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**Issuance Date: Thursday, June 28, 2007**

**Deadline for Questions: Wednesday, July 18, 2007**

**Closing Date: Tuesday, August 28, 2007**

**Closing Time: 3:00 pm Nairobi local time**

**[Subject:]{.underline} REQUEST FOR APPLICATION FOR USAID MOI
UNIVERSITY SCHOOL OF MEDICINE HIV/AIDS NETWORK PROGRAM**

**Ref: USAID KENYA 623-A-07-031-RFA**

Dear Prospective Applicant:

The United States Government, represented by the U.S. Agency for
International Development, (USAID) intends to enter into a cooperative
agreement for the USAID Moi University School of Medicine's HIV/AIDS
Network (USAID MUSM HIV/AIDS Network) program, as more specifically
described in Section I, entitled Program Description. To this end, USAID
is seeking applications from qualified U.S. and non-U.S. organizations
and institutions interested in providing the services described in this
solicitation. The name of the program may change depending on the
agreement between the successful applicant and USAID.

This is full and open competition, under which any type of
organizations, large or small commercial (for profit) firms,
faith-based, and non-profit organizations in partnerships or consortia,
from geographic code 935, are eligible to compete. In accordance with
the Federal Grants and Cooperative Agreement Act, USAID encourages
competition in order to identify and fund the best possible applications
to achieve program objectives in the program description. USAID strongly
discourages local Non-Governmental Organizations (NGOs) from exclusive
relationships with prime applicants in the application process, i.e.,
small NGOs may pair with one or more prime partners if they wish, and
appear in several applications. Applicants may not form "exclusive"
relationships with GOK, private sector or mission service delivery
sites.

USAID plans to award five year cooperative agreement subject to
availability of funds.

The award will be a cooperative agreement based on the successful
application. The applicant is to propose staffing according to the
applicant's strategy for achieving the program objectives specified in
the RFA. The applicant is also to propose candidates for key personnel
positions identified in the RFA. USAID may change key personnel
positions.

Pursuant to 22 CFR 226.81, it is USAID policy not to award profit under
assistance instruments. However, all reasonable, allocable, and
allowable expenses, both direct and indirect, which are related to the
grant program and are in accordance with applicable cost standards (22
CFR 226, OMB Circular A-122 for non-profit organization, OMB Circular
A-21 for universities, and the Federal Acquisition Regulation (FAR) Part
31 for-profit organizations), may be paid under the grant.

For the purposes of this RFA, the term \"Grant\" is synonymous with
\"Cooperative Agreement\"; \"Grantee\" is synonymous with \"Recipient\";
and \"Grant Officer\" is synonymous with \"Agreement Officer.\"

The applicant is encouraged to propose cost share. This cost share is to
help meet objectives in the program description; ensure greater
programming on the part of the applicant; to provide enhanced services;
to ensure sustainability of the program, and help ensure that the
applicant and any proposed partners have additional capacity to mobilize
resources.

When awarding a cooperative agreement under this RFA, USAID must make a
determination that the recipient complied with all applicable federal
and USAID regulations and policies. In particular, there are several
requirements applicable to specific aspects of the program to be funded
under this award. The partner who will be engaged in HIV/AIDS activities
will be required to sign cooperative agreements that include Standard
Provisions that implement requirements of the United States Leadership
Against HIV/AIDS, Tuberculosis and Malaria Act Of 2003. In addition, a
partner that will be engaged in HIV/AIDS activities will be required to
certify, before award of funds for HIV/AIDS activities, that they are in
compliance with these Standard Provisions. A full description of these
requirements and the Standard Provisions is set forth in USAID's
Acquisition and Assistance Policy Directive 05-04.

The awardee that will be receiving assistance for family planning
activities will be required to sign cooperative agreements that include
the Standard Provisions entitled "Voluntary Population Planning." This
Standard Provision includes the clauses that implement the Mexico City
Policy. A full description of this Standard Provision (excluding the
Mexico City Policy requirements) is set forth in Contract Information
Bulletin 99-6, and a full description of the Mexico City Policy
requirements is set forth in Contract Information Bulletin 01-08. A
partner receiving funds for both HIV/AIDS activities and family planning
activities will be required to comply with the requirements applicable
to each activity. Any partner receiving funds for only HIV/AIDS
activities or only family planning activities will only be required to
comply with the requirements applicable to the activities for which such
partner receives funds.

