REQUEST FOR PROPOSAL
RFP No.: 15_018
John Snow, Inc.
REQUEST FOR PROPOSAL
FIXED PRICE GOODS OR SERVICES
(FIELD)
RFP NO: 15_018
PART A: COVER PAGE
ISSUED TO: USAID | DELIVER PROJECT Website and Advertisement in Rwanda
SUBJECT: Request for Proposal for Transportation and Distribution of Long Lasting
Insecticide Treated Nets (LNs) from the Medical Procurement and Production Division (MPPD)
to Health Facilities in Rwanda and transporting plastic bags from District Hospitals to Rwanda
Environment Management Authority (REMA) warehouses, Kigali.
The USAID | DELIVER PROJECT (herein referred to as “the Project”) under John Snow, Inc.
(JSI) is soliciting proposals for the provision of Subject services as described in the attached
Statement of Work. The Project is funded by the U.S. Agency for International Development
(USAID) and is subject to all applicable Federal Acquisition Regulation (FAR) and AID
Acquisition Regulations (AIDAR).
Please submit your most competitive proposal in accordance with the attached instructions, with
all required certifications. Any subcontract issued as a result of this RFP will be subject to all
instructions, certifications, terms and conditions, and specifications included in this RFP. This
solicitation document includes the following parts:
PART A: COVER PAGE ............................................................................................................... 1
PART B: INSTRUCTIONS............................................................................................................ 2
PART C: STATEMENT OF WORK ............................................................................................. 6
PART D:
ATTACHMENTS………………………………………………………………………………13
This document is a request for proposals only, and in no way obligates the Project or USAID to
make any award. Award(s) made subsequent to this solicitation will be subject to the terms and
conditions described herein.
All proposals, inquiries, and correspondence, including the RFP number, pertaining to this
solicitation are to be directed to the attention of: honore_tchou@jsi.com.
Honore Tchou
John Snow, Inc.
USAID | DELIVER PROJECT
1616 North Fort Myer Drive
Arlington, VA 22209, USA
Email: honore_tchou@jsi.com
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John Snow, Inc.
REQUEST FOR PROPOSAL
RFP No.: 15_018
__________________________________________
M. Vanden Bossche
Contract Administrator
John Snow, Inc.
Date
PART B: INSTRUCTIONS
a) DEFINITIONS
Offeror: The individual or firm providing proposals for the supplies or services requested under
this RFP.
Subcontractor: The individual or firm awarded the services requested under the RFP in the form
of a subcontract.
b) PROPOSAL DEADLINE AND REQUIREMENTS
The Offeror shall submit a proposal addressing the terms and conditions of this RFP by 5:00 pm
Eastern Standard Time (EST) Friday, May 22, 2015, to the email as provided in Part A. Please
submit all questions by 5:00 pm EST Friday, May 15, 2015, to the email on the cover page. All
questions and answers will be listed on the USAID | DELIVER PROJECT website by 5:00 pm
EST Tuesday, May 19, 2015. The Offeror should submit the proposals electronically in two
separate and clearly identified emails (one with Technical Proposal attached, the other with
Business Proposal attached). The Project maintains the right to make an award to a single
Offeror or to multiple Offerors, should such an award be advantageous to the Project, to ensure
the best value is provided for the services requested in the RFP. The Company reserves the right
not to award a contract in response to this RFP.
The Technical and Cost Proposals should be submitted separately in two clearly marked PDFs.
The written Technical Proposal should not be of excessive length and must contain the
following information as well as completed Attachments 7 and 8 which should be imbedded
directly into the Technical work plan.
ii)

Technical Volume
A concise technical proposal on how the Offeror will carry out the activity with a detailed
work plan and schedule of tasks. This description is to include provision of security
measures, staffing plans, route planning, route durations, and planned use of
transportation assets (either owned or to be leased by the Offeror to conduct the work).
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RFP No.: 15_018
John Snow, Inc.

Also provide past performance references for the last three years, including the
following: name of firm, name of contact, address of firm, telephone number of firm,
email for firm, dollar amount of contract for each reference.

A set of relevant attachments to the proposal (optional) which further document or
explain the Offeror’s approach and qualification, e.g. institutional brochure, etc.

A description of the Offeror’s capability and experience in undertaking this task. This
capacity statement should include a list and description of transportation vehicles owned
or otherwise available to the Offeror, and previous experience in distributing public
health commodities in Rwanda.
The written Business Proposal is to consist of the Cost Proposal (Attachments 2-3), and duly
signed Attachments 4-9. It must contain the following information:
iii)
Cost Proposal
 A fixed unit price, total cost proposal for completion of the work described in Part C:
Statement of Work. Offerors should provide separately prices for transport and
distribution of the LNs and for the transport of the plastic bags.
 The Offeror is to provide quotes for delivering specified volumes of 47,350 LNs to 27
District Hospitals and 152 Health Facilities and transporting plastic bags from 13
District Hospital to the Rwanda Environment Management Authority (REMA)
warehouses in Kigali.
 Quotes are to be provided in USD and must include all costs for delivering the
shipments to final destinations, including: loading, transportation, offloading, labor,
fuel, management, administration, and insurance as specified in the scope of work
below
 Quoted prices shall be fixed for the duration of the subcontract and shall be in U.S.
dollars. The cost proposal should follow the format required in Attachment 7 and 8.
 The cost proposal shall specify prices without VAT and shall include all the expenses
for material handling and protection of goods from deterioration. No surcharges can
subsequently be applied due to fuel cost escalation.
 All costs related to the execution of this subcontract are the responsibility of the
Subcontractor (fuel, drivers’ per diem, accommodation, etc.).
 There will be no additional payment other than that agreed upon in the subcontract.
JSI RESERVES THE RIGHT, IN ITS SOLE DISCRETION, TO MODIFY THE REQUEST,
TO ALTER THE SELECTION PROCESS IN ANY WAY, TO ASK FOR ADDITIONAL
INFORMATION FROM OFFERORS, TO REJECT ANY AND ALL PROPOSALS AND/OR
TO MODIFY OR AMEND THE SCOPE OF THE PROPOSALS SUBMITTED. THE
RELEASE OF THIS RFP IS NOT A COMMITMENT TO AWARD A CONTRACT.
