John Snow, Inc.
REQUEST FOR PROPOSAL
RFP NO: 15_001
REQUEST FOR PROPOSAL
FIXED PRICE GOODS OR SERVICES
(FIELD)
RFP NO: 15_001
PART A: COVER PAGE
ISSUED TO: USAID | DELIVER PROJECT website and advertised in Ghana
SUBJECT: Request for Proposal for Pharmaceutical Grade Warehousing Services for Storage
of Health Commodities in Ghana
John Snow, Inc. (JSI) is soliciting proposals for the provision of Subject services as described in
the attached Statement of Work. Some of the projects are funded by the U.S. Agency for
International Development (USAID) and are subject to all applicable Federal Acquisition
Regulation (FAR) and AID Acquisition Regulations (AIDAR).
Please submit your most competitive proposal in accordance with the attached instructions, with
all required certifications. Any subcontract issued as a result of this RFP will be subject to all
instructions, certifications, terms and conditions, and specifications included in this RFP. This
solicitation document includes the following parts:
PART A: COVER PAGE ................................................................................................... 1
PART B: INSTRUCTIONS................................................................................................ 2
PART C: STATEMENT OF WORK ................................................................................. 6
PART D: ATTACHMENTS TO THE RFP……………………………………………... 8
This document is a request for proposals only, and in no way obligates John Snow, Inc., the
Projects 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, pertaining to this solicitation should reference the
RFP number in the subject line and are to be directed to the attention of: ellen_knowles@jsi.com.
Ellen Knowles
John Snow, Inc.
USAID | DELIVER PROJECT
1616 North Fort Myer Drive, 16th Floor
Arlington, Virginia 22209, USA
Fax: +1 (703) 528-7480.
___________________________________________
__________________
M. Vanden Bossche
Contract Administrator
John Snow, Inc.
Date
John Snow, Inc.
REQUEST FOR PROPOSAL
RFP NO: 15_001
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
p.m. Eastern Standard Time (EST) on April 8, 2015 to the name and address as provided
in Part A. Cover Page.
All questions should be submitted in writing to Ellen Knowles at ellen_knowles@jsi.com by
5:00 p.m. EST March 23, 2015.
The answers to submitted questions will be listed on the JSI Deliver Website by 5:00 p.m.
EST on March 25, 2015
The Technical and Cost Proposals should be submitted separately in two clearly marked PDF
files.
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 a minimum of three (3) past performance references for the last three
years, including the following: name of firm, name of contact, address of firm,
telephone number of firm, email for firm, and dollar amount of contract for each
reference.

A description of the Offeror’s capability and experience in undertaking the work
outlined in Part C: Statement of Work. The Offeror must confirm that it has the
financial resources to complete the terms of reference.

Provide financial statements for the last three fiscal years. These will be kept
confidential.

Provide proof of business registration in Ghana.

Offerors must submit completed and signed certifications (Part D, Attachments 1-6)
attached to this RFP.
REQUEST FOR PROPOSAL
RFP NO: 15_001

John Snow, Inc.
Proof of current authorization with the local regulatory authorities of Ghana for the
warehousing of pharmaceutical grade commodities
Optional technical information:

ii)
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.
Cost Proposal - This information is required
A fixed unit price for each category of deliverable. The unit prices will need to include all costs.

Receiving per pallet

Storage, price per pallet charge, per full month (pallet price must include full
replacement value insurance for the commodities)

Storage price per pallet charge, per day (for less than full month) (pallet price must
include full replacement value insurance for the commodities)

Price per carton picked

Price per order packed and prepared for dispatch charge.

Quoted prices shall be fixed for the duration of the subcontract and shall include all
the expenses for material handling and protection of goods from deterioration.

The cost proposal shall specify unit and total prices without VAT. VAT (if
applicable) should be quoted separately from the total price.

All costs related to the execution of this subcontract are the responsibility of the
Subcontractor.

There will be no additional payment other than that agreed upon in the subcontract.

