CONTRACTING
“The Community Council is soliciting proposals for Chore Services, Health Maintenance, Home Repairs and Transportation Voucher, for Dallas County. For more information contact Francheska Dixon fdixon@ccadvance.org"
Materials for Reference:
Click on the title links below to download the forms
1. FY2021 Direct Purchase of Service Application
2. FY2021 Licenses/Bond as applicable
3. FY2021 Certificate of Liability Insurance
4. FY2021 Workers’ Compensation
5. FY2021 Service Contractor Agreement – Replace highlighted area with your service
category
6. FY2021 W-9 Taxpayer Identification Number
7. FY2021 Debarment Certification
9. FY2021 DUA Data Use Agreement October 2019
10. FY2021 Lobbying Certification
11. FY2021 Non-Conflict of Interest
12. FY2021 Child Support Certification (Required of for-profit Services Contractors only)
13. FY2021 Attachment B-Proposed Pricing for Commonly Used Items (Health Maintenance
Applicants Must Complete)
14. FY2021 New Applicants – Three References Form
15. FY2021 Assurances Confirmation of Receipt and Review
A - FY2021 Service Contractors Proposal Submission Instructions
B - FY2021 Direct Purchase of Service Application Information
C - FY2021 Service Contractor Proposal Submission Checklist
CONTRACTING
The Community Council is soliciting proposals for Congregate Meals, Home Delivered Meals, Instruction & Training and Mental Health Services, for Dallas County. For more information contact Sandra Luz at sluz@ccadvance.org
Materials for Reference:
Click on the title links below to download the forms
1. FY2021 Sub-recipients Proposal Submission Instructions
2. FY2021 Sub-recipients Narrative Instructions
3. FY2021 Su-recipients Budget Cost Categories
5. Proposal Submission Checklist
6. Narrative
10. Instructions for Completing Uniform Rate Negotiations Workbook
11. Uniforms Rate Negotiation Budget Workbook
13. In-Kind Certification Forms
14. Certificate of Liability Insurance
15. Workers' Compensation Form
16. W-9 Tax Payer Identification Number
17. Certification of Debarment
