page limit, with the exception of the required appendices requested in Question 2(b). Budget and Budget Narrative (Attachment 3) Outcomes Form (Attachment 4) Memorandum of Agreement (MOA) (Attachment 5) Applicants should edit and make additions to the model MOA provided here as appropriate. The MOA should detail specific partner roles and responsibilities. All partners in the project must sign the Memorandum of Agreement. Submit one MOA signed by all partners. Contract Terms and Conditions Signature (Attachment 6) Letter from Local Collective Bargaining Unit (if applicable) Page 9

10 SECTION SIX: SUBMISSION EVALUATION PROCESS AND CRITERIA A. Submission Evaluation Process: Submissions in response to this solicitation will be evaluated by a review committee that will consist of representatives from Commonwealth Corporation, the Executive Office of Labor and Workforce Development, and other external partners. The Submission review process will consist of the following steps: Step 1 Submissions will be screened for completeness, conformity to the program requirements and timeliness of response. Submissions that are incomplete, non-conforming, or late will not be considered. Step 2 The review committee will examine all eligible submissions and score each submission based on the responses included in the Application Submission Package. Applicants will be judged against a benchmark rather than against each other. Each of the categories below will be scored for a possible 10 points. All applicants meeting the required benchmark of 8 out of 10 points in each category will have the potential to receive an award. Category Maximum Points Points Needed to Qualify Project Timeline (Attachment 1, Section 5) 10 8 Workforce Development Need (Attachment 2, Question 1) 10 8 Existing Certificate Program (Attachment 2, Question 2) 10 8 Design to Improve Education & Training Pathways 10 8 (Attachment 2, Question 3) Partnership (Attachment 2, Question 4) 10 8 Budget (Attachment 3) 10 8 Outcomes (Attachment 4) 10 8 Memoranda of Agreement (Attachment 5) 10 8 Review results will be documented. Commonwealth Corporation reserves the right to request additional information from any applicant to ensure that the review committee has a complete understanding of the program concept. Page 10

11 B. Submission Evaluation Criteria Minimum Threshold Commonwealth Corporation reserves the right to only consider submissions that, in our sole judgment, meet minimum threshold criteria listed below. The submission is complete and responsive to the solicitation s requirements. The submission includes all required attachments. Other Criteria Commonwealth Corporation and the Executive Office of Labor and Workforce Development reserve the right to consider other criteria in making competitive awards among comparably qualified applicants. C. Rejection of Submissions: Commonwealth Corporation reserves the right to reject any and all applications, or to accept any and all applications, in whole or in part, if deemed to be in the interest of the Commonwealth Corporation or the Commonwealth of Massachusetts to do so. This submission does not commit Commonwealth Corporation to award any contracts. Upon submission, all applications become the property of Commonwealth Corporation. D. Audited Financial Statement: All applicants that are selected for an award will be required to submit a copy of the organization s most recent audited financial statement prior to the execution of a final contract. Page 11

12 ATTACHMENT 1: APPLICATION FORM Name of Lead Applicant Organization (Regional Workforce Investment Board) Program Name 1. Project Profile Grant Period Requested Total Healthcare Skills Gap Partnership Funds Sought $ Total Match Provided 2. Project Summary In the space provided below, please provide a summary of your proposed project in 400 words or less. Include an overview of your program concept, target occupations and project team. $ 3. Applicant Contact Information Page 12

13 Role Name/Title Address Phone Primary Contact Person (notified upon decision of grant award) Authorized Signatory (authorized to commit organization) Fiscal Agent for Project, if not bidder (fiscally responsible for project funds) Project Manager, if known (contact over the course of the project) 4. Project Partners (add rows as needed) Type/Role of Partner Organization Name/Contact Name Healthcare Employers (at least two are required) Community College (required): Career Center (required): Other Partners (optional): Page 13

14 5. Project Timeline Include all major activities taking part under the grant (for example, partnership meetings, certificate program start and end dates, curriculum design, accreditation process for new courses, etc.). If necessary, insert rows into the chart. Activity Lead Person Responsible (Name/Title) Key Participants (Name/Title/Role) Planned Start & End Dates Desired Outcome/Product Page 14

