John Snow, Inc. REQUEST FOR PROPOSAL RFP NO: 14_039 REQUEST FOR PROPOSAL FIXED PRICE GOODS OR SERVICES (FIELD) RFP NO: 14_039 PART A: COVER PAGE ISSUED TO: Deliver Website and a Short List of Eligible Vendors SUBJECT: Facilities. Request for Proposal for Warehousing Services in Pharmaceutical Grade Storage The USAID | DELIVER PROJECT (herein referred to as “the Project”) under John Snow, Inc. (JSI) is soliciting proposals for the provision of Subject services as described in the attached Statement of Work. The Project is funded by the U.S. Agency for International Development (USAID) and is subject to all applicable Federal Acquisition Regulation (FAR) and AID Acquisition Regulations (AIDAR). Please submit your most competitive proposal in accordance with the attached instructions, with all required certifications. Any subcontract issued as a result of this RFP will be subject to all instructions, certifications, terms and conditions, and specifications included in this RFP. This solicitation document includes the following parts: PART A: COVER PAGE .................................................................................................. 1 PART B: INSTRUCTIONS............................................................................................... 2 PART C: STATEMENT OF WORK ................................................................................. 5 This document is a request for proposals only, and in no way obligates the Project or USAID to make any award. Award(s) made subsequent to this solicitation will be subject to the terms and conditions described herein. All proposals, inquiries, and correspondence, including the RFP number, pertaining to this solicitation are to be directed to the attention of: allison_ebrahimi_gold@jsi.com Allison Ebrahimi Gold John Snow, Inc. USAID | DELIVER PROJECT 1616 North Fort Myer Drive Arlington, Virginia 22209, USA Fax: 703/528-7480. ___________________________________________ M. Vanden Bossche Contract Administrator John Snow, Inc. __________________ Date John Snow, Inc. REQUEST FOR PROPOSAL RFP NO: 14_039 PART B: INSTRUCTIONS a) DEFINITIONS Offeror: The individual or firm providing proposals for the supplies or services requested under this RFP Subcontractor: The individual or firm awarded the services requested under the RFP in the form of a subcontract b) PROPOSAL DEADLINE AND REQUIREMENTS The Offeror shall submit a proposal addressing the terms and conditions of this RFP by 5:00 pm EST time on September 23, 2014 to the email address as provided in Part A on the cover page. Please submit all questions by 5:00 pm EST September 9, 2014 to the email address provided on the cover page. All questions and answers will be listed on the Deliver Website by 5:00 pm EST on September 13, 2014. The Technical and Cost Proposals should be submitted separately in two clearly marked PDFs. The written proposal should not be of excessive length and must contain the following information: i) Technical Volume A concise technical proposal on how the Offeror will carry out the activity with a detailed work plan and schedule of tasks. Also provide past performance references for the last three years, including the following: name of firm, name of contact, address of firm, telephone number of firm, email for firm, dollar amount of contract for each reference. A set of relevant attachments to the proposal (optional) which further document or explain the Offeror’s approach and qualification, e.g. institutional brochure, etc. A description of the Offeror’s capability and experience in undertaking this task. ii) Cost Proposal A fixed unit price for each category of deliverable: 1) receiving and storage, price per pallet charge by month and by day, and 2) pick/pack and dispatch charge, etc. The unit prices will need to include all costs. Please provide financial statements for the last three fiscal years. REQUEST FOR PROPOSAL RFP NO: 14_039 John Snow, Inc. Please provide proof of business registration in Nigeria JSI RESERVES THE RIGHT, IN ITS SOLE DISCRETION, TO MODIFY THE REQUEST, TO ALTER THE SELECTION PROCESS IN ANY WAY, TO ASK FOR ADDITIONAL INFORMATION FROM Offerors, TO REJECT ANY AND ALL PROPOSALS AND/OR TO MODIFY OR AMEND THE SCOPE OF THE PROPOSALS SUBMITTED. THE RELEASE OF THIS RFP IS NOT A COMMITMENT TO AWARD A CONTRACT. Each Offeror acknowledges and agrees that the preparation of all materials for submittal to JSI and all presentations made by the Offeror are at the Offeror’s sole cost and expense, and JSI shall not, under any circumstances, be responsible for any cost or expense incurred by an Offeror. All documentation and/or materials submitted with a proposal shall become and remain the property of JSI. c) OFFER VALIDITY The Offeror's technical and cost proposals must remain valid for not less than 60 calendar days after the deadline specified above. Proposals must be signed by an official authorized to bind the Offeror to its provisions. d) FINANCIAL RESPONSIBILITY Offerors which are firms and not