Each Offeror acknowledges and agrees that the preparation of all materials for submittal to JSI
and all presentations made by the Offeror are at the Offeror’s sole cost and expense, and JSI shall
not, under any circumstances, be responsible for any cost or expense incurred by an Offeror. All
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REQUEST FOR PROPOSAL
RFP No.: 15_018
John Snow, Inc.
documentation and/or materials submitted with a proposal shall become and remain the property
of JSI.
c) OFFER VALIDITY
The Offeror's technical and cost proposals must remain valid for not less than 90 calendar days
after the deadline specified above. Proposals must be signed by an official authorized to bind
the Offeror to its provisions.
d) FINANCIAL RESPONSIBILITY
Offerors which are firms and not individuals, must certify in the proposal submitted to the
Project that they have the financial viability and resources to complete the proposed activities
within the period of performance and under the terms of payment outlined in the Statement of
Work. The USAID | DELIVER PROJECT reserves the right to request and review the latest
financial statements and audit reports of the Offeror as part of the basis of the award.
e) NEGOTIATIONS
The Offeror's most competitive proposal is requested. It is anticipated that any award issued will
be made solely on the basis of an Offeror’s proposal. However, the Project reserves the right to
request responses to additional technical, management, and cost questions which would event
that an agreement cannot be reached with an Offeror, the Project will enter into help in
negotiating and awarding a subcontract. The Project also reserves the right to conduct
negotiations on technical, management, or cost issues prior to the award of a subcontract. In the
negotiations with alternate Offerors for the purpose of awarding a subcontract without any
obligation to previously considered Offerors.
f) REJECTION OF PROPOSALS
The Project reserves the right to reject any and all proposals received, or to negotiate separately
with any and all competing Offerors. Offerors whose proposals are not selected will be notified
in writing.
g) INCURRING COSTS
The Project is not liable for any cost incurred by Offerors during preparation, submission, or
negotiation of an award for this RFP. The costs are solely the responsibility of the Offeror.
h) CANCELLATION
The Project may cancel this RFP without any cost or obligation at any time until issuance of a
Subcontract.
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RFP No.: 15_018
John Snow, Inc.
i) SUBCONTRACT AWARD
i) Selection Criteria
Proposals will be evaluated first to ensure that they meet all mandatory requirements.
Proposals that fail to meet these requirements will receive no further consideration. A nonresponsive proposal to any element may be eliminated from consideration.
For the purpose of selection, the evaluation will be based on an integrated assessment of the
proposal, including, but not limited to, the following:
 Technical capability and expertise;
 Responsiveness to the RFP;
 Cost/budget proposal;
 Ability to meet the deliverables requirements;
 Business status certification;
 Three past performance references detailing previous experience delivering commodities.
Prior experience in transporting and distributing health related commodities will be an
advantage.
 Proposed Performance Period (in weeks)
ii) Contract Type
The contracting document will be a Fixed Price Purchase Order (PO) to be awarded once a
Subcontractor has been selected. The awarded PO will include a statement of the total fixed
price; the scope with stated deliverables and due dates; the guiding USAID FAR and AIDAR
clauses; and invoicing information. Please be advised that under a fixed price PO the work
must be done within the specified total price. Any expenses incurred in excess of the agreed
upon amount in the purchase order will be the responsibility of the Subcontractor and not that
of JSI or USAID. Therefore, the Offeror is duly advised to provide it’s most competitive and
realistic cost proposal to cover all foreseeable expenses related to the tasks outlined in the
Statement of Work.
j) REPRESENTATIONS AND CERTIFICATIONS
The proposal shall be accompanied by any requested representations or certifications signed by
an authorized official of the Offeror.
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REQUEST FOR PROPOSAL
RFP No.: 15_018
John Snow, Inc.
PART C: STATEMENT OF WORK
The Statement of Work for this RFP is as described below:
a) BACKGROUND
The United States President’s Malaria Initiative (PMI) has donated 47,350 long-lasting
insecticide-treated bed nets (LNs) to the Government of Rwanda. 13 District Hospitals have in
their possession 1,382,050 plastics bags to be transported to Rwanda Environment Management
Authority (REMA) warehouses in Kigali. The USAID | DELIVER PROJECT under John Snow,
Inc. (JSI) is PMI’s partner tasked with providing support in the procurement and distribution of
the LNs.
b) OBJECTIVES OF THIS WORK
On behalf of the Rwanda Ministry of Health, the USAID | DELIVER PROJECT will facilitate
the distribution of 47,350 LNs to 27 District hospitals around the country. The LNs will need to
be distributed from the UTEXRWA industry warehouse to health facilities.
In addition to the above, the service provider is required as well to transport 1,382,050 plastic
bags from 13 District Hospitals to Rwanda Environment Management Authority (REMA)
warehouses in Kigali.
The LNs will be packed in bales of 50 LNs. Each bale has an approximate gross weight of 35.9
kg and volume of 0.146 m3.
The plastic bags will be packed in bales of 200 each bale and has approximate gross weight of 5
kg each and a volume of 0.200 m3.
The USAID | DELIVER PROJECT therefore seeks the services of reputable transportation firms
to provide distribution services and safely deliver the specified nets to the intended beneficiary
health facilities and transport the plastic bags from 13 District Hospital to Rwanda Environment
Management Authority (REMA) warehouses in Kigali.
Offeror must propose the execution period (in weeks) of the work. Only working/calendar days
must be considered.
The Performance Period for this Subcontract will be from the day the contract will be signed by
the selected service provider.
The requirements, which constitute the scope of work for the Subcontractor, are as outlined in
this section.
Under this scope of work, USAID | DELIVER PROJECT seeks fixed price quotation from local
transporters in Rwanda to move the LNs from the MPPD warehouse at UTEXRWA to the health
facilities as set out in Attachment 7. The service provider is required as well to transport plastic
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REQUEST FOR PROPOSAL
RFP No.: 15_018
John Snow, Inc.
bags from 13 District Hospitals to the Rwanda Environment Management Authority (REMA)
warehouses in Kigali as set out in Attachment 8.
