> **ATTACHMENT A**
>
> **PARTNER INFORMATION FORM**

+----------------------+---+---+-------+---------+-----------------------+
| **Part I:            |   |   |       |         |                       |
| Information About    |   |   |       |         |                       |
| Proposed             |   |   |       |         |                       |
| Activities**         |   |   |       |         |                       |
+----------------------+---+---+-------+---------+-----------------------+
| 1\. Name of the      |   |   |       |         |                       |
| prime contractor,    |   |   |       |         |                       |
| grantee or recipient |   |   |       |         |                       |
| proposing the award  |   |   |       |         |                       |
| or other assistance: |   |   |       |         |                       |
+----------------------+---+---+-------+---------+-----------------------+
| 2\. Type of proposed |   |   |       |         |                       |
| award or other       |   |   |       |         |                       |
| assistance (check    |   |   |       |         |                       |
| one):                |   |   |       |         |                       |
|                      |   |   |       |         |                       |
| \_\_\_\_\_contract   |   |   |       |         |                       |
| or subcontract       |   |   |       |         |                       |
| \_\_\_\_\_grant or   |   |   |       |         |                       |
| subgrant             |   |   |       |         |                       |
| \_\_\_\_\_training   |   |   |       |         |                       |
| \                    |   |   |       |         |                       |
| _\_\_\_\_\_equipment |   |   |       |         |                       |
| \_\_\_\_\_other      |   |   |       |         |                       |
+----------------------+---+---+-------+---------+-----------------------+
| 3\. US\$ amount &    |   |   |       |         |                       |
| estimated start/end  |   |   |       |         |                       |
| date of proposed     |   |   |       |         |                       |
| award or assistance: |   |   |       |         |                       |
| \$ Start: End:       |   |   |       |         |                       |
+----------------------+---+---+-------+---------+-----------------------+
| 4\. Purpose of       |   |   |       |         |                       |
| proposed award or    |   |   |       |         |                       |
| assistance:          |   |   |       |         |                       |
+----------------------+---+---+-------+---------+-----------------------+
| 5\. Organization     |   |   |       |         |                       |
| proposed to receive  |   |   |       |         |                       |
| award or other       |   |   |       |         |                       |
| assistance:          |   |   |       |         |                       |
+----------------------+---+---+-------+---------+-----------------------+
| a.  Name:            |   |   |       |         |                       |
+----------------------+---+---+-------+---------+-----------------------+
| b.  Address:         |   |   |       |         |                       |
+----------------------+---+---+-------+---------+-----------------------+
| c.  Telephone:       |   | d |       |         | e\. Email:            |
|                      |   | \ |       |         |                       |
|                      |   | . |       |         |                       |
|                      |   | F |       |         |                       |
|                      |   | a |       |         |                       |
|                      |   | x |       |         |                       |
|                      |   | : |       |         |                       |
+----------------------+---+---+-------+---------+-----------------------+
| 6.  Information on   |   |   |       |         |                       |
|     each individual  |   |   |       |         |                       |
|     to receive       |   |   |       |         |                       |
|     training,        |   |   |       |         |                       |
|     equipment, or    |   |   |       |         |                       |
|     other direct     |   |   |       |         |                       |
|     benefits or who  |   |   |       |         |                       |
|     is a key         |   |   |       |         |                       |
|     individual of    |   |   |       |         |                       |
|     the organization |   |   |       |         |                       |
|     named in 5       |   |   |       |         |                       |
|     above. Use       |   |   |       |         |                       |
|     continuation     |   |   |       |         |                       |
|     sheets as        |   |   |       |         |                       |
|     necessary.       |   |   |       |         |                       |
|                      |   |   |       |         |                       |
| \*\* = mandatory     |   |   |       |         |                       |
| information.         |   |   |       |         |                       |
+----------------------+---+---+-------+---------+-----------------------+
| **A.** Name (As in   |   |   |       | Gov     |                       |
| passport or other    |   |   |       | ernment |                       |
| government-issued    |   |   |       | -issued |                       |
| photo ID)\*\*        |   |   |       | photo   |                       |
|                      |   |   |       | ID      |                       |
|                      |   |   |       | number, |                       |
|                      |   |   |       | type of |                       |
|                      |   |   |       | ID and  |                       |
|                      |   |   |       | country |                       |
|                      |   |   |       | of      |                       |
|                      |   |   |       | issuan  |                       |
|                      |   |   |       | ce:\*\* |                       |
+----------------------+---+---+-------+---------+-----------------------+
| Place of birth:\*\*  |   |   |       | Rank or |                       |
| Date of birth:\*\*   |   |   |       | title   |                       |
| (mm/dd/yyyy)         |   |   |       | in      |                       |
|                      |   |   |       | organ   |                       |
|                      |   |   |       | ization |                       |
|                      |   |   |       | listed  |                       |