Quotations must include validity of prices, no less than 60 calendar days.
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
REQUEST FOR PROPOSAL
RFP NO: 15_001
John Snow, Inc.
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
JSI 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 Part C:
Statement of Work.
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, JSI reserves the right to
request responses to additional technical, management and cost questions which would help
in negotiating and awarding a subcontract. JSI 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, JSI will enter into negotiations with
alternate Offerors for the purpose of awarding a subcontract without any obligation to
previously considered Offerors. JSI reserves the right to issue more than one award.
f) REJECTION OF PROPOSALS
JSI reserves the right to reject any and all proposals received, or to negotiate separately with
any and all competing Offerors. Offerors whose proposals are not selected will be notified in
writing.
g) INCURRING COSTS
JSI 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
JSI may cancel this RFP without any cost or obligation at any time until issuance of a
Subcontract.
i) SUBCONTRACT AWARD
1)
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 integrated assessment of
the proposal, including, but not limited to, the following:





Technical capability and expertise,
Responsiveness to the RFP,
Ability to meet the deliverables requirements,
Business status certification,
Past performance references,
REQUEST FOR PROPOSAL
RFP NO: 15_001



2)
John Snow, Inc.
Regulatory compliance,
Cost/budget proposal
Site Visit
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.
John Snow, Inc.
REQUEST FOR PROPOSAL
RFP NO: 15_001
PART C: STATEMENT OF WORK
The Statement of Work for this RFP is as described below:
a)
BACKGROUND
Due to the recent fire of the Central Medical Store in Ghana, in which all health commodities were
destroyed, JSI seeks the services of a reputable firm(s) with the ability to securely store, insure, and
pick/pack public health commodities in Ghana. JSI requires adequate warehousing space for
medium-term storage of pharmaceutical grade commodities in Accra, Ghana. The storage facility
will manage USAID-funded health commodities, but may also include the storage of commodities
funded by subaccounts.
The service provider will be expected to manage the receipt of pallets and the picking/packing of
less than full-cases. Precise quantities are not yet available but illustrative volumes and throughput
are detailed below.
Outgoing Volumes
(cbm)
Incoming volumes (cbm)
Sub
Accounts
May
June
July
May
July
Sept.
17.92
8.96
8.96
$1,659,348.18
14.21
-
21.07
35.28
$161,471.48
55.03
-
3.61
58.64
$470,736.24
1.
Aug.
Overall Total
Commodity
Values (USD)
2.
42.13
3.
2.98
4.24
4.
10.25
687.5
46.27
372.01 372.01
$1,517,506.00
5.
146.74
127.26
87.13
180.56 180.56
$3,762,110.40
832.56
176.23
88.11
$4,320,378.56
901.8
327.54
674.32 1,576.11 $11,890,895.79
6.
Total
202.1
819
Monthly volume remaining in warehouse
(cbm)
Sept
May
June July Aug
0
530
1,349 1,576 1,576
920.67
REQUEST FOR PROPOSAL
RFP NO: 15_001
a)
John Snow, Inc.
OBJECTIVES OF THIS WORK
1. Secure Storage Facility:
The selected subcontractor(s) will be required to store between 600 and 2000 cubic meter (m3)
of health commodities per month for five months, with an option to extend for up to an
additional year. Services are required to manage up to 50 different commodities including but
not limited to, ARVs, anti-malarials and contraceptives, in a warehouse within 30km of Accra,
Ghana, from on or about May 15, 2015, through September30, 2015. The beginning of the
contract will be initiated by the first notice of the arrival of the first consignment. For budgeting
purposes, please assume a total commodity value of $10,000,000 each month in the warehouse
that would need to be insured.
The subcontractor(s) will provide storage space and services that comply with the following
specifications and requirements:
1.1
To provide storage facilities within 30km of Accra, Ghana that meet the following
requirements:
a. The facility must be fully enclosed with permanent material and a concrete
floor.
b. The facility must have a secure perimeter.
c. 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.
d. The premises will customarily be kept locked when not in use and secured at
all times.
e. The premises will be available to JSI and USAID officers within a time period
that is mutually agreed upon by the subcontractor and JSI, during normal
business hours, for inspection of goods and facilities.
f. Facility is authorized by local regulatory authorities of Ghana to manage
pharmaceutical-grade commodities
g. All health commodities must be stored on pallets off the floor, stacked to no
higher than 2.5 meters, or on racks.