The selected Subcontractor, under the direction of USAID | DELIVER PROJECT, will complete
the distribution of the LNs and transport plastic bags within the proposed calendar weeks of the
commencement of this activity as agreed with the USAID | DELIVER PROJECT. Following
loading of LNs at the MPPD warehouse, which will be the responsibility of MPPD, the
Subcontractor will be responsible for all physical handling of the LNs, including offloading at
point of drop-off, and will have full custody of these goods once handed over to them at the
MPPD warehouse until the goods have been received by the respective health facilities as will
need to be documented by goods delivery notes (sample note provided as Attachment 9) signed
by the pre-authorized recipients at the respective health facilities.
The selected subcontractor will also have to complete the transport of plastics bags from 13
district hospitals around the country to Rwanda Environment Management Authority (REMA)
warehouses in Kigali. The loading of the plastic bags from the district hospitals stores will be the
the responsibility of the subcontractor, the Subcontractor will be responsible for all physical
handling of the plastic bags, including offloading at REMA warehouses; goods delivery notes
(sample note provided as Attachment 10) must be signed by the REMA pre-authorized recipients
contact person.
Place of Execution
• The Subcontractor will receive instructions to perform all their duties from the USAID |
DELIVER PROJECT office in Rwanda.
• The USAID | DELIVER PROJECT Project Coordinator in Kigali will be the point of contact
for the Subcontractor.
• The deliveries will be according to routing proposed as part of the proposal by the
Subcontractor which the Subcontractor finds most efficient but safe. The transport of the
plastic bags will be executed as well according to a clear plan proposed by the Subcontractor.
• The number of LNs to be delivered per health facility and the plastic bags to be transported is
provided as an Attachment 7 to this document.
Security
• All Subcontractor personnel may be subject to security checks in terms of any criminal
history.
• Subcontractor personnel with a criminal history will not be permitted to work on the USAID |
DELIVER PROJECT contracts at MPPD.
• All Subcontractor vehicles will have an offloading assistant on board in addition to the driver
to assist with offloading of goods. Offloading costs shall be the responsibility of the
Subcontractor.
Communication & Reporting Structure
• All subcontract negotiations will be made between a designated Subcontractor Manager and
the USAID | DELIVER PROJECT in Washington, D.C.
• Coordination of the transportation with the Subcontractor is the responsibility of the Project
Coordinator of the USAID | DELIVER PROJECT in Rwanda.
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REQUEST FOR PROPOSAL
RFP No.: 15_018
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John Snow, Inc.
Any enquiries, points of clarification, and requests must be made in writing to the USAID |
DELIVER PROJECT.
Communication & Technology Requirements
• Normal daily communications are to be by mobile phone and email. If emails are sent then
receipt notification should be requested to confirm that an instruction or request for
information has been received.
• The Subcontractor must have Internet and email capability.
• The Subcontractor Operations Manager responsible for this project must have mobile
communications and (s) he (or their named representative) must be reachable 24 hours a day
during the life of this assignment.
Types of Vehicles
• The Subcontractor will provide appropriate, well covered and well secured vehicles and/or
suitable leased transportation to transport the goods.
• Vehicles will conform to the Rwandan Ministry of Transport laws and regulations.
• The vehicles will be closed vans / trucks (box body) with lockable doors to protect the LNs
from adverse weather conditions and loss.
• The Subcontractor will have vehicles of varying capacity to handle the various terrain of
distribution and the required capacity for the route.
• All Subcontractor vehicles must be kept clean and well maintained.
Health & Safety
• All Subcontractor drivers will hold a driving license which is legally matched to the vehicle
he is required to drive.
• All Subcontractor drivers will be obliged to submit their driving licenses to the USAID |
DELIVER PROJECT for inspection.
• All Subcontractor vehicles will be equipped with a First Aid Kit and a fire extinguisher
equipment on board of each vehicle at all times.
Driver Requirements
• The Subcontractor drivers must be familiar with the routes.
• The Subcontractor is responsible for training the drivers in knowledge of the routes and the
terrain.
• The Subcontractor drivers must be capable of navigating the routes safely.
• The Subcontractor and Subcontractor drivers must abide by all Rwandan Ministry of
Transport Laws.
• The Subcontractor drivers must drive safely at all times.
• The Subcontractor driver must ensure that (s) he drives in a manner which will safeguard the
goods being delivered.
• The Subcontractor drivers or their assistants will assist in the offloading of the vehicles.
Time Slots at MPPD & Health Facilities
• MPPD will notify the Subcontractor of a pick up at least 24 hours before the pickup slot time.
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REQUEST FOR PROPOSAL
RFP No.: 15_018
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John Snow, Inc.
The Subcontractor must arrive within +/- 15 minutes of a pick-up time.
The Subcontractor must arrive within +/- 30 minutes of a drop-off time.
The Subcontractor must not speed or break any traffic laws or facility speed guidelines of
either MPPD or the respective health facilities.
Material Handling Requirements
• All MPPD Health and Safety and Material Handling rules and policy must be observed by
the Subcontractor.
• All Health Facility Health and Safety and Material Handling rules and policy must be
observed by the Subcontractor.
Insurance, Indemnity & Legal Requirements
 The USAID | DELIVER PROJECT requires that all commodities stored or transported be
covered under an insurance policy payable to JSI, USAID | DELIVER PROJECT, or its
designate. JSI can be included through a rider on an existing policy or this can be done
through a new policy. Proof of access to insurance and insurance cost, along with
insurance agent contact information, must be presented. The estimated value of products
to be insured is $214,449.55. Insurance coverage must provide for the following
conditions:
- Valuation: 110% CIF of stored commodities;
- Coverage: All risks including but not limited to Fire, Theft, Dishonest Acts, Quake,
Flood, and Wind as well as War Clauses and Strikes Clauses as applicable;
- Product insured: All commodities and their packaging received into the warehouse on
behalf of the Project;
- Deductibles and exclusions: Please provide details of any deductibles or exclusions
applicable and who would pay those;
- Beneficiary: USAID | DELIVER PROJECT or its designate is the sole beneficiary of
the insurance policy.
