John Snow, Inc. REQUEST FOR PROPOSAL RFP No.: 14_047 REQUEST FOR PROPOSAL FIXED PRICE GOODS OR SERVICES (FIELD) RFP NO: 14_047 PART A: COVER PAGE ISSUED TO: USAID | DELIVER 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 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 John Snow, Inc. USAID | DELIVER PROJECT 1616 North Fort Myer Drive Arlington, VA 22209, USA Email: honore_tchou@jsi.com __________________________________________ M. Vanden Bossche Contract Administrator John Snow, Inc. __________________ Date 1 John Snow, Inc. REQUEST FOR PROPOSAL RFP No.: 14_047 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 EST Friday, February 13, 2015 to the email as provided in Part A. Please submit all questions by 5:00 pm EST Friday, February 6, 2015 to the email address on the cover page. All questions and answers will be listed on the USAID | DELIVER PROJECT website by 5:00 pm EST Tuesday, February 10, 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 proposal should not be of excessive length and must contain the following information: i) Technical Volume A concise technical proposal on how the Offeror will carry out the activities listed in Part C: Statement of Work with a detailed work plan and schedule of tasks. The offeror should include proposed routing and schedule for deliveries indicated in the destinations specified in the statement of work. ii) Qualifications A description of the Offeror’s capability, overall capacity, and experience in undertaking the work outlined in Part C: Statement of Work. Capacity may include numbers of personnel, vehicles, and experience with similar projects. The Offeror must confirm that it has the financial resources to complete the terms of reference. The Offeror should propose security arrangements to be put in place to execute the work outlines in the statement of work. iii) Cost Proposal A fixed unit price, total cost proposal for completion of the work described in Part C: 2 REQUEST FOR PROPOSAL RFP No.: 14_047 John Snow, Inc. Statement of Work. A fixed unit price for each category of deliverable. The unit price will need to include all costs, e.g. any incidental costs such as labor (offloading), future fuel surcharges, etc. 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. 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. Provide quote per destination. (Indicate if one or more destinations can be combined for use of a single vehicle/trip etc). Where feasible, vendors should also show quotation for combined or groups of destination based on routing e.g. Destinations for Kigali, can be quoted as a single block etc.) iv) Other Please provide financial statements for the last three fiscal years. 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, and U.S. 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. 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 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. 3 REQUEST FOR PROPOSAL RFP No.: 14_047 John Snow, Inc. 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 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 event that an agreement cannot be reached with an Offeror, the Project will enter into 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. i) SUBCONTRACT AWARD Bidders should propose the timeline (number of weeks) for the distribution completion; they should propose as well concise technical proposal on how the activities listed in Part C should be carried out: Statement of Work with a detailed work plan and schedule of tasks. 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 non4 REQUEST FOR PROPOSAL RFP No.: 14_047 John Snow, Inc. responsive 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 requirements; Cost/budget proposal; Ability to meet the deliverables requirements; Business status certification; Three past performance references detailing previous experience delivering commodities within Rwanda. Prior experience in transporting and distributing health related commodities will be an advantage. 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 its 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. 5 REQUEST FOR PROPOSAL RFP No.: 14_047 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 1,382,050 long-lasting insecticide-treated bed nets (LNs) to the Government of Rwanda. 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 this consignment comprising of 1,352,650 LNs to health facilities countrywide. The LNs will need to be distributed from the UTEXRWA industry warehouse to health facilities countrywide. The quantity of 1,352,650 LNs will be distributed to health facilities around the country. 