United Way of Metropolitan Tarrant County

NCTCOG via fax or email. Submit questions questions to: Submitfax or email. NCTCOG via received inbebywriting,andmustbe request proposals for this questions concerning All QUESTIONS following entities services:toprovide nutrition from the proposals qualified NCTCOG is seeking documents.otherandgoverning the Texas Administrative Code, Americans Act, forwithcompliance which the Services,the Older Agency Disabilityand monitors Aging of isthe Texas sourceDepartment primary of Texas. Its funding inthe State aging on agencies areaof isone28 it Americans toAct, the Older 1973amendments by the created network a national Part of area. Dallas/Fort Worth countiessurrounding 14the of the residents serves their andcaregivers. The NCTAAA family over and 60 ageservicesfor persons delivers and coordinates thatplans,It organizationofregional (NCTCOG).Governments is a Council Texas CentraltheNorth program of onis a (NCTAAA) Aging Central Agency Texas Area The North OVERVIEW Fiscal Years 2016-2017 RfP and/or Services Transportation Years Nutrition 2016-2017 Fiscal for Begin Contracts Made Decisions Funding EvaluatedProposals DueProposals Transportation Demand-Response SCHEDULEEVENT submit questions.who those allwithoutidentifying prospectivebidders,replies issue known written NCTCOG to will NORTH CENTRAL TEXAS COUNCIL OF GOVERNMENTS’ AREAOF AGENCYGOVERNMENTS’ ON CENTRALTEXASCOUNCIL AGINGNORTH and Nutrition ServicesReleasedRfP Nutrition and   Email: [email protected] Email: 695-9274 (817) Fax: of AgingDirector GreenDoni mealsinParker County Congregate County Home-delivered meals in Parker FISCAL YEARS 2016-2017 REQUEST FOR (RFP) PROPOSALS 2016-2017 FISCAL REQUEST YEARS TITLE III-C NUTRITION SERVICES IN NUTRITION PARKER COUNTYSERVICES III-C TITLE November 1, 2015 1, November 2015 22, October 2015 22, 12-October October 2015 12, October 24, 2015 September DATE

submission deadline. deadline. submission priorthe it is received provided to bidding, the authorized for person the of signature bearing fax transmission NCTCOG may letter or modified be by of isinthe that possession proposal A PROPOSALS WITHDRAWAL MODIFICATION OF OR the submittingproposal. entity behalfof the on contractswho person isauthorized to asign be mustby proposals signed All of thiswillthe NCTCOG. the RFP becomeproperty during of the course obtained information Act. AllOpen Records in accordancewith the toinspectionpublic be will proprietary, subject proposalof portionisproposerthe a theunless indicates RFP, associated with documents All afterofcontract. available a not isrestrictedand until award informationpublicly Proposal mailresponses.reject lateand right electronic reserves to the The NCTAAA to: Submit envelope. each corner of inleft-hand the bottom in Parker RFP” County Services III-C Nutrition 2017 Title “NCTAAA 2016 – as marked “Confidential,” identified and below, as address at the received be must Responses a.m. 2015 at 10:00 12, Monday, later October no than offices Central TexasCouncil of North Governments’ received mustbein responsesthe Proposal SUBMISSIONINSTRUCTIONS RFP Fiscal Years 2016-2017 RfP and/or Services Transportation Years Nutrition 2016-2017 Fiscal for SERVICE: UNIT OF servicetherein.standards the contained of meeting iscapable it that certifies proposing entity Transportation,the proposal Demand-Response afor submitting By sl=R&app=9&p_dir=&p_rloc=&p_tloc=&p_ploc=&pg=1&p_tac=&ti=40&pt=1&ch=85&rl=301 http://info.sos.state.tx.us/pls/pub/readtac$ext.TacPage? TexasAdministrative Code (attached) please 85.301 to refer specific program For standards, transportation. given medicalbe to requiresthatpriority non-Medicaid The NCTAAA needed.escortsas and over, and 60 age trip.persons include Eligible persons to the prior hours to forty-eight twenty-four at usuallyleast service need, inadvance of their transportation the request request. Clients specific originfromdestination upon specific to clients TRANSPORTATION: DEMAND-RESPONSE services:following provideof with or the to onecontractagreeNCTCOG more to shall entity The successful DEFINITIONS OF WORK/SERVICE SCOPE deadline. submissiontime of tothe the up request, or writtenin personby either bidding, the authorized for NCTCOG personmay bywithdrawn be of isinthe that possession proposal A Arlington, TX 76011 Arlington, Flags Drive Six 616 NCTAAA DirectorAging GreenDoni Physical Address One one-way trip. one-way trip. One Non-emergency transportation designed to to carry designedtransportation Non-emergency Arlington, TX 76005-5888 Arlington, 5888Box PO NCTAAA DirectorAging GreenDoni Mailing Address