15 6. Certification Statement of Tax Compliance: Pursuant to M.G.L., c62c, s.49a, I, signing on behalf of certify that under the pains and penalties of perjury that the aforementioned business organization has filed all state tax returns and paid all taxes as required by law. The Business Organization Social Security Number or Federal Identification Number is: Certification of Compliance with Filing Requirements: I,, on behalf of aforementioned Lead Applicant, certify that said Lead Applicant has filed with the appropriate town or city clerk; or officer of the Commonwealth, and paid any required fees pursuant to the Massachusetts General Laws as regards partnerships and/or corporations doing business in the Commonwealth. Certification: I hereby certify that the information provided in this application is accurate and that I am duly authorized/empowered to sign contracts on behalf of this organization. SIGNATURE: DATE: TYPE OR PRINT NAME: Page 15

16 ATTACHMENT 2: PROJECT NARRATIVE Please describe your program concept by responding to each of the questions listed below. You may include additional information. Please do not exceed 15 pages, with a font no smaller than 11 points. Tables, charts, figures, and appendixes are included in the page limit, with the exception of the required appendices requested in Question 2(b) below. The points assigned to each question in the review process are shown below next to each question. 1. What workforce development need will this project address? a) What regional supply/demand gap will this partnership address? What evidence supports the existence of this gap? b) For what occupations will the partnership prepare participants? c) Using the table below, provide supporting evidence that there will be job vacancies in the targeted healthcare occupations among partner employers when participants complete training. You may add rows to the table for additional occupations and employers as needed. Employer Occupation Number of Current Vacancies in Occupation Employer Partner 1 Number of Anticipated Vacancies During Skills Required for Entry Credentials Required for Entry Average Hourly Wage Employer Partner 2 Employer Partner 3 Page 16

17 2. Describe the existing certificate program(s) in which you will enroll participants under this grant. a) Complete the table below for each certificate program. Name of Certificate Program Occupation for Which Graduates Are Prepared Percentage and Number of Students Enrolled in the Program Who Earned a Certificate* Job Placement Rate for 2009 Programs, if available # % % * Please state the time period for which you are reporting the graduation figures, i.e., cohort enrolling in Fall 2008 who received a certificate within one year. To the extent possible using existing data, provide information about the percentage of program graduates who found employment in the occupation for which they were trained. b) For each of the certificate programs listed in the table above, attach an appendix detailing the requirements for completing each certificate (e.g., coursework, experience, competencies). These appendices do not count towards the page limit. c) From what sources will you recruit unemployed and employed participants? What role will employers play in recruiting participants? d) How will employers be involved in designing assessments and curricula to ensure that they are aligned with job requirements and will lead to successful employment? e) What academic and career support services will be offered to participants (e.g., career counseling, case management, tutoring, job placement)? f) What support will the partnership provide to students to help them overcome personal barriers to graduation (e.g., transportation, child care, tuition support)? 3. Describe the design work you will undertake to improve alignment and acceleration of healthcare education and training pathways to Associate s Degrees in healthcare as part of this grant. a) What is your objective for this design work? What do you hope to achieve? b) What changes do you anticipate making to your existing healthcare certificate and degree programs as part of this grant? c) Describe the map or path of coursework and work experience that will lead to an Associate s degree once design work is complete. Include: Which components of this pathway are already in place? Which components will be created or re-designed as part of the grant? What is the sequence of certificates and degrees, if changes to sequencing will be made? What are the target occupations for which each certificate and degree prepares graduates? What academic and career support services will be added, if any? d) Describe the planning and design process you will undertake to make these improvements. Who will be involved? What will the role of partners be? e) Describe the timeframe for the implementation of improved pathways. Page 17

18 At what point in the grant period do you anticipate enrolling participants in the newly created or re-designed programs? How long do you project it will take for participants to complete certificates/degrees in the newly designed programs, and would they do so during the grant period? 4. Describe the partnership, its structure, and roles of each party. a) For each partner, what is the title/role of the individual(s) who will represent them in the partnership? b) Have any of these partners worked together before? If yes: Describe the previous collaborations goals and achievements. What have you learned from previous partnership activities that will be incorporated into the current program design? c) Describe the proposed management and governance structure of the partnership. If you are building on an existing partnership, describe your current management and governance structure and any anticipated changes. d) What activities do you anticipate undertaking to make this partnership successful? (For example, activities to address staffing and governance structures, decision-making processes, communication mechanisms.) e) How will you define success for your partnership? f) How will you document and apply what you learn from this project for application to other sectors in your region? Page 18

