Request for Proposal (RFP) At Helen Keller Int

PF No. and Title: 2024/10/523 Strategic Development Systems Consultants
RFP Issue Date: 9th October 2024 RFP Questions to be Submitted By: 15th October 2024  Proposal Submission Deadline: 20th October 2024 Estimated Award Date: 9th November 2024                  
 
Contracting Entity: Helen Keller International (Helen Keller Intl)
 
Place of Performance: Abuja
 
Contents of this Document
 
SECTION 1: Introduction, Eligibility of Bidders, and Definitions……………………………………. 1

SECTION 2: Scope of Work………………………………………………………………………………… 2
SECTION 3: Proposal Instructions………………………………………………………………………… 5
SECTION 4: Evaluation Criteria and Basis for Award………………………………………………… 7
SECTION 5: Source of Funding and Authorized Geographic Code……………………………….. 7
SECTION 6: Proposal Validity, Submission Deadline and Instructions…………………………… 8
SECTION 7: Negotiations……………………………………………………………………………………. 8
SECTION 8: Terms of the Solicitation……………………………………………………………………. 8
ANNEX A: Conflict of Interest Disclosure………………………………………………………………. 10
ANNEX D:  USAID Contract Provisions………………………………………………………………… 14
 
 
Bidders are encouraged to read this RFP and all attachments in its entirety paying specific attention to the instructions and requirements. Issuance of this RFP does not in any way obligate Helen Keller International to award a contract, nor does it commit Helen Keller International to pay for costs incurred in the preparation and submission of a proposal. All recipients of this RFP shall treat all information and details included herein as private and confidential.
 
SECTION 1: Introduction, Eligibility of Bidders, and Definitions
 
Introduction
Guided by the remarkable legacy of its co-founder, Helen Keller, Helen Keller Intl partners with communities that are striving to overcome longstanding cycles of poverty. By delivering the essential building blocks of good health, sound nutrition and clear vision, the organization helps millions of people create lasting change in their own lives. Working in 20 countries – across Africa, Asia, Europe, and the United States – and together with a global community of supporters, Helen Keller Intl helps to ensure every person has the opportunity – as Helen did – to reach their true potential.
Helen Keller is seeking one (1) Strategic Development Systems consultants to work with the Nutrition Department, of the Federal Ministry of Health to develop a National Advocacy Strategy for Nutrition with a special focus on the uptake of MMS in Nigeria.
Helen Keller Intl invites all eligible Bidders to submit proposals for a twenty-four-working day (24) arrangement with the Nutrition Department of the Federal Ministry of Health and Social Welfare 
 
The purpose of this Request for Proposals (RFP) is to select a vendor that will provide the best value to Helen Keller Intl when both technical and cost factors are combined. 
 
Eligibility of Bidders
This RFP is open to individual consultants that are deemed capable of implementing the scope of work, with a solid record of integrity and business ethics, and that meet the eligibility requirements stated in this Section. 
 
Bidders that submit proposals in response to this RFP must meet the following requirements:
 
Be an individual consultant with a legal right to work in Nigeria. 
Consultants must be based in Nigeria and the work must be performed within Nigeria.
Have demonstrated capacity and expertise to successfully implement the Scope of Work
Have completed the required representations and certifications incorporated in this RFP 
Be willing to comply with relevant donor rules and regulations and Helen Keller Intl requirements. 
Bidders and proposed products must be of Source and Nationality designated in the authorized Geographic Code, as described in Section 5 “Source of Funding and Authorized Geographic
Code.” 
Nationality refers to the place of legal organization, ownership, citizenship, or lawful permanent residence (or equivalent immigration status to live and work on a continuing basis) of suppliers of commodities and services. 
Source means the country from which a commodity is shipped to the cooperating/recipient country or the cooperating/recipient country itself if the commodity is located therein at the time of the purchase, irrespective of the place of manufacture or production, unless it is a prohibited source country. Where, however, a commodity is shipped from a free port or bonded warehouse in the form in which received therein, “source” means the country from which the commodity was shipped to the free port or bonded warehouse.}  
 
Note: Helen Keller Intl will not award a contract to any firm that is debarred, suspended, or proposed for debarment by the U.S. Government, or who proposes to do business with firms or firms’ principals who are debarred, suspended, or proposed for debarment, in the performance of the requirement of this activity.
 
