RFP - Promote Awareness and use of Zinc & ORS for the Treatment of Children Diarrheal Amongst Rural, Medical, Practitioners, Drug Stores and Mothers/Caregivers
Diarrhea Alleviation Through Zinc and ORS Therapy (DAZT)
Location: Uttar Pradesh
Last Date: May 8, 2011
Request
for Proposal (RFP)
RFP #:
1060-02-002
Issued
on: April 18, 2011
For:
Promote Awareness and use of
Zinc & ORS for the
Treatment of Children Diarrheal Amongst Rural, Medical,
Practitioners, Drug Stores and Mothers/Caregivers
Period of
Performance: Jun 2011 to 30th June 2013
Proposal
Deadline: 8th May 2011, at 5:00 pm in India
BACKGROUND
US Fund for UNICEF has
tasked AED-ARTS, LLC, a subsidiary of the Academy for Educational
Development (hereinafter referred to as "AED-ARTS"), in partnership
with a consortium of organizations to implement ‘Diarrhea Alleviation
Through Zinc and ORS Therapy (DAZT)’ project to reduce and rationally
manage childhood diarrhea. DAZT reduce morbidity and mortality related
to diarrheal disease among children under 5 years of age, through
deployment of new and improved approaches to scale up Zinc and Oral
Rehydration salts (ORS) for diarrhea treatment through both public and
private sector channels in two states (Gujrat and Uttar Pradesh) in
India. Ultimately this project aims to reduce the burden of diarrhea on
child health and increase child survival in India, and contribute to
improved child health outcomes and provide actionable information for
diarrhea treatment and dehydration management efforts around the world.
An important component
of the project is to promote the use of Zinc tablets/syrup & ORS
solution (Low-osmolarity ORS) as first line of treatment of childhood
diarrhea. Extensive research conducted over the last several years in
many countries including India has substantially demonstrated the
usefulness of giving new Low Osmolarity ORS and Zinc as the first line
treatment for childhood diarrhea. This treatment reduces stool output,
frequency and duration and helps prevent morbidity and mortality due to
diarrhea. The 10 - 14 day course of Zinc also helps in reducing the
chances of diarrhea recurrence in the next 3 months. WHO and UNICEF
have declared this to be the first line of treatment of childhood
diarrhea, which has also been endorsed by IAP (Indian Academy of
Pediatrics). Several Indian Pharmaceutical companies have introduced
Zinc formulations which are being increasingly prescribed by
pediatricians in mainly urban areas.
PURPOSE
The project goal is to
ensure long-term sustainability of zinc treatment by expanding
commercial production and usages of Zinc & ORS products in Uttar
Pradesh and Gujrat. Diarrhea Alleviation Through Zinc and ORS Therapy (DAZT)
was deliberately designed to engage the private sector in the
development, marketing, sale, and local acceptance of Zinc & ORS
treatment for diarrheal episodes.
This RFP is to be
carried out in Uttar Pradesh where the DAZT Project is being
implemented among rural health care providers & mothers.
The major indicators of
success of DAZT project will be
-
Rural Health Care
Providers sensitized to use ORS & Zinc Therapy for the treatment of
childhood diarrhea through interpersonal communication.
-
75% of the users gave
a full course of zinc & ORS to their wards during and after an
episode of diarrhea.
-
Awareness and use of
Zinc & ORS by the caregivers/mothers for the home based treatment of
childhood diarrhea.
-
Develop a cost effective business models between NGOs and private
sector leading to
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Increase knowledge
and practice of rational diarrhea management among Rural Health
Care Providers
-
Creating business
for long term partnership between NGO and private sector.
The main purpose of this RFP is to increase awareness &
usages of Zinc & ORS among Rural Health Care Providers & Mothers. The
project will involve promoting interactions between multiple partners
such as pharmaceutical manufacturers, NGOs, public health agencies and
professional bodies like IAP, IMA, NIMA, UPCDA and others. The project
will work extensively with rural health care practitioners & drug
stores to reinforce the introduction of new diarrhea treatment
practices.
Project
Area:
Uttar Pradesh – Barielly, Badaun, Shahjahnpur, Hardoi, Sitapur, Lucknow,
Barabanki, Sultanpur, Ambedkarnagar, Unnao, Kanpur Dehat and Faizabad.
PROPOSAL
ARTS is requesting that interested agencies bid on the following Scope
of Work to increase awareness & usages of Zinc & ORS among Rural Health
Care Providers & Mothers.
Scope of Work
The bidders will submit
proposals for the project implementation. The project funded by the
subcontract will reach rural health Care providers, Caregivers, drug
stores & households.
