Criteria for Non-Governmental Organizations Receiving
Proposition 64 Public Health and Safety Grant Funds
The Proposition 64 Public Health and Safety (Prop 64 PH&S) Cohort 3 Grant Program Request for Proposals (RFP) includes requirements that apply specifically to non- governmental, community-based organizations who receive grant funds under this grant.
All grantees are responsible for ensuring that all contracted third parties continually meet these requirements as a condition of receiving any Prop 64 PH&S funds. The RFP describes these requirements as follows:
Any non-governmental, community organization that receives Prop 64 PH&S funds (as either a subgrantee or subcontractor) must:
•Have been duly organized, in existence, and in good standing as of November 1, 2022; non-governmental organizations that have recently reorganized or have merged with other qualified non-governmental organizations that were in existence prior to November 1, 2022 are also eligible, provided all necessary agreements have been executed and filed with the California Secretary of State prior to May 1, 2023. •Be registered with the California Secretary of State’s Office (https://bizfileonline.sos.ca.gov/search/business), if applicable; •Have a valid business license, Employer Identification Number (EIN), and/or Taxpayer ID (if sole proprietorship);
•Have any other state or local licenses or certifications necessary to provide the services requested (e.g., facility licensing by the Department of Health Care Services), if applicable.
•Have a physical address.
In the table below, provide the name of the Grantee and list all contracted parties. If you need extra space, prepare a separate document with the information below for each additional contracted agency/organization.
Grantee: City of San Bernardino
Name of Contracted Party Address Email / Phone Meets All Requirements
Women's Inspirational Network
1505 W. Highland Ave. Ste 6
San Bernardino, CA 92411
[email protected]
m Yes x No ☐
Yes ☐ No ☐
Yes ☐ No ☐
Yes ☐ No ☐
Grantees are required to update this list and submit it to BSCC any time a new third- party contract is executed after the initial assurance date. Grantees shall retain (on-site) applicable source documentation for each contracted party that verifies compliance with the requirements listed in the Prop 64 PH&S Grant Program RFP. These records will be subject to the records and retention language found in Appendices A and C of the Standard Agreement.
The BSCC will not reimburse for costs incurred by any third party that does not meet the requirements listed above and for which the BSCC does not have a signed grantee assurance on file.
A signature below is an assurance that all requirements listed above have been met.
AUTHORIZED SIGNATURE
(This document must be signed by the person who is authorized to sign the Grant Agreement.)
NAME OF AUTHORIZED OFFICER TITLE TELEPHONE NUMBER EMAIL ADDRESS
STREET ADDRESS CITY STATE ZIP CODE
APPLICANT’S SIGNATURE (E-signature accepted) DATE
x