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HomeMy WebLinkAboutReports - 2023.05.11 - 38214 AGENDA ITEM: Application to the U.S. Department of Health and Human Services for the Renovation of the Medical Examiner’s Laboratory DEPARTMENT: Health & Human Services MEETING: Board of Commissioners DATE: Thursday, May 11, 2023 6:00 PM - Click to View Agenda ITEM SUMMARY SHEET COMMITTEE REPORT TO BOARD Resolution #2023-2832 Motion to approve the grant application to the Department of Health and Human Services – Health Resources and Human Services Administration for the period September 30, 2023 through September 30, 2026, in the amount of $1,200,000. ITEM CATEGORY SPONSORED BY Grant Penny Luebs INTRODUCTION AND BACKGROUND Congress appropriated funding in the FY 2023 Consolidated Appropriations Act (P.L. 117-328) for Community Project Funding/Congressionally Directed Spending (“CPF/CDS”) projects that support the construction and renovation (including movable equipment) of health care and other facilities. The Health Division is applying for this one-time grant funding in the amount of $1,200,000, with no county match required, through the Health Resources and Services Administration (HRSA) for the period September 30, 2023 through September 30, 2026. The grant funding will directly support the renovation of vacant laboratory space in the Medical Examiner’s building, located at 1200 N Telegraph Rd, Bldg. 28 E, Pontiac MI 48341. The grant application has completed the Grant Review Process in accordance with the Grant Policy. Acceptance of this grant does not obligate the County to any future commitment and continuation of this program is contingent upon continued future levels of grant funding. A budget amendment is not required at this time. BUDGET AMENDMENT REQUIRED: No Committee members can contact Michael Andrews, Policy and Fiscal Analysis Supervisor at 248.425.5572 or andrewsmb@oakgov.com, or the department contact persons listed for additional information. CONTACT Leigh-Anne Stafford, Director Health & Human Services-APP ITEM REVIEW TRACKING Penny Luebs, Board of Commissioners Created/Initiated - 5/12/2023 AGENDA DEADLINE: 05/11/2023 6:00 PM ATTACHMENTS 1. Grant Review Sign-Off 2. HRSA-23-117 CPF_CDS Construction Program Guidance (Final) 3. sf-424-app-guide 4. Grant Electronic Application Document COMMITTEE TRACKING 2023-05-02 Public Health & Safety - Recommend to Board 2023-05-11 Board of Commissioners - Adopted Motioned by: Commissioner Angela Powell Seconded by: Commissioner Robert Hoffman Yes: David Woodward, Michael Spisz, Michael Gingell, Penny Luebs, Karen Joliat, Kristen Nelson, Christine Long, Robert Hoffman, Philip Weipert, Gwen Markham, Angela Powell, Janet Jackson, Gary McGillivray, William Miller III, Yolanda Smith Charles, Charles Cavell, Brendan Johnson, Ajay Raman (18) No: None (0) Abstain: None (0) Absent: Marcia Gershenson (1) Passed GRANT REVIEW SIGN-OFF – Health & Human Services/Health GRANT NAME: 2023 Community Project Funding Congressionally Directed Spending FUNDING AGENCY: United States Department of Health and Human Services DEPARTMENT CONTACT: Stacey Smith 248-452-2151 STATUS: Application (Greater than 50,000) DATE: 04/14/2023 Please be advised the captioned grant materials have completed internal grant review. Below are the returned comments. You may now obtain the Board Chair’s signature for submittal of the application. The grant application package (which should include this sign-off and the grant application with related documentation) as well as the Report from Fiscal Services to the Board Chairperson may be submitted to the Board of Commissioners for placement on the agenda(s) of the appropriate Board of Commissioners’ committee(s). DEPARTMENT REVIEW Management and Budget: Approved – Sheryl Johnson (4/11/2023) Human Resources: Approved by Human Resources. No position impact. - Heather Mason (4/07/2023) Risk Management: Approved. No County insurance requirements contained in documentation. – Robert Erlenbeck (04/12/2023) Corporation Counsel: Approved – Sharon Kessler (04/14/2023) HRSA-23-117 1 U.S. Department of Health and Human Services Office of Federal Assistance Management Community Project Funding / Congressionally Directed Spending (CPF/CDS): Facilities and/or Equipment (“Construction”) Projects Project Guidance Number: HRSA-23-117 Assistance Listings (AL/CFDA) Number: 93.493 Project Guidance Fiscal Year 2023 Application Due Date: June 1, 2023 Ensure your SAM.gov and Grants.gov registrations and passwords are current immediately! Registration in all systems may take up to 1 month to complete. Issuance Date: February 22, 2023 Authority: Consolidated Appropriations Act, 2023 (P.L. 117-328) Note: This announcement is not open to the public. 508 COMPLIAN CE DISCLAIMER Note: Persons using assistive technology may not be able to fully access information in this file. For assistance, please email or call one of the HRSA staff listed in Section VII. Agency Contacts. HRSA-23-117 2 Table of Contents I. Project Description .................................................................................................................. 3 1. Purpose ....................................................................................................................................... 3 2. Background ................................................................................................................................. 4 II. Award Information .................................................................................................................. 5 1. Type of Application and Award .................................................................................................... 5 2. Summary of Funding ................................................................................................................... 5 III. Eligibility Information ............................................................................................................. 5 1. Eligible Applicants ........................................................................................................................ 5 2. Cost Sharing/Matching ................................................................................................................. 5 IV. Application and Submission Information .............................................................................. 5 1. Application Package .................................................................................................................... 5 2. Content and Form of Application Submission .............................................................................. 6 Instructions for Submitting Project Abstract and Narrative .................................................. 6 i. Project Abstract ................................................................................................................ 6 ii. Project Narrative (suggested page range: 3 - 7 pages) ................................................. 6 iii. Budget................................................................................................................................ 8 iv. Budget Narrative (suggested page range 1 - 3 pages) ................................................... 9 v. Attachments (suggested page range: 12 - 20 pages) ................................................... 10 3. Unique Entity Identifier (UEI) and System for Award Management (SAM) ................................. 11 4. Submission Dates and Times .................................................................................................... 12 5. Intergovernmental Review ......................................................................................................... 12 6. Funding Restrictions .................................................................................................................. 12 V. Application Review Information ........................................................................................... 13 1. Review ....................................................................................................................................... 13 2. Assessment of Risk ................................................................................................................... 13 VI. Award Administration Information ....................................................................................... 13 1. Award Notices ........................................................................................................................... 13 2. Administrative and National Policy Requirements ...................................................................... 14 3. Reporting ................................................................................................................................... 14 VII. AGENCY CONTACTS....................................................................................................... 15 VIII. OTHER INFORMATION ................................................................................................... 16 Appendix A: National and Administrative Policy Requirements ............................................... 17 Appendix B: Allowable and Unallowable Costs for Construction Projects ............................... 23 HRSA-23-117 3 I. Project Description 1. Purpose This is a non-competitive announcement for Community Project Funding/Congressionally Directed Spending (CPF/CDS) Facilities and/or Equipment (“Construction”) Projects that will be funded through the Health Resources and Services Administration’s Office of Federal Assistance Management (OFAM). This document provides guidance on how to submit an application to receive CPF/CDS funding. General information is provided about the projects, including funding amounts, limitations, administrative and national policy requirements, and other important information. Funding is limited to the named entities and for the purposes identified in the Consolidated Appropriations Act, 2023 (P.L. 117-328). Applications may be submitted for: o Construction and Modernization projects with or without equipment o “Design-Only” (i.e., planning portion of a construction project) o Moveable Equipment only Construction Project Type Description Examples Construction and Modernization projects with or without equipment -New building structure or facility -Modernization alternation, repair, remodeling and/or renovation of a building -Construction of a new standalone service delivery site -Modernizing facility interior Design-Only (planning portion of construction project) Funds limited to allowable design/planning related costs for an overall construction project. -Proposed site plan Moveable Equipment Only -Loose moveable equipment not affixed to the physical building structure and with a useful life of more than one year -Purchase of new clinical equipment -Purchase of a mobile van HRSA-23-117 4 2. Background HRSA’s mission is to improve health outcomes and achieve health equity through access to quality services, a skilled health workforce, and innovative, high-value programs. Congress appropriated funding in the FY 2023 Consolidated Appropriations Act (P.L. 117-328) for CPF/CDS projects that support the construction and renovation (including movable equipment) of health care and other facilities. All CPF/CDS recipients must submit an application in order for the funds to be awarded. Your application must contain the items listed in this Project Guidance. Additional information to assist you in completing the application documents can be found in the Appendices A and B. To further assist you, OFAM will be hosting a Technical Assistance Webinar. See Section VIII for details. Incomplete applications may result in a delayed award until all necessary components are received. Definitions Community Project Funding/Congressionally Directed Spending (CPF/CDS) – language in an authorization act or appropriations act that requires HRSA to make an award(s) to a named recipient(s) for a particular project or activity. Construction – the erection of a building, structure or facility, including the installation of fixed equipment, site preparation, landscaping, associated roads, parking, environmental mitigation and utilities, which provides space not previously available. It includes freestanding structures, additional wings or floors, enclosed courtyards or entryways, and any other means to provide usable space that did not previously exist (excluding temporary facilities).). Fixed Equipment –items that requires modification of the facility for its satisfactory installation or removal and is included in the construction contract. Examples include: HVAC Units, duct work, generators, fume hoods, sinks, fixed shelving, built-in sterilizers, built-in refrigerators, and drinking fountains. Moveable Equipment – tangible personal property or moveable equipment are non- expendable equipment items, with a useful life of more than one year that can be readily shifted from place to place without requiring a change in the utilities or structural characteristics of the facility. Please review the CPF/CDS website for examples of moveable equipment. Modernization – the alteration, repair, remodeling and/or renovation of a building (including the initial equipment thereof and improvements to the building's site) which, when completed, will render the building suitable for use by the project for which the grant is made. Construction is specifically excluded. HRSA-23-117 5 Project costs – total allowable costs incurred under a federal award and all required cost sharing and voluntary committed cost sharing, including third-party contributions. Connected Construction Activities – construction enhancements needed from any other funding source to utilize the space being impacted by the CPF/CDS funding. II. Award Information 1. Type of Application and Award HRSA will provide funding in the form of a grant agreement. 2. Summary of Funding HRSA has provided each intended recipient an email containing information on the funding level and purpose. This is one-time funding and projects have a three-year period of performance. HRSA will award CPF/CDS as new grant awards pursuant to a Congressional Directive authorized and appropriated in the FY 2023 Consolidated Appropriations Act (P.L. 117- 328). Under 45 C.F.R. § 75.302, you must document use of CPF/CDS funds separately and distinctly from other federal awards. III. Eligibility Information 1. Eligible Applicants Eligible entities are those organizations identified by Congress to receive specific amounts of funding for specific construction-related projects under the Consolidated Appropriations Act, 2023 (P.L. 117-328). 2. Cost Sharing/Matching Cost sharing/matching is not required. IV. Application and Submission Information 1. Application Package You (the applicant organization/agency) should follow the instructions in HRSA’s SF-424 Application Guide, available online, except where instructed to do otherwise in this Project Guidance. The SF-424 Application Guide is for preparing and submitting applications through Grants.gov to HRSA using the SF-424 Workspace Application Package. HRSA requires you to apply electronically via Grants.gov using the SF-424 workspace application package associated with this Project Guidance following the directions provided at Grants.gov: HOW TO APPLY FOR GRANTS. HRSA-23-117 6 2. Content and Form of Application Submission Applicants notified to apply for funding under CPF/CDS: Facilities and/or Equipment (“Construction”) Projects (HRSA-23-117), must review Section 4 of HRSA’s SF-424 Application Guide which provides general instructions for the budget, budget narrative, etc. Additionally, you must submit the project-specific information below. A SF-424C “Budget Information for Construction Program” form is required. This form is in the application package in Grants.gov. Application Page Limitation The suggested page range for your application is 16-30 pages, which may vary, depending on your project. Instructions for Submitting Project Abstract and Narrative You must submit your application consistent with the following Project Abstract and Project Narrative format. i. Project Abstract Submit your project abstract using the Project Abstract Summary Form 2.0. This form is in the application package in Grants.gov. For information required in the Project Abstract Summary Form, see Section 4.1.ix of HRSA’s SF-424 Application Guide. ii. Project Narrative (suggested page range: 3 - 7 pages) The project narrative provides a comprehensive description of all aspects of the proposed project. • If there are multiple projects within a single award, please provide a detailed description of the planned activities for each project. • If CPF/CDS funding is being used for a portion of an overall construction project, please describe 1) the full project scope of work which includes all connected construction activities and 2) a delineation of which part of the scope of work that the CPF/CDS funds will be used for. • For projects that are being funded by other grants, including other HRSA funded grants, please delineate these additional grants (based on information known about receipt of these other grant(s) at the time of application submission.) Include name of agency/organization each grant is being provided from as well as whether it is State, Federal, or Other. In the case of other HRSA grant(s) please provide the award number(s). For example, for projects previously supported with FY 2022 CPF/CDS funding, please provide the grant number CE1HSXXXXX. Use the following section headers for the construction project narrative: • PROJECT DESCRIPTION – Provide a detailed description for the project: o For construction projects (with or without equipment) or design-only projects: HRSA-23-117 7  Physical location. Indicate if the property is leased or owned.  Describe the specific scope of activities and how it aligns with what the CPF/CDS funding was provided for, as applicable, such as: • Purchases of moveable equipment items. • Creation of a new stand-alone structure or expansion of an existing structure to increase the total square footage. • Improvement and/or reconfiguration of the interior arrangements of an existing facility. • Installation of permanently affixed equipment. • Modifications and/or repairs to the building exterior (including windows). • Heating, ventilation, and air-conditioning (HVAC) modifications (including the installation of climate control and duct work). • Electrical upgrades and/or plumbing work. • Identify the project activities in terms of dimensions, square footage, total ground disturbance (if applicable to be impacted. • Describe the proposed method of construction, such as design/build, construction management at risk, by the applicant’s own forces, or whether a third- party construction manager will be used. o For moveable equipment-only projects:  Physical location of the moveable equipment.  Describe the specific scope of activities and how it aligns with what the CPF/CDS funding was provided for: purchases of moveable equipment items. • TIMELINE Describe the activities or steps, including a start and finish date for each activity in the timeline (2-digit MONTH/4-digit YEAR format, e.g., 05/2024), required to complete the project. Use a timeline that includes each of the following activities and identifies responsible staff: o Planning o Design o Obtaining required permits and/or variances o Meeting Federal environmental and historic preservation requirements o Solicitation of bids and awarding of contracts o Alteration/renovation or construction period o Expected project completion date NOTE: In accordance with the National Environmental Policy Act of 1969 (NEPA), 42 U.SC 4321 (P.L. 91-190, Sec. 2, Jan. 1, 1970, 83 Stat., 852), including Public Disclosure, Section 102 of NEPA, and EO 11514 as well as section 106 of the National Historic Preservation Act (NHPA), CPF/CDS recipients must adhere to HRSA-23-117 8 National Environmental Policy Act (NEPA) as well as the National Historic Preservation Act (NHPA) requirements and will need to submit required documentation to HRSA for review and approval as a condition of the Notice of Grant Award. This condition must be satisfied by way of Notice of Award prior to using funds and initiating any physical site preparation, demolition, alteration and renovation, or construction related to the project. Until the condition is satisfied by way of Notice of Award, funds may only be used for pre-construction activities, such as the purchase of moveable equipment, completion of architectural and engineering plans, licensing and permitting requirements, State Historic Preservation Office/Tribal Historic Preservation Office consultation, and preparation of the EA or related testing and surveys. MOVEABLE EQUIPMENT LIST (AS APPLICABLE) If you propose to use CPF/CDS funds for moveable equipment, complete a Moveable Equipment List The list must be consistent with your Budget Narrative. For an explanation of moveable equipment, please reference the following definition. Please review the CPF/CDS website for examples of moveable equipment. Any moveable equipment purchased with CPF/CDS funds must be procured, maintained, tracked, and disposed of in accordance with 45 CFR part 75. Include the following fields for each item: • Item Description – Provide a description of each item. • Unit Price – Provide the price of each item. • Quantity – Provide the number of each item to be purchased. • Total Price – Calculate total price. This should match your Budget. The selection of moveable equipment should be based on a preference for recycled content, non-hazardous substances, non-ozone depleting substances, energy and water efficiency, and consideration of final disposal (disposed in a manner that is safe, protective of the environment, and compliant with all applicable regulations), unless there are conflicting health, safety, and performance considerations. You are strongly encouraged to employ the standards established by either the Electronic Product Environmental Assessment Tool (EPEAT) or ENERGY STAR®, where practicable, in the procurement of moveable equipment. Following these standards will mitigate the negative effects on human health and the environment. Additional information for these standards can be found at http://www.epeat.net and http://www.energystar.gov. iii. Budget Complete the SF-424C for the proposed project. See the Form Instructions on Grants.Gov version 2.0 for the SF-424C at SF-424 Family | GRANTS.GOV. See HRSA’s SF-424 Application Guide and Appendix B for an inventory of allowable and unallowable costs for construction projects. Please note that non-construction related costs are not allowable under this program guidance. HRSA-23-117 9 If CPF/CDS funding is being used for a portion of an overall project, please include 1) the full project costs, which includes all connected construction activities, and 2) a delineation of which project costs that the CPF/CDS funds will be used for. Please include this information in both the Budget Narrative and SF-424C. Please refer to the CPF/CDS website for budget samples, additional instructions on how to complete the SF-424C and/or templates. iv. Budget Narrative (suggested page range 1 - 3 pages) The budget narrative must justify each expenditure, adequately describing all line items on budget form SF-424C,including subawards, proposed for this project for the three- year period of performance. If there are multiple projects within a single award, a budget narrative is required for each project. Unallowable costs are outlined in Appendix B: Allowable and Unallowable Costs for Construction Projects. Under 45 C.F.R. § 75.302, you must document use of CPF/CDS funds separately and distinctly from other federal awards. Format the budget narrative to have all columns fit on an 8.5 x 11" page when printed. Due to the complex issues involved with construction projects, recipients may request reimbursement of eligible pre-award costs. Incurred costs include expenditures (services rendered/received), as well as obligations. Costs incurred more than 90-days prior to the enactment of the Consolidated Appropriations Act, 2023 (P.L. 117-328) (enacted December 29, 2022), are not eligible for reimbursement. Methods to request HRSA prior approval for pre-award costs: • Include pre-award costs in the application budget: An organization may delineate within the application budget narrative all pre-award costs, clearly justifying the expenditure and providing a date for which the cost(s) were incurred, or • Submit pre-award costs to HRSA after receiving the award: An organization may submit a pre-award prior approval request in the HRSA Electronic Handbooks once the award has been made. NOTE: To ensure compliance with NEPA/NHPA requirements, physical construction activities cannot start before HRSA approval is granted. Pre-construction activities, such as the purchase of moveable equipment, completion of architectural and engineering plans, licensing and permitting requirements, State Historic Preservation Office/Tribal Historic Preservation Office consultation, and preparation of the EA or related testing and surveys, are typically allowed for pre-award cost requests. HRSA approval is not guaranteed, and recipients incur pre-award costs at their own risk. HRSA-23-117 10 Requests for pre-award costs, whether included in the application budget or by way of prior approval in the Electronic Handbooks after the award is received, must include the following information: 1. Cover letter explaining the nature of the request. The letter needs to be signed by an authorized official of the recipient institution. 