reference intakes established by the Food and Nutrition Board of the Institute of Medicine of the the Medicine ofof of the Institute Nutrition Food and Board byestablished intakes the reference thedietary percent minimumofstorage provides of whichsatisfactorya33⅓ life) a(with MEALS HOME-DELIVERED SERVICE UNIT OF therein.servicestandards contained the meeting it of entitythat is capable proposing certifies Meals, the proposal Congregate afor submitting By sl=R&app=9&p_dir=&p_rloc=&p_tloc=&p_ploc=&pg=1&p_tac=&ti=40&pt=1&ch=85&rl=302 http://texreg.sos.state.tx.us/public/readtac$ext.TacPage? TexasAdministrative Code (attached) please 85.302 to refer specific program For standards, provided.are services primarilynutrition older occupiedindividualscongregate byat facilitieswhich in housing resideolder individualsbut who not individuals andwith who disabilities are individuals, eligible with disabilitieswho the with reside older meal hours, at individuals home services during individualsvolunteerproviding spouses, over, their and 60age those include Eligible persons tube feeding). diet, diet, pureed diet, renal diabetic dietitian a (e.g., by participant specifically the physicianis planned for and a prescribed by • participants. the • meals: two of congregate are There types of older individuals. socialization insecuritypromoteand food isto reducesetting.The objective congregate in a isservedwhich ofand Agriculture, publishedthe DietaryGuidelinesforbySecretary Americans, recent most with the complies and of Sciences NationalAcademy of the of the Medicine Institute of Board Nutrition Foodand the by reference the established dietaryintakes percent of meets 33⅓ which MEALS: CONGREGATE Fiscal Years 2016-2017 RfP and/or Services Transportation Years Nutrition 2016-2017 Fiscal for http://texreg.sos.state.tx.us/public/readtac$ext.TacPage? TexasAdministrativeCode please to refer specific program For standards, meal.delivered home afor olderindividual iseligibleprovided older,the resideand with individual60age an who 60 age d and over and60age persons homebound include Eligible persons by DADS. request is approved that waiver providersubmits unless week,a the client per ofhot meals per five standard a established as fundingServices,source, has Disabilityandprimary of Aging Department The Texas tube feeding). diet, diet, pureed diet, renal diabetic dietitian a (e.g., by participant specifically the physicianis planned for and a prescribed by • participants. the • meals: ofdeliveredThereare hometypes two healthful inandenvironment. a safe living independent sustain insecurity,the recipient food help istoofreduceThe residence.objective place in their eligible an participant to Secretary is delivered and of Agriculture, the published by Americans, for compliesmostrecent Guidelines and Dietary Sciences with the of Academy National Therapeutic meal or liquid supplement - A special meal or liquid supplement that has beensupplementthathas mealor -special Aliquid mealor liquid supplement Therapeutic majorityall to the or of is servedstandard that A menu the meal from meal - regular Standard Therapeutic meal or liquid supplement - A special meal or liquid supplement that has beensupplementthathas mealor -special Aliquid mealor liquid supplement Therapeutic majorityall to the or of is servedstandard that A menu the meal from meal - regular Standard : One meal. One

A hot or other appropriate meal served to an eligible older individualeligiblemealservedan or older to other appropriate hot A :

Hot, cold, frozen, dried, canned, fresh, or supplemental food or fresh,supplemental frozen, canned, cold, dried, Hot, isabledindividualsunder