|                      |   |   |       | in #5   |                       |
|                      |   |   |       | (if     |                       |
|                      |   |   |       | "key    |                       |
|                      |   |   |       | ind     |                       |
|                      |   |   |       | ividual |                       |
|                      |   |   |       | "):\*\* |                       |
+----------------------+---+---+-------+---------+-----------------------+
| Other names used     |   |   |       | Gender: |                       |
| (may include         |   |   |       |         |                       |
| nicknames,           |   |   |       |         |                       |
| pseudonyms not       |   |   |       |         |                       |
| listed under         |   |   |       |         |                       |
| "Name"):             |   |   |       |         |                       |
+----------------------+---+---+-------+---------+-----------------------+
| Current employer and |   |   |       | Occu    |                       |
| job title:           |   |   |       | pation: |                       |
+----------------------+---+---+-------+---------+-----------------------+
| Address of           |   |   |       | C       |                       |
| residence:           |   |   |       | itizens |                       |
|                      |   |   |       | hip(s): |                       |
+----------------------+---+---+-------+---------+-----------------------+
| Email:               |   |   | Is    |         |                       |
|                      |   |   | the   |         |                       |
|                      |   |   | indiv |         |                       |
|                      |   |   | idual |         |                       |
|                      |   |   | a     |         |                       |
|                      |   |   | U.S.  |         |                       |
|                      |   |   | ci    |         |                       |
|                      |   |   | tizen |         |                       |
|                      |   |   | or    |         |                       |
|                      |   |   | legal |         |                       |
|                      |   |   | perm  |         |                       |
|                      |   |   | anent |         |                       |
|                      |   |   | res   |         |                       |
|                      |   |   | ident |         |                       |
|                      |   |   | ?\*\* |         |                       |
|                      |   |   | Yes   |         |                       |
|                      |   |   | \_\   |         |                       |
|                      |   |   | _\_\_ |         |                       |
|                      |   |   | No    |         |                       |
|                      |   |   | \_\   |         |                       |
|                      |   |   | _\_\_ |         |                       |
+----------------------+---+---+-------+---------+-----------------------+
| **Part II:           |   |   |       |         |                       |
| Contract             |   |   |       |         |                       |
| or/Grantee/Recipient |   |   |       |         |                       |
| Certification:**     |   |   |       |         |                       |
|                      |   |   |       |         |                       |
| Contract             |   |   |       |         |                       |
| or/Grantee/Recipient |   |   |       |         |                       |
| certifies in         |   |   |       |         |                       |
| submitting this form |   |   |       |         |                       |
| that it has taken    |   |   |       |         |                       |
| reasonable steps (in |   |   |       |         |                       |
| accordance with      |   |   |       |         |                       |
| sound business       |   |   |       |         |                       |
| practices) to verify |   |   |       |         |                       |
| the information      |   |   |       |         |                       |
| contained in this    |   |   |       |         |                       |
| form.                |   |   |       |         |                       |
| Contract             |   |   |       |         |                       |
| or/Grantee/Recipient |   |   |       |         |                       |
| understands that the |   |   |       |         |                       |
| U.S. Government may  |   |   |       |         |                       |
| rely on the accuracy |   |   |       |         |                       |
| of such information  |   |   |       |         |                       |
| in processing this   |   |   |       |         |                       |
| vetting request.     |   |   |       |         |                       |
|                      |   |   |       |         |                       |
| Name: Signature:     |   |   |       |         |                       |
|                      |   |   |       |         |                       |
| Title/Organization:  |   |   |       |         |                       |
| Date:                |   |   |       |         |                       |
+----------------------+---+---+-------+---------+-----------------------+
| **Part III:          |   |   |       |         |                       |
| Submission details   |   |   |       |         |                       |
| (to be completed by  |   |   |       |         |                       |
| USG official)**      |   |   |       |         |                       |
+----------------------+---+---+-------+---------+-----------------------+
| Request number       |   |   |       |         |                       |
+----------------------+---+---+-------+---------+-----------------------+
| Staff member who     |   |   |       |         |                       |
| initiated request    |   |   |       |         |                       |
+----------------------+---+---+-------+---------+-----------------------+
| Project name         |   |   |       |         |                       |
+----------------------+---+---+-------+---------+-----------------------+
| Date submitted for   | 1 |   |       |         |                       |
| screening            | \ |   |       |         |                       |
|                      | . |   |       |         |                       |
|                      | 2 |   |       |         |                       |
|                      | . |   |       |         |                       |
+----------------------+---+---+-------+---------+-----------------------+