individuals, must certify in the proposal submitted to the Project that they have the financial viability and resources to complete the proposed activities within the period of performance and under the terms of payment outlined in the Statement of Work. The USAID | DELIVER PROJECT reserves the right to request and review the latest financial statements and audit reports of the Offeror as part of the basis of the award. e) NEGOTIATIONS The Offeror's most competitive proposal is requested. It is anticipated that any award issued will be made solely on the basis of an Offeror’s proposal. However, the Project reserves the right to request responses to additional technical, management and cost questions which would help in negotiating and awarding a subcontract. The Project also reserves the right to conduct negotiations on technical, management, or cost issues prior to the award of a subcontract. In the event that an agreement cannot be reached with an Offeror the Project will enter into negotiations with alternate Offerors for the purpose of awarding a subcontract without any obligation to previously considered Offerors. f) REJECTION OF PROPOSALS The Project reserves the right to reject any and all proposals received, or to negotiate separately with any and all competing Offerors. Offerors whose proposals are not selected will be notified in writing. REQUEST FOR PROPOSAL RFP NO: 14_039 John Snow, Inc. g) INCURRING COSTS The Project is not liable for any cost incurred by Offerors during preparation, submission, or negotiation of an award for this RFP. The costs are solely the responsibility of the Offeror. h) CANCELLATION The Project may cancel this RFP without any cost or obligation at any time until issuance of a Subcontract. i) SUBCONTRACT AWARD i) Selection Criteria Proposals will be evaluated first to ensure that they meet all mandatory requirements. Proposals that fail to meet these requirements will receive no further consideration. A non-responsive proposal to any element may be eliminated from consideration. For the purpose of selection, the evaluation will be based on an assessment of the proposal, including, but not limited to, the following: iii) Technical capability and expertise Responsiveness to the RFP Ability to meet the deliverable requirements Business status certification Past Performance References Regulatory Compliance Cost/budget proposal CONTRACT TYPE The contracting document will be an IDIQ Time and Materials with Commercial Rates Contract to be awarded once a Subcontractor has been selected. The guiding USAID FAR and AIDAR clauses will be included, along with invoicing information. Work Orders will be issued based upon the contract that will include a statement of the total ceiling price; the scope with stated deliverables and due dates. Please be advised that under Work Orders, the work must be done within the specified price. Therefore, the Offeror is duly advised to provide its most competitive and realistic unit cost proposal to cover all foreseeable expenses related to the tasks outlined in the Statement of Work. j) REPRESENTATIONS AND CERTIFICATIONS The proposal shall be accompanied by any requested representations or certifications signed by an authorized official of the Offeror. REQUEST FOR PROPOSAL RFP NO: 14_039 John Snow, Inc. PART C: STATEMENT OF WORK The Statement of Work for this RFP is as described below: a) BACKGROUND John Snow, Inc. has had an Indefinite Delivery Indefinite Quantity Contract with the US Agency for International Development since 2006. Under this contracting mechanism the USAID | DELIVER PROJECT has been issued seven (7) Task Orders. Included in the Statement of Work for the IDIQ is the storage of commodities. The project seeks the ability to store or cross dock, insure, and pick/pack public health commodities in Nigeria. A portion of the consignments are to be warehoused centrally in Abuja and subsequently shipped to the states when the need arises. In addition to its currently available space provided under a third party logistics warehousing services subcontract, USAID|DELIVER PROJECT requires more warehousing space. There is a need for long term, short term, and cross docking services. Products may be arriving after clearance from ports or sent from state warehouses. b) OBJECTIVES OF THIS WORK 1. Pharmaceutical Storage Facility: The selected subcontractor(s) will be required to store or cross dock public health commodities, including but not be limited to antimalarial pharmaceuticals, rapid diagnostic tests (RDTs), or other temperature sensitive pharmaceuticals as may be required within Federal Capital Territory from on or about October 1, 2014 through September 30, 2015 in a pharmaceutical grade warehouse. The total estimated monthly average number of pallets that will require pharma grade warehousing or that will require crossdocking is 1,500 pallets. If a single Offeror has insufficient space to store or cross dock the goods in question, more than one Offeror may be selected and subcontracts