USAID Punjab Enabling Environment Project (USAID PEEP) Matching Grants Request for Applications (RFA) Matching Grants/RFA#005.2/2015 To Support Private Sector Investments for Establishment of New or Upgradation of Existing Livestock Semen Production Units (SPU) in Punjab Issuance Date: September 16, 2015 Dear Applicant: USAID Punjab Enabling Environment Project (PEEP) intends to provide technical and financial assistance under its “Grants Program” and is seeking applications for implementation of its “Matching Grants program”. The purpose of this RFA is to seek applications from private sector investors interested in setting up new or up-gradation of existing Semen Production Unit (SPU) in the province of Punjab with a model set-up for collecting, processing, storage and handling of livestock semen as per standards laid down by the Punjab Livestock Breeding Authority, Government of Punjab. The grants will be awarded and implemented in accordance with USAID and US Government regulations governing grants under contracts and PEEP’s internal grant management policies. Project and Chemonics employees may not ask for, and applicants are prohibited from offering, any money, fee, commission, credit, gift, gratuity, thing of value, or compensation to obtain or reward improper favorable treatment regarding this solicitation. Any improper request from a project employee should be reported to the chief of party or BusinessConduct@chemonics.com. Annexes included with this Request for Applications: - Annex A – Grant Application Form - Annex B – Implementation Timeline - Annex C – Grant Application Budget Form - Annex D – Applicant Self-Assessment Form - Annex E – Required Certifications - Annex F – Survey on Ensuring Equal Opportunity for Applicants (Optional) - Annex G – Standard Provisions for Non-U.S. Nongovernmental Organizations (Simplified Grants) - Annex H – Standard Provisions for Fixed Obligation Grants to Nongovernmental Organizations SECTION I. PROGRAM DESCRIPTION I.A. PROJECT BACKGROUND Punjab’s agriculture sector, which includes livestock, dairy, and horticulture has long played a key role as the region’s main economic driver. The province, however, faces many obstacles to growth including power and water shortages, natural disasters, crime, and security concerns – all contribute to what has been a challenging business-enabling environment. 1 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 USAID’s Punjab Enabling Environment Project (PEEP) is a five-year effort to support the private and public sector stakeholders including the Government of Punjab in improving business environment for the livestock, dairy, and horticulture sub-sectors. The project is working to build a strong business enabling and policy environment to help boost private sector investment in the three subsectors. The project efforts are contributing towards USAID’s development objective of Increased Incomes and Employment in target sectors. PEEP’s aim, therefore, is focused on: a) Accelerate advocacy for policy, regulatory and institutional reforms through the private sector, leading to early adoption and implementation of reforms; b) Support institutional capacity building to sustain enabling environment reforms; c) Mobilize major private sector investments in livestock, dairy, and horticulture projects in support of changes in the business environment. Project interventions are meant to improve the business environment by influencing policy and regulatory reforms through consultative mechanisms. This would help spur private sector investments leading to increased employment and incomes in the target subsectors. PEEP stakeholders include private sector entrepreneurs, civil society actors, local universities, sector associations, business service agencies and the Government of Punjab. Core advocacy groups have been established involving the civil society and the public and private sector working together to help identify and advocate for better designing and implementation of various initiatives to improve Punjab’s business environment in the target subsectors. I.B. GRANT OBJECTIVE AND SCOPE Pakistan is the fourth-largest milk producer in the world. With an estimated population of 34.6 million buffalo and 39.7 million cattle1, the country produces 52.6 million tons of milk annually, following India, the United States, and China. However, in terms of competitiveness, Pakistan is far behind the leading countries. The increase in milk production from 2010 onwards is exclusively attributed to increase in animal numbers rather than individual animal productivity. Government of Punjab, having the largest cattle population in the country, in its quest to unlock the potentials of livestock sector has spelled out a clear vision to “Support livestock development in a policy environment that enables farmers to realize the dividends of livestock farming by smartly deploying public investments & inducing private capital and initiatives in the sector for poverty alleviation, food security & generation of exportable surplus.” Government of Punjab, in its Annual Development Plan (ADP) 2015-16 has clearly set objectives for Livestock Sector as: 1 2 Promote per animal productivity rather than increasing livestock numbers by appropriate measures to improve the genetic potential Encourage livestock farmers to adopt improved methods of animal husbandry by demonstrating greater efficiency and better returns as compared to traditional methods Transforming livestock business from subsistence to commercial venture Economic survey of Pakistan 2013-14. GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 Reformulate regulatory regime to attract private investment and has proposed strategies interventions in breed improvement through: Re-structuring & re-organization of breeding services in Punjab Enhancing dairy production through exotic semen Establishment of regional reference diagnostic and surveillance labs in Punjab Artificial Insemination (AI) has been introduced in Pakistan decades ago, and a number of AI centers were established under the Public Sector. Capitalizing on the increasing demand, a number of Semen Production Units (SPU) in private sector mushroomed in the country. In Punjab, there are about 18 to 20 private sector SPUs producing and selling livestock Semen through their discrete distribution networks and serving the breed-able animals in their respective geographical areas. However, owing to nonregulated environment and lack of protocols for the sector, most of these SPUs were established and operating without any standard operating procedures. The farmer’s community of Punjab quite often raised their concerns about the quality and efficiency of these SPUs and their products. On the other hand, according to L&DD field service records, for estimated 24 million breed-able animals available, the artificial insemination (AI) coverage in the province of Punjab was less than 10 percent. Total number of Semen doses produced altogether by Public Sector (2.7 million) and Private Sector (3.7 million) annually was around 5.44 million, while the demand for Semen stands at around 45 million doses per year. The gravity of the situation can be gauged from the fact that around 80 percent of the breed-able livestock in Punjab remained unserved due to non-availability of livestock semen. Hence the gap between supply and demand can be well-established leading towards tremendous investment opportunities in the semen production sector. Government of Punjab, cognizant to the situation, embarked upon an ambitious but systematic approach towards the Breed Improvement System of the province through genetic improvement program. For regulation of livestock breeding services, to improve genetic potential of breeds and protect indigenous breeds of livestock and to deal with the ancillary matters in the province, “The Punjab Livestock Breeding Bill 2014” has been enacted by Provincial Assembly in May 2014, and powers have been vested with “Punjab Livestock Breeding Service Authority” to develop and enforce standards and procedures for breeding services in the province. Responding to the call, the Punjab Livestock Breeding Authority developed “Standards and Procedures for Breeding Animals, 2015” including SOPs for semen production units (SPU) and enforced these in mid2015. The Breeding Authority consider that regulation of SPUs for production of quality semen for AI services on international standards is the corner stone for achieving the breeding objectives set in the province. The glaring objectives of all these efforts are targeted towards: 3 Fertility improvement in cattle and buffalo through timely provision of breeding services and treatment of genital diseases. Assistance to progeny testing programs in production of superior quality germ plasm to enhance milk productivity in the province. Regulate SPUs for production of quality semen for AI services. GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 Public and private Semen Production Units are responsible for the local production and supply of AI semen doses. Until now, due to absence of regulatory mechanism on quality of semen being collected and produced by these SPUs, AI has caused substernal losses to farmers as the cows and buffaloes seldom get conceived when inseminated with substandard semen leading to long calving intervals and loss of production. Unfortunately, many of these private SPUs neither introduced R&D culture to improve the quality of semen nor they put efforts and investments to improve physical infrastructure, capacity of human resource involved in the process, and necessary equipment required for the job. Most of these SPUs are ill-equipped to the very basic level of equipment and are using orthodox techniques for handling the collection, processing, storage and distribution of semen. Capacity of staff working on these SPUs also needs to be build adhering to the standard protocol. USAID PEEP, while attending this issue of national importance, intends to support Government of Punjab in its endeavors of re-structuring & re-organizing breeding services in Punjab for productivity enhancement through genetic improvement, provision of missing facilities, renovation and modernization of SPUs. With Punjab Livestock Breeding Act 2014 in-force, the private SPUs have to get registered with the authority and upgrade their equipment to the laid down standards. Especially, those units willing to export semen from Pakistan need to invest in genetically proven bulls, collection, storage, processing and transportation of quality semen. For this, PEEP intends to provide matching grant assistance to support upgradation of existing and establishment of new SPU setups in the private sector. This will directly support Government of Punjab for improving livestock genetics and production and transportation of quality semen till it reaches to the end beneficiaries. USAID’s Punjab Enabling Environment Project (PEEP) recognize that in order to catalyze new investments in Semen Production Units (SPU), a necessary condition is to demonstrate technical, economical and commercially viable business model arising from the business opportunities emerged as a result of policy reforms. To achieve this, PEEP aims at working with prospective investors/businesses who are planning investments in Semen Production through establishment of new or upgradation of model units in the province. USAID PEEP also recognizes that showcasing a successful business model/ pilot project, opens up gates for new investments. The idea is to practically demonstrate success of such investments/business models by supporting entrepreneurs/businesses who otherwise shy away from such investments due to perceived high risk or due to policy, regulatory or technology challenges in place. 