Partner Information Form Continuation sheet for Part I. section 6, list
of individuals (use additional continuation sheets as necessary):

  --------------------------- --------------- -----------------------------------
  **B.** Name (As in passport                 Government-issued photo ID number,
  or other government-issued                  type of ID and country of
  photo ID)\*\*                               issuance:\*\*

  Place of birth:\*\* Date of                 Rank or title in organization
  birth:\*\* (mm/dd/yyyy)                     listed in #5 (if "key
                                              individual"):\*\*

  Other names used (may                       Gender:
  include nicknames,                          
  pseudonyms not listed under                 
  "Name"):                                    

  Current employer and job                    Occupation:
  title:                                      

  Address of residence:                       Citizenship(s):

  Email:                      Is the          
                              individual a    
                              U.S. citizen or 
                              legal permanent 
                              resident?\*\*   
                              Yes \_\_\_\_ No 
                              \_\_\_\_        

  **C.** Name (As in passport                 Government-issued photo ID number,
  or other government-issued                  type of ID and country of
  photo ID)\*\*                               issuance:\*\*

  Place of birth:\*\* Date of                 Rank or title in organization
  birth:\*\* (mm/dd/yyyy)                     listed in #5 (if "key
                                              individual"):\*\*

  Other names used (may                       Gender:
  include nicknames,                          
  pseudonyms not listed under                 
  "Name"):                                    

  Current employer and job                    Occupation:
  title:                                      

  Address of residence:                       Citizenship(s):

  Email:                      Is the          
                              individual a    
                              U.S. citizen or 
                              legal permanent 
                              resident?\*\*   
                              Yes \_\_\_\_ No 
                              \_\_\_\_        

  **D.** Name (As in passport                 Government-issued photo ID number,
  or other government-issued                  type of ID and country of
  photo ID)\*\*                               issuance:\*\*

  Place of birth:\*\* Date of                 Rank or title in organization
  birth:\*\* (mm/dd/yyyy)                     listed in #5 (if "key
                                              individual"):\*\*

  Other names used (may                       Gender:
  include nicknames,                          
  pseudonyms not listed under                 
  "Name"):                                    

  Current employer and job                    Occupation:
  title:                                      

  Address of residence:                       Citizenship(s):

  Email:                      Is the          
                              individual a    
                              U.S. citizen or 
                              legal permanent 
                              resident?\*\*   
                              Yes \_\_\_\_ No 
                              \_\_\_\_        

  **E.** Name (As in passport                 Government-issued photo ID number,
  or other government-issued                  type of ID and country of
  photo ID)\*\*                               issuance:\*\*

  Place of birth:\*\* Date of                 Rank or title in organization
  birth:\*\* (mm/dd/yyyy)                     listed in #5 (if "key
                                              individual"):\*\*

