You have received this Request for Quotation (RFQ) through USAID
Internet site. If you have any questions regarding this RFQ you may
contact the USAID Official named in the cover letter of this
solicitation. If you are not using Word 97 to view this document, you
will have to save the document in the format of the wordprocessor that
you are using in order to view and print any standard forms. The number
of pages contained in this electronic copy may not exactly correspond to
the hard paper copy, although generally all the information is contained
herein.

The Agency is not responsible for any data/text that may not be received
when retrieving this document electronically. If the recipient does not
notify the contact person that they have obtained this document then any
amendments to the document may not be available to the recipients.
Amendments to solicitation documents generally contain information
critical to the submission of an application.

Issuance Date: August 27, 2003

Closing Date: September 08, 2003, (2:00 p.m. EST.)

### SUBJECT: Request For Quotations (RFQ) No. M/OP/DCHA/AFP-03-0007-ME, 

### Assessment of FY 2004 Applications for Grant Assistance

The United States Government, represented by the U.S. Agency for
International Development (USAID), is seeking quotations from vendors
who can provide technical assistance services to evaluate, score and
provide recommendations for U.S.A.I.D. Grant applications. This
procurement will be a firm-fixed price purchase order.

If you choose to submit a quotation, it must be submitted in one
original, one copy and one electronic copy with the attached request for
quotation and received no later than 2:00 p.m. EST by

September 08, 2003.

Quotations and amendments thereof must be addressed as follows:

**If sent via U.S. Postal Service:**

U.S. Agency for International Development

Office of Procurement

M/OP/DCHA/AFP

Room 7.10-37, Ronald Reagan Building

1300 Pennsylvania Avenue, NW

Washington, D.C. 20523

ATTN: Mir Ershadullah

Tel: (202) 712-5059

**If Hand Carried**

U.S. Agency for International Development

Office of Procurement

M/OP/DCHA/AFP

7.10-37, Ronald Reagan Building

1300 Pennsylvania Ave., NW

Washington, D.C. 20523

ATTN: Mir Ershadullah (202-712-5059)

USAID Visitor\'s Desk

Enter at the 14th Street Lobby Only

Quotes will be received on 9/8/2003 between 1:00pm and 2:00pm.

**It should be noted that packages may not be left at the USAID
Visitor\'s Desk. Therefore, to ensure timely receipt, you should call
Mir Ershadullah,**

**Telephone (202) 712-5059 to make sure that someone will be available
to meet the courier in the lobby to receive the package. You are solely
responsible for ensuring timely delivery.**

This procurement is issued pursuant to the simplified acquisition
procedures set forth in Chapter 13 of FAR, Subpart 13.003(b)(1) which
requires that acquisition of supplies or services that have an
anticipated dollar value exceeding \$2,500 and not exceeding \$100,000
be reserved exclusively for **small business concerns** and **publicized
under FAR 5.101(2) for contract actions between \$10,000 and \$25,000**.

The selection will consist of a Best Value Source Selection strategy
using the tradeoff procedure. The evaluation criteria will be based upon
the technical capability of the offeror, past performance and price.
Under this RFQ, best value/tradeoff source selection and non-price
evaluation factors, when combined are significantly more important than
price. However, USAID will not select an offeror for award on the basis
of a superior capability without consideration of price. USAID will rank
each offeror by making a series of paired comparisons between them,
trading off the difference in capability and the price. The selection
authority will decide whether the difference in capability is worth the
difference in price.

This solicitation in no way obligates USAID to award a contract nor does
it commit USAID to pay any cost incurred in the preparation and
submission of the proposal. Any questions concerning this solicitation
should be directed in writing to Mir Ershadullah via e-mail at:
<top7@usaid.gov>, or via fax at: (202) 216-3052.