If you decide to submit an application to be considered for award, it
must be received by the closing date and time indicated at the top of
this cover letter at the place designated below for receipt of
applications. Applications and modifications thereof shall be submitted
in envelopes with the name and address of the applicant and RFA \#
(referenced above) inscribed thereon, to:

(By U.S. Mail) (By All Other Means of Delivery)

Christopher D. O'Donnell Christopher D. O'Donnell

Regional Agreement Officer Regional Agreement Officer
USAID/REDSO/ESA/RAAO

Unit 64102 C/O American Embassy

APO AE 09831-4102 United Nations Avenue Nairobi, Kenya

Gigiri

> Nairobi, Kenya

The technical and cost applications should be submitted in separate
volumes, in an original plus **five (5) copies technical and** an
original plus five **(5) copies cost** clearly marked that are applying
for under this RFA. Applications received after the deadline cannot be
considered.

[Note:]{.underline} Delivery to the post office or air courier
representative does not constitute meeting the statutory requirement
that proposals are received timely at the designated office. For
purposes of recording the official receipt of applications, the
date/time stamp of the procurement office at USAID/Kenya will govern.
Applicants should retain for their records copies of any and all
enclosures which accompany their applications.

Any questions about this RFA must be made in writing to Christopher D.
O'Donnell, preferably via email at <codonnell@usaid.gov> with a copy to
Patrick Muthee at <pmuthee@usaid.gov> and must reference the subject RFA
number.

[]{.mark}

For all inquiries and questions, please provide a contact person's name,
phone number and email address. **To allow adequate response time,
questions must be received by Wednesday, July 18, 2007, 9.00 am Kenya
time.** Answers to all questions received by the time specified will be
issued as an amendment to the RFA.

Issuance of this RFA does not constitute an award commitment on the part
of the Government, nor does it commit the Government to pay for costs
incurred in the preparation and submission of an application. In
addition, final award of any resultant grant(s) cannot be made until
funds have been fully appropriated, allocated, and committed through
internal USAID procedures. While it is anticipated that these procedures
will be successfully completed, potential applicants are hereby notified
of these requirements and conditions for award. Applications are
submitted at the risk of the applicant; should circumstances prevent
award of a cooperative agreement, all preparation and submission costs
are at the applicant\'s expense.

The preferred method of distribution of USAID procurement information is
via Grants.gov on the World Wide Web (www). The address is
[http://www.grants.gov](http://www.grants.gov/). Select \"Find Grant
Opportunities\", then click on \"Browse by Agency", then select "US
Agency for International Development\", and search for the RFA. If you
have difficulty with accessing the RFA, please <support@grants.gov> and/
or call the Contact Center Phone number 1-800-518-4726 for assistance.
The Contact Center hours of operation are Monday through Friday, 7 a.m.
to 9 p.m., Eastern Time and is closed on Federal Holidays. Receipt of
this RFA through grants.gov must be confirmed by written notification to
the contact person noted below. It is the responsibility of the
recipient to ensure that it has received from grants.gov the application
document in its entirety and USAID bears no responsibility for data
errors resulting from transmission or conversion processes.

In the event of an inconsistency between the documents comprising this
RFA, it shall be resolved by the following descending order of
precedence:

\(a\) Section V - Selection Criteria;

\(b\) Section IV -- Agreement Application Instructions;

\(c\) This Cover Letter;

\(d\) The Program Description.

Sincerely,

Christopher D. O'Donnell

Agreement Officer

USAID/East Africa

**SECTION I: PROGRAM DESCRIPTION**

**USAID MUSM HIV/AIDS Network**

**SECTION I**

**A. Background**

Kenya is one of the President's Emergency Plan for AIDS Relief's
(PEPFAR) 15 focus countries. In Kenya, the Emergency Plan is led by the
U.S. Embassy and implemented by USAID/Kenya, the Center for Disease
Control and Prevention (CDC), the Walter Reed Medical Research Unit of
the U.S. Department of Defense, and the Peace Corps.