1.C. CATEGORY FOR MATCHING GRANT PEEP grant aims to assist existing SPUs with upgradation plans or new investors with startup investments related to establishment of model SPU in Punjab, established according to best practices for improved quality production, processing, evaluation, and storage of livestock Semen for local and export markets. This matching grant can be utilized for procurement of equipment, or improvement of productive assets to upgrade existing set-up or new startups as per laid down requirement of Punjab Livestock Breeding Act 2014. This matching grant would enable participating SPUs to access technologies to improve production, processing, handling, and storage of livestock semen. PEEP will not support any assistance in construction, infrastructure and purchase of breeding bulls. Who can apply? Potential applicants include existing SPUs or enterprises interested in setting-up new SPU in compliance to the Punjab Livestock Breeding Act 2014. 4 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 GOAL FOR PEEP’S MATCHING GRANT I.D. PEEP’s goals will be achieved by extending support for the purchase and installation of equipment for production, handling, processing and storage of livestock semen in new set up or upgradation of the existing SPU. I.E. EXPECTED OUTCOMES I.F. Support to Government of Punjab, in its Annual Development Plan (ADP) 2015-16 objectives for Livestock Sector Support to Government of Punjab in early implementation of “Punjab Livestock Breeding Act 2014”. New investments in private sector Semen Production Units of Punjab supported/materialized, Competitiveness of Artificial Insemination (AI) sector enhanced by demonstrating commercial viability of a model project supported under the RFA for a multiplier effect. More investments catalyzed through profitability demonstration and enhanced competitiveness of enterprises. AUTHORITY/GOVERNING REGULATIONS USAID’s PEEP grant awards are made under the authority of the U.S. Foreign Affairs Act and USAID’s Advanced Directive System (ADS) 302.3.5.6, “Grants under Contracts.” Awards made to non-U.S. organizations will adhere to guidance provided under ADS Chapter 303, “Grants and Cooperative Agreements to Non-Governmental Organizations” and will be within the terms of the USAID http://www.usaid.gov/sites/default/files/documents/1868/303mab.pdf , as well as the PEEP’s grants procedures. ADS 303 references three additional regulatory documents issued by the U.S. Government’s Office of Management and Budget (OMB) and the U.S. Agency for International Development: - OMB Circular A-122: Cost Principles for Nonprofit Organizations - OMB Circular A-133: Audits of States, Local Governments, and Nonprofit Organizations Full text of the OMB circulars can be found at http://www.whitehouse.gov/omb/circulars/. PEEP is required to ensure that all organizations receiving USAID grant funds comply with the guidance found in these circulars, as applicable to the respective terms and conditions of their grant awards. Under the PEEP grant program, USAID retains the right at all times to terminate, in whole or in part, PEEP’s grant-making authorities. SECTION II. AWARD INFORMATION PEEP anticipates awarding matching grants to new and existing private sector investments and businesses in Punjab Livestock Breeding Sector. PEEP anticipates to issue matching grants amounting to an average of PKR 2,000,000 to 5,000,000. The award funding can be increased depending on the nature and size of the proposal. The matching grant is targeted towards private sector SPU to promote investments in the equipment and technology enhancement for production, handling, processing and storage of livestock semen. 5 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 In exceptional cases PEEP may consider requests for higher funding, subject to the availability of funds and USAID approvals. PEEP matching grants have a minimum leveraging requirement of 1:2. To clarify, the applicant will arrange 2/3 of the total activity budget from non-USG sources (e.g. own equity, non-USG donors, bank finance, or private sector investments etc.) to support the proposed project while PEEP will fund 1/3 of the proposed project’s budget. The higher amounts of leveraging will be strongly encouraged. Leveraging represents all of the non-USAID resources that are expected to be applied to a program. It may include resources that third parties bring to the program. Leveraging is further described in ADS 303.3.10.2. http://www.usaid.gov/sites/default/files/documents/1868/303.pdf Duration of grant awards under this solicitation will vary depending on the nature and size of the proposal/grant. It is expected that these grants will be issued for a period of up to 36 months. PEEP may increase the period of grant and funding depending on performance of the proposed project, availability of funds and USAID approval. The estimated start date of grants awarded under this solicitation is to be determined later. II.A. TYPE OF GRANT PEEP anticipates to issue Simplified Grants to successful applicants. Simplified Grants: This type of grant is described in ADS 303.3.24. Following are the key features of simplified grants: No advance shall be provided under simplified grants. The grantee shall receive payment on a reimbursement basis. PEEP may audit the procurement process of grantees. The costs will be determined during a pre-negotiated budget. All the costs incurred will have to be supported by backup documents. In addition, each month the grantees will do a financial reconciliation and all costs incurred must be within the approved budget. The grantee will also submit an excel report that shows the expenses incurred against the budget All costs to be charged to the grant are identified in the grant narrative and budget. PEEP may provide assistance for financial capacity-building of the organization. The grant shall not include sub-awards and cannot include grantee indirect costs. No construction activities. SECTION III. ELIGIBILITY III.A. ELIGIBLE RECIPIENTS The Applicant must meet the following eligibility criteria: 1. 2. 3. 4. A commercial entity or potential investor with track record of Semen Production Unit Business Based in the province of Punjab. Applicants must be able to demonstrate successful past performance in livestock breeding sector All applicants must contribute minimum of 1:2 matching, (1:2 matching means that applicants must have to arrange 2/3 of the total activity budget from non-USG sources). 5. The proposed activity must respond to the goals and objectives of the PEEP project. 6 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 6. When applicable, applicant must provide an environmental assessment and mitigation report to comply with USAID environmental regulations. 7. Applicants must display sound management in the form of financial, administrative, and technical policies and procedures and present a system of internal controls that safeguard assets; protect against fraud, waste, and abuse; and support the achievement of grant’s goals and objectives. PEEP will assess this capability prior to awarding a grant. 8. Women entrepreneurs are encouraged to apply. A compulsory condition to be entitled for PEEP grant is to get business registered with any relevant business registration authority of the Government of Punjab or at Federal Government’s level. Applicants must sign the following required certifications prior to receiving a grant. The certifications are attached to this solicitation (Annex E). Assurance of Compliance with Laws and Regulations Governing Non-discrimination in Federally Assisted Programs Certification Regarding Lobbying Certification Regarding Terrorist Financing Prohibition on Assistance to Drug Trafficking for Covered Countries and Individuals Key Individual Certification Narcotics Offenses and Drug Trafficking Requirement and Guidelines for obtaining Data Universal Numbering System (DUNS) number Certification Regarding Drug Free Workplace Initial Environmental Examination Form Certification of Recipient Survey on ensuring Equal Opportunity for Applicants (Optional) The project will work with the successful grantee to draft a marking and branding plan which will be annexed to the grant agreement. PEEP encourages applications from new and existing investors meeting the above eligibility criteria. SECTION IV – APPLICATION AND SUBMISSION INFORMATION IV.A. INSTRUCTIONS TO APPLICANTS Applicants must propose strategies for the implementation of the Grants description described above, introducing innovations that are appropriate to their organizational strengths. IV.A.1. APPLICANT SELF-ASSESSMENT All organizations selected for award are subject to a pre-award responsibility determination conducted by PEEP, to ascertain whether the organization has the minimum management capabilities required to handle US government funds. The applicant self-assessment is the first step in the pre-award responsibility determination process. The Applicant Self-Assessment Form is contained in Annex D. Instructions and a template for the full application are in Annex A. Applicants that submit full applications that meet or exceed the evaluation criteria shell be notified of next steps in the application process. 7 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 IV.A.2. GRANT APPLICATION Templates to be utilized when developing the application are provided in Annex A-C. Applicants shall present their technical application and budget in the formats provided and shall follow the instructions and guidelines listed in these annexes. All grant activity costs must be within the normal operating practices of the Applicant and in accordance with its written policies and procedures. For applicants without an audited indirect cost rate, the budget may include direct costs that will be incurred by the Applicant to provide identifiable administrative and management costs that can be directly attributable to supporting the grant objective. An applicant can apply for multiple funding streams/regions but the applicant will only be awarded one grant at a time. For any queries related to RFA and application form, kindly email it to PEEP. The application must be signed by an authorized agent of the Applicant. IV.A.3 INELIGIBLE EXPENSES PEEP grant funds may not be utilized for the following: 8 Private ceremonies, parties, celebrations, or "representation" expenses. Purchases of restricted goods, such as certain agricultural commodities, motor vehicles (including motorcycles), pharmaceuticals and contraceptive items, pesticides, used equipment, U.S. government excess property and fertilizers without the previous approval by the USAID Contracting Officer through PEEP. If procurement of these restricted goods is necessary, PEEP may decide to procure items directly and provide them in kind to the grantee after receiving approval from the USAID Contracting Officer. Prohibited goods under USAID regulations, including but not limited to: military and surveillance equipment, police or law enforcement equipment, abortion equipment and services, weather modification equipment, luxury goods, and gambling equipment. Purchases of goods or services restricted or prohibited under the prevailing USAID source/ nationality regulations per 22 CFR 228 and relevant Standard Provisions; or from countries or suppliers as may be identified by USAID's consolidated list of debarred, suspended, or ineligible subcontractors at www.sam.gov. Any purchases or activities deemed unnecessary to accomplish grant purposes as determined by PEEP, including any grantee headquarters expenses that are not directly linked to the