2. Short Budget Narrative for pre-award costs. Please ensure the budget shows:  Date the pre-award cost(s) were incurred.  Each cost is described well enough to determine whether reasonable, allocable, and allowable. 3. SF 424C (reflecting the pre-award costs) v. Attachments (suggested page range: 12 - 20 pages) Provide the following items in the order specified below to complete the content of the application. You must upload attachments into the application. Attachment 1: Environmental Information Document (EID Checklist) - Required for all projects except those for purchase of moveable equipment only (in which no building / site manipulations are being performed for said equipment.) Provide a completed EID Checklist for the project, which includes attaching a Flood Insurance Rate Map to the checklist. In the case that the CPF/CDS funding is being used for a portion of an overall construction project, please include information depicting the full project scope of work which includes all connected construction activities. NOTE: Fixed equipment (see definition) requires the completion of the EID checklist. Attachment 2: Floor Plans/Schematic Drawings/Site Plan – Required for all projects except those for purchase of moveable equipment only (in which no building / site manipulations are being performed for said equipment.) • Provide a floor plan drawn to scale for the proposed project. Documents must include rough dimensions and room labels for major project components. Drawings should clearly identify the proposed project components, as well as distinguishing improved space from unaffected space. • Where the project or a related component of the work will require activities outside of a building, provide a site plan for the proposed project showing the general layout and location of the existing site conditions. The plan should clearly diagram the location of the project and indicate the uses and structures proposed for the parcel of land. As applicable, include locations and details on any proposed work or connected activity. Where a project includes only interior renovation of an existing facility, provide a site plan or key plan showing the space(s) to be renovated and the functional relationship within the building. Documents should label major project components and include rough dimensions. HRSA-23-117 11 • In the case that the CPF/CDS funding is being used for a portion of an overall construction project, please include schematics depicting 1) the full project scope of work which includes all connected construction activities and 2) a delineation of which part of the scope of work that the CPF/CDS funds will be used for. Attachment 3: Property Information – Required for all projects except those for purchase of moveable equipment only (in which no building / site manipulations are being performed for said equipment.) Please refer to the CPF/CDS website for a sample Landlord Letter of Consent. Provide a copy of the title, deed, or lease for the project. Applicants proposing a project on a leased property must provide a Landlord Letter of Consent (see the Leasehold Improvements section in VI. Award Administration Information for additional information on the expectations associated with lease agreements). 3. Unique Entity Identifier (UEI) and System for Award Management (SAM) Effective April 4, 2022: • The UEI assigned by SAM has replaced the Data Universal Numbering System (DUNS) number. • Register at SAM.gov and you will be assigned a UEI. You must register with SAM and continue to maintain active SAM registration with current information at all times. An active SAM account is required while you have an active federal award, an application, or a plan under consideration by an agency (unless you are an individual or federal agency that is exempted from those requirements under 2 CFR § 25.110(b) or (c), or you have an exception approved by the agency under 2 CFR § 25.110(d)). For your SAM.gov registration, you must submit a notarized letter appointing the authorized Entity Administrator. HRSA will not make an award until you have complied with all applicable SAM requirements. If you have already completed Grants.gov registration for HRSA or another federal agency, confirm that the registration is still active and that the Authorized Organization Representative (AOR) has been approved. • System for Award Management (SAM) (https://sam.gov/content/home | SAM.gov Knowledge Base) • Grants.gov (https://www.grants.gov/) Effective March 3, 2023, individuals assigned a SAM.gov Entity Administrator role must be an employee, officer, or board member, and cannot be a non-employee. This change is to ensure entities are in control of who has permission to control roles within their entity. HRSA-23-117 12 Here’s what this means: • Entity Administrators assigning roles to non-employees will only be able to assign a Data Entry role or lower. • Any entities assigning Entity Administrator roles using an Entity Administrator Role Request Letter (formerly called “notarized letter”) will no longer be able to assign the Entity Administrator role to a non-employee. • Entity Administrator roles assigned to non-employees will be converted to Data Entry roles. With a Data Entry role, non-employees can still create and manage entity registration data entry but cannot manage roles. If you are an entity using a non-employee or if you are a non-employee working with an entity to manage registrations, please read (and share) more about this change on our blog to know what to expect. For more details, see Section 3.1 of HRSA’s SF-424 Application Guide. 4. Submission Dates and Times Application Due Date The due date for applications under this Program Guidance is June 1, 2023, at 4:59 p.m. ET. If you do not meet the deadline, your funding may be delayed. Sufficient time is needed for HRSA to process applications and award funds. Applicants that wish to request an extension to the due date should contact the CPF/CDS Program at CDSProgram2023@hrsa.gov. 5. Intergovernmental Review Congressionally directed spending projects are not subject to the provisions of Executive Order 12372, as implemented by 45 CFR part 100. See Section 4.1 ii of HRSA’s SF-424 Application Guide for additional information. 6. Funding Restrictions Funds under this announcement must be used for the purposes outlined by Congress. Additional restrictions may be applicable in the Awards section. The General Provisions in Division H of the Consolidated Appropriations Act, 2023 (P.L. 117-328) apply to this announcement. Grant funds cannot be provided to a federal institution or foreign organization (including domestic grants with a foreign component), unless specifically made eligible by the governing statute. You are required to have the necessary policies, procedures, and financial controls in place to ensure that your organization complies with all legal requirements and restrictions applicable to the receipt of federal funding including statutory restrictions on specific uses of funding. It is imperative that applicants review and adhere to the list of HRSA-23-117 13 statutory restrictions on the use of funds detailed in Section 4.1 of HRSA’s SF-424 Application Guide. HRSA recipients and sub-recipients must follow the requirements at 2 CFR § 200.216 regarding prohibition on certain telecommunications and video surveillance services or equipment. For details, see the HRSA Grants Policy Bulletin Number: 2021-01E. Applicants may not request more or less than the designated amount of one-time funding identified in the Consolidated Appropriations Act, 2023 (P.L. 117-328). None of the funds made available in this Act may be used in violation of the applicable Build America, Buy America provisions of the Infrastructure Investment and Jobs Act. This grant is not intended to reimburse recipients for all costs incurred prior to award. Recipients may request pre-award costs, whether included in the application budget or by way of prior approval in the Electronic Handbooks after the award is received, of any costs incurred up to 90 days prior to the enactment of the Consolidated Appropriations Act, 2023 (P.L. 117-328) (enacted December 29, 2022). Approval is not guaranteed, and recipients incur pre-award costs at their own risk. Grant transfers, replacement grants or serving as successors-in-interest to other non- specified entities in the Consolidated Appropriations Act, 2023, (P.L. 117-328) are not permitted after the award is made. V. Application Review Information 1. Review HRSA will review each application for completeness and eligibility, all required documents, and compliance with the legal requirements and other requirements outlined in this Program Guidance. 2. Assessment of Risk HRSA is required to review and consider any information about your organization that is in the Federal Awardee Performance and Integrity Information System (FAPIIS). You may review and comment on any information about your organization that a federal awarding agency previously entered. HRSA may apply special conditions of award to applicants with management or financial instability that directly relates to the organization’s ability to implement statutory, regulatory, or other requirements (45 CFR § 75.205). VI. Award Administration Information 1. Award Notices HRSA will release the Notices of Award (NOAs) on or around the start date of September 30, 2023. See Section 5.4 of HRSA’s SF-424 Application Guide for additional information. HRSA-23-117 14 2. Administrative and National Policy Requirements Applicants notified to apply for funding under HRSA-23-117 will refer to Section 2.1 of HRSA’s SF-424 Application Guide. In accepting the award, you agree that the award and any activities thereunder are subject to: • all provisions of 45 CFR part 75, currently in effect or implemented during the period of the award; and • other federal regulations and HHS policies in effect at the time of the award or implemented during the period of award. Requirements of Subawards The terms and conditions in the NOA apply directly to the recipient of HRSA funds. The recipient is accountable for the performance of the project, program, or activity. In addition, the recipient is responsible for the appropriate expenditure of funds under the award by all parties; and all other obligations of the recipient, as cited in the NOA. In general, the requirements that apply to the recipient, including public policy requirements, also apply to subrecipients under awards, and it is the recipient’s responsibility to monitor the compliance of all funded subrecipients. See 45 CFR § 75.101 Applicability for more details. Applicants notified to apply for funding under HRSA-22-134 will refer to Appendix A: National and Administrative Policy Requirements for pertinent requirements. 3. Reporting Applicants notified to apply for funding under HRSA-22-134 must comply with Section 6 of HRSA’s SF-424 Application Guide and the following reporting and review activities: 1. Progress Report(s). You must submit a progress report to HRSA on a semi- annual basis. The progress report will include the following, as applicable: a. Project completion status (percent complete) b. Actual versus projected budget information c. Construction Schedule d. Project progress and/or updates 2. Final Reporting Requirements. You must submit a final report for the awarded project within 90 days of the completion of the period of performance. The report will include the following items as applicable: a. Photos of the completed project, including “before” photos b. Certificate of substantial completion c. Certificate of occupancy d. Letter stating that the project was completed in accordance with previously certified contract documents and in accordance with all applicable federal statutes and regulations. HRSA-23-117 15 3. Federal Financial Report. The Federal Financial Report (SF-425) is required within 90 days of the end of each year of the reporting period. The report is an accounting of expenditures for the specified year and should reflect cumulative reporting within the project period of the document number. All FFRs will be submitted through the Payment Management System (PMS). 4. Submit the SF-428 Tangible Personal Property Report. Due within 90 days of the period of performance end date. Tangible personal property means property of any kind, except real property, that has physical existence. It includes equipment and supplies. It does not include copyrights, patents, or securities. 5. Ad Hoc Submissions: Throughout the period of performance, HRSA may determine that a project requires additional information for each awarded project to be submitted beyond the standard deliverables. This information may include, but is not limited to, the following: a. Purchase orders b. Contract documentation c. Project implementation photos 6. If applicable, Integrity and Performance Reporting. The NOA will contain a provision for integrity and performance reporting in FAPIIS, as required in 45 CFR part 75 Appendix XII. OMB revisions to Guidance for Grants and Agreements termination provisions located at 2 CFR § 200.340 - Termination apply to all federal awards. No additional termination provisions apply unless otherwise noted. VII. AGENCY CONTACTS You may request additional information and/or technical assistance regarding business, administrative, or fiscal issues related to this Guidance by contacting: Hazel N. Booker Grants Management Specialist Division of Grants Management Operations, DGMO Health Resources and Services Administration 5600 Fishers Lane, Mailstop 10SWH03 Rockville, MD 20857 Email: CDSProgram2023@hrsa.gov You may request additional information regarding the overall program issues and/or technical assistance related to this Guidance by contacting: Crystal Bush Office of Special Activities Office of Federal Assistance Management (OFAM) Health Resources and Services Administration Email: CDSProgram2023@hrsa.gov HRSA-23-117 16 You may need assistance when working online to submit your application forms electronically. Always obtain a case number when calling for support. For assistance with submitting the application in Grants.gov, contact Grants.gov 24 hours a day, 7 days a week, excluding federal holidays at: Grants.gov Contact Center Phone: 1-800-518-4726 (International callers dial 606-545-5035) Email: support@grants.gov Self-Service Knowledge Base VIII. OTHER INFORMATION Technical Assistance HRSA has scheduled the following technical assistance: • FY 2023 CPF/CDS Pre-Award Overview Technical Assistance Webinar: o Thursday, March 2 from 2:00-3:00pm ET o URL and Call-In Information: https://hrsa- gov.zoomgov.com/j/1603515540?pwd=UnBXRk10V2lzaE5XeHF3U3A0YkhOQT09  Attendees without computer access or computer audio can use the dial-in information below  Dial-in Toll-Free #: 833-568-8864  Meeting ID: 160 351 5540  Passcode: 29058107 • CPF/CDS Budget Overview Technical Assistance Webinar: o Thursday, March 16 from 2:00-3:00pm ET o URL and Call-In Information: https://hrsa- gov.zoomgov.com/j/1610132434?pwd=a2pXOEduSjZBR0pVaHRXTmNnZ2liQT09  Attendees without computer access or computer audio can use the dial-in information below  Dial-in Toll-Free #: 833-568-8864  Meeting ID: 161 013 2434  Passcode: 85457756 • CPF/CDS Environmental and Historic Preservation Technical Assistance Webinar: o Wednesday, March 29 from 2:00-3:00pm ET o URL and Call-In Information: https://hrsa- gov.zoomgov.com/j/1609206781?pwd=RDMwYXh2RG1XK1R2c0REQ21yQXVSUT09  Attendees without computer access or computer audio can use the dial-in information below:  Dial-in Toll-Free #: 833-568-8864  Meeting ID: 160 920 6781  Passcode: 95725475 HRSA will record the webinar. Please contact CDSProgram2023@hrsa.gov for playback information. HRSA-23-117 17 Appendix A: National and Administrative Policy Requirements See Section 2.1 of HRSA’s SF-424 Application Guide. When you receive an NOA, in accepting the award, you agree that the award and any activities there under are subject to all provisions of 45 CFR part 75, currently in effect or implemented during the period of the award, other regulations such as 2 CFR part 200 and agency policies in effect at the time of the award or implemented during the period of the award, and applicable statutory provisions. Accessible Design Requirements The Architectural Barriers Act of 1968, as amended, the Federal Property Management Regulations 101-19.6 (41 CFR 101-19.6), and the Uniform Federal Accessibility Standards issued by the General Services Administration (41 CFR 101- 19.6, Appendix C) set forth minimum design standards for making facilities designed, built, altered, or leased with federal funds accessible to, and usable by, the physically handicapped. In addition, the Americans with Disabilities Act (ADA), included accessibility standards, called the 2010 Standards for Accessible Design (2010 Standards), which establish minimum criteria for accessibility in design and construction. More information about the ADA and Architectural Barriers Act Accessibility Requirements are available online at https://www.access- board.gov/guidelines-andstandards/buildings-and-sites. Procurement You may acquire a variety of commercially available goods or services in connection with an award-supported project. You can use your own procurement procedures that reflect applicable state and local laws and regulations, as long as those procedures conform to the applicable U.S. Department of Health and Human Services (HHS) regulations and the HHS Grants Policy Statement. Force Account Labor If you choose to use your in-house personnel for in-house design work and/or in-house renovation work in lieu of selecting a private firm, you must obtain approval from HRSA prior to beginning the design phase. The total cost for in-house personnel plus the fee for the architect and engineer must not exceed the prevailing architectural and engineering fee costs (usually 5 to 15 percent of the construction bid cost). Federal Interest Real Property The Federal Government retains a reversionary interest in real property constructed, acquired, or improved with federal funds. The federal interest is based on the total allowable project costs (federal), excluding movable equipment, as a percent of the value of the property after completion of the project. In addition: HRSA-23-117 18 • For Modernization (alteration/renovation) projects, federal interest exists for the useful life attributable to the alteration/renovation funded under this award. Alteration/renovation projects totaling an allowable project cost (federal and nonfederal) of $500,000 or greater (excluding moveable equipment) are required to file a Notice of Federal Interest (NFI) against the property title. The level of federal interest may decline with physical depreciation or replacement of the alteration/renovation made to the asset. The level of federal interest is calculated by a certified appraisal of the property at the time of project completion. • For all construction projects, regardless of award amount, you are required to file an NFI. • For moveable equipment only projects, you are not required to file an NFI. The NFI requires prior written approval in order for the property owner to mortgage, sell, transfer, or use the property for a purpose inconsistent with the award. A notarized NFI must be filed against the property deed prior to construction in the appropriate public records office of the jurisdiction in which the property is located and once filed, a copy must be provided to the appropriate HRSA Grants Management Specialist. Leasehold Improvements While leasehold improvements are allowed under this funding, please note: a) Lessors/Property Owners must provide a Landlord Letter of Consent in Attachment 6, and agree in writing to the following: • Permit the recipient to undertake the proposed alteration/renovation project, • Length of the lease must be appropriate to the scope of project, e.g., the length of the lease extends for a minimum of 5 years from the period of performance end date, • Acknowledge federal interest in the project, and file a Notice of Federal Interest against the property title in the local jurisdiction before the project begins (as applicable), and • Agree to modify the lease with additional terms that indicate the continued rights of the recipient/Federal Government in the event that the lessor of record changes. b) HRSA will determine if the term of the lease is long enough for the full value of the award-supported improvements to benefit the award activity. HRSA will consider the purpose and duration of the award, expected life of the facility, and use of the facility for award-supported purposes. c) Lease agreement must provide the applicant reasonable control.1 1 “Reasonable control” is defined as the ability to implement the project and realize the benefits of the project without unnecessary demands, such as unreasonably restrictive access and limited control, at the site. HRSA-23-117 19 d) Funds may not be used to pay lease costs. e) Funds for a leased property cannot address needs that are part of the terms of the lease (i.e., the responsibility of the lessor/property owner). f) If funds address improvements that impact terms of the lease (e.g., double paned windows), you must have written evidence of negotiated offset in the rent. All other improvements that comply with the requirements of this Project Guidance are allowable. For alteration/renovation projects proposed in leased facilities, you must provide evidence that the lease includes the following language, whether as a provision of a new lease or an amendment to an existing lease, agreed to by both the recipient (occupant) and lessor (owner): a) Recipient agrees not to sublease, assign, or otherwise transfer the leased property, or use the property for a non-award-related purpose(s) without the prior written approval from HRSA (at any time during the term of the lease, whether or not award support has ended); b) Lessor will inform HRSA of any default by the recipient under the lease; c) HRSA shall have 60 days from the date of receipt of the lessor’s notice of default in which to attempt to eliminate the default, and that the lessor will delay exercising remedies until the end of the 60-day period; d) HRSA may intervene to ensure that the default is eliminated by the recipient or another recipient named by HRSA; e) Lessor shall accept payment of money or performance of any other obligation by the HRSA’s designee, for the recipient, as if such payment of money or performance had been made by the recipient; and f) In the event that the recipient defaults, HRSA will terminate the award, or the recipient will vacate the leasehold before the end of the lease term. HRSA shall have the right to designate a replacement for the recipient for the balance of the lease term, subject to approval by the lessor, which will not be withheld except for good reason. In addition, the lessor/property owner must agree to file a Notice of Federal Interest (NFI) against the property title in the local jurisdiction before the project begins (if the proposed net project cost, less moveable equipment, is $500,000 or greater). Environmental Review The National Environmental Policy Act of 1969 (NEPA), 42 U.SC 4321 (P.L. 91-190, Sec. 2, Jan. 1, 1970, 83 Stat., 852), including Public Disclosure, Section 102 of NEPA, and EO 11514, requires federal agencies to assess the environmental impacts of major federal actions, including construction projects supported in whole or in part through federal contracts, grants, subsidies, loans, or other forms of funding assistance. HRSA-23-117 20 If after reviewing the project description and the EID, HRSA determines that the funded project may have a significant impact on the environment, HRSA will request that the awardee initiate and prepare an Environmental Assessment (EA). Based