The Emergency Plan's treatment target in Kenya is to have 250,000
Kenyans on antiretroviral therapy (ART) by September 30, 2009 (end of
the Emergency Plan period), 130,000 of whom will receive USG-purchased
antiretroviral drugs, an additional 85,000 of whom will receive other
types of USG support for their ART, and the remainder being supported by
other donor or Government of Kenya (GOK) programs. The target for
infections averted in the same timeframe, both through prevention of
mother-to-child transmission (PMTCT) programs and other prevention
efforts, is 425,000. By September 2009, 450,000 orphans and vulnerable
children (OVC) and 250,000 people living with AIDS will be receiving
palliative care. U.S. Government (USG) activities under the Emergency
Plan are detailed in the *Kenya Five Year PEPFAR Strategy; Strong
Networks for a Sustained Response (October 2004).*

The Emergency Plan's targets for Kenya in HIV prevention, care and
treatment are not only ambitious, but also require a high level of
commitment from implementing partners in order to be achieved.
Individual USG agencies working in Kenya have been allocated targets in
HIV prevention, care and treatment. To meet their targets and expand HIV
services to the millions who need them in Kenya, USAID Kenya desires to
directly partner with organizations with a proven record of performance
to work in selected regions of Kenya.

USAID Kenya intends to make a competitive award to an organization,
partnership, or consortium of organizations to implement HIV prevention,
care and treatment services in selected areas of North Rift Valley,
Western and Nyanza provinces of Kenya. The award is intended to support,
continue and expand ongoing HIV prevention, care and treatment services
of Moi University School of Medicine (MUSM) and its network of 19 health
facilities, Moi Teaching and Referral Hospital, 7 district hospitals, 4
sub-district hospitals and 7 health centers. Specific sites for startup
of implementation within these regions are identified in Attachment F.

This RFA describes a comprehensive and integrated health service
delivery program that applicants are expected to use while developing a
realistic application based on the requirements of the program
description. Applicants are expected to develop a comprehensive program
to reach required results. Strategic linkages to other programs,
regional national and internationally should be used wherever feasible
to help leverage programmatic results. These linkages should be
accounted for as cost share for non-federal contribution(s). In
addition, the successful applicant will show how they will work with and
complement USAID's AIDS, Population, and Health Integrated Assistance
(APHIA) II service delivery partners.

The targeted activities in HIV prevention, care and treatment are
currently being undertaken by Indiana University in collaboration with
Moi University School of Medicine (MUSM) and Moi Teaching and Referral
Hospital (MTRH). While the strong health facility focus of the project
is expected to be maintained, there is also a need for expansion of the
community component. The community activities envisaged will be
concentrated around the catchment areas of 19 health facilities, and
will include HIV prevention, care and support services. For the purposes
of this RFA, 19 health facility sites have been identified where HIV
services **must continue without interruption (*Imperative Sites*- see
Attachment F)**. At the end of March 2007, these facilities were taking
care of 43,307 HIV infected persons, of which 20,313 were on
life-prolonging ARVs. HIV prevention, care and treatment activities will
be limited to the 19 imperative sites and their catchment areas. Any
further expansion of sites by the Awardee will be subject to the
approval of USAID, in consultation with the Ministry of Health (MOH) and
the Provincial and District Health Management Teams (PHMTs and DHMTs) in
the relevant regions.

The award is expected to receive funding principally from GHAI (Global
HIV/AIDS Initiative funds, for Emergency Plan activities). At the
moment, there are no child survival (CS) or population (FP/RH) funds
expected in this award, and applicants will need to work closely with
other partners implementing population and child survival activities in
the three provinces, especially the USAID APHIA II partners, to ensure
that the family planning, reproductive health, and child health
activities not funded in the award are covered in all the imperative
sites. Applicants are also restricted by the requirement that no one
organization may receive more than 10% of total PEPFAR funding to Kenya
in any given year. All applicants are required to demonstrate how they,
together with possible partners or consortium members, will be able to
cover the broad range of services which are to be integrated into the
geographic area. Primes may wish to include the services of smaller,
technically specialized organizations.

