REQUEST FOR APPLICATION (RFA)
Innovation Partnership Fund
RFA IPF-001
(FOR CALIFORNIA SERVICES ONLY)
ADDENDUM 3
March 20, 2026
Behavioral Health Services
Oversight and Accountability Commission
1812 9th Street
Sacramento, CA 95811
https://www.bhsoac.ca.gov
ATTACHMENT 1: APPLICATION COVER SHEET
Provide the information below.
Applicant Name
City of Redondo Beach
Applicant Address and Phone Number
415 Diamond Street
Redondo Beach, CA 90277
310.691.3000
Name of Authorized Signor (Print)
Mike Witzansky, City Manager
Signature of Authorized Signor Date
I HEREBY CERTIFY under penalty of perjury that I have the authority to sign this application on behalf of the named Applicant above and that all information provided in this application is true and accurate.
I further understand and agree to accept and comply with all the requirements in the RFA and related documents. In addition, if there is any false information in the application that it is grounds for the application to be rejected, and if any false information comes to light after contract award, that it is grounds for the contract to be terminated immediately.
Program Coordinator Contact Information
Name: Stephanie W. Johnson
Title: Quality of Life Prosecutor
Email: [email protected]
Phone Number: 310.691.3056
Grant category being applied for (Select one):
☐ Category 1 - Small Grants
☒ Category 2 - Large Grants
ATTACHMENT 11: FINAL SUBMISSION CHECKLIST
A responsive application shall consist of all the required items identified below. Complete this checklist by marking the box with an “X” for each item you are submitting to the Commission Check DESCRIPTION
ATTACHMENT 1: Application Cover Sheet
ATTACHMENT 2: Minimum Qualifications
ATTACHMENT 3: Applicant Background
ATTACHMENT 4: Proposed Innovation
ATTACHMENT 4-1: Letter of Support
ATTACHMENT 5: Cost Sheet
ATTACHMENT 6: References
ATTACHMENT 7: Bidder Declaration Attachment
ATTACHMENT 8: Contractor Certification Clauses (CCC-307) ATTACHMENT 9: Darfur Contracting Act Certification (if applicable) ATTACHMENT 10: Payee Data Record (STD 204)
ATTACHMENT 11: Final Submission Checklist
Exhibit D: Budget and Narrative – Addendum 3