  Other names used (may                       Gender:
  include nicknames,                          
  pseudonyms not listed under                 
  "Name"):                                    

  Current employer and job                    Occupation:
  title:                                      

  Address of residence:                       Citizenship(s):

  Email:                      Is the          
                              individual a    
                              U.S. citizen or 
                              legal permanent 
                              resident?\*\*   
                              Yes \_\_\_\_ No 
                              \_\_\_\_        
  --------------------------- --------------- -----------------------------------

**PARTNER INFORMATION FORM INSTRUCTIONS AND NOTICES**

**[Instructions]{.underline}**

[Part I]{.underline}

Question 1 -- Self-explanatory

Question 2- Indicate the proposed type of assistance or mechanism to be
utilized by placing a check mark on the line in front of the appropriate
term

Question 3 -- Enter the estimated amount of award of assistance in U.S.
dollars and indicate the start and end date of the program using a
mm/dd/yyyy format

Question 4 -- Indicate the purpose of the award or assistance. Use
additional sheets and attach to page one of the vetting form if
necessary

Question 5 a-d -- Self-explanatory

Question 6 - "Key individual" means (i) principal officers of the
organization's governing body (e.g., chairman, vice chairman, treasurer
and secretary of the board of directors or board of trustees); (ii) the
principal officer and deputy principal officer of the organization
(e.g., executive director, deputy director, president, vice president);
(iii) the program manager or chief of party for the USG-financed
program; and (iv) any other person with significant responsibilities for
administration of the USG-financed activities or resources. Note that
this definition differs from the definition of "key personnel" under
contracts and cooperative agreements. Complete for each of these four
categories or indicate "N/A" if a category does not apply.

[Part II]{.underline}

An authorized representative of the Contractor/Grantee/Recipient must
read the Certification and print his/her name where indicated, sign
where indicated, print his/her title and the name of his/her
organization where indicated, and print the date where indicated.

[Part III]{.underline}

This section should be left blank. It will be completed by a USG
official.

**Notices**

[Privacy Act Statement]{.underline}

The following statement is required by the Privacy Act of 1974 (5 U.S.C.
522). Information in this form is used to conduct screening of
individuals and entities as required by applicable U.S. laws and
implementing procedures to ensure that USAID funds do not inadvertently
provide support to entities or individuals associated with terrorism.
Public Law 109-446 §3(b)(2), 18 U.S.C. 2339A, 2339B, 2339C, Executive
Orders 13224 and 12947, applicable Homeland Security Presidential
Directives and other legislative or executive branch prohibitions on
providing support or resources to, or engaging in transactions with,
individuals or entities associated with terrorism constitute the
authority for collecting this information.  In addition, the Foreign
Assistance Act of 1961 as amended (22 U.S.C. 2151 et seq.) provides
USAID with broad discretion in granting foreign assistance and permits
USAID to consider a range of foreign policy and national security
interests in determining how to provide foreign assistance.

Disclosure of the information provided on this form will be done in
accordance with USAID's System of Records Notice concerning the Partner
Vetting System (72FR136) which establishes the routine uses and Privacy
Act exceptions which apply to this system.

**ATTACHMENT C**

**CERTIFICATION**

By signing and submitting this application, the prospective recipient
provides the certification set out below:

1\. The Recipient, to the best of its current knowledge, did not
provide, within the previous ten years, and will take all reasonable
steps to ensure that it does not and will not knowingly provide,
material support or resources to any individual or entity that commits,
attempts to commit, advocates, facilitates, or participates in terrorist
acts, or has committed, attempted to commit, facilitated, or
participated in terrorist acts, as that term is defined in paragraph 3.

2\. The following steps may enable the Recipient to comply with its
obligations under paragraph 1:

(a) Before providing any material support or resources to an individual
    or entity, the Recipient will verify that the individual or entity
    does not (i) appear on the master list of Specially Designated
    Nationals and Blocked Persons, which list is maintained by the U.S.
    Treasury's Office of Foreign Assets Control (OFAC) and is available
    online at OFAC's website:
    <http://www.treas.gov/offices/eotffc/ofac/sdn/t11sdn.pdf>, or (ii)
    is not included in any supplementary information concerning
    prohibited individuals or entities that may be provided by USAID to
    the Recipient.