85.302 (attached)85.302

actual funding from the Texas Department of Aging and Disability Services. ContractorsDisabilityforand Aging Services. TexasDepartment fromof the funding actual Fiscal 2016. during Year home-deliveredfor County meals in Parker $144,541 meals and congregate for available $80,600 levels maximum contractors. for establish funding NCTCOG shall REMUNERATION time. that rates at 2017 unit YearFiscal negotiate and Contract, this services under for 2017 budget Year Fiscalit request 1, a PriorOctober2016, will withintermssaid Contract.to the of operating are that agencies to those year forsubsequent one contractthe one-yearextend NCTCOG to of intent It 2016. is the September 2015through30, period 1, of October the for budgets and mustreflect operating plans proposals funds annually. All allocated with Nutrition Services, III-C Tile Responseand Title forTransportation III-B Demand contracting and cycle planning two-year a NCTCOGone-yearhas a extension. 2015, to subject 30, September terminate on and 2015, will on programsawarded 1, RFP begin allfor included in October this Contracts OFPERFORMANCE PERIOD placement.institutionalrisk brain dysfunction, and/or of organic and disorders with neurological Englishdisabilities, proficiency,Alzheimer’srelatedand severelimited need, social greatest greatesteconomicpersonsneed, given bewith to older should Priority served. to be county CLIENTELE: SERVICE UNIT OF contained therein.servicestandards the of meeting capable it is certifies proposing that Meals, entity proposal the Home-Delivered afor submitting By 2 sl=R&app=9&p_dir=&p_rloc=&p_tloc=&p_ploc=&pg=1&p_tac=&ti=40&pt=1&ch=85&rl=30 Fiscal Years 2016-2017 RfP and/or Services Transportation Years Nutrition 2016-2017 Fiscal for payments, sanctions and/or penalties. Reports to be submitted include, but aredelayed not limitedin result to: may reportsincorrectincomplete, and/or Late, workday. prior the on business 8 the that event the In SAMS the implement fully received8 mustbe the on and install to required statistics. participant and be service report and track to may system software computer Contractors mail. and fax email, formats: following the of all or one using NCTCOG, to reports various submit must Contractors REQUIREMENTS REPORTING appropriately. documented and valuated andprogram, to servicesthatare the or essential goods or donated discounted from derived be match may cashin-kind. In-kind The berequiredmatch.match mayand/or 10% requirea NutritionServices funds Title Transportationand DemandIII-C Response Title AllIII-B funds available.become until Title III of several months delay may a contract be of there the period, beginning At funds available. become until Title III funding program with the able non-Federal mustbeNCTCOG.to Theoperate contractorby rate negotiated unit at basis,it the whichserviceunits “at-risk” delivers an Contract through on this services under program reports. The monthly NCTCOG through aftercostsbasis, are a program on reimbursed beunit-rate services shall Services must be available to all eligible persons age 60 and over who inthe over live alland 60available age beeligiblepersonsmust to Services : Onemeal.: th falls on a weekend or holiday, monthly reports shall be due by close of close by due be shall reports monthlyholiday, or weekend a on falls However, actual funding may be greater or lesser, depending on NCTCOG’s greateron depending beor However, funding lesser, actualmay th day of eachmonth,shall of andincludedayprevious the datafor all month. contractor will contractor operate In anticipates having approximatelyanticipateshaving In incurred and reported to the tothe reported incurred and Monthly reports