**B. Activity Objective**

Overall Objective: Healthier behavior and increased utilization of high
quality HIV/AIDS and TB services

+-----------------------+--------------------+-------------------------+
| **Result 1**          | **Result 2**       | **Result 3**            |
+-----------------------+--------------------+-------------------------+
| Improved and expanded | Improved and       | Improved and expanded   |
|                       | expanded           |                         |
| facility-based        |                    | care and support for    |
| HIV/AIDS and          | civil society      | people and families     |
|                       | activities         | affected by             |
| TB services           |                    |                         |
|                       | to increase        | HIV/AIDS                |
|                       |                    |                         |
|                       | healthy behaviors  |                         |
+-----------------------+--------------------+-------------------------+
| **Sub-Results**       |                    |                         |
+-----------------------+--------------------+-------------------------+
| **1.1** Expanded      | **2.1** Expanded   | **3.1** Expanded home   |
| availability of       | community and      | and                     |
| HIV/AIDS prevention,  | workplace          |                         |
| care and treatment    | prevention         | community support       |
| services              | programs           | programs                |
+-----------------------+--------------------+-------------------------+
| **1.2** Reinforced    | **2.2** Expanded   | **3.2** Reduced stigma  |
| networking between    | prevention         | and establishment of    |
| levels of care and    | programs targeting | safety nets for people  |
| between clinical      | most-at-risk       | living with HIV/AIDS    |
| services and          | populations        | (PLWHA) and their       |
| communities           |                    | families                |
+-----------------------+--------------------+-------------------------+

Under this award, hospital, clinic, and community-based HIV/AIDS and TB
services will be strengthened at the Moi Teaching and Referral Hospital
and district level. Interventions will include:

-   Integrated planning for health services at the provincial and
    district level with reference to the Kenya National Health Sector
    Strategic Plan II (KNHSSP II);

-   Support for an expanded comprehensive approach to HIV/AIDS
    prevention, care and treatment with reference to the KNHSSP II, and
    including psychosocial support where needed;

-   Institutional strengthening for Moi Teaching and Referral Hospital,
    Moi University School of Medicine and its network of training and
    care facilities;

-   Quality assurance of health services across public, NGO and private
    sectors;

-   Scale up and wider geographic coverage for these priority health
    services, based on a decentralized, district-based approach subject
    to USAID approval;

-   Improved monitoring and evaluation (M&E) and strategic information
    for decision-making, analysis and programming;

-   Efficient management with a focus on the field as opposed to the
    central level;

-   Linkages and referrals between Comprehensive Care Centers (CCCs),
    other levels of the health system, and community or home-based
    support services;

-   Linkages and referrals between clinic and community-based services;

-   Care and support for OVCs, people living with HIV/AIDS (PLWHA), and
    groups that provide advocacy;

-   Health, nutrition, and social services for OVCs and PLWHA;

-   Attention to the needs of vulnerable, high-risk, and underserved
    groups such as youth, discordant couples, commercial sex workers,
    transport/migrant workers, refugees, and people with disabilities;

-   Appropriate linkages to national level service-delivery and policy
    programs, which may include exchanges of technical assistance;

-   Training of trainers or health service providers and/or links to
    national training programs;

-   Focused/limited operations research to strengthen service delivery
    approaches (it is expected that the awardee will dessiminate/ share
    results with other implementing partners, for example, USAID APHIA
    II partners);

-   Ensuring sustainability by building of local consortia partners'
    technical and management capacity (including administrative,
    strategic planning, financial, and quality assurance capabilities),
    and transferring increasing responsibility to them;

-   Linkages to the UNAIDS policy of the "3 ones" (one national
    strategy, one national monitoring and evaluation framework, and one
    national coordinating body).

**Result 1: Improved and expanded facility-based HIV/AIDS and TB
services**

USAID's assistance in HIV/AIDS and TB services, building on past
efforts, is intended to result in expanded services at the clinic level,
characterized by strong referral systems, links to community level
behavior change communications (BCC) and mobilization, and capacity
building. In particular the USAID MUSM Network is expected to
disseminate and establish a referral network system whereby services
(otherwise not available from other implementing partners) can be
provided. Because of the importance of the facility as the locus for
HIV/AIDS and TB services, this result will strengthen the variety of
HIV/AIDS services offered, including voluntary and diagnostic counseling
and testing (VCT and DCT), PMTCT, antiretroviral therapy, care and
treatment, and TB services).