Terms
• Provided in Attachment 7 to this RFP are details of location for each health facility to which
commodities are to be delivered under the subcontract that may be issued as a result of this
RFP. The attachment 8 provides as well details of District Hospitals where Plastic bags are
stored.
• Routes and roads will be determined by the Subcontractor in line with the proposal provided
to the USAID | DELIVER PROJECT in response to this RFP and shall be binding.
• The technical volume submitted as part of a proposal must show the routing, the number of
days required to perform the whole activity, the types and the numbers of vehicles to be used
to perform the entire activity.
• Routing will be designed to allow for delivery to all health facilities within the proposed
delivery period.
• A clear plan must be designed on how the plastic bags will be collected and transported from
the district hospitals to REMA warehouses.
• The truck sizes will be indicated as part of the proposal based on the provided number of
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REQUEST FOR PROPOSAL
RFP No.: 15_018
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•
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•
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John Snow, Inc.
LNs per health facility. In their proposal the Offeror will indicate the number of health
facility commodities to be transported per vehicle and ensure that at any time no health
facility commodities will be split between vehicles.
The number of vehicle types and total number of vehicles per route will also need to be
indicated.
The Subcontractor drivers will keep a log of all distances travelled and times of collections
and drop-offs.
The Subcontractor shall provide separate and original signed proofs of delivery (sample note
provided as Attachment 9) for each health facility, i.e. goods delivery notes that will include:
exact quantities of LNs; name and exact location of receiving health facility; printed name,
title and signature of the pre-authorized person (recipient) in-charge for receiving LNs at
each health facility, along with the date and time of receipt at the health facility. These proofs
of delivery should be made in duplicate with one copy remaining with the health facility, and
the original being submitted to the JSI USAID | DELIVER PROJECT Coordinator within 24
hours of each completed delivery.
Signed proofs of delivery (sample note provided as Attachment 10) must be provided as a
proof that the plastic bags from District Hospitals have been delivered to REMA.
It will be the responsibility of the Subcontractor to verify that the quantities of LNs loaded at
the MPPD are correct, that LNs are in good condition, and that the distribution is done
according to the delivery note provided.
The Subcontractor will be responsible for any losses or damages for goods received in good
order and quantity.
The Subcontractor will execute this contract within a period of time (in weeks) that will be
proposed in the proposal (s).
The USAID | DELIVER PROJECT may provide separate personnel and or firm to verify the
correct delivery of the commodities by the Subcontractor to the required delivery points (as
set out in Attachment 7) in good condition, quantity, and in agreed time before final
acceptance of proofs of delivery.
Liquidated Damages
• Late arrival for pickup, late departure due to unfueled trucks or any delay due to negligence
of the Subcontractor shall make the Subcontractor liable for liquidated damages of 0.5% of
the invoice amount for every hour of delay of service up to a maximum of 5%. If the ceiling
of 5% is reached, the USAID | DELIVER PROJECT will have the right to unilaterally
terminate the subcontract.
Prices in Cost Proposal
• An Offeror shall provide fixed unit price total cost proposal for completion of the work
described in Part C: Statement of Work.
• An Offeror shall provide separately cost proposals for the Transportation and Distribution of
Long Lasting Insecticide Treated Nets (LNs) to the health facilities and another for the
transport of plastic bags from District Hospital to Rwanda Environment management
Authority (REMA) warehouses in Kigali.
• Cost proposal shall include a fixed unit price for each category of deliverable. The unit price
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REQUEST FOR PROPOSAL
RFP No.: 15_018
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John Snow, Inc.
will need to include all costs, e.g. any incidental costs such as labor (offloading), future fuel
surcharges, etc.
All costs related to the execution of this subcontract are the responsibility of the
Subcontractor (fuel, drivers’ per diem, accommodation, etc.). The rates in the cost proposal
shall include all the expenses for material handling (including the cost of off-loading) and
protection of goods from deterioration.
Rates should be broken down by delivery to the health facility on a route.
No surcharges can subsequently be applied due to fuel cost escalation.
Quoted prices shall be fixed for the duration of the subcontract and shall be in U.S. dollars.
There will be no additional payment other than that agreed upon in the subcontract. The
Subcontractor will not receive any additional payment for mileage over and above the
amount agreed upon in the subcontract.
The cost proposal shall specify prices without VAT (i.e. VAT must not be included in the
rates); only an indication of percentage should be provided.
Number of Proposals per Offeror
If so desired, Offerors may submit one or more alternative proposals.
Language
The proposal, as well as all related correspondence and documents, shall be in English.
c) DELIVERABLES AND DUE DATES
1. Telephone reports of delivery of LNs to the USAID | DELIVER PROJECT Coordinator for
each health facility must be made immediately after each delivery, but no later than within 24
hours after completing delivery and collection of required signed proof of delivery notes .
2. A signed proof of delivery (POD) notes must be handed over to the USAID | DELIVER
PROJECT Coordinator within 24 hours after delivery of commodities. This concerns LNs
and the plastics bags transport and distribution.
3. The proof of delivery notes must be according to a layout template specified by the JSI
USAID | DELIVER PROJECT (sample note provided as Attachment 9). The Subcontractor
must submit original copies of the signed proofs of delivery from each health facility listed in
the distribution plan (Attachment 7). The proofs of delivery should indicate the exact
quantity and condition of LNs that each health facility received; name and exact location of
receiving health facility; printed name, title and signature of the pre-authorized person
(recipient) in-charge for receiving LNs at each health facility, along with the actual date and
time of receipt at the health facility. The duplicate copies of the delivery notes should be
given to the pre-authorized recipients at the health facilities and the original returned to the
JSI USAID | DELIVER PROJECT.
Each lot of LNs transported to each health facility and offloaded into a storage area in that
health facility constitutes a deliverable.