issued. The subcontractor (s) will provide pharmaceutical grade storage space that complies with Good Distribution and Storage Practices for Pharmaceutical Products as outlined by the World Health OrganizationWorking Document QAS/04.068/Rev.2, and/or includes the following services and infrastructure: 1.1 To provide storage facilities in Nigeria that meet the following requirements: a. Take precautions to ensure that no unauthorized personnel have access to facilities. b. Exhibit functioning security equipment including CCTV; c. Exhibit functioning smoke detectors and serviced fire extinguishers; d. Possess appropriate pallet handling equipment including electric forklifts. e. Possess a supplied first aid box; f. Possess protective equipment for warehouse personnel; g. Sufficient capacity to allow for orderly receipt for cross docking and/or storage of various categories of product i.e. products in quarantine, released, rejected, returned or recalled products; REQUEST FOR PROPOSAL RFP NO: 14_039 John Snow, Inc. h. Storage areas should be clean and dry, and maintained within acceptable temperature limits depending on product and manufacturers’ guidance, although in general these limits shall be between 15-25 degrees Celsius. i. Where special storage conditions are required these shall be provided, checked, monitored, and recorded. These conditions may include temperature and humidity; j. Temperatures shall be monitored continuously throughout the facility and recorded at regular intervals. Equipment used for monitoring shall be calibrated at defined intervals, and the subcontractor shall ensure that temperatures are maintained at appropriate levels for the commodities stored or cross docked in the facility and that temperature logs are available for review at the request of the Nigeria Field Office. k. Storage facilities shall be clean and free of vermin. A written sanitation and pest control procedure shall be maintained, together with logs recording the use of all pest control agents including amount used, method of application, and date & time; l. The Goods receiving dock shall be protected to prevent product contamination and to prevent dust, rain and dirt from entering the facility; m. A written Process Management procedure shall be maintained that allows for the control of goods movement in such a manner that prevents contamination, mix-ups and cross contamination; n. Materials and Pharmaceutical products shall be stored or cross docked in conditions that provide for adequately maintained stock; and the stock shall be appropriately rotated. Dispatches of stock shall follow “the First expiry First Out (FEFO)”; o. Rejected materials shall be identified and stored in a manner that prevents their use and or distribution until a final decision is taken on the process to be followed regarding destruction or removal from the warehouse; p. If later required, Narcotic drugs shall be stored or cross docked in compliance with international conventions and national laws and regulations on narcotics; q. Damaged / Broken stock shall be withdrawn from usable stock and separated, and the Nigeria Field Office shall be properly notified within 3 days of discovery. r. Storage areas shall provide adequate lighting for all tasks to be carried out accurately and safely; s. Temperature mapping shall be conducted at least annually by a certified firm with the capacity to provide this service. The mapping shall show uniformity of temperature across the storage facility. The data generated from temperature mapping shall be provided promptly to the Nigeria Field Office. t. Where products need to be refrigerated, the cold chain process which may include the requirement for refrigeration and/or specific packaging, the maintenance of such cold chain conditions shall be provided; u. Back-up power must be provided for all operations as required seven days a week, twenty four hours a day; v. Adequate storage space for segregation of USAID|DELIVER PROJECT commodities from those of other clients; and REQUEST FOR PROPOSAL RFP NO: 14_039 1.2 John Snow, Inc. w. Adequate documentation including written instructions, Standard Operating Procedure and Records shall be maintained for all operations and particularly for: i. Personnel: qualifications in line with national regulations; ii. Training in relation to good storage practice, regulations, and safety; iii. Premises and facilities; iv. Maintenance of good storage practice; v. Routing and processing of all products from receiving to despatch and the reverse logistics cycle; vi. Managing information relating to the control of product in the event of a recall being required; vii. Quarantine, Sampling, and releasing of goods from Quarantine. viii. Stock rotation and control; ix. Control of obsolete and outdated products; x. Returned goods, handling, and re-evaluation process; and xi. Despatch To process orders duly authorised by the Nigeria Field Office; and to pick, pack, dispatch, and transport products for such orders, according to the