In order to improve the quality and range of facility-based services,
the recipient of this award is expected to work closely with, and in
most cases build the capacity of, district health authorities to improve
the functioning of networks between local partners (public health
facilities, NGOs, faith-based and community-based organizations (FBOs
and CBOs), workplaces, and private sector). For sustainability,
technical assistance should focus on enabling District Health Management
Teams (DHMTs) to design, implement and evaluate their own programs. In
addition, recipients must build the capacity of local NGOs, FBOs, CBOs,
private sector, and other partners within their consortium or that are
sub-awardees, to plan, manage, and implement donor-funded programs.
Coordination, collaboration and the provision of referral services with
other partners working at provincial level, such as the USAID APHIA II
partners, is also desired. As facility-based programs are expanded and
integrated, attention to quality, supervision, and standardization are
important.

**Sub-Result 1.1: Expanded availability of HIV/AIDS prevention, care and
treatment services**

Under this sub-result, the recipient is expected to contribute
significantly to the scaling-up of quality HIV/AIDS services at the
imperative sites. The USG Five Year Strategy for the President's
Emergency Plan in Kenya calls for strengthening and expanding HIV
treatment at established sites, and for adding sites, particularly at
district hospital and health center levels, with an emphasis on "working
down" through the network model to assure that both urban and rural
populations are reached.

The range of services and activities to be introduced or reinforced
include but are not limited to preventive interventions in line with
Abstinence, Faithfulness and Condom use (ABC) guidelines and expanded
efforts in medical and injection safety at facility level, increased use
of provider-initiated diagnostic counseling and testing (PITC/DTC), post
exposure prophylaxis of HIV infection, nutritional support for
HIV-positive clients who are undernourished to ensure better compliance
and outcomes with ART, and prevention of mother-to-child transmission of
HIV in antenatal care and maternity settings with increased post partum
follow up of both mother and exposed infants. This follow-up should
include access to long-term antiretroviral therapy and prophylaxis for
opportunistic infections (OI) for mothers and children identified as
HIV-positive through PMTCT services.

The awardee is expected to introduce and improve care for all
HIV-infected individuals including early detection and treatment of
opportunistic infections including TB, sexually transmitted infections
(STI), and nutritional support for vulnerable individuals. Care for HIV
infected persons must be consistent with prevailing national guidelines
as recommended by the Kenya Ministry of Health or other international
health authorities.

TB/HIV integration is an essential component of this activity. The
awardee will ensure increased provider-initiated counseling and testing
of TB suspects and patients for HIV on an opt-out basis, increased
screening of HIV infected persons for TB, and increased referrals of
HIV-positive TB patients for HIV care and treatment.

Antiretroviral therapy targeting both adults and children will be a
major component of comprehensive treatment and care services already
started in the imperative sites. These are critical services offered in
Comprehensive Care Centers (CCCs) that must be sustained and scaled up
in the respective treatment sites and within targets (see attachment).
The awardee shall take steps to integrate TB/HIV/PMTCT services and
improve referral systems between the different services. ARVs, OI drugs
and other pharmaceutical commodities will be procured separately at the
central level. Additionally, some food support may be available from
other USAID implementing partner and through a national-level program,
targeted toward HIV-positive patients and OVCs only.

To ensure better HIV prevention and treatment outcomes, the awardee is
expected to provide information, education, and communication (IEC)
materials for both providers and clients covering HIV prevention, care
and treatment. The awardee is are also expected to conduct regular
training and updates to health providers to ensure best practices in HIV
prevention, care and treatment, or to link them to national-level
training programs that do the same. Training is expected to follow
current national guidelines and curricula issued by the Kenya Ministry
of Health.

**Expected Outcomes:**

-   HIV care and treatment activities scaled up in health facilities to
    achieve PEPFAR targets assigned to the awardee, starting with an
    FY2007 target of caring for 50,000 HIV-infected people. Based on the
    experience of programs of a similar nature, applicants will propose
    targets for fiscal year 2008 through fiscal year 2012.

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-   Health care workers provide comprehensive HIV care and treatment
    services as per national guidelines.