<table>
<colgroup>
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 1%" />
<col style="width: 7%" />
<col style="width: 1%" />
<col style="width: 3%" />
<col style="width: 2%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 1%" />
<col style="width: 9%" />
<col style="width: 15%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 4%" />
<col style="width: 7%" />
<col style="width: 3%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 4%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 11%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="5" rowspan="2"><p id="request-for-quotations"
class="heading">REQUEST FOR QUOTATIONS</p>
<p id="this-is-not-an-oorder" class="heading"> (<em>THIS IS NOT AN
oORDER)</em></p></td>
<td colspan="15" rowspan="2">THIS RFQ IS IS NOT A SMALL BUSINESS
SET-ASIDE</td>
<td colspan="3">PAGE</td>
<td colspan="4">OF</td>
<td>PAGE(S)</td>
</tr>
<tr class="even">
<td colspan="5"></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="2">1. REQUEST NO.</td>
<td colspan="4">2. DATE ISSUED</td>
<td colspan="7">3. REQUISITION/PURCHASE REQUEST NO.</td>
<td colspan="7" rowspan="2">4. CERT. FOR NAT. DEF. UNDER BDSA REG. 2 ▶
AND/OR DMS REG. 1</td>
<td colspan="8">RATING</td>
</tr>
<tr class="even">
<td colspan="2"><blockquote>
<p>M/OP/DCHA/AFP-03-0007-ME</p>
</blockquote></td>
<td colspan="4"><blockquote>
<p>08/27/2003</p>
</blockquote></td>
<td colspan="7"><blockquote>
<p>10287/134</p>
</blockquote></td>
<td colspan="8"></td>
</tr>
<tr class="odd">
<td colspan="13">5a. ISSUED BY</td>
<td colspan="15" rowspan="2"><p>6. DELIVER BY (DATE)</p>
<p>TBD</p></td>
</tr>
<tr class="even">
<td colspan="13"><p>U.S. Agency for International Development</p>
<p>M/OP/G/EG, Room 7.10-37</p>
<p>Ronald Reagan Building</p>
<p>1300 Pennsylvania Avenue, NW</p>
<p>Washington, DC 20523-7100</p></td>
</tr>
<tr class="odd">
<td colspan="13">5b. FOR INFORMATION CALL (NO COLLECT CALLS)</td>
<td colspan="15" rowspan="3"><p>7. DELIVERY</p>
<p> FOB DESTINATION</p>
<p> OTHER (SEE SCHEDULE)</p></td>
</tr>
<tr class="even">
<td colspan="10" rowspan="2"><p>NAME</p>
<p>Mir Ershadullah</p></td>
<td colspan="3">TELEPHONE NUMBER</td>
</tr>
<tr class="odd">
<td colspan="2"><p>AREA CODE</p>
<p>202</p></td>
<td><p>NUMBER</p>
<p>712-5059</p></td>
</tr>
<tr class="even">
<td colspan="12">8. TO:</td>
<td colspan="16">9. DESTINATION</td>
</tr>
<tr class="odd">
<td colspan="4"><p>a. NAME</p>
<p>ALL POTENTIAL OFFERORS</p></td>
<td colspan="8">b. COMPANY</td>
<td colspan="16">a. NAME OF CONSIGNEE</td>
</tr>
<tr class="even">
<td colspan="12">c. STREET ADDRESS</td>
<td colspan="16">b. STREET ADDRESS</td>
</tr>
<tr class="odd">
<td colspan="4">d. CITY</td>
<td colspan="7">e. STATE</td>
<td>f. ZIP CODE</td>
<td colspan="4">c. CITY</td>
<td colspan="5">d. STATE</td>
<td colspan="7">e. ZIP CODE</td>
</tr>
<tr class="even">
<td colspan="4"><p>10. PLEASE FURNISH QUOTATIONS TO THE ISSUING OFFICE
IN BLOCK 5a ON OR BEFORE CLOSE OF BUSINESS <em>(Date)</em></p>
<p>09/04/2003 14:00pm</p></td>
<td colspan="24">IMPORTANT: This is a request for information, and
quotations furnished are not officers. If you are unable to quote,
please so indicate on this form and return it to the address in Block
5a. This request does not commit the Government to pay any costs
incurred in the preparation of the submission of this quotation or to
contract for supplies or service. Supplies are of domestic origin unless
otherwise indicated by quoter. Any representations and/or certifications
attached to this Request for Quotation must be completed by the
quoter.</td>
</tr>
<tr class="odd">
<td colspan="28">11. SCHEDULE <em>(Include applicable Federal, State and
local taxes)</em></td>
</tr>
<tr class="even">
<td><p>ITEM NO.</p>
<p>(a)</p></td>
<td colspan="11"><p>SUPPLLIES/SERVICES</p>
<p>(b)</p></td>
<td colspan="2"><p>QUANTITY</p>
<p>(c)</p></td>
<td colspan="4"><p>UNIT</p>
<p>(d)</p></td>
<td colspan="6"><p>UNIT PRICE</p>
<p>(e)</p></td>
<td colspan="4"><p>AMOUNT</p>
<p>(f)</p></td>
</tr>
<tr class="odd">
<td><p>0001</p>
<p>0002</p></td>
<td colspan="11"><p>The Contractor shall review and numerically score
the</p>
<p>applications received by U.S.A.I.D. for consideration of</p>
<p>FY 2004 grant assistance</p>
<p>The Contractor shall provide written suggestions on how to improve
fairness and objectivity of the applications, evaluation process and
provide written comments on the revised grant application form, the
guidelines and scoring methods and recommend refinement/changes to
improve their clarity, proper U.S.A.I.D. intended interpretation by the
applications and the effectiveness of the evaluation process.</p></td>
<td colspan="2"></td>
<td colspan="4"></td>
<td colspan="6"></td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="7" rowspan="2"><p>12. DISCOUNT FOR PROMPT PAYMENT</p>
<blockquote>
<p><em>(See Section I, Clause No. 52.232-8)</em></p>
</blockquote></td>
<td colspan="5">10 CALENDAR DAYS (%)</td>
<td colspan="3">20 CALENDAR DAYS (%)</td>
<td colspan="7">30 CALENDAR DAYS (%)</td>
<td colspan="6">CALENDAR DAYS (%)</td>
</tr>
<tr class="odd">
<td colspan="5">%</td>
<td colspan="3">%</td>
<td colspan="7">%</td>
<td colspan="4">%</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="28">NOTE: Additional provisions and representations are are
not attached.</td>
</tr>
<tr class="odd">
<td colspan="12"><blockquote>
<p>13. NAME AND ADDRESS OF QUOTER</p>
</blockquote></td>
<td colspan="7" rowspan="3"><ol start="14" type="1">
<li><p>SIGNATURE OF PERSON AUTHORIZED TO SIGN QUOTATION</p></li>
</ol></td>
<td colspan="9" rowspan="3"><blockquote>
<p>15. DATE OF QUOTATION</p>
</blockquote></td>
</tr>
<tr class="even">
<td colspan="12" rowspan="2"><blockquote>
<p>a. NAME OF QUOTER</p>
</blockquote></td>
</tr>
<tr class="odd">
</tr>
<tr class="even">
<td colspan="12" rowspan="2"><blockquote>
<p>b. STREET ADRESS</p>
</blockquote></td>
<td colspan="16"><blockquote>
<p>16. SIGNER</p>
</blockquote></td>
</tr>
<tr class="odd">
<td colspan="7" rowspan="2">a. NAME (Type or print)</td>
<td colspan="9">b. TELEPHONE</td>
</tr>
<tr class="even">
<td colspan="12"><blockquote>
<p>c. COUNTY</p>
</blockquote></td>
<td colspan="9">AREA CODE</td>
</tr>
<tr class="odd">
<td colspan="3"><blockquote>
<p>d. CITY</p>
</blockquote></td>
<td colspan="5"><blockquote>
<p>e. STATE</p>
</blockquote></td>
<td colspan="4"><blockquote>
<p>f. ZIP CODE</p>
</blockquote></td>
<td colspan="7">c. TITLE (Type or print)</td>
<td colspan="9">NUMBER</td>
</tr>
<tr class="even">
<td colspan="9"><p>AUTHORIZED FOR LOCAL REPRODUCTION</p>
<p>Previous edition not usable.</p></td>
<td colspan="8"></td>
<td colspan="11"><p>STANDARD FORM 18 (REV. 6-95)</p>
<p>Prescribed by GSA-FAR (48 CFR) 53.215-1(a)</p></td>
</tr>
</tbody>
</table>