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4. A summary delivery report that specifies each health facility that received LNs, the quantities
received in terms of lot, LN lot conditions, contact information of the pre-authorized person
(recipient) in-charge for receiving LNs (name, phone number, title and signature), and any
issues encountered and these were addressed. The final summary delivery report must be
submitted to the JSI USAID | DELIVER PROJECT both for the transport and distribution of
the LNs and the transport of the plastic bags no later than two weeks upon completion of
assignment unless otherwise agreed with the JSI USAID | DELIVER PROJECT.
d) TERMS OF PAYMENT
1. An invoice for payment for the work to be contracted under this RFP shall only be issued
upon submission of all proofs of delivery to the JSI USAID | DELIVER PROJECT.
2. Payment of the entire invoice amount will be upon full delivery, within 30 days from the
invoice date and the receipt of all proofs of delivery and other deliverables to the JSI USAID
| DELIVER PROJECT and their acceptance by the JSI USAID | DELIVER PROJECT.
3. Any losses or damages incurred after the nets have been handed over to the Subcontractor’s
representative and before delivery to the health facilities will be deducted from the
Subcontractor’s invoice at the moment of payment.
PART D: ATTACHMENTS TO THE RFP
1.
Certification Regarding: Prohibition on the Promotion or Advocacy of the Legalization or
Practice of Prostitution or Sex Trafficking (Acquisition) (June 2010)
2.
Contractor Code of Business Ethics (April 2010)
3.
Information Regarding Responsibility Matters (April 2010)
4.
Certification of Toxic Chemical Release Reporting (August 2003)
5.
Certification and Disclosure Regarding Payments to Influence Certain Federal
Transactions (September 2007)
6.
Certification Regarding Debarment, Suspension, or Proposed Debarment (December
2010)
7.
LN Distribution Plan by Health Facilities, and Quantities to be Delivered, Quantities to
be Transported of Plastic bags from 13 District Hospitals to REMA.
8.
Sample Proof of Delivery Form
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John Snow, Inc.
REQUEST FOR PROPOSAL
RFP No.: 15_018
ATTACHMENT 1
REQUIRED CERTIFICATION
As a condition of accepting a subcontract under this RFP, the selected vendor is required to
certify to the following mandatory clause:
Prohibition on the Promotion or Advocacy of the Legalization or Practice of Prostitution or
Sex Trafficking (Acquisition) (June 2010)
(a) This contract is authorized under the United States Leadership Against HIV/AIDS,
Tuberculosis, and Malaria Act of 2003 (Pub.L. No. 108-25), as amended. This Act enunciates
that the U.S. Government is opposed to prostitution and related activities, which are inherently
harmful and dehumanizing, and contribute to the phenomenon of trafficking in persons. The
contractor shall not use any of the funds made available under this contract to promote or
advocate the legalization or practice of prostitution or sex trafficking. Nothing in the preceding
sentence shall be construed to preclude the provision to individuals of palliative care, treatment,
or post-exposure pharmaceutical prophylaxis, and necessary pharmaceuticals and commodities,
including test kits, condoms, and, when proven effective, microbicides.
(b)(1) Except as provided in (b)(2) and (b)(3), by its signature of this contract or subcontract for
HIV/AIDS activities, a non-governmental organization or public international organization
awardee/sub awardee agrees that it is opposed to the practices of prostitution and sex trafficking
because of the psychological and physical risks they pose for women, men, and children. [10]
10
The following footnote should only be included in awards to Alliance for Open Society
International (AOSI), Pathfinder, or a member of GHC or InterAction (with the exception of
DKT International, Inc.):
(b)(2) The following organizations are exempt from (b)(1): the Global Fund to Fight AIDS,
Tuberculosis and Malaria; the World Health Organization; the International AIDS Vaccine
Initiative; and any United Nations agency.
(b)(3) Contractors and subcontractors are exempt from (b)(1) if the contract or subcontract is for
commercial items and services as defined in FAR 2.101, such as pharmaceuticals, medical
supplies, logistics support, data management, and freight forwarding.
(b)(4)Notwithstanding section (b)(3), not exempt from (b)(1) are contractors and subcontractors
that implement HIV/AIDS programs under this contract or subcontract by:
(i) providing supplies or services directly to the final populations receiving such supplies or
services in host countries;
(ii) providing technical assistance and training directly to host country individuals or entities on
the provision of supplies or services to the final populations receiving such supplies and services;
or
(iii) providing the types of services listed in FAR 37.203(b)(1)-(6) that involve giving advice
about substantive policies of a recipient, giving advice regarding the activities referenced in (i)
and (ii), or making decisions or functioning in a recipient's chain of command (e.g., providing
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John Snow, Inc.
managerial or supervisory services approving financial transactions, personnel actions).
(c) The following definitions apply for purposes of this provision:
"Commercial sex act" means any sex act on account of which anything of value is given to or
received by any person.
"Prostitution" means procuring or providing any commercial sex act and the "practice of
prostitution" has the same meaning.
"Sex trafficking" means the recruitment, harboring, transportation, provision, or obtaining of a
person for the purpose of a commercial sex act. 22 U.S.C. 7102(9).
(d) The contractor shall insert this provision in all subcontracts.
(e) Any violation of this provision will result in the immediate termination of this award by
USAID.
(f) This provision does not affect the applicability of FAR 52.222-50 to this contract.
The Offeror (below named organization or firm) certifies that it has ( ) has not ( ) instituted a
policy explicitly opposing prostitution and sex trafficking as required under this Request for
Proposal and any possible subsequent subcontract.
Offeror:
_______________________________________
Authorized Signatory: _______________________________________
Print Signatory Name:_______________________________________
Title:
_______________________________________
Date:
_______________________________________
14
John Snow, Inc.
REQUEST FOR PROPOSAL
RFP No.: 15_018
ATTACHMENT 2
REQUIRED CERTIFICATION
As a condition of accepting a subcontract under this RFP, the selected vendor is required to
certify to the following mandatory clause:
CONTRACTOR CODE OF BUSINESS ETHICS (APR 2010)
In accordance with FAR 52.203-13, CONTRACTOR CODE OF BUSINESS ETHICS (APR
2010) the subcontractor ____ has ____ does not have current active Federal contracts and grants
with total value greater than $5,000,000. The subcontractor ____ is____is not a small business.