(b) Before providing any material support or resources to an individual
    or entity, the Recipient also will verify that the individual or
    entity has not been designated by the United Nations Security
    Council (UNSC) sanctions committee established under UNSC Resolution
    1267 (1999) (the "1267 Committee") \[individuals and entities linked
    to the Taliban, Usama bin Laden, or the Al Qaida Organization\]. To
    determine whether there has been a published designation of an
    individual or entity by the 1267 Committee, the Recipient should
    refer to the consolidated list available online at the Committee's
    website:
    <http://www.un.org/Docs/sc/committees/1267/1267ListEng.htm>.

(c) Before providing any material support or resources to an individual
    or entity, the Recipient will consider all information about that
    individual or entity of which it is aware and all public information
    that is reasonably available to it or of which it should be aware.

(d) The Recipient also will implement reasonable monitoring and
    oversight procedures to safeguard against assistance being diverted
    to support terrorist activity.

3\. For purposes of this Certification --

(a) "Material support and resources" means currency or monetary
    instruments or financial securities, financial services, lodging,
    training, expert advice or assistance, safehouses, false
    documentation or identification, communications equipment,
    facilities, weapons, lethal substances, explosives, personnel,
    transportation, and other physical assets, except medicine or
    religious materials."

(b) "Terrorist act" means --

```{=html}
<!-- -->
```
(i) an act prohibited pursuant to one of the 12 United Nations
    Conventions and Protocols related to terrorism (see UN terrorism
    conventions Internet site:
    <http://untreaty.un.org/English/Terrorism.asp>); or

(ii) an act of premeditated, politically motivated violence perpetrated
     against noncombatant targets by subnational groups or clandestine
     agents; or

(iii) any other act intended to cause death or serious bodily injury to
      a civilian, or to any other person not taking an active part in
      hostilities in a situation of armed conflict, when the purpose of
      such act, by its nature or context, is to intimidate a population,
      or to compel a government or an international organization to do
      or to abstain from doing any act.

```{=html}
<!-- -->
```
(c) "Entity" means a partnership, association, corporation, or other
    organization, group or subgroup.

(d) References in this Certification to the provision of material
    support and resources shall not be deemed to include the furnishing
    of USAID funds or USAID-financed commodities to the ultimate
    beneficiaries of USAID assistance, such as recipients of food,
    medical care, micro-enterprise loans, shelter, etc., unless the
    Recipient has reason to believe that one or more of these
    beneficiaries commits, attempts to commit, advocates, facilitates,
    or participates in terrorist acts, or has committed, attempted to
    commit, facilitated or participated in terrorist acts.

(e) The Recipient's obligations under paragraph 1 are not applicable to
    the procurement of goods and/or services by the Recipient that are
    acquired in the ordinary course of business through contract or
    purchase, e.g., utilities, rents, office supplies, gasoline, etc.,
    unless the Recipient has reason to believe that a vendor or supplier
    of such goods and services commits, attempts to commit, advocates,
    facilitates, or participates in terrorist acts, or has committed,
    attempted to commit, facilitated or participated in terrorist acts.

This Certification is an express term and condition of any agreement
issued as a result of this application, and any violation of it shall be
grounds for unilateral termination of the agreement by USAID prior to
the end of its term.

**Signed:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

(*Typed Name and Title*) Date

(*Name of Organization*)

**ATTACHMENT D**

**MANDATORY CLAUSE**

**Prohibition against Support for Terrorism**

(a) The Contractor/Recipient is reminded that U.S. Executive Orders and
    U.S. law prohibit transactions with, and the provision of resources
    and support to, individuals and organizations associated with
    terrorism. It is the legal responsibility of the
    Contractor/Recipient to ensure compliance with these Executive
    Orders and laws.