SECTION A -- TITLE

Assessment of Fiscal Year 2004 applications for grant assistance from
the Office of American Schools and Hospitals Abroad (ASHA)

**SECTION B -- PRICES**

This firm-fixed price purchase order to procure the services of a
contractor for the performance and delivery and acceptance of the
deliverables indicated below is
\$\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

##### SECTION C -- DESCRIPTION OF SERVICES OR DELIVERABLES

##### 

##### Statement of Work

**Task 1.** The contractor shall review and numerically score the
applications received by USAID/DCHA/ASHA for consideration of FY 2004
assistance, in accordance with existing criteria and factors used to
determine the strengths and weaknesses of applicants/institutions and
the merits of the grantee-proposed uses of USAID funds, if grant is
awarded. Approximately 64 applications are expected to be submitted for
ASHA assistance. The examination will be made against ASHA program
criteria as published in the Federal Register as well as additional
factors such as need, impact potential, cost-efficiency and relevancy to
the objectives of the program as prescribed by ASHA legislation (Section
214 of the FAA of 1961, as amended).

The contractor shall participate in the review process of the
applications and shall independently assess and score (in accordance
with the DCHA/ASHA established technical evaluation criteria) each
submitted application.

In the evaluation process of each application, the contractor shall:

\(1\) prepare the rating (in accordance with the DCHA/ASHA established
technical evaluation criteria) of each application,

\(2\) prepare appropriate and adequate narrative comments corresponding
to/supporting the numerical scoring assigned by the contract for each
evaluation criterion,

\(3\) provide written comments on the quality of the applicant\'s
proposed program that support the numerical scoring, and

\(4\) provide narrative comments on the applications recommended for
acceptance or rejection for award based on potential for optimal/best
use of USAID grant funds.

**Task 2.** In addition to the applications evaluation, rating and
ranking (the main task), the contractor shall provide:

\(1\) written suggestions on how to improve fairness and objectivity of
the applications evaluation process, and

\(2\) provide written comments on the revised grant application form,
the guidelines and scoring methods and recommend refinement/changes to
improve their clarity, proper/USAID intended interpretation by the
applications, and the effectiveness of the evaluation process itself.

Items (1) and (2), immediately above, prepared in a concise form: one
(1) original plus two (2) copies, are due together with the
contractor\'s final report.

The contractor shall evaluate applications and prepare all required
written documents using his/her own logistic support (e.g., office,
computer to generate reports, etc.). The software packages that must be
used to prepare rating sheets and narratives are EXCEL and WORD
respectively.

At the first meeting with DCHA/ASHA scheduled to begin at 9:00 a.m. on
October 1, 2003, (subject to confirmation by CTO identified in the
purchase order) the contractor shall be given an initial set of
applications to evaluate. The contractor is responsible for picking up
the balance of the applications, requiring a total of 8 return trips to
the DCHA/ASHA office, as well as four (4) additional trips to
participate in the mid-review briefing tentatively scheduled for

October 30, 2003, and the final discussions tentatively scheduled for

November 24, 25, and 26, 2003 (anticipated to last a total of three full
days).

Because of the need to review and exchange applications with other
members of the review team during the review period, successful
applicants must be in the Washington, DC metropolitan area.