regular delivery schedule and/or special delivery orders provided by the Nigeria Field Office, ensuring that products are distributed based on the FEFO principle and that orders correspond precisely to draft PODs; Packaging and packing, and transportation methods shall comply with manufacturers’ requirements for ensuring the safety, efficacy, and quality of the product, and shall be appropriate for distribution in the particular climates and transport and storage conditions encountered in Nigeria. Any required additional packaging costs that may be incurred by the subcontractor shall be invoiced to the Nigeria Field Office in the monthly statement of costs, provided these were previously approved by them. Orders will be received at least 48 working hours prior to required despatch. 1.3 These goods must also be labeled accordingly, and where applicable placed in Quarantine. 1.4 All goods stored or crossdocked in the Bonded/non Bonded Warehouse are required to be stored or crossdocked off the floor and on pallets or pick flow racks at all times. 1.5 The Bonded/non Bonded Warehouse should be self-contained and secure. 1.5.1 Only one product and one batch number may be stored or crossdocked on a pallet at one time if it provides optimal space utilization . In the picking racks more that one batch number of the same product is permitted provided that it is separated by being stored or crossdocked in a separate box in the same location. 1.6 The inventory control personnel in the distribution center are responsible to ensure that separation of batches is maintained. 1.7 The bonded/non Bonded warehouse will ensure that the warehouse/Bond Store is maintained in a clean and orderly manner with all pallets neatly arranged. 1.8 Products are to be covered and not left open. 1.9 Boxes in the bulk storage area are to be resealed where possible. This is especially important after QA sampling. REQUEST FOR PROPOSAL RFP NO: 14_039 John Snow, Inc. 1.10 Boxes used for storing product must either be the distribution center’s branded boxes, the Vendor’s boxes or unprinted boxes. Boxes that are recycled must have all details defaced off the box before they can be reused. 1.11 Mixing of products during picking and packing into original Vendor’s boxes will not be permitted. If it is in a Vendor’s branded box, other products cannot be picked or packed into that same box. 1.12 Mixing of products in unprinted boxes during picking and packing in the distribution center is permitted but should be well labeled (Product Description, Batches and expiry date, quantity, temperature requirement). 1.13 All pallets used are to be firm and unbroken, clean, free of dirt and insects, and stored or crossdocked in a dry area. Where necessary, pallets are to be scrubbed and vacuumed. Fumigation of pallets may be required for International dispatch into and out of the country. 1.14 To conduct monthly full stock counts and issue report to the Nigeria Field Office. 1.15 Storage of the Goods in accordance with the Nigeria Field Office’s instructions until released to the consignee, or another party so designated by the Field Office. 1.16 Provision of an automated inventory control (IT) system that provides both batch and dynamic location control; and provision of remote access to this system for Nigeria Field Office staff on an agreed basis; 1.17 Monthly up-dates of stock issued, received, and on hand, value of products received, issued and on hand (per line item): Therefore, the following stock reports are required in addition to the stock summary report sent by Nigeria Field Officer. x. Inventory Transaction Details (ITD) by IPs: This report contains the list of commodities given to each Implementing Partner with quantities and values. This list is sequential by IP. y. ITD by Program: This report contains a list of commodities given to IPs with quantities and values from a particular program (CHAI, UNITIAD, SCMS, TB Cares). This list is sequential by IPs and program. ITD by Product (Stock Ledger): This report gives detailed transactions by product with a quantity/value summation. z. Inventory Activity Report: All commodities Received/Issued for the period with transaction references (PO numbers, ASN no., MAWB no. for all Inbound and WCOF no. for all Outbound). aa. Batches and Expiry Report (BER): This shows batches and expiry date of current stock balances sorted from earliest expiry date to the longest shelf life remaining. 1.19 Monthly updates of stock aging analysis and reporting. REQUEST FOR PROPOSAL RFP NO: 14_039 1.20 John Snow, Inc. Evaluation of distribution service providers to ensure that they have the capability and capacity to provide the required services. 1.21 Monitor that the necessary security regulations have been adhered to. 1.22 Ensure that all dispatched orders correspond to properly prepared and approved draft PODs and distribution matrix/plan. 1.23 If a commodity is subject to product recall, requested and appropriate information will need to be provided to the Nigeria Field Office. 