on the review of the draft EA, HRSA will determine if there is a Finding of No Significant Impact (FONSI) or if additional review is required. NOTE: HRSA may also request additional environmental documentation depending on the nature of your project. NEPA related reviews must be completed and conditions of award must be released prior to commencing work outside of purchasing moveable equipment, engaging architectural and engineering services, or acquiring necessary licenses, permits, and other approvals for the project. As a condition of award, CPF/CDS recipients must adhere to NEPA/NHPA requirements and will need to submit required documentation to HRSA for review and approval. This condition must be approved and lifted from the Notice of Award prior to drawing down funds and initiating any physical site preparation, demolition, alteration and renovation, or construction related to the project. Until the condition is approved and lifted from the award, funds may only be drawn down for pre- construction activities, such as the purchase of moveable equipment, completion of architectural and engineering plans, licensing and permitting requirements, State Historic Preservation Office/Tribal Historic Preservation Office consultation, and preparation of the EA or related testing and surveys. Cultural Resource and Historic Preservation (HP) Section 106 Reviews The project will be reviewed under the terms of section 106 of the National Historic Preservation Act (NHPA). Under section 106, prior to the expenditure of funds, an assessment must be made of the potential effects of undertakings on historic properties (which include any prehistoric or historic district, site, building, structure, or object), that are eligible for listing or are listed on the National Register of Historic Places (NRHP). For the purpose of this funding, the following activities constitute an undertaking under the NHPA: 1) All new construction and modernization projects (including demolition of existing buildings); 2) Alteration/renovation/repair projects where exterior changes to the building facade or surroundings (such as grading, fencing, or additional parking) may be made (including roof, windows and parking lots); and 3) Where interior renovations may be made to a building that is over 50 years old, or is historically, architecturally, or culturally significant. Under section 106, prior commencing work outside of purchasing equipment, engaging architectural and engineering services, or acquiring necessary licenses, permits and other approvals for the project, an assessment must be made of the potential effects of undertakings on historic properties, and a notification/consultation must take place with all interested parties. Pursuant to the regulations at 36 CFR part 800, HRSA determines the project’s effect on historic properties in consultation with the State HRSA-23-117 21 Historic Preservation Officer (SHPO), Tribal Historic Preservation Officers (THPO), representatives of the local government, and other affected Indian tribes and interested parties. For projects that require section 106 review, funds may not be drawn down until HRSA receives documentation from the SHPO/THPO concurring whether the property: As a condition of award, CPF/CDS recipients that require section 106 review under NHPA must submit required SHPO/THPO documentation to HRSA concurring whether the property: • Is not historic, or • Is historic, with the project causing no potential adverse effects, or • Is historic and the project may cause adverse effects and provide a resolution to the adverse effects through a fully executed MOA finalized by all parties. Section 106 reviews are project specific; therefore, previous consultations for a particular site are not valid for the purposes of this project. Section 106 and any related historic preservation reviews must be completed and condition of award must be approved and lifted from the Notice of Award prior to drawing down funds and initiating any physical site preparation, demolition, alteration and renovation, or construction related to the project. Until the condition is approved and lifted from the award, funds may only be drawn down for pre- construction activities, such as the purchase of moveable equipment, completion of architectural and engineering plans, licensing and permitting requirements, State Historic Preservation Office/Tribal Historic Preservation Office consultation, and preparation of the EA or related testing and surveys. Moveable Equipment You must provide, when applicable, a detailed moveable equipment list for the proposed project that includes non-expendable items with a useful life of more than 1 year. Please review the CPF/CDS website for examples of moveable equipment. Following these standards below regarding moveable equipment purchases will mitigate many of the negative effects on human health and the environment from the proliferation, rapid obsolescence, low recycling rate, high energy consumption, and potential to contain hazardous materials and increased liability from improper disposal are strongly encouraged, where practicable, to Electronic Product Environmental Assessment Tool (EPEAT) - Silver Rated products: http://www.epeat.net. When EPEAT-registered products are not available, the following environmental features should be given priority: • Energy Star features, (https://www.energystar.gov/) • Computer Power Management – Enable CPU’s to go into power save mode after an appropriate time period (e.g., 15–60 minutes), • Monitor Power Management – Enable monitors to go into power save mode after an appropriate time period (e.g., 15–60 minutes), HRSA-23-117 22 • Establishment of a 4-year or higher replacement cycle (refresh rate) for desktop computers and laptops, • Establishment of default setting to double-sided printing for printers and print driver software, • Recycled content, reduced packaging, • Reduced toxic constituents in the product and in the manufacturing process, • Designed for recycle/reuse including upgradeability considerations, • Vendor provided take-back service, and • Vendor demonstration of corporate environmental responsibility. Davis Bacon labor standards do not apply. HRSA-23-117 23 Appendix B: Allowable and Unallowable Costs for Construction Projects The chart below lists the allowable and unallowable project costs according to the cost classifications in the SF-424C. This chart also indicates the line items within in the SF- 424C where you will enter the appropriate cost. Costs associated with moveable equipment-only project types would only have costs associated with line item 1 (Administrative and legal expenses) and/or line item 10 (Equipment) only. NOTE: In addition to those items indicated in the chart below, the following uses of award funds are generally unallowable and must be discussed with PO and GMS staff: 1) Operating costs (e.g., funding direct services, clinical full-time equivalents, costs for staff not directly related to the implementation of the proposed project within the project scope of work), rent, mortgage payments, and refinanced credit facilities. 2) Costs related to Electronic Health Records (EHR), ongoing operations, and maintenance. 3) Due to the complex issues involved with construction projects, recipients may request reimbursement of eligible pre-award costs. Incurred costs include expenditures (services rendered/received), as well as obligations. Costs incurred more than 90-days prior to the enactment of the Consolidated Appropriations Act, 2023 (P.L. 117-328) (enacted December 29, 2022), are not eligible for reimbursement. Methods to request HRSA prior approval for pre-award costs: • Include pre-award costs in the application budget: An organization may delineate within the application budget narrative all pre-award costs, clearly justifying the expenditure and providing a date for which the cost(s) were incurred, or • Submit pre-award costs to HRSA after receiving the award: An organization may submit a pre-award prior approval request in the HRSA Electronic Handbooks, once the award has been made. NOTE: To ensure compliance with NEPA/NHPA requirements, physical construction activities cannot start before HRSA approval is granted. Pre-construction activities, such as the purchase of moveable equipment, completion of architectural and engineering plans, licensing and permitting requirements, State Historic Preservation Office/Tribal Historic Preservation Office consultation, and preparation of the EA or related testing and surveys, are typically allowed for pre-award cost requests. HRSA approval is not guaranteed, and recipients incur pre-award costs at their own risk. Requests for pre-award costs, whether included in the application budget or by way of prior approval in the Electronic Handbooks after the award is received, must include the following information: HRSA-23-117 24 4. Cover letter explaining the nature of the request. The letter needs to be signed by an authorized official of the recipient institution. 5. Short Budget Narrative for pre-award costs. Please ensure the budget shows:  Date the pre-award cost(s) were incurred.  Each cost is described well enough to determine whether reasonable, allocable and allowable. 6. SF 424C (reflecting the pre-award costs) 4) Creation of shell space for future use. 5) Costs for staff not directly related to the implementation of the proposed project. HRSA-23-117 25 The following chart lists sample allowable and unallowable project costs.2 This list is not all-inclusive and supplements the applicable cost principles. ALLOWABLE UNALLOWABLE Line 1 - Administrative and legal expenses • Salary of your staff and consultant fees that are directly related to the administration of the technical aspects of the proposed project. Administrative and legal expenses cannot exceed 10 percent of line 16c (total costs) • Costs associated with the evaluation of the environmental and historic preservation effects of the proposed project, obtaining public input, producing the necessary studies, analysis, and resultant reports, as well as compliance with other environmental and historic preservation laws • Costs of title insurance, physical destruction insurance, builder’s risk insurance, and liability insurance [as applicable, this insurance may be required as a condition of award] • Bid advertising • Salary of your staff and consultant fees that are not related to the administration of the technical aspects of the proposed project • Bonus payments to construction contractors • Costs of groundbreaking and dedication ceremonies and items such as plaques • Fund-raising expenses • Damage judgment suit • Consultant fees not related to actual construction • Costs related to other sources of project financing • General operations and maintenance Line 2 - Land, structures, right-of-way, appraisals, etc. • Filing fees for recording the NFI  Land or the cost of purchasing a building (including title search, closing costs, etc.) 2 Refer to the cost principles embedded in 45 CFR part 75 at http://www.ecfr.gov/cgi- bin/textidx?node=pt45.1.75 for details on allowable costs. HRSA-23-117 26 ALLOWABLE UNALLOWABLE Line 3 - Relocation expenses and payments • Relocation payments to be made to displaced persons, business concerns, and nonprofit organizations for moving expenses and replacement housing Relocation advisory assistance and the net amounts for replacement (last resort) housing. This line is limited to approved applicants whose project involves the displacement of persons and businesses that must comply with the provisions of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 ((42 U.S.C. 4601 et seq.) 84 Stat.1894) and 49 CFR part 24 • Costs to lease a temporary space while the main space is being constructed or • altered/renovated/repaired • The cost of permanently relocating the building • The cost of moving existing furniture back into renovated or newly constructed spaces Line 4 - Architectural and engineering fees • Fees associated with architectural and engineering professional services including, but not limited to, preparation of bid documents and inspections during the project • Associated expenses for preparation of specifications and reproduction of design documents • Architectural and engineering fees for work that is not within the scope of the approved project • Elaborate or extravagant designs or projects that are above the known local costs for comparable buildings • Costs of abandoned designs (designs that will not be used for the project) HRSA-23-117 27 ALLOWABLE UNALLOWABLE Line 5 - Other architectural and engineering fees • Other architectural and engineering services, such as surveys, tests, and borings • Preliminary expenses associated with the approved award • Sustainable design services, such as LEED, including commissioning • Costs associated with the preparation of the Environmental Assessment and SHPO consultation • Project/Construction management Fees • Costs of abandoned designs or (costs associated with a design that will not be used in the project) • Costs for work not directly related to the project • Costs for preparing grant applications. Line 6 - Project inspection fees • Clerk-of-the-works, inspection fees, structural certification, etc., to be • provided by architectural engineering firm or your staff • Fees not directly related with the requested project. Line 7 - Site work • Site clearance, grading, land improvement costs, including reasonable costs for landscaping to stabilize the site, sidewalks, drives, and parking areas which are located on the site and are essential for the use and operation of the approved project • Sanitary sewer, storm sewer, and portable water connections, providing that existing municipal utilities are located in streets, roads, and alleys contiguous to the site • Sidewalks, drives, and parking areas which are located on the site and are essential for the use and operation of the approved project • Fees not directly related with the requested project • Landscaping outside of vegetation needed for site stabilization and/or building permit requirements HRSA-23-117 28 ALLOWABLE UNALLOWABLE • Reasonable landscaping costs for seeding and sodding required for soil/slope stabilization and/or landscaping required by the building permit • Alterations at entrances and adjacent sidewalks as required for ADA compliance • Resurfacing of existing parking areas located onsite and deemed essential for the use and operation of an approved project Line 8 - Demolition and removal • Costs of demolition or removal of structures or improvements. Reduce the costs on this line by the amount of expected proceeds from the sale of salvage • Costs not directly related with the requested award • Funds may not be used for demolition and removal of debris that will not result in a usable structure Hazardous materials remediation/abatement Line 9 - Construction • Costs of acquisition and installation of fixed equipment3 necessary for the functioning of the facility • Costs of constructing new building(s) to be used for the program. This includes costs of materials and labor within the local range of comparable buildings • Construction costs for modernization remodeling, and alteration of existing buildings, which will be used for the program • Costs of connecting to existing central utility distribution systems contiguous to the site, such as steam and chilled water that service a campus from centrally located • Abandoned projects • Relocation of utilities that are off site and off-site improvements • Prorated cost of existing central utility plant and distribution systems, which serve the proposed facility • Interior and exterior decorating fees (e.g., purchase of artwork, sculpture, etc.) • Elaborate or extravagant materials that are above the known local costs for comparable buildings HRSA-23-117 29 ALLOWABLE UNALLOWABLE boiler and refrigeration plants. Prorated costs for new boilers and chillers to serve the proposed facility are acceptable • Special features for seismic code requirements. Use nationally recognized codes adopted by authorities having jurisdiction • Costs of eliminating architectural barriers to the handicapped • Bid guarantees and performance and payment bonds Costs of pollution-control equipment for the facility’s boilers, incinerators, wastewater treatment, etc., which may be required by local, state, or federal regulations. The facility must meet requirements of both current and future pollution abatement regulations as described in currently approved pollution plans • Costs for remodeling and alteration of existing buildings which will be used for the program • Windows, HVAC, generators, and other building envelope items • Installation of equipment items • Bonus payments to contractors Line 10 - Equipment • Tangible personal property or moveable equipment are nonexpendable equipment items, with a useful life of more than one year that can be readily shifted from place to place without requiring a change in the utilities or structural characteristics of the facility. • Equipment that is pertinent to the project • Donated equipment • Luxury furniture • Fixed equipment that is permanently attached to the building (it should be listed under line item 9) • Equipment that does not meet the moveable equipment definition HRSA-23-117 30 ALLOWABLE UNALLOWABLE • The cost to train individuals to operate the equipment, if included in the purchase contract • Sales tax, federal excise taxes, and other taxes (unless the applicant is otherwise exempt or entitled to a state or Federal refund after payment) and shipping costs on equipment and other related expenses • Service contract costs if it is included in the purchase contract • Software and site licenses Line 11 - Miscellaneous • Provide an itemized list for items that does not easily fit into the cost classifications above and cannot be categorized as directly related to the project. Such costs should generally be no more than 10 percent of line 16c (total cost) • The cost of alternate bid work up to the amount of the original bid submitted • Additional expense resulting from the rejection of an alternate bid at the start of construction and later reinstating the bid at an increased cost due to escalation • Costs or charges associated with routine maintenance, or operation of the facility • Expendable office, medical, and laboratory supplies Line 12 – SUBTOTAL • Enter the sum of Lines 1 through 11 Line 13 - Contingencies • The contingency of this program is limited to 5 percent of Lines 7c, 8c, and 9c. However, the contingency must be reduced to 2 percent of Lines 7c, 8c, and 9c after the contract is awarded. The contingency does not include moveable equipment costs • Contingency costs above the allowable percentage. Line 14 – SUBTOTAL Enter the sum of Lines 12 and 13 HRSA-23-117 31 ALLOWABLE UNALLOWABLE Line 15 – Project (program) income • Leave Blank / Not Applicable to this funding Line 16 – TOTAL PROJECT COSTS Enter the amount in line 14 Line 17 Enter the portion of this award that is allocated to the project (Note: Round to the nearest whole dollar amount.) • 3 See Definitions for Fixed Equipment U.S. Department of Health and Human Services SF-424 Application Guide A guide developed and maintained by HRSA for preparing and submitting applications through Grants.gov to HRSA using the SF-424 Workspace Application Package Use with HRSA notices of funding opportunities (NOFOs) that specify use of the SF-424 Workspace Application Package Updated May 5, 2022 HRSA SF-424 Application Guide i Table of Contents 1. INTRODUCTION ..................................................................................................................... 1 1.1. ABOUT HRSA ................................................................................................................................. 1 1.2. DOCUMENT PURPOSE AND SCOPE .................................................................................................... 1 1.3. DOCUMENT VERSION CONTROL ........................................................................................................ 2 1.4. SUMMARY OF SIGNIFICANT CHANGES ............................................................................................... 2 2. POLICIES, ASSURANCES, DEFINITIONS, AND OTHER INFORMATION .......................... 2 2.1. ADMINISTRATIVE AND NATIONAL POLICY REQUIREMENTS ................................................................... 2 2.2. COMPLIANCE REQUIREMENTS AT A GLANCE ...................................................................................... 7 2.3. ASSURANCES AND CERTIFICATIONS .................................................................................................. 8 2.4. REFERENCES .................................................................................................................................. 9 2.5. DEFINITIONS .................................................................................................................................... 9 2.6. ACRONYMS...................................................................................................................................... 9 3. REGISTERING AND APPLYING THROUGH GRANTS.GOV USING WORKSPACE ........ 10 3.1. ELECTRONIC DELIVERY .................................................................................................................. 10 3.2. HOW TO REGISTER TO APPLY THROUGH GRANTS.GOV .................................................................... 11 3.3. HOW TO SUBMIT AN APPLICATION TO HRSA VIA GRANTS.GOV ......................................................... 13 3.4. TIMELY RECEIPT REQUIREMENTS AND PROOF OF TIMELY SUBMISSION ............................................. 14 3.5. LATE APPLICATIONS ....................................................................................................................... 15 3.6. REQUESTING A WAIVER FROM THE SUBMISSION REQUIREMENT ....................................................... 15 4. GENERAL INSTRUCTIONS FOR APPLICATION SUBMISSION ....................................... 16 4.1. INSTRUCTIONS FOR COMPLETING THE SF-424 ................................................................................ 16 4.2. NARRATIVE AND ATTACHMENT FORMATTING GUIDELINES ................................................................ 35 4.3. APPLICATION CONTENT ORDER (TABLE OF CONTENTS) ................................................................... 36 4.4. APPLICATION PAGE LIMIT ............................................................................................................... 40 4.5. SUBMISSION DATES AND TIMES ...................................................................................................... 40 4.6. CORRECTING MISTAKES ................................................................................................................. 41 4.7. TIPS FOR WRITING A STRONG APPLICATION .................................................................................... 41 4.8. WITHDRAWING AN APPLICATION ..................................................................................................... 41 5. PROCESS OVERVIEW ......................................................................................................... 42 5.1. COMPETING APPLICATIONS THROUGH GRANTS.GOV USING WORKSPACE ......................................... 42 5.2. APPLICATION PROCESSING ............................................................................................................ 42 5.3. OBJECTIVE REVIEW INFORMATION .................................................................................................. 43 5.4. AWARD NOTIFICATION .................................................................................................................... 44 6. REPORTING REQUIREMENTS ........................................................................................... 44 7. AGENCY CONTACTS .......................................................................................................... 46 7.1. WORKING WITH HRSA PROGRAM AND GRANTS MANAGEMENT STAFF .............................................. 46 7.2. GRANTS.GOV CUSTOMER SUPPORT ............................................................................................... 46 8. FAQS AND OTHER INFORMATION .................................................................................... 46 8.1. SOFTWARE FAQS .......................................................................................................................... 46 8.2. APPLICATION RECEIPT FAQS ......................................................................................................... 47 8.3. APPLICATION SUBMISSION FAQ ..................................................................................................... 