**Reports and Deliverables**

The contractor shall submit:

1\. an initial rating report submitted prior to the three-day debrief
which is used as a starting point for discussions,

2\. a final rating report of the quantitative and qualitative assessment
of FY 2003 ASHA applications in accordance with existing criteria,
factors, and procedures using EXCEL and submitted on a 3 ½\" diskette
with three (3) hard copies,

3\. a report critiquing the evaluation process which shall contain the
comments for all

FY 2003 applications, and

4\. the final report (includes narrative and scoring for each
application) prepared using WORD on a 3 ½\" diskette which is to be
submitted with three (3) hard copies of the report.

The ratings contained in the final rating report shall not be altered in
the final report that is submitted later. The score for all applications
will be identical in both reports.

It is imperative that the final score for each applicant match the
narrative report for each application. If the score and the narrative do
not agree with each other, the final report will be considered in
non-compliance. Reviewers' recommendation whether or not to fund an
application should be consistent with the ratings and narratives.
Reviewers will not make recommendations as to level of funding.

**Delivery Dates**

The contractor will submit to DCHA/ASHA:

1\. a 3 ½\" diskette and three (3) hard copies of the initial ratings no
later than 9:00 a.m. November 21, 2003,

2\. a 3 ½\" diskette and three (3) hard copies of the final ratings no
later than 12:00 p.m. (noon) December 6, 2003,

3\. an original plus three copies, and a 3 ½\" diskette of the final
report no later than 12:00 p.m. (noon) on December 16, 2003.

##### SECTION D. PACKAGING AND MARKING 

Not applicable.

##### SECTION E. INSPECTION AND ACCEPTANCE

Clauses Incorporated by References (JUNE 1988)

Inspection and acceptance of all services required hereunder will be
performed by the cognizant USAID technical office representative
identified in Section G.2 of this purchase order. Also, this Order
incorporates the following clause by reference, with the same force and
effect as if it were given in full text. Upon request, the Contracting
Officer will make its full text available.

**FAR 52.246-4 INSPECTION OF SERVICES - FIXED PRICE (FEB 1992)**

##### SECTION F - DELIVERIES OR PERFORMANCE

**F. Period of Performance**

U.S.A.I.D. estimates the period of performance to begin October 1, 2003,
and end on December 17, 2003.

The Place of Performance will be Washington, D.C. The U.S.A.I.D.
estimated level of effort is 290 hours.

## **SECTION G - CONTRACT ADMINISTRATION DATA**

Contract Administration Office is:

U.S. Agency for International Development

Office of Procurement, M/OP/DCHA/AFP

Ronald Reagan Building, Room 7.09-121

1300 Pennsylvania Avenue, NW

Washington, DC 20523-7700

The Cognizant Technical Officer (CTO) is responsible for the technical
direction and monitoring the performance of this order. The CTO is
**Mary Herbert.**

Technical Direction: Performance of the work hereunder shall be subject
to the technical direction of the cognizant technical office and/or CTO.
As used herein, \"technical directions\" are directions provided to the
contractor **in writing** which fill in details, suggest possible line
of inquiry, or otherwise address the general scope of work. Technical
directions must be consistent with the terms of this Order, shall not
change or modify the terms and conditions of this Order, and shall not
constitute changes (as \"Changes-Fixed Price\", FAR 52.243-1), which may
only be accomplished by the Contracting Officer.

Payment Procedures

a\. Upon inspection and acceptance of the work described in Section C.
and submission of the requirement payment documentation set forth below,
the contractor will be entitled to payment of the firm fixed price set
forth in Section B.

b\. To receive timely payment, the Contractor shall follow the
instructions in the \"SUPPLEMENTAL INVOICING INFORMATION\" on page 1 of
the Optional Form 347. All vouchers must be sent directly to the paying
office designated in Block 21 of the cover page of this purchase order.
All vouchers must cite \"Purchase Order No. **TO BE DETERMINED**\".

c\. Payment will be made no later than the 30th calendar day after the
designated paying office has received the proper invoice from the
Contractor and has verified acceptance of the services with the CTO. The
firm fixed price includes the delivery and acceptance by the CTO of
services performed and received. Payment will be rendered upon
completion of work as assigned.

d\. All requests for payment shall be sent the following payment office:

Agency for International Development

Ronald Reagan Building

M/FM/CMP - Room 7.07 Document Control

Washington, DC 20523-7700

e\. The payment date shall be either the date placed on the U.S.
Treasury check at the time of issuance by the disbursing office (if
mailed) or the date on which electronic transfer is made, and not the
date of actual receipt of the check in the mail.

f\. The Contractor shall forward copies of all submitted invoices to the
cognizant USAID CTO designated in Section G.2.of this Purchase Order.

## **SECTION I - CONTRACT CLAUSES**

FAR 52.252-2 Contract Clauses Incorporated by Reference (FEB 1998)

This Order incorporates one or more clauses by reference, with the same
force and effect as if they were given in full text. Upon request, the
Contracting Officer will make their full text available. Also, the full
text of a clause may be accessed electronically at this addresses:

http://www.arnet/gov/far

FEDERAL ACQUISITION REGULATION (48 CFR CHAPTER 1)CLAUSES:

See attached for applicable purchase order clauses.