SECTION 2: Scope of Work
Helen Keller Intl will evaluate all proposals received in response to this RFP in accordance with the evaluation criteria described in this document.
 
This RFP contains the following Annexes:
     
Annex A: Conflict of Interest Disclosure 
Annex B: Format of CV to be used for Personnel (one document per person)
Annex C: Financial Offer template (separate Excel spreadsheets) 
Annex D: USAID Contract Provisions
 
Program Background  
The Advancing Nutrition in Nigeria activity aims to provide technical support, implement innovative nutrition interventions, and generate evidence to enhance nutrition programming toward achieving the overall goal of improving nutrition for a healthy, productive, and resilient Nigeria. This activity will support the Mission’s effort to strengthen the enabling environment for innovation, commitment, capacity strengthening, coordination, collaboration, and support for multi-sectoral nutrition policies and programs among Nigeria’s government, donors, civil society, and private sector stakeholders. Advancing Nutrition in Nigeria activity will contribute to the USAID/Nigeria Country Development Cooperation Strategy (CDCS) Development Objectives, specifically, Development Objective 1 (DO1): Broadened and Inclusive Economic Growth; DO2: A Healthier, Better Educated Population; and the Special Objective (SO): Greater Stability and Early Recovery Advanced in Selected States. The activity will develop and support the implementation of innovative multisectoral nutritional approaches and build the capacity of actors in the health facilities, community, civil society, and the government. It will advocate to mobilize resources and institutionalize nutrition interventions at the national and sub-national levels to address malnutrition. The focus of the project is to improve nutritional outcomes in Bauchi, Ebonyi, Kebbi, Sokoto, and the Federal Capital Territory through innovative, multisectoral approaches. The specific package of interventions for selected states will be identified through joint annual work planning processes and will include exploring opportunities to leverage existing USAID/Nigeria activities, and partnerships with the private sector to provide a more comprehensive package as needed. The project will operate for 5 years starting in 2024.
 
During pregnancy, there is a heightened demand for energy and nutrients to support fetal development and growth, as well as increased requirements for lactating mothers to sustain breastmilk production. Consequently, it becomes imperative to ensure adequate dietary intake to maintain maternal nutrient stores and prevent depletion. This underscores the importance of adequate supplementation, such as the intake of Multiple Micronutrient Supplements, to address the nutritional needs of pregnant and lactating women effectively.
While several advocacy groups, networks, platforms and champions exist at the national, state and local levels in Nigeria, significant gaps and fragmentation has been a hindrance to the Nutrition Advocacy ecosystem in Nigeria achieving notable successes. Nutrition Advocacy Organisations are largely donor/partner funded and most often are not viable without leveraging external resources.
The external activities are uncoordinated and unsustainable and have remained active only as long as the funding is available. Many key actors have ineffective advocacy skills and can often not access evidence-based information and credible data sources to inform nutrition advocacy messaging. Nutrition advocacy in today’s landscape requires an all-encompassing strategy designed by all partners with well-defined goals, objectives, target audiences and messages to effectively raise awareness, inform policy decisions, change perceptions, and motivate target audiences to act on nutrition issues. For example, as Nigeria introduced Multiple Micronutrient Supplementation (MMS) for the care of pregnant women to improve pregnancy outcomes, an advocacy strategy is a crucial tool required to amplify its reach through the provision of compelling and actionable information to empower key decision-makers in a coordinated and impactful way for sustainable outcomes.
 
 
Scope of Work, Key Objectives and Activities
The specific tasks for the One Strategic Development Systems consultant is to:
Conduct background reading and identify nutrition issues that require advocacy interventions before the Stakeholders Foundation workshop.
Provide technical assistance to the FMoHSW to develop a list of relevant stakeholders that would be at both the Stakeholders Foundation and process workshops.
Develop an agenda for both workshops.
Hold an inception and pre-planning meeting with FMoHSW before each workshop.
Facilitate two workshops of five-day each foundational and process workshops to come up with a National Advocacy Strategy for Nutrition with a special focus on the uptake of MMS in Nigeria.
Harmonize submissions from Stakeholders at the workshop towards a clean copy of the document (NASN).
Submit the final copy of the NASN and a comprehensive consultancy report to the Director Nutrition Department of the FMoHSW. 
 