19 ATTACHMENT 3: BUDGET AND BUDGET NARRATIVE General Instructions The budget must be submitted on the attached Budget (Attachment 3a), Budget Request Narrative (Attachment 3b) and Match Contribution (Attachment 3c) Forms in the provided MS Excel file format. These attachments may be downloaded at In describing costs for each line item, the following information should be included: 1. Name of individual or organization performing the work, or in the case of Direct Materials, the specific equipment to be funded; 2. Rate per hour and hours dedicated to the task where applicable; 3. All budget information must be described to the greatest extent possible. 4. On the Match Contribution Form include the source of funds for each match contribution. Please follow the instructions below for completing the Budget Request Narrative Form (Attachment 3b) and Match Contribution Form (Attachment 3c). Salary & Fringe This category is for project costs related to staff members employed by the lead applicant who are performing activities to support the project activity. List each staff person (name, if known and job title) that will be required to complete the activities included in the Grant Application Package. List the actual rates of pay each staff person will receive for compensation and the quantity of hours each staff person will work on the Healthcare Skills Gap Partnership project. Identify any proposed escalation in the pay rates and the basis for such an escalation. Provide the actual dollar amount of internal staff benefits. Include the percentage used to calculate the actual dollar amount. Other Program Costs Travel: This category is for internal staff travel required to achieve the project goals, and to complete activities identified in the Grant Application Package. Include a description indicating the need for the proposed travel, the estimated number of person-trips required, destinations, mode of travel, and cost basis of the transportation. Identify and support any other special transportation costs that may be required in the performance of this project. Mileage will not be reimbursed beyond the current federally approved rates. Space Rental: This category is for space rental related to project activity. Include a monthly rate for rental and the rental duration. Telephone & Communications: This category is for telephone and other communication costs related to project activity. Include a monthly rate for use and the use duration. Equipment Rental & Lease: This category is for rental or lease of office equipment necessary for implementation of the project. Include list of items to be leased, monthly rates for use and use duration. Equipment Purchase: This category is for purchase of equipment. Include list of items to be purchased and cost of each item. Postage & Mailings: This category is for postage and mailing related to project activity. Provide a description of the use of these funds. A detail of postage rates is not needed. Page 19

20 Publication/Print/Copying: This category is for publication, printing and copying related to project activity. Provide a description of the use of these funds. A detail of printing and copying rates is not needed. Meeting Expenses: This category is for meeting expenses related to project activity. Provide a description of the use of these funds. A detail of rates and expenses is not needed. Office Supplies & Materials: This category is for office supplies related to project activity. Provide a description of use of these funds. A detail of supply items and costs is not needed. Marketing & Advertising: This category is for marketing and advertising related to project activity. Provide a description of use of these funds. Training Materials: This category is for expenses related to the purchase of training materials related to project activity. Provide a breakdown of types, numbers and costs of materials to be purchased. Tuition: Grant funds may be used to support participant tuition. However, they must be the funds of last resort after other sources have been exhausted. Contracted Services Consultants: This category is for project costs related to project services provided to the applicant on a contract basis by individuals, organizations or companies who are subcontractors or consultants to the applicant. List the firm name and the specific members of the firm who will be actively participating in this project, as well as a brief description of the tasks that will be performed by the consultant. Include the subcontractor/consultant quote or anticipated rate per hour for each consultant and the quantity of hours each task will require of each consultant. Other: This category is for expenses related to other contracted services. Provide a description of the use of funds and a breakdown of how the budget line item amount was calculated. Administrative Costs: This category is for overhead costs directly related to the administration and management of the project. Administrative costs should not exceed 10% of the sum of all project expenses, listed as the Sub Total line of the Budget Request Narrative Form, Attachment 3B. Page 20