implementation of the proposed proposal. Previous obligations and/or bad debts. Fines and/or penalties. Creation of endowments. Other costs unallowable under USAID and/or federal regulations, such as alcoholic beverages. Refer to Subpart E- Cost Principles in 22 CFR 200 for non-profit organizations and FAR 31.2 “Cost principles for Commercial Organizations” Indirect costs such as but not limited to overhead or indirect fringe (unless the applicant has documented proof of such rates through audits or USAID-issued NICRA). Indirect costs are never allowed under simplified grants. In general, costs not included in the approved budget may not be allowed unless approved in writing by PEEP. GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 IV. B. Application and Submission Information Applications shall be submitted in English and may not be more than 10-15 pages, excluding Annexes. Applications (Technical and budget proposals and supporting documentation) should be submitted electronically and should reference Matching Grants/RFA#005.2/2015. Applications must be submitted no later than October 15, 2015 18:00 hours local time. Late or unresponsive applications will not be considered. Name of Project: Punjab Enabling Environment Project (PEEP) E-mail: For Application Submission Electronically: grants@usaidpeep.com.pk In addition to the application forms (Annex A), applicants should submit the following to PEEP: - Implementation plan or chronology of activities and results (Annex B) Proposed activities detail budget along with breakup of co-funding, cost share or third party contributions with notes (Minimum requirement is 1:2 leveraging) (Annex C) Copy of valid Pakistani registration certificate and related GOP documentation Copy of last 3 annual financial report, income and expenditure report audited by licensed audit firm or practitioner, if available Applicant Self-Assessment Form (Annex D) Signed copies of the required certification package (included in the Annex E) CVs of proposed project personnel Copy of the organization's charter and by-laws. Please submit all questions concerning this solicitation via email to FAQgrants@usaidpeep.com.pk. PEEP will assist applicants in understanding the application process, and can provide coaching in application development at the request of applicants. Please note that no applications shall be accepted by hand. Note: Failure to submit necessary documentations and information (within due date) to substantiate basic criteria shall result in disqualification of the application for the next steps. SECTION V. APPLICATION EVALUATION V. EVALUATION CRITERIA Grants applications shall be evaluated based on defined criteria in ADS 303.3.6.3. All applications should be reviewed by Selection Committee (SC) of PEEP project as per the evaluation criteria in the table below. Evaluation Category Design & Approach Impact on Target Group Management & Programmatic Capacity Sustainability Cost efficiency Past Performance Overall Rating (out of 100 points) 9 Rating (Points) 25 20 15 20 10 10 100 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 These evaluation criteria elements are further elaborated below: A. Design & Approach. The quality of the application, in terms of the appropriateness of the proposed methodology, and the work plan for achieving objectives such as creating an internationally competitive Livestock Breeding sector in Punjab and improving the quality and quantity of semen for the domestic markets. Proposed mechanisms for monitoring and evaluation with objectively measurable indicators will also be appraised. 25 points. B. Impact on target group. The extent to which the proposed activity corresponds to the needs of the target group and will directly benefit that group. This may include the participation of and benefit of women in income-generating opportunities. Also, the degree to which it will directly or indirectly stimulate other investors and resources to develop or implement activities supporting the objectives of the grants. 20 points. C. Management and Programmatic Capacity. Evidence of the capability to undertake and accomplish the proposed activities. Appraisal will be based principally on reference checks by PEEP staff; the background, qualifications, reputation, and skills of its key personnel; and the track record, reputation, achievements (including development of self-sufficient, sustainable activities) of the businesses involved. 15 points. D. Sustainability. The extent to which the funded activity will result in building and strengthening the capacity of the community and local organizations, and whether the activity itself is sustainable or will stimulate sustainability of the organization. 20 points. E. Cost efficiency. The degree to which budgeting is clear and reasonable and reflects best use of organizational and grant resources. Any applicant to be supported under this RFA is expected to make minimum of 1:2 leveraging. Leveraging reflects commitment by the targeted beneficiaries. 10 points. F. Past Performance. Previous or ongoing experience implementing similar activities. This examines an Applicant’s track-record, which is a critical factor in assessing the capacity of the Grantee to implement the activity. Demonstrated ability carrying out policy advocacy, government monitoring and oversight, and other activities in support of targeted reforms. 10 points. Additionally, PEEP will ensure environmental soundness and compliance in design and implementation as required by 22 CFR 216. SECTION VI. AWARD AND ADMINISTRATION INFORMATION All grants will be negotiated, denominated and funded in local currency. All costs funded by the grant must be allowable, allocable and reasonable. Grant applications must be supported by a detailed and realistic budget as described in Section IV. Issuance of this RFA and assistance with application development do not constitute an award or commitment on the part of PEEP, nor does it commit PEEP to pay for costs incurred in the preparation and submission of an application. Further, PEEP reserves the right to accept or reject any or all applications received. Applicants will be informed in writing of the decision made regarding their application. Also, the 10 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 preparations of all materials for submittal against this RFA to PEEP will be at the applicant’s sole cost and expense, and PEEP shall not under any circumstances be responsible for any cost or expense incurred by the applicant. All documentation and/or materials submitted with the RFA document shall become and remain the property of PEEP. ANNEXES – - Annex A – Grant Application Form - Annex B – Implementation Timeline - Annex C – Grant Application Budget Form - Annex D – Applicant Self-Assessment Form - Annex E – Required Certifications - Annex F – Survey on Ensuring Equal Opportunity for Applicants (Optional) - Annex G – Mandatory Standard Provisions for Non-U.S Organizations - Annex H - Standard Provisions for Fixed Obligation Grants to Nongovernmental Organizations 11 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 ANNEX A - GRANT APPLICATION A.1. General Instructions PEEP will assist applicants in understanding the application process, answer questions, and may provide coaching in application development at the request of applicants. Annex C includes a detailed budget format that must be completed and submitted with your application. Annex B, Implementation Plan Timeline, should also be completed at the time of submission of the grant application. This application may not exceed 10-15 pages in length. Pages exceeding the limit will not be reviewed (does not include Annex B, Implementation Plan Timeline, or Annex C, Detailed Grant Budget). A.2. Instructions by Section Templates for presentation of both the technical and budget aspects of the application are provided in Annexes A-C. Applicants shall present their proposals in the formats provided. Those applications that are not submitted according to the formats requested and in accordance with the instruction in this RFA will be considered as non-responsive and will be disqualified. The application elements and guidelines are summarized below: Section I (Basic Information). The Applicant provides basic contact information and information regarding the status of the organization. Items 1-2: Organization’s name, date organization was founded, and current registration status. Item 3: Contact Information— Contact name, title, address, telephone, fax, e-mail, etc. The contact person (agent) is responsible for communications between PEEP and the Applicant. This applies to all aspects of the grant, from initial application, negotiation, award, and close out. The agent must have full authority and responsibility to act on behalf of the Applicant. The agent should be someone who will be directly involved with the grant activity and has a proven, established relationship with the Applicant. Item 4: Organizational Structure— List board members (or founding members if you do not have a formal board of directors) and key staff (president, directors, treasurer, etc). If available, please attach an organizational chart. Item 5: Briefly describe the organization and its activities — Should introduce the Applicant and its background: how it was formed, its mission or purpose, major accomplishments in the area of the targeted activity, current activities, past related experience, and clients. Item 6: References—List three donors, partner organizations, or community leaders that can provide references for your organization’s ability to successfully carry out the financial, administrative, and technical requirements of the grant activity. Briefly describe your relationship to the reference and the nature and duration of your work together. If the reference is a previous donor, list the activity and location of the activity(s) they funded. Be sure to provide complete information, including a point of contact, with telephone and email address. Section II (Proposal Description). The Applicant describes overarching proposal elements such as objective of the grant and the linkage to PEEP’s objectives, results, the activity’s beneficiaries, and plan for disseminating activity deliverables. 12 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 Item 7: Grant Activity Title—The title given to the activity should relate to the grant activity objective. Item 8: Background—Identify the problem that the grant activity proposes to address. Item 9: Grant Objective – Briefly state the objective of the proposed grant activity. Items 10: Grant Activity Detail – Provide a thorough, detailed description of the activity, including how the activity links to PEEP’s objectives, and the expected results. Please refer closely to the evaluation criteria and program description sections of the RFA. Item 11: Beneficiaries – Identify beneficiaries/participants, disaggregated by gender if possible, estimated number, and location. Identify how the grant activities will reach the intended beneficiaries, how they will benefit from the grant, and how the beneficiaries will be identified or selected. Section III (Program Implementation Plan). This section covers information regarding activity implementation, including proposed personnel and descriptions of each task. This should be the most detailed section, depending on the nature of the grant activity and tasks involved. Item 12: Anticipated duration should be stated with a degree of accuracy of plus or minus two weeks. Item 13: Main tasks of the activity— Provide details regarding the specific tasks of the activity in Annex A. The implementation plan must be supported by Annex B, Implementation Plan Timeline, listing all identified main tasks over the duration of the activity. Please include all events, trainings, publications, etc. For each task, provide the following information: Task # / Title: 1. 