1.25 Within 24 hours, report any incidences of loss or damage to the commodities in the warehousing or any event that can affect the integrity of the commodities including: fire, dampening/wetting of commodities in stock due to leaking roof or flooding, etc. 1.26 Invoicing of goods in accordance with instructions authorized by the Nigeria Field Office will be provided when contract is signed. 1.27 To ensure that all products are insured for “all risks” while in the warehouse until collection by distribution firm. Commodities must be insured at replacement value for the duration of the time they are kept within the warehouse; Commodities must be covered under an insurance and proof of insurance and insurance cost along with insurance agent contact information must be presented. Insurance coverage must provide for the following conditions: Based upon current prices valuation: 110% CIF of stored or crossdocked commodities up to a value of $463,370.69 with changes to coverage limits as needed. Coverage: All risks including but not limited to Fire, Theft, Dishonest Acts, Quake, Flood, and Wind as well as War Clauses and Strikes clauses as applicable. Product insured: all commodities and their packaging received into the warehouse on behalf of the Project. Beneficiary or Loss Payee: USAID | DELIVER PROJECT or its designate is the sole beneficiary/loss payee of the insurance policy. REQUEST FOR PROPOSAL RFP NO: 14_039 John Snow, Inc. c) WORK PLAN 1. Specific responsibilities for the provision of warehousing services include: I. II. III. IV. V. VI. VII. VIII. IX. X. Receiving specified quantities of antimalarial pharmaceuticals, RDTs, LNs, or public health commodities Confirming receipted proof of delivery, verification of quantity delivered and discrepancy reports. Confirming/recording quantities received on a stock keeping system/card Maintaining of a stock keeping system approved by JSI that records receipts and issues from the store and making these records available to JSI Conduct a physical count of each product at least once monthly. Provide results of physical counts to the Project, noting any discrepancies, and update the inventory records appropriately. Stack products in accordance with manufacturers’ instructions. Racking systems are mandatory for the antimalarial pharmaceuticals and RDTs. Products shall be stacked to allow reading of external packaging labels which indicate contents, quantity, weight, manufacturing date or expiry date, and any special instructions for handling, stacking, shipping, storage or transport. Provide security comparable to the types of protection given similar enterprises to prevent illegal entry or loitering in the space leased, and to prevent unauthorized entry during off duty hours. The premises will customarily be kept locked when not in use and secured at all times. The premises will be available to Project and USAID officers within a time period that is mutually agreed upon by the subcontractor and the Project, during normal business hours, for inspection of goods and facilities. The USAID | DELIVER PROJECT requires that all commodities stored or transported be covered under an insurance policy payable to JSI, USAID | DELIVER PROJECT, or its designate. JSI can be included through a rider on an existing policy or this can be done through a new policy. Proof of access to insurance and insurance cost along with insurance agent contact information must be presented. Insurance coverage must provide for the following conditions: -Valuation: 110% CIF of stored or cross docked commodities -Coverage: All risks including Fire, Theft, Dishonest Acts, Quake, Flood, and Wind as well as War Clauses and Strikes clauses as applicable -Product insured: all commodities and their packaging received into the warehouse on behalf of the Project. -Deductibles and exclusions: Please provide details of any deductibles or exclusions applicable and who would pay those. -Beneficiary: USAID | DELIVER PROJECT or its designate is the sole beneficiary of the insurance policy. Confirming physical count at time of issue, verifying quantities issued and reporting any discrepancies between the final quantities leaving the store(s) and the quantities received. Under the direction of JSI staff, pick and pack outgoing shipments. REQUEST FOR PROPOSAL RFP NO: 14_039 John Snow, Inc. d) Deliverables Monthly status report for the commodities in the warehouse to the USAID | DELIVER PROJECT detailing stock on hand by product and batch number at the beginning of the month, stock issued and received during the month, ending balance for the month, number of shipments received that month, and number of orders packed and tendered that month. Signed receiving reports for all inbound shipments noting quantities received and any damages, losses, or discrepancies. Copies of all signed issue vouchers for shipments packed and tendered during the month. Copies of any insurance claim filed on behalf of the Project for products lost or stolen from the warehouse. Copy of