<p> Harbor Regional Center REQUEST FOR PROPOSAL (RFP) FY 2016-2017 Adult Day Activities Submission Deadline: January 13, 2017 at 3 pm. Proposals submitted after the above deadline will not be accepted</p><p>Announcement</p><p>Harbor Regional Center is seeking proposals for the development of specialized resources for clients moving from the state developmental centers.</p><p>If you are interested in developing these services please complete a proposal as described below. Applications that are submitted with incomplete information or proposals that do not meet the basic requirements will be eliminated. This RFP does not commit HRC to procure or contract for services or supports. </p><p>Harbor Regional Center may elect to fund all, part, or none of the project, depending on funding availability as approved by the Department of Developmental Services and the quality of the proposals received. Please refer to the attached project description and requirement, which briefly describe the service concept and possible resource development funding availability.</p><p>Summary Project: </p><p>Harbor Regional Center is seeking development of day activity sites that each provides specialized medical and/or behavioral services for individuals who are moving a state developmental center or at risk of moving into an institution. A portion of each day would be spent in the community.</p><p>Project Requirements:</p><p>The successful bidder must have prior experience in successfully providing services for client moving from the state developmental center. </p><p>The program services must include intensive interventions supported by consultants who will provide creative and proactive services required to implement the proposed program. The consultants will be expected to conduct assessments and provide training to direct care staff.</p><p>The day activity site must have one (1) full-time program director whose minimum qualifications must include a bachelor’s degree;</p><p>The program will also have one FTE specialist (nursing and/or behavioral may be primary needs), however this requirement is client driven and may be met by a combination of specialist hours. </p><p>The day site should have a minimum of 3,500 square feet.</p><p>Allowable Use of Funds</p><p>1 Start Up funding may be available. These funds may be utilized for site lease payments, rehabilitation, furnishings, supplies, adaptive equipment, staff training and related expenses.</p><p>Eligible Applicants</p><p>Proposals may be submitted by for profit or not-for-profit corporations. The applicant must have relevant experience and background. All partners involved with the project must sign the Applicant Information Form (Attachment B).</p><p>Board members and employees of Harbor Regional Center are not eligible to apply. </p><p>Evaluation Criteria</p><p>Each proposal will be evaluated based on but not limited to the following criteria:</p><p>Submission Process</p><p>The proposal (described below), Applicant Information form (Attachment B), Financial Information form (Attachment C) and Budget for Start-Up Costs (Attachment D)will be submitted for evaluation to the HRC/ RFP review team which will select candidates which best meet the specified criteria. </p><p>All submissions must be type-written in 12-point, Times New Roman or Arial font, on white 8 ½ x 11 inch paper, single-sided only. All pages should be numbered, and include an identifying footer with agency name. Please submit five (5) copies. Faxes will not be accepted. </p><p>All materials must be submitted via postal delivery or hand carried by (January 13, 3017) to:</p><p>Harbor Regional Center Attn: DCS – Maria Carmen Garibay 21231 Hawthorne Blvd. Torrance, CA 90503</p><p>The Project Proposal must include:</p><p>1. A description of prior relevant experience and credentials in serving clients who have moved from the state developmental center. 2. A description of the applicant’s demonstrated capacity to provide services in a linguistically and culturally competent manner. 3. A description of the applicant’s philosophy, values and vision statement specific to providing services to the targeted client population; 4. A description of history of success with developing, operating day activities; 5. A description of prior successful collaboration with Harbor Regional Center; 6. A description of services to be provided; 7. A description of the staff qualifications, consultants and salaries to be utilized; 8. The proposed monthly client activity schedule for both community and on-site; 9. A description of the possible client equipment; 10. The communication plan with caregivers; 11. A timeline for completion of the project; 12. The proposed start-up budget; and 2 13. Financial statement;</p><p>Timeline</p><p>December 1, 2016 Notice of Release Request for Proposal </p><p>January 13, 2017 at 3pm Proposal Submission Due</p><p>January 16, 2017—January 27, 2017 Committee Review of Proposals</p><p>January 30, 2017—February 3, 20017 Interviews (If Needed)</p><p>February 10, 2017 Notice of Conditional Approval Issued</p><p>February 13, 2017—March 31, 2017 Finalize Service Designs, Budgets and Rates and Contracts</p><p>April 14, 2017 Final Service Development and Start-up Funding Approval</p><p>3</p><p>Attachment A HRC Service Area Map</p><p>4 Attachment B APPLICANT INFORMATION</p><p>Applicant/Agency Name: </p><p>Project:</p><p>Address:</p><p>□ Non-Profit Corporation □ For Profit Corporation □ Partnership □ Other (please specify)</p><p>Contact Person’s Name and Job Title: Phone: Cell number: Email Address:</p><p>List up to four current or previous services implemented by the applicant/agency that provide evidence of experience related to your proposal. Include the service name, the dates that services started (and ended if not currently being provided), and a one sentence description of the type/purpose of the indicated service: </p><p>List two references, including job title and agency affiliation that can be contacted in regards to applicant’s experience, qualifications and ability to implement this proposal:</p><p>Application submitted by: (Include all partners signatures)</p><p>Date</p><p>5 Attachment C</p><p>FINANCIAL INFORMATION</p><p>Applicant/Agency Name: </p><p>Project:</p><p>Line of Credit Available? □ Yes □ No Amount: ______</p><p>Please provide the most recent audited financial statement (Preferred) or a current financial statement that includes all of the information listed below:</p><p>FINANCIAL STATUS AS OF ______, 20___</p><p>ASSETS Cash on hand and in commercial and savings accounts ______Notes and Receivables ______Inventory, Equipment, Furniture and Furnishings ______Real Estate (Market Value) ______Other Assets: ______TOTAL ASSETS ……………………………………. ______LIABILITIES Accounts and Notes Payable (Balance Due) ______Salaries and Wages Payable ______Real Estate Loans or Mortgages (Balance Due) ______Payroll and Real Estate Taxes Payable ______Other Liabilities: ______TOTAL LIABILITIES ……………………… ______</p><p>Reference who may be contacted regarding applicant’s/agency’s qualifications and experience in financial management:</p><p>Name/Title: ______Agency/Company: ______Address: ______Phone: ______Cell Phone: ______</p><p>Budget/Financial Information Submitted by: </p><p>______Name Date</p><p>6 HARBOR REGIONAL CENTER</p><p>ATTACHMENT D</p><p>PROPOSED BUDGET FOR START-UP COSTS</p><p>Submit a Line Item Budget for the Start-Up Expenditures that is less or equal to the total grant award.</p><p>ITEM PROJECTED COST</p><p>TOTAL PROJECTED START-UP COSTS</p><p>7</p>