(b) One of the applicable orders is Executive Order 13224, dated
    September 24, 2001. The website of the Office of Foreign Assets
    Control (OFAC) of the Department of Treasury contains the text of
    that order and a list of the individuals and entities designated
    thereunder. It also contains lists of individuals and entities
    designated under other anti-terrorism statutes, regulations and
    Executive Orders. See
    <http://www.treasury.gov/offices/enforcement/ofac/sdn/>.

(c) USAID reserves the right to review, and either approve or reject,
    the following subawards if proposed under this
    contract/agreement: (i) any contract or subcontract in excess of
    \$25,000 with a non-U.S. organization or individual; and (ii) any
    grant or subgrant to a non-U.S. organization or individual,
    regardless of the dollar value. Furthermore, the written consent of
    USAID is required before certain other forms of assistance may be
    provided to a non-U.S. organization or individual. These include
    in-kind assistance such as renovation of an NGO's facilities, repair
    or replacement of a company's equipment, and certain training
    activities. The details of these requirements are described in
    notices issued by USAID/West Bank & Gaza from time to time. No
    approval (or failure to disapprove) by USAID shall relieve the
    Contractor/Recipient of its legal obligation to comply with
    applicable Executive Orders and laws.

(d) USAID reserves the right to rescind approval for a subaward in the
    event that USAID subsequently becomes aware of information
    indicating that the subaward is contrary to U.S. law or policy
    prohibiting support for terrorism. In such cases, USAID's
    Contracting Officer will provide written instructions to the
    Contractor/Recipient to terminate the subaward.

(e) USAID reserves the right to terminate this contract/agreement if
    USAID determines that the Contractor/Recipient is involved in or
    advocates terrorist activity or has failed to comply with any of the
    requirements of this provision.

(f) This provision, including this paragraph (f), shall be included in
    all contracts, subcontracts, grants and subgrants issued under this
    contract/agreement. The Contractor/Recipient shall promptly provide
    to USAID's Contracting/Agreement Officer a copy of the pages from
    each subaward that contain this provision.

\[In addition to the clauses set forth above, the following clause shall
appear in each award made directly by USAID and each subaward made by a
USAID prime contractor or recipient.\]

(g) The Contractor/Recipient agrees to promptly notify USAID's Cognizant
    Technical Officer (CTO) in the event of any change in the identity
    of its "key individuals" or in the identity of "key individuals" of
    any recipient of a subaward described in paragraph (c). For purposes
    of this requirement, "key individuals" means (i) principal officers
    of the organization's governing body (e.g., chairman, vice chairman,
    treasurer and secretary of the board of directors or board of
    trustees); (ii) the principal officer and deputy principal officer
    of the organization (e.g., executive director, deputy director,
    president, vice president); (iii) the program manager or chief of
    party for the USAID-financed program; and (iv) any other person with
    significant responsibilities for administration of USAID-financed
    activities or resources. Note that this definition differs from the
    definition of "key personnel" under contracts and cooperative
    agreements.

\[In addition to the clauses set forth above, the following clause shall
be included in any contract, grant or cooperative agreement awarded by
USAID (i.e. USAID prime awards only).\]

(h) Before awarding any grant or similar instrument providing \[cash or
    in-kind assistance under this contract\]\[cash assistance under this
    agreement\], the Contractor/Recipient shall (1) obtain from the
    proposed subawardee the certification required under USAID's
    Acquisition and Assistance Policy Determination 04-14 (AAPD 04-14),
    "Certification Regarding Terrorist Financing Implementation E.O.
    13224 (Revision 2)," and (2) provide a copy of the certification to
    USAID's Agreement/Contracting Officer.

**ATTACHMENT E**

**MANDATORY CLAUSE (UN GRANTS)**

\[This provision is applicable to grants to the United Nations or UN
agencies. It supplements the standard provision entitled "Terrorist
Financing Clause (UN Grants) (May 2003)".\]

**Prohibition against Support for Terrorism (UN Grants)**

(a) USAID reserves the right to review, and either approve or reject,
    the following subawards if proposed under this agreement: (i) any
    contract or subcontract in excess of \$25,000 with a non-U.S.
    organization or individual; and (ii) any grant or subgrant to a
    non-U.S. organization or individual, regardless of the dollar value.
    Furthermore, the written consent of USAID is required before certain
    other forms of assistance may be provided to a non-U.S. organization
    or individual. These include in-kind assistance such as renovation
    of an NGO's facilities, repair or replacement of a company's
    equipment, and certain training activities. The details of these
    requirements are described in notices issued by USAID/West Bank &
    Gaza from time to time. No approval (or failure to disapprove) by
    USAID shall relieve the Recipient of its legal obligation to comply
    with applicable laws and regulations.

