Mandatory Standard Provisions for FIXED OBLIGATION GRANTS

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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.
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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:
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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.
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Reformulate regulatory regime to attract private investment
and has proposed strategies interventions in breed improvement through:
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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:
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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.
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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.
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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
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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.
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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:
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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:
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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.
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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.
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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.
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Applicants must sign the following required certifications prior to receiving a grant. The
certifications are attached to this solicitation (Annex E).
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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.
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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:
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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.
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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:
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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)
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Rating (Points)
25
20
15
20
10
10
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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
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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
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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.
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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
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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.
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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:
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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)
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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 ________________
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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
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ANNEX C – Detailed Grant Budget Template (Excel).
This template will be provided separately as part of the package.
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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: __
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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.?
______________________________________________________________________________
______________________________________________________________________________
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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: __
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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
__________________________
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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]
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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________________________________________
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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
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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: _____________________________________
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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________________________________________
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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________________________________________
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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
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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
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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;
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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
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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)
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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: _________________
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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
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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
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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
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- 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
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(END OF THE STANDARD PROVISIONS)
47
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