<p>Mortgage Finance Authority</p><p>Rental Assistance Program Request for Proposals FORMS Program Year 2016-2020 DATE ISSUED: March 17, 2016</p><p>SUBMISSION CHECKLIST</p><p>RENTAL ASSISTANCE PROGRAM PROPOSAL </p><p>Requested on p. 25-27</p><p>AGENCY: </p><p>By initialing on this list, you are certifying that you have enclosed the following items as defined in this RFP. Items should be attached in the order listed.</p><p>Turn in 1 original and 3 copies of the application package will all items below.</p><p>MINIMUM QUALIFICATIONS AND REQUIREMENTS</p><p>Allowable Deficiency Correction items</p><p>Initial Item Required</p><p>Nonprofits only: Proof of 501(c)(3) Nonprofits only: Proof of current registration with the New Mexico Attorney General for tax year 2015 from https://secure.nmag.gov/coros/ , page 1 of the “NM Charitable Organization Registration Statement”</p><p>Nonprofits only: Letter of Support from the unit of local government dated within 180 days, from city, town, village or tribe; if unincorporated, county</p><p>FY2015 (fiscal year ending on or after 3/31/2015) or FY 2016 Agency Independent Audit or audited financial statements, including all correspondence referenced & management response. (Turn in only 1 copy of the audit)</p><p>Proof of good standing (dated within 30 days of application date from https:/www5.hud.gov/ecpcis/main/ECPCIS_List.jsp and sam.gov printout)</p><p>Offeror must provide proof of Good Standing</p><p>Offeror certifications signed by authorized official</p><p>Disclosure statements</p><p>Statement of experience of executive director</p><p>Statement of experience of fiscal manager</p><p>Statement of experience other key staff</p><p>Statement of experience of program manager and resumes of program staff</p><p>Agency mission statement</p><p>Table that demonstrates the agencies administrative and financial management capacity </p><p>Evidence of coordination with other targeted homeless services</p><p>Bylaws or board resolution pertaining to fiscal oversight committee Checks and balances - Fiscal policies on internal control and segregation of duties</p><p>Proof of attendance at the RFP Training </p><p>Completed Application Form</p><p>All: Non-MFA federal, state, local or tribal monitoring letters</p><p>Date of Application: Current Board Members</p><p>Requested on p. 10</p><p>Name</p><p>Home Address</p><p>Employer</p><p>Position on Board </p><p>Area of Expertise/Qualification</p><p>Years on Board</p><p>Term Expire Date</p><p>Name</p><p>Home Address</p><p>Employer</p><p>Position on Board </p><p>Area of Expertise/Qualification</p><p>Years on Board</p><p>Term Expire Date</p><p>Name Home Address</p><p>Employer</p><p>Position on Board </p><p>Area of Expertise/Qualification</p><p>Years on Board</p><p>Term Expire Date</p><p>Name</p><p>Home Address</p><p>Employer</p><p>Position on Board </p><p>Area of Expertise/Qualification</p><p>Years on Board</p><p>Term Expire Date</p><p>Name</p><p>Home Address</p><p>Employer</p><p>Position on Board </p><p>Area of Expertise/Qualification Years on Board</p><p>Term Expire Date</p><p>Administrative and Financial Management Capacity</p><p>Requested on p. 11</p><p>Program/Staff Name Title Yrs. of Capacity/Role/Services Offered Experience</p><p>Proposal Requirements</p><p>Requested on p. 11 </p><p>______, (Offeror), must describe any material, current or pending litigation, administrative proceedings or investigations that could impact the reputation or financial viability of the firm.