The proposal should
describe in details the intervention Area, Project Model/Approach,
Activity, M& E Plan and Manpower, expected outcome.
DAZT will supervise the
contractor throughout project to ensure technical adequacy of the work.
This will involve the contractor seeking DAZT assistance during the
formulation of project strategies, manpower selection etc. DAZT
representative will be present during the project actives. The
contractor will not make any changes in the approved the project
without the written approval of DAZT India.
The proposal should also
include a capability statement that reflects experience carrying out
similar project. It should include the curriculum vitae of the
principal staff and roles of other staff that will work on the project,
and identify the percentage of time each person will dedicate to the
project. The selected proposal will be revised and finalized in
collaboration with AED-ARTS.
The proposal submitted
for the interventions with Rural Health Care providers and
Mother/Caregivers, sensitization approach should be described
separately and total proposal should not be more than 15 pages
excluding budget.. For the reference Rural health Care Provider and
mother & caregiver proposal outline is given below.
Guidelines for the
Proposal to Reach Rural Health Care Providers (Rural Practitioners &
Drug Stores) and Mother & Caregivers
1. Project Area:
- DAZT will implement the project in 12 districts of Uttar Pradesh to
sensitize all Rural Health Care Providers.
2. Project
Model/Approach: - What is that unique idea organization has to
carry out the work and why it will be successful.
3. Project Activity:
- Please present a list of activities with explanation.
4. Expected
Outcomes/Results Of The Project (Qualitative and Quantitative): -
What this intervention will lead to? Please give numbers.
Example - Number of children who suffered from diarrhea
took Zinc for 14 days. Or
Number of Rural Health Care Providers knows about use
of ORS and Zinc during diarrhea.
Number of High Prescribers among rural health care
provider.
5. Monitoring Plan:
Describe how the project progress and/or outcome can be monitored.
6. Human resource:
Mention number of persons organization will recruit and at what level.
Give an organogram for this project. Please note that DAZT is planning
to sensitize each & every Rural health care provider based at
village/block/tehsil/district level.
Intervention Districts |
Total # Tehsil/Distirct |
# Tehsil only
Rural Health Care Providers to be Covered/District |
# Tehsil both
Rural Health Care Providers & Caregiver/Mothers to be Covered |
Intervention Area - UP |
62 |
50 |
12 |
Bareilly |
6 |
5 |
1 |
Budaun |
6 |
5 |
1 |
Shahjahanpur |
4 |
3 |
1 |
Sitapur |
6 |
5 |
1 |
Hardoi |
5 |
4 |
1 |
Kanpur Dehat |
5 |
4 |
1 |
Unnao |
5 |
4 |
1 |
Lucknow |
4 |
3 |
1 |
Barabanki |
6 |
5 |
1 |
Faizabad |
5 |
4 |
1 |
Ambedkar Nagar |
4 |
3 |
1 |
Sultanpur |
6 |
5 |
1 |
# Number of |
CONTRACT MECHANISM
This subcontract will be
issued as a firm, Fixed Price subcontract with a fixed payment
schedule. If an award is issued it will include a fixed price payment
schedule, with payments based upon completion of – and AED-ARTS
approval of – deliverables specified in the Sub-Contract Schedule
A line
item budget, presented in local currency ONLY, is to be presented
(sample format attached) showing anticipated costs of the proposed
project. Include as much detail as possible. A brief narrative
explanation and justification for each line item must be included in a
separate section entitled “budget notes.” Include data to support
actual costs and/or methodologies to support cost estimates. All
projected costs must be in accordance with the organization’s standard
practices and policies.
Salaries
- For each person (or category of personnel), specify the amount of
time projected to be spent working on the project and what total salary
this represents for each person. List names of individuals if known.
Fringe Benefits
- For each person, indicate the cost of fringe benefits, such as social
security, health insurance, yearly bonus, vacation allowance, etc.
Identify the items included in the fringe benefit calculation. Where
benefits are calculated separately from salary, they should be
consistent with local and national laws and policies. The rate must be
consistent with fringe benefits rates used in other contracts.
Travel and Transportation
- Indicate mode of travel; estimate number of trips, cost per trip
(transportation and expenses or per diem), and number of travel days
per trip. Include local travel expenses such as gasoline or mileage,
taxis, etc. Note: purchase of vehicles is not allowable.
Consultants
- Show anticipated fees for consultants hired in-country. Indicate
number of days and cost per day (must be in accordance with local
rates). Hiring of consultants from a third country is not permitted.