EXPECTED OUTPUTS
By the end of the assignment the following outputs will be expected:
Foundational Workshop: Draft National Advocacy Strategy for Nutrition
Process Workshop: Ready for editing the copy of Final National Advocacy
Strategy for Nutrition  
Preliminary Report per key milestone accomplished and a Comprehensive Report of the process
 
GENERAL CONSULTANT REQUIREMENTS
An individual with more than 10 years of post-qualification experience, is required for these roles. Preference will be given to persons who have a background in nutrition, public health, system strengthening or a related field and are very familiar with national drives on Health System strengthening, and the Nutrition sector. 
Previous experience in advocacy, public policy, system strengthening, campaign management and development of advocacy strategies.
Be well informed in the nutrition landscape of Nigeria, with track record of working with development partners in the same line as an added advantage.
Excellent written and verbal communication skills to effectively convey messages to diverse audiences.
 
 
SPECIFIC REQUIREMENTS:
 
A minimum of a master’s degree in nutrition, Public Health, or a related field. A PhD would be an added advantage.
At least 15 to 20 years of relevant experience in nutrition programming, policy development, and implementation, preferably in Nigeria or a similar context.
Proven track record in managing and implementing nutrition programs at both national and sub-national levels.
Strong expertise in maternal and child nutrition, micronutrient supplementation, and community-based nutrition interventions.
Familiarity with Nigeria’s health and nutrition policies and frameworks.
Demonstrated experience in project management, including planning, implementation, monitoring, and evaluation of nutrition programs.
Experience in designing and delivering capacity-building initiatives, including training, mentoring, and coaching for health professionals and government staff.
Excellent written and verbal communication skills, with the ability to produce highquality reports and presentations.
Proficiency in stakeholder engagement and coordination with government agencies, NGOs, and international organizations.
 
 
 
Deliverables and Illustrative Timeline
 
TIMING OF CONSULTANCY AND SCHEDULE
The assignment will be carried out in Abuja and will last for 24 working days in September 2024.
 
Activities
Duration
Background Reading and Preparation
2 days
Stakeholders Foundational Workshop
5 days
Pre-work by Technical Assistants
3 days
Pre-workshop planning meeting and finalizing agenda
1 day
Stakeholders Advocacy Process Workshop 
5 days
Desk work by Technical Assistants to harmonise inputs
3 days
Preparatory Meeting for the Strategy Validation and Finalization Meeting
1 day
Validation and Finalization Meeting for National Advocacy Strategy for Nutrition 
1 day
Harmonization of inputs
2 days
Final submission of the reports of consultancy and NNAST
1 days
TOTAL for consultancy working days
 
24 Days
 
Anticipated Contracting Period and Award Mechanism
The anticipated period of the resulting award is expected to be Twenty- four(24) Working days beginning on or about November 2024. Bidders must clearly identify “start-up” support costs, if any, required to commence services.
 
Helen Keller Intl intends to award a Time and Material type Professional Services Contract to the winning offer. No profit, fees, taxes, or additional costs can be added after the award. This RFP is subject to all the terms and conditions of the resulting contract.  Any resultant award will be governed by these terms and conditions.
 
SECTION 3: Proposal Instructions
The Bidder’s proposal will consist of two separate documents: 
 
Part 1 – Technical Offer Part 2 – Financial Offer
 
The Technical Offer and the Financial Offer (altogether “proposal”) must be submitted separately. The Bidder should not include any cost data in the Technical Offer.
 
The proposal should be concisely presented and structured, and should explain in detail the Bidder’s availability, experience and resources to provide the requested services. 
 
Proposals that are incomplete or do not address these criteria may not be considered in the review process. All proposals must be submitted in English
 
Both the Technical Offer and Financial Offer must be submitted with a Cover Letter which must include the following information and must be signed and stamped by the individual: 
 
i. Date of Submission of the Proposal ii. Term of proposal validity (minimum {90} days) iii. Address  iv. Telephone  v. E-mail  vi. Taxpayer Identification Number  vii. Other required documents that shall be included as attachments to the cover letter: 
A valid government-issued ID
A current CV for the individual in a format provided in Annex B.  The CV must not exceed three pages in length and shall be in chronological order starting with the most recent experience and summarizing relevant experience and qualifications.
Photocopy of Certificates of Educational qualification.
Evidence of past similar jobs 
 
Bidders must also submit a signed Conflict of Interest Declaration Form. This form will be assessed to establish whether the Bidder has any present or potential future conflict of interest according to the definition in Annex A. If the conclusion is reached that any conflict of interest declared by the
Bidder could have a negative impact on the Bidder’s ability to perform the Service, Helen Keller Intl may decide to reject the submitted proposal. Failure to accurately complete the Conflict of Interest Declaration Form may also lead to the rejection of the submitted proposal.
 