2. 3. 4. 5. 6. Task description Target Audience Grant-financed resource required & detailed explanation of use Non-grant-financed resources required Start and end dates Person(s) responsible Each task must be: Complete and sound Integrated and scheduled with dependent tasks Assigned to a responsible party Defined in terms of resources required Concluded with a viable milestone of achievement. (Milestones must be linked to results) Applicant must describe any relevant material assumptions made and/or conditions required for the achievement of the grant objective Implementation plans may be supported by a bar chart that shows all identified tasks over the duration of the activity The tasks listed must show a logical, thoughtful approach to the overall implementation plan. Tasks should describe actions and be logically sequenced. The Applicant should also describe any relevant material assumptions made and/or 13 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 conditions or precedent required for the achievement of the tasks. Item 14: Applicant lists the location(s) of the activity, adding rows as needed. Item 15: Applicant lists the personnel who will be involved in implementing the grant activity. Attach updated CVs all grant activity personnel. Section IV (Experience and Capacity). Item 16: Applicant should describe past experience or on-going carrying out similar technical activities. This is a critical factor in assessing the capacity of the applicant to implement the activity. If the applicant does not have similar experience, state that here and describe any other relevant qualifications that will allow you to successfully implement the grant activity. Section V (Cost). This is a summary of the information provided in the application budget forms, and includes total grant request, Grantee's cash or in-kind contributions (Leveraging / cost-sharing) for the activity, and contributions from other sources (co-funding) for the activity. Applicant also describes any other US Government funding they are currently receiving for other purposes. Applicant must identify any long-term, recurrent commitments resulting from activity, and Applicant’s plan for sustainable coverage. Item 17: Detailed cost of this activity (cash, in-kind [i.e. donated goods or services], and third-party sources) Item 18: Discuss strategies for ensuring the sustainability of the proposed activity and organization, including proposed Leveraging (Funds raised from other sources, minimum requirement 1:2 leveraging) on top of grant funds, expected income generation (if any), and third party leveraging of funds (if any). Income is defined as gross income earned by the Grantee that is directly generated by a supported activity or earned as a result of this grant, during the period of the grant. Item 19: List any major donor-funded activities (U.S. and other) that your organization has managed in the last two years, currently receives, or expects to receive within the duration of the grant activity. Applications must be supported by Annex C, Detailed Grant Budget. This excel budget template, when properly completed, reviewed, and approved by PEEP, will serve as the mutually agreed-upon guide for activity financial management. All activity costs must be identified. Cost data must be accurate; proposed amounts should not be unrealistically high or low. It is important that the budget clearly indicate where specific project funds are to come from (from USAID, co-funding by another donor, or the applicant’s Leveraging / cost-sharing contribution). Furthermore, contribution from other donors and Applicant resource commitment will be investigated and documented. In order to avoid double financing/ billing, PEEP will require full disclosure by all involved parties and will maintain contact with co-funders to verify their contributions. Budgeted amounts must also be supported by justification, and the applicant must be able to provide such backup to Project Name if requested. All grant activity costs must be within the normal operating practices of the Applicant and in accordance with its written policies and procedures. For applicants without an audited indirect cost rate, the budget may include direct costs that will be incurred by the Applicant to provide identifiable administrative and management costs that can be directly attributable to supporting the grant objective. 14 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 Section A.3. Grant Application Form The application must be signed by an authorized agent of the Applicant. This application is in response to Matching Grants/RFA#005.2/2015 Section I. Basic Information 1. Organization name: 2. Date organization was founded and registration status: 3. Contact information: Key contact person(s) and title: Office address: Mobile: Email: Office phone: Fax: Website: 4. Organizational Structure – List board members (or founding members if you do not have a formal board of directors) and key staff (president, directors, treasurer, etc). If available, please attach an organizational chart. 5. Briefly describe the organization, its purpose, and past related experience: 6. List contact information for three (3) references from previous donors or organizations (U.S. and other) that your organization has collaborated with in the last two years: Donor Agency Nature of Relationship or or Title of Project, Location Organization Start & End Dates of Contact Person Collaboration Name & Position: Email: Tel: Name & Position: Email: Tel: Name & Position: Email: Tel: Section II. Program Description 7. Title of the proposed grant activity: 15 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 8. Background: What is the issue or problem that the activity will address? Why is it critical to address this issue? 9. Objective of the proposed grant activity: 10. Describe the proposed activity and expected results in detail (or attach a project description). Describe the main tasks that are proposed to meet the grant objective, the expected results to be achieved, and how the tasks are linked to the grant objective. Describe any relevant material assumptions made and/or conditions or precedent required for the achievement of the grant objective. This activity detail should keep in mind the evaluation criteria contained in the solicitation: 11. Describe the proposed participants and/or beneficiaries, and your method for identifying or selecting participants and beneficiaries: Section III. Implementation Plan 12. Anticipated duration of the grant activity: Overall length (total number of months) Start and end date (day, month, and year) 13. Location(s) of the activity. Please note that the location of the activity is Punjab Province only. 14. List personnel who will be involved in implementing this project. CVs are required for all project personnel. Section IV. Experience and Capacity 15. Describe the organization’s experience implementing similar activities: Section V. Cost Note: All applications must be supported by the attached Annex C, Detailed Grant Budget. 16. Cost in local currency per the attached budget: Amount requested from PEEP project: (1/3 of total activity budget) Leveraging or other contribution from organization and third parties: (Minimum leveraging requirement is 1:2, that is applicant should bring 2/3 of the total activity budget from nonUSG sources) 16 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 Total Estimated Grant Activity Cost: 17. Discuss strategies for ensuring the sustainability of the proposed activity and organization, including proposed Leveraging (Minimum requirement is 1:2) / cost share, expected proposal’s income generation, and third party leveraging of funds. 18. List any major donor-funded activities (U.S. and others) that your organization has managed in the last two years, currently receives, or expects to receive within the duration of the grant activity. Add additional lines if necessary: Donor Agency Total Title of Project, Location, & Start Funding Donor Contact Person & End Dates (in local currency) Name: Email: Tel: Name: Email: Tel: Name: Email: Tel: By affixing my signature below, I certify that to the best of my knowledge, the information provided in this application is accurate and correct: Submitted by (name and title): ____________________________________________________ Signature: _____________________________________ Date: __________________________ FOR PROJECT USE ONLY Date received _______________ Grant Reference No. ____________________ The undersigned hereby certifies that: (a) the prospective grantee has received an official delivery receipt for its Grant Application, (b) a copy of that receipt has been filed, (c) a reference number has been assigned, and (d) a grant application file has been opened. In addition, the prospective grantee has been advised as to the review and appraisal process, and its primary project point of contact. Grants Manager_____________________ Date ________________ 17 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 ANNEX B - IMPLEMENTATION PLAN TIMELINE IMPLEMENTATION PLAN Non-Grant Resources Required (Grantee or Target Third Party Audienc Contribution, e Grant Who is Resources e.g minimum Task List each task. the Required 1:2 Please be as specific audience and Leveraging) as possible. Use targeted Detailed and Detailed additional pages if for the Explanatio Explanation necessary. task? n of Use of Use 12 Month Timeline Place an X in the appropriate box to indicate the first and last month of the task, with approximate start and end dates. (Add more months if necessary) Person(s) Responsible Who is responsible for overseeing and implementing the task? Evaluation Indicators and Milestones How will you measure the success of the task? 1 2 3 4 5 6 7 8 9 1 1 1 0 1 2 18 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 ANNEX C – Detailed Grant Budget Template (Excel). This template will be provided separately as part of the package. 19 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 Annex D – Applicant Self-Assessment Form If required in a given solicitation, this form is completed by the Applicant and submitted to PEEP along with the grant application. It is used as part of PEEP’s assessment of a given Applicant adherence to eligibility requirements as well as capacity to adequately handle grant funds. It may be used in lieu of or in conjunction with other pre-award responsibility determination tools. -----------------------------------------------------------------------------------------------------------------------PEEP Applicant Self-Assessment Form Accepting a grant from PEEP creates a legal duty for the grantee to use the funds according to the grant agreement and United States federal regulations. Prior to awarding a grant, PEEP must assess the adequacy of the financial and accounting systems of a prospective grantee (and, if applicable, any sub recipients) to ensure accountability if a grant is awarded. In filling out the Questionnaire, each question should be answered as completely as possible, using extra pages if necessary. Please return your completed questionnaire to PEEP. APPLICANT INFORMATION Name of Organization Activity Title: Name, Title, Contact Information of Individual Completing Questionnaire: SECTION A: INTERNAL CONTROLS Internal controls are procedures that ensure: a. financial transactions are approved by an authorized individual and follow laws, regulations and the organization's policies, b. assets are kept safely, c. accounting records are complete, accurate and kept on a regular basis. Please complete the following questions concerning your organization's internal controls: 1. List the name, position/title, and telephone number for the individuals responsible for checking expenditures to make sure they are allowable: 2. Responsible for maintaining accounting records:_____________________________________ 3. Responsible for preparing financial reports:_________________________________________ 4. Responsible for preparing narrative reports:_________________________________________ 5. Are timesheets kept for each paid employee? Yes: __ 20 No: __ GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 6. Is your organization familiar with U.S. government regulations concerning costs which can be charged to U.S. grants (OMB Circular A-122 "Cost Principles for Nonprofit Organizations" or OMB Circular A-21 "Cost Principles for Educational Institutions")? Yes: __ No: __ SECTION B: ACCOUNTING SYSTEM The purpose of an accounting system is to 1) accurately record all financial transactions, and 2) ensure that all financial transactions are supported by invoices, timesheets and other documentation. The type of accounting system often depends on the size of the organization. Some organizations may have computerized accounting systems, while others use a manual system to record each transaction in a ledger. In either case, PEEP grant funds must be properly authorized, used for the intended purpose and recorded in an organized and regular manner. 