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 unit of transportation and inventory will be “bales of nets”. It’s not recommended to open the bales during loading, transportation and drop off at health facility level 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. 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 selected Subcontractor, under the direction of USAID | DELIVER PROJECT, will complete the distribution of the LNs within 6 calendar weeks of the commencement of this activity as agreed with the USAID | DELIVER PROJECT. Following loading of LNs at the MPPD warehouse, which is be the responsibility of the 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 8) signed by the pre-authorized recipients at the respective health facilities. The subcontractor will be legally and financially responsible for the 6 REQUEST FOR PROPOSAL RFP No.: 14_047 John Snow, Inc. commodities during the transportation process and is required to provide insurance against all loss or damage to products 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 number of LNs to be delivered per health facility 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. • Truck(s) to be used for the work will be subject to a visual inspection prior to award of the subcontract. Prior to any transportation activity, truck make and model, and plate numbers of truck(s) to be used and any parking locations should be provided. All drivers must be appropriately licensed 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. • 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 done 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. 7 REQUEST FOR PROPOSAL RFP No.: 14_047 John Snow, Inc. Types of Vehicles • The Subcontractor will provide appropriate, well covered, insured (as per the insurance clause below) 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. • The Subcontractor vehicle will preferably have a GPS tracking device 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 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. • The sub contractor shall prepare the agenda of the distribution as part of the technical proposal • The Subcontractor must arrive within +/- 15 minutes of a pick-up time. • The Subcontractor must inform each health facility chief on their arrival time and 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 8 REQUEST FOR PROPOSAL RFP No.: 14_047 • John Snow, Inc. 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 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 costs along with insurance agent contact information must be presented. Insurance coverage must provide for the following conditions: • • • • • • • Valuation: 110% CIF, Coverage: All risks including Fire, Theft, Dishonest Acts, Quake, Flood, and Wind as well as War Clauses and Strikes clauses as applicable, 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. . The Subcontractor is fully responsible for any breakages or losses during the transit of MPPD goods. The Subcontractor will be fully responsible for any laws or regulations broken by Subcontractor drivers. The USAID | DELIVER PROJECT requires that all goods to be distributed 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 insurance and insurance cost along with insurance agent contact information must be presented with submission of the proposal. Coverage: All risks including Fire, Theft, Dishonest Acts, Quake, Flood, and Wind as well as War Clauses and Strikes clauses as applicable. Please provide details of any deductibles or exclusions applicable and who would pay those. JSI USAID | DELIVER PROJECT or its designee is to be 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. • Routes and loads 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 specified 9 REQUEST FOR PROPOSAL RFP No.: 14_047 • • • • • • John Snow, Inc. delivery period of maximum of two calendar weeks. The truck sizes will be indicated as part of the proposal based on the provided number of LNs per health facility. In their proposal the Offeror will indicate the number of health facility commodities to be transported per vehicle. 