CALIFORNIA DEPARTMENT OF REHABILITATION. Independent Living and Assistive Technology Section REQUEST FOR APPLICATIONS (RFA) IL-10-02

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CALIFORNIA DEPARTMENT OF REHABILITATION Independent Living and Assistive Technology Section REQUEST FOR APPLICATIONS (RFA) IL-10-02 Title VII B CFDA # 84.169A COMMUNITY ORGANIZING GRANT 1

I. INTRODUCTION...3 II. III. AUTHORITY...3 BACKGROUND...3 IV. PURPOSE OF THIS RFA...4 V. ELIGIBILITY...5 VI. GRANT AWARD AND IMPLEMENTATION SCHEDULE...6 VII. DESCRIPTION OF SERVICES PROGRAM PLAN REQUIREMENTS...6 VIII. FUNDING PARAMETERS AND REIMBURSEMENT REQUIREMENTS...9 IX. GENERAL REQUIREMENTS...10 X. SUBMISSION OF APPLICATION REQUIRED ELEMENTS...10 XI. SUBMISSION OF APPLICATION...13 XII. XIII. ADDITIONAL SUBMISSION INFORMATION...14 REVIEW PROCESS AND REVIEW CRITERIA...14 XIV. APPEAL RIGHTS...16 2

CALIFORNIA DEPARTMENT OF REHABILITATION Independent Living and Assistive Technology Section (ILATS) I. INTRODUCTION REQUEST FOR APPLICATION (RFA) IL-10-02 Federal Title VII B Community-Organizing Grant The California Department of Rehabilitation (DOR) and the State Independent Living Council (SILC) are pleased to announce the availability of Federal funds under Title VII B of the Rehabilitation Act of 1973, as amended, for award to eligible organizations in California, to develop and conduct new communityorganizing projects that involve and support persons with disabilities. The total funding available for this RFA is $200,000; three to four community-organizing grant award(s) of up to $75,000 each will be awarded. Funding for each grant award is for one year, renewable for up to two additional years upon satisfactory performance as determined by DOR, and the availability of federal funds for this purpose. II. AUTHORITY The objectives set forth in the 2008-2010 State Plan for Independent Living (SPIL) for the development of independent living services in California include the DOR s commitment to fund community-organizing grants for education/advocacy projects aimed at increasing collaboration among disabilityrelated networks. The SPIL also acknowledges Olmstead Decision implementation, the DOR and SILC will participate in the implementation of the California Olmstead Plan for the purpose of facilitating the deinstitutionalization of persons with disabilities (34 CFR Part 365.23). NOTE: The 2008-2010 State Plan for Independent Living is available on the Internet at http://www.dor.ca.gov/public/silcdorstpln.htm. III. BACKGROUND Public resources have disproportionately supported institutional rather than community-based long-term care services, resulting in unnecessary institutionalization and a bias that has influenced service planning and delivery. Whether a person is institutionalized or referred to community options is influenced by both statewide and local policies and practices. The Supreme Court Olmstead decision affirmed the right of individuals with disabilities to live in their community and recognized the integration mandate of 3

the Americans with Disabilities Act (ADA), as amended, that requires public agencies to provide services "in the most integrated setting appropriate to the needs of qualified individuals with disabilities." Under ADA Title II, states are required to place persons with disabilities in community settings rather than in institutions, with few exceptions. Support for community living options involves consideration of a comprehensive range of issues. These include removing the institutional bias in the planning and delivery of long term care services, removing barriers to the availability of personal assistance and accessible and affordable housing and transportation, and educating those who can support these efforts. A shift in emphasis from institutional to community based independent living depends on addressing these factors. IV. PURPOSE OF THIS RFA DOR and SILC have designated this RFA to fund three to four communityorganizing projects designed to support the mandate of the U. S. Supreme Court s Olmstead decision, its implementation at state and local levels, and systemic changes that favor community based service planning and delivery. The funded activities must empower and mobilize persons with disabilities and the independent living community to effective participation that establishes services and options that support community based living, and reduces institutionalization. At minimum, projects must support Olmstead implementation and the fundamental right to personal assistance necessary for persons with disabilities to live independently in their communities. Projects may also address issues related to affordable and accessible housing and transportation. The geographic scope of the project proposed may be local, regional or statewide. All products, materials, or other information created through this funding will be the property of the State of California and must be packaged in such a way that others can use them past the end of the grant period. WHAT IS COMMUNITY-ORGANIZING? Carefully consider whether the project proposed in your application is community-organizing. Only applications that propose communityorganizing projects will be considered for funding. This community-organizing award is designed to develop leaders and organize persons with disabilities within the community to work as a cohesive group, with a common vision and the desire to pursue a common purpose. Communityorganizing is a process through which people affected by an issue join to act in their shared self-interest. It is a long-term approach where those affected by an issue are supported to identify problems and take action to achieve solutions. The organizer challenges them to change the way things are it is a means of achieving social change through collective action. The tactics and strategies 4

