Common use of Mandatory Cover Letter Clause in Contracts

Mandatory Cover Letter. The applicant’s cover letter must clearly identify: • Project Title • Name of Applicant Organization (entity, individual, or consortium)  If applying as a consortium, the lead applicant should be listed, along with all known consortium partners (subrecipients or contractors) that provide Navigator services, if selected for award. • Indicate whether the applicant is an eligible public or private entity, individual, or consortium and the entity type ( e.g., chamber of commerce, community or consumer- 21 The SF-424 [Application for Federal Assistance] asks on page 1 for person to be contacted on matters concerning the application (i.e., a point of contact for any questions relating to the application). The Authorized Organizational Representative (AOR) must be included on page 3 of this form. Further, the AOR’s name/contact information and electronic signature, not the application contact unless he/she is the same as the AOR, must be included on page 3, item 21: “*By signing this application, I certify (1) to the statements contained in the list of certifications** and (2) that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001).” 22 The electronic signature on the SF-424, SF-424B, and SF-LLL will reflect the name of the individual logged into Xxxxxx.xxx that submits the application even if the correct AOR name and contact information is typed into the form. We cannot accept standard forms in which the AOR name/contact information does not match the electronic signature shown or if the information included is not for the AOR. focused nonprofit group, resource partner of Small Business Administration, or any other entity or individual who meets the requirements set forth in 45 C.F.R. § 155.210) • Authorized Organizational Representative (AOR)23 Name and Contact Information (email and phone number) • Project Director Name and Contact Information (email and phone number) • Internal and External Contacts24 (first and last names, phone numbers, and email addresses) • FFE state(s) to be served and an alphabetized list of all counties the applicant proposes to target • Amount of funding requested, per FFE if proposing to serve in multiple FFE states • List of Organization’s Board of Directors • Brief summary of whether the applying entity, individual, or any member of a consortium or contractor performing Navigator duties has ever been on a formal corrective action plan, including a warning letter, and for how long and when it was successfully completed the corrective action plan, while serving as a HHS Navigator awardee (or as an awardee of any other federal grant/cooperative agreement) • Brief statement in the Cover Letter attesting that the applying entity (including entity, individual, or any member of a consortium) is not an ineligible entity, as outlined in 45 C.F.R. §§ 155.210(d) and 155.215(a)(1)(i), and C4. Ineligibility Criteria. The letter must also include attestations that all other Navigator entities (including subrecipients and contractors performing Navigator duties, the Navigator(s) including the Navigator's staff),25 do not have any of the prohibited relationships with health insurance or stop loss insurance issuers that are outlined in C4. Ineligibility Criteria. 23 If selected for award, according to the HHS Grants Policy Statement (HHS GPS), the Authorized Organizational Representative is the designated representative of the applicant/recipient organization with authority to act on the organization’s behalf in matters related to the award and administration of grants. In signing a grant application, this individual agrees that the organization will assume the obligations imposed by applicable Federal statutes and regulations and other terms and conditions of the award, including any assurances, if a grant is awarded. 24 If the applicant receives an award, the internal contact will be CMS’ point of contact for day-to-day matters related to the operation of the Cooperative Agreement (typically the same person as the identified Principal Investigator/Project Director). According to the HHS GPS, the Principal Investigator/Project Director (PI/PD) is the individual designated by the recipient, responsible for the scientific, technical, or programmatic aspects of the grant and for day-to-day management of the project or program. The external contact will serve as the primary point of contact for external stakeholders, such as local, state, and regional entities interested in collaboration or media inquiries.

Mandatory Cover Letter. The applicant’s cover letter must clearly identify: • Project Title • Name of Applicant Organization (entity, individual, or consortium)  ▪ If applying as a consortium, the lead applicant should be listed, along with all known consortium partners (subrecipients or contractors) that provide Navigator services, if selected for award. • Indicate whether the applicant is an eligible public or private entity, individual, or consortium and the entity type ( e.g., chamber of commerce, community or consumer- 21 The SF-424 [Application for Federal Assistance] asks on page 1 for person to be contacted on matters concerning the application (i.e., a point of contact for any questions relating to the application). The Authorized Organizational Representative (AOR) must be included on page 3 of this form. Further, the AOR’s name/contact information and electronic signature, not the application contact unless he/she is the same as the AOR, must be included on page 3, item 21: “*By signing this application, I certify (1) to the statements contained in the list of certifications** and (2) that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001).” 22 The electronic signature on the SF-424, SF-424B, and SF-LLL will reflect the name of the individual logged into Xxxxxx.xxx that submits the application even if the correct AOR name and contact information is typed into the form. We cannot accept standard forms in which the AOR name/contact information does not match the electronic signature shown or if the information included is not for the AOR. focused nonprofit group, resource partner of Small Business Administration, or any other entity or individual who meets the requirements set forth in 45 C.F.R. § 155.210) • Authorized Organizational Representative (AOR)23 Name and Contact Information (email and phone number) • Project Director Name and Contact Information (email and phone number) • Internal and External Contacts24 (first and last names, phone numbers, and email addresses) • FFE state(s) to be served and an alphabetized list of all counties the applicant proposes to target • Amount of funding requested, per FFE if proposing to serve in multiple FFE states • List of Organization’s Board of Directors • Brief summary of whether the applying entity, individual, or any member of a consortium or contractor performing Navigator duties has ever been on a formal corrective action plan, including a warning letter, and for how long and when it was successfully completed the corrective action plan, while serving as a HHS Navigator awardee (or as an awardee of any other federal grant/cooperative agreement) • Brief statement in the Cover Letter attesting that the applying entity (including entity, individual, or any member of a consortium) is not an ineligible entity, as outlined in 45 C.F.R. §§ 155.210(d) and 155.215(a)(1)(i), and C4. Ineligibility Criteria. The letter must also include attestations that all other Navigator entities (including subrecipients and contractors performing Navigator duties, the Navigator(s) including the Navigator's staff),25 do not have any of the prohibited relationships with health insurance or stop loss insurance issuers that are outlined in C4. Ineligibility Criteria. 23 If selected for award, according to the HHS Grants Policy Statement (HHS GPS), the Authorized Organizational Representative is the designated representative of the applicant/recipient organization with authority to act on the organization’s behalf in matters related to the award and administration of grants. In signing a grant application, this individual agrees that the organization will assume the obligations imposed by applicable Federal statutes and regulations and other terms and conditions of the award, including any assurances, if a grant is awarded. 24 If the applicant receives an award, the internal contact will be CMS’ point of contact for day-to-day matters related to the operation of the Cooperative Agreement (typically the same person as the identified Principal Investigator/Project Director). According to the HHS GPS, the Principal Investigator/Project Director (PI/PD) is the individual designated by the recipient, responsible for the scientific, technical, or programmatic aspects of the grant and for day-to-day management of the project or program. The external contact will serve as the primary point of contact for external stakeholders, such as local, state, and regional entities interested in collaboration or media inquiries.