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 8) 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 in a specific route as shown in the technical proposal 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 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 day 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 and total cost proposal for completion of the work described in Part C: Statement of Work. The cost proposal shall be quoted in US dollars • Cost proposal shall include a fixed unit price for each category of deliverable. The unit price will need to include all costs, e.g. any incidental costs such as labor (offloading), future fuel surcharges, insurance, 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. 10 REQUEST FOR PROPOSAL RFP No.: 14_047 • • • John Snow, Inc. 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 in a specific route as shown in the technical proposal 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 each delivery of commodities in a specific route as shown in the technical proposal. The proof of delivery notes must be according to a layout template specified by the JSI USAID | DELIVER PROJECT (sample note provided as Attachment 8). 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. 3. 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 no later than two weeks upon completion of assignment unless otherwise agreed with the JSI USAID | DELIVER PROJECT. 11 REQUEST FOR PROPOSAL RFP No.: 14_047 John Snow, Inc. 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 Province, District, Health Facilities, and Quantities to be Delivered 8. Sample Proof of Delivery Form 12 John Snow, Inc. REQUEST FOR PROPOSAL RFP No.: 14_047 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 13 REQUEST FOR PROPOSAL RFP No.: 14_047 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.: 14_047 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.: 14_047 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). 16 REQUEST FOR PROPOSAL RFP No.: 14_047 John Snow, Inc. "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). ___________________________________________ Signature ___________________________________________ Printed Name ___________________________________________ Company Name ___________________________________________ Date 17 John Snow, Inc. REQUEST FOR PROPOSAL RFP No.: 14_047 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.: 14_047 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 John Snow, Inc. REQUEST FOR PROPOSAL RFP No.: 14_047 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.: 14_047 ATTACHMENT 7 LN DISTRIBUTION PLAN by Province, District, 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 6 7 8 9 10 11 12 13 14 15 District Hospital Nyamata Nyamata Nyamata Nyamata Nyamata Nyamata Nyamata Nyamata Nyamata Nyamata Nyamata Nyamata Nyamata Nyamata Nyamata 1 2 3 4 5 6 7 8 Kiziguro Kiziguro Kiziguro Kiziguro Kiziguro Kiziguro Kiziguro Kiziguro Health Center GAKURAZO GASHORA GIHINGA JURU KAMABUYE MAREBA MAYANGE MWOGO NGERUKA NTARAMA NYAMATA NYARUGENGE NZANGWA RILIMA RUHUHA Total BUGARURA GAKENKE GASANGE GITOKI HUMURE KABARORE KIZIGURO MUHURA Replacement LLINs Netprotect U5 Jan 2013 in 13 DH 5400 3650 5650 3800 3450 3900 4200 2800 4900 2200 4350 4600 4150 3600 56,650 2900 5500 3250 2000 2250 5300 5150 4500 LLINs to be distributed for HHs 6050 800 2600 600 1550 100 0 3050 6200 550 9350 3000 6250 400 14300 54,800 1100 2600 350 0 200 2600 950 2150 Total 11,450 4,450 8,250 4,400 5,000 4,000 4,200 5,850 11,100 2,750 13,700 3,000 10,850 4,550 17,900 111,450 4,000 8,100 3,600 2,000 2,450 7,900 6,100 6,650 21 John Snow, Inc. REQUEST FOR PROPOSAL RFP No.: 14_047 9 10 11 Kiziguro Kiziguro Kiziguro 1 2 3 4 5 6 7 8 Kibilizi Kibilizi Kibilizi Kibilizi Kibilizi Kibilizi Kibilizi Kibilizi 1 2 3 4 5 Gakoma Gakoma Gakoma Gakoma Gakoma 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Kabutare Kabutare Kabutare Kabutare Kabutare Kabutare Kabutare Kabutare Kabutare Kabutare Kabutare Kabutare Kabutare Kabutare Kabutare 1 2 Remera Rukoma Remera Rukoma RUGARAMA RWIMBOGO RWIMITERERI Total GIKORE GISAGARA KANSI KIBAYI KIBILIZI KIGEMBE KIRARAMBOGO MUGOMBWA Total GAKOMA GIKONKO GISHUBI MUSHA SAVE Total Busoro/Gishamvu CUSP Butare Karama Kinyamakara Huye Police Maraba Mtyazo Mbazi Rango Rubona Ruhashya Rusatira Rwaniro SIMBI SOVU Total 5300 4700 3150 44,000 2650 4000 2900 4850 4750 5100 4550 3950 32,750 6750 3950 4350 3750 5150 23,950 2400 1150 3050 4500 750 4500 1400 5350 7650 3350 3800 4750 3550 4150 3850 54,200 0 2300 2800 15,050 5550 3050 2850 4200 2750 8150 7450 2500 36,500 1200 0 0 1750 1700 4,650 450 250 6950 1500 200 12150 1400 5500 1650 850 5750 8850 4500 10200 8900 69,100 5,300 7,000 5,950 59,050 8,200 7,050 5,750 9,050 7,500 13,250 12,000 6,450 69,250 7,950 3,950 4,350 5,500 6,850 28,600 2,850 1,400 10,000 6,000 950 16,650 2,800 10,850 9,300 4,200 9,550 13,600 8,050 14,350 12,750 123,300 Cyeru 