Proposals will be evaluated on the criteria:the onfollowing will evaluated Proposals be CRITERIA SELECTION Fiscal Years 2016-2017 RfP and/or Services Transportation Years Nutrition 2016-2017 Fiscal for The proposal will be rated in terms of the applicant’s demonstrated capabilityfor thetermsapplicant’s demonstrated will rated of beThe proposal in received befor administrative can capability is 30. that points number The maximum of e. job of clarity and staffing, professional the of for breadth proposal and the technical depth staff persons in who would work on reflected of the project. qualifications The basis job the and 10. descriptions, is on capability rated staff for be received will be proposal can that points of number maximum The d. per unduplicated client. beprovided during Fiscal Year 2016, projected cost per unit ofservice, and projected cost 2016, Year Fiscal number during ofunits provided duringserved Fiscal Years 2014 and be 2015, number ofunits projected to to projected clients of number years, fiscal and prior current the during served clients of number the of basis the on rated The be will proposal 50. is effectiveness cost for received be can that points of number maximum The c. leverages and availability; service other support. of persons eligible informs such meets needs; and service populations priority persons’ targets program the which to extent the as things 30. Inevaluating proposals, the RAAC ProposalReview Subcommitteewill consider such The maximum number of points that can be received for potential program effectiveness is b. of required forms and documents; and the degree to which RFP instructionsof are specificity followed. the responsetonarrativeas: questions; things the internal consistency thesuch ofdata presented; proposals, the consider availability evaluating will Subcommittee In Review Proposal correct. RAAC technically are and proposal the in included are Theproposal willrated be termsin the degreeof whichto all required narrative andforms The maximumnumber ofpoints that can be received for responsiveness to theRFP is 10. a. 2. 1. client satisfaction. In evaluating proposals, the RAAC Proposal Review Subcommittee RAACProposal the satisfaction.proposals, In evaluating client fiscalensuring Programs,andcontrols, and providingnecessary Service programmatic III-C Nutrition Transportationand/or DemandTitle Response Title administeringIII-B Other periodic reports as may be required. the amount of such costs for which the contractor seeks payment from NCTCOG. contractor'sandmatch, by covered be to costs such of amount the month),calendar (previousperiod billing the for contract this under contractor by incurred costs actual total reflect shall payment for requisition Such reimbursement. for request Monthly Staff Capability Service Volumes and Cost Effectiveness Program Effectiveness Responsiveness to RFP a. Performance Record and Quality Control Reports. Summary Agency SAMS include to activity, programmatic of report Monthly

Any request for reconsideration must be in writing and should specify in detail the nature of the for Board Executive furtherfull consideration. the to carried be will Board matter The the whether determine matter. will representative the review may Board Executive NCTCOG's of representative a concern, reconsiderationIf by the Regional Aging Advisory Committee does not result resolutionina ofthe who willDirector, present Aging it to the fullthe Regional to Aging directed Advisorythe Committee.be should by request The determined Subcommittee.score Review Proposal proposal RAAC the of reconsideration request may agency proposing Any APPEAL PROCESS funding andlevels.of services, type program, of of elementsscope services, regardingthe certainincluding Review Subcommittee, RAACProposal by directed asthe negotiations, to conduct ability the have NCTCOG shall Executive recommendationstoBoard. NCTCOG’s scoremake and will funding proposals Review Subcommittee AdvisoryProposal Committee Agingthe (RAAC) Regional Members of competitivereview willa process. it conduct NCTCOG receive proposals, competing the Should PROCESS REVIEW is130. may awardedthat pointsbe number The maximum of Fiscal Years 2016-2017 RfP and/or Services Transportation Years Nutrition 2016-2017 Fiscal for original. bind the Do not should include: The proposal instructions. submission three(3) copies original one and Submit FORMAT RESPONSE PROPOSAL appeal.        Certification RegardingDebarment Certification AssurancesStandard include: which services, nutrition for attachments Budget service each for Budget Outlineinthe Proposal described as proposed program, each for Narrative Notice of Certification Applicant’s CoverSheetProposal organizations that have contracted withthem. contracted have that organizations from at three least references they provide must fiscalcontrols. In addition, provide abilityof evidencetheir otherto as similar mostrecent or audit(s), documentation, their submit encouraged the to NCTCOG are not havewith contracted that Organizations quality rigoractivities. assurance the of and NCTAAA, by noted the of findings severity andthe number the byNCTAAA, the category riskassigned asconsiderthings such will o o o Certification Page Certification BudgetMealCalculation Per only)cash (ifmatchrequirement notwith satisfied10% willbe Match Certification In-kind of the proposal by the proposal of the date and time inthe indicated date and the