Part 1: TECHNICAL OFFER 
 
The Technical Offer should be in the English language, typed in Microsoft Word, single-spaced, with each page numbered consecutively. A maximum number of pages for each component of the Technical Offer is given below.
 
The Technical Offer should include the following:
 
1) Bidder past performance record/relevant experience– {2} pages maximum 
Information related to Bidder’s past performance/prior experience in conducting work in the country/region similar in nature and volume to the services requested (brief description, deliverables, date, client etc.). 
 
Bidders must also provide contacts for at least three (3) professional references for previous work and/or experience under similar SOWs. Contact information should include, at a minimum: the name of the individual, name of the company, brief information on the relationship to Bidder, address, email, and phone number. Helen Keller Intl reserves the right to contact any and all references provided. Contact information for references is not subject to the page limitation for this section. 
 
2) Technical approach – {7} pages maximum  
The technical approach must describe the proposed approach to achieving the program objectives and must address the following: 
 
Information as to whether the Bidder currently has a presence in the country/region, and the nature of this presence.
A brief description of the Bidder’s understanding of the objectives and scope of work for the consultancy.
An overview as to how the Bidder would propose to complete the requested services indicated in this RFP. {Add more detail as needed}
 
 
 
Helen Keller Intl may choose to contact the Bidder prior to making a final decision. Please confirm whether this would be possible, ensuring that full contact details are also included in the resume (email, telephone number).
 
Part 2: FINANCIAL OFFER  
This contract will be issued as a time and material type Professional Services Contract. The individual involved in the project will be compensated at a fixed hourly rate as outlined in the contract and the total payment shall not exceed the agreed-upon threshold. Payment will be made against deliverables as specified in the SOW. The Contractor shall submit detailed invoices, including the hours worked and the corresponding hourly rates.
Helen Keller Intl will only issue payment via electronic payment methods and all bank accounts must be in the name of the individual only.  
 
As part of the Financial Offer, Bidders must include a detailed budget, submitted in Microsoft Excel, expressed in {Naira}, with an accompanying budget narrative, submitted in Microsoft Word, describing the basis for the listed cost elements. Supporting information should be provided in sufficient detail to allow a complete analysis and determination of the reasonableness of each cost element. Bidders are required to include and clearly label all costs deemed necessary to complete the work called for hereunder. 
 
The Financial Offer template can be found in Annex C and must include the following: 
 
Labor Cost: The Bidder must provide information related to daily rates and Level of Effort (LoE) (measured in days) for the deliverables listed. Please state assumptions made when submitting the cost information including any additional options and stating all conditions.  
 
Other Direct Costs: The Bidder should provide a breakdown estimate of other main direct costs which are considered necessary for completion of the work. Other direct costs will cover transportation costs, visa, and per diem. Any other direct costs shall be agreed prior with Helen Keller Intl.
 
SECTION 4: Evaluation Criteria and Basis for Award
Helen Keller Intl will follow a Best Value Trade-Off selection methodology. Helen Keller Intl may award to an eligible, responsible individual whose proposal is most advantageous to the program, with price and other factors considered proposal, including but not limited to compliance with the requirements of the RFP without material deviation. Bidders may not modify non-responsive offers after the proposal deadline in order to make them responsive. However, Helen Keller Intl may request an Bidder to clarify its offer as long as no material deviation exists. 
 
The criteria below will serve as the basis upon which proposals will be evaluated. Selection will be based principally on the technical merits of the proposals, but price and other factors will be considered, and an award will be made only if the proposal is determined to be technically acceptable and cost-reasonable.  
 
Evaluation Criteria per Solicitation
Total Max Points
Past Performance/ Prior Relevant Experience
XX
15- 20 years of relevant experience in nutrition programming, policy development and implementation, preferably in Nigeria or a similar context.
 
Experience in advocacy, public policy, system strengthening, campaign management and development of advocacy strategies.
 
Proven track record in managing and implementing nutrition programs at both national and sub-national levels.
 
Strong expertise in maternal and child nutrition, micronutrient supplementation, and community-based nutrition interventions.
 