Other direct costs
- All other costs, including supplies, printing, postage/shipping,
telephone, utilities, equipment maintenance, translations, etc.
Indirect Costs -
Indirect costs are overhead expenses incurred as a result of the
project but not easily identified with the project’s activities. These
are administrative expenses that are related to overall general
operations and are shared among projects and/or functions. Examples
include executive oversight, accounting, grants management, legal
expenses, utilities, and facility maintenance. In so far as possible,
identifiable (allocable) costs should be requested and justified in the
proposal as direct costs, including those for dedicated ongoing project
management, facilities and support. Please provide detailed financial
backup documentation to substantiate the rates you assess. The
foundation only allows the indirect cost rates (10% and 15%) to be
applied to sub- contracts that are designated for research and
development.
To the extent that
indirect costs are applicable to a Foundation grant, such costs are
subject to the following limitations:
• 0% for governmental
agencies, other private foundations and for-profit organizations
• up to 10% for U.S.
universities
• up to 15% for all
other non-governmental organizations (NGOs), international
organizations and non-U.S. universities
These rates are the
maximum we allow under the Foundation’s policy. If an applicant has an
indirect- cost rate lower than the maximum provided above, the
applicant should not increase the funding request to the maximum.
SUBMISSION REQUIREMENTS
AED
is asking interested offerors to provide:
I.
Capability and Technical Experience Statement
– not to exceed three pages, indicating the following:
-
Timeline –
The contractor will be responsible
for developing a timeline of activities for the project
implementation so the timeline is adhered to and the work completed
in a timely manner. AED-ARTS anticipate awarding the contract by
and the selected
organization should be prepared to commence work immediately.
Particulars |
MONTHS |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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24 |
Activity 1 |
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Activity 5 |
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II.
Cost Proposal
– Please include signed and correctly completed bio-data 1420 sheets
for key personnel staff that will work on this activity (see Appendix
A) as part of your cost proposal. Provide a budget that reflects as
accurately as possible the real costs for these activities (See
Appendices B and C for definitions and a sample format). The budget
should be broken down by labor costs (please include the names of the
people who will do the work; and unit costs with an explanation of how
each unit cost was reached including travel costs, overhead or agency
fees, indirect and direct costs.) All agency fees must be clearly
stated including the basis on which they will be applied. Please
provide agency price list or “rate card” for these items or activities,
if available.
Offerors will submit
with their proposals a proposed budget with sufficient detail to allow
evaluation of elements of costs proposed.
Budgets should be submitted in.
Please also include a statement in the Cost Proposal that the
prices/costs contained therein must be valid for at least 180 days from
the date of submission. This must be stated in the Cost Proposal.
III.
Staffing -
Please identify no more than three key personnel to
include their names, experience and the percentage of time they will
spend on this activity. Include a resume (maximum three pages in
length) of each key personnel.
IV.
References -
Please include three (3) client references from entities
to which similar services were provided during the past three (3)
years. These references should include the name of the company,
contact person, telephone and fax numbers, and email addresses.
V.
Certifications
– Refer to Appendix D. Please note that certifications must be signed
off by written signatures. Typed signatures are not acceptable.
NOTE
In responding to this
Request for Proposals (RFP), Proposals should also include:
Ø
The
institution’s previous experience with similar activities in promoting
rural health care activities with mothers & caregivers or with rural
health care providers.
Ø
The resume
(not more than 2 page) of all key personnel included in their
proposals.
Ø
Complete
contact information in order for AED-ARTS to respond to proposals,
respond to issues raised by offerors to this RFP, and negotiate the
purchase order. Complete contact information includes names, titles,
and responsibilities for personnel; organizational street and mailing
addresses; and phone/fax numbers and e-mail addresses of key
individuals. Any additional relevant administrative/organizational
information should also be provided.
Ø
AED-ARTS
will not compensate bidders for its preparation of its response to this
RFP.
Ø
The
offeror should read the instructions carefully before submitting a
proposal. Any discrepancy in following these instructions or contract
provisions may disqualify a proposal without recourse on an appeal for
reconsideration at any stage.
Ø
All
written proposals and prices submitted must be valid for a period of
not less than ninety (90) calendar days from the closing date indicated
above. If an award is executed, AED-ARTS expects the price to be locked
in on a fixed price basis for the period of performance specified.
Ø
Although
present plans are to enter into discussions with those firms most
highly ranked following evaluation of proposals, AED-ARTS reserves the
right to award without discussions. Hence, proposals should be
submitted initially on the most favorable terms, from a price and
technical standpoint, which the offeror can submit to AED-ARTS.