a valid insurance certificate(s); which must also include fidelity all risk insurance including but not limited to collusion and theft, covering goods in the warehouse Monthly pallet utilization report Value of stock at the beginning of every month Value of stock at the closing of every month USAID | DELIVER PROJECT staff may request an inventory audit or need to be in attendance for monthly inventory. REQUEST FOR PROPOSAL RFP NO: 14_039 XI. John Snow, Inc. PART D: ATTACHMENTS TO THE RFP 1. Certification Regarding: Prohibition on the Promotion or Advocacy of the Legalization or Practice of Prostitution or Sex Trafficking (Acquisition) (June 2010) 2. Contractor Code of Business Ethics (April 2010) 3. Information Regarding Responsibility Matters (April 2010) 4. Certification of Toxic Chemical Release Reporting (August 2003) 5. Certification and Disclosure Regarding Payments to Influence Certain Federal Transactions (Sep 2007) 6. Certification Regarding Debarment, Suspension, or Proposed Debarment (December 2010) John Snow, Inc. REQUEST FOR PROPOSAL RFP NO: 14_039 ATTACHMENT 1 REQUIRED CERTIFICATION As a condition of accepting a subcontract under this RFP, the selected vendor is required to certify to the following mandatory clause: Prohibition on the Promotion or Advocacy of the Legalization or Practice of Prostitution or Sex Trafficking (Acquisition) (June 2010) (a) This contract is authorized under the United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 (Pub.L. No. 108-25), as amended. This Act enunciates that the U.S. Government is opposed to prostitution and related activities, which are inherently harmful and dehumanizing, and contribute to the phenomenon of trafficking in persons. The contractor shall not use any of the funds made available under this contract to promote or advocate the legalization or practice of prostitution or sex trafficking. Nothing in the preceding sentence shall be construed to preclude the provision to individuals of palliative care, treatment, or post-exposure pharmaceutical prophylaxis, and necessary pharmaceuticals and commodities, including test kits, condoms, and, when proven effective, microbicides. (b)(I) Except as provided in (b)(2) and (b)(3), by its signature of this contract or subcontract for HIV I AIDS activities, a non-governmental organization or public international organization awardee/sub awardee agrees that it is opposed to the practices of prostitution and sex trafficking because of the psychological and physical risks they pose for women, men, and children. [1 0] 10 The following footnote should only be included in awards to Alliance for Open Society International (AOSI), Pathfinder, or a member of GHC or InterAction (with the exception of DKT International, Inc.): (b)(2) The following organizations are exempt from (b)(I): the Global Fund to Fight AIDS, Tuberculosis and Malaria; the World Health Organization; the International AIDS Vaccine Initiative; and any United Nations agency. (b)(3) Contractors and subcontractors are exempt from (b)(I) if the contract or subcontract is for commercial items and services as defined in FAR 2.101, such as pharmaceuticals, medical supplies, logistics support, data management, and freight forwarding. (b)(4)Notwithstanding section (b)(3), not exempt from (b)(I) are contractors and subcontractors that implement HIV I AIDS programs under this contract or subcontract by: (i) providing supplies or services directly to the final populations receiving such supplies or services in host countries; (ii) providing technical assistance and training directly to host country individuals or entities on the provision of supplies or services to the final populations receiving such supplies and services; or (iii) providing the types of services listed in FAR 37 .203(b)( 1 )-( 6) that involve giving advice about substantive policies of a recipient, giving advice regarding the activities referenced in (i) and (ii), or making decisions or functioning in a recipient's chain of command (e.g., providing managerial or supervisory services approving financial transactions, personnel actions). (c) The following definitions apply for purposes of this provision: "Commercial sex act" means any sex act on account of which anything of value is given to or received by any person. "Prostitution" means procuring or providing any commercial sex act and the "practice of prostitution" has REQUEST FOR PROPOSAL RFP NO: 14_039 John Snow, Inc. the same meaning. "Sex trafficking" means the recruitment, harboring, transportation, provision, or obtaining of a person for the purpose of a commercial sex act. 22 U.S.C. 7102(9). (d) The contractor shall insert this provision in all subcontracts. (e) Any violation of this provision will result in the immediate termination of this award by USAID. (f) This provision does not affect the applicability of FAR 52.222-50 to this contract. The Offeror (below named organization or firm) certifies that it has ( ) has not ( ) instituted a policy explicitly opposing prostitution