employed by the organizer are similar to leadership processes that include timing, planning, getting the attention of the populace, framing the issue in terms of the desired solution, and shaping the terms of the decision-making process. Community-organizing is not simply self-advocacy training, outreach or community education, but includes all three of these. Community-organizing efforts do not begin with preconceived goals for the group, but encourage and support the group in setting its own goals, which may take the group in directions not anticipated by the organizers. It is not the purpose of this grant to simply expand an organization s services to serve a new group or community. Groups that receive community-organizing funding from this RFA must inform consumers, the general public and community leaders of, and involve them in, the new project they will start. In order to build a powerful, effective, and ongoing force for future change, the organization receiving funds must include planning for future efforts and activities after this grant has ended. Future planning should include the continued recruitment of new members, motivation of new and existing members, exploration and expansion of the organization s goals and, as appropriate, development of new funding sources. V. ELIGIBILITY Applicants eligible to apply for this grant award must be private, not-for-profit organizations (ONLY) with a demonstrated record of involvement in the implementation of the Olmstead decision, knowledge of the Independent Living (IL) movement and philosophy, and a history of consumer involvement. Grant applicants need not be cross-disability organizations; however, activities proposed for funding under this RFA must support and benefit a broad range of persons with various disabilities without focus on specific issues that primarily apply to persons from a single disability group. Applicants must demonstrate a commitment, consistent with the philosophy of independent living, to meet the requirement that a majority of personnel assigned to staff positions under this grant be persons with disabilities. Applicants must demonstrate in their application that their proposed activities meet the identified definition of community-organizing. Any application omits any of the required elements will be disqualified. 5

VI. GRANT AWARD AND IMPLEMENTATION SCHEDULE Grant(s) will be awarded according to the following schedule: RFA Posted March 11, 2010 Deadline for Hard-Copy Applications April 28, 2010 (4:00 p.m.) Deadline for Electronic Elements April 29, 2010 (4:00 p.m.) Intent to Award Notice May 11, 2010 Intent to Award Appeals May 11-15, 2010 Formal Grant Packages Due June 7, 2010 Grant Effective Dates June 30, 2010 through (with up to two year renewal) June 30, 2011 Program commencement dates may be negotiated with the DOR but shall be no later than June 30, 2010. VII. DESCRIPTION OF SERVICES PROGRAM PLAN REQUIREMENTS A. Program Plan Narrative Outcome Oriented: The program plan s most critical element is its projection of measurable outcomes documentable participation of people with disabilities who are organized and educating others in support of the mandate of Olmstead decision and its expansion at local and statewide levels (See Section VII Part B Outcomes - Evaluation). Implementation of the Olmstead decision also includes, but is not limited to, increasing community living options and the availability of affordable personal assistance, accessible housing and transportation. The applicant must identify both activities and specific, measurable outcomes that will result from those activities. The application narrative must set forth the goals and a work plan for accomplishing them. The work plan must be presented in a manner that identifies anticipated tasks and outcomes utilizing the funds available for this grant. Include plans for years two and three of the grant, should funding be available. The narrative should be as thorough as possible, within the limitations of 20 pages, 8 1/2" x 11", 14 pt. Arial font, single-spaced. The narrative must contain the elements listed below in the application narrative outline: 1. Present a description of the applicant organization, its practice of independent living philosophy, and evidence of the applicant s record of consumer involvement within their organization. Demonstrate the applicant s required commitment staff the proposed project with persons with disabilities. 2. Describe the applicant organization s experience with communityorganizing, systems change, and Olmstead implementation related activities. Present relevant activities and outcomes to demonstrate that experience. 6