-   HIV prevention activities scaled up in health facilities to achieve
    PEPFAR targets.

-   HIV testing significantly expanded with better targeting and
    implementation of diagnostic counseling and testing in all health
    facilities.

-   Expansion and strengthening of prevention program within testing
    services, especially for those who are HIV negative or in discordant
    relationships.

-   Integrated health services are increasingly accessible to youth.

-   Increased TB/HIV integration at health facilities, with more
    effective referrals between TB and HIV services.

-   Care for HIV-positive mothers and infants supported and expanded
    with better linkages to other services.

-   Care for HIV infected and affected patients expanded to routinely
    address nutritional needs of the malnourished.

-   Health care providers provide better quality of care, through
    increased training (or links to national training programs), better
    supervision and quality assurance programs.

-   Limited and focused operations research to improve service delivery.

**Sub-Result 1.2: Reinforced networking between levels of care and
between clinical services and communities**

The Emergency Plan Five-Year Strategy emphasizes using the network model
to provide appropriate care and treatment at different levels within the
health care system. The USG\'s Five Year Emergency Plan Strategy for
Kenya is entitled \"Strong Networks for a Sustained Response,\"
identifying networking as its priority structure. In Kenya the formal
health care network is made up of national referral hospitals,
provincial and district hospitals, and local health centers,
dispensaries, and clinics. In the private sector there are robust
networks of mission health care facilities and employment-based health
services. The awardee is expected to help reinforce linkages within and
across these networks, and between the health care system and the
burgeoning CBO and FBO networks of care providers, associations of
PLWHA, and other community-based care and support groups.

To have a well functioning, well-managed health care network, the
awardee shall work with the Provincial and District Health Management
Teams to ensure that referral endpoints within their regions are capable
of providing more complex treatment and services, whether in ART or
other HIV care and prevention interventions. There must be a flow down
the network as well. Patients who start ART at higher-level facilities,
which have more advanced diagnostic equipment (such as CD4 and viral
load machines), need to be referred to facilities in their communities
for follow-up care. Technical support and products also need to flow
from the center to facilities at the periphery.

While clinical services are essential for proper care, they are not
sufficient to provide the full range of support that clients need in
these areas, particularly HIV/AIDS. The recipient of this award will
need to define areas in which clinics and communities can work more
synergistically together, and what approaches to take to reinforce the
networking concept. At the community level, non-ART HIV care is being
established in rural health centers and dispensaries, and
community-based ART is expected. The awardee will need to work with
local facilities to ensure that communities are encouraged and assisted
to more actively access clinic-based HIV/AIDS, TB and other services;
increase participation of PLWHA groups in health advocacy and decision
making for clinic operations; develop linkages with private facilities,
and develop appropriate care-seeking behavior at the individual, family
and community levels. Knowledge of personal HIV status whether through
VCT or DTC, and information about the need to promptly treat STI or
other opportunistic infections, are expected to be strongly reinforced
by the recipient supporting these efforts through local clinics and at
the community level.

**Expected Outcomes:**

-   Clearly defined networks of Comprehensive Care Centers (CCCs) at the
    tertiary care level, linked to district hospitals, health centers,
    dispensaries, and private facilities serving a defined catchment
    area.

-   Reduction of stable WHO stage II ART patients being seen in CCC, and
    corresponding increase in the clients who receive care at health
    centers and dispensaries while stable.

-   Increased reliability of tracking and follow-up of patients.

**Result 2: Improved and expanded civil society activities to increase
healthy behaviors**

The Emergency Plan Five Year Strategy makes a strong case for working
across sectors and program areas to build systems that promote
sustainability. Public sector networks, including health facilities and
local government authorities will play a major role in achieving the
results of this activity. However, networks of mission health care
facilities, employment-based health delivery and other community-based
networks are essential for adequate coverage of health needs. Recipients
are expected to ensure that NGOs and FBOs expand their commitment and
capacity to carry out prevention, care and treatment, and support
services for PLWHA.