1. Briefly describe your organization's accounting system including: a) any manual ledgers used to record transactions (general ledger, cash disbursements ledger, suppliers ledger etc.); b) any computerized accounting system used (please indicate the name); and c) how transactions are summarized in financial reports, (by the period, project, cost categories)? ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 2. Does your organization have written accounting policies and procedures? Yes: __ No: __ 3. Are your financial reports prepared on a: Cash basis: __ before they are incurred) Accrual basis: __(Accrual - bill for costs 4. Can your accounting records separate the receipts and payments of the PEEP grant from the receipts and payments of your organization's other activities? Yes: __ No: __ 5. Can your accounting records summarize expenditures from the PEEP grant according to different budget categories such as salaries, rent, supplies and equipment? Yes: __ No: __ 6. How do you allocate costs that are “shared” by different funding sources, such as rent, utilities, etc.? ______________________________________________________________________________ ______________________________________________________________________________ 21 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 7. How often are financial reports prepared? Monthly: __ Quarterly: __ Annually: __ Not Prepared: __ (explain) 8. How often do you input entries into the financial system? a. daily __ b. weekly __ c. monthly __ d. ad hoc/as needed __ 9. How often do you do cash reconciliation? a. daily __ b. weekly __ c. monthly __ d. by accountant’s decision __ 10. Do you keep invoices, vouchers and timesheets for all payments made from grant funds? Yes:__ No: __ SECTION C: FUNDS CONTROL PEEP grantees and recipients who receive advances of grant funds must maintain a separate bank account registered in the name of the organization for the purpose of keeping only PEEP grant funds. The bank account must be in local currency. PEEP normally pays grantees monthly by bank transfer to the separate account. Access to the bank account must be limited to authorized individuals. Bank balances should be compared each month with your accounting records. For petty cash, it is very important to keep the cash in a strong safe and have strict controls over cash maintenance and disbursement. 1. Do you have a bank account registered in the name of your organization? Yes: __ No: __ 2. Will the bank account draw interest? Yes: __ No: __ 3. Are all bank accounts and check signatories authorized by the organization's Board of Directors or Trustees or other authorized persons? Yes: __ No: __ 4. Will any cash from PEEP grant funds be kept outside the bank account (in petty cash funds, etc.)? Yes: __ No: __ 4.a. If yes, please explain the amount of funds to be kept and the name and position/title of the person responsible for safeguarding cash. SECTION D: AUDIT PEEP may require an audit of your organization's accounting records. An audit is a review of your accounting records by an independent accountant who works for an accounting firm. An audit report contains your financial statements as well as an opinion by the accountant that your financial statements are correct. Please provide the following information on prior audits of your organization. 1. Does your organization have regular independent audits that you contract and pay for? Yes: __ (please provide the most recent copy) No audits performed: __ 22 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 2. If yes, who performs the audit? ______________________________________________________________________________ 3. How often are audits performed? Quarterly: __ Yearly: __ Every 2 years: __ Other: __ (explain) __________________ 4. If your organization does not have a current audit of its financial statements, please provide a copy of the following financial information, if available: a. A "Balance Sheet" for your prior fiscal or calendar year; and b. A "Revenue and Expense Statement" for your prior fiscal or calendar year. 5. Are there any reasons (local conditions, laws, or institutional circumstances) that would prevent an independent accountant from performing an audit of your organization? Yes: __ No: __ If yes, please explain: ________________________ CHECKLIST AND SIGNATURE PAGE PEEP requests that your organization submit a number of documents along with this completed questionnaire. Complete this page to ensure that all requested information has been included. Please complete the checklist below, then sign and return the questionnaire and any other requested documents to PEEP. 1. Complete the checklist: __ Incorporation Papers or Certificate of Registration and Statute have been provided to PEEP __ Organizational chart, if available, has been provided to PEEP (if applicable). __ Copy of your organization's most recent audit has been provided to PEEP (If no recent audit, a "Balance Sheet" and "Revenue and Expense Statement" for the prior fiscal year). __ All questions have been fully answered. __An authorized individual has signed and dated this page. The Accounting Questionnaire must be signed and dated by an authorized person who has either completed or reviewed the form. Approved by: Print Name 23 __________________________ Signature __________________________ GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 Annex E – Required Certifications [To be submitted as part of an Applicant’s application. To be signed by an authorized agent of the applicant at the end of this Section] 24 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 I. ASSURANCE OF COMPLIANCE WITH LAWS AND REGULATIONS GOVERNING NON-DISCRIMINATION IN FEDERALLY ASSISTED PROGRAMS (a) The recipient hereby assures that no person in the United States shall, on the bases set forth below, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under, any program or activity receiving financial assistance from USAID, and that with respect to the grant for which application is being made, it will comply with the requirements of: 1. Title VI of the Civil Rights Act of 1964 (Pub. L. 88-352, 42 U.S.C. 2000-d), which prohibits discrimination on the basis of race, color or national origin, in programs and activities receiving Federal financial assistance; 2. Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. 794), which prohibits discrimination on the basis of handicap in programs and activities receiving Federal financial assistance; 3. Age Discrimination Act of 1975, as amended (Pub. L. 95-478), which prohibits discrimination based on age in the delivery of services and benefits supported with Federal funds; 4. Title IX of the Education Amendments of 1972 (20 U.S.C. 1681, et seq.), which prohibits discrimination on the basis of sex in education programs and activities receiving Federal financial assistance (whether or not the programs or activities are offered or sponsored by an educational institution); and 5. USAID regulations implementing the above nondiscrimination laws, set forth in Chapter II of Title 22 of the Code of Federal Regulations. and to all other practices relating to the treatment of students or clients of the institution, or relating to the opportunity to participate in the provision of services or other benefits to such individuals, and shall be applicable to the entire institution unless the recipient establishes to the satisfaction of the USAID Administrator that the institution's practices in designated parts or programs of the institution will in no way affect its practices in the program of the institution for which financial assistance is sought, or the beneficiaries of, or participants in, such programs. (c) This assurance is given in consideration of and for the purpose of obtaining any and all Federal grants, loans, contracts, property, discounts, or other Federal financial assistance extended after the date hereof to the recipient by the Agency, including installment payments after such date on account of applications for Federal financial assistance which were approved before such date. The recipient recognizes and agrees that such Federal financial assistance will be extended in reliance on the representations and agreements made in this Assurance, and that the United States shall have the right to seek judicial enforcement of this Assurance. This Assurance is binding on the recipient, its successors, transferees, and assignees, and the person or persons whose signatures appear below are authorized to sign this Assurance on behalf of the recipient. Signature __________________________________________Date_______________ Name_____________________________________________ Organization________________________________________ 25 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 II. CERTIFICATION REGARDING TERRORIST FINANCING By signing and submitting this application, the prospective recipient provides the certification set out below: 1. The Recipient, to the best of its current knowledge, did not provide, within the previous ten years, and will take all reasonable steps to ensure that it does not and will not knowingly provide, material support or resources to any individual or entity that commits, attempts to commit, advocates, facilitates, or participates in terrorist acts, or has committed, attempted to commit, facilitated, or participated in terrorist acts, as that term is defined in paragraph 3. 