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2014 -15 Orange County Children's Therapeutic Arts Center <br />Youth Workforce Investment Act Proposal <br />PROPOSAL CHECKLIST <br />This checklist is provided to assist the proposer in ensuring that a complete proposal is <br />submitted. Failure to include any applicable forms will result in a disqualification of the proposal. <br />The City reserves the right to withdraw consideration of any proposal if evidence of compliance is <br />not provided or if compliance status changes during the RFP process. <br />Check box if documents are attached to Proposal packet in the following order: <br />1 Original Proposal Packet <br />should include all the following attachments with <br />original signatures. <br />❑ Proposer Application (Cover Page) <br />❑ Proposal Checklist <br />❑ Proposal <br />❑ A— Budget Narrative <br />❑ B— Budget Form <br />❑ C— Letter of Support (partner agency) <br />❑ D— Letter of Commitment (employers) <br />❑ E —Work Based Learning Policy <br />❑ Letter of Intent (training) <br />❑ Supportive Service Policy <br />❑ Incentive Policy <br />❑ I— Procurement Policy & Procedures <br />❑ J— Program Documents, Logs, Timecards, <br />Records <br />❑ K —YSPN Member Performance Plan <br />❑ L— Assurances & Certificates M- <br />❑ Certificate Regarding Debarment N- <br />❑ Certificate Regarding Lobbying <br />❑ O— Americans with Disabilities Act & Equal <br />Opportunity Law <br />❑ P —Youth Protection Policy (if serving minors) <br />❑ Q— Audited Financial Statement Form <br />❑ R —IRS Form 990 <br />❑ S— Non - Profit Verification Form (if applicable) <br />❑ T— Audited Financial Statement (most recent) <br />❑ U— Audited Financial Statement <br />(2 °6 most recent) <br />❑ V— Agency Experience Verification Form <br />7 Proposal Packet Copies <br />should include the following attachments. <br />❑ Proposer Application (Cover Page) <br />❑ Proposal Checklist <br />❑ Proposal <br />❑ A— Budget Narrative <br />❑ B— Budget Form <br />❑ C— Letter of Support (partner agency) <br />❑ D— Letter of Commitment (employers) <br />❑ E —Work Based Learning Policy F- <br />❑ F— Letter of Intent (training) G- <br />❑ G— Supportive Service Policy H- <br />❑ H— Incentive Policy <br />❑ K —YSPN Member Performance Plan <br />❑ P —Youth Protection Policy (if serving <br />minors <br />EXHIBIT A <br />25A -126 <br />