Ø
Proposal should be submitted in Arial Font – 11, and should follow the
exact guidelines as mentioned in the guidelines for proposals to, under
Scope of work.
CRITERIA FOR
EVALUATION
All proposals received
by the stated closing date will be evaluated and ranked according to
the conditions described in selection criteria below. Each proposal
will be evaluated by a review committee based on evidence of the
following items:
Our aim is to select the
most appropriate, qualified and experienced organization to partner
with us on these critically important activities. Therefore, the
bidding process and the RFP have been designed to provide an objective
framework within which the technical capabilities and cost basis of all
competing organizations can be meaningfully evaluated and compared.
Through this RFP, all competing agencies are being provided with the
same information and parameters for their response.
Designated DAZT staff, will review the proposals. It is
DAZT’s intention to enter into final negotiations with the organization
(or organizations) whose proposal reflects the best value in terms of
technical quality and cost effectiveness. If a best and final round of
questions is deemed necessary by the selection committee, finalists
will be contacted to provide additional information or presentation of
their proposal.
Technical Scores
Technical Command and
Grasp 40 points
• Detailed
Strategy/Creativity
• Description
of approach and methodology to implement
•
Reasonableness of implementation timeline
Staff and Quality
Control Mechanisms 15 points
• Quality and
suitability of the project supervisor to handle the project
• Description
of supervisory staff, and their experience implementing project.
Experience/Past
Performance 15 points
• Organization
background, capabilities.
• Previous
experience in implementing health projects.
• Experience
in team building
Financial Scores
Finance and
Administration 30
points
•
Reasonableness of costs to complete the assignment
• Detailed and
comprehensive cost presentation
• Concordance
of the budget with the proposed activities
The offeror(s) securing
the highest score will be invited for negotiations.
According to the review
criteria stated, price will be a factor in determining the winning
proposal. However, all evaluation factors other than cost or price,
when combined, are significantly more important than cost or price.
RFP RESPONSE
INFORMATION
Proposals should be
submitted by 8th May 2011, at 5:00 pm in India. Any explanation
desired by a prospective offerors regarding the meaning or
interpretation of this solicitation must be requested in writing to Mr.
CD Sharma , Country Director-India by 18th April 2011. Any additional
information given to a prospective offeror will be considered an
amendment of the solicitation and will be provided to all other
prospective offerors.
Proposals should
be submitted in electronic version to
aedartsindia@gmail.comand in
hardcopy to :
Mr. C D Sharma
AED-ARTS
2-C/2, Parkwood Apartments
Rao Tula Ram Marg , New Delhi-110022
LATE SUBMISSIONS,
MODIFICATIONS, AND WITHDRAWALS OF PROPOSALS
At the discretion of AED-ARTS,
any proposal received at the office designated in the solicitation
after the exact date and time specified for the receipt may not be
considered unless it is received before award is made and it was
determined by AED-ARTS that the late receipt was due solely to
mishandling by AED-ARTS after receipt at its offices.
Proposals may be
withdrawn by written notice, email or facsimile received at any time
before award. Proposals may be withdrawn in person by an offeror or his
authorized representative, if the representative’s identity is made
known and the representative signs a receipt for the proposal before
award.
FALSE STATEMENTS IN
OFFER
False
Statements in Offer
- Offerors must provide full, accurate and complete information as
required by this solicitation and its attachments.
Discrepancies
- Please read the instructions carefully before submitting your
proposal. Any discrepancy in following the instructions or contract
provisions may disqualify your proposal without recourse or an appeal
for reconsideration at any stage.
Ownership
- Proposals and any
products produced should an award be executed become property of AED-ARTS.
If an award is executed, the activities will be considered to be
“work-made-for hire.”
– END OF RFP –
ANNEX A
BUDGET
AND FINANCIAL INFORMATION
This
subcontract will be issued as a firm, Fixed Price subcontract with a
fixed payment schedule. If an award is issued it will include a fixed
price payment schedule, with payments based upon completion of – and
AED-ARTS approval of – deliverables specified in the Sub-Contract
Schedule
A line
item budget, presented in local currency ONLY, is to be presented
(sample format attached) showing anticipated costs of the proposed
project. Include as much detail as possible. A brief narrative
explanation and justification for each line item must be included in a
separate section entitled “budget notes.” Include data to support
actual costs and/or methodologies to support cost estimates. All
projected costs must be in accordance with the organization’s standard
practices and policies.
Salaries
- For each person (or category of personnel), specify the amount of
time projected to be spent working on the project and what total salary
this represents for each person. List names of individuals if known.