49 8.4. GRANTS.GOV FAQS ...................................................................................................................... 49 8.5. APPLICATION COMPLETENESS CHECKLIST ...................................................................................... 49 8.6. PROGRAM-SPECIFIC RESOURCES AND TECHNICAL ASSISTANCE ...................................................... 49 9. TECHNICAL ASSISTANCE RESOURCES .......................................................................... 50 HRSA SF-424 Application Guide 1 1. INTRODUCTION 1.1. About HRSA The Health Resources and Services Administration (HRSA) is a division of the U.S. Department of Health and Human Services (HHS). HRSA programs support equitable health care for those in need, serving people with low incomes, people with HIV/AIDS, pregnant people, children, parents, rural communities, transplant patients, other underserved communities, and the health workforce, systems, and facilities that care for them. Through HRSA’s more than 90 programs and 3,000 grantees, tens of millions of Americans receive quality, affordable health care, and other services. This includes affordable primary care provided by HRSA-supported health centers and health professionals who received HRSA scholarships or loan repayment assistance; HRSA- funded prenatal and postnatal care, newborn and other medical screenings, voluntary home visits, and other maternal and child health services; HIV care and treatment services; rural primary care and substance use treatment programs; discounted prescription drugs; organ transplants; community-based COVID-19 vaccine outreach and education; and much more. Through the Provider Relief Fund and associated programs, HRSA reimburses health care providers for expenses or lost revenues attributable to Coronavirus as well as COVID-19 testing, treatment, and vaccine administration for uninsured individuals. In Fiscal Year 2021 alone, HRSA provided nearly $54 billion in funding to support our mission of improving health outcomes and achieving health equity. For more information about HRSA, visit the HRSA Agency Overview page and explore data and maps on HRSA’s health care programs. 1.2. Document Purpose and Scope The purpose of this document is to provide detailed instructions to help you (the applicant organization/agency) prepare and submit competing continuation, competing supplement, limited competition, and new applications electronically to HRSA through Grants.gov. This SF-424 Application Guide is specific to HRSA notices of funding opportunities (NOFOs) using the Application for Federal Assistance SF-424 1 application package. HRSA requires you to submit electronically. This Guide presents HRSA general information related to the application preparation and submission process and will be updated periodically. This document does not replace program-specific guidance provided in NOFOs. 1 If you are applying for Research or Training awards that require the SF-424 Research and Related (R&R) application package, you must refer to HRSA’s SF-424 R&R Application Guide for guidance. HRSA SF-424 Application Guide 2 Note: To request a subsequent budget period, recipients only need to submit the streamlined Non-Competing Continuation (NCC) Progress Report for continued funding of the next budget period. For details and user guides, visit HRSA's Non-Competing Continuation Process page. 1.3. Document Version Control HRSA’s Division of Grants Policy & Planning in the Office of Federal Assistance Management periodically updates and maintains this document. 1.4. Summary of Significant Changes 5/5/22 • All Appropriations Act citations updated from Consolidated Appropriations Act, 2021 (P.L. 116-260) to Consolidated Appropriations Act, 2022 (P.L. 117-103). • Instructions updated in Section 3.2 How to Register to Apply through Grants.gov. • Statutory mandates updated in Funding Restrictions section to align with P.L. 117-103. For more details, see HRSA Grants Policy Bulletin 2022-05E Legislative Mandates in Grants Management for FY 2022. • Key Contacts Form details updated to clarify direct contact information requirements. 2/4/22 • Executive Level II salary limitation amount updated from $199,300 to $203,700. Related salary breakdowns and examples also updated. • Project Abstract submission guidance clarified in Section 4.1.ix. Project Abstract. • Waiver request processes changed from Division of Grants Policy to Division of Grants Management. 2. POLICIES, ASSURANCES, DEFINITIONS, AND OTHER INFORMATION 2.1. Administrative and National Policy Requirements Successful applicants are required to comply with 45 CFR part 75 - Uniform Administrative Requirements, Cost Principles, and Audit Requirements for HHS Awards (UAR). In addition to the numerous administrative and national policy requirements imposed by regulation and HHS policies, HRSA stresses the following requirements of every award: HRSA SF-424 Application Guide 3 Standards for Financial Management Recipients are required to meet the standards and requirements for financial management systems set forth in 45 CFR part 75. The financial systems must enable the recipient to maintain records that adequately identify the sources of funds for federally assisted activities and the purposes for which the award was used, including authorizations, obligations, unobligated balances, assets, liabilities, outlays or expenditures, and any program income. The system must also enable the recipient to compare actual expenditures or outlays with the approved budget for the award. Internal controls must be in place to ensure that costs charged to HRSA awards are allowable, allocable to the HRSA award, reasonable, necessary, and documented. For example, controls must be in place to ensure that only actual time worked on HRSA projects are charged to HRSA awards, and that the time worked has management approval from the HRSA award recipient. There also must be internal controls in place to ensure that costs charged to HRSA awards through subawards are monitored and evaluated by the HRSA award recipient and that only allowable, allocable, reasonable, necessary, and documented costs are charged to HRSA awards. HRSA funds must retain their award-specific identity—they may not be commingled with state funds or other federal funds. [“Commingling funds” typically means depositing or recording funds in a general account without the ability to identify each specific source of funds for any expenditure.] Accessibility Provisions and Non-Discrimination Requirements Should you successfully compete for an award, recipients of federal financial assistance (FFA) from HHS must administer their programs in compliance with federal civil rights laws that prohibit discrimination on the basis of race, color, national origin, disability, age and, in some circumstances, religion, conscience, and sex (including gender identity, sexual orientation, and pregnancy). This includes ensuring programs are accessible to persons with limited English proficiency and persons with disabilities. The HHS Office for Civil Rights (OCR) provides guidance on complying with civil rights laws enforced by HHS. See Providers of Health Care and Social Services and HHS Nondiscrimination Notice. • Recipients of FFA must ensure that their programs are accessible to persons with limited English proficiency. For guidance on meeting your legal obligation to take reasonable steps to ensure meaningful access to your programs or activities by limited English proficient individuals, see Fact Sheet on the Revised HHS LEP Guidance and Limited English Proficiency. • For information on your specific legal obligations for serving qualified individuals with disabilities, including reasonable modifications and making services accessible to them, see Discrimination on the Basis of Disability. • HHS-funded health and education programs must be administered in an environment free of sexual harassment. See Discrimination on the Basis of Sex. HRSA SF-424 Application Guide 4 • For guidance on administering your program in compliance with applicable federal religious nondiscrimination laws and applicable federal conscience protection and associated anti-discrimination laws, see Conscience Protections for Health Care Providers and Religious Freedom. Please contact the HHS Office for Civil Rights for more information about obligations and prohibitions under federal civil rights laws or call 1-800-368-1019 or TDD 1-800- 537-7697. The HRSA Office of Civil Rights, Diversity, and Inclusion (OCRDI) offers technical assistance, individual consultations, trainings, and plain language materials to supplement OCR guidance and assist HRSA recipients in meeting their civil rights obligations. Visit OCRDI’s website to learn more about how federal civil rights laws and accessibility requirements apply to your programs, or contact OCRDI directly at HRSACivilRights@hrsa.gov. Acknowledgment of Federal Funding If the NOFO notes that the program is subject to the General Provisions of P.L. 117- 103, the following statutory mandate applies: Division H, Title V, Section 505 “When issuing statements, press releases, requests for proposals, bid solicitations and other documents describing projects or programs funded in whole or in part with federal money, all grantees receiving federal funds included in this Act, including but not limited to state and local governments and recipients of federal research grants, shall clearly state – (1) the percentage of the total costs of the program or project which will be financed with federal money; (2) the dollar amount of federal funds for the project or program; and (3) percentage and dollar amount of the total costs of the project or program that will be financed by non-governmental sources.” In addition, HRSA requires recipients to use the following acknowledgment and disclaimer: “This [project/publication/program/website] [is/was] supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $XX with xx percentage financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government.” Recipients are required to use this language when issuing statements, press releases, requests for proposals, bid solicitations, and other HRSA-supported publications and forums describing projects or programs funded in whole or in part with HRSA funding. Examples of HRSA-supported publications include, but are not limited to, manuals, toolkits, resource guides, case studies and issues briefs. For more details, see HRSA’s Communicating and Acknowledging Federal Funding webpage. HRSA SF-424 Application Guide 5 Conflict of Interest HRSA has established a Federal Financial Assistance Conflict of Interest Policy (COI Policy) pursuant to 45 CFR § 75.112, which requires that awarding agencies establish conflict of interest policies for federal awards that: 1) Address conditions under which outside activities, relationships, or financial interests are proper or improper; 2) Provide for advance notification of outside activities, relationships, or financial interests, and a process of review as appropriate; and 3) Outline how financial conflicts of interest may be addressed. This policy addresses such conditions; identifies when and how a non-federal entity (NFE) must provide written notification of such outside activities, relationships, or financial interests to HRSA or, in the case of grant subrecipients, to the pass-through entity, and describes a process of review of such disclosures; and discusses the means by which financial conflicts of interest may be addressed. This COI Policy, except as noted below, applies to all NFEs receiving HRSA financial assistance, either directly (from HRSA) or indirectly (i.e., through a subaward from a pass-through entity). Note: For the purposes of this COI Policy, institutions of higher education that are instrumentalities of a state under applicable state laws are subject to the requirements applicable to such entities. Healthy People 2030 Led by HHS, Healthy People 2030 is the nation's 10-year plan for addressing our most critical public health priorities and challenges. Since 1980, HHS's Office of Disease Prevention and Health Promotion has set measurable objectives and targets to improve the health and well-being of the nation. This decade, Healthy People 2030 features 355 core – or measurable – objectives with 10-year targets, new objectives related to opioid use disorder and youth e- cigarette use, and resources for adapting Healthy People 2030 to emerging public health threats like COVID-19. For the first time, Healthy People 2030 also sets 10- year targets for objectives related to social determinants of health. More information about Healthy People 2030 may be found online at https://health.gov/healthypeople. Mandatory Disclosures The non-federal entity or applicant for a federal award must disclose, in a timely manner, in writing to the HHS awarding agency or pass-through entity all violations of federal criminal law involving fraud, bribery, or gratuity violations potentially affecting the federal award (45 CFR § 75.113). Failure to make required disclosures can result in any of the remedies described in 45 CFR § 75.371, including suspension or debarment. (See also 2 CFR parts 180 and 376, and 31 U.S.C. 3354). Submission is required for all applicants and recipients, in writing, to the awarding agency and to the HHS Office of Inspector General (OIG) all information related to violations of federal criminal law involving fraud, bribery, or gratuity violations potentially affecting the federal award. Disclosures must be sent in writing to: HRSA (The Awarding Agency) HRSA SF-424 Application Guide 6 AND U.S. Department of Health and Human Services Office of Inspector General ATTN: Mandatory Grant Disclosures, Intake Coordinator 330 Independence Avenue, SW, Cohen Building Room 5527 Washington, DC 20201 URL: https://oig.hhs.gov/fraud/report-fraud/index.asp (Include “Mandatory Grant Disclosures” in subject line) Fax: (202) 205-0604 (Include “Mandatory Grant Disclosures” in subject line) or Email: grantdisclosures@oig.hhs.gov Prohibition on Certain Telecommunications and Video Surveillance Services or Equipment (a) As described in 2 CFR § 200.216, recipients and subrecipients are prohibited to obligate or spend grant funds (to include direct and indirect expenditures as well as cost share and program) to: (1) Procure or obtain, (2) Extend or renew a contract to procure or obtain; or (3) Enter into contract (or extend or renew contract) to procure or obtain equipment, services, or systems that use covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. As described in Pub. L. 115-232, section 889, covered telecommunications equipment is telecommunications equipment produced by Huawei Technologies Company or ZTE Corporation (or any subsidiary or affiliate of such entities). i. For the purpose of public safety, security of government facilities, physical security surveillance of critical infrastructure, and other national security purposes, video surveillance and telecommunications equipment produced by Hytera Communications Corporation, Hangzhou Hikvision Digital Technology Company, or Dahua Technology Company (or any subsidiary or affiliate of such entities). ii. Telecommunications or video surveillance services provided by such entities or using such equipment. iii. Telecommunications or video surveillance equipment or services produced or provided by an entity that the Secretary of Defense, in consultation with the Director of the National Intelligence or the Director of the Federal Bureau HRSA SF-424 Application Guide 7 of Investigation, reasonably believes to be an entity owned or controlled by, or otherwise, connected to the government of a covered foreign country. Smoke-Free Workplace The Public Health Service strongly encourages all award recipients to provide a smoke- free workplace and to promote the non-use of all tobacco products. Further, Public Law (P.L.) 103-227, the Pro-Children Act of 1994, prohibits smoking in certain facilities (or in some cases, any portion of a facility) in which regular or routine education, library, day care, health care or early childhood development services are provided to children. Trafficking in Persons Awards issued under HRSA NOFOs are subject to the requirements of Section 106(g) of the Trafficking Victims Protection Act of 2000, as amended (22 U.S.C. 7104). For the full text of the award term, go to Trafficking Victims Protections online. NOTE: The signature of the Authorized Organization Representative (AOR) on the application serves as the required certification of compliance for your organization regarding the administrative and national policy requirements. 2.2. Compliance Requirements at a Glance For reference, the chart below provides compliance requirements by recipient and requirement type. Compliance Requirements at a Glance Recipient Type Administrative Requirements Cost Principles Audit Requirements State, Local, & Tribal Governments 45 CFR part 75 45 CFR part 75; subpart E 45 CFR part 75; subpart F Colleges & Universities Non-Profits Hospitals 45 CFR part 75, Appendix IX For-Profits 48 CFR subpart 31.2 (FAR 31.2) HRSA SF-424 Application Guide 8 Compliance Requirements at a Glance Recipient Type Administrative Requirements Cost Principles Audit Requirements Foreign As stated above for each recipient type 45 CFR part 75 except where the HHS awarding agency determines that the application of these subparts would be inconsistent with the international obligations of the United States or the statutes or regulations of a foreign government. 2.3. Assurances and Certifications Complete the required Certification Regarding Lobbying Form and, if applicable, the Disclosure of Lobbying Activities Form provided with the application package. NOTE: The signature of the AOR on the application serves as the required certification of compliance for your organization regarding assurances and certification. In accordance with the Federal Government’s efforts to reduce reporting burden for recipients of federal financial assistance, the general certification and representation requirements contained in the Standard Form 424B (SF-424B) – Assurances – Non- Construction Programs, and the Standard Form 424D (SF-424D) – Assurances – Construction Programs, have been standardized federal-wide. Effective January 1, 2020, the forms themselves are no longer required to be part of HRSA’s Application Package and the updated common certification and representation requirements will be stored and maintained within the System for Award Management (SAM). Organizations or individuals applying for federal financial assistance as of January 1, 2020, must validate the federally required common certifications and representations annually through SAM. HRSA SF-424 Application Guide 9 2.4. References About HRSA How to Apply for a HRSA Grant System for Award Management (SAM) | SAM.gov Knowledge Base Grants.gov Online User Guide Grants.gov Workspace Overview Tips for Preparing Grant Proposals 2.5. Definitions Please refer to 45 CFR § 75.2 Definitions. 2.6. Acronyms AL Assistance Listings (formerly the Catalog of Federal Domestic Assistance (CFDA)) AO Authorizing Official AOR Authorized Organization Representative BPHC Bureau of Primary Health Care BHW Bureau of Health Workforce CAS Cost Allocation Services CCR Central Contractor Registration (now defunct) CFR Code of Federal Regulations CGMO Chief Grants Management Officer DSO Digital Services Operation DUNS Data Universal Numbering System EBiz POC E-Business Point of Contact EHBs Electronic Handbooks EIN Employer Identification Number EO Executive Order FAQ Frequently Asked Questions FAR Federal Acquisition Regulation FFATA Federal Funding Accountability and Transparency Act FORHP Federal Office of Rural Health Policy FY Fiscal Year F&A Facilities and Administration GMO Grants Management Officer GMS Grants Management Specialist HAB HIV/AIDS Bureau HHS Health and Human Services HRSA SF-424 Application Guide 10 HRSA Health Resources and Services Administration HSB Healthcare Systems Bureau IE Internet Explorer MCHB Maternal and Child Health Bureau MPIN Marketing Partner ID Number MTDC Modified Total Direct Cost NCC Noncompeting Continuation NHAS National HIV/AIDS Strategy NOA Notice of Award NOFO Notice of Funding Opportunity OFAM Office of Federal Assistance Management OMB Office of Management and Budget ORO Office of Regional Operations OS Operating System PC Program Contact PD Project Director P.L. Public Law PO Project Officer / Program Official POC Point of Contact R&R Research and Related SAM System for Award Management SF Standard Form TA Technical Assistance TIN Tax Identification Number UEI Unique Entity Identifier 3. REGISTERING AND APPLYING THROUGH GRANTS.GOV USING WORKSPACE Grants.gov Application Submission and Receipt Procedures This section provides the application submission and receipt instructions for HRSA program applications. Read the following instructions carefully and completely. 3.1. Electronic Delivery HRSA is participating in the Grants.gov initiative to provide the grant community with a single site to find and apply for funding opportunities. HRSA requires you to submit your applications online. • NOTE: HRSA highly recommends that you complete the Grants.gov registration process at least 4 WEEKS before your organization’s first Grants.gov submission. HRSA SF-424 Application Guide 11 3.2. How to Register to Apply through Grants.gov a. Instructions: Read the instructions below about registering to apply for HRSA funds. You should read the registration instructions carefully and prepare the information requested before beginning the registration process. Reviewing and assembling the required information before beginning the registration process will alleviate last-minute searches for required information. The registration process can take up to 4 weeks to complete. Therefore, registration should be done in sufficient time to ensure it does not impact your ability to meet required application submission deadlines. If individual applicants are eligible to apply for this funding opportunity, refer to: Grants.gov Individual Registration. Organization applicants can find complete instructions here: Grants.gov Registering an Organization 1) Register with SAM: The UEI, a new, non-proprietary identifier assigned by the System for Award Management (SAM), has replaced the Data Universal Numbering System (DUNS) number. You will no longer obtain or use a UEI (DUNS) number for entity registration or reporting. Effective April 4, 2022, register in SAM and you will be assigned your UEI (SAM) number within the system. It takes 1 day (after you enter the EBiz POC name and EBiz POC email in SAM) to receive a UEI (SAM), which will allow you to register with Grants.gov and apply for federal funding. For more details, visit the following webpages: Planned UEI Updates in Grant Application Forms and General Service Administration’s UEI Update. All organizations must register with SAM in order to apply online. Failure to register with SAM will prevent your organization from applying through Grants.gov. Make sure you “opt-in” for public display of your record within SAM so HRSA can easily access and review your information. If you see the question “Is my information available for viewing by the public?” please answer “Yes.” For more detailed instructions for registering with SAM, refer to: Grants.gov: Register with SAM. 2) Create a Grants.gov Account: The next step in the registration process is to create an account with Grants.gov. You must know your organization's UEI number to complete this process. Enter the UEI (SAM) in the data entry field labeled “UEI” on the Grants.gov SF-424 form. Completing this process automatically triggers an email request for applicant roles to the HRSA SF-424 Application Guide 12 organization's E-Business Point of Contact (EBiz POC) for review. The EBiz POC is a representative from your organization who is the contact listed for SAM. To apply for awards on behalf of your organization, you will need the Authorized Organizational Representative (AOR) role. For more detailed instructions about creating a profile on Grants.gov, refer to: Grants.gov: Creating a Profile. 3) Authorize Grants.gov Roles: After creating an account on Grants.gov, the EBiz POC receives an email notifying them of your registration and request for roles. The EBiz POC will then log in to Grants.gov and authorize the appropriate roles, which may include the AOR role, thereby giving you permission to complete and submit applications on behalf of the organization. You will be able to submit your application online any time after you have been approved as an AOR. For more detailed instructions about creating a profile on Grants.gov, refer to: Grants.gov: AOR Authorization 4) Track Role Status: To track your role request, refer to: Grants.gov: Track AOR Status b. Electronic Signature: When submitting applications through Grants.gov, insert the name of your organization's AOR who submits the application into the signature line of the application, serving as the electronic signature. The EBiz POC must authorize individuals who are able to make legally binding commitments on behalf of the organization as an AOR. Applicants often miss this step and it is crucial for valid and timely submissions. 