Personnel Qualifications
XX
[Include sub-criterion as needed]
 
Familiarity with Nigeria’s health and nutrition policies and frameworks.
 
Proficiency in stakeholder engagement and coordination with government agencies, NGOs, and international organizations.
 
Technical Merit
XX
Demonstrated experience in project management, including planning, implementation, monitoring, and evaluation of nutrition programs
 
Experience in designing and delivering capacity-building initiatives, including training, mentoring, and coaching for health professionals and government staff.
 
Operational Capability
XX
Excellent written and verbal communication skills with the ability to produce high-quality reports and presentations 
 
Total Points
XX
 
Upon completion of the evaluation of Technical Offers, Helen Keller Intl will evaluate Financial Offers for budget presentation, details of the budget narrative, and cost effectiveness (reasonable, realistic, match the Technical Offer and meet requirements of RFP). No points are assigned to Financial Offers, but these criteria will be considered, in conjunction with the total score of the Technical Offer. This RFP utilizes the tradeoff process and Helen Keller Intl may award a contract to the offeror whose proposal represents the best value to Helen Keller Intl and the program. Helen Keller Intl may award to a higher priced offeror if a determination is made that the higher technical evaluation of that offeror merits the additional cost/price.
 
SECTION 5: Source of Funding and Authorized Geographic Code 
{Only include if procurement is USAID-funded – Any award resulting from this RFP will be financed by USAID funding and will be subject to U.S. Government and USAID regulations. The authorized
USAID geographic code for this RFP and any resulting contract is Code 937. A description of this code is available in USAID’s Automated Directives System, ADS 310
(http://www.usaid.gov/policy/ads/300/310.pdf). All commodities and services supplied under any award resulting from this RFP must meet this geographic code in accordance with the US Code of Federal Regulations (CFR), 22 CFR 228.}
 
SECTION 6: Proposal Validity, Submission Deadline and Instructions
Proposals should have a {90-day} validity period from the proposal submission date, as provided in the Cover Letter. 
 
Proposals must be submitted electronically by the deadline listed on the cover page of this RFP by E-mail to [email protected]  indicating in the subject line of the e-mail and the RFP number. 
 
A full proposal submission will include the following documents, all of which must reference the RFP number as stated on the cover page of this document:
Cover Letter
Technical Offer
Financial Offer
Vaid ID
Conflict of Interest Disclosure Form
{USAID Contract Provisions if applicable}
Copies of Bidder legal documents like TIN registration number, Government approved ID Card
Other pertinent information relevant to the proposal submission 
 
 
SECTION 7: Negotiations  
Best offer proposals are requested. It is anticipated that an award will be made solely on the basis of the original offers received. However, Helen Keller Intl reserves the right to conduct discussions, negotiations and/or request clarifications prior to awarding a contract. Furthermore, Helen Keller Intl reserves the right to conduct a competitive range and to limit the number of bidders in the competitive range to permit an efficient evaluation environment among the most highly-rated proposals. Highest-rated bidders, as determined by the technical evaluation committee, may be asked to submit their best prices or technical responses during a competitive range. At the sole discretion of Helen Keller Intl, bidders may be requested to conduct oral presentations. If deemed an opportunity, Helen Keller Intl reserves the right to make separate awards per component or to make no award at all.
 
SECTION 8: Terms of the Solicitation 
Issuance of this RFP does not constitute an award commitment on the part of Helen Keller Intl, nor does it commit Helen Keller Intl to pay for costs incurred in the preparation and submission of a bid. 
 
Attached files are an integral part of this RFP.
 
Helen Keller Intl may contact Bidders to confirm the contact person, address, and bid amount and to confirm that the proposal was submitted for this solicitation.
 
False Statements: Bidders must provide full, accurate and complete information as required by this solicitation and its attachments.
 
Conflict of Interest Disclosure: In Annex A Bidders must provide disclosure of any past, present or future relationships with any parties associated with the issuance, review or management of this solicitation and anticipated award.  Failure to provide full and open disclosure may result in Helen Keller Intl having to re-evaluate the selection of potential Bidders.
 
Right to Select/Reject: Helen Keller Intl reserves the right to select and negotiate with those firms it determines, in its sole discretion, to be qualified for competitive proposals and to terminate negotiations without incurring any liability.  Helen Keller Intl also reserves the right to reject any or all proposals received without explanation. 
 