3. Present an assessment of barriers to implementation and expansion of the Olmstead decision in California. Discuss topical concerns that include both public policy development and implementation, as well as the relevance of Medicaid waivers, personal assistance, housing, and transportation. Describe how the organization s community-organizing initiatives will be used to address the barriers and affect change. 4. Present a detailed work plan of the applicant s proposed communityorganizing activities, methodologies, strategies, responsible parties, time frames, deliverables, and outcome goals and objectives. 5. Clearly define the methods the applicant will use to monitor, evaluate, and respond to emerging program needs, and to measure the outcomes of the work plan against the goals and objectives outlined in the applicant s narrative. 6. Describe the fiscal, staffing and other resources to be devoted to this application. Describe the estimated cost of the work plan and the way in which resources will be used to achieve the outcomes and goals of the work plan. B. Outcomes - Evaluation Self-evaluation Plan 1. The applicant must develop an outcome based self-evaluation plan that includes measurable outcomes for the program activities developed for the above section (scope of services narrative). The plan must have achievable goals, timelines, and measurable objectives and outcomes. Communityorganizing that supports the expansion of Olmstead implementation in California will be measured using objective data that can include, but is not limited to: The number of persons with disabilities, disability oriented organizations and others who have been organized to participate in education efforts related to Olmstead implementation and community based living options. Data and documentation of positive changes achieved or negative changes prevented in the availability of community based living options and Olmstead implementation. 2. Detail the method(s) that will be used to monitor, evaluate, and ensure that activity, milestone, and outcome projections will be met and that programmatic adjustments are made when necessary to do so. 3. Describe a process to share a recommended plan of action and resources for use after the grant period is concluded. 7

C. Reporting: The following section if for information only. It describes the subgrantee s reporting requirements. It does not need to be included in the applicant s allowed 20-page grant program narrative. Report to the DOR The successful subgrantee will be assigned to a DOR Resources Specialist who will provide consultation and oversight during the development of the subgrantee s program and budget and will work closely with the successful subgrantee during the life of the grant to provide technical assistance and monitor progress. Quarterly Reports Subgrantees must submit quarterly progress reports that include activities and outcomes to DOR within 30 days of the end of each quarter. Annual and End of Grant Report Subgrantees must submit an aggregate annual and end of grant summary and self-analysis report within 30 days of the end of the grant period. The report must be sent by regular mail and electronically to the assigned DOR Resources Specialist in the Independent Living and Assistive Technology Section. Report to the SILC During the grant period, a subgrantee representative will be required to present, in-person, a report of progress to the SILC or one of its committees once each year. At the end of the grant a copy of the self-evaluation report must be sent to the SILC. Additional Requirements: As a result of this RFA grant award, the successful subgrantee is also subject to the conditions for subgrants administered by the Independent Living and Assistive Technology Section, Title VII of the Rehabilitation Act of 1973, as amended, the Standard Grant Agreement, Standard Grant Provisions, state grant award requirements, and applicable state and federal laws and regulations. The successful subgrantee must have written administrative and personnel policies and procedures for the operation of the grant that are consistent with applicable DOR grant management policies and must be available for review and approval by DOR. 8

VIII. FUNDING PARAMETERS AND REIMBURSEMENT REQUIREMENTS Three to four community-organizing grants of up to $75,000 each will be awarded. Grant funding is for one year, with the option to renew for up to two additional years upon satisfactory performance as determined by DOR, and the availability of federal funds for this purpose. Performance will be determined with regard to the applicant s goals and objectives. Note: There is no assurance that state or federal funding will be available upon completion of these grants. Federal and state funds for independent living programs have fluctuated in the past, and it is not known when, or if, additional funding may become available. The success of an application should not be predicated on receiving continued program funding from DOR, but rather on developing varied funding sources, a successful community organization to address future funding issues, or upon accomplishing the project goals without the need for further funding. Applicants are required to include documentation of positive cash flow. Documentation may include a bank statement showing sufficient reserves to cover the organization s expenses, documents showing a bank s line of credit, promissory note(s) of upcoming funding, and/or other items that attest to the fiscal integrity of the organization. The documentation must show that the organization has sufficient resources to continue services, uninterrupted, in the event of a funding delay of up to 45 days. ADVANCE PAYMENT - INDEPENDENT LIVING CENTERS ONLY Pursuant to Welfare and Institutions Code 19805, advances, payments, and reconciliations will follow the established ILATS Advance Payment Plan for Independent Living Centers. REIMBURSEMENT NON-INDEPENDENT LIVING CENTERS ONLY All expenditures shall be reimbursed monthly, in arrears. Budget and Reimbursement Requests shall be submitted and prepared in accordance with instructions to be provided by the ILATS. Reimbursement shall be made to subgrantees for authorized expenditures as determined by DOR. Final requests for reimbursement shall be submitted to DOR no later than ninety (90) days after the close of the funding period of the grant. New subgrantees will receive training on allowable expenditures, preparing reimbursement requests, and general grant requirements. Advance Funding Non-Independent Living Centers Only 9