3.2.1. Find Funding Opportunity There are three ways to search for HRSA funding opportunities on Grants.gov. 1. Enter keyword or phrase in the Search box at the top of the home page at Grants.gov. 2. Click on one of the following tabs in the middle of the home page to: Browse Newest, Browse Categories, Browse Agencies, or Browse Eligibilities. 3. Click the SEARCH GRANTS tab, enter the funding opportunity number and/or assistance listings number, and then select the funding opportunity for which you wish to apply. Refer to the NOFO for eligibility criteria. Otherwise, use the various filters to help narrow your search. Search for the funding opportunity under the APPLICANTS tab under How to Apply for Grants. Enter the NOFO number provided in the field, Funding Opportunity Number. (Example: HRSA-22-000.) HRSA SF-424 Application Guide 13 3.2.2. Subscribing to a NOFO HRSA strongly recommends subscribing to NOFOs you are interested in by using the Subscribe button located next to the Apply button on the Grant Opportunity page. By subscribing and providing your email address before reviewing or preparing the workspace application package, you will receive notifications including modifications, related documents and/or republications of the NOFO on Grants.gov before its closing date. 3.3. How to Submit an Application to HRSA via Grants.gov Grants.gov applicants can apply online using Workspace. Workspace is a shared, online environment where members of a grant team may simultaneously access and edit different webforms within an application. For each NOFO, you can create individual instances of a workspace. Below is an overview of applying on Grants.gov. For access to complete instructions on how to apply for opportunities, refer to: Grants.gov: How to Apply for Grants 1) Create a Workspace: Creating a workspace allows you to complete your application online and route it through your organization for review before submitting. 2) Complete a Workspace: Add participants to the workspace, complete all the required forms, and check for errors before submission. a. Adobe Reader: If you decide not to apply by filling out webforms you can download individual PDF forms in Workspace so that they will appear similar to other Standard or HRSA forms. You can download and save the individual PDF forms to your local device storage, network drive(s), or external drives, and then access through Adobe Reader. NOTE: Visit the Adobe Software Compatibility page on Grants.gov to download the appropriate version of the software. b. Mandatory Fields in Forms: In the forms, you will note fields marked with an asterisk and a different background color. You must complete these mandatory fields to successfully submit your application. c. Complete SF-424 Fields First: The forms are designed to fill in common required fields across other forms, such as the applicant name, address, and UEI number. To trigger this feature, an applicant must complete the SF-424 information first. Once it is completed, the information will transfer to the other forms. HRSA SF-424 Application Guide 14 3) Submit a Workspace: You may submit an application through workspace by clicking the Sign and Submit button on the Manage Workspace page, under the Forms tab. Note: Your application will not be submitted until you complete this step. Grants.gov recommends submitting your application package at least 24–48 hours (1–2 calendar days) before the close date to provide you with time to correct any potential technical issues that may disrupt the application submission. However, HRSA suggests submitting applications to Grants.gov at least 3 calendar days before the deadline to allow for any unforeseen circumstances. 4) Track a Workspace: After successfully submitting a workspace package, a Grants.gov Tracking Number (GRANTXXXXXXXX) is automatically assigned to the package. The number will be listed on the Confirmation page that is generated after submission. For additional training resources, including video tutorials, refer to Grants.gov: Applicant Training. Applicant Support: Grants.gov provides applicants 24/7 support via the toll-free number 1-800-518-4726 (International callers dial 1-606-545-5035) and email at support@grants.gov. For questions related to the specific funding opportunity, contact the number listed in the application package of the award you are applying for. If you are experiencing difficulties with your submission, it is best to call the Grants.gov Support Center and get a ticket number. The Support Center ticket number will assist HRSA with tracking and understanding the issue. 3.4. Timely Receipt Requirements and Proof of Timely Submission Online Submission. All applications must be received by 11:59 p.m. ET on the date listed in Section IV.4. Submission Dates and Times in the NOFO, unless otherwise noted. Grants.gov automatically records proof of timely submission. An electronic date/time stamp is generated within the system and sent to the AOR when Grants.gov successfully receives the application. The applicant AOR will receive an acknowledgment of receipt and a tracking number (GRANTXXXXXXXX) from Grants.gov with the successful transmission of their application serving as proof of their timely submission. When HRSA successfully retrieves the application from Grants.gov and acknowledges the download of submissions, Grants.gov will provide an electronic acknowledgment of receipt of the application to the email address of the applicant with the AOR role. Again, proof of timely submission shall be the official date and time that Grants.gov receives your application. Applications received by Grants.gov after the established due date for the program will be considered late and HRSA will not consider the application for funding. HRSA strongly suggests that you apply at least 3 calendar days before the deadline to allow for any unforeseen circumstances. HRSA is under no obligation to accept applications that are late due to problems with computer systems at your organization or system-to-system grant submission service, failure to submit by the HRSA SF-424 Application Guide 15 deadline, or failure to follow instructions in the Application Guide or instructions in the NOFO. If you are using slow internet, such as dial-up connections, be aware that transmission can take some time before Grants.gov receives your application. Again, Grants.gov will provide either an error or a successfully received transmission in the form of an email sent to the applicant with the AOR role. The Grants.gov Support Center reports that some applicants end the transmission because they think that nothing is occurring during the transmission process. Please be patient and give the system time to process the application. 3.5. Late Applications Applications which do not meet the criteria as outlined in Section IV.4. Submission Dates and Times of the NOFO will be considered late applications and will not be reviewed. 3.6. Requesting a Waiver from the Submission Requirement HRSA requires you to apply electronically and have the application validated under the correct funding opportunity number on or before the deadline date and time. The registration and application process protects you against fraud and ensures that only authorized representatives from an organization can submit an application. You are responsible for maintaining these registrations, which should be completed well in advance of submitting an application. You must submit your application electronically by the deadline posted on the NOFO. If you wish to request a waiver from the submission requirement, you must request an exemption in writing from ApplicationWaivers@hrsa.gov no later than 5 calendar days after the opportunity’s closing date. Requests received after 5 calendar may not be considered. The request should provide details as to why you are technologically unable to submit electronically through the Grants.gov portal. If requesting a waiver from the submission requirements, include the following in the email request: • HRSA funding opportunity number • Organization’s name • Address • Telephone number • UEI number • Name, address, and telephone number of the PD • Grants.gov Tracking Number (GRANTXXXXXXXX) assigned to the submission along with a copy of the “Rejected with Errors” notification as received from Grants.gov, if applicable • If case numbers were given from calling Grants.gov, include those as well • Any other details regarding the justification HRSA SF-424 Application Guide 16 HRSA’s Division of Grants Management (DGMO) in the Office of Federal Assistance Management is the only office authorized to grant waivers. HRSA is very strict on adhering to application deadlines and submission requirements. Deadline extensions will not be granted for Grants.gov verification errors, last-minute registration, or submission errors on your part. DGMO may consider an extension of published deadlines or allowance of a submission outside of the Grants.gov system, when justified by circumstances such as natural disasters (e.g., floods or hurricanes), other disruptions of services (e.g., a prolonged blackout), or in the rare event of a validated technical issue on the side of the government that prevented you from applying before the deadline. DGMO will determine the affected geographical area(s) or other applicant group parameters. HRSA and its Digital Services Operation (DSO) will only accept paper applications from applicants that received prior written approval. However, the application must still be validated by the deadline. 4. GENERAL INSTRUCTIONS FOR APPLICATION SUBMISSION HRSA requires you to apply electronically. HRSA encourages you to apply through Grants.gov using the Standard Form 424 (SF-424) application package associated with the funding opportunity and follow the directions provided at Grants.gov. If you use an alternative electronic submission, see Grants.gov: APPLICANT SYSTEM-TO-SYSTEM. Applications must be submitted in the English language and in the terms of U.S. dollars (45 CFR § 75.111(a)). The following instructions are applicable to all submissions unless otherwise noted in the relevant NOFO. Failure to follow the instructions may make your application non- responsive. HRSA will not consider non-responsive applications and will notify applicants. It is mandatory to follow the instructions provided to ensure HRSA can efficiently and consistently print your application for review, if needed. 4.1. Instructions for Completing the SF-424 i. Application Face Page Complete Application Form SF-424 provided with the application package. Prepare according to instructions provided in the form itself. Important notes for applicants: • Changes to improve grant award data accuracy have led HHS to require that applicant street addresses (SF-424 cover page and Project/Performance Site Location Form) contain a valid 9-digit zip code. Use the following USPS.com link to find your 9-digit zip code: USPS: Look Up a Zip Code • Enter the name of the Project Director in 8.f. “Name and contact information of person to be contacted on matters involving this application.” If, for any HRSA SF-424 Application Guide 17 reason, the Project Director will be out of the office, please ensure the email Out of Office Assistant is set so HRSA will be aware if any issues arise with the application and a timely response is required. • Enter the amount requested during the first budget period in item 18.a. Unique Entity Identifier (UEI) Number Your organization (and subrecipients of HRSA award funds) is required to have a UEI number in order to apply for a grant or cooperative agreement from the Federal Government. Include the Organizational UEI number in form SF-424 (item 8.c. on the application face page). Applications will not be reviewed without a UEI number. Note: A missing or incorrect UEI number is the number one reason for applications being “Rejected for Errors” by Grants.gov. HRSA will not extend the deadline for applications with a missing or incorrect UEI number. You should take care in entering the correct UEI number in the application. Additionally, your organization (and any subrecipient of HRSA award funds) is required to register annually with SAM in order to conduct electronic business with the Federal Government. SAM registration must be maintained with current, accurate information at all times during which an entity has an active award or an application or plan under consideration by HRSA. It is extremely important to verify that your organization’s SAM registration is active and the Marketing Partner ID Number (MPIN) is current. Organizations will not be able to submit an application or accept an award if SAM registration is not complete and accurate. Information about registering with SAM can be found at SAM.gov. Assistance Listings Number The AL number, as listed on the cover of the NOFO, is prepopulated in box 11 of the form. ii. Intergovernmental Review (Executive Order (EO) 12372) If a NOFO is subject to EO 12372, “Intergovernmental Review of Federal Programs,” it will be noted in Section IV.5. Intergovernmental Review of the funding opportunity. Refer to section 19 on the SF-424. If intergovernmental review applies, the following language will appear in the NOFO: Program X is subject to the provisions of Executive Order 12372, as implemented by 45 CFR part 100. EO 12372 allows states the option of setting up a system for reviewing applications from within their states for assistance under certain federal programs. Information on states that have chosen to set up such a review system and corresponding State Single Points of Contact may be obtained from the following website: Intergovernmental Review (SPOC List as of April 20, 2020). All applicants other than federally recognized Native American tribes or tribal organizations should contact their Single Point of Contact as early as possible to alert HRSA SF-424 Application Guide 18 them to the prospective applications and receive any necessary instructions on the state’s process used under this EO. iii. Table of Contents The application should be presented in the order of the Table of Contents provided in Section 4.3 of this SF-424 Application Guide. Again, for electronic applications no table of contents is necessary as it will be generated by the system. (Note: the Table of Contents will not be counted in the page limit.) iv. Budget Note: the directions here may differ from those offered by Grants.gov. Follow the instructions included in the program-specific NOFO and the instructions below when completing the project budget forms. The Total Project or Program Costs are the total allowable costs (inclusive of direct and indirect costs) incurred by the recipient to carry out a HRSA-supported project or activity. Total project or program costs include costs charged to the award and costs borne by the recipient to satisfy a matching or cost-sharing 2 requirement, as applicable. Classification of Costs: There is no universal rule for classifying certain costs as either direct or indirect facilities and administration (F&A) under every accounting system. A cost may be direct with respect to some specific service or function, but indirect with respect to the federal award or other final cost objective. Therefore, it is essential that each item of cost incurred for the same purpose be treated consistently in like circumstances either as a direct or an indirect F&A cost in order to avoid possible double-charging of federal awards. Guidelines for determining direct and indirect F&A costs charged to federal awards are provided in 45 CFR part 75, subpart E. For multi-year non-construction projects: Complete Sections A – F of the SF-424A Budget Information – Non-Construction Programs form included with the application package for each year of the period of performance. The budget period is for 1 year. However, you must submit 1-year budgets for each of the subsequent budget periods within the requested period of performance at the time of application. In Section A use rows 1–4 to provide the budget amounts for the first 4 years of the project. Enter the amounts in the “New or Revised Budget” column- not the “Estimated Unobligated Funds” column. In Section B 6. Object Class Categories of the SF-424A, provide the object class category breakdown (i.e., line item budget) for each year of the period of performance specified in Section A. In Section B, use column (1) to provide category amounts for year 1 and use columns (2) through (4), if applicable, for subsequent budget years. If applicable for year 5, submit a copy of Section B of the SF-424A as an Attachment (specific attachment number will be listed in the NOFO - not counted in the page limit). 2 If not a requirement per statute or regulation, voluntary matching or cost sharing is not considered during merit review. HRSA SF-424 Application Guide 19 Section C – Non-Federal Resources: complete only if Section III. 2. Cost Sharing/Matching of the NOFO indicates that cost sharing/matching is required. Lines 8–11 correspond to the first 4 years of the project. If applicable for year 5, submit a copy of Section C of the SF-424A as an Attachment (specific attachment number will be listed in the NOFO). Section D – Forecasted Cash Needs: If no cost sharing/matching is required, complete only line “13. Federal” in the first column titled “Total for 1st Year.” If cost sharing/matching is required, complete all three lines “13. Federal,” “14. Non- Federal,” and “15. Total (Sum of lines 13 and 14)” in the first column titled “Total for 1st Year.” Section E – Budget Estimates of Federal Funds Needed for Balance of the Project: Complete line 16 of the Future Funding Periods columns for the outyears, with (b) First being the 2nd year, (c) Second being the 3rd year, etc. Section F – Other Budget Information. Complete as appropriate. If the NOFO notes that the program is subject to the General Provisions of P.L. 117- 103, the following Salary Limitation applies: Salary Limitation: The Consolidated Appropriations Act, 2022 (P.L. 117-103), Division H, Section 202, provides a salary rate limitation. The law limits the salary amount that may be awarded and charged to HRSA grants and cooperative agreements. Award funds may not be used to pay the salary of an individual at a rate in excess of Executive Level II, which is $203,700 (effective January 2022). This amount reflects an individual’s base salary exclusive of fringe and any income that an individual may be permitted to earn outside of the duties to your organization. This salary limitation also applies to subrecipients under a HRSA grant or cooperative agreement. Note that these or other salary limitations will apply in the following fiscal years, as required by law. See the breakdown and examples of the limitation below: Individual’s actual base full time salary: $255,000 50 percent of time will be devoted to project Direct salary $127,500 Fringe (25 percent of salary) $31,875 Total $159,375 Amount that may be claimed on the application budget due to the statutory salary limitation: Individual’s base full time salary adjusted to Executive Level II: $203,700 50 percent of time will be devoted to the project Direct salary $101,850 HRSA SF-424 Application Guide 20 Fringe (25 percent of salary) $25,462.50 Total $127,312.50 Personnel Justification Table (varied FTE percentages) Name Position Title % of FTE Base Salary Adjusted Annual Salary* Federal Amount Requested J. Smith CEO 50 $255,000 $203,700 $101,850 C. Moore Physician 50 $150,000 No adjustment needed $75,000 R. Doe Nurse Practitioner 100 $75,950 No adjustment needed $75,950 M. Green Dentist 100 $210,000 $203,700 $203,700 D. Jones Data/AP Specialist 25 $33,000 No adjustment needed $8,250 H. Black Outreach Director 50 $65,000 No adjustment needed $32,500 TOTAL $788,950 $497,250 *used only when salary is over limitation of $203,700 Finally, remember that in order to be considered as allowable costs on your HRSA award, you need to ensure that personnel costs are supported by official records that accurately reflect the work performed and that internal controls provide reasonable assurance that the personnel costs are accurate, allowable, and allocable to the HRSA award. Funding Restrictions (in general) You may request no more than the funding ceiling amount listed in Section II.2. Summary of Funding and Section IV.6. Funding Restrictions of the NOFO. Awards to support projects beyond the first budget year will be contingent upon Congressional appropriation, satisfactory progress in meeting the project’s objectives, and a determination that continued funding would be in the best interest of the Federal Government. Unallowable Costs The governing cost principles address selected items of cost. The NOFO specifies unallowable costs that apply to each funding opportunity. The following list of unallowable costs is not intended to be all-inclusive. Consult the cost principles for the complete explanation of the allowability or unallowability of costs they address. For the full list of cost principles refer to Section 2.2 “Compliance Requirements at a Glance” to see which cost principles apply to your organization and refer to Subpart E – Cost Principles at 45 CFR part 75. The allowability of costs under individual HRSA HRSA SF-424 Application Guide 21 awards also may be governed by requirements specified in the program statute, regulations, or the specific terms and conditions of the award, which will take precedence over the general information provided here and in the regulations that are referenced. Also note that a cost is not allowable if it is not reasonable, necessary, allocable to the award, or adequately documented (45 CFR § 75.403). Item Description Advertising and Public Relations Conditionally allowable. See 45 CFR § 75.421 for details. Advisory Councils Costs incurred by advisory councils or committees are unallowable unless authorized by law, the HHS awarding agency, or as an indirect cost where allocable to federal awards. See 45 CFR § 75.444, applicable to states, local governments, and Indian tribes. Alcoholic Beverages Costs of alcoholic beverages are unallowable. Bad Debts Unallowable. Entertainment Costs Conditionally unallowable. This includes the cost of amusements, social activities, and related incidental costs. 