USAID ACQUISITION REGULATION (48 CFR CHAPTER 7) CLAUSES:

752.202-1 USAID Definitions Clause\--General Supplement for use in all
USAID contracts (JAN 1990)(Alternate 70)

752.204-2 Security Requirements

752.211-70 Language and Measurement (June 1992)

752.7008 Use of Government Facilities or Personnel (APR 1984)

752.7015 Use of Pouch Facilities (JULY 1997)

752.7025 Approvals (APR 1984)

## **SECTION J - ATTACHMENTS**

J.1 Past Performance -- Experience Matrix

J.2 Contractor Employee Biographical Data Sheet (USAID Form 1420-17)

J.3 Contractor Information Data

**ATTACHMENT 1**

## Past Performance -- Experience Matrix and Matrix Addendum

Past Performance/Experience Matrix Instructions \[Per Section L\]

The past performance matrix is to be used for defining references for
work areas. This form will be used to assess the satisfactory
performance of an offeror as it compares to the nature of the work
envisioned under this requirement. This form maybe electronically
duplicated and the columns and rows may be adjusted as necessary to
accommodate the requested information.

#### 

#### Instructions:

In the first table column, insert the name, address, point of contact,
and telephone number of the reference.

The remaining columns correspond with the specific activity components
required under this contract. Using a "P" or "S", the contractor will
indicate in the columns they completed the task as a prime or
subcontractor. P -- indicates performance as a prime contractor. S --
indicates performance as a subcontractor (levels of subcontractor may be
indicated with subscript numbers).

For each reference indicated, provide the date of contract award, the
dollar amount of the contract, and a brief description of the services
rendered. As a separate attachment to this form, please state any
information regarding related litigation and/or explanations regarding
potential adverse reference responses.

# 

## Past Performance -- Experience Matrix 

+--------+--------+-------+-------------+-----------+----------------+
| Ac     |        |       |             |           |                |
| tivity |        |       |             |           |                |
| C      |        |       |             |           |                |
| ompone |        |       |             |           |                |
| nt: 1. |        |       |             |           |                |
| *Publ  |        |       |             |           |                |
| ishing |        |       |             |           |                |
| Ser    |        |       |             |           |                |
| vices* |        |       |             |           |                |
+========+========+=======+=============+===========+================+
| Refe   | Co     | Act   | Contract    | Problems  | Description of |
| rence: | ntract | ivity | Dollar      |           | Services       |
|        | Number |       | Amount      | Enc       |                |
|        |        |       |             | ountered? |                |
|        |        |       |             | /Problems |                |
|        |        |       |             | Solved    |                |
+--------+--------+-------+-------------+-----------+----------------+
| #      | XXX-X  |       |             |           | P              |
| #### E | -XX-00 |       |             |           |                |
| xample | 002-00 |       |             |           | Acted as       |
|        |        |       |             |           | liaison on     |
| ABC    |        |       |             |           | several T&M,   |
| Corp   |        |       |             |           | IQC contract   |
|        |        |       |             |           | with USAID     |
| 123    |        |       |             |           |                |
| S      |        |       |             |           | ~DOS:9/2/89    |
| treet, |        |       |             |           | \ --\ 8/23/00~ |
| S      |        |       |             |           |                |
| ample, |        |       |             |           | \$2 million    |
| USA    |        |       |             |           |                |
|        |        |       |             |           |                |
| POC:   |        |       |             |           |                |
| Jane   |        |       |             |           |                |
| Doe    |        |       |             |           |                |
|        |        |       |             |           |                |
| Tel:   |        |       |             |           |                |
| 111-22 |        |       |             |           |                |
| 2-1234 |        |       |             |           |                |
+--------+--------+-------+-------------+-----------+----------------+
|        |        |       |             |           |                |
+--------+--------+-------+-------------+-----------+----------------+
|        |        |       |             |           |                |
+--------+--------+-------+-------------+-----------+----------------+
|        |        |       |             |           |                |
+--------+--------+-------+-------------+-----------+----------------+
|        |        |       |             |           |                |
+--------+--------+-------+-------------+-----------+----------------+

## **SECTION K - STATEMENTS OF THE OFFERORS**

Please provide a Taxpayer Identification Number. A Taxpayer
Identification Number (TIN), as used in the provision, means the number
required by the Internal Revenue Service (IRS) to be used by the offeror
in reporting income tax and other returns. The TIN may be either a
social security number of an Employer Identification Number:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_.

If the remittance address is different than that shown on the cover
sheet of this purchase order, please provide the address to which
payment shall be made:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_.

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_.

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_.

If the Vendor is an individual, please provide necessary documentation
for conformance with Clause 52.223-6, Drug-Free Workplace.

## **SECTION L - INSTRUCTIONS**

The closing date for the subject RFQ is September 08, 2003, at 2:00pm,
EST.

The address in Item 5A. is for hard carried or overnight delivered
proposals. Mail proposals to the U.S. Agency for International
Development, Ronald Reagan Building, M/OP/G/EG, Room 7.10-37,
Washington, DC 20523-7100, Attn: Mir Ershadullah, Contracts Specialist.

Offerors are invited to submit quotations for the described services for
USAID/Washington. All responsive quotes will be evaluated and the
procurement award will be made to the quote offering the best value to
the Agency. Non-responsive quotes will not be given consideration.
Examples of Non-responsive quotes include but are not limited to the
following: 1) submission of an incomplete quote; 2) quotes submitted
after the required date/time; 3) failure to agree to the delivery date -
The quote must indicate that the offeror is agreeing to meet the
required date; 4) and quotations in other than U.S. dollars.