Reserved rights: All RFP responses become the property of Helen Keller Intl and Helen Keller Intl reserves the right in its sole discretion to: 
To disqualify any offer based on Bidder’s failure to follow solicitation instructions;
To waive any deviations by Bidders from the requirements of this solicitation that in Helen Keller Intl’s opinion are considered not to be material defects requiring rejection or
disqualification or where such a waiver will promote increased competition;
Extend the time for submission of all RFP responses after notification to all Bidders;
Terminate or modify the RFP process at any time and re-issue the RFP to whomever Helen
Keller Intl deems appropriate;
Issue an award based on the initial evaluation of offers without discussion;
Award only part of the activities in the solicitation or issue multiple awards based on solicitation activities.
 
Bidders       shall     disclose            any       factors that      could    limit      the       individual’s                               ability to independently perform the services such as relationship with counterpart employees, past employment, etc. 
             

ANNEX A: Conflict of Interest Disclosure
 
Helen Keller Intl Code of Conduct & Ethics Policy: In accordance with the Helen Keller Intl Code of Conduct and Ethics Policy, Helen Keller Intl requires full and open disclosure when dealing with procurement. As such, Helen Keller Intl employees must avoid any conflict of interest or the appearance of a conflict of interest. Helen Keller Intl employees must at all times provide full disclosure of their actions or relationships with prospective vendors, contractors, or consultants.  Helen Keller Intl employees shall not solicit, request, accept, or agree to accept any gift from a vendor or prospective vendor.
 
Helen Keller Intl reserves the right to reject any or all quotes when considered to be in the best interest of the organization and/or the people it serves. All parties submitting a proposal in response to this Request for Proposal are obligated to disclose the existence of any actual or possible conflict of interest relating to every country included within their proposal in the attached Conflict of Interest Declaration Form.
 
Failure to fully disclose such information could lead Helen Keller Intl to reject a proposal. If a party has no conflict to declare for any of the countries covered in their proposal, they may submit one form, listing all of the countries covered.
 
Conflict of Interest” means a situation in which an Bidder, or an Affiliate (as defined below), or a sub-contractor (if any) of an Bidder, has interests (financial, organizational, personal, reputational or otherwise) that would or may appear to make it difficult for an Bidder to fulfill its obligations to Helen Keller Intl in its role as the vendor in an objective, independent and professional manner, or a situation in which it is reasonable to foresee that such an interest would arise. A Conflict of Interest may arise in the following circumstances, which are not exhaustive:
a Bidder has been, or is involved in the design of a proposal or request for funding that has been, or will be submitted to Helen Keller Intl;
an Bidder has been, or is involved in the provision of advice to an entity that is a Principal
Recipient or a Sub-recipient; iii. a Bidder has been, or is involved in, or has provided advice in relation to the procurement of goods and/or services by a Principal Recipient and/or a Sub-recipient;
a Bidder has been, or is involved in the provision of auditing services to a Principal Recipient and/or a Sub-recipient; or 
a Bidder has submitted an expression of interest, tender, bid or otherwise indicated interest in providing services of any nature to a Principal Recipient or a Sub-recipient that remains valid at the time of, and for the duration of the term of this Contract. 
 
Affiliate” means a business concern, individual or other entity that, directly or indirectly: (i) controls or can control an Bidder; (ii) is controlled by, or can foreseeably be controlled by, an Bidder; or (iii) along with an Bidder, is controlled by, or can foreseeably be controlled by, the same third party.
 
 
Bidder Conflict of Interest Declaration Form
 
Please check one box below, as appropriate:
 
 
 
The Bidder hereby declares that it has read and understood the Conflict of Interest rules set forth in the Request for Proposals (RFP) and warrants that no Conflict of Interest exists on the part of the Bidder or an Affiliate of the Bidder, with regard to the services to be performed under the RFP. The Bidder hereby agrees to comply with the Conflict of Interest rules set forth in the Request for Proposals (RFP).
 
 
 
 
The Bidder wishes to disclose a real or potential Conflict of Interest situation(s) and propose mitigating action(s).  Note: if this box is checked, please describe in an attachment, in detail, the situation and present a proposed mitigation plan / arrangement for consideration by Helen Keller Intl.
 