and sex trafficking as required under this Request for Proposal and any possible subsequent subcontract. Offeror: _______________________________________ Authorized Signatory: _______________________________________ Print Signatory Name: _______________________________________ Title: _______________________________________ Date: __________________ John Snow, Inc. REQUEST FOR PROPOSAL RFP NO: 14_039 ATTACHMENT 2 REQUIRED CERTIFICATION As a condition of accepting a subcontract under this RFP, the selected vendor is required to certify to the following mandatory clause: CONTRACTOR CODE OF BUSINESS ETHICS (APR 2010) In accordance with FAR 52.203-13, CONTRACTOR CODE OF BUSINESS ETHICS (APR 2010) the subcontractor ____ has ____ does not have current active Federal contracts and grants with total value greater than $5,000,000. The subcontractor ____ is____is not a small business. The duration of the subcontract is____is not____ less than 120 days. The subcontractor has____does not have___ a Code of Business Ethics which has been provided to employees. The subcontractor is ___ is not___ exempt from the Code of Business Ethics. In accordance with the subcontractor’s Code of Business Ethics the contractor has ____does not have____a Business Ethics Awareness and Compliance Program that encourages and otherwise promotes a culture of ethical conduct and commitment to comply with the law and an internal control system that prevents and detects criminal conduct. In accordance with the Business Ethics Awareness and Compliance Program the subcontractor does___does not____ provide effective training to employees in this area. The subcontractor shall disclose, in writing, to the prime contractor and the agency office of the Inspector General (OIG), with a copy to the Contracting Officer, whenever, in connection with the award, performance, or closeout of this contract or any subcontract thereunder, the subcontractor has credible evidence that a principal, employee, agent, or subcontractor of the subcontractor has committed a violation of Federal Criminal law involving fraud, conflict of interest, bribery, or gratuity violations in Title 18 of the US Code or a violation of the civil False Claims Act. _____________________________________ Signature _____________________________________ Printed Name _____________________________________ Company Name _____________________________________ Date John Snow, Inc. REQUEST FOR PROPOSAL RFP NO: 14_039 ATTACHMENT 3 REQUIRED CERTIFICATON As a condition of accepting a subcontract under this RFP, the selected vendor is required to certify to the following mandatory clause: 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (APR 2010) (a) The offeror [ ] has [ ] does not have current active Federal contracts and grants with total value greater than $10,000,000. (b) If the offeror checked "has" in paragraph (b) of this provision, the offeror represents, by submission of this offer, that the information it has entered in the Federal Awardee Performance and Integrity Information System (F APIIS) is current, accurate, and complete as of the date of submission of this offer with regard to the following information: (l) Whether the offeror, and/or any of its principals, has or has not, within the last five years, in connection with the award to or performance by the offeror of a Federal contract or grant, been the subject of a proceeding, at the Federal or State level that resulted in any of the following dispositions: (i) In a criminal proceeding, a conviction. (ii) In a civil proceeding, a finding of fault and liability that results in the payment of a monetary fine, penalty, reimbursement, restitution, or damages of $5,000 or more. (iii) In an administrative proceeding, a finding of fault and liability that results in(A) The payment of a monetary fine or penalty of $5,000 or more; or (B) The payment of a reimbursement, restitution, or damages in excess of $100,000. (iv) In a criminal, civil, or administrative proceeding, a disposition of the matter by consent or compromise with an acknowledgment of fault by the Contractor if the proceeding could have led to any of the outcomes specified in paragraphs (c)(1 )(i), (c)(1 )(ii), or (c)(1 )(iii) of this provision. (2) If the offeror has been involved in the last five years in any of the occurrences listed in (c)(1) of this provision, whether the offeror has provided the requested information with regard to each occurrence. (d) The offeror shall enter the information in paragraphs (c)(1)(i) through (c)(1)(iv) of this provision in F APIIS as required through maintaining an active registration in the Central Contractor Registration database at http://www.ccr.gov (see 52.204-7). REQUEST FOR PROPOSAL RFP NO: 14_039 John Snow, Inc. "Principal" means an officer, director, owner, partner, or a person having primary management or supervisory responsibilities within a business entity (e.g., general manager; plant manager; head of a division or business segment; and similar