21 ATTACHMENT 4: OUTCOMES PLAN FORM This form summarizes the key anticipated outcomes for the proposed project. These outcomes will be incorporated into the final contract. In addition to the outcomes listed here, grantees will be required to collect other information about participant demographics, wages, and other project results. Instructions for filling out this form are provided on the next page. Outcome Measurement A. EXISTING CERTIFICATE PROGRAMS 1. Number of participants enrolled in existing certificate programs Certificate Program A: Certificate Program B: Certificate Program C: 2. Number of participants graduating from existing certificate programs Certificate Program A: Certificate Program B: Certificate Program C: 3. Number of graduates placed in target occupations as a result of certification Target Occupation A: Target Occupation B: Target Occupation C: 4. Number of employed participants receiving a wage increase as a result of certification B. CERTIFICATE OR DEGREE PROGRAMS TO BE CREATED OR REDESIGNED 5. Number of participants enrolled in new or redesigned certificate or degree programs Certificate/Degree Program A: Certificate/Degree Program B: Certificate/Degree Program C: Population Unemployed Employed N/A Page 21

22 Outcomes Form: Instructions You may add rows to this form as needed to represent additional certificate programs or occupations. For each outcome measurement listed in the chart on the preceding page, please provide separate goals for the two groups listed in the columns to the right: unemployed and employed. Unemployed participants are those who do not have a full or part time job at the time of program enrollment. Employed participants are those who have full or part time work at the time of employment, but need enhanced skills to advance in the sector. A. EXISTING CERTIFICATE PROGRAMS This section sets out goals for the existing certificate programs in which the project will enroll participants. 1. Number of participants enrolled in existing certificate programs: Within each certificate program, provide enrollment goals for employed as well as unemployed participants. 2. Number of participants graduating from existing certificate programs: Within each certificate program, provide graduation goals for employed as well as unemployed participants. 3. Number of graduates placed in target occupations as a result of certification: Each certificate program should be designed to prepare participants for one or more specific healthcare jobs ( target occupations ). For this question, list the number of certificate program graduates who will obtain a job in a target occupation during the period of the grant. Within each certificate program, provide a job placement goal for employed as well as unemployed participants. If a graduate of a certificate program obtains employment in an unrelated job outside the healthcare sector, this information will be tracked and reported, but the placement will not count toward this project outcome. 4. Number of employed participants receiving a wage increase as a result of certification: This outcome relates only to employed participants. List the number of participants who will receive an increase in their hourly wage as a result of completing a certificate through this project. A one-time bonus is not considered a wage gain. B. CERTIFICATE OR DEGREE PROGRAMS TO BE CREATED OR REDESIGNED This section sets out goals for certificate and/or degree programs that will be created or redesigned as part of this project. It is anticipated that grantees will be able to complete design work and begin enrolling participants in new/redesigned programs during the life of the grant. However, the grant period may be too short for some participants to complete longer programs such as Associate s Degrees. For this reason, graduation and job placement outcomes are not requested on this form. However, projects will track and report those certificate/degree completions and job placements that do occur. Page 22

23 ATTACHMENT 5: SAMPLE MEMORANDUM OF AGREEMENT (NAME of Partnership) I. Purpose of This Memorandum This Memorandum of Agreement (MOA) outlines the agreement between the partners listed below to develop and implement a Healthcare Skills Partnership. II. Term This MOA shall be in effect from and shall end on. This MOA may be terminated prior to the effective end date upon the full written approval of all the partners. III. Partners List the names of each partner participating in your Partnership. Required partners: Lead applicant: Regional Workforce Investment Board Healthcare Employers: Community College: One-Stop Career Center: Other partners: IV. Roles and Expectations of Partners Outline the specific roles and expectations of each partner. Pay particular attention to the lead partner s responsibilities. Hiring commitments: Employers must agree to develop specific commitments for hiring of qualified, successful graduates of the program during the period of the grant. V. General Terms and Conditions Outline the general terms and conditions with which all partners must comply, e.g., Each partner will have a representative attend and participate in Advisory Board meetings. VI. Signatures Each partner s representative must sign and date the MOA. Make sure the signatories have contractual authority for their organizations. Page 23

