BACKUP Health – Self-disclosure for the commercial suitability review
(To be submitted with the Project Mode application)
Name of applicant
Date
Criteria
Information about the applicant
Please tick the relevant boxes and provide brief details
Documents / certificates to be
provided
Please tick the relevant boxes to indicate
available documents *
Legal status
Is the applicant
a public benefit entity or
a legal entity or an
established representative of
one?
a legal entity or an established representative of one
a public benefit entity
Registration documents must be attached to the
completed form:
Registration as a legal entity
NGO registration (if applicable)
Additional documents; please specify:
Organisational chart
procedure manuals
and/or
Working instructions, etc.
Other documents; please specify:
Organisation
Organisation and procedures
Annual budget
Annual financial statements
Annual sales and implemented budgets for
the past three years
Other documents; please specify:
Accounting
Accounting system
Does it meet national
standards? (Does it also meet
international accounting
standards?)
Documents concerning current law on
contract awards
Review results, etc.
Other documents; please specify:
Contract award
procedure
Existence and application of
rules consistent with national
legislation and international
standards. (Current legislation
on contract awards,
applications, review results)
Audit reports
Other documents; please specify:
Internal and external
controls
Existence and mandate of
international control bodies.
External auditors and reports,
including other donors.
Experience to date
with financing
Extent of technical and
administrative implementation
of earlier financing, including
other donors.
* When the application is being considered during the application process, GIZ may conduct a commercial
suitability review, which will be carried out either by the GIZ country office responsible or external auditors. The
above criteria will be subject to review, so please be prepared to produce the originals of the relevant documents
for the reviewer or to send certified copies upon request.
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