All offerors are required to submit one (1) signed original, one copy
and one electronic copy of their quotation to the above address by the
time and date specified.

Any new vendor to the U.S. Agency for International Development must
complete Attachment J.3.

## **Technical** 

Offerors shall submit no more than seven (7) pages describing prior
experience relevant to the selection criteria under FAR 52.212-2.

Offerors shall also submit a resume of no more than five (5) pages.

**Past Performance**

At least 3 and no more than 5 past performance references should be
provided by the quoter as outlined in section J.1. Complete the past
performance matrix and add any narratives that your organizations deems
necessary.

**Cost**

Cost proposal: Offerors shall submit a price for line item 0001 and a
price for line item 0002 on the cover sheet and in Section B of the RFP.

**Proposal Format**

Technical proposals must be legible, double spaced (personal resumes may
be single spaced), typewritten (on one side only), in a type-size not
smaller than 12 point proportional, on paper not larger than 8 ½ by 11
inches and not to exceed 7 pages for the Technical Proposal (excluding
past performance references and one résumé). One inch margins shall be
on all sides of the paper. Pages in excess of the aforementioned
limitation shall not be read, and the proposal shall be evaluated as if
the excess pages did not exist.

Past Performance References of at least 3 and no more than 5 (you must
include point of contact names and phones numbers of individuals who can
both verify and discuss the quoter's prior experience and performance)
will be completed in accordance with Section J Matrix attachment.

Cost: Price will be entered on the Schedule of the Request for Quotation
cover page and in Section B of the RFQ.

Any questions to this RFQ should be put in writing and sent to
lbutler@usaid.gov. All questions should be received at least two days
prior to the closing date of RFQ.

**SECTION M - EVALUATION CRITERIA**

**Criteria**

USAID will award a singe purchase order to the responsive and
responsible vendor who provides the best value to the Government based
on evaluation criteria listed on the following page:

\- Experience and Performance in hospital administration, health
administration, financial management, and/or as a university president
etc.

\- Experience and Performance in evaluating or implementing grants.
Knowledge of USAID activities is highly desirable but not required.

\- Background in the design of health care facilities.

\- Administrative experience/performance and background in managing
overseas higher education development projects.

\- A working knowledge of institutional development.

\- An understanding of the U.S. policy related to implementing health
programs overseas.

\- Background demonstrating international experience.

\- Knowledge of Microsoft WORD and EXCEL.

***Experience denotes the number of opportunities an offeror has had
performing an activity.***

***Past performance is a measure of the degree to which an offeror
satisfied its customers in the past and complied contract terms, and
laws and regulations**.*

## **Relative Importance of the Evaluation Factors - Best Value Source Selection**

Non-price evaluation factors when combined are significantly more
important than price. A quote must be responsive and responsible in
order for the offeror to be eligible for award. USAID considered the
offeror\'s technical capabilities to be more important than price. USAID
will not select an offeror for award on the basis technical capability
without consideration of the amount of its price. The relative influence
that technical capability and price will have on source selection
authority will depend on the marginal differences among the competing
offerors.