24 Partner Organization Name Signatory Name Signature: Date: Partner Organization Name Signatory Name Signature: Date: Partner Organization Name Signatory Name Signature: Date: Partner Organization Name Signatory Name Signature: Date: Partner Organization Name Signatory Name Signature: Date: Page 24

25 ATTACHMENT 6: CONTRACT TERMS AND CONDITIONS SIGNATURE Read the following and sign at the end of the document to indicate that you have read and understood its terms. 1. President's Representatives. The President of COMMCORP shall have the legal authority to commit COMMCORP to the expenditure of funds in connection with this Contract or accomplish any Contract changes. The COMMCORP President may designate employees to act as his/her authorized representatives for certain specific purposes. 2. Political Activities, Lobbying Prohibition & Anti-Boycott Warranty. The Contractor may not use any Contract funds and none of the services to be provided by the Contractor may be used for any partisan or non-partisan political activity or to further the election or defeat of any candidate for public office. The Contractor will comply, where applicable, with the provisions of the Hatch Act, which limit the political activity of certain State and local government employees, along with contractors, subcontractors and participants funded through the use of federal funds. The Contractor shall comply with 29 CFR 93 regarding the restrictions on lobbying and the Certification and Disclosure requirements pursuant to Section 319 of Public Law Pursuant to Executive Order 130, or as amended, neither the Contractor nor any affiliated company of the Contractor shall participate in or cooperate with any international boycott, as defined in Section 999(b)(3) and (4) of the Internal Revenue Code of 1954, or as amended; nor shall engage in conduct declared to be unlawful by MGL c.151e sec.2. As used herein, an affiliated company shall be any business entity of which at least 51% of the ownership interests are directly or indirectly owned by the Contractor or by a person or persons, or a business entity or entities, which owns at least 51% of the ownership interest of the Contractor or any business entity which directly or indirectly owns 51% ownership interest in the Contractor. 3. Drug Free Workplace. The Contractor agrees to adhere to the Drug Free Workplace Regulations and will so attest. 4. No Subgrants to Excluded Parties. If this grant contract awards any federal funds, grantee assures that it will not enter into a grant, sub-grant, contract or subcontract in excess of $100,000 with any individual, person, or organization that has been listed by the General Services Administration on the Excluded Parties List System ( indicating that they are excluded from receiving Federal contracts, certain subcontracts, and certain Federal financial and nonfinancial assistance and benefits. Grantee agrees to include this assurance in subcontracts or subgrants, if any, that are awarded using funds issued under this COMMCORP grant agreement. 5. Certification Regarding Debarment. The Contractor certifies, by execution of this Agreement, that neither it nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal or State department or agency. 6. Sectarian Activity Prohibited. All grantees that receive COMMCORP funding, including organizations with religious character or affiliations, are required to carry out eligible activities in accordance with program requirements and other applicable requirements, including those prohibiting the use of direct financial assistance from COMMCORP to support inherently religious activities. Grantee assures that it will not use financial assistance from COMMCORP to support inherently religious activities, such as worship, religious instruction, or proselytization. If the organization engages in such activities, it must offer them separately, in time or location, from the programs or Page 25