</p><p>No ______</p><p>Yes ______(explain)</p><p>Sign ______Date______General Information</p><p>Requested on p. 27</p><p>Agency Name Entity Type Nonprofit Local government Tribal government</p><p>Is this a faith-based organization? Yes No</p><p>Federal Tax ID Number DUNS Number</p><p>Contact Person Title</p><p>Telephone Number Ext. Fax Number</p><p>E-Mail Address</p><p>Mailing Address</p><p>City NM Zip Offeror Proposal Information</p><p>Requested on p. 28-29</p><p>1. Expenditure benchmarks, at the time of proposal submission, from 2015-2016 PY contract awards must be as follows:</p><p>Benchmarks thru February 10, 2016</p><p>Report Month of Last Submittal YTD Expenditures % of Expenditures MFA % of Agency MFA Score approved by MFA Score </p><p>2. Performance – History of Rental Assistance </p><p>2.a. Current sub-grantees: complete the following table on current program performance, July 1, 2015 to February 10, 2016:</p><p>County(s) Served RAP Scope of Work Amount Amount Expended* Number of Households</p><p>$ $ </p><p>$ $ </p><p>$ $ </p><p>$ $ </p><p>$ $ </p><p>Total Number of Counties Total Scope of Work Total Expended Total Households:</p><p>$ $ # of Counties In Original Scope of Work for PY 2015-2016</p><p>Number of Counties Actually Served </p><p>2.b. For New Agencies - Describe agency experience with Supportive Housing Program (SHP) leasing, Shelter Plus Care (S+C) leasing, Housing for Persons with AIDS (HOPWA) Tenant Based Rental Assistance (TBRA), Homelessness Prevention and Rapid Re-Housing Program (HPRP), Section 8/Housing Choice Voucher, Public Housing, Linkages Housing Vouchers, or other housing program following the Section 8 rent calculation formula. Must have a minimum of one (1) year experience.</p><p>County/ Name of Funding Amount Status of Number of Contracting agency - project program source awarded program households contact Name and email location served address Completed on time? YES or NO</p><p>Organizational Experience and Capacity</p><p>Requested on p. 29-30</p><p>Agency & Management Experience Years of Experience a. Agency as a RAP provider </p><p> b. Executive Director </p><p> c. Program Manager </p><p> d. Fiscal Manager </p><p> e. Certifications HQS, LBP, income calculations </p><p>Staff Responsibilities</p><p>Please fill in the below table with the staff (or board) titles and names who will be performing the tasks listed.</p><p>Intake procedure and program tasks Staff title(s) & name(s) Years experience directly related to RAP</p><p>Outreach to community</p><p>Intake (receive applications)</p><p>Verify income</p><p>Review application</p><p>Verify rent reasonableness and payment standard</p><p>Calculate rent, including utility allowance</p><p>Perform HQS inspection</p><p>Review lease and lease addendum Request payments</p><p>Issue checks</p><p>Sign checks</p><p>Administrative tasks</p><p>Obtain current payment standard and utility allowance from PHA</p><p>Prepare monthly unit setup report </p><p>Prepare monthly invoice</p><p>Track expenditures</p><p>Create & update policies and procedures Proposed Scope of Work</p><p>Requested on p. 33</p><p>County RAP Funding Number of Average per Deposits (Y / N) Rent (Y / N) If Rent, # of Months Requested Households Household</p><p>$ $ </p><p>$ $ </p><p>$ $ </p><p>$ $ </p><p>$ $ </p><p>TOTAL Total $ Total Total $ CERTIFICATION</p><p>Requested on p. 34</p><p>(“Offeror”) is submitting a proposal to the Mortgage Finance Authority (“MFA”) to be a sub- grantee under the Rental Assistance Program.</p><p>Offeror certifies that:</p><p>It will abide by all applicable Federal and state of New Mexico laws and all applicable statutory, regulatory, and judicially created rules and guidelines.</p><p>It understands that MFA will monitor its performance and compliance. </p><p>It is in good standing with all its funding sources.</p><p>It complies with Equal Employment Law and complies fully with all government regulations regarding nondiscriminatory employment practices.</p><p>It understands and represents that any contract it enters into with MFA will be binding in all respects.</p><p>It has a current registration with the New Mexico Attorney General’s Registry of Charitable Organizations, if applicable.</p><p>This proposal shall be valid until contract award or 90 calendar days from the proposal due date, whichever is longer.</p><p>I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IN THE PROPOSAL IS TRUE AND CORRECT, AND THAT I HAVE THE AUTHORITY TO BIND THE OFFEROR TO THE ASSURANCES, AS WITNESSED BY MY SIGNATURE BELOW.</p><p>Signature of Authorized Official on behalf of Offeror Date</p><p>Printed Name</p><p>Title</p>