The duration of the subcontract is____is not____ less than 120 days. The subcontractor
has____does not have___ a Code of Business Ethics which has been provided to employees. The
subcontractor is ___ is not___ exempt from the Code of Business Ethics. In accordance with the
subcontractor’s Code of Business Ethics the contractor has ____does not have____a Business
Ethics Awareness and Compliance Program that encourages and otherwise promotes a culture of
ethical conduct and commitment to comply with the law and an internal control system that
prevents and detects criminal conduct. In accordance with the Business Ethics Awareness and
Compliance Program the subcontractor does___does not____ provide effective training to
employees in this area.
The subcontractor shall disclose, in writing, to the prime contractor and the agency office of the
Inspector General (OIG), with a copy to the Contracting Officer, whenever, in connection with
the award, performance, or closeout of this contract or any subcontract thereunder, the
subcontractor has credible evidence that a principal, employee, agent, or subcontractor of the
subcontractor has committed a violation of Federal Criminal law involving fraud, conflict of
interest, bribery, or gratuity violations in Title 18 of the US Code or a violation of the civil False
Claims Act.
_____________________________________
Signature
_____________________________________
Printed Name
_____________________________________
Company Name
_____________________________________
Date
15
John Snow, Inc.
REQUEST FOR PROPOSAL
RFP No.: 15_018
ATTACHMENT 3
REQUIRED CERTIFICATON
As a condition of accepting a subcontract under this RFP, the selected vendor is required to
certify to the following mandatory clause:
52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (APR 2010)
(a) The offeror [ ] has [ ] does not have current active Federal contracts and grants with total
value greater than $10,000,000.
(b) If the offeror checked "has" in paragraph (b) of this provision, the offeror represents, by
submission of this offer, that the information it has entered in the Federal Awardee Performance
and Integrity Information System (F APIIS) is current, accurate, and complete as of the date of
submission of this offer with regard to the following information:
(l) Whether the offeror, and/or any of its principals, has or has not, within the last five years, in
connection with the award to or performance by the offeror of a Federal contract or grant, been
the subject of a proceeding, at the Federal or State level that resulted in any of the following
dispositions:
(i) In a criminal proceeding, a conviction.
(ii) In a civil proceeding, a finding of fault and liability that results in the payment of a monetary
fine, penalty, reimbursement, restitution, or damages of $5,000 or more.
(iii) In an administrative proceeding, a finding of fault and liability that results in(A) The payment of a monetary fine or penalty of $5,000 or more; or
(B) The payment of a reimbursement, restitution, or damages in excess of $100,000.
(iv) In a criminal, civil, or administrative proceeding, a disposition of the matter by consent or
compromise with an acknowledgment of fault by the Contractor if the proceeding could have led
to any of the outcomes specified in paragraphs (c)(1)(i), (c)(1)(ii), or (c)(1)(iii) of this provision.
(2) If the offeror has been involved in the last five years in any of the occurrences listed in (c)(1)
of this provision, whether the offeror has provided the requested information with regard to each
occurrence.
(d) The offeror shall enter the information in paragraphs (c)(1)(i) through (c)(1)(iv) of this
provision in F APIIS as required through maintaining an active registration in the Central
Contractor Registration database at http://www.ccr.gov (see 52.204-7).
"Principal" means an officer, director, owner, partner, or a person having primary management
or supervisory responsibilities within a business entity (e.g., general manager; plant manager;
head of a division or business segment; and similar positions).
16
REQUEST FOR PROPOSAL
RFP No.: 15_018
John Snow, Inc.
___________________________________________
Signature
___________________________________________
Printed Name
___________________________________________
Company Name
___________________________________________
Date
17
John Snow, Inc.
REQUEST FOR PROPOSAL
RFP No.: 15_018
ATTACHMENT 4
REQUIRED CERTFICATION
As a condition of accepting a subcontract under this RFP, the selected vendor is required to
certify to the following mandatory clause:
52.223.13 CERTIFICATION OF TOXIC CHEMICAL RELEASE REPORTING
(AUG 2003)
1)
2)
3)
4)
5)
6)
By signing this offer, the offeror certifies that:
As the owner or operator of facilities that will be used in the performance of this contract that are
subject to the filing and reporting requirements described in section 313 of the Emergency
Planning and Community Right-to-Know Act of 1986, (EPCRA) and requirement section 6607
of the Pollution Prevention Act of 1990 (PPA) (42 U.S.C. 13106), the offeror will file and
continue to file for such facilities for the life of the contract the Toxic Chemical Release
Inventory Form (Form R) as described in sections 313(a) and (g) of EPCRA and section 6607 of
EPA; or
None of its owned or operated facilities to be used in the performance of this contract is subject
to the Form R filing and reporting requirements because each such facility is exempt for at least
one of the following reasons: (check each block that is applicable)
( ) (i) The facility does not manufacture, process, or otherwise use any toxic chemicals listed in
40 CFR 372.65;
( ) (ii) The facility does not have 10 or more full-time employees as specified in section
313(b)(1)(A) of EPCRA, 42 U.S.C. 11023(b)(1)(A);
( ) (iii) The facility does not meet the reporting thresholds of toxic chemicals established under
section 313(f) of EPCRA, 42 U.S.C. 11023(f) (including the alternate thresholds at 40 CFR
372.27, provided an appropriate certification from has been filed with EPA);
( ) (iv) The facility does not fall within the following Standard Industrial Classification
(SIC)codes or their corresponding North American Industry Classification System sectors:
(A)
Major group code 10 (except 1011, 1081, and 1094),
(B)
Major group code 12 (except 1241)
(C)
Major group codes 20 through 39.
(D)
Industry code 4911, 4931, or 4939 (limited to facilities that combust coal and/or oil for
the purpose of generating power for distribution in commerce).