2. The following steps may enable the Recipient to comply with its obligations under paragraph 1: a) Before providing any material support or resources to an individual or entity, the Recipient will verify that the individual or entity does not (i) appear on the master list of Specially Designated Nationals and Blocked Persons, which list is maintained by the U.S. Treasury’s Office of Foreign Assets Control (OFAC) and is available online at OFAC’s website: http://www.treas.gov/offices/eotffc/ofac/sdn/t11sdn.pdf, or (ii) is not included in any supplementary information concerning prohibited individuals or entities that may be provided by USAID to the Recipient. b) Before providing any material support or resources to an individual or entity, the Recipient also will verify that the individual or entity has not been designated by the United Nations Security (UNSC) sanctions committee established under UNSC Resolution 1267 (1999) (the “1267 Committee”) [individuals and entities linked to the Taliban, Usama bin Laden, or the Al Qaida Organization]. To determine whether there has been a published designation of an individual or entity by the 1267 Committee, the Recipient should refer to the consolidated list available online at the Committee’s website: http://www.un.org/Docs/sc/committees/1267/1267ListEng.htm. c) Before providing any material support or resources to an individual or entity, the Recipient will consider all information about that individual or entity of which it is aware and all public information that is reasonably available to it or of which it should be aware. d) The Recipient also will implement reasonable monitoring and oversight procedures to safeguard against assistance being diverted to support terrorist activity. 3. For purposes of this Certificationa. “Material support and resources” means currency or monetary instruments or financial securities, financial services, lodging, training, expert advice or assistance, safehouses, false documentation or identification, communications equipment, facilities, weapons, lethal substances, explosives, personnel, transportation, and other physical assets, except medicine or religious materials.” b. “Terrorist act” means¬ i. An act prohibited pursuant to one of the 12 United Nations Conventions and Protocols related to terrorism (see UN terrorism conventions Internet site: http://untreaty.un.org/English/Terrorism.asp); or ii. An act of premeditated, politically motivated violence perpetrated against noncombatant targets by sub-national groups or clandestine agents; or 26 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 iii. Any other act intended to cause death or serious bodily injury to a civilian, or to any other person not taking an active part in hostilities in a situation of armed conflict, when the purpose of such act, by its nature or context, is to intimidate a population, or to compel a government or an international organization to do or to abstain from doing any act. c. “Entity” means a partnership, association, corporation, or other organization, group or subgroup. d. References in this Certification to the provision of material support and resources shall not be deemed to include the furnishing of USAID funds or USAID-financed commodities to the ultimate beneficiaries of USAID assistance, such as recipients of food, medical care, micro-enterprise loans, shelter, etc., unless the Recipient has reason to believe that one or more of these beneficiaries commits, attempts to commit, advocates, facilitates, or participates in terrorist acts, or has committed, attempted to commit, facilitated or participated in terrorist acts. e. The Recipient’s obligations under paragraph 1 are not applicable to the procurement of goods and/or services by the Recipient that are acquired in the ordinary course of business through contract or purchase, e.g., utilities, rents, office supplies, gasoline, etc., unless the Recipient has reason to believe that a vendor or supplier of such goods and services commits, attempts to commit, advocates, facilitates, or participates in terrorist acts, or has committed, attempted to commit, facilitated or participated in terrorist acts. This Certification is an express term and condition of any agreement issued as a result of this application, and any violation of it shall be grounds for unilateral termination of the agreement by USAID prior to the end of its term. Signed: ___________________________________ Name and Title: ____________________________ Name of Organization: _______________________ Date: _____________________________________ 27 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 III. CERTIFICATION REGARDING LOBBYING The undersigned certifies, to the best of his or her knowledge and belief, that: 1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment or modification of any Federal contract, grant, loan, or cooperative agreement. 2. If any funds other than 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, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in accordance with its instructions. 3. The undersigned shall require that the language of this certification be included in the award documents for all sub-awards at all tiers (including subcontracts, sub-grants, and contracts under grants, loans, and cooperative agreements) and that all sub-recipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, United States Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. Statement for Loan Guarantees and Loan Insurance The undersigned states, to the best of his or her knowledge and belief, that: If any 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, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. Signature __________________________________________Date_______________ Name_____________________________________________ Organization________________________________________ 28 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 IV. PROHIBITION ON ASSISTANCE TO DRUG TRAFFICKERS FOR COVERED COUNTRIES AND INDIVIDUALS (ADS 206) USAID reserves the right to terminate this [Agreement/Contract], to demand a refund or take other appropriate measures if the [Recipient/ Contractor] is found to have been convicted of a narcotics offense or to have been engaged in drug trafficking as defined in 22 CFR Part 140. The undersigned shall review USAID ADS 206 to determine if any certifications are required for Key Individuals or Covered Participants. If there are COVERED PARTICIPANTS: USAID reserves the right to terminate assistance to, or take or take other appropriate measures with respect to, any participant approved by USAID who is found to have been convicted of a narcotics offense or to have been engaged in drug trafficking as defined in 22 CFR Part 140. Signature __________________________________________Date_______________ Name_____________________________________________ Organization________________________________________ 29 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 V. KEY INDIVIDUAL CERTIFICATION NARCOTICS OFFENSES AND DRUG TRAFFICKING I hereby certify that within the last ten years: 1. I have not been convicted of a violation of, or a conspiracy to violate, any law or regulation of the United States or any other country concerning narcotic or psychotropic drugs or other controlled substances. 2. I am not and have not been an illicit trafficker in any such drug or controlled substance. 3. I am not and have not been a knowing assistor, abettor, conspirator, or colluder with others in the illicit trafficking in any such drug or substance. Signature: ____________________________ Date: ____________________________ Name: ____________________________ Title/Position: ____________________________ Organization: ____________________________ Address: ____________________________ Date of Birth: ____________________________ NOTICE: You are required to sign this Certification under the provisions of 22 CFR Part 140, Prohibition on Assistance to Drug Traffickers. These regulations were issued by the Department of State and require that certain key individuals of organizations must sign this Certification. If you make a false Certification you are subject to U.S. criminal prosecution under 18 U.S.C. 1001. 30 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 VI. Requirement and Guidelines for obtaining Data Universal Numbering System (DUNS) number (To be submitted with the sub-award application) Data Universal Numbering System (DUNS) Number (a) In the space provided at the end of this provision, the recipient should supply the Data Universal Numbering System (DUNS) number applicable to that name and address. Recipients should take care to report the number that identifies the recipient's name and address exactly as stated in the proposal. (b) The DUNS is a 9-digit number assigned by Dun and Bradstreet Information Services. If the recipient does not have a DUNS number, the recipient should call Dun and Bradstreet directly at 1-800-3330505. A DUNS number will be provided immediately by telephone at no charge to the recipient. The recipient should be prepared to provide the following information: (1) Recipient's name. (2) Recipient's address. (3) Recipient's telephone number. (4) Line of business. (5) Chief executive officer/key manager. (6) Date the organization was started. (7) Number of people employed by the recipient. (8) Company affiliation. *(c) Recipients located outside the United States refer to the appended guidelines for obtaining DUNS number which is a web-enabled process. The information in clause b (1) to b (8) must be available even for filing the form online. The DUNS system is distinct from the Federal Taxpayer Identification Number (TIN) system. DUNS: ________________________________________ (Provide your DUNS # here) Guidelines for obtaining DUNS number Definition The Data Universal Numbering System, abbreviated as DUNS or D-U-N-S, is a system developed and regulated by Dun & Bradstreet (D&B), that assigns a unique nine-character numeric identifier, referred to as a "DUNS number" to a single business entity. Purpose The DUNS number is entered into a publicly available, searchable website that contains information of each Federal award and the entities receiving US Government funds through Federal awards such as Federal contracts and their sub-contracts and Federal grants and their sub-grants. 31 Form and Instructions Obtaining a DUNS number is FREE. Do not trust any website that requires a payment. GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 Click on the link below to request your DUNS number http://fedgov.dnb.com/webform/pages/CCRSearch.jsp The website will first determine whether your organization already have a DUNS number. The screen will firsts prompt you to select the country where your company is physically located. Once you select the country, you will be prompted to enter the name of your company. If you do not see your company listed, click on Request for a New DUNS number”. Fill out the form to request the DUNS number and click on the “Submit Your Request” button at the bottom of the page. Help Send an e-mail to govt@dnb.com Please be sure to include your contact information and a brief description of the problem you experienced. 32 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 VII. Certification Regarding Drug Free Workplace (To be submitted with the sub-award application) The grant beneficiary of this Grant Agreement hereby certifies the following: 1 That this certification is a material representation of fact from the grant beneficiary upon which reliance was placed when PEEP awarded the grant; 2 That the grant beneficiary understands that if it is later determined that the grant beneficiary knowingly rendered a false certification, or otherwise violated the requirements of the Drug-Free Workplace Act, PEEP, in addition to any other remedies available, may take action authorized under the Drug-Free Workplace Act; and 3. That the Beneficiary currently maintains and will continue to maintain and provide throughout the life of the grant a Drug-Free Workplace by: 3 a. Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is prohibited in the grant beneficiary's workplace and specifying the actions that will be taken against employees for violation of such prohibition: b. Establishing a Drug-Free awareness program to inform employees about: i. ii. iii. iv. The dangers of drug abuse in the workplace; The grant beneficiary’s policy of maintaining a Drug-Free Workplace; Any available drug counseling, rehabilitation, and employee assistance programs; and The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace; c. Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by paragraph (a); d. Notifying the employee in the statement required by paragraph (a) that, as a condition of employment under the grant, the employee will: i. Abide by the terms of the statement; and ii. Notify the employer of any criminal drug statute conviction for a violation occurring in the workplace no later than five days after such conviction; e. Notifying PEEP within ten days after receiving notice under subparagraph (d) (3) from an employee or otherwise receiving actual notice of such conviction: f. Taking one of the following actions, within 30 days of receiving notice under subparagraph (d) (3), with respect to any employee who is so convicted: i. Taking appropriate personnel action against such an employee, up to and including termination; or ii. Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by local health law enforcement, or other appropriate agency; 33 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 Making a good-faith effort to continue to maintain a drug-free workplace through implementation of paragraphs (a), (b), (c), (d), (e) and (f). The grant beneficiary further certifies that the site(s) for the performance of work to be done in connection with the grant is: Street address: City, postal code: The grant beneficiary certifies that, as a condition of the grant, it will not engage in the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance in conducting any activity with the grant. Certified by: _________________________________ (Authorized official) Name: ______________________________________ Title: ______________________________________ Date: ______________________________________ 34 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 VIII. Initial Environmental Examination Form (To be submitted with the sub-award application) A. Applicant information Grantee (organization) Individual contact and title Address, phone and email (if available) Activity (brief description) Amount Location of activity Start and end date of activity 35 No significant adverse impact With specified mitigation, no significant Significant adverse Adverse impact, impact Recommended Determinations (Step 6 of instructions. Complete for all moderate and high-risk activities) High Risk Moderate Risk Very Risk Proposed Sub-activities Low B. Activities, screening results, and recommended determination TABLE 1 Screening result (Step 3 of instructions) GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 C. Summary of recommended determinations The activity contains. . . Very low risk sub-activities (equivalent regulation 216 terminology) categorical exclusion(s) After environmental review, sub-activities determined to have no significant adverse impacts negative determination(s) After environmental review, sub-activities determined to have no significant adverse impacts, given appropriate mitigation and monitoring negative determination(s) with conditions After environmental review, sub-activities determined to have significant adverse impacts positive determination(s) D. Certification: I, the undersigned, certify that: 1. The information on this form is correct and complete 2. The following actions have been and will be taken to assure that the activity complies with environmental requirements for the Citizen’s Voice Project under the Code of Federal Regulations 22 CFR 216: These design elements and best practices will be followed in implementing this activity, except with the approval of PEEP. Any specific mitigation or monitoring measures described in the attached information will be implemented in their entirety. Compliance with these conditions will be regularly confirmed and documented by on-site inspections during the activity and at its completion. Solicitation Number: ____________________________________________ Grant Agreement Number (if applicable): ___________________________ Date of Application: ____________________________________________ Name of Grantee Organization: ___________________________________ Name and Title of authorized representative: _________________________ Signature: ______________________________ Date: _________________ 36 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 XI. Certification of Recipient To: USAID - PEEP I,______________________, _____________________, as a legally authorized Name (Printed or Typed) Title Representative of ________________________________ Organization Name do hereby certify that, to the best of my knowledge and belief, this organization's management and other employees responsible for their implementation are aware of the requirements placed on the organization by OMB Circulars, and Federal and USAID regulations with respect to the management of, among other things, personnel policies (including salaries), travel, indirect costs, and procurement under this agreement and I further certify that the organization is in compliance with those requirements and other applicable U.S. laws and regulations. I, we, understand that a false, or intentionally misleading certification could be the cause for possible actions ranging from being found not responsible for this award, termination of award, or suspension or debarment of this organization in accordance with the ADS 303 Standard Provision for Non-U.S. Nongovernmental Organizations (for in-kind, standard, and simplified grants) entitled “Award Termination and Suspension” and the ADS 303 Standard Provision for Fixed Obligation Grants to Nongovernmental Organizations entitled “Debarment and Suspension.” I, we, further agree that by signing below, we provide certification and assurance for the following: (1) Assurance of Compliance with Laws and Regulations Governing Non-Discrimination in Federally Assisted Programs (2) The Certification Regarding Lobbying (3) The Key Individual Certification Narcotics Offenses and Drug Trafficking (4) Participant Certification Narcotics Offenses and Drug Trafficking (5) The Certification Regarding Terrorist Financing (6) Prohibition on Assistance to Drug Trafficking for Covered Countries and Individuals (7) Initial Environmental Examination These certifications and assurances are given in consideration of and for the purpose of obtaining any and all U.S. Federal grants, loans, contracts, property, discounts, or other U.S. Federal financial assistance extended after the date hereof to the recipient by Chemonics, including installment payments after such date on account of applications for U.S. Federal financial assistance which was approved before such date. The recipient recognizes and agrees that such U.S. Federal financial assistance will be extended in reliance on the representations and agreements made in these assurances, and that the United States will have the right to seek judicial enforcement of these assurances. These assurances are binding on the recipient, its successors, transferees, and assignees, and the person or persons whose signatures appear below are authorized to sign these assurances on behalf of the recipient. 37 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 I declare under penalty of perjury that the foregoing is true and correct. _________________________ Signature _________________________ Type or Print Name _________________________ Position Title _________________________ Date of Execution 38 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 Annex F - SURVEY ON ENSURING EQUAL OPPORTUNITY FOR APPLICANTS (OPTIONAL) www.usaid.gov/sites/default/files/surveyeo.doc contains a survey on ensuring equal opportunity for applicants. The applicant’s completion of the survey is voluntary. The absence of a completed survey in an application may not be a basis upon which the application is determined incomplete or non-responsive. Applicants who volunteer to complete and submit the survey under a competitive or non-competitive action are instructed within the text of the survey to submit it as part of the application process; applicants who chose to submit the survey shall include it in the technical application in the “annexes” section. 39 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 Annex G – STANDARD ORGANIZATIONS PROVISIONS FOR NON-U.S. NONGOVERNMENTAL MANDATORY STANDARD PROVISIONS FOR NON-U.S., NON-GOVERNMENTAL GRANTEES PEEP will ensure that all organizations receiving USAID grant funds comply with the following provisions. These provisions (title and full text) will form an annex to the grant agreement. This annex’s sole purpose is to provide an outline of the provisions. It is not intended or meant to be a definitive reference source for issues concerning regulatory compliance. The definitive reference sources, including the clauses, can be found at: http://www.usaid.gov/sites/default/files/documents/1868/303mab.pdf Mandatory Standard Provisions For Non-U.S., Nongovernmental Recipients are: MANDATORY STANDARD PROVISIONS FOR NON-U.S. NONGOVERNMENTAL ORGANIZATIONS ............................................................ Error! Bookmark not defined. M1. ALLOWABLE COSTS (JUNE 2012) ......................... Error! Bookmark not defined. M2. ACCOUNTING, AUDIT, AND RECORDS (JUNE 2012) ......... Error! Bookmark not defined. M3. AMENDMENT OF AWARD AND REVISION OF BUDGET (AUGUST 2013) ................................................................................. Error! Bookmark not defined. M4. NOTICES (JUNE 2012) ............................................. Error! Bookmark not defined. M5. PROCUREMENT POLICIES (JUNE 2012) ................ Error! Bookmark not defined. M6. USAID ELIGIBILITY RULES FOR PROCUREMENT OF COMMODITIES AND SERVICES (JUNE 2012) .................................................. Error! Bookmark not defined. M7. TITLE TO AND USE OF PROPERTY (JUNE 2012) .. Error! Bookmark not defined. M8. SUBMISSIONS TO THE DEVELOPMENT EXPERIENCE CLEARINGHOUSE .......................................................................................... Error! Bookmark not defined. AND DATA RIGHTS (JUNE 2012) ................................... Error! Bookmark not defined. M9. MARKING AND PUBLIC COMMUNICATIONS UNDER USAID-FUNDED ASSISTANCE (AUGUST 2013) ........................................ Error! Bookmark not defined. M10. AWARD TERMINATION AND SUSPENSION (JUNE 2012)Error! Bookmark not defined. M11. RECIPIENT AND EMPLOYEE CONDUCT (AUGUST 2013) .... Error! Bookmark not defined. M12. DEBARMENT AND SUSPENSION (JUNE 2012) .. Error! Bookmark not defined. 