Fringe
Benefits
- For each person, indicate the cost of fringe benefits, such as social
security, health insurance, yearly bonus, vacation allowance, etc.
Identify the items included in the fringe benefit calculation. Where
benefits are calculated separately from salary, they should be
consistent with local and national laws and policies. The rate must be
consistent with fringe benefits rates used in other contracts.
Travel and
Transportation
- Indicate mode of travel; estimate number of trips, cost per trip
(transportation and expenses or per diem), and number of travel days
per trip. Include local travel expenses such as gasoline or mileage,
taxis, etc. Note: purchase of vehicles is not allowable.
Consultants
- Show anticipated fees for consultants hired in-country. Indicate
number of days and cost per day (must be in accordance with local
rates). Hiring of consultants from a third country is not permitted.
Other
direct costs
- All other costs, including supplies, printing, postage/shipping,
telephone, utilities, equipment maintenance, translations, etc.
Indirect
Costs - Indirect costs are overhead expenses incurred as a result of
the project but not easily identified with the project’s activities.
These are administrative expenses that are related to overall general
operations and are shared among projects and/or functions. Examples
include executive oversight, accounting, grants management, legal
expenses, utilities, and facility maintenance. In so far as possible,
identifiable (allocable) costs should be requested and justified in the
proposal as direct costs, including those for dedicated ongoing project
management, facilities and support. Please provide detailed financial
backup documentation to substantiate the rates you assess. The
foundation only allows the indirect cost rates (10% and 15%) to be
applied to sub- contracts that are designated for research and
development.
To the
extent that indirect costs are applicable to a Foundation grant, such
costs are subject to the following limitations:
• 0% for
governmental agencies, other private foundations and for-profit
organizations
• up to
10% for U.S. universities
• up to
15% for all other non-governmental organizations (NGOs), international
organizations and non-U.S. universities
These
rates are the maximum we allow under the Foundation’s policy. If an
applicant has an indirect- cost rate lower than the maximum provided
above, the applicant should not increase the funding request to the
maximum.
OMB
Control No. 0412-0520
CONTRACTOR PERSONNEL BIOGRAPHICAL DATA SHEET
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1.
Applicant/Employee Name
(Last, First,
Middle) |
2. Contractor's
Name |
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Academy for
Educational Development |
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3.
Applicant/Employee Address |
4. Contract No.
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5. Position Under
Contract |
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6. Expected Salary
(in local currency) |
7. Proposed Salary
(in
dollars for budget purposes)
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8. Telephone
Number |
9. Place of Birth |
10. Citizenship
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11. Country of
Assignment/Hiring |
12. Duration of
Assignment/Employment |
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13.
EDUCATION
(include all college or university degrees) |
14. LANGUAGE
PROFICIENCY
(See
instructions on reverse) |
NAME AND
LOCATION OF INSTITUTION |
MAJOR |
DEGREE |
YEAR |
LANGUAGE |
Proficiency Speaking |
Proficiency
Reading |
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14. EMPLOYMENT
HISTORY
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15. Salary: Net
___ Gross ___ |
16. Employment
Period/Salary:
(most recent first/in
currency paid) |
Give
last three (3) years. List salaries separate for each year.
Continue on separate page if necessary. |
From |
To |
Amount |
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SPECIFIC CONSULTANT
SERVICES
(give last three (3) years) |
SERVICES PERFORMED |
COMPANY'S NAME AND ADDRESS
POINT OF CONTACT & TELEPHONE #
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Dates of Service
(MM/DD/YY) |
Daily
Rate
(in local |
Days at Rate
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From |
To |
Currency) |
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18.
CERTIFICATION: To the best of my knowledge the above facts as
stated are true and correct. |
Signature of
Applicant/Employee |
Date |
19. CONTRACTOR'S
CERTIFICATION: (To
be signed by responsible representative of Contractor) |
Contractor certifies in submitting this form that it has taken
reasonable steps (in accordance with sound business practices) to
verify the information contained in this form. Contractor
understands that US FUND FOR UNICEF may rely on the accuracy of
such information in negotiating and reimbursing personnel under
this contract. The making of certifications that are false,
fictitious, or fraudulent, or that are based on inadequately
verified information, may result in appropriate remedial action
by US FUND FOR UNICEF , taking into consideration all of the
pertinent facts and circumstances, ranging from refund claims to
criminal prosecution. |
Signature of
Contractor's Representative |
Date |
AED-ARTS/US
FUND FOR UNICEF Local Staff 1420 (2003)
INSTRUCTIONS
Applicant/Employee to complete blocks 1, 3, 8-10, 13-17 and sign
block 18.