While the clinic is the focal point for the services described above,
many Kenyans access health services and information from other
providers, including traditional healers, traditional birth attendants,
workplace clinics, pharmacies, community health workers and peer
educators. Communities, including village health committees, *barazas*,
community groups, CBOs and other innovative structures are important
channels for behavior change communication, information dissemination,
and extension of services to the grass-roots level. This result is
particularly vital with an increasing emphasis on programming focusing
on the promotion of fidelity in men, care and support for discordant
couples and reduction of consumption of alcohol and other products that
decrease inhibition. All are issues that are more effectively addressed
by civil society than by the public sector.

In order to achieve this result, the recipient will need to help local
groups undertake a broad range of activities to strengthen outreach to
people at risk or who may be at risk; increase community participation
in decision-making and support for rural health facilities; develop
linkages with formal and informal workplaces; and create stronger
linkages with the private sector. Participatory approaches, use of
existing structures (e.g., village health committees, traditional
healers), and training of local inhabitants as community animators or
facilitators, can contribute to locally developed action plans for
activities that address a variety of health and non-health issues.

All of the activities described above will support the closing of the
'gap' between communities and their local health dispensaries, ensuring
that health care is addressed at the sub-district facilities, thus
freeing up the district and provincial hospitals to focus on more
complex clinical services.

**Sub-Result 2.1:** **Expanded and strengthened community and workplace
prevention programs**

The recipient is expected to foster a comprehensive, innovative approach
to HIV/AIDS prevention that includes increased engagement and capacity
building of CBOs, FBOs and worksites. Programs shall include ABC
messages, which include promotion of abstinence, fidelity, condom use
when appropriate, and associated messages about the benefits of knowing
one's status, preventing or treating STIs, accessing PMTCT services, and
where to go for ART. Recipients will be expected to support outreach
efforts by local partners to reduce high-risk behavior and encourage
care-seeking behavior through a variety of means and media. Worksites
should include health care facilities themselves, encouraging injection
safety, information about post-exposure prophylaxis, and to encourage
health workers confidential access to VCT and other HIV/AIDS services.
Increased engagement of NGOs, FBOs and worksites will result in 1)
improved capacity to implement and monitor HIV/AIDS programs 2)
development and utilization of networks of NGOs, FBOs and worksites, and
3) development and implementation of comprehensive policies and
strategies on HIV/AIDS prevention.

**Expected Outcomes:**

-   Increased provision of consistent and appropriate messages, care and
    support within CBOs, NGOs, FBOs, and worksite programs

-   Existence of expanded and collaboratively supported workplace
    HIV/AIDS prevention programs, with appropriate referral for and
    access to clinical services

-   Improved policies and practices in participating workplace programs

-   Improved messages, practices, and policies at health facilities
    targeted toward health care providers

-   Strengthened NGO/FBO/CBO capacity to provide a range of HIV/AIDS, TB
    and other health information services

-   Decreased stigma and increased knowledge at worksites, and within
    NGOs and FBOs

**Sub-Result 2.2: Expanded prevention programs targeting most-at-risk
populations.**

The HIV/AIDS epidemic in Kenya is evolving, and new, innovative programs
need to be developed that address the emerging risk groups and issues.
For example, the role of high-risk sex is declining in high prevalence
epidemics, resulting in the need to address risk within the general
population. In Kenya, there are the following factors:

-   Many new infections are occurring in the general population among
    discordant couples -- many of whom do not know their status.

-   Men and women may not be monogamous in their relationships
    (promotion of fidelity should focus on men and boys as well as
    women).

-   Alcohol plays an important role in increasing sexual risk-taking.

-   There are major transport corridors along which are many commercial
    sex workers and transport workers.

-   There are vulnerable groups that include school-age girls, people
    with disabilities, and refugees.

Programs should be targeted to reach the specific population in
acceptable ways with appropriate information about risk and prevention,
including ABC approaches appropriate to the population. Vulnerable
populations may need to be assisted through creative outreach programs
and advocacy groups.

**Expected Outcomes:**

-   Increased provision of consistent and appropriate messages about
    prevention, care and support appropriately targeted to most-at-risk
    populations

-   Innovative community programs to target high-risk populations with
    appropriate preventive messages, and to link them to health
    facilities.

-   Improved scale-up and delivery of community outreach activities such
    as community-based BCC, peer education, *barazas*, songs and
    puppeteers by NGOs, FBO and health workers

-   Quality programs that address stigma and discrimination at the
    community and facility level.