The DOR, pursuant to Government Code 11019, may advance an amount (up to twenty-five percent of the grant) to the subgrantee if such an advance is essential for the effective implementation of the provisions of the grant. If such an advance is requested by the subgrantee, the DOR will determine, based on information the subgrantee will be asked to submit, that the subgrantee can reasonably be expected to administer such an advance in accordance with the terms of the grant. The subgrantee will repay the advanced funds according to DOR policy. The subgrantee shall pay the DOR any interest income earned by the advance funds. IX. GENERAL REQUIREMENTS All applications submitted for funding consideration are subject to the conditions specified in this RFA. Grants awarded as a result of this RFA are subject to the conditions of the Title VII of the Rehabilitation Act of 1973, as amended, the Standard Grant Agreement, Standard Grant Provisions, state grant award requirements, and applicable state and federal laws. An applicant, whose application is selected for funding based on the items described in Section VII (Description of Services Program Plan Requirements) and using the criteria in Section XIII (Review Process and Review Criteria) will be notified of the award. A formal grant application package containing additional forms and information will then be required. Instructions for the formal application package will be provided to successful applicants after awards have been made. Training on compiling the application package and fundamental grant requirements will be provided to organizations whose applications are selected for funding that have not had a recent grant from the Independent Living Section. The DOR reserves the right to negotiate final budget, program, and/or service area changes prior to making final awards. The DOR reserves the right to require program narrative amendment(s) for year two and/or year three of the grant. The Federal Rehabilitation Act of 1973, as amended, requires that DOR provide periodic evaluation of the effectiveness of the programs it oversees. In order to gather the information necessary to meet this mandate, organizations receiving grant awards are required to submit an quarterly progress reports, and annual and end of sub-grant self-evaluation and analysis reports, as previously indicated. X. SUBMISSION OF APPLICATION REQUIRED ELEMENTS Hard copy applications that do not contain all of the items listed below (subsections A - I) and/or do not comply with the instructions or criteria given for grant applications will not be considered for funding. 10

Note: Applications must be in narrative, Microsoft Word format only. Do not submit charts, brochures, graphs, tables, maps or any other format as a part of the application. This is necessary in order to submit accessible applications electronically to reviewers. Each application in response to this RFA MUST contain the following items in exactly the format identified here (please assemble in the order listed below): 11 A. Board President Signed Application Letter: A letter of application signed by the board president that includes: The amount of funds requested, The target issue(s) of the application as identified in Section VII (Description of Services). B. Application Summary: A brief (no more than one typed page) summary of the application. This needs to be concise; it is an overview to be used by the SILC and others if the application is selected for funding. C. Program Narrative: A narrative application of not more than twenty (20) pages (single-sided) 8 1/2" x 11", single-spaced, 14 pt. font, containing all of the elements described in described in Section VII (Description of Services Program Plan Requirements A. Program Narrative, #1-6). D. Budget Narrative: A budget narrative (not a part of the narrative application in C above) describing, in narrative form, proposed expenditures by line item using the budget categories of personnel, operating, and equipment, as appropriate. Budget Considerations: 1. Maximum grant amount is $75,000. 2. Allowable costs are for personnel, operating, and equipment expenses as identified in the federal Office of Management and Budget Circular A-122 and applicable federal regulations for the Title VII B program. 3. The budget may provide for a start-up period of not more than sixty (60) days prior to the initiation of services (but not prior to the effective date of the grant). 4. Funding is for one year, renewable for up to two additional years upon satisfactory performance as determined by DOR, and the availability of federal funds for this purpose.