Indicate
your language proficiency in block 14 using the following numeric
Interagency Language Roundtable levels (Foreign Service Institute
levels). Also, the following provides brief descriptions of
proficiency levels 2, 3, 4, and 5. "S" indicates speaking ability
and "R" indicates reading ability. For more in depth description of
the levels refer to US FUND FOR UNICEF Handbook 28.
2 Limited working proficiency
S Able to satisfy routine social demands and limited work
requirements.
R Sufficient comprehension to read simple, authentic written
material in a form equivalent to usual printing or typescript on
familiar subjects.
3 General professional proficiency
S Able to speak the language with sufficient structural
accuracy and vocabulary to participate effectively in most formal and
informal conversations.
R Able to read within a normal range of speed and with almost
complete comprehension.
4 Advanced professional proficiency
S Able to use the language fluently and accurately on all
levels.
R Nearly native ability to read and understand extremely
difficult or abstract prose, colloquialisms and slang.
5 Functional native proficiency
S Speaking proficiency is functionally equivalent to that of
a highly articulate well-educated native speaker.
R Reading proficiency is functionally equivalent to that of
the well-educated native reader. |
PAPERWORK REDUCTION ACT INFORMATION
The
information requested by this form is necessary for prudent
management and administration of public funds under US FUND FOR
UNICEF contracts. The information helps US FUND FOR UNICEF
estimate overseas logistic support and allowances; the educational
information provides an indication of qualifications; the salary
information is used as a means of cost monitoring and to help
determine reasonableness of proposed salary. |
PAPERWORK REDUCTION ACT NOTICE
Public
reporting burden for this collection of information is estimated to
average thirty minutes per response, including the time for reviewing
instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the
collection of information. Send comments regarding this burden
estimate or any other aspect of this collection of information,
including suggestions for reducing this burden, to:
|
CERTIFICATIONS – MUST BE COMPLETED AND SIGNED BY EACH BIDDER AND RETURNED
AS PART OF THE PROPOSAL SUBMISSION PACKAGE
Certifications
CERTIFICATION REGARDING TERRORIST FINANCING
By signing and submitting this application, the
prospective recipient provides the certification set out below:
1.
The Recipient, to the best of its
current knowledge, did not provide, within the previous ten years, and
will take all reasonable steps to ensure that it does not and will not
knowingly provide, material support or resources to any individual or
entity that commits, attempts to commit, advocates, facilitates, or
participates in terrorist acts, or has committed, attempted to commit,
facilitated, or participated in terrorist acts, as that term is defined
in paragraph 3.
2.
The following steps may enable
the Recipient to comply with its obligations under paragraph 1:
a.
Before providing any material support or resources to an
individual or entity, the Recipient will verify that the individual or
entity does not (i) appear on the master list of Specially Designated
Nationals and Blocked Persons, which list is maintained by the U.S.
Treasury’s Office of Foreign Assets Control (OFAC) and is available
online at OFAC’s website:
http://www.treas.gov/offices/eotffc/ofac/sdn/t11sdn.pdf,
or (ii) is not included in any supplementary information concerning
prohibited individuals or entities that may be provided by US FUND FOR
UNICEF to the Recipient.
b.
Before providing any material
support or resources to an individual or entity, the Recipient also will
verify that the individual or entity has not been designated by the
United Nations Security (UNSC) sanctions committee established under UNSC
Resolution 1267 (1999) (the “1267 Committee”) [individuals and entities
linked to the Taliban, Usama bin Laden, or the Al Qaida Organization].
To determine whether there has been a published designation of an
individual or entity by the 1267 Committee, the Recipient should refer to
the consolidated list available online at the Committee’s website:
http://www.un.org/Docs/sc/committees/1267/1267ListEng.htm.
c.
Before providing any material
support or resources to an individual or entity, the Recipient will
consider all information about that individual or entity of which it is
aware and all public information that is reasonably available to it or of
which it should be aware.
d.
The Recipient also will implement
reasonable monitoring and oversight procedures to safeguard against
assistance being diverted to support terrorist activity.
3.
For purposes of this
Certification-
a.
“Material support and resources”
means currency or monetary instruments or financial securities, financial
services, lodging, training, expert advice or assistance, safehouses,
false documentation or identification, communications equipment,
facilities, weapons, lethal substances, explosives, personnel,
transportation, and other physical assets, except medicine or religious
materials.”
b.