Mandatory Cover Letter. The applicant’s cover letter must clearly identify: • Project Title • Name of Applicant Organization (entity, individualindividua l, or consortium)  If applying as a consortium, the lead applicant should be listed, along with all known consortium partners (subrecipients or contractors) that provide Navigator services, if selected for award. • Indicate whether the applicant is an eligible public or private entity, individual, or consortium and the entity type ( e.g., chamber of commerce, community or consumer- 21 24 The SF-424 [Application for Federal Assistance] asks on page 1 for person to be contacted on matters concerning the application (i.e., a point of contact for any questions relating to the application). The Authorized Organizational Representative (AOR) must be included on page 3 of this form. Further, the AOR’s name/contact information and electronic signature, not the application contact unless he/she is the same as the AOR, must be included on page 3, item 21: “*By signing this application, I certify (1) to the statements contained in the list of certifications** and (2) that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001).” 22 25 The electronic signature on the SF-424, SF-424B, and SF-LLL will reflect the name of the individual logged into Xxxxxx.xxx that submits the application even if the correct AOR name and contact information is typed into the form. We cannot accept standard forms in which the AOR name/contact information does not match the electronic signature shown or if the information included is not for the AOR. ▪ If applying as a consortium, the lead applicant should be listed, along with all known consortium partners (subrecipients or contractors) that provide Navigator services, if selected for award. • Indicate whether the applicant is an eligible public or private entity, individua l, or consortium and the entity type ( e.g., chamber of commerce, community or consumer- focused nonprofit group, resource partner of Small Business Administration, or any other entity or individual individua l who meets the requirements set forth in 45 C.F.R. § 155.210) • Authorized Organizational Representative (AOR)23 AOR)26 Name and Contact Information (email and phone number) • Project Director Name and Contact Information (email and phone number) • Internal and External Contacts24 Contacts27 (first and last names, phone numbers, and email addresses) • FFE state(s) to be served and an alphabetized list of all counties the applicant proposes to target • Amount of funding requested, per FFE if proposing to serve in multiple FFE states • List of Organization’s Board of Directors • Brief summary of whether the applying entity, individualindividua l, or any member of a consortium or contractor performing Navigator duties has ever been on a formal corrective action plan, including a warning letter, and for how long and when it was successfully completed the corrective action plan, while serving as a HHS Navigator awardee (or as an awardee of any other federal grant/cooperative agreement) • Brief statement in the Cover Letter attesting that the applying entity (including entity, individualindividua l, or any member of a consortium) is not an ineligible entity, as outlined in 45 C.F.R. §§ 155.210(d) and 155.215(a)(1)(i), and C4. Ineligibility Criteria. The letter must also include attestations that all other othe r Navigator entities e ntitie s (including subrecipients subre cipie nts and contractors performing pe rforming Navigator dutiesdutie s, the Navigator(s) including the Navigator's staff),25 staff),28 do not have any of the prohibited prohibite d relationships with health insurance or stop loss insurance issuers that are outlined in C4. Ineligibility Criteria. 23 he alth 26 If selected for award, according to the HHS Grants Policy Statement (HHS GPS), the Authorized Organizational Representative is the designated representative of the applicant/recipient organization with authority to act on the organization’s behalf in matters related to the award and administration of grants. In signing a grant application, this individual agrees that the organization will assume the obligations imposed by applicable Federal statutes and regulations and other terms and conditions of the award, including any assurances, if a grant is awarded. 24 27 If the applicant receives an award, the internal contact will be CMS’ point of contact for day-to-day matters related to the operation of the Cooperative Agreement (typically the same person as the identified Principal Investigator/Project Director). According to the HHS GPS, the Principal Investigator/Project Director (PI/PD) is the individual designated by the recipient, responsible for the scientific, technical, or programmatic aspects of the grant and for day-to-day management of the project or program. The external contact will serve as the primary point of contact for external stakeholders, such as local, state, and regional entities interested in collaboration or media inquiries. 28 See the conflict of interest regulations at xxxxx://xxx.xxxx.xxx/cgi-bin/text- idx?c=ecfr&rgn=div5&view=text&node=45:1.0.1.2.70&idno=45#se45.1.155_1215 insurance or stop loss insurance issuers that are outline d in C4. Ine ligibility Xxxxx xxx.