 
Bidder: 
Signature:
 
Printed Name:
 
Title:
 
Date:
 
 
             

 
ANNEX B:  Format of CV to Be Used for individual
 
Name: 
 
Title: 
Nationality: 
Home/Office Address: 
 
Professional Qualifications:
 
 
 
Language skills:
Language:
Reading:
Speaking:
Writing:
 
 
 
 
 
 
 
 
 
 
 
 

Relevant work experience, including duration and responsibilities:
 
 
 
 
 
 
 
 
 
References: 
 
Name: 
Position: 
Organization: 
E-mail: 
Address: 
Telephone: 
Relationship: 
 
 
Name: 
Position: 
Organization:
E-mail: 
Address: 
Telephone: 
Relationship: 
Certification:
I declare that the information provided in this CV is accurate and hereby authorize Helen Keller Intl to undertake whatever inquiries Helen Keller Intl may consider reasonable and necessary in the course of the assessment process, in relation to the information in this curriculum vita relating to my suitability for the position for which I have been nominated.
Signed:
Date: 




 
 
ANNEX C Financial Offer Format  
 
 
 
DETAILED BUDGET BREAKDOWN WORKSHEET (SAMPLE FORMAT)
 
 
Cost Element
 
Unit Cost
 
Quantity
 
Total Cost
 
1. Consultancy Fees (FIXED FEE)
 
 
 
 
 
 
Unit Cost x Quantity
 
2. TRAVEL & TRANSPORTATION
Travel        
Per Diem
 
SUBTOTAL
 
 
 
Number of
trips
 
 
 
3. OTHER DIRECT COSTS
     Communications
     List others
 
SUBTOTAL
 
 
 
 
 
 
 
 
Total
 
 
 
____________________________
Principal’s Signature
 
*The Base for each of these percentages needs to be identified and documented through audited financial statement
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ANNEX D:  USAID Contract Provisions
 
Include only if procurement is USAID-funded. If not, delete this Annex.
 
Contract Provisions for Non-Federal Entity Contracts Under Federal Awards
 
By signing below, the Bidder agrees to comply with these requirements, as applicable, in the event an award is made by Helen Keller Intl.
 
In addition to other provisions required by the Federal agency or non-Federal entity, all contracts made by the non-Federal entity under the Federal award must contain provisions covering the following, as applicable.
 
Contracts for more than the simplified acquisition threshold currently set at $150,000, which is the inflation adjusted amount determined by the Civilian Agency Acquisition Council and the Defense Acquisition Regulations Council (Councils) as authorized by 41 U.S.C. 1908, must address administrative, contractual, or legal remedies in instances where contractors violate or breach contract terms, and provide for such sanctions and penalties as appropriate.
 
All contracts in excess of $10,000 must address termination for cause and for convenience by the non-Federal entity including the manner by which it will be effected and the basis for settlement.
 
Equal Employment Opportunity. Except as otherwise provided under 41 CFR Part 60, all contracts that meet the definition of “federally assisted construction contract” in 41 CFR Part 601.3 must include the equal opportunity clause provided under 41 CFR 60-1.4(b), in accordance with Executive Order 11246, “Equal Employment Opportunity” (30 FR 12319, 12935, 3 CFR Part,
1964-1965 Comp., p. 339), as amended by Executive Order 11375, “Amending Executive Order
11246 Relating to Equal Employment Opportunity,” and implementing regulations at 41 CFR part 60, “Office of Federal Contract Compliance Programs, Equal Employment Opportunity, Department of Labor.”
 
Davis-Bacon Act, as amended (40 U.S.C. 3141-3148). When required by Federal program legislation, all prime construction contracts in excess of $2,000 awarded by non-Federal entities must include a provision for compliance with the Davis-Bacon Act (40 U.S.C. 3141-3144, and
3146-3148) as supplemented by Department of Labor regulations (29 CFR Part 5, “Labor Standards Provisions Applicable to Contracts Covering Federally Financed and Assisted Construction”). In accordance with the statute, contractors must be required to pay wages to laborers and mechanics at a rate not less than the prevailing wages specified in a wage determination made by the Secretary of Labor. In addition, contractors must be required to pay wages not less than once a week. The non-Federal entity must place a copy of the current prevailing wage determination issued by the Department of Labor in each solicitation. The decision to award a contract or subcontract must be conditioned upon the acceptance of the wage determination. The non-Federal entity must report all suspected or reported violations to the Federal awarding agency. The contracts must also include a provision for compliance with the Copeland “Anti-Kickback” Act (40 U.S.C. 3145), as supplemented by Department of Labor regulations (29 CFR Part 3, “Contractors and Subcontractors on Public Building or Public Work Financed in Whole or in Part by Loans or Grants from the United States”). The Act provides that each contractor or subrecipient must be prohibited from inducing, by any means, any person employed in the construction, completion, or repair of public work, to give up any part of the compensation to which he or she is otherwise entitled. The non-Federal entity must report all suspected or reported violations to the Federal awarding agency.
 
