a t t a c h m e n t- new york city（一个t t h m e n c t -纽约）.docVIP

ATTACHMENT SERVICE LEARNING REQUEST FOR PROPOSALS (RFP) PIN: 26008RESLRFP PROPOSAL FORMAT AND CONTENT FORMS  PROPOSAL SUMMARY RFP TITLE: SERVICE LEARNING PROGRAMS PIN: 26008RESLRFP Proposer Name: Address: City State Zip Code Tax Identification #: Contact Person: Title: Telephone #: Fax #: Authorized Representative: Title: Email Address: Signature: ____________________________________________ Date: / / Subcontracting Proposer will retain a subcontractor: YES NO If YES, state name of proposed subcontractor: Certification of Compliance with Minimum Qualification Requirement (Check the box that applies to indicate proposer is in compliance.) Not-for-Profit Status: Proposer is a not-for-profit incorporated entity in NYS (Attach a copy of the certificate.) Or has proof of filing with the Secretary of State for such status by the proposal submission due date indicated in this RFP. (Attach a copy of the application.) Tax exempt Status: Proposer is a tax exempt organization under Section 501(c)(3) of the Internal Revenue Code (Attach a copy of the exemption certificate.) Or has proof of applying for such status by the proposal submission due date indicated in this RFP. (Attach a copy of the application.) Proposed Service Options/Competitions (Check one box to indicate the proposed borough competition and one box to indicate the community district in which the program will be located.) Borough: Community District: Bronx: 1 2 3 4 5 6 7 8 9 10 11 12 Brooklyn: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Manhattan: 1 2 3 4 5 6 7 8 9 10 11 12 Queens: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Program Costs and Price