(E)
Industry code 4953 (limited to facilities regulated under the Resource Conservation and
Recovery Act, Subtitle C (41 U.S.C 6921 et seq.), or 5169, or 5171, or 7389 (limited to
facilities primarily engaged in solvent recovery services on a contract or fee basis); or
( ) (v) The Facility is not located in the United States or its outlying areas.
______________________________________
Signature
______________________________________
Printed Name
______________________________________
Organization and Date
18
John Snow, Inc.
REQUEST FOR PROPOSAL
RFP No.: 15_018
ATTACHMENT 5
REQUIRED CERTIFICATON
As a condition of accepting a subcontract under this RFP, the selected vendor is required to
certify to the following mandatory clause:
52.203-11Certification and Disclosure Regarding Payments to Influence Certain Federal
Transactions (SEP 2007)
Please complete OMB Standard Form LLL which is attached and the certification below:
The offeror, by signing its offer, herby certifies to the best of its knowledge and belief that no
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, and officer
or employee of Congress, or an employee of a Member of Congress on its behalf in connection
with the awarding of this contract.
If any registrants under the Lobbying Disclosure Act of 1995 have made a lobbying contact on
behalf of the offeror with respect to this contract, the offeror shall complete and submit, with its
offer, OMB Standard Form LLL, Disclosure of Lobbying Activities, to provide the name of the
registrants. The offeror need not report regularly employed officers or employees of the offeror
to who payments of reasonable compensation were made.
___________________________________
Signature
___________________________________
Printed Name
___________________________________
Company
___________________________________
Date
19
REQUEST FOR PROPOSAL
RFP No.: 15_018
John Snow, Inc.
ATTACHMENT 6
REQUIRED CERTIFICATION
As a condition of accepting a subcontract under this RFP, the selected vendor is required to
certify to the following mandatory clause:
Protecting the Government’s Interest When Subcontracting with Contractors Debarred,
Suspended, or Proposed for Debarment (DEC 2010)
This is___is not___ a commercial subcontract. This subcontract is ___ is not___ for the
procurement of off-the-shelf items. The total price of the subcontract is___is not___greater
$30,000.
The subcontractor or its principals have ____ or have not ____ been debarred, suspended, or
proposed for debarment.
______________________________________
Signature
______________________________________
Printed Name
______________________________________
Company Name
______________________________________
Date
20
John Snow, Inc.
REQUEST FOR PROPOSAL
RFP No.: 15_018
ATTACHMENT 7
LN DISTRIBUTION PLAN
District Hospital, Health Facilities, and Quantities to be delivered
Each bale has 50 nets and has an approximate gross weight of 35.9 kg and a volume of 0.146 m3.
No
1
2
3
4
5
1
2
3
4
5
DH
Muhima
Muhima
Muhima
Muhima
Muhima
Total
Gitwe
Gitwe
Gitwe
Gitwe
Gitwe
1 Ruhango
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Munini
Munini
Munini
Munini
Munini
Munini
Munini
Kaduha
Kaduha
Kaduha
Kaduha
Kaduha
Kaduha
Kaduha
Health center
Biryogo
Cor unum
Kanyinya
Muhima
Rugarama
BYIMANA
GISHWERU
GITWE
KARAMBI
MUNANIRA
Total
Kinazi
Total
Muganza
NGERA
Ngoma
Nyabimata
Nyamyumba
Ruheru
Runyombyi
Total
Buruhukiro
Jenda
Kaduha
Kibumbwe
Mugano
Musebeya
Mushubi
Conical LLINs to
be distributed for
ANC
550
800
350
350
450
2500
600
250
450
250
150
1700
450
450
200
100
400
100
200
500
150
1650
300
250
250
300
150
100
100
21
John Snow, Inc.
REQUEST FOR PROPOSAL
RFP No.: 15_018
1
2
3
4
5
6
7
1
2
3
4
5
6
7
8
9
10
11
12
13
14
Kigeme
Kigeme
Kigeme
Kigeme
Kigeme
Kigeme
Kigeme
Kabutare
Kabutare
Kabutare
Kabutare
Kabutare
Kabutare
Kabutare
Kabutare
Kabutare
Kabutare
Kabutare
Kabutare
Kabutare
Kabutare
1
2
3
4
5
6
7
8
9
Nyanza
Nyanza
Nyanza
Nyanza
Nyanza
Nyanza
Nyanza
Nyanza
Nyanza
1
2
3
4
Bushenge
Bushenge
Bushenge
Bushenge
Total
Cyanika
Kibirizi
Kigeme
Kitabi
Mbuga
Nyarusiza
Uwinkingi
Total
Busoro-Gishamvu
CUSP Butare
Karama
Kinyamakara
Maraba
Matyazo
Mbazi
Police Huye
Rango
Rubona
Ruhashya
Rusatira
Rwaniro
Sovu
Total
GAHOMBO
GATAGARA
HANIKA
MUCUBIRA
MWEYA
NYAMIYAGA
NYAMURE
NYANZA
RUYENZI
Total
BUSHENGE HC
GISAKURA HC
MUGERA
MWEZI HC
1450
500
550
400
550
450
250
400
3100
300
150
150
350
150
250
550
150
800
400
200
600
500
300
4850
650
700
250
300
150
300
250
300
250
3150
350
300
300
400
22
John Snow, Inc.
REQUEST FOR PROPOSAL
RFP No.: 15_018
5 Bushenge
MUKOMA HC
Total
1 Kibogora
YOVE
1
2
3
4
5
6
7
8
9
10
Mibilizi
Mibilizi
Mibilizi
Mibilizi
Mibilizi
Mibilizi
Mibilizi
Mibilizi
Mibilizi
Mibilizi
1 Kibuye
1 Mugonero
2 Mugonero
1
2
3
4
1
2
3
4
5
6
7
8
9
10
11
12
Kilinda
Kilinda
Kilinda
Kilinda
Muhororo
Muhororo
Muhororo
Muhororo
Muhororo
Muhororo
Muhororo
Muhororo
Muhororo
Muhororo
Muhororo
Muhororo
BUGARAMA HC
GIKUNDAMVURA
ISLAMIQUE HC
MASHESHA
MIBILIZI HC
MUSHAKA HC
NKUNGU HC
NYABITIMBO HC
NYAKARENZO HC
RWINZUKI HC
Total
KIBUYE
Total
GISOVU HC
MUGONERO HC
Total
Biguhu
Munzanga
Mwendo
Rugabano
Total
BUNGWE
Gashubi
GATUMBA
Kageyo
KIZIGURO
NDARO
Ntaganzwa
Ntobwe
NYAMISA
Nyange B
RUHUNGA
Rususa
Total
100
1450
450
450
350
100
300
500
450
400
150
400
300
400
3350
300
300
150
100
250
250
400
100
150
900
300
100
100
450
450
400
100
300
300
300
150
250
3200
23
John Snow, Inc.