Contract Work Hours and Safety Standards Act (40 U.S.C. 3701-3708). Where applicable, all contracts awarded by the non-Federal entity in excess of $100,000 that involve the employment of mechanics or laborers must include a provision for compliance with 40 U.S.C. 3702 and 3704, as supplemented by Department of Labor regulations (29 CFR Part 5). Under 40 U.S.C. 3702 of the Act, each contractor must be required to compute the wages of every mechanic and laborer on the basis of a standard work week of 40 hours. Work in excess of the standard work week is permissible provided that the worker is compensated at a rate of not less than one and a half times the basic rate of pay for all hours worked in excess of 40 hours in the work week. The requirements of 40 U.S.C. 3704 are applicable to construction work and provide that no laborer
or mechanic must be required to work in surroundings or under working conditions which are unsanitary, hazardous or dangerous. These requirements do not apply to the purchases of supplies or materials or articles ordinarily available on the open market, or contracts for transportation or transmission of intelligence.
 
Rights to Inventions Made Under a Contract or Agreement. If the Federal award meets the definition of “funding agreement” under 37 CFR §401.2 (a) and the recipient or subrecipient wishes to enter into a contract with a small business firm or nonprofit organization regarding the substitution of parties, assignment or performance of experimental, developmental, or research work under that “funding agreement,” the recipient or subrecipient must comply with the requirements of 37 CFR Part 401, “Rights to Inventions Made by Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative Agreements,” and any implementing regulations issued by the awarding agency.
 
Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33 U.S.C. 1251-1387), as amended—Contracts and subgrants of amounts in excess of $150,000 must contain a provision that requires the non-Federal award to agree to comply with all applicable standards, orders or regulations issued pursuant to the Clean Air Act (42 U.S.C. 7401-7671q) and the Federal Water Pollution Control Act as amended (33 U.S.C. 1251-1387). Violations must be reported to the Federal awarding agency and the Regional Office of the Environmental Protection Agency (EPA).
 
Debarment and Suspension (Executive Orders 12549 and 12689)—A contract award (see 2 CFR 180.220) must not be made to parties listed on the government-wide exclusions in the System for Award Management (SAM), in accordance with the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR part 1986 Comp., p. 189) and 12689 (3 CFR part 1989 Comp., p. 235), “Debarment and Suspension.” SAM Exclusions contains the names of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549.
 
Byrd Anti-Lobbying Amendment (31 U.S.C. 1352)—Contractors that apply or bid for an award exceeding $100,000 must file the required certification. Each tier certifies to the tier above that it will not and has not used Federal appropriated funds to pay any person or organization for influencing or attempting to influence an officer or employee of any agency, a member of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any Federal contract, grant or any other award covered by 31 U.S.C. 1352. Each tier must also disclose any lobbying with non-Federal funds that takes place in connection with obtaining any Federal award. Such disclosures are forwarded from tier to tier up to the non-Federal award.
 
§200.322 Procurement of recovered materials. A non-Federal entity that is a state agency or agency of a political subdivision of a state and its contractors must comply with section 6002 of the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act. The requirements of Section 6002 include procuring only items designated in guidelines of the Environmental Protection Agency (EPA) at 40 CFR part 247 that contain the highest percentage of recovered materials practicable, consistent with maintaining a satisfactory level of competition, where the purchase price of the item exceeds $10,000 or the value of the quantity acquired during the preceding fiscal year exceeded $10,000; procuring solid waste management services in a manner that maximizes energy and resource recovery; and establishing an affirmative procurement program for procurement of recovered materials identified in the EPA guidelines.
 
By signing below, the Bidder agrees to comply with these requirements, as applicable, in the event an award is made by Helen Keller Intl.
 
Bidder: 
Signature:
 
Printed Name:
 
Title:
 
Date:
 
 

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