26 services funded with COMMCORP assistance, and participation must be voluntary for the beneficiaries of the CommCorp-funded programs or services. No funds received under this Contract will be used for the promotion of religious worship, instruction, other religious activity or anti-religious activity. Participants in the program will not be employed in the construction, operation, or maintenance of that part of any facility which is used for religious instruction or worship. Program funds may be used for maintenance of a facility that is not primarily or inherently devoted to sectarian instruction or religious worship if the organization operating the facility is part of a program or activity providing services to program participants. 7. Health and Safety. Appropriate standards for health and safety in work and training situations will be maintained. All training and/or instruction provided to participants under this agreement will take place in an environment where appropriate standards for health, safety and comfort are maintained. Participants in on-the-job training are subject to the same health and safety standards established under State and Federal law which are applicable to similarly employed employees, of the same employer, who are not participants in programs under this Agreement. Facilities will be adequately heated and ventilated; with adequate toilet, rest and lunch areas; easy access to potable water; and separate and clearly delineated non-smoking areas. 8. Child Labor. No participant under 18 years of age will be employed in any occupation which the U.S. Secretary of Labor has found to be particularly hazardous for persons between 16 and 18 years of age (a list of such occupations is published at /Subpart_E.htm). Any eligible trainees under 16 years of age will be employed only in accordance with limitations imposed by 29 CFR Part 1500, Subpart C. 9. Nepotism. No Contractor will hire a person in any position funded under this Agreement if the individual or a member of his/her immediate family is employed in the administrative capacity of the Contractor or COMMCORP. The Contractor agrees to inform COMMCORP of any potential violation of the nepotism restriction. 10. Unionization and Anti-Unionization. No funds shall in any way be used to either promote or oppose unionization. No participants may be placed into or remain working in any position which is affected by labor disputes involving a work stoppage. Where such an employment activity would violate a collective bargaining agreement, authorized individuals of the appropriate labor organization and employer shall provide written concurrence before the employment activity is undertaken. Nothing in this section shall prevent an employer from checking off union dues or service fees pursuant to applicable collective bargaining agreements or state law. 11. Funding and Fiscal Year Appropriation. Appropriations for expenditures by COMMCORP and authorizations to spend for particular purposes are made on a fiscal year basis. The fiscal year of COMMCORP is the twelve-month period ending June 30 of each year. The obligation of COMMCORP under this Contract or for any subsequent fiscal year following the fiscal year in which this Contract is executed is subject to the appropriation to COMMCORP of funds sufficient to discharge COMMCORP's obligation which accrues in that fiscal year or subsequent fiscal year, and to the authorization to spend such funds for the purposes of this Contract. In the absence of such appropriation or authorization, this Contract shall be terminated immediately without liability for damages, penalties or other charges arising from early termination. 12. Use of Funds, Cost Limitations & Expenditure Requirements. Funds shall be used for those costs which are applicable to this Agreement, consistent with the approved budget. Expenditures of program funds totaling less than the maximum grant obligation, will have cost limitations based on Page 26

27 actual expenditures utilizing the percent limitations specified in COMMCORP Policy or, when applicable, the Contractor s individual grant sub-agreement. Funds shall not be used for the Contractor's general administration except those expenses applicable to the administration of this Contract. No program funds shall be obligated for payment of costs incurred for the program prior to the effective date of this Agreement or costs requiring specific COMMCORP approval until the Contractor is advised by COMMCORP in writing that there is no objection to so proceeding. The Contractor agrees to refund to COMMCORP any payment or portions of payment COMMCORP determines were not properly due to the Contractor under the terms and conditions of this Agreement. Revenues earned by a governmental or private non-profit contractor that are in excess of the actual costs incurred in providing services shall be treated as program income. As such, the Contractor may retain any program income earned by the Contractor only if such income is added to the funds committed to the contract under which it was earned, that such income is used for contract purposes and under the terms and conditions applicable to the use of the grant funds, and such income is reported to COMMCORP. COMMCORP shall not be obligated to reimburse the Contractor for costs incurred in excess of the approved costs, and the Contractor shall not be obligated to incur expenses in excess of the approved costs. 13. Compliance with Human & Social Services Contracting Provisions. The Contractor will comply with all applicable Federal, State, County and local, statutes, laws, and regulations, and with COMMCORP policies including: (a) Board of Directors Standards. If grantee is a non-profit organization, the Contractor shall comply with the principles in the Massachusetts Attorney General s Guide for Board Members of Charitable Organizations and with the standards for boards contained in the American Institute of Certified Public Accountants (AICPA) s statements on auditing standards, as may be amended from time to time. Further, the Contractor specifically agrees that: i) members of the Contractor s management and immediate family (as defined in the AICPA s Financial Accounting Standards Board Statement number 57) will not comprise more than 30% of the voting members of the Contractor s board or any of the board s committees or subcommittees; and, ii) the Contractor s Board of Directors will approve the selection of the Contractor s audit firm, will annually review its executive director s or other more senior manager s performance and set that person s compensation by formal vote, and will meet as frequently as necessary to fulfill the Contractor s obligations under this section. Where the board meets less than two times during its fiscal year, the Contractor shall submit a description of its board structure and the dates of each board and subcommittee meeting with its Uniform Financial Statements and Independent Auditor s Report (UFR). (b) Client Care and Use of Funds. The Contractor shall comply with all applicable provisions of law relative to the care of clients and the investigation and reporting of suspected client abuse or neglect. The Contractor shall provide the Department with copies of all legally mandated reports of client abuse or neglect where the alleged abuse or neglect was a direct or indirect consequence of the services rendered under a Contract and shall comply with all additional reporting requirements relative to client abuse and neglect contained in a Contract. The Contractor shall be subject to any standards cited in a Contract for the disqualification of candidates for positions where the candidates have criminal records, for establishing proof of criminal record information of candidates prior to hire and for addressing criminal activities subsequent to hire. The Contractor shall also comply with all laws and regulations and contractual provisions relative to the use of client funds, property or other resources. Page 27