45 CFR § 75.438 clarifies when entertainment costs may be charged to a federal award with prior approval. Fundraising Costs Unallowable. Honoraria Unallowable when the primary intent is to confer distinction on, or to symbolize respect, esteem, or admiration for, the recipient of the honorarium. A payment for services rendered, such as a speaker’s fee under a conference award, is allowable. Invention, Patent, or Licensing Costs Unallowable as a direct cost unless specifically authorized in the NOA. May be allowable as indirect costs provided they are authorized under applicable cost principles and are included in the negotiation of indirect cost rates. Such costs include licensing or option fees, attorney’s fees for preparing or submitting patent applications, and fees paid to the U.S. Patent and Trademark Office for patent application, patent maintenance, or recordation of patent-related information. HRSA SF-424 Application Guide 22 Item Description Lobbying Generally unallowable, including costs of lobbying activities to influence the introduction, enactment, or modification of legislation by the U.S. Congress or a state legislature. Under certain circumstances, as provided in the applicable cost principles, costs associated with activities that might otherwise be considered “lobbying” that are directly related to the performance of a grant or cooperative agreement may be allowable. The recipient should obtain an advance understanding with the GMS if it intends to engage in these activities. See “Restriction on Lobbying” below and at 45 CFR § 75.450 for additional descriptions and examples of prohibited activities. Meals Generally unallowable except for the following: • Subjects and patients under study. • Where specifically approved as part of the project or program activity, e.g., in programs providing children’s services. • When an organization customarily provides meals to employees working beyond the normal workday, as a part of a formal compensation arrangement. • As part of a per diem or subsistence allowance provided in conjunction with allowable travel. • Under a conference award, when meals are a necessary and integral part of a conference, provided that meal costs are not duplicated in participants’ per diem or subsistence allowances. Guest meals are not allowable. Pre-award Costs Costs incurred before the effective date of the sponsored agreement, whether or not they would have been allowable thereunder if incurred after such date, are unallowable unless approved by HRSA or authorized under expanded authority. Where authorized by HRSA as an expanded authority, a recipient may, at its own risk and without HRSA prior approval, incur obligations and expenditures to cover costs up to (and including) 90 calendar days before the beginning date of the initial budget period of a new or competing continuation award if such costs • are necessary to conduct the project or program, and • would be allowable under the grant or cooperative agreement, if awarded. However, even if authorized as an expanded authority, if a specific expenditure would otherwise require prior approval, the cost or HRSA SF-424 Application Guide 23 Item Description activity must meet the same tests of allowability as if incurred after award. If not authorized as part of expanded authorities, the applicant/recipient must seek HRSA prior approval before incurring pre-award costs. HRSA prior approval is required for any costs to be incurred more than 90 calendar days before the beginning date of the initial budget period of a new or competing continuation award. Promotional Items (SWAG) Promotional items and memorabilia (e.g., pencils, cups, t-shirts, cookbooks, bags), gifts, and souvenirs designed to promote the recipient’s organization are unallowable as advertising/public relations costs. Finally, even if a cost is not included on the above list, if there is not adequate documentation of particular costs, such as vouchers, invoices, timekeeping records, etc. with enough detail to determine if the cost is allowable, then the organization’s annual audit might reflect that the costs cannot be charged to the HRSA award and a refund will be necessary if the costs remain undocumented. Funding Restrictions: If the NOFO notes that the program is subject to the General Provisions of P.L. 117-103, the following statutory mandates are in effect and organizations should ensure that they have policies and procedures in place, and effective financial management practices, to avoid expending any HRSA funds on prohibited activities. Your organization must comply with all legal requirements and restrictions applicable to the receipt of federal funding including statutory restrictions on use of funds for lobbying, executive salaries, gun control, abortion, etc. Like all other applicable award requirements, the effectiveness of these policies, procedures and controls is subject to audit. Division E, Title VII 1. Confidentiality Agreements (Section 742) Division H, Title II 2. Salary Limitation (Section 202) 3. Gun Control (Section 210) Division H, Title V 4. Anti-Lobbying (Section 503) 5. Acknowledgment of Federal Funding (Section 505) HRSA SF-424 Application Guide 24 6. Restriction on Abortions (Section 506) 7. Exceptions to Restriction on Abortions (Section 507) 8. Ban on Funding Human Embryo Research (Section 508) 9. Limit on Use of Funds for Promotion of Legalization of Controlled Substances (Section 509) 10. Restriction of Pornography on Computer Networks (Section 520) 11. Restriction on Purchase of Sterile Needles (Section 526) Details: Division E, Title VII 1. Confidentiality Agreements (Section 742) (a) None of the funds appropriated or otherwise made available by this or any other Act may be available for a contract, grant, or cooperative agreement with an entity that requires employees or contractors of such entity seeking to report fraud, waste, or abuse to sign internal confidentiality agreements or statements prohibiting or otherwise restricting such employees or contractors from lawfully reporting such waste, fraud, or abuse to a designated investigative or law enforcement representative of a Federal department or agency authorized to receive such information. (b) The limitation in subsection (a) shall not contravene requirements applicable to Standard Form 312, Form 4414, or any other form issued by a Federal department or agency governing the nondisclosure of classified information. Division H, Title II 2. Salary Limitation (Section 202) "None of the funds appropriated in this title shall be used to pay the salary of an individual, through a grant or other extramural mechanism, at a rate in excess of Executive Level II." Effective January 2022, the Executive Level II salary increased from $199,300 to $203,700. HRSA SF-424 Application Guide 25 This amount reflects an individual’s base salary exclusive of fringe and any income that an individual may be permitted to earn outside of the duties to the applicant organization. This salary limitation also applies to subawards/subcontracts under an HRSA grant or cooperative agreement. 3. Gun Control (Section 210) “None of the funds made available in this title may be used, in whole or in part, to advocate or promote gun control.” Division H, Title V 4. Anti-Lobbying (Section 503) “(a) No part of any appropriation contained in this Act or transferred pursuant to section 4002 of Public Law 111–148 shall be used, other than for normal and recognized executive legislative relationships, for publicity or propaganda purposes, for the preparation, distribution, or use of any kit, pamphlet, booklet, publication, electronic communication, radio, television, or video presentation designed to support or defeat the enactment of legislation before the Congress or any State or local legislature or legislative body, except in presentation to the Congress or any State or local legislature itself, or designed to support or defeat any proposed or pending regulation, administrative action, or order issued by the executive branch of any State or local government, except in presentation to the executive branch of any State or local government itself. (b) No part of any appropriation contained in this Act or transferred pursuant to section 4002 of Public Law 111–148 shall be used to pay the salary or expenses of any grant or contract recipient, or agent acting for such recipient, related to any activity designed to influence the enactment of legislation, appropriations, regulation, administrative action, or Executive order proposed or pending before the Congress or any State government, State legislature or local legislature or legislative body, other than for normal and recognized executive-legislative relationships or participation by an agency or officer of a State, local or tribal government in policymaking and administrative processes within the executive branch of that government. (c) The prohibitions in subsections (a) and (b) shall include any activity to advocate or promote any proposed, pending, or future Federal, State or local tax HRSA SF-424 Application Guide 26 increase, or any proposed, pending, or future requirement or restriction on any legal consumer product, including its sale or marketing, including but not limited to the advocacy or promotion of gun control." 5. Acknowledgment of Federal Funding (Section 505) "When issuing statements, press releases, requests for proposals, bid solicitations and other documents describing projects or programs funded in whole or in part with Federal money, all grantees receiving Federal funds included in this Act, including but not limited to State and local governments and recipients of Federal research grants, shall clearly state – (1) the percentage of the total costs of the program or project which will be financed with Federal money; (2) the dollar amount of Federal funds for the project or program; and (3) percentage and dollar amount of the total costs of the project or program that will be financed by non-governmental sources." 6. Restriction on Abortions (Section 506) “(a) None of the funds appropriated in this Act, and none of the funds in any trust fund to which funds are appropriated in this Act, shall be expended for any abortion. (b) None of the funds appropriated in this Act, and none of the funds in any trust fund to which funds are appropriated in this Act, shall be expended for health benefits coverage that includes coverage of abortion. (c) The term ‘‘health benefits coverage’’ means the package of services covered by a managed care provider or organization pursuant to a contract or other arrangement.” 7. Exceptions to Restriction on Abortions (Section 507) “(a) The limitations established in the preceding section shall not apply to an abortion – (1) if the pregnancy is the result of an act of rape or incest; or (2) in the case where a woman suffers from a physical disorder, physical injury, or physical illness, including a life-endangering physical condition caused by or arising from the pregnancy itself, that would, as certified by a physician, place the woman in danger of death unless an abortion is performed. HRSA SF-424 Application Guide 27 (b) Nothing in the preceding section shall be construed as prohibiting the expenditure by a State, locality, entity, or private person of State, local, or private funds (other than a State’s or locality’s contribution of Medicaid matching funds). (c) Nothing in the preceding section shall be construed as restricting the ability of any managed care provider from offering abortion coverage or the ability of a State or locality to contract separately with such a provider for such coverage with State funds (other than a State’s or locality’s contribution of Medicaid matching funds). (d)(1) None of the funds made available in this Act may be made available to a Federal agency or program, or to a State or local government, if such agency, program, or government subjects any institutional or individual health care entity to discrimination on the basis that the health care entity does not provide, pay for, provide coverage of, or refer for abortions. (d)(2) In this subsection, the term ‘‘health care entity’’ includes an individual physician or other health care professional, a hospital, a provider-sponsored organization, a health maintenance organization, a health insurance plan, or any other kind of health care facility, organization, or plan.” 8. Ban on Funding of Human Embryo Research (Section 508) “(a) None of the funds made available in this Act may be used for – (1) the creation of a human embryo or embryos for research purposes; or (2) research in which a human embryo or embryos are destroyed, discarded, or knowingly subjected to risk of injury or death greater than that allowed for research on fetuses in utero under 45 CFR 46.204(b) and section 498(b) of the Public Health Service Act (42 U.S.C. 289g(b)). (b) For purposes of this section, the term ‘‘human embryo or embryos’’ includes any organism, not protected as a human subject under 45 CFR 46 as of the date of the enactment of this Act, that is derived by fertilization, parthenogenesis, cloning, or any other means from one or more human gametes or human diploid cells. HRSA SF-424 Application Guide 28 9. Limitation on Use of Funds for Promotion of Legalization of Controlled Substances (Section 509) "(a) None of the funds made available in this Act may be used for any activity that promotes the legalization of any drug or other substance included in schedule I of the schedules of controlled substances established under section 202 of the Controlled Substances Act except for normal and recognized executive- congressional communications. (b)The limitation in subsection (a) shall not apply when there is significant medical evidence of a therapeutic advantage to the use of such drug or other substance or that federally sponsored clinical trials are being conducted to determine therapeutic advantage." 10. Restriction of Pornography on Computer Networks (Section 520) “(a) None of the funds made available in this Act may be used to maintain or establish a computer network unless such network blocks the viewing, downloading, and exchanging of pornography. (b) Nothing in subsection (a) shall limit the use of funds necessary for any Federal, State, tribal, or local law enforcement agency or any other entity carrying out criminal investigations, prosecution, or adjudication activities.” 11. Restriction on Purchase of Sterile Needles ( Section 526) "Notwithstanding any other provision of this Act, no funds appropriated in this Act shall be used to purchase sterile needles or syringes for the hypodermic injection of any illegal drug: Provided, That such limitation does not apply to the use of funds for elements of a program other than making such purchases if the relevant State or local health department, in consultation with the Centers for Disease Control and Prevention, determines that the State or local jurisdiction, as applicable, is experiencing, or is at risk for, a significant increase in hepatitis infections or an HIV outbreak due to injection drug use, and such program is operating in accordance with State and local law.” HRSA SF-424 Application Guide 29 v. Budget Narrative Provide a budget narrative that explains the amounts requested for each line of the budget in Section B. 6. Object Class Categories. The budget narrative should specifically describe how each item will support the achievement of proposed objectives. Be very careful about showing how each item in the “other” category is justified. For subsequent budget years, the narrative should highlight the changes from year 1 or clearly indicate that there are no substantive budget changes during the period of performance. Do NOT use the budget narrative to expand the project narrative. Budget for Multi-Year Award (periods of performance vary, maximum of 5 years) NOFOs invite applications for periods of performance of 1 to up to 5 years. Generally, awards, on a competitive basis, will be for a 1-year budget period; although the period of performance may be up to 5 years. Submission and HRSA approval of the progress report(s) and any other required submission or reports is the basis for the budget period renewal and release of subsequent year funds. Funding beyond the 1-year budget period but within the multi-year period of performance is subject to availability of funds, satisfactory progress of the recipient, and a determination that continued funding would be in the best interest of the Federal Government. In addition to requirements included in the program-specific NOFO, include the following in the Budget Narrative: Personnel Costs: Explain personnel costs by listing each staff member who will be supported from funds, name (if possible), position title, percentage of full-time equivalency, and annual salary. If the NOFO notes that the program is subject to the General Provisions of P.L. 117-103, the following applies: Award funds may not be used to pay the salary of an individual at a rate in excess of Executive Level II or $203,700. An individual's base salary, per se, is NOT constrained by the statutory provision for a limitation of salary. The rate limitation simply limits the amount that may be awarded and charged to HRSA grants and cooperative agreements. Provide an individual’s actual base salary if it exceeds the cap. See the Personnel Justification Table in the Budget section. Fringe Benefits: List the components that comprise the fringe benefit rate, for example health insurance, taxes, unemployment insurance, life insurance, retirement plans, and tuition reimbursement. The fringe benefits should be directly proportional to that portion of personnel costs that are allocated for the project. If the NOFO notes that the program is subject to the General Provisions of P.L. 117-103, the following applies: If an individual’s base salary exceeds the statutory salary cap (i.e., $203,700), adjust fringe proportionally. Travel: List travel costs according to local and long distance travel. For local travel, outline the mileage rate, number of miles, reason for travel and staff member/consumers completing the travel. The budget should also reflect the travel expenses (e.g., airfare, lodging, parking, per diem, etc.) for each person HRSA SF-424 Application Guide 30 and trip associated with participating in meetings and other proposed trainings or workshops. Name the traveler(s) if possible, describe the purpose of the travel, provide number of trips involved, the destinations, and the number of individuals for whom funds are requested. Equipment: List equipment costs and provide justification for the need of the equipment to carry out the program’s goals. Extensive justification and a detailed status of current equipment must be provided when requesting funds for the purchase of items that meet the definition of equipment (a unit cost of $5,000 or more and a useful life of 1 or more years). For example, large items of medical equipment. Supplies: List the items that the project will use to implement the proposed project. Separate items into three categories: office supplies (e.g., paper, pencils), medical supplies (e.g., syringes, blood tubes, gloves), and educational supplies (e.g., brochures, videos). Items must be listed separately. Per 45 CFR § 75.321, property will be classified as supplies if the acquisition cost is under $5,000. Note that items such as laptops, tablets, and desktop computers are classified as a supply if the value is under the $5,000 equipment threshold. Contractual/Subawards/Consortium/Consultant: Provide a clear explanation as to the purpose of each contract/subaward, how the costs were estimated, and the specific contract/subaward deliverables. You should not provide line item details on proposed contracts, rather you should provide the basis for your cost estimate for the contract. You are responsible for ensuring that your organization or institution has in place an established and adequate procurement system with fully developed written procedures for awarding and monitoring all contracts/subawards. Recipients must notify potential subrecipients that entities receiving subawards must be registered in SAM and provide the recipient with their UEI number (see 2 CFR part 25). For consultant services, list the total costs for all consultant services. In the budget narrative, identify each consultant, the services he/she will perform, total number of days, travel costs, and total estimated costs. For subawards to entities that will help carry out the work of the award, you should decribe how you will monitor their work to ensure the funds are being properly used. Per the Suspension and Debarment rules in the Uniform Administrative Requirements, as implemented by HRSA under 45 CFR § 75.213 non-federal entities and contractors are subject to the non-procurement debarment and suspension regulations implementing Executive Orders 12549 and 12689, 2 CFR parts 180 and 376. These regulations restrict awards, subawards and contracts with certain parties that are debarred, suspended or otherwise excluded from or ineligible for participation in federal assistance programs or activities. HRSA SF-424 Application Guide 31 Other: Include all costs that do not fit into any other category and provide an explanation of each cost in this category (e.g., EHR provider licenses, audit, legal counsel). In some cases, rent, utilities, and insurance fall under this category if they are not included in an approved indirect cost rate. You may include the cost of access accommodations as part of your project’s budget, including sign interpreters, plain language and health literacy print materials in alternate formats (including Braille, large print, etc.); and linguistic competence modifications (e.g., translation or interpretation services). Indirect Costs: *Indirect costs are those costs incurred for common or joint objectives which cannot be readily and specifically identified with a particular project or program but are necessary to the operations of the organization, e.g., the cost of operating and maintaining facilities, depreciation, and administrative salaries. For some institutions, the term “facilities and administration” (F&A) is used to denote indirect costs. If your organization does not have an indirect cost rate, you may wish to obtain one through HHS’s Cost Allocation Services (CAS) (formerly the Division of Cost Allocation (DCA)). Visit CAS’s website to learn more about rate agreements, the process for applying for them, and the regional offices which negotiate them. If indirect costs are included in the budget, attach a copy of the indirect cost rate agreement. If the indirect cost rate agreement is required per the NOFO, it will not count toward the page limit. Any non-federal entity that has never received a negotiated indirect cost rate, (except a governmental department or agency unit that receives more than $35 million in direct federal funding) may elect to charge a de minimis rate of 10 percent of modified total direct costs (MTDC) which may be used indefinitely. If chosen, this methodology once elected must be used consistently for all federal awards until such time as a non-federal entity chooses to negotiate for a rate, which the non- federal entity may apply to do at any time. vi. Staffing Plan and Personnel Requirements You must present a staffing plan and provide a justification for the plan that includes education and experience qualifications and rationale for the amount of time being requested for each staff position. Position descriptions that include the roles, responsibilities, and qualifications of proposed project staff must be included in the Attachment specified in the NOFO. Biographical sketches for any key employed personnel that will be assigned to work on the proposed project must be included in the Attachment specified in the NOFO. When applicable, biographical sketches should include training, language fluency and experience working with the cultural and linguistically diverse populations that are served by your programs. Finally, you should describe your method for ensuring that only actual work performed will be charged to the award and how that method meets federal cost principle requirements under § 75.430 Compensation—personal services. HRSA SF-424 Application Guide 32 vii. Assurances If research involving human subjects is anticipated, you must meet the requirements of the HHS regulations to protect human subjects from research risks as specified in the Code of Federal Regulations, Title 45 – Public Welfare, Part 46 – Protection of Human Subjects (45 CFR part 46), available online. If research involving human subjects is anticipated, you must hold a Federal Wide Assurance (FWA) of compliance from the Office of Human Research Protections (OHRP) before award. You must provide your Human Subject Assurance Number (from the FWA) in the application; if you do not have an assurance, you must indicate in the application that you will obtain one from OHRP before award. viii. Certifications Complete the required Certification Regarding Lobbying Form and, if applicable, the Disclosure of Lobbying Activities Form provided with the application package. Lobbying 1) No federal appropriated funds have been paid or will be paid, by or on behalf of the applicant, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any federal contract, the making of any federal grant, the making of any federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any federal contract, grant, loan, or cooperative agreement. 2) If any funds other than federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this federal contract, grant, loan, or cooperative agreement, the applicant must complete and submit Standard Form-LLL, ''Disclosure of Lobbying Activities,'' in accordance with its instructions. 