40 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 M13. DISPUTES AND APPEALS (JUNE 2012) .............. Error! Bookmark not defined. M14. PREVENTING TERRORIST FINANCING (AUGUST 2013) Error! Bookmark not defined. M15. TRAFFICKING IN PERSONS (JUNE 2012) ........... Error! Bookmark not defined. M16. VOLUNTARY POPULATION PLANNING ACTIVITIES – MANDATORY Error! Bookmark not defined. REQUIREMENTS (MAY 2006) ......................................... Error! Bookmark not defined. M17. EQUAL PARTICIPATION BY FAITH-BASED ORGANIZATIONS (JUNE 2012) ................................................................................. Error! Bookmark not defined. M18. NONDISCRIMINATION (JUNE 2012) ..................... Error! Bookmark not defined. M19. USAID DISABILITY POLICY - ASSISTANCE (JUNE 2012) Error! Bookmark not defined. M20. LIMITING CONSTRUCTION ACTIVITIES (AUGUST 2013) Error! Bookmark not defined. M21. USAID Implementing Partner Notices (IPN) Portal for .... Error! Bookmark not defined. Assistance (July 2014) .................................................... Error! Bookmark not defined. M22. PILOT PROGRAM FOR ENHANCEMENT OF GRANTEE EMPLOYEE .. Error! Bookmark not defined. WHISTLEBLOWER PROTECTIONS (September 2014). Error! Bookmark not defined. M23. SUBMISSION OF DATASETS TO THE DEVELOPMENT DATA LIBRARY .......................................................................................... Error! Bookmark not defined. (October 2014) ................................................................. Error! Bookmark not defined. (END OF MANDATORY STANDARD PROVISIONS) REQUIRED AS APPLICABLE STANDARD PROVISIONS FOR NON-U.S., NONGOVERNMENTAL RECIPIENT The following standard provisions are required to be used when applicable. Applicability statements are contained in the parenthetical statement preceding the standard provision. When a standard provision is determined to be applicable in accordance with the applicability statement, the use of such standard provision is mandatory unless a deviation has been approved in accordance with relevant USAID regulations. http://www.usaid.gov/sites/default/files/documents/1868/303mab.pdf 41 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 REQUIRED AS APPLICABLE STANDARD PROVISIONS FOR NON-U.S. NONGOVERNMENTAL ORGANIZATIONS ..................... Error! Bookmark not defined. RAA1. ADVANCE PAYMENT AND REFUNDS (JUNE 2012) ..... Error! Bookmark not defined. RAA2. REIMBURSEMENT PAYMENT AND REFUNDS (JUNE 2012)............... Error! Bookmark not defined. RAA3. INDIRECT COSTS – NEGOTIATED INDIRECT COST RATE AGREEMENT .......................................................................................... Error! Bookmark not defined. (NICRA) (JUNE 2012)....................................................... Error! Bookmark not defined. RAA4. INDIRECT COSTS – CHARGED AS A FIXED AMOUNT (NONPROFIT) .......................................................................................... Error! Bookmark not defined. (JUNE 2012) ..................................................................... Error! Bookmark not defined. RAA5. CENTRAL CONTRACTOR REGISTRATION AND UNIVERSAL IDENTIFIER .......................................................................................... Error! Bookmark not defined. (OCTOBER 2010) ............................................................. Error! Bookmark not defined. RAA6. REPORTING SUBAWARDS AND EXECUTIVE COMPENSATION Bookmark not defined. .... Error! (OCTOBER 2010) ............................................................. Error! Bookmark not defined. RAA7. SUBAWARDS (JUNE 2012) ................................ Error! Bookmark not defined. RAA8. TRAVEL AND INTERNATIONAL AIR TRANSPORTATION (AUGUST 2013) ................................................................................. Error! Bookmark not defined. RAA9. OCEAN SHIPMENT OF GOODS (JUNE 2012) ... Error! Bookmark not defined. RAA10. REPORTING HOST GOVERNMENT TAXES (JUNE 2012) . Error! Bookmark not defined. RAA11. PATENT RIGHTS (JUNE 2012) ......................... Error! Bookmark not defined. RAA12. EXCHANGE VISITORS AND PARTICIPANT TRAINING (JUNE 2012) Error! Bookmark not defined. RAA13. INVESTMENT PROMOTION (NOVEMBER 2003) ......... Error! Bookmark not defined. RAA 14. COST SHARE (JUNE 2012) ............................. Error! Bookmark not defined. RAA15. PROGRAM INCOME (JUNE 2012) .................... Error! Bookmark not defined. RAA16. FOREIGN GOVERNMENT DELEGATIONS TO INTERNATIONAL ..... Error! Bookmark not defined. CONFERENCES (JUNE 2012) ......................................... Error! Bookmark not defined. 42 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 RAA17. STANDARDS FOR ACCESSIBILITY FOR THE DISABLED IN USAID Error! Bookmark not defined. ASSISTANCE AWARDS INVOLVING CONSTRUCTION (SEPTEMBER 2004) . Error! Bookmark not defined. RAA18. PROTECTION OF HUMAN RESEARCH SUBJECTS (JUNE 2012) .... Error! Bookmark not defined. RAA19. STATEMENT FOR IMPLEMENTERS OF ANTI-TRAFFICKING ACTIVITIES ON LACK OF SUPPORT FOR PROSTITUTION (JUNE 2012) .... Error! Bookmark not defined. RAA20. ELIGIBILITY OF SUBRECIPIENTS OF ANTI-TRAFFICKING FUNDS Error! Bookmark not defined. (JUNE 2012) ..................................................................... Error! Bookmark not defined. RAA21. PROHIBITION ON THE USE OF ANTI-TRAFFICKING FUNDS TO PROMOTE, SUPPORT, OR ADVOCATE FOR THE LEGALIZATION OR ......... Error! Bookmark not defined. PRACTICE OF PROSTITUTION (JUNE 2012) ................ Error! Bookmark not defined. RAA22. VOLUNTARY POPULATION PLANNING ACTIVITIES – SUPPLEMENTAL .......................................................................................... Error! Bookmark not defined. REQUIREMENTS (JANUARY 2009) ................................ Error! Bookmark not defined. RAA23. CONSCIENCE CLAUSE IMPLEMENTATION (ASSISTANCE) (FEBRUARY 2012) ................................................................................. Error! Bookmark not defined. RAA24. CONDOMS (ASSISTANCE) (SEPTEMBER 2014) ......... Error! Bookmark not defined. RAA25. PROHIBITION ON THE PROMOTION OR ADVOCACY OF THE LEGALIZATION OR PRACTICE OF PROSTITUTION OR SEX .. Error! Bookmark not defined. TRAFFICKING(ASSISTANCE) (SEPTEMBER 2014) ..... Error! Bookmark not defined. RAA26. LIMITATION ON SUBAWARDS TO NON-LOCAL ENTITIES (July 2014) .......................................................................................... Error! Bookmark not defined. (END OF THE STANDARD PROVISIONS) 43 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 - Annex H – STANDARD PROVISIONS FOR FIXED OBLIGATION GRANTS TO NONGOVERNMENTAL ORGANIZATIONS MANDATORY STANDARD PROVISIONS FOR FIXED OBLIGATION GRANTS TO NONGOVERNMENTAL GRANTEES PEEP will ensure that all organizations receiving USAID grant funds comply with the following provisions. These provisions (title and full text) will form an annex to the grant agreement. This annex’s sole purpose is to provide an outline of the provisions. It is not intended or meant to be a definitive reference source for issues concerning regulatory compliance. The definitive reference sources, including the clauses, can be found at: http://www.usaid.gov/sites/default/files/documents/1868/303mat.pdf 44 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 Mandatory Standard Provisions For Fixed Obligation Grants to Nongovernmental Recipients are: MANDATORY STANDARD PROVISIONS FOR FIXED OBLIGATION GRANTS TO NONGOVERNMENTAL ORGANIZATIONS ............................................................... 5 M1. SUBMISSIONS TO THE DEVELOPMENT EXPERIENCE CLEARINGHOUSE AND DATA RIGHTS (JUNE 2012) .............................................................................. 5 M2. MARKING AND PUBLIC COMMUNICATIONS UNDER USAID-FUNDED ASSISTANCE (AUGUST 2013) .................................................................................. 6 M3. DRUG TRAFFICKING AND DRUG-FREE WORKPLACE (JUNE 2012) .......... 9 M4. DEBARMENT AND SUSPENSION (JUNE 2012) .............................................. 9 M5. PREVENTING TERRORIST FINANCING (AUGUST 2013) ............................. 10 M6. TRAFFICKING IN PERSONS (JUNE 2012) ..................................................... 11 M7. VOLUNTARY POPULATION PLANNING ACTIVITIES – MANDATORY REQUIREMENTS (MAY 2006) .................................................................................. 11 M8. EQUAL PARTICIPATION BY FAITH-BASED ORGANIZATIONS (JUNE 2012) .................................................................................................................................... 12 M9. USAID Implementing Partner Notices (IPN) Portal for Assistance (July 2014) .......................................................................................................................... 14 M.10 - PILOT PROGRAM FOR ENHANCEMENT OF GRANTEE EMPLOYEE WHISTLEBLOWER PROTECTIONS (September 2014). ........................................ 16 M11. SUBMISSION OF DATASETS TO THE DEVELOPMENT DATA LIBRARY (October 2014) ......................................................................................................... 17 (END OF MANDATORY STANDARD PROVISIONS) REQUIRED AS APPLICABLE STANDARD PROVISIONS FOR FIXED OBLIGATION GRANTS TO NONGOVERNMENTAL RECIPIENT The following standard provisions are required to be used when applicable. Applicability statements are contained in the parenthetical statement preceding the standard provision. When a standard provision is determined to be applicable in accordance with the applicability statement, the use of such standard provision is mandatory unless a deviation has been approved in accordance with relevant USAID regulations. http://www.usaid.gov/sites/default/files/documents/1868/303mat.pdf REQUIRED AS APPLICABLE STANDARD PROVISIONS FOR FIXED OBLIGATION GRANTS TO NONGOVERNMENTAL ORGANIZATIONS ....................................... 22 45 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 RAA1. FIXED OBLIGATION GRANT ADVANCE PAYMENT AND REFUNDS (JUNE 2012) .......................................................................................................................... 22 RAA2. CENTRAL CONTRACTOR REGISTRATION AND UNIVERSAL IDENTIFIER (OCTOBER 2010) ...................................................................................................... 23 RAA3. REPORTING SUBAWARDS AND EXECUTIVE COMPENSATION (OCTOBER 2010) ...................................................................................................... 26 RAA4. USAID ELIGIBILITY RULES FOR PROCUREMENT OF COMMODITIES AND SERVICES (JUNE 2012) .................................................................................. 30 RAA5. FLY AMERICA ACT RESTRICTIONS (AUGUST 2013) .............................. 32 RAA6. OCEAN SHIPMENT OF GOODS (JUNE 2012) ........................................... 34 RAA7. REPORTING HOST GOVERNMENT TAXES (JUNE 2012) ........................ 34 RAA8. PATENT RIGHTS (JUNE 2012) ................................................................... 35 RAA9. EXCHANGE VISITORS AND PARTICIPANT TRAINING (JUNE 2012) ..... 37 RAA10. INVESTMENT PROMOTION (NOVEMBER 2003) ..................................... 40 RAA11. PROTECTION OF HUMAN RESEARCH SUBJECTS (JUNE 2012) ........ 40 RAA12. STATEMENT FOR IMPLEMENTERS OF ANTI-TRAFFICKING ACTIVITIES ON LACK OF SUPPORT FOR PROSTITUTION (JUNE 2012) ............................... 42 RAA13. ELIGIBILITY OF SUBRECIPIENTS OF ANTI-TRAFFICKING FUNDS (JUNE 2012)............................................................................................................... 43 RAA14. PROHIBITION ON THE USE OF ANTI-TRAFFICKING FUNDS TO PROMOTE, SUPPORT, OR ADVOCATE FOR THE LEGALIZATION OR PRACTICE OF PROSTITUTION (JUNE 2012) ............................................................................ 43 RAA15. VOLUNTARY POPULATION PLANNING ACTIVITIES – SUPPLEMENTAL REQUIREMENTS (JANUARY 2009) ........................................................................ 44 RAA16. CONSCIENCE CLAUSE IMPLEMENTATION (ASSISTANCE) (FEBRUARY 2012) .......................................................................................................................... 47 RAA17. CONDOMS (ASSISTANCE) (SEPTEMBER 2014) ................................... 48 RAA18. PROHIBITION ON THE PROMOTION OR ADVOCACY OF THE LEGALIZATION OR PRACTICE OF PROSTITUTION OR SEX TRAFFICKING (ASSISTANCE) (SEPTEMBER 2014) ....................................................................... 48 RAA 19. .... METRIC SYSTEM OF MEASUREMENT (AUGUST 1992) ................... 50 RAA20. ACCESS TO USAID FACILITIES AND USAID’s INFORMATION SYSTEMS (AUGUST 2013) ........................................................................................................ 51 RAA21. LIMITATION ON SUBAWARDS TO NON-LOCAL ENTITIES (July 2014) . 52 46 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003 (END OF THE STANDARD PROVISIONS) 47 GRAN.FT.031, Rev.001, 1/25/2013 FO.FOGM.FT.003