F. E. D. C. B. A. GENERAL TERMS AND CONDITIONS Fiscal Years 2016-2017 RfP and/or Services Transportation Years Nutrition 2016-2017 Fiscal for L. J. I. H. G. wr f a cnrc. Fiue o h rpsr t cet ti biain my rsl in result may obligation this accept to proposer the of Failure contract. a of award Thecontents of a successful proposal may becomea contractual obligation,if selected for and others of to this product instruction may cause the work proposal(s) to be rejected. the of portions adhere Failureto permitted. not proposer is the submitted substantial hereunder, originalof work as of use other or paraphrasing copying, The proposers. the originalproduct of work proposalsan submittedAll be must not does This rejected. competition.be eliminate to bid or proposer's preclude joint restrict venturesa or subcontracts. cause will may that provision this activity of any Violation in engage not shall Proposers or award selection, the in administrationparticipate ofshall a contract if NCTCOG a conflict of interest,of real or apparent,agent exists. or officer employee, No other proposal submitted hereunder. of or having the effect of influencing favorable disposition toward their own proposal orany ofmonetary value toany officer, member,employee oragent of NCTCOG for thepurpose Proposers shall not, under penalty of law, offer or provide any gratuities, favors or anything any contract resulting from this procurement if adequate funding cancelis not to available. or award, an of amount the reduce or withdraw to right the reservesNCTCOG the proposal may result in cancellation of the purchase agreement award.a in stated of as perform award to abilityproposer's the the Misrepresentation of to agreement.subsequent purchase or prior occur may This funding. for selected entity any records,review systems,of conduct NCTCOG reservesa procedures,to right the etc.,of additional request to right the information from any reserves and all proposers. NCTCOG qualifications. and/or performance proposal,andothers haveexperiencemaywho and/or knowledge bidder'stheof relevant a in listed employers or agenciesindividual, any contact to right the reserves NCTCOG an RFP. such changesto all bidders recorded in the officialrecord ofnotificationas having provide received will or requested NCTCOG necessary. deems it as solicitation this to changes make to procurementor process this in defect any waive to right the reservesNCTCOG re- be may RFP negotiatedthis with and/or of amendedcontracts in orderresult to all successfullya meet theand agencyas needs. negotiated any agreements such of and terms selected; bidders final the negotiate to right the reserves NCTCOG agreement or contract, or to pay any costs incurred in the preparation of such response. purchase a commitNCTCOGto Proposalnot Request doesthis(RFP)for response to A per contract one than more award serviceto area and/orright award a contractthe for reserves a portion of NCTCOG a proposed service area. time. any at notice thiscancel to proposalsor all and/or any reject or accept to right the reservesNCTCOG cancellation of the award. No plea of error or mistake shall be available to successful to available be shall proposer(s) mistake as a basisor for release error of proposed servicesof at statedplea price/cost. No Any damages award. the of cancellation

P. O. N. M. Fiscal Years 2016-2017 RfP and/or Services Transportation Years Nutrition 2016-2017 Fiscal for Q. contract. the of publicawardafteruntil available the recordsnot regulations.to However,are they proprietary or confidential considered be the fromthe rest ofthe proposal. Neitherthe to proposal in its entirety nor theproposal disclosed price can be separated be proprietaryinformation shall The consideredproprietary. are that not proposal will proposer the proposer’scompetitors. of Theproposer shall clearly identify itsresponsein information elements ofthe proprietary or Confidential employees, or subcontractors to the extent permitted by law. ofany negligent act or omissionon the part ofthe contractor,its officers,agents, servants, real or asserted, occurring during or arising out of the performance of a contract as a character,whetherresult of kind whatever property,persons,or to damages for suits or claims employees,subcontractors.or Thecontractor does hereby assume all liability forinjuries, servants,agents,officers, contractor,its the of part the on omission or negligentact any of out arising asserted, or real whether property, or persons to death, including injuries, or damages for claims or suits all and any against and from employees, the and officers its by part NCTCOG,defend harmlessand hold indemnify and to agreesContractor in covenantsand or whole in affected be waive or modify insurance requirements to at its sole discretion. insurance The the likewise. subcontractors or sub-subcontractors do undertheir cause to contracts. NCTCOG reservescontract the right to this may under apply contractor may liabilities same the which for work requiredas andlawby shall require allsubcontractors andsub-subcontractors performing insurancerequirementsminimum insuranceapprovedcarriers,the maintain,with and for contractorcontractNCTCOG, the with shallprocure, a pay of term during timesthe all At violation of law shall be referred to such authority as may have proper jurisdiction. Mattersconcerningcontractual nature.a mattersof otherevaluationsourceaward, or of disputes,claims, limitedproteststo, not is includes, This proposalbut selection process. the regarding protests or complaints handling for authority responsible the is NCTCOG are issues such until exist, not satisfactory to NCTCOG. costs of resolutionis questioned/disallowed issues if NCTCOG withdrawnby be may if contract of Award satisfactorilydiscretion resolved. or sole at withheld compliance be may contract provider selected the with contract A from the proposer.recovered be may contract to failure proposer's the of result a as NCTCOG to accruing . All proposals are subject to terms of open of terms to subject are proposals All