28 (c) Annual Financial Reporting Requirements. The Contractor and any subcontractor must comply with all applicable annual financial reporting requirements set forth in 808 CMR 1.00 and the instructions to the UFR. Any nonprofit Contractor receiving in excess of the threshold of federal funds through the Commonwealth, as set forth in Office of Management and Budget (OMB) Circular A-133 or successor provision, must comply with the Circular as well. (d) Publications. The Contractor shall not disseminate, reproduce, display or publish any report, map, information, data or other materials or documents expressly required or produced in whole or in part pursuant to a Contract, nor shall any such materials or documents be the subject of an application for patent or copyright by or on behalf of the Contractor, without the prior written consent of COMMCORP. If the Contractor prepares, publishes or distributes any publication describing any services or programs the cost of which are funded at least in part by a Contract, then any such publication shall, unless COMMCORP directs otherwise, contain a prominently displayed statement to that effect. (e) Additional Provisions Applicable to Contractors Receiving Federal Funds. If the Contractor receives federal funds from the Commonwealth through this Contract, then, in accordance with OMB Circular A-110 or successor provision, it further agrees to the following: i) Equal Employment Opportunity: All contracts entered into by the Contractor shall contain a provision requiring compliance with federal Executive Order 11246, as amended by Executive Order 11375, and as supplemented by regulations at 41 CFR part 60; ii) Contract Work Hours and Safety Act: If the Contractor employs mechanics or laborers to fulfill its contractual obligations, it will comply with sections 102 and 107 of 40 USC , as supplemented by 29 CFR part 5.; iii) Clean Air Act and the Federal Water Pollution Control Act: If the Contractor receives more than $100,000 in federal funds the Contractor agrees to comply with any applicable standards, order, or regulations issued pursuant to 42 USC 7401 et seq. and 33 USC 1251 et seq.; and iv) Byrd Anti-Lobbying Amendment: If a Contractor receives $100,000 or more of federal funds through a Contract, by signing that Contract it certifies it has not and will not use federal appropriated funds to pay any person or organization 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 obtaining any federal contract, grant or any other award covered by 31 USC A Contractor shall disclose any lobbying with nonfederal funds that takes place in connection with obtaining any federal award. No provision of this Agreement is intended to relieve the Contractor from the responsibility and liability for complying with applicable laws, regulations, and policies. 14. Corrective Action. If a contractor's performance is found not to comply with program performance as outlined in the terms and conditions of this Contract, the Contractor will be required to implement corrective action. Corrective action may be required of the Contractor under, but not limited to, the following circumstances: The Contractor has failed to deliver services or products in the Contract; the Contractor failed to deliver these services or products according to the Contract schedule; or that the Contractor has failed to deliver at the quality and outcomes called for in the Contract. 15. Sanctions. COMMCORP shall reserve the right to place sanctions on the Contractor for deficiencies concerning program performance or for noncompliance with the terms and conditions of this Agreement or the stated policies of COMMCORP. Wherever feasible, COMMCORP shall give the Contractor an opportunity to prepare and carry out a corrective action plan. However, COMMCORP's failure to provide the Contractor with an opportunity for corrective action shall not prevent COMMCORP from imposing sanctions. Such sanctions may include, but are not limited to: Page 28