<table style="width:100%;">
<colgroup>
<col style="width: 27%" />
<col style="width: 3%" />
<col style="width: 0%" />
<col style="width: 6%" />
<col style="width: 9%" />
<col style="width: 2%" />
<col style="width: 0%" />
<col style="width: 6%" />
<col style="width: 4%" />
<col style="width: 1%" />
<col style="width: 4%" />
<col style="width: 4%" />
<col style="width: 2%" />
<col style="width: 0%" />
<col style="width: 3%" />
<col style="width: 1%" />
<col style="width: 6%" />
<col style="width: 3%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 11%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="21"><h1 id="omb-control-no.-0412-0520">OMB Control No.
0412-0520</h1></td>
</tr>
<tr class="even">
<td colspan="21"><h1 id="contractor-employee-biographical-data-sheet">
CONTRACTOR EMPLOYEE BIOGRAPHICAL DATA SHEET</h1></td>
</tr>
<tr class="odd">
<td colspan="6"><ol type="1">
<li><p><strong>Name (Last, First, Middle)</strong></p></li>
</ol>
<p>     </p></td>
<td colspan="15"><ol start="2" type="1">
<li><p><strong>Contractor’s Name</strong></p></li>
</ol>
<p>     </p></td>
</tr>
<tr class="even">
<td colspan="6" rowspan="2"><p><strong>3. Employee’s Address (include
ZIP code)</strong></p>
<p>     </p></td>
<td colspan="6"><ol start="4" type="1">
<li><p><strong>Contract Number</strong></p></li>
</ol>
<p>     </p></td>
<td colspan="9"><ol start="5" type="1">
<li><p><strong>Position Under Contract</strong></p></li>
</ol>
<p>     </p></td>
</tr>
<tr class="odd">
<td colspan="6"><ol start="6" type="1">
<li><p><strong>Proposed Salary</strong></p></li>
</ol>
<p>     </p></td>
<td colspan="9"><ol start="7" type="1">
<li><p><strong>Duration of Assignment</strong></p></li>
</ol>
<p>           </p></td>
</tr>
<tr class="even">
<td colspan="3"><p><strong>8. Telephone Number (include area
code)</strong></p>
<p>     </p></td>
<td colspan="4"><p><strong>9. Place of Birth</strong></p>
<p>     </p></td>
<td colspan="14"><p><strong>10. Citizenship (<em>If non-U.S. citizen,
give visa status)</em></strong></p>
<p>     </p></td>
</tr>
<tr class="odd">
<td colspan="21"><ol type="1">
<li><p><strong>Names, Ages, and Relationship of Dependents to Accompany
Individual to Country of Assignment</strong></p></li>
</ol>
<p>     </p></td>
</tr>
<tr class="even">
<td colspan="9"><strong>12. EDUCATION</strong> (include all college or
university degrees)</td>
<td colspan="12"><strong>13. LANGUAGE PROFICIENCY</strong></td>
</tr>
<tr class="odd">
<td colspan="2">NAME AND LOCATION OF INSTITUTION</td>
<td colspan="2">MAJOR</td>
<td>DECREE</td>
<td colspan="4">DATE</td>
<td colspan="6">LANGUAGE</td>
<td colspan="3"><p>Proficiency</p>
<p>Speaking</p></td>
<td colspan="3"><p>Proficiency</p>
<p>Reading</p></td>
</tr>
<tr class="even">
<td colspan="2">     </td>
<td colspan="2">     </td>
<td>     </td>
<td colspan="4">        </td>
<td colspan="6">     </td>
<td colspan="3"></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="2">     </td>
<td colspan="2">     </td>
<td>     </td>
<td colspan="4">     </td>
<td colspan="6">     </td>
<td colspan="3"></td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="2">     </td>
<td colspan="2">     </td>
<td>     </td>
<td colspan="4">     </td>
<td colspan="6">     </td>
<td colspan="3"></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="21"><p><strong>14.</strong> <strong>EMPLOYMENT
HISTORY</strong></p>
<ol type="1">
<li><p>Give lasts three (3) years. List salaries separate for each year.
Continue on separate sheet of paper if required to list all employment
related to duties of proposed</p></li>
</ol>
<blockquote>
<p>Assignment.</p>
</blockquote>
<ol start="2" type="1">
<li><p>Salary definition – basic periodic payment for services rendered.
Exclude bonuses, profit-sharing arrangements, commissions consultant
fees, extra or overtime</p></li>
</ol>
<p>work payments, overseas differential or quarters, cost of living or
dependent education allowances.</p></td>
</tr>
<tr class="even">
<td rowspan="2">POSITION TITLE</td>
<td colspan="7" rowspan="2"><p>EMPLOYER’S NAME AND ADDRESS</p>
<p>POINT OF CONTACT &amp;TELEPHONE #</p></td>
<td colspan="9">Dates of Employment (mm/dd/yyyy)</td>
<td colspan="4">Annual Salary</td>
</tr>
<tr class="odd">
<td colspan="6">From</td>
<td colspan="3">To</td>
<td colspan="4">Dollars</td>
</tr>
<tr class="even">
<td>     </td>
<td colspan="7">     </td>
<td colspan="6">     </td>
<td colspan="3">     </td>
<td colspan="4">     </td>
</tr>
<tr class="odd">
<td>     </td>
<td colspan="7">     </td>
<td colspan="6">     </td>
<td colspan="3">     </td>
<td colspan="4">     </td>
</tr>
<tr class="even">
<td>     </td>
<td colspan="7">     </td>
<td colspan="6">     </td>
<td colspan="3">     </td>
<td colspan="4">     </td>
</tr>
<tr class="odd">
<td colspan="21"><strong>15. SPECIFIC CONSULTANT SERVICES (give last
three (3) years)</strong></td>
</tr>
<tr class="even">
<td rowspan="2">SERVICES PERFORMED</td>
<td colspan="7" rowspan="2"><p>EMPLOYER’S NAME AND ADDRESS</p>
<p>POINT OF CONTACT &amp;TELEPHONE #</p></td>
<td colspan="8">Dates of Employment (mm/dd/yyyy)</td>
<td colspan="4" rowspan="2"><p>Days at</p>
<p>Rate</p></td>
<td rowspan="2"><p>Daily Rate</p>
<p>In Dollars</p></td>
</tr>
<tr class="odd">
<td colspan="3">From</td>
<td colspan="5">To</td>
</tr>
<tr class="even">
<td>     </td>
<td colspan="7">     </td>
<td colspan="3">     </td>
<td colspan="5">     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
</tr>
<tr class="odd">
<td>     </td>
<td colspan="7">     </td>
<td colspan="3">     </td>
<td colspan="5">     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
</tr>
<tr class="even">
<td>     </td>
<td colspan="7">     </td>
<td colspan="3">     </td>
<td colspan="5">     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
</tr>
<tr class="odd">
<td colspan="21"><strong>16. CERTIFICATION: To the best of my knowledge,
the above facts as stated are true and correct.</strong></td>
</tr>
<tr class="even">
<td colspan="10">Signature of Employee</td>
<td colspan="11">Date</td>
</tr>
<tr class="odd">
<td colspan="21">Contractor 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. Contractor understands
that USAID may rely on the accuracy of such information in negotiating
and reimbursing personnel under this contract. The making of
certifications that are false, fictitious, or fraudulent, or that are
based on inadequately verified information, may result in appropriate
remedial action by USAID, taking into consideration all of the pertinent
facts and circumstances, ranging from refund claims to criminal
prosecution.</td>
</tr>
<tr class="even">
<td colspan="13">Signature of Contractor’s Representative</td>
<td colspan="8">Date</td>
</tr>
</tbody>
</table>

