Welcome to the State of California 

Information and Education Grant (I&E) 2011- 2016
Request for Application (RFA) #11-10017

MO-10-0030 TPP

  • I&E 2011-2016 RFA # 11-10017 (PDF)Opens a new browser window.Revised 01-07-2011
  • Appendices
  • Exhibits
  • Attachments
  • Appendices

  • Appendix 1 – Welfare and Institutions Codes:  I&E Program (Word)Opens a new browser window.
  • Appendix 2 – Health and Safety Codes:  Sexual Health Education Accountability Act (Word)Opens a new browser window.
  • Appendix 3 – Education Codes: California Comprehensive Sexual Health and HIV/AIDS Prevention Education Act (Word)Opens a new browser window.
  • Appendix 4 – Certification of Compliance with the Sexual Health Education Accountability Act (Word)Opens a new browser window.
  • Appendix 5 –  Teen Births in California: A Resource for Planning and Policy (PDF)Opens a new browser window.
  • Appendix 6 – Needs Assessment Resources List (Word)Opens a new browser window.
  • Appendix 7 – Logic Model Samples (Word)Opens a new browser window.Revised 12-30-2010
  • Appendix 8 – Risk and Protective Factors  Resource (PDF)Opens a new browser window.
  • Appendix 9 – School Agreement Form (Word)Opens a new browser window.
  • Appendix 10 – I&E Project Interventions Criteria (Word)Opens a new browser window.Revised 12-30-2010
  • Appendix 11 – Family PACT Integration Requirements for Intervention Activities (Word)Opens a new browser window.
  • Appendix 12 – Project Plan Samples (Word)Opens a new browser window.Revised 12-30-2010
  • Appendix 13 – Workplan Samples (Word)Opens a new browser window.Revised 12-30-2010
  • Appendix 14 – Core Competencies for Adolescent Sexual and Reproductive Health (PDF)Opens a new browser window.
  • Appendix 15 – Duty Statement Samples (Word)Opens a new browser window.
  • Appendix 16 – Federal Financial Participation (FFP) User Guide (PDF)Opens a new browser window.
  • Appendix 17 – Agency Information Form (Word)Opens a new browser window.
  • Appendix 18 – CCC 307 - Certification (Word)Opens a new browser window.
  • Appendix 19 – Darfur Contracting Act (Word)Opens a new browser window.
  • Appendix 20 – Payee Data Record (STD 204) (Word)Opens a new browser window.
  • Appendix 21 – Software and Hardware Requirements (Word)Opens a new browser window.
  • Appendix 22 – Private Non Profit Corporation IRS Sample Letter (Word)Opens a new browser window.
  • Appendix 23 – Glossary/Definitions (Word)Opens a new browser window.
  • Appendix 24 – Application Technical Review Tool (Word)Opens a new browser window.Revised 12-30-2010
  • Appendix 25 – Tips for Completing CCG RFA Packet (Word)Opens a new browser window.
  • Appendix 26 – Budget Resource Document (Word)Opens a new browser window.
  • Appendix 27 – Consultant/Subcontractor Guidelines (Word)Opens a new browser window.
  • Appendix 28 – Application Intervention Summary Sample (Word)Opens a new browser window.NewPosted 12-30-2010
  • Exhibits

  • Exhibit A1 – Standard Grant Agreement (CDPH 1229) (PDF)Opens a new browser window.
  • Exhibit A – Scope of Work (FY 2011-2016) (PDF)Opens a new browser window.
  • Exhibit B – Budget Detail and Payment Provisions (PDF)Opens a new browser window.
  • Exhibit C – General Terms and Conditions (GTC 307) (PDF)Opens a new browser window.View or download this exhibit at this Internet site: http://www.ols.dgs.ca.gov/Standard+Language/default.htm
  • Exhibit D(F) – Special Terms and Conditions (PDF)Opens a new browser window.
  • Exhibit E – Additional Provisions (PDF)Opens a new browser window.
  • Exhibit F – Contractor’s Release (PDF)Opens a new browser window.
  • Exhibit G – Travel Reimbursement Information (PDF)Opens a new browser window.
  • Exhibit H – Contract Equipment Purchased with CDPH Funds (CDPH 1203) (PDF)Opens a new browser window.
  • Exhibit I – Inventory/Disposition of CDPH-Funded Equipment (CDPH 1204) (PDF)Opens a new browser window.
  • Exhibit J – HIPAA Business Associate Addendum or UC HIPAA Business Associate Addendum (PDF, 1.3 MB)Opens a new browser window.
  • Attachments

  • Attachment 1 – Application Checklist (Word)Opens a new browser window.Revised 12-30-2010
  • Attachment 2 – Application Cover Page (Word)Opens a new browser window.
  • Attachment 3 – Application Intervention Summary (Word)Opens a new browser window.Revised 12-30-2010
  • Attachment 4 – Logic Models (Word)Opens a new browser window.Revised 12-30-2010
  • Attachment 5 – Letter of Intent by Public Schools (Word)Opens a new browser window.
  • Attachment 6 – Letter of Intent by Family PACT Provider  (Word)Opens a new browser window.
  • Attachment 7 – Project Plan (Word)Opens a new browser window.
  • Attachment 8 – Bidders’ Teleconference/Webinar Question Form (Word)Opens a new browser window.
  • Attachment 9 – Bidders’ Teleconference/Webinar  Registration Form (Word)Opens a new browser window.
  • Attachment 10 – Letter of Intent to Submit an Application (Word)Opens a new browser window.
  • Attachment 11 – Self-Certification for I&E Collaboration with TPP Regional Network Form (Word)Opens a new browser window.
  • Attachment 12 –Duty Statements (Word)Opens a new browser window.
  • Attachment 13 – Applicant Budget Template (Excel)Opens a new browser window.
  • Attachment 14 – Subcontractor Budget Template (Excel)Opens a new browser window.
  • Attachment 15 – Subcontractor Summary (Word)Opens a new browser window.
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    Last modified on: 7/25/2012 2:25 PM