3) Recipients of HRSA awards shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. Federal Debt Any organization or individual that is indebted to the United States, and has a judgment lien filed against it for a debt to the United States, is ineligible to receive a federal grant. By signing the SF-424, the applicant is certifying that they are not HRSA SF-424 Application Guide 33 delinquent on federal debt in accordance with OMB Circular A-129. (Examples of relevant debt include delinquent payroll or other taxes, audit disallowances, guaranteed and direct student loans, benefits that were overpaid, etc.). If an applicant is delinquent on federal debt, they should attach an explanation that includes proof that satisfactory arrangements have been made with the Agency to which the debt is owed. This explanation should be uploaded as an Attachment. Debarment, Suspension, Ineligibility, and Voluntary Exclusion Certification By submitting this proposal, the prospective recipient is providing the certification set out below: A. This certification in this clause is a material representation of fact. If it is later determined that the prospective recipient knowingly submitted an erroneous certification, in addition to other remedies available to the Federal Government, HHS may pursue available remedies, including but not limited to, suspension and/or debarment. B. The prospective recipient shall provide immediate written notice to HRSA if at any time the recipient learns that its certification was erroneous when submitted, or had become erroneous due to changed circumstances. C. The terms covered transaction, debarred, suspended, ineligible, lower tier covered transaction, participant, person, primary covered transaction, principal, proposal, and voluntarily excluded, as used in this certification, are defined in 2 CFR part 180, as supplemented by 2 CFR part 376. D. The prospective recipient agrees by submitting this proposal that, should the proposed covered transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is proposed for debarment under 2 CFR part 180, or 48 CFR part 9, subpart 9.4, debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized in writing by HRSA. E. The prospective recipient further agrees by submitting this proposal that it will include this clause titled “Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion,'' without modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions, and receive a copy of the signed attestation by such lower tier contractor/subrecipient. F. A recipient may rely upon a certification of a prospective recipient in a lower tier covered transaction that neither it nor its principals, are proposed for debarment under 2 CFR part 180 or 48 CFR part 9, subpart 9.4, debarred, suspended, ineligible, or voluntarily excluded from covered transactions, unless it knows that the certification is erroneous. A participant may decide the method and frequency by which it determines the eligibility of its principals. HRSA strongly encourages each participant to check the Excluded Parties database in the System for Award Management. G. Nothing contained in this certification requires establishment of a system of records in order to provide the certification required by this certification. H. Except for transactions authorized under paragraph E of this statement, if a participant in a covered transaction knowingly enters into a lower tier covered HRSA SF-424 Application Guide 34 transaction with a person who is proposed for debarment under 2 CFR part 180 or 48 CFR part 9, subpart 9.4, suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to the Federal Government, the Department may pursue available remedies, including, but not limited to, suspension and/or debarment. ix. Project Abstract Effective April 22, 2021 Use the Standard OMB-approved Project Abstract Summary Form that is included in the workspace application package. Do not upload the abstract as an attachment or it may count toward any applicable page limit. Start with the information below and provide a summary of the application in the Project Abstract field / box using 4,000 characters or less.  Address  Project Director Name  Contact Phone Numbers (Voice, Fax)  Email Address  Website Address, if applicable  List all grant program funds requested in the application, if applicable Because the abstract is often distributed to provide information to the public and Congress, prepare this so that it is clear, accurate, concise, and without reference to other parts of the application. It must include a brief description of the proposed project including the needs to be addressed, the proposed services, and the population group(s) to be served. If the application is funded, your project abstract information (as submitted) will be made available to public websites and/or databases including USAspending.gov. See the NOFO for additional information that may be required in the project abstract. x. Project Narrative This section provides a comprehensive description of all aspects of the proposed project. It should be succinct, self-explanatory, consistent with forms and attachments, and well organized so that reviewers can understand the proposed project. See the NOFO for specific narrative instructions. xi. Attachments Provide the attachments as specified in the NOFO to complete the content of the application. You must upload attachments into the application. Any hyperlinked attachments will not be reviewed/opened by HRSA. Unless otherwise noted, attachments count toward the application page limit specified in the NOFO. You must clearly label each attachment. HRSA SF-424 Application Guide 35 4.2. Narrative and Attachment Formatting Guidelines 4.2.1. Font Use an easily readable font, such as Times Roman, Arial, Courier, or CG Times. The text and table portions of the application must be single-spaced and submitted in not less than a 12-point font. Applications not adhering to 12-point font requirements may be deemed non-responsive and returned. For charts/graphs, footnotes, and budget tables, you may use a different pitch or size font but not less than 10-point or size font. It is vital that the charts/graphs are legible when scanned or reproduced. 4.2.2. Paper Size and Margins For duplication and scanning purposes, ensure that the application can be printed on 8½” x 11” white paper. Margins must be at least one inch at the top, bottom, left and right of the paper. Left-align text. 4.2.3. Names Include the name of the applicant and 10-digit award number (if competing continuation or competing supplement) on each page as a footer. 4.2.4. Section Headings Put all section headings flush left in bold type. 4.2.5. Page Numbering Do not number the standard OMB-approved forms. Number each attachment page sequentially. Reset the numbering for each attachment. (Treat each attachment/document as a separate section.) 4.2.6. Allowable Attachment or Document Types Unless otherwise noted in the NOFO, do not submit organizational brochures or other promotional materials, slides, films, clips, etc. The HRSA EHBs supports the attachment types listed below. Although Grants.gov allows you to upload other types of attachments, HRSA only accepts the following types of attachments. Files with unrecognizable extensions may not be accepted or may be corrupted, and will not be considered as part of the application. When HRSA prints the application, documents will print as you have formatted them. If using Excel or other spreadsheet documents, be aware that reviewers will only see information that is set in the “Print Area” of the document. File Attachment Types (acceptable by HRSA) o .DOC/.DOCX - Microsoft Word o .RTF - Rich Text Format o .TXT - Text o .WPD - Word Perfect Document o .PDF - Adobe Portable Document Format o .XLS/.XLSX - Microsoft Excel o .VSD – Microsoft Visio HRSA SF-424 Application Guide 36 File Attachment Names o Use only the following characters when naming your attachments: A-Z, a-z, 0-9, underscore (_), hyphen (-), space ( ), period, parenthesis (), curly braces {}, square brackets [], ampersand &, tilde ~, exclamation point !, Comma , Semicolon; Apostrophe ‘, At sign @, Number sign #, Dollar Sign $, Percent Sign %, Plus sign +, Equal sign =. o Limit the file attachment name to under 50 characters. Your application may be rejected by Grants.gov if you use attachment names greater than 50 characters. 4.3. Application Content Order (Table of Contents) HRSA uses an automatic numbering approach to ensure uniformity of all applications when printed for objective review. HRSA uses a standard package from Grants.gov (SF-424) and a standard order of forms (see the table on the next two pages). The NOFO also provides you with explicit instructions where to upload specific Attachments 1 to maximum of 15. HRSA SF-424 Application Guide 37 SF-424 Application for Federal Assistance – Table of Contents • It is mandatory to follow the instructions provided in this section to ensure that the application can be printed efficiently and consistently for review. • In NOFOs with page limits: failure to follow the instructions may make the application non-responsive. Non-responsive applications will not be considered. • For electronic submissions, you only have to number the electronic attachment pages sequentially, resetting the numbering for each attachment, i.e., start at page 1 for each attachment. Do not attempt to number standard OMB-approved form pages. • For electronic submissions, no Table of Contents is required for the entire application. HRSA will construct an electronic table of contents in the order specified. Application Section Form Type Instructions HRSA/Program Guidelines Application for Federal Assistance (SF-424) Form Pages 1, 2 & 3 of the SF-424 face page. Required. Not counted in the page limit Project Abstract Summary Form Form Ensure the Project Abstract field succinctly describes the project in plain language that the public can understand and use without the full proposal. Use 4,000 characters or less. Required. Not counted in the page limit. Refer to Section 4.1.ix of this Guide and the NOFO for detailed instructions, if applicable. Additional Congressional District Attachment Can be uploaded on the third page of SF- 424 - Box 16 If this attachment is included, it will be counted in the page limit. Project Narrative File(s) Attachment Form Form Supports the upload of Mandatory Project Narrative document Required. Not counted in the page limit. Mandatory Project Narrative Attachment Must be uploaded in Project Narrative File Attachment form. Click the “Add Mandatory Project Narrative File” button. Required attachment. Counted in the page limit. Refer to the NOFO for detailed instructions. Provide table of contents specific to this document only as the first page. SF-424A Budget Information - Non-Construction Programs Form Pages 1–2 to support structured budget for the request of Non-construction related funds. Required. Not counted in the page limit. Budget Narrative File(s) Attachment Form Form Supports the upload of Mandatory Budget Narrative. Required. Not counted in the page limit. HRSA SF-424 Application Guide 38 Application Section Form Type Instructions HRSA/Program Guidelines Mandatory Budget Narrative Attachment Must be uploaded in Budget Narrative File(s) Attachment form. Required attachment. Counted in the page limit. Refer to the Section 4.1.v of this SF- 424 Application Guide and the NOFO for detailed instructions. Project/Performance Site Location(s)3 Form Supports primary and 299 additional sites in structured form. Required. Not counted in the page limit. Additional Performance Site Location(s)3 Attachment Can be uploaded in the SF-424 Performance Site Location(s) form. Single document with all additional site location(s) If this attachment is included, it will be counted in the page limit. Grants.gov Lobbying Form Form Supports required lobbying assurances. Required. Not counted in the page limit. Disclosure of Lobbying Activities (SF-LLL) Form Supports structured data for lobbying activities. Optional, as applicable. Not counted in the page limit. Key Contacts Form Form Submit direct contact information for all principals* and key personnel**. Required. Not counted in the page limit. Note: HRSA requires the “Middle Name” for each principal and key personnel submitted on the Key Contacts Form. If the principal, key personnel has no middle name, insert “N/A” on the Key Contacts Form. Attachments Form Form Supports up to 15 numbered attachments. This form only contains the attachment list. Not counted in the page limit. Attachments 1–15 Attachment Can be uploaded in Attachments Form 1– 15. Refer to the attachment table provided in the NOFO for specific sequence. Unless the NOFO says otherwise, attachments are counted in the page limit. 3 Changes to improve grant award data accuracy have led HHS to require that applicant street addresses (SF-424 cover page and Project/Performance Site Location Form) contain a valid 9-digit zip code. Use the following USPS.com link to find your 9-digit zip code. HRSA SF-424 Application Guide 39 • To ensure that attachments are organized and printed in a consistent manner, follow the order provided in the NOFO. Note that these instructions may vary across programs. • Evidence of non-profit status and invention related documents, if requested, must be provided in the ATTACHMENTS FORM (not counted in the page limit). • Additional supporting documents, if applicable, can be provided using the available rows. Do not use the rows assigned to a specific purpose in the program NOFO. • Merge similar documents into a single document. Where several documents are expected in the attachment, ensure that a table of contents cover page is included specific to the attachment. The table of contents page will not be counted in the page limit. Attachment Number Attachment Description (Program Guidelines) Attachments 1–15 Please see instructions in the NOFO. *Principal: Per 2 CFR § 180.995, (a) An officer, director, owner, partner, principal investigator, or other person within a participant with management or supervisory responsibilities related to a covered transaction; or (b) A consultant or other person, whether or not employed by the participant or paid with federal funds, who— (1) Is in a position to handle federal funds; (2) Is in a position to influence or control the use of those funds; or, (3) Occupies a technical or professional position capable of substantially influencing the development or outcome of an activity required to perform the covered transaction. Per 2 CFR § 376.995, Individuals, in addition to those listed at 2 CFR § 180.995, who participate in HHS covered transactions including: (a) Providers of federally required audit services; and (b) Researchers. **Key Personnel: The Principal Investigator/Project Director (PI/PD) and other individuals who contribute to the programmatic development or execution of a project or program in a substantive, measurable way, whether or not they receive salaries or compensation under the award. HRSA SF-424 Application Guide 40 4.4. Application Page Limit The total of uploaded attachment pages that count against the page limit shall be no more than the page limit specified in Section IV. 2. of the NOFO when printed by HRSA. Standard OMB-approved forms included in the workspace application package do not count in the page limit. The abstract is the standard form (SF) "Project_Abstract Summary.” The abstract is no longer an attachment that counts in the page limit. Additionally, indirect Cost Rate Agreement and proof of non-profit status (if applicable) do not count in the limit. However, if you use an OMB-approved form that is not included in the workspace application package for your NOFO, it will count against the page limit. Therefore, we strongly recommend you use Grants.gov workspace forms associated with your NOFO to avoid exceeding the page limit. It is important to take appropriate measures to ensure your application does not exceed the specified page limit. Any application exceeding the page limit will not be read, evaluated, or considered for funding. Applications must be complete, within the maximum specified page limit, and validated by Grants.gov before the deadline. You must follow the instructions provided in this section. HRSA recommends that you print all attachments and confirm the number of pages before submission. 4.5. Submission Dates and Times Letter of Intent to Apply (ONLY if requested on the cover and in Section IV.7. of the NOFO) You are eligible to apply even if no letter of intent is submitted. The letter should identify your organization and its intent to apply, and briefly describe the proposal. HRSA will not acknowledge receipt of letters of intent. This letter should be sent via email by the date listed in NOFO to: HRSA Digital Services Operation (DSO) Use the HRSA opportunity number as email subject (HRSA-##-####) HRSADSO@hrsa.gov Application Due Date The due date for applications is 11:59 p.m. ET on the date listed in Section IV.4. Submission Dates and Times in the NOFO, unless otherwise noted. Applications completed online are considered formally submitted when the application has been HRSA SF-424 Application Guide 41 successfully transmitted electronically to the correct funding opportunity number, by the organization’s AOR through Grants.gov and validated by Grants.gov under the correct funding opportunity number on or before the deadline date and time. 4.6. Correcting Mistakes If, for any reason, an application is submitted more than once before the application due date, HRSA will only accept and review your last validated electronic submission, under the correct funding opportunity number, before the Grants.gov application due date as the final and only acceptable application. Applications submitted under the wrong funding opportunity number may be deemed non-responsive; refer to section 3.6 for more guidance. If you need to correct a Grants.gov application mistake, in Box 1 of the SF-424, check “Changed/Corrected Application,” and submit the corrected version before the application deadline. It is incumbent on you to ensure that the AOR is available to submit the application to HRSA by the published due date. HRSA will not accept submission or re-submission of incomplete, rejected, or otherwise delayed applications after the deadline. Therefore, we urge you to submit your application at least 3 calendar days before the deadline. If an application is rejected by Grants.gov due to errors, it must be corrected and resubmitted to Grants.gov before the deadline date and time. Deadline extensions will not be provided to applicants who do not correct errors and resubmit before the posted deadline. 4.7. Tips for Writing a Strong Application HRSA has designed a TA webpage to assist you in preparing your application. Resources include help with system registration, finding and applying for funding opportunities, writing strong applications, understanding the review process, and many other topics which you will find relevant. The webpage can be accessed at HRSA Apply For A Grant. In addition, you can access a concise resource offering tips for writing proposals for HHS grants and cooperative agreements at HHS Tips for Preparing Grant Proposals. 4.8. Withdrawing an Application You may withdraw your application from consideration at any time before an award is issued. Send notification of this withdrawal via email to ApplicationWaivers@hrsa.gov with a copy sent to the PC and GMS listed in the NOFO. HRSA SF-424 Application Guide 42 5. PROCESS OVERVIEW 5.1. Competing Applications through Grants.gov Using Workspace The process for submitting a competing application through Grants.gov using workspace is as follows: 1) HRSA posts all competing NOFOs on Grants.gov. 2) In order to apply for a HRSA award, you must complete the Grants.gov registration process. See Section 3 for more details. 3) Once the NOFO is available, you should search for the funding opportunity in Grants.gov by clicking the SEARCH GRANTS tab, entering the funding opportunity number (HRSA-##-####) and then selecting the funding opportunity or clicking the APPLICANTS tab and then clicking on How to Apply for Grants . 4) Create a workspace package. The NOFO, accessible via the instructions link, contains critical application instructions. Make note of the funding opportunity number. 5) Add workspace participants, complete the workspace package, check for errors, and notify the AOR the application is ready for submission. 6) Submit the application package through Grants.gov. 7) Track the status of your submitted application using “Track My Application” at Grants.gov until you receive email notifications that your application has been received and validated by Grants.gov and received by HRSA. Be sure the application has been validated under the correct funding opportunity number. 8) Once Grants.gov validates your application, you may track the status of the application within HRSA by using the “Track Your Application” widget, now available on HRSA’s website. The application tracker will let you know where your application is at every stage in the process. 5.2. Application Processing HRSA staff review each application for eligibility, responsiveness, completeness, and conformity with the requirements outlined in the relevant NOFO, including programmatic, budgetary, and grants management compliance. Applications that pass the initial HRSA completeness and eligibility screening will be reviewed and rated by a panel based on the program elements and review criteria presented in Section V. 1. Review Criteria of the relevant NOFO. All incomplete, ineligible, or otherwise non-compliant applications, and applications determined to be non-responsive to NOFO requirements will not be considered for funding. You may withdraw your application from consideration at any time before an award is issued. HRSA SF-424 Application Guide 43 For those applications that did not pass the initial screening, HRSA will advise applicants by email through the EHBs (sent to the individual signing the application on behalf of the organization) that the application will not be held for further consideration or be funded. The decision not to make an award or to make an award at a particular funding level, is discretionary and is not subject to appeal to any HRSA or HHS official or board. 5.3. Objective Review Information The Division of Independent Review is responsible for managing objective reviews within HRSA. The objective review process provides an objective evaluation of applications to the individuals responsible for making award decisions. Objective review is essential to ensuring selection of applications that best meet the needs of the program consistent with published evaluation criteria and providing assurance to the public that the evaluation process is impartial and fair. Applications competing for federal funds receive an objective and independent review performed by a committee of experts qualified by training and experience in particular fields or disciplines related to the program being reviewed. In selecting review committee members, other factors in addition to training and experience may be considered to improve the balance of the committee, e.g., geographic distribution. Each reviewer is screened to avoid conflicts of interest and is responsible for providing an objective, unbiased evaluation based on the review criteria presented in Section V. 1. Review Criteria of the NOFO. Applications that pass the initial HRSA completeness and eligibility screening will be reviewed and rated by a panel based on the program elements and review criteria presented in the NOFO. The review criteria are designed to enable the review panel to assess the quality of a proposed project and determine the likelihood of its success. The criteria are closely related to each other and are considered as a whole in judging the overall quality of an application. HRSA has procedures for assessing the technical merit of applications to provide for an objective review and to assist you in understanding the standards against which each application will be reviewed. HRSA has indicators for each review criterion to assist you in presenting pertinent information related to that criterion and to provide the reviewer with a standard for evaluation. See the review criteria outlined with specific detail and scoring points in the NOFOs. Funding factors may be applied during the objective review process or in the selection process. Funding factors are addressed in the NOFO, which will specify if you must make an affirmative request to be considered for a funding factor, what information is needed to demonstrate eligibility for the funding factor, and whether objective reviewers or HRSA staff determine if you’ve met the funding factor. The NOFO provides a detailed explanation of preferences, priorities, or special considerations with an explicit indication of their effect (e.g., whether they result in additional points being assigned). It is HRSA HRSA SF-424 Application Guide 44 policy that funding preferences, priorities, and special considerations must be published in the NOFO. You will receive written notification of the outcome of the objective review process, including a summary of the expert committee’s assessment of the application’s strengths and weaknesses, and whether the application was selected for funding. 