+-----------------------------------------------------------------------+
| ## INSTRUCTIONS                                                       |
|                                                                       |
| Indicate your language proficiency in block 13 using the following    |
| numeric interagency Language Roundtable levels                        |
|                                                                       |
| (Foreign Service Institute levels). Also, the following provides      |
| brief descriptions of proficiency levels 2, 3, 4, and 5. "S"          |
|                                                                       |
| indicates speaking ability and "R" indicates reading ability. For     |
| more in-depth description of the levels refer to USAID                |
|                                                                       |
| Handbook 28.                                                          |
|                                                                       |
| 2.  Limited working proficiency                                       |
|                                                                       |
| > S Able to satisfy routine social demands and limited work           |
| > requirements.                                                       |
| >                                                                     |
| > R Sufficient comprehension to read simple, authentic written        |
| > material in a form equivalent to usual printing or                  |
| >                                                                     |
| > Typescript on familiar subjects.                                    |
|                                                                       |
| 3.  General professional proficiency                                  |
|                                                                       |
| > S Able to speak the language with sufficient structural accuracy    |
| > and vocabulary to participate effectively in most                   |
| >                                                                     |
| > Formal and informal conversations.                                  |
| >                                                                     |
| > R Able to read within a normal range of speed and with almost       |
| > complete comprehension.                                             |
|                                                                       |
| 4.  Advanced professional proficiency                                 |
|                                                                       |
| > S Able to use the language fluently and accurately on all levels.   |
| >                                                                     |
| > R Nearly native ability to read and understand extremely difficult  |
| > or abstract prose, colloquialisms and slang.                        |
|                                                                       |
| 5.  Functional native proficiency                                     |
|                                                                       |
| > S Speaking proficiency is functionally equivalent to that of a      |
| > highly articulate well-educated native speaker.                     |
| >                                                                     |
| > R Reading proficiency is functionally equivalent to that of the     |
| > well-educated native reader.                                        |
+-----------------------------------------------------------------------+
| ## *PAPERWORK REDUCTION ACT INFORMATION*                              |
|                                                                       |
| The information requested by this form is necessary for prudent       |
| management and administration of public funds under                   |
|                                                                       |
| USAID contracts. The information helps USAID estimate overseas        |
| logistic support and allowances; the educational                      |
|                                                                       |
| Information provides an indication of qualifications; the salary      |
| information is used as a means of cost monitoring and to              |
|                                                                       |
| help determine reasonableness of proposed salary.                     |
+-----------------------------------------------------------------------+
| ## *PAPERWORK REDUCTION ACT NOTICE*                                   |
|                                                                       |
| Public reporting burden for this collection of information is         |
| estimated to average thirty minutes per response, including the       |
|                                                                       |
| time for reviewing instructions, searching existing data sources,     |
| gathering and maintaining the data needed, and                        |
|                                                                       |
| completing and reviewing the collection of information. Send comments |
| regarding this burden estimate or any other                           |
|                                                                       |
| aspect of this collection of information, including suggestions for   |
| reducing this burden, to:                                             |
|                                                                       |
| > United States Agency for International Development                  |
| >                                                                     |
| > Procurement Policy Division (M/OP/P)                                |
| >                                                                     |
| > Washington, DC 20523-1435;                                          |
| >                                                                     |
| > And                                                                 |
| >                                                                     |
| > Office of Management and Budget                                     |
| >                                                                     |
| > Paperwork Reduction Project (0412-0520)                             |
| >                                                                     |
| > Washington, DC 20503                                                |
+-----------------------------------------------------------------------+

**AID 1420-17 (4/95) Back**    

ATTACHMENT J.3

CONTRACTOR INFORMATION DATA FOR ENTRY INTO FINANCIAL MANAGEMENT
ACCOUNTING SYSTEM (PHOENIX)

VENDOR NAME
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

VENDOR ADDRESS
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

VENDOR CITY
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

VENDOR STATE
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

ZIP CODE
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

POINT OF CONTACT
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

POC TELEPHONE
NO.\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

POC E-MAIL ADDRESS
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

DUNS NO.
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

TAXPAYER ID NO. OR SOCIAL SECURITY NO. for

INDIVIDUALS)
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

SIZE OF BUSINESS: (Small, Large,
Nonprofit)\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

IF SMALL (8A, Women Owned, Small Disadvantaged, etc)
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

OWNERSHIP TYPE: (Asian-Indian, Black American, Native American,
Hispanic-American, Other Minority, Unknown, etc.)

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

PROFILE: (Corporation, Education, College, Individual, HBCU,
International Center Research, Voluntary, Hospital, Hispanic Serving
Institution, Foundation, Sheltered Workshop, etc.)

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Economic Type: (Private, International Public Sector, Federal
Government, State/Local Government, Foreign Contractor, etc.)

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

BANK INFORMATION FOR ELECTRONIC PAYMENT

Bank Name
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

ABA Number (9 digit)
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

ACCOUNT NO.
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Account Type (Checking/Savings)
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_