h. 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.
i. Functioning security equipment including CCTV at time of operation;
j. A warehouse management system is in place capable of tracking activity at
the batch/lot level
k. A warehouse management system that can invoice by different funding
sources
l. Fully compliant with fire, health & safety regulations with functioning smoke
detectors and serviced fire extinguishers;
m. Possess appropriate pallet handling equipment including electric forklifts.
n. Comply with the requirements of The Labour Act, 2003 (Act 651) whereby
Section 118 (1) places a duty on the employer to ensure that every worker
employed by him or her works under satisfactory, safe and healthy conditions.
o. 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: 15_001
John Snow, Inc.
p. 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.
q. 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 in the facility and
that temperature logs are available for review at the request of the Ghana Field
Office.
r. Storage facilities shall be clean and free of vermin.
s. 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 and time;
t. The goods receiving dock shall be protected to prevent product contamination
and to prevent dust, rain and dirt from entering the facility;
u. 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)”;
v. 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;
w. Damaged / Broken stock shall be withdrawn from usable stock and separated,
and JSI shall be properly notified within 3 days of discovery.
x. Storage areas shall provide adequate lighting for all tasks to be carried out
accurately and safely;
y. Back-up power must be provided for all operations as required seven days a
week, twenty four hours a day;
z. Clearly delineated storage space for segregation of offeror’s products from the
products of other clients must be capable of being accommodated.
1.2
Specific responsibilities for the provision of warehousing services include:
a. To process orders duly authorised by JSI; and to pick, pack, dispatch, and transport
products for such orders, according to the regular delivery schedule and/or special
delivery orders provided by JSI, ensuring that products are distributed based on the
FEFO principle and that orders correspond precisely to draft PODs; Packaging and
packing methods shall comply with offeror’s 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 Ghana..
Orders will be received at least 48 working hours prior to required dispatch.
Only one product and one batch number may be stored or cross-docked on a pallet
at one time. In the picking racks more than one batch number of the same product
is permitted provided that it is separated by being stored or cross docked in a
separate box in the same location.
b. The inventory control personnel in the distribution center are responsible to
ensure that separation of batches is maintained.
REQUEST FOR PROPOSAL
RFP NO: 15_001
John Snow, Inc.
c. Boxes in the bulk storage area are to be resealed. Boxes used for storing product
must either be the warehousing provider’s branded boxes, the original
manufacturer’s boxes or unprinted boxes.
d. Mixing of products during picking and packing into original manufacturer’s boxes
will not be permitted.
e. 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).
f. All pallets used are to be firm and unbroken, clean, free of dirt and insects, and
stored or cross docked in a dry area.
g. Monthly stock counts must be conducted in conjunction with JSI staff
h. Storage of the goods in accordance with JSI’s instructions until released to the
consignee, or another party so designated by the Field Office.
i. Provision of an automated inventory control (IT) system that provides both batch and
dynamic location control; and provision of access to this system for JSI staff on an
agreed basis;
j. 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 Ghana Field
Officer. Outbound Inventory Transaction Details (ITD) This report contains the
list of commodities prepared for dispatch to each consignee with quantities and
values. And the number of orders packed and tendered that month.
i.
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.
ii.
Inventory Activity Report: All commodities Received/Issued for the
period with transaction references (PO numbers, ASN no., MAWB no.
for all Inbound shipments and WCOF no. for all Outbound number of
shipments received that month.
iii.
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.
k. Ensure that all dispatched orders correspond to properly prepared and approved
draft PODs and distribution matrix/plan.
l. 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
REQUEST FOR PROPOSAL
RFP NO: 15_001
John Snow, Inc.
including: fire, dampening/wetting of commodities in stock due to leaking roof or
flooding, etc.