12 5. No matching funds are required. Subgrantees will be reimbursed 100% of allowable costs. 6. No remodeling or construction expenses will be reimbursed. E. Agency Mission Statement: A copy of the applicant agency s mission statement with supporting material that demonstrates how the applicant meets the eligibility requirements of this RFA. Items submitted to meet this requirement must be in Microsoft Word narrative format only. F. Service Area Narrative Description: A detailed description, in narrative form (a map, chart, or table is not acceptable), of the area to be served. Service area boundaries should be developed using logical parameters such as zip code boundaries, county, city, or other geographical borders. G. Letter of Supports: Three (3) letters from other organizations or agencies that have been directly involved with the applicant s work related to community-organizing and support for community based living options and Olmstead implementation, and must state evidence of the applicant s related accomplishments, experience, expertise, and capacity to implement this project. General letters of support for the proposing organization or staff are not acceptable for this purpose. Letters of support must meet the same Microsoft Word, narrative format requirements as the rest of the application. H. Cash Flow Documentation: Documentation of positive cash flow (Section VIII Funding Parameters and Reimbursement Requirements). I. Tax-Exempt Documents: Copies of letters, from both the Internal Revenue Service and the California Franchise Tax Board, confirming the agency's non-profit, tax-exempt status. Applicants unable to locate such letters are encouraged to contact the Internal Revenue Service and/or the California Franchise Tax Board to obtain verification of their status. No other documentation, such as records of incorporation or other paperwork, is acceptable to meet this required element. Fair competition requires the DOR to adhere precisely to the requirements set forth in this RFA. Applicants are therefore encouraged to review this RFA and their application(s) carefully prior to submitting the application(s) to DOR to assure that they meet all requirements of this RFA. Applications may not, for any reason, be added to or changed after receipt in the Contracts and Procurement Section of the DOR.

XI. SUBMISSION OF APPLICATION HARD COPY APPLICATION Mail or hand carry completed HARD COPY application to: Sandy Cook, Contracts/Grant Administrator Department of Rehabilitation Contracts and Procurement, 6 th Floor 721 Capitol Mall Sacramento, CA 95814 Identify the application on the lower left corner of the outside envelope as TITLE VII B APPLICATION - IL-10-02". Identifying the envelope in this fashion will assure that it is not opened prior to the deadline date and time. Any application opened prior to the designated deadline because the envelope was not marked as instructed will be disqualified if, in the judgment of the DOR's contract officer, there is a possibility that the competitive process was compromised in any way by the early opening. ELECTRONIC APPLICATION 1. Electronic submissions must be made within 24 hours (weekends and holidays not included) of the hard copy application s due date and time. 2. Electronic applications must be e-mailed to Cheryl Kasai at ILgrants@dor.ca.gov. This e-mail address is the only one acceptable for application submissions. 3. E-mail messages containing electronic applications MUST have the following wording on the subject line: ELECTRONIC APPLICATION RFA IL-10-02 The following elements of the hard-copy application, as identified in Section X (Submission of Application Required Elements) must be submitted by e-mail, in Microsoft Word narrative format (only), following the instructions above: Application summary (X, B), Program Narrative (X, C), Budget narrative (XI, D), Agency mission statement with supporting material (X, E), Service area narrative description (X, F), Letters of support (XI, G). Items submitted electronically in any format other than Microsoft Word will be considered non-responsive and will not be acceptable for review and scoring. 13

Electronic applications that do not contain all of the elements listed above, and/or do not match the hard-copy application in content will be considered nonresponsive and will be disqualified from the review process. XII. ADDITIONAL SUBMISSION INFORMATION PLEASE NOTE: Staff of the Independent Living and Assistive Technology Section are NOT involved in the scoring or selection of applications to be funded. Guidance and/or clarification of standard requirements of this RFA only will be available from specific staff of the DOR Independent Living and Assistive Technology Section. The only staff members designated to discuss questions regarding this RFA are Dan Clark at (916) 558-5780, declark@dor.ca.gov. TTY users may call 711 and Videophone users may use (916) 273-9281. No other ILATS staff members will answer questions regarding this RFA. No assistance or comments will be made regarding actual content or merit of applications or potential aspects of applications. Staff opinions regarding the relative merits of any application, or portion of it, have no bearing on the selection process. XIII. REVIEW PROCESS AND REVIEW CRITERIA A. Review Process 1. Applications will be reviewed first by staff from the DOR Contracts and Procurement Section and the Independent Living and Assistive Technology Section for compliance with the eligibility and technical requirements in Section V (Eligibility) and Section X (Submission of Application Requirements) ONLY. Applications that do not clearly outline a project of community-organizing as indicated in this RFA will be disqualified from further review and consideration for funding. 2. Applications meeting the eligibility criteria and containing the required elements will be reviewed and scored, based on the review criteria below (B), by a panel composed of four (4) DOR staff members designated by the DOR. As stated in Section VII (General Requirements), the DOR reserves the right to reject any and all applications. The three or four applications receiving the highest scores from the review panel may be funded; however, the DOR reserves the right not to fund applications that receive an average per reviewer score of 55 points. 14