2600 450 3,050 Gihara 5250 1250 6,500 22 John Snow, Inc. REQUEST FOR PROPOSAL RFP No.: 14_047 11 Remera Rukoma Remera Rukoma Remera Rukoma Remera Rukoma Remera Rukoma Remera Rukoma Remera Rukoma Remera Rukoma Remera Rukoma 1 Rwinkwavu Remera Rukoma Total CYARUBARE 2 Rwinkwavu KABARONDO 4750 4300 9,050 3 Rwinkwavu KARAMA 3150 10800 13,950 4 Rwinkwavu NDEGO 4800 7100 11,900 5 Rwinkwavu NYAMIRAMA 4250 11500 15,750 6 Rwinkwavu RURAMIRA 2750 5600 8,350 7 Rwinkwavu RUTARE 2750 1550 4,300 8 Rwinkwavu RWINKWAVU 750 28,900 4850 850 3850 2300 5100 4850 21,800 4950 4200 4200 11950 70,100 10500 1450 6850 8650 7050 15600 50,100 9200 6100 6250 12,700 99,000 15,350 2,300 10,700 10,950 12,150 20,450 71,900 14,150 10,300 10,450 3 4 5 6 7 8 9 10 1 2 3 4 5 6 Gahini Gahini Gahini Gahini Gahini Gahini 1 2 3 Kirehe Kirehe Kirehe Kabuga 1000 1250 2,250 Kamonyi 4400 1100 5,500 Karangara 1650 1350 3,000 Kayenzi 10050 10200 20,250 Kigese 5250 2200 7,450 Mugina 6800 7600 14,400 Musambira 8050 3650 11,700 Nnyagihamba 4450 2500 6,950 6250 55,750 2500 34,050 8,750 89,800 5700 17300 23,000 Total Gahini Kageyo Mukarange Nyakabungo Rukara Ryamanyoni Total BUKORA GAHARA GASHONGORA 23 John Snow, Inc. REQUEST FOR PROPOSAL RFP No.: 14_047 4 5 6 7 8 9 10 11 12 13 14 15 16 Kirehe Kirehe Kirehe Kirehe Kirehe Kirehe Kirehe Kirehe Kirehe Kirehe Kirehe Kirehe Kirehe 1 2 3 4 5 6 7 8 9 10 11 12 Kibungo Kibungo Kibungo Kibungo Kibungo Kibungo Kibungo Kibungo Kibungo Kibungo Kibungo Kibungo 1 2 3 4 5 6 7 8 9 10 11 Nyagatare Nyagatare Nyagatare Nyagatare Nyagatare Nyagatare Nyagatare Nyagatare Nyagatare Nyagatare Nyagatare KABUYE KIGARAMA KIREHE MAHAMA MULINDI MUSAZA MUSHIKIRI NASHO NTARUKA NYABITARE NYARUBUYE RUSUMO RWANTONDE Total GITUKU JARAMA KIBUNGO KIRWA MUTENDERI NYANGE REMERA RUKIRA RUKUMBERI RUKOMASAKE SANGAZA ZAZA Total Bugaragara Cyabayaga Cyondo Kabuga Kagitumba Karangazi Katabagemu Matimba Mimuli Muhambo Ndama 1850 11050 2800 7050 3100 2250 2400 2000 5300 6600 57,750 4100 3850 8700 4300 5500 4350 4100 3750 3950 4400 2050 5400 54,450 5350 4050 2250 3050 1250 4650 2850 4250 2600 2900 2000 3850 8850 12350 3950 5650 850 3700 4550 3900 3000 6350 8250 2050 88,850 5150 14400 35950 4100 950 11700 16150 11900 14600 10650 6800 14750 147,100 4000 3150 2350 2300 4800 5450 4950 0 2750 1750 2050 5,700 8,850 23,400 3,950 8,450 7,900 6,800 6,800 6,300 5,000 11,650 14,850 2,050 146,600 9,250 18,250 44,650 8,400 6,450 16,050 20,250 15,650 18,550 15,050 8,850 20,150 201,550 9,350 7,200 4,600 5,350 6,050 10,100 7,800 4,250 5,350 4,650 4,050 24 John Snow, Inc. REQUEST FOR PROPOSAL RFP No.: 14_047 12 13 14 15 16 17 18 19 20 Nyagatare Nyagatare Nyagatare Nyagatare Nyagatare Nyagatare Nyagatare Nyagatare Nyagatare 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Nyanza Nyanza Nyanza Nyanza Nyanza Nyanza Nyanza Nyanza Nyanza Nyanza Nyanza Nyanza Nyanza Nyanza Nyanza Nyanza 1 2 3 4 5 6 7 8 9 10 11 Rwamagana Rwamagana Rwamagana Rwamagana Rwamagana Rwamagana Rwamagana Rwamagana Rwamagana Rwamagana Rwamagana Ntoma Nyagahita Nyagatare Nyakigando Nyarurema Rukomo Rurenge Rwempasha Tabagwe Total Busoro Cyaratsi Gahombo Gatagara Hanika Kibirizi Kirambi Mucubira Mututu Mweya Ntyazo Nyamiyaga Nyamure Nyanza Nyarusange Ruyenzi Total AVEGA GAHENGELI GISHALI KARENGE MUNYAGA MURAMBI MUSHA MUYUMBU NYAGASAMBU NYAKARIRO NZIGE 4400 3750 4400 2450 4350 5600 2050 1850 5000 69,050 5700 1350 5850 6850 2350 5200 1800 4000 2700 2050 2700 2050 5000 1450 1900 50,950 2700 4000 2850 3850 2650 2250 3100 3200 3350 3000 2650 8000 3200 4150 3000 6750 4100 2300 2800 8400 76,250 2400 600 11550 6150 7650 5000 550 6150 2850 2300 4900 4000 5050 1500 1300 1900 63,850 4000 0 2850 2400 4900 6750 1200 0 8100 3200 0 12,400 6,950 8,550 5,450 11,100 9,700 4,350 4,650 13,400 145,300 8,100 1,950 17,400 13,000 10,000 10,200 2,350 10,150 2,850 5,000 6,950 6,700 7,100 6,500 2,750 3,800 114,800 6,700 4,000 5,700 6,250 7,550 9,000 4,300 3,200 11,450 6,200 2,650 25 John Snow, Inc. REQUEST FOR PROPOSAL RFP No.: 14_047 12 13 14 Rwamagana Rwamagana Rwamagana RGNA RUBONA RUHUNDA Total Total General 6100 4500 4200 48,400 598,600 3050 5300 1900 43,650 754,050 9,150 9,800 6,100 92,050 1,352,650 26 John Snow, Inc. REQUEST FOR PROPOSAL RFP No.: 14_047 Attachment 8: Proof of Delivery Form DELIVERY NOTE Facility Name: District: Replacement LLINs Netprotect U5 Jan 2013 in 13 DH (quantity): LLINs to be distributed for HHs (quantity): Date of Delivery: Time of Delivery: Total Quantities of Nets Allocated Quantities of Nets Received Are the Nets Sealed? (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