positions). ___________________________________________ Signature ___________________________________________ Printed Name ___________________________________________ Company Name ___________________________________________ Date John Snow, Inc. REQUEST FOR PROPOSAL RFP NO: 14_039 ATTACHMENT 4 REQUIRED CERTFICATION As a condition of accepting a subcontract under this RFP, the selected vendor is required to certify to the following mandatory clause: 52.223.13 CERTIFICATION OF TOXIC CHEMICAL RELEASE REPORTING (AUG 2003) By signing this offer, the offeror certifies that: 1) As the owner or operator of facilities that will be used in the performance of this contract that are subject to the filing and reporting requirements described in section 313 of the Emergency Planning and Community Right-to-Know Act of 1986, (EPCRA) and requirement section 6607 of the Pollution Prevention Act of 1990 (PPA) (42 U.S.C. 13106), the offeror will file and continue to file for such facilities for the life of the contract the Toxic Chemical Release Inventory Form (Form R) as described in sections 313(a) and (g) of EPCRA and section 6607 of EPA; or 2) None of its owned or operated facilities to be used in the performance of this contract is subject to the Form R filing and reporting requirements because each such facility is exempt for at least one of the following reasons: (check each block that is applicable) 3) ( ) (i) The facility does not manufacture, process, or otherwise use any toxic chemicals listed in 40 CFR 372.65; 4) ( ) (ii) The facility does not have 10 or more full-time employees as specified in section 313(b)(1)(A) of EPCRA, 42 U.S.C. 11023(b)(1)(A); 5) ( ) (iii) The facility does not meet the reporting thresholds of toxic chemicals established under section 313(f) of EPCRA, 42 U.S.C. 11023(f) (including the alternate thresholds at 40 CFR 372.27, provided an appropriate certification from has been filed with EPA); 6) ( ) (iv) The facility does not fall within the following Standard Industrial Classification (SIC)codes or their corresponding North American Industry Classification System sectors: (A) Major group code 10 (except 1011, 1081, and 1094, (B) Major group code 12 (except 1241) (C) Major group codes 20 through 39. (D) Industry code 4911, 4931, or 4939 (limited to facilities that combust coal and/or oil for the purpose of generating power for distribution in commerce). (E) Industry code 4953 (limited to facilities regulated under the Resource Conservation and Recovery Act, Subtitle C (41 U.S.C 6921 et seq.), or 5169, or 5171, or 7389 (limited to facilities primarily engaged in solvent recovery services on a contract or fee basis); or ( ) (v) The Facility is not located in the United States or its outlying areas. ______________________________________ Signature ______________________________________ Printed Name ______________________________________ Organization and Date John Snow, Inc. REQUEST FOR PROPOSAL RFP NO: 14_039 ATTACHMENT 5 REQUIRED CERTIFICATON As a condition of accepting a subcontract under this RFP, the selected vendor is required to certify to the following mandatory clause: 52.203-11Certification and Disclosure Regarding Payments to Influence Certain Federal Transactions (SEP 2007) Please complete OMB Standard Form LLL which is attached and the certification below: The offeror, by signing its offer, herby certifies to the best of its knowledge and belief that no Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, and officer or employee of Congress, or an employee of a Member of Congress on its behalf in connection with the awarding of this contract. If any registrants under the Lobbying Disclosure Act of 1995 have made a lobbying contact on behalf of the offeror with respect to this contract, the offeror shall complete and submit, with its offer, OMB Standard Form LLL, Disclosure of Lobbying Activities, to provide the name of the registrants. The offeror need not report regularly employed officers or employees of the offeror to who payments of reasonable compensation were made. ___________________________________ Signature ___________________________________ Printed Name ___________________________________ Company ___________________________________ Date John Snow, Inc. REQUEST FOR PROPOSAL RFP NO: 14_039 ATTACHMENT 6 REQUIRED CERTIFICATION As a condition of accepting a subcontract under this RFP, the selected vendor is required to certify to the following mandatory clause: Protecting the Government’s Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment (DEC 2010) This is___is not___ a commercial subcontract. This subcontract is ___ is not___ for the procurement of off-the-shelf items. The total price of the subcontract is___is not___greater $30,000. The subcontractor or its principals have ____ or have not ____ been debarred, suspended, or proposed for debarment. ______________________________________ Signature ______________________________________ Printed Name ______________________________________ Company Name ______________________________________ Date