(b) USAID reserves the right to rescind approval for a subaward in the
    event that USAID subsequently becomes aware of information
    indicating that the subaward is contrary to U.S. law or policy
    prohibiting support for terrorism. In such cases, USAID's Agreement
    Officer will provide written instructions to the Recipient to
    terminate the subaward.

(c) USAID reserves the right to terminate this agreement if USAID
    determines that the Recipient has failed to comply with any of the
    requirements of this provision.

(d) This provision, including this paragraph (d), shall be included in
    all contracts, subcontracts and subgrants issued under this
    agreement. The Recipient shall promptly provide to USAID's Agreement
    Officer a copy of the pages from each subaward that contain this
    provision.

\[In addition to the clauses set forth above, the following clause shall
be included only in the UN grant awarded by USAID, and each subaward
directly awarded by the UN recipient.\]

(e) The Grantee agrees to promptly notify USAID's Cognizant Technical
    Officer (CTO) in the event of any change in the identity of "key
    individuals" of any recipient of a subaward described in paragraph
    (a). For purposes of this requirement, "key individuals" means (i)
    principal officers of the organization's governing body (e.g.,
    chairman, vice chairman, treasurer and secretary of the board of
    directors or board of trustees); (ii) the principal officer and
    deputy principal officer of the organization (e.g., executive
    director, deputy director, president, vice president); (iii) the
    program manager or chief of party for the USAID-financed program;
    and (iv) any other person with significant responsibilities for
    administration of USAID-financed activities or resources. Note that
    this definition differs from the definition of "key personnel" under
    contracts and cooperative agreements.

\[In addition to the clauses set forth above, the following clause shall
be included only in the UN grant awarded by USAID.\]

(f) Before awarding any grant or similar instrument providing cash
    assistance under this agreement, the Recipient shall (1) obtain from
    the proposed subawardee the certification required under USAID's
    Acquisition and Assistance Policy Determination 04-14 (AAPD 04-14),
    "Certification Regarding Terrorist Financing Implementation E.O.
    13224 (Revision 2)," and (2) provide a copy of the certification to
    USAID's Agreement Officer.

> **ATTACHMENT F**
>
> **RESTRICTION ON FACILITY NAMES**

(a) No assistance shall be provided under this contract/agreement for
    any school, community center or other facility that is named after
    any person or group of persons that has advocated, sponsored or
    committed acts of terrorism. This includes any facility that has
    "shuhada" or "shaheed" ("martyr" or "martyrs") in its name, unless
    an exception is approved by the USAID Mission Director. In any case
    where assistance is proposed for a facility that is named after, or
    is planned to be named after, a person or group of persons, the
    Contractor/Recipient shall provide to USAID's cognizant technical
    officer (CTO) written information about the person(s) or group and
    shall not proceed with the assistance unless or until the CTO has
    provided written approval therefor. This restriction applies to all
    forms of cash or in-kind assistance, including construction
    services, equipment, supplies, technical assistance, and training.

(b) In case of any failure to comply with this restriction, USAID may
    disallow any or all costs incurred by the Contractor/Recipient with
    respect to the facility and, if necessary, issue a bill for
    collection for the amount owed. This is in addition to any other
    remedies that may be available to USAID for such noncompliance.

(c) This provision, including this paragraph (c), shall be included in
    all contracts, subcontracts, grants and subgrants issued under this
    contract/agreement. The Contractor/Recipient shall promptly provide
    to USAID's Contracting/Agreement Officer a copy of the pages from
    each subaward that contain this provision.