B. Review Criteria 1. 10 POINTS POSSIBLE The evidence of the applicant s commitment to the practice of independent living philosophy, its history of consumer involvement in organizational activities, and its involvement with the IL movement. 2. 15 POINTS POSSIBLE The evidence, including that found in the application and the letters of support, of the applicant s relevant experience and results achieved, and expertise necessary to conduct an effective community-organizing campaign to support issues of common interest to persons with disabilities that are related to community based living and Olmstead implementation. 3. 20 POINTS POSSIBLE The applicant s work plan clearly identifies activities, methodologies, strategies, responsible parties, timeframes, deliverables, and measurable outcomes and is detailed, comprehensive, appropriate, and responsive to the requirements of this RFA. It is designed to develop and implement a community-organizing campaign that caused systemic changes that support community based living options and Olmstead expansion in California. The applicant has included planning for continuing the campaign during the second and third years of the project. 4. 25 POINTS POSSIBLE The applicant has projected clear, specific, measureable outcomes for its community-organizing project that will result in expansion of community living options and Olmstead implementation in California. The applicant has identified specific measures of success for each component of their program. 5. 20 POINTS POSSIBLE The applicant s self-evaluation plan includes effective methods for monitoring and reporting including: Identified measurable goals and objectives Feasible timelines Specified activities to carry out the work plan Outcomes reached goals and objectives are met. 15

The evaluation plan provides an effective tool to monitor and evaluate the applicant s progress in conducting the work plan, and to assure that activity, milestone, and outcome projections will be met, that programmatic adjustments are made when necessary to do so, and that preparation to share recommendations, information, and resources for use after the project is concluded is complete. 6. 10 POINTS POSSIBLE The detailed budget, by line item, for staffing, equipment, and operating expenditures to carry out the activities identified in #3, #4, and #5 above, including a description of how the applicant will meet cash flow requirements. The use of the fiscal, staffing and other resources are appropriate to achieve the proposed outcomes and goals. XIV. APPEAL RIGHTS The California Code of Regulations, Title 9 7334 provides for appeal rights for sub-grantees. Applicants who are dissatisfied with a decision of the DOR relative to an application may request a review by the DOR Grant Review Committee. The request for review shall be in writing and shall: 1. Clearly identify all issues in dispute, 2. Contain a full statement of the potential sub-grantee s position with respect to each issue, and 3. Contain pertinent facts and reasons in support of the potential subgrantee s position and the action requested The written request must be submitted to the DOR within 5 days of the date of the Intent to Award to: Chief Deputy Director Attn: GRANT REVIEW COMMITTEE Department of Rehabilitation- 721 Capitol Mall Sacramento, CA 95814 The Grant Review Committee shall be appointed by the Chief Deputy Director and shall consist of up to three departmental employees, selected at the Chief Deputy Director's discretion. The Committee shall review all appeals and shall notify the appellant, in writing, of the decision of the committee within 30 days of the date of the grantee s appeal request. The decision of the Grant Review Committee is final. 16

17 STATE OF CALIFORNIA DEPARTMENT OF REHABILITATION INDEPENDENT LIVING & ASSISTIVE TECHNOLOGY SECTION INTENT TO BID There may be changes and/or addenda subsequent to this RFA's issuance. Some recipients of the RFA may have received their copy from sources other than the original mailing list. To assure that all interested bidders receive all information applicable to this RFA, please complete and submit an Intent to Bid form. If you have questions regarding the Intent to Bid form, contact Cheryl Kasai by e-mail at ckasai@dor.ca.gov or by phone at (916) 558-5769. Please accept this notification of our intent to submit an application in response to RFA No. IL-10-02 Community-Organizing Grant INTENT TO BID FORMS ARE NOT REQUIRED TO SUBMIT APPLICATIONS, however, to assure that you receive any updates/changes to the RFA in a timely manner, please complete this form and FAX or e-mail it to: Cheryl Kasai, Grants Manager Independent Living and Assistive Technology Section FAX Number: (916) 558-5777 E-mail: ckasai@dor.ca.gov NOTE: Intent to Bid forms not received at least 15 calendar days prior to the application s due date may result in changes or updates not reaching applicants prior to the deadline for application submission. Organization Name: Address: Contact Person Name: Telephone Number: Fax Number: E-mail address