“Terrorist act” means-
(i)
an act prohibited pursuant to one of the 12 United Nations
Conventions and Protocols related to terrorism (see UN terrorism
conventions Internet site:
http://untreaty.un.org/English/Terrorism.asp);
or
(ii)
an act of premeditated,
politically motivated violence perpetrated against noncombatant targets
by subnational groups or clandestine agents; or
(iii)
any other act intended to cause
death or serious bodily injury to a civilian, or to any other person not
taking an active part in hostilities in a situation of armed conflict,
when the purpose of such act, by its nature or context, is to intimidate
a population, or to compel a government or an international organization
to do or to abstain from doing any act.
c.
“Entity” means a partnership,
association, corporation, or other organization, group or subgroup.
d.
References in this Certification
to the provision of material support and resources shall not be deemed to
include the furnishing of US FUND FOR UNICEF funds or US FUND FOR UNICEF
-financed commodities to the ultimate beneficiaries of US FUND FOR
UNICEF assistance, such as recipients of food, medical care,
micro-enterprise loans, shelter, etc., unless the Recipient has reason to
believe that one or more of these beneficiaries commits, attempts to
commit, advocates, facilitates, or participates in terrorist acts, or has
committed, attempted to commit, facilitated or participated in terrorist
acts.
e.
The Recipient’s obligations under
paragraph 1 are not applicable to the procurement of goods and/or
services by the Recipient that are acquired in the ordinary course of
business through contract or purchase, e.g., utilities, rents, office
supplies, gasoline, etc., unless the Recipient has reason to believe that
a vendor or supplier of such goods and services commits, attempts to
commit, advocates, facilitates, or participates in terrorist acts, or has
committed, attempted to commit, facilitated or participated in terrorist
acts.
This Certification is an express term and condition of any
agreement issued as a result of this application, and any violation of it
shall be grounds for unilateral termination of the agreement by AED-ARTS
prior to the end of its term.
For Subcontractor:
Signature:
Typed
Name:
Title:
Name of
Organization:
Date:
1.
CERTIFICATION REGARDING DEBARMENT, SUSPENSION,
AND OTHER RESPONSIBILITY MATTERS -- PRIMARY COVERED TRANSACTIONS
(a) Instructions for Certification
1. By signing and submitting this proposal, the prospective
primary participant is providing the certification set out below.
2. The inability of a person to provide the certification
required below will not necessarily result in denial of participation in
this covered transaction. The prospective participant shall submit an
explanation of why it cannot provide the certification set out below.
The certification or explanation will be considered in connection with
the department or agency’s determination whether to enter into this
transaction. However, failure of the prospective primary participant to
furnish a certification or an explanation shall disqualify such person
from participation in this transaction.
3. The certification in this clause is a material
representation of fact upon which reliance was placed when the department
or agency determined to enter into this transaction. If it is later
determined that the prospective primary participant knowingly rendered an
erroneous certification, in addition to other remedies available to the
Federal Government, the department or agency may terminate this
transaction for cause or default.
4. The prospective primary participant shall provide
immediate written notice to the department or agency to whom this
proposal is submitted if at any time the prospective primary participant
learns that this certification was erroneous when submitted or has become
erroneous by reason of changed circumstances.
5. 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 clause, have the meaning set out in the
Definitions and Coverage sections of the rules implementing Executive
Order 12549. You may contact the department or agency to which this
proposal is being submitted for assistance in obtaining a copy of those
regulations.
6. The prospective primary participant 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 debarred, suspended, declared
ineligible, or voluntarily excluded from participation in this covered
transaction, unless authorized by the department or agency entering into
this transaction.
7. The prospective primary participant further agrees by
submitting this proposal that it will include the clause titled
“Certification Regarding Debarment, Suspension, Ineligibility and
Voluntary Exclusion--Lower Tier Covered Transaction,” provided by the
department or agency entering into this covered transaction, without
modification, in all lower tier covered transactions and in all
solicitations for lower tier covered transactions.
8. A participant in a covered transaction may rely upon a
certification of a prospective participant in a lower tier covered
transaction that it is not debarred, suspended, ineligible, or
voluntarily excluded from the covered transaction, unless it knows that
the certification is erroneous. A participant may decide the methods and
frequency by which it determines the eligibility of its principals. Each
participant may, but is not required to, check the Nonprocurement List.
9. Nothing contained in the foregoing shall be construed to
require establishment of a system of records in order to render in good
faith the certification required by this clause. The knowledge and
information of a participant is not required to exceed that which is
normally possessed by a prudent person in the ordinary course of business
dealing.
10.