REQUEST FOR PROPOSAL
RFP No.: 15_018
1
2
3
4
5
6
7
8
9
10
11
12
13
1
2
3
4
Murunda
Murunda
Murunda
Murunda
Murunda
Murunda
Murunda
Murunda
Murunda
Murunda
Murunda
Murunda
Murunda
Gisenyi
Gisenyi
Gisenyi
Gisenyi
1
2
3
4
Gihundwe
Gihundwe
Gihundwe
Gihundwe
1
2
3
4
Rwamagana
Rwamagana
Rwamagana
Rwamagana
1
2
3
4
5
Rwinkwavu
Rwinkwavu
Rwinkwavu
Rwinkwavu
Rwinkwavu
1 Gahini
2 Gahini
3 Gahini
BIRUYI HC
BITENGA HC
CONGO-NIL HC
KABONA HC
KARUMBI HC
KAYOVE HC
KUVUMU HC
MUKURA HC
MURUNDA HC
MUSASA HC
MUSHUBATI HC
NYABIRASI HC
RUTSIRO HC
Total
BUGESHI
GACUBA II
MUDENDE
NYUNDO
Total
BWEYEYE
GIHUNDWE
Mont Cyangugu
NKANKA
Total
MURAMBI
NYAGASAMBU
NYAKARIRO
RWAMAGANA
Total
CYARUBARE HC
KABARONDO HC
NDEGO
NYAMIRAMA HC
RWINKWAVU HC
Total
BUHABWA
Gahini
Kageyo
100
200
200
400
150
350
400
400
250
400
450
700
300
4300
500
300
400
200
1400
100
250
400
250
1000
250
250
300
300
1100
400
350
300
250
150
1450
250
400
150
24
John Snow, Inc.
REQUEST FOR PROPOSAL
RFP No.: 15_018
4
5
6
7
Gahini
Gahini
Gahini
Gahini
Mukarange
Nyakabungo
Rukara
Ryamanyoni
1
2
3
4
5
6
Kibungo
Kibungo
Kibungo
Kibungo
Kibungo
Kibungo
JARAMA HC
KIBUNGO HC
KIRWA HC
REMERA HC
RUKIRA HC
RUKUMBERI HC
Total
KIREHE
MULINDI
NYABITARE
Total
Kabuga
Karangazi
Ndama
Ntoma
Nyagatare
Nyakigando
Rurenge
Total
1 Kirehe
2 Kirehe
3 Kirehe
1
2
3
4
5
6
7
Nyagatare
Nyagatare
Nyagatare
Nyagatare
Nyagatare
Nyagatare
Nyagatare
1
2
3
4
Kiziguro
Kiziguro
Kiziguro
Kiziguro
1 Ngararama
1
2
3
4
152
Nyamata
Nyamata
Nyamata
Nyamata
550
300
400
300
2350
250
750
350
100
250
250
1950
300
350
150
800
100
400
100
400
400
100
250
1750
350
400
300
400
1450
250
250
100
250
300
150
800
GAKENKE
KIZIGURO
RWIMBOGO
RWIMITERERI
Total
NYAGAHANGA
Total
Mwogo
Ngeruka
Ntarama
Ruhuha
Total
Total General
47,350
25
John Snow, Inc.
REQUEST FOR PROPOSAL
RFP No.: 15_018
ATTACHMENT 8
Number of Plastic bags to be transported and District Hospitals
District Hospitals, Health Facilities, and Quantities to be
delivered
No
District
Hospital
Total number of
plastic bags
Number of bales
(estimation of
200plastic bags in a
bale
Nyamata
122,850
614
Kiziguro
60,900
305
Kibilizi
70,100
351
Gakoma
34,050
170
Kabutare
Remera
Rukoma
123,300
617
89,800
449
Rwinkwavu
99,700
499
Gahini
71,900
360
Kirehe
149,450
747
Kibungo
202,000
1,010
Nyagatare
148,750
744
Nyanza
114,800
574
94,450
472
Rwamagana
Total
General
1,382,050
6,910
26
John Snow, Inc.
REQUEST FOR PROPOSAL
RFP No.: 15_018
Attachment 9: Proof of Delivery Form
DELIVERY NOTE
Facility Name:
District:
Date of Delivery:
Time of Delivery:
Quantities of
Nets Allocated
Quantities of
Nets Received
Are the Nets in Good
condition? (Yes/No)
Comments
Delivered by: (Driver)
Name of the Driver: ----------------------------------------------------- Vehicle Registration Number: -----------------Tel: ------------------------------- Signature: ----------------------------------------Received by: (Health Facility Staff)
Name: ------------------------------------------------------------- Title/Responsibility: ---------------------------------------Tel: ------------------------------- Signature: ----------------------------------------27
John Snow, Inc.
REQUEST FOR PROPOSAL
RFP No.: 15_018
Attachment 10 : Proof of Delivery Form
District Hospital Name:
Date of Delivery:
Time of Delivery:
Number of
plastic bags
Received
Number of bales
received
Comments
Delivered by: (Driver)
Name of the Driver: ----------------------------------------------------- Vehicle Registration Number: -----------------Tel: ------------------------------- Signature: ----------------------------------------Received by: (REMA staff)
Name: ------------------------------------------------------------- Title/Responsibility: ---------------------------------------Tel: ------------------------------- Signature: ----------------------------------------28