Authorized Official Signature CONTACT PERSON:APPLICATION PHONE: ADDRESS:MAILING NAME:DIRECTOR’S NAME:AGENCY ______PROPOSED: SERVICES TO BE SERVED:______COUNTY(IES) Fiscal Years 2016-2017 RfP and/or Services Transportation Years Nutrition 2016-2017 Fiscal for Date Official's Title Authorized Official Name (Typed or Printed)

Home-Delivered Meals Home-Delivered Meals Congregate

North Central Governments’ Texas North AreaCouncil of AgencyAging on

TITLE III-B DEMAND RESPONSE TRANSPORTATIONDEMANDAND/OR RESPONSE III-B TITLE

TITLE III-C NUTRITION SERVICES III-C TITLE PROPOSAL COVER SHEETCOVER PROPOSAL Arlington, TX TX 76005-5888Arlington,

Fiscal Year 2016Year Fiscal (817)695-9193 P.O. Box 5888 Box P.O.

the applicant’s Board of Directors. comparablechairperson position ofthe or by signed attachmentsbe its must and the by authorized duly knowledge. my of best is the proposal this of submission the governing body of the agencyshown and that that the information in thisproposal certified is correct to hereby is It Fiscal Years 2016-2017 RfP and/or Services Transportation Years Nutrition 2016-2017 Fiscal for Date Official's Title Authorized Official Name (Typed or Printed) Authorized Official Signature ______

APPLICANT'S NOTICE OF CERTIFICATION (Area Code) Telephone Number City State Zip Code

Legal Name of Proposing Agency RFP the of areas “authorizedsignature”designated All

(Please Check) Address

Non-Profit Corporation Profit Corporation Unit of Government

1. B. AgencyA. the andheadings. numbers the order retype inlisted.the addresses Please following that narrative a attach Please Certification andDebarment. Regarding Assurances, Standard narratives budgets, and specific Noticeprogram of Certification, CoverSheet, Applicant’s includesProposal The proposal Fiscal Years 2016-2017 RfP and/or Services Transportation Years Nutrition 2016-2017 Fiscal for 6. 5. ofadultsnutrition strategies notifying older yourfor Describe proposed 4. 3. 2. 5. 4. 3. 2. 1. source and amount of non-Title III funds. Will you use any in-kind contributions to contributionsto in-kind Will any use IIIfunds. you of non-Title amount and source describe program?the If nutrition so, support the funds to non-Title useyouIII Will What are your agency’s major funding sources? are agency’s funding your major What Identify any conflicts of interest that may exist. If potential conflicts of conflictsinterest exist, exist. potential interestmay If that any of conflicts Identify aremajorby agency? programs provided your What contributions. in-kind amount andthe of source so, describe If the program? nutrition support services. institutionalization. prematurerisk are dementias, of related at and/or Alzheimer’s or have English, other languagesthan greatestsocialprimary speak need, need, economic greatest whoolderpersons targethave agency’s how services will your nutrition Describe services. agencywill to prioritize your usepolicy describe agency’s the exceedyour capacity, servicesshould nutritionfor demand If withcompliance program standards? subcontractor’s the youensure how and will program(s)?so, agency,nutritionto which If the of or preparation delivery anyof the subcontracting aspect your agency propose Does NarrativeServices Nutrition of Governments. Council Texas Centralthe or member,North employee or Advisory currentCommittee of former Aging former current member,oror current boardrelationshipto Regional any former the response Include in your conflict. potential nature such andeach for person the identify services?providing year what agency start did your In isyour mission?agency’s What Congregate Meal Proposed MealProposed Service Levels Congregate a. From October 1, 2013 through September 30, 2014, how many how 30, through 2014, September From1, 2013 October a. please county.each for separately respond county, persons receive?persons thesemany serve? did How meals did your meal clients agency congregate eligible