Except for transactions authorized under paragraph 6 of these
instructions, if a participant in a covered transaction knowingly enters
into a lower tier covered transaction with a person who is suspended,
debarred, ineligible, or voluntarily excluded from participation in this
transaction, in addition to other remedies available to the Federal
Government, the department or agency may terminate this transaction for
cause or default.
(b) Certification Regarding Debarment,
Suspension, and Other Responsibility Matters--Primary Covered
Transactions
(1) The prospective primary participant certifies to the best
of its knowledge and belief, the it and its principals:
(A) Are not presently debarred, suspended, proposed for
debarment, declared ineligible, or voluntarily excluded from covered
transactions by any Federal department or agency;
(B) Have not within a three-year period preceding this proposal
been convicted of or had a civil judgement rendered against them for
commission of fraud or a criminal offense in connection with obtaining,
attempting to obtain, or performing a public (Federal, State or local)
transaction or contract under a public transaction; violation of Federal
or State antitrust statutes or commission of embezzlement, theft,
forgery, bribery, falsification or destruction of records, making false
statements, or receiving stolen property;
(C)
Are not presently indicted for or otherwise criminally or civilly charged
by a governmental entity (Federal, State or local) with commission of any
of the offenses enumerated in paragraph (1)(B) of this certification;
(D)
Have not within a three-year period proceeding this application/proposal
had one or more public transactions (Federal, State or local) terminated
for cause or default.
(2)
Where the prospective primary participant is unable to
certify to any of the statements in this certification, such prospective
participant shall attach an explanation to this proposal.
Name:
Title:
Date:
2.
CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AN
VOLUNTARY EXCLUSION – LOWER TIER COVERED TRANSACTIONS
Instructions
for Certification: By signing and submitting this proposal, the
prospective lower tier participant is providing the certification set out
below.
2. The certification in this clause is a material
representation of fact upon which reliance was placed when this
transaction was entered into. If it is later determined that the
prospective lower tier participant knowingly rendered an erroneous
certification, in addition to other remedies available to the Federal
Government, the department or agency with which this transaction
originated may pursue available remedies, including suspension and/or
debarment.
3. The prospective lower tier participant shall provide
immediate written notice to the person to which this proposal is
submitted if at any time the prospective lower tier participant learns
that its certification was erroneous when submitted or has become
erroneous by reason of changed circumstances.
4. The terms Acovered transaction,@ Adebarred,@ Asuspended,@
Aineligible,@ Alower tier covered transaction,@ Aparticipant,@ Aperson,@
Aprimary covered transaction,@ Aprincipal,@ Aproposal,@ and Avoluntary
excluded,@ as used in this clause, has the meanings set out in the
Definitions and Coverage sections of rules implementing Executive Order
12549. You may contact the person to which this proposal is submitted for
assistance in obtaining a copy of those regulations.
5. The prospective lower tier participant 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 debarred, suspended, declared
ineligible, or voluntarily excluded from participation in this covered
transaction, unless authorized by the department or agency with which
this transaction originated.
6. The prospective lower tier participant further agrees by
submitting this proposal that it will include this clause titled
ACertification Regarding Debarment, Suspension, Ineligibility and
Voluntary Exclusion--Lower Tier Covered Transaction,@ without
modification, in all lower tier covered transactions and in all
solicitations for lower tier covered transactions.
7. A participant in a covered transaction may rely upon a
certification of a prospective participant in a lower tier covered
transaction that it is not debarred, suspended, ineligible, or
voluntarily excluded from the covered transaction, 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. Each
participant may, but is not required to, check the Non-Procurement List.
8. Nothing contained in the foregoing shall be construed to
require establishment of a system of records in order to render in good
faith the certification required by this clause. The knowledge and
information of a participant is not required to exceed that which is
normally possessed by a prudent person in the ordinary course of business
dealings.
9. Except for transactions authorized under paragraph 5 of
these instructions, if a participant in a covered transaction knowingly
enters into a lower tier covered transaction with a person who is
suspended, debarred, ineligible, or voluntarily excluded from
participation in this transaction, in addition to other remedies
available to the Federal Government, the department or agency with which
this transaction originated may pursue available remedies, including
suspension and/or debarment.
Certification Regarding Debarment, Suspension, Ineligibility and
Voluntary Exclusion--Lower Tier Covered Transactions:
(1) The prospective lower tier participant certifies, by
submission of this proposal, that neither it nor its principals is
presently debarred, suspended, proposed for debarment, declared
ineligible, or voluntarily excluded from participation in this
transaction by any Federal department or agency.
(2) Where the prospective lower tier participant is unable to
certify to any of the statements in this certification, such prospective
participant shall attach an explanation to this proposal.
Name:
Title:
Date:
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