5.4. Award Notification The Notice of Award (NOA) is the legal document issued to the recipient that indicates an award has been made and funds may be requested from HRSA. Until an awarding office has issued an NOA for the initial budget period, any costs you incur for the project are incurred at your own risk. HRSA may reimburse pre-award costs only to the extent that they would otherwise be allowable. The NOA sets forth the amount of funds granted, the terms and conditions of the award, the effective date of the award, the budget period for which initial support will be given, the non-federal share to be provided (if applicable), and the total period of performance for which support is contemplated. Signed by the Grants Management Officer (GMO), it is sent to the recipient’s AOR, and reflects the only authorizing document. Any other correspondence announcing that an application has been selected for award is not an authorization to begin performance. Generally, HRSA will issue the NOA before the start date of the award as listed in Section V.4 of the NOFO. A revised NOA may be issued during a budget period to effect an action resulting in a change in the period or amount of support or other change in the terms and conditions of award. An awarding office generally will not issue a revised NOA to reflect a recipient’s post-award rebudgeting. Applicants who are selected for funding may be required to respond in a satisfactory manner to conditions placed on their award document before funding can proceed. Letters of notification do not provide authorization to begin performance. Unsuccessful applicants will receive notification from HRSA’s Division of Grants Management Operations. 6. REPORTING REQUIREMENTS Successful applicants must comply with the following standard reporting and review activities, unless otherwise noted in the NOFO or NOA. Some programs require program-specific reporting; please see Section VI. 3. Reporting of the NOFO. a. Audit Requirements Comply with audit requirements of 45 CFR part 75, subpart F. Information on audits can be found on the Internet. HRSA SF-424 Application Guide 45 b. Status Reports 1) Federal Financial Report. The Federal Financial Report (SF-425) is required according to the following schedule: FFR Submission Schedule. The report is an accounting of expenditures under the project that year. Financial reports must be submitted electronically. More specific information will be included in the NOA. 2) Progress Report(s). The recipient must submit a progress report to HRSA on a quarterly, semi-annual, or annual basis (as specified in the NOFO) or condition of the award. For multi-year awards, submission and HRSA approval of recipient progress report(s) triggers the budget period renewal and release of subsequent year funds. More information will be provided in the NOA. 3) Final Report. A final report is due within 90 calendar days after the period of performance ends. The final report collects information relevant to program- specific goals and progress on strategies; core performance measurement data; impact of the overall project; the degree to which the recipient achieved the mission, goal and strategies outlined in the program; recipient objectives and accomplishments; barriers encountered; and responses to summary questions regarding the recipient’s overall experiences during the entire period of performance. Recipients must submit the final report online in the HRSA EHBs system. 4) Tangible Personal Property Report. If applicable, the recipient must submit the Tangible Personal Property Report (SF-428) and any related forms within 90 calendar days after the period of performance ends. Recipients are required to report all federally-owned property and acquired equipment with an acquisition cost of $5,000 or more per unit. Tangible personal property means property of any kind, except real property, that has physical existence. It includes equipment and supplies. Property may be provided by HRSA or acquired by the recipient with award funds. Federally-owned property consists of items that were furnished by the Federal Government. Tangible personal property reports must be submitted electronically through HRSA EHBs. More specific information will be included in the NOA. 5) Any other required reports and/or products specified in the NOFO. c. Transparency Act Reporting Requirements New awards (“Type 1”4) issued are subject to the reporting requirements of the Federal Funding Accountability and Transparency Act (FFATA) of 2006 (P. L. 109–282), as amended by section 6202 of P.L. 110–252, and implemented by 2 CFR part 170. IMPORTANT: The reporting requirements apply for the duration of 4 Part of a coding system HRSA uses to make distinctions between awards. The award type is the first digit of the “Award No.” as indicated on the Notice of Award (NOA). HRSA SF-424 Application Guide 46 the period of performance and so include all subsequent award actions to aforementioned HRSA grants and cooperative agreement awards (e.g., competing continuation (“Type 2”), non-competing continuation (“Type 5”), etc.). Grant and cooperative agreement recipients must report information for each first-tier subaward of $25,000 or more in federal funds and executive total compensation for the recipient’s and subrecipient’s five most highly compensated executives as outlined in Appendix A to 2 CFR part 170 (FFATA details are available online at Requirements for Federal Funding Accountability and Transparency Act Implementation). 7. AGENCY CONTACTS 7.1. Working with HRSA Program and Grants Management Staff For assistance with overall program-related questions, contact the PC listed in Section VII. Agency Contacts of the NOFO. For additional information regarding business, administrative, or fiscal issues, contact the GMS listed in Section VII. Agency Contacts of the NOFO. The PC and the GMS work as a team in many award-related activities. Contact Grants.gov Support for technical questions related to Grants.gov. 7.2. Grants.gov Customer Support Direct all questions regarding Grants.gov to the Grants.gov Call Center at 1-800-518-4726 (International callers dial 606-545-5035) or via email at Support@Grants.gov. Call Center hours of operation are 24 hours a day, 7 days a week, excluding federal holidays. Be sure to obtain a case number every time you call so that your issue can be tracked. For additional support with the Grants.gov website, visit Grants.gov Support. You can also visit the Grants.gov Self-Service Knowledge Base for answers to commonly asked questions. 8. FAQS AND OTHER INFORMATION 8.1. Software FAQs 8.1.1. What are the software requirements for using Grants.gov? You will need to download Adobe Reader. For information on Adobe Reader, go to Adobe Software Compatibility. HRSA SF-424 Application Guide 47 8.1.2. Can I download Adobe Reader onto my computer? There are software applications that allow you to successfully navigate the Grants.gov pages and complete your application. You can find these applications at Adobe Software Compatibility. However, depending on your organization’s computer network and security protocols you may not have the necessary permissions to download software onto your workstation. Contact your IT department or system administrator to download the software for you or give you access to this function. 8.1.3. Is Grants.gov Macintosh (Mac) compatible? Yes. 8.2. Application Receipt FAQs 8.2.1. When do I need to submit my application? Generally, applications must be submitted and validated via Grants.gov by 11:59 p.m. ET on the due date, however the time may vary. You should refer to the NOFO for exact submission dates and times. An application for HRSA funding must be both received and validated by Grants.gov under the correct funding opportunity number by the application deadline. HRSA strongly suggests submitting applications to Grants.gov at least 3 calendar days before the deadline to allow for any unforeseen circumstances. 8.2.2. What is the receipt date (the date the application is electronically received by Grants.gov or the date the data is received by HRSA)? The submission/receipt date is the date the application is electronically received and validated by Grants.gov. An application for HRSA funding must be both received and validated under the correct funding opportunity number by Grants.gov by the application deadline. Allow sufficient time to have the application validated, which can take up to 48 hours. 8.2.3 Once my application is submitted, how can I track my application and what emails can I expect from Grants.gov and HRSA? You can check the status of your application any time after submission by logging into Grants.gov and clicking on the Track My Application link. This link will also be included in the confirmation email that you receive from Grants.gov. When you submit your application in Grants.gov, it is first received and then validated by Grants.gov. Typically, this takes a few hours but it may take up to 48 hours during peak volumes. You will receive four emails from Grants.gov. The first will confirm receipt of your application by the Grants.gov system (“Received”). The second will indicate that the application has either been successfully validated (“Validated”) by the system before transmission to HRSA or has been rejected due to errors (“Rejected with Errors”). An application for HRSA funding must be both received and validated under the correct funding opportunity number by Grants.gov by the application deadline. HRSA SF-424 Application Guide 48 Subsequently, HRSA will download the application upon successful validation of your application by Grants.gov. The status of the application will then change to “Received by Agency” after successful validation and you will receive a third email from Grants.gov. HRSA will process the application to ensure that it has been submitted for the correct funding opportunity number, along with the correct award number (if applicable) and recipient/applicant organization. This may take up to 3 business days. HRSA will assign a unique tracking number to your application which will be posted to Grants.gov. The status of your application will then be changed to “Agency Tracking Number Assigned” and you will receive a fourth email from Grants.gov. • NOTE: Refer to FAQ 8.2.5 below for a summary of emails. 8.2.4. If a resubmission is required due to technological problems encountered using the Grants.gov system and the closing date has passed, what should I do? You must contact DGMO at HRSA, within 5 calendar days from the closing date, via email at ApplicationWaivers@hrsa.gov and provide a detailed explanation. Your email must include the HRSA funding opportunity number, the name, address, and telephone number of the organization, the organization’s UEI number, and the name and telephone number of the Project Director, as well as the Grants.gov Tracking Number (GRANTXXXXXXXX) assigned to your submission, along with a copy of the “Rejected with Errors” notification you received from Grants.gov. Extensions for funding opportunity deadlines are only granted in the rare event of a natural disaster or validated technical system problem on the side of the Government that prevented a timely application submission. An application for HRSA funding must be both received and validated under the correct funding opportunity number by the application deadline. 8.2.5 Can you summarize the emails received from Grants.gov and identify who will receive the emails? Submission Type Subject Timeframe Sent By Recipient Competing Application “Submission Receipt” Within 48 hours Grants.gov AOR “Submission Validation Receipt” OR “Rejected with Errors” Within 48 hours Grants.gov AOR “Grantor Agency Retrieval Receipt” Within hours of second email Grants.gov AOR HRSA SF-424 Application Guide 49 Submission Type Subject Timeframe Sent By Recipient “Agency Tracking Number Assignment” Within 3 business days Grants.gov AOR 8.3. Application Submission FAQ 8.3.1. How can I make sure that my electronic application is presented in the correct order for objective review? Follow the instructions provided in Section 4 to ensure that your application is presented in the correct order and is compliant with all the requirements. 8.4. Grants.gov FAQs For a list of frequently asked questions and answers maintained by Grants.gov, visit Frequently Asked Questions by Applicants. Grants.gov offers several tools and numerous user guides to assist applicants who are interested in applying for grant funds. To view the many applicant resources available through Grants.gov, visit Training Documents and Videos for Grants.gov. 8.5. Application Completeness Checklist  Have I read the NOFO and this SF-424 Application Guide thoroughly?  Is my organization eligible to apply for the funding opportunity?  Am I applying to the correct funding opportunity number?  Is my proposed project responsive to the stated goals and objectives of the program as specified in the NOFO?  Have I ensured my application does not exceed the funding ceiling amount specified in Section III of the NOFO?  Have I completed all forms and attachments as requested in Section IV of the NOFO and this Guide?  Have I ensured my application does not exceed the page limit, if applicable, specified in the NOFO?  Will I apply at least 3 calendar days before the deadline to accommodate any unforeseen circumstances?  Have I received confirmation emails from Grants.gov noting validation of successful submission? 8.6. Program-Specific Resources and Technical Assistance Refer to Section VIII of the NOFO for additional information/resources (e.g., TA calls/webinars, related programs, useful website addresses). HRSA SF-424 Application Guide 50 9. TECHNICAL ASSISTANCE RESOURCES HRSA’s Apply for a Grant TA webpage at https://www.hrsa.gov/grants/apply/ is a one- stop shop for potential applicants on how to apply for HRSA funding. Oakland County Laboratory Grant Application Application for Federal Assistance •1. Application •2. New •8a. County of Oakland •8b. 38-6004876 •8c. HZ4EUKDD7AB4 •8d. 1200 N Telegraph Rd., Pontiac MI 48341 •8f. Leigh-Anne Stafford, 248-858-1293, staffordl@oakgov.com •9. B. County Government •10. Community Project Funding/Congressional Directed Spending (CPF/CDS) from HHS and HRSA •12. [Funding Opportunity Number and title] •15. County of Oakland, Pontiac, MI for facilities and equipment to expand laboratory capabilities by construction and equipment purchases •16a. MI-011 •16b. MI-011 •17a. October 1, 2023 •17b. August 1, 2026 •18a. Federal: 1,200,000.00 •19. No •20. No •21. Agree •Authorized Representative: David Woodward Board Chair – Commissioner 248-296-5033 woodwardd@oakgov.com Project Abstract The Oakland County Health Division (OCHD) Laboratory fulfills an essential role in the protection and improvement of the health of Oakland County residents. Testing provided at OCHD brides a critical gap in access to care for the underinsured and uninsured. These services include real-time and rapid-result testing for communicable diseases and a variety of infectious diseases. OCHD Laboratory also performs an important function monitoring and testing key environmental health indicators, serving to protect and preserve drinking and surface water quality. In recognition of the Laboratory’s long-standing excellence, OCHD Laboratory was elected as one of seven Michigan State Regional Laboratories and currently acts a back-up for the State’s central laboratory. OCHD lab is also at the forefront of STI testing and research, working with the Centers for Disease Control and Prevention and helping validate testing for emerging STIs, such as Mycoplasma genitalium and Neisseria meningitidis. Oakland County is requesting your support to secure funding for expansion of a Health Division Laboratory, equipped with advanced technology to meet the growing public health needs of the community. The implementation of this project would enhance the capacity and capabilities of the Laboratory. Digital-drop-PCR instrumentation – currently used for COVID testing – will be improved to expand the County’s testing capabilities to trace the source of pollutants and monitor water quality at beaches throughout Oakland County. Hologic Panther digital instruments will be utilized to improve public health testing for influenza and hepatitis viruses, STDs and bacterial pathogens. This expansion will increase the capacity of OCHD testing, allowing the Health Division to process more labs for partner organizations, increasing access to quality care. Project Narrative Project Description The County of Oakland owns several buildings and the property at 1200 N. Telegraph Rd., Pontiac MI 48341 and adjoining addresses. Many of the county operations are housed on this large parcel of land including, but not limited to, Oakland County Sheriff’s Office, Oakland County Courts, Treasury, Health Division, Veterans Services, Medical Examiners, Animal Control, Information Technology, Executive Office and Emergency Management. Currently Oakland County owns the Medical Examiner’s Building at 1200 N Telegraph Road County Service Center Drive, Building 28E, Pontiac MI 48341. The building was constructed in 1999 and has a total of 38,705 square feet. The Medical Examiner’s office is responsible to investigate and determine the cause and manner of death in any violent, sudden, unexpected, suspicious or otherwise unexplained death, inclusive of all jail deaths and deaths in police custody occurring within Oakland County. Part of their function is to complete a forensic autopsy which is an examination conducted postmortem to address medicolegal objectives. When the Medical Examiner’s office was built in 1999, their second floor included two laboratories. A dry lab and wet lab. Currently, the Medical Examiner’s staff are only using the wet lab side of the second floor. The two laboratories are separated by a corridor and can be secured from doors leading into the separate lab areas. This project intends to covert the 2,300+ square feet of the dry lab into the Oakland County Health Division laboratory. Oakland County laboratory is certified under the Clinic Laboratory Improvement Amendments (CLIA) and Environmental, Great Lakes and Energy (EGLE) to complete tests that include, but not limited to, environmental testing such as water sample testing for water coliforms, inorganic chemistries or metals. The laboratory is also able to test wastewater to identify the presence of viral particles or chemicals in one geographic area. The laboratory also runs tests from our Oakland County Health Division clinic such as tests to detect chlamydia, gonorrhea, trichomoniasis, syphilis and HIV. The current laboratory is located at 1200 N Telegraph Rd, Building 32E, Pontiac MI 48341. The laboratory occupies a very small, secured portion of the building. Common Ground, a crisis and resource center, occupy the other parts of the building. The current space is not large enough to perform the current number of tests needed on a daily basis. In addition, as an approved Regional Laboratory for the State of Michigan, Oakland County is looking to expand their testing capacity for newly identified pathogens and concerns. The space at the Medical Examiners (Building 28E) would allow for them to expand their capacity with an open concept layout to allow for easier workflow and movement of staff and flexibility to move priorities. The project will include the renovation of the existing space at the the Medical Examiners building (28E) on the second floor. The space currently has millwork and overhead storage in a large open space. There is one small office included in the space. There are exterior windows along the south wall and north interior walls creating a corridor separating the spaces. The space does not currently have any plumbing for water lines or sinks in the space. The plumbing will be added into the area for sinks, eye wash stations and a drench shower. The sinks will be inserted into the existing millwork. The eye wash stations and drench shower will be installed within the room in a compliant distance from lab functions to meet safety protocols. A fume hood will be installed to prevent the release of hazardous substance by controlling and then exhausting hazardous and/or odorous chemicals. The hood will be installed and vented to the exterior of the building. The buildings existing HVAC system will be updated to balance the conditions for that space. The control panels will also be updated to allow for staff to monitor and change temperatures as needed. Finishing work will include cosmetic features and the electrical will be updated to provide outlets and capacity for all laboratory equipment. All work will be done in compliance with local and state codes. Storage equipment, desks and chairs will be purchased to allow for staff to work in the area submitting reports, analyzing results and all other responsibilities of the lab. The funding will also be used for project expenses such as architect/engineer fees, project management, signage, security and contingency. Moveable Equipment Costs for some items are estimates pending an onsite design once the project has started. All pricing will be based on county contract with furniture vendor following Oakland County purchasing guidelines. Item Description Unit Price Quantity Total Price Chairs (Zody Task Chair) $544.73 10 $5,447.30 Desks $6,76.16 5 $3,380.80 Storage Cabinets $1,500.00 7 $10,500.00 Stools $400.00 8 $3,200.00 Total $22,528.10 Budget Budget Narrative 4. Architectural and engineering fees - $30,000 Vendor will be selected following Oakland County purchasing process to create working drawing and floor plans for the contractor to follow for all electronical, pluming, construction and installation costs. 9. Construction = $807,091 Construction will be divided between internal County trades as well as external County contracted vendors and subcontractors. County Project Managers will oversee all trades. The scope of the work is listed below. •General conditions ($69,914.97) – project manager, superintendent, matts, dust and infectious control partitions and clean up •Concrete ($746.20) - cut, patch and repair •Metals ($2,690.87) - partition, galvanized studs •Finishes ($11,134.96) - wall demolition, tape and finishing work, floor finish, paint •Equipment ($77,037.40) - this section does not include movable equipment – fume hood, eye washing station, sinks, deluge drench shower •Furnishings ($91,993.36) - demolition and installation of new millwork with installed sinks •Plumbing ($58,581.17) - installation of piping and connections, and medical gas systems •Heating, Ventilating and Air Conditioning (HVAC) ($134,459.56) - balancing air, heating and ventilation equipment with increased volume and the addition of a ventilation hood, and associated controls •Electrical ($98,716.02) - conduit, circuit breakers, panels, receptacles and uninterruptible power supply (UPS) units •Electronic safety and security ($23,500.00) - access control with card keys •Miscellaneous ($238,317.00) - escalation costs (7.5%), bonds and insurance (2%), general conditions (15%), mark up on subcontractors (15%) 10. Moveable Equipment = $20,000 Equipment will include movable equipment not installed during the construction. Will use contracted and competitively bid pricing from county vendor for purchase and includes desks, chairs, storage cabinets and stools. 11. Miscellaneous = $24,500 Oakland County internal department such as Facilities, Maintenace & Operations (FM&O), Oakland County Information Technology and Building Safety will complete the work using Oakland County standards, vendors and equipment. •Signage ($2,500.00)– Internal signage will need to be changed to identify the lab for community partner drop-offs or private lab pick-ups. • Voice and Data lines and set-up of equipment ($5,000.00) - Oakland County Information Technology voice and data lines will need to be moved and/or added to accommodate the staff and equipment in that space. Additional connections are required for some laboratory equipment to provide reports and send information. •Security System updates ($2,000.00) - Oakland County Building Safety coordination efforts will aid in updating and/or adding card swipe access into the Medical Examiner’s laboratory and the Oakland County Health Division’s laboratory to ensure confidentiality of information, security of lab processes and compliance with licensing requirements. •Project Management ($15,000.00) - Oakland County Facilities Planning & Engineering division and their consultants will have staff to manage the overall project, contracted vendors, purchasing of all equipment, department approval and address all concerns with timelines and scope of work. 13. Contingencies = $299,343.00 •Design and Construction Contingency ($128,290.00) - a project contingency was added at $15% of the total project cost to cover additional needs and unexpected additional work or change to the project. •Inflation Contingency ($171,053.00) - based on the current market and increased cost to supplies and labor, an additional 20% contingency was placed on the overall project.