Narrative FY 16-17 TITLE III-C NUTRITION SERVICES PARKERCOUNTYSERVICES IN III-C TITLE NUTRITION 16-17FY

PROPOSAL OUTLINEPROPOSAL . If you propose serving more than one servingoneyouproposemore Ifthan .

10. 9. 8. 7. Fiscal Years 2016-2017 RfP and/or Services Transportation Years Nutrition 2016-2017 Fiscal for Setting.”Rate “Provider down rate-setting Scrollto: accessforms. and instructions to to:go Please D. 12. 11.  c. b. a. please county.each for separately respond county, MealProposedService Levels Home-Delivered Service Budget(s)Service agency.with managedcontractsyour have of individuals who consisting at three leastwith references, the provide NCTAAA, not agencyhascontracted your If isrequired.response further no and application, towaiverthe that request a of copy completed a request attach can already waiver currentproviderswho have note, three week.times least Please per at participants withwillallhow your indicate maintain program contact agency Also service necessary. less frequent make that served, conditions and bemeals would of that days number area, affected please fivemoreweek, the leasta identify days or operate at able to not programnutritionIf isDisability the Aging Services. and TexasDepartment of the and NCTCOGisapprovedby lesserfrequency feasible aand isnot frequency where such fivemoreexcept week,leastareasin daysarural or mustoperate at Nutrition programs findings. summarizepast year, please the the within serviceparticipants of nutrition survey client satisfaction a conducted you services. If withclient satisfactionnutrition yourfor ensuring procedures Describe agency’s provideability of fiscal evidencetheir controls. to as documentation, similar recentor mostaudit(s),other their encouraged to NCTCOGsubmit are the contracted with not have III-Cthat Organizations Nutrition Services. Title in administering successand of experience of the performance yearsin agency’srecord, termsDescribe positions.ofeachfor these job descriptions Attach ofservicesprogram(s),staff nutritionkeymembers.describe andqualifications the delivering/managingresponsiblefor positions professional staff volunteer and the List each service.each forat10% leastprovidinga be match of will youcash the Form In-Kind not if Complete c. b. home-delivered meals do you expect these persons these to receive?persons youexpect mealsdohome-delivered How many to serve? agency expect mealclients your home-delivereddoes eligible many 2016), how September 2015through30, 2016(October Year1, Fiscal During received?persons these Howmealshave home-deliveredyour hasmany agency served? clients many meal home-delivered eligible the how present, 2014through October 1, From receive?persons these many serve?mealsdid did How home-delivered your meal clients agency delivered home-eligiblehow many 2014, September 2013through30, October 1, From received? persons these mealshave How congregateyour hasmany agency served? clients many meal congregate eligible the how present, 2014through October 1, From meals do you expect these persons to receive? these to persons expect you meals do How congregate manyto do serve? expect meal clients you congregate eligible many 2016), how September 2015through30, 2016(October Year1, Fiscal During http://www.dads.state.tx.us/providers/HDM/BudgetNegotiation.html . If you propose servingoneyouproposemore Ifthan .

Note, budget due dates for nutrition services may be accelerated at request.nutritionforacceleratedat DADS’ be dates dueservices may budget Note, may levelslesseror be greater. funding actual mind that in Keep IIIrevenues. estimates of Title Figures”to obtain attached Planning “FY16 to the Refer Fiscal Years 2016-2017 RfP and/or Services Transportation Years Nutrition 2016-2017 Fiscal for   Complete the Certification page for each service.eachfor the Certification page Complete Formservice.Budgetfornutritioneach MealCalculation the Per Complete