m. Invoicing of services in accordance with instructions authorized by JSI will be
provided when contract is signed.
n. To ensure that all products are insured for “all risks” while in the warehouse until
collection by distribution firm.
1. Commodities must be insured at replacement value for the duration of the
time they are kept within the warehouse;
2. 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 cross
docked commodities up to a value of $11,891,550.86 (actual value
may increase) 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 JSI.
 Beneficiary or Loss Payee: John Snow, Inc. or its designate is the
sole beneficiary/loss payee of the insurance policy.
b)
DELIVERABLES
1. Outbound Inventory Transaction Details (ITD) report by subaccount or funding source: This
report contains the list of commodities prepared for dispatch to each consignee given to each
subaccount with quantities and values. This list is sequential by subaccount.
2. ITD report by commodity subgroups detailing transactions by product with a quantity/value
summation.
3. Inbound Inventory Activity Report:
4. Batches and Expiry Report (BER) showing batches and expiry date of current stock balances
sorted from earliest expiry date to the longest shelf life remaining.
5. Monthly status report for the commodities in the warehouse to JSI detailing stock on hand by
product and batch number at the beginning of the month, stock issued and received during
the month, and number of orders packed and tendered that month.
6. Signed receiving reports for all inbound shipments noting quantities received and any
damages, losses, or discrepancies.
7. Copies of all signed issue vouchers for shipments packed and tendered during the month.
8. Copies of any insurance claim filed on behalf of JSI for products lost or stolen from the
warehouse.
9. 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
10. Monthly pallet utilization report
11. Value of stock at the beginning of every month
12. Value of stock at the closing of every month
REQUEST FOR PROPOSAL
RFP NO: 15_001
John Snow, Inc.
13. 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 and time.
REQUEST FOR PROPOSAL
RFP NO: 15_001
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
(September 2007)
6. Certification Regarding Debarment, Suspension, or Proposed Debarment (December 2010)
John Snow, Inc.
REQUEST FOR PROPOSAL
RFP NO: 15_001
ATTACHMENT 1
REQUIRED CERTIFICATION
As a condition of accepting a subcontract under this RFP, the selected vendor is required to
certify to the following mandatory clause:
Prohibition on the Promotion or Advocacy of the Legalization or Practice of Prostitution or Sex
Trafficking (Acquisition) (June 2010)
(a) This contract is authorized under the United States Leadership Against HIV/AIDS, Tuberculosis, and
Malaria Act of 2003 (Pub.L. No. 108-25), as amended. This Act enunciates that the U.S. Government is
opposed to prostitution and related activities, which are inherently harmful and dehumanizing, and
contribute to the phenomenon of trafficking in persons. The contractor shall not use any of the funds
made available under this contract to promote or advocate the legalization or practice of prostitution or
sex trafficking. Nothing in the preceding sentence shall be construed to preclude the provision to
individuals of palliative care, treatment, or post-exposure pharmaceutical prophylaxis, and necessary
pharmaceuticals and commodities, including test kits, condoms, and, when proven effective,
microbicides.
(b)(1) Except as provided in (b)(2) and (b)(3), by its signature of this contract or subcontract for HIV 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. [10]
10
The following footnote should only be included in awards to Alliance for Open Society International
(AOSI), Pathfinder, or a member of GHC or InterAction (with the exception of DKT International, Inc.):
(b)(2) The following organizations are exempt from (b)(1): the Global Fund to Fight AIDS, Tuberculosis
and Malaria; the World Health Organization; the International AIDS Vaccine Initiative; and any United
Nations agency. (b)(3) Contractors and subcontractors are exempt from (b)(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)(1) 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
the same meaning.
REQUEST FOR PROPOSAL
RFP NO: 15_001
John Snow, Inc.
"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: 15_001
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: 15_001
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: 15_001
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: 15_001
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: 15_001
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:
52.203-11 Certification 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: 15_001
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