**Result 3**: **Improved and expanded care and support for people and
families affected by HIV/AIDS**

Kenya has approximately 1.4 million HIV-positive persons (1.1 million
aged 15-49), and over 2 million orphans and vulnerable children. This
result is crucial to helping families and children affected by AIDS cope
with the health, economic and psychosocial effects of HIV/AIDS. All care
and support services will be linked to other HIV prevention and
treatment programs, such as VCT and PMTCT programs, ART provision, and
services for OVCs. While clinics will need strengthening in order to
provide counseling and testing for HIV, PMTCT services, family planning
and other reproductive health services, and diagnosis and management of
opportunistic infections, it is essential that communities too are
strengthened to cope with the increasingly large burden that falls on
them.

The awardee is also expected to strengthen PLWHA groups and networks to
enable them to provide support to each other in dealing with stigma and
treatment and the general population in prevention and ART services.
Attention to quality, sustainability and standardization of services is
important among organizations serving OVCs, PLWHA, and affected
communities.

**Sub-Result 3.1: Expanded home and community support programs**

The awardee is expected to scale up such efforts and wherever possible
to link provision of simple palliative care, psychosocial support and
food supplements to prevention, orphans support and income generation
activities. Referrals of clients and family members for counseling and
testing services, and ART (as well as non-ART health services) are other
important aspects of home-based support services. Home-based care shall
include counseling and support for HIV testing, as well as disclosure,
and adherence to clinical care including consistent use of medications.
For PLWHA who are able to work and carry out their normal activities,
counseling and services for family planning shall be provided. Condom
promotion, use of effective family planning methods, and treatment of
STIs is essential for PLWHA and their partners. As treatment is scaled
up, home-based care will need to take on the additional responsibility
of supporting adherence to ARV regimens as an essential task.

PLWHA often live marginal lives, and even when not suffering clinical
manifestations of AIDS, they frequently have nutritional gaps or lack
essential foods. Because of their positive HIV status, PLWHA may have
even greater nutritional needs than others. HIV disease can be
exacerbated by anemia, diarrhea, infections or other problems that
weaken the body, while inadequate nutrition can provoke or contribute to
these problems. Adequate quantity, type and nutritional value of food
are essential to ensure that PLWHA (and their families, especially
under-fives) stay healthy. Ensuring proper diet, with adequate macro and
micronutrient intake, is a major challenge in care and support of PLWHA.
Food assistance must be consistent with the *Policy Guidance on the Use
of Emergency Plan Funds to Address Food and Nutrition Needs, September
2006,* issued by the Office of the U.S. Global AIDS Coordinator. The
recipient shall develop and implement innovative approaches that respect
the referenced Emergency Plan guidance and address the nutritional needs
of clinically identified HIV-positive patients and organizations that
assist orphans. Some food support may be available from another USAID
implementing partner.

The awardee will need to develop and support approaches and programs to
deliver appropriate palliative care, nutritional supplements for those
with diagnosed need, and psychosocial support to PLWHA and their
families through acute stages of illness.

**Expected Outcomes:**

-   Improved home and community-based health care services that serve as
    a strong link in the referral network to clinical services.

-   Increased access to basic and preventive health services for
    HIV-affected families.

-   Better follow-up of HIV-positive clients to improve compliance with
    ART, TB and other drug regimens.

-   Improved referral of PLWHA and OVC to social support services,
    funded with other than PEPFAR funds, as needed (including links to
    other sectors -- agriculture, education/job skills, legal services).

-   Increased access to nutritional and food support for HIV-positive
    individuals and their families.

**Sub-Result 3.2:** **Reduced stigma and establishment of safety nets
for PLWHA and their families**

Most communities need additional advocacy for and awareness of PLWHA,
and of their needs for encouragement and support. In some communities,
PLWHA are shunned by neighbors and family members; they may lose rights
to their children, land, or possessions. Women may be at increased risk
of gender-based violence when they disclose their status, and widows are
at greater risk of having their family assets seized, and often have
minimal legal recourse. The recipient is expected to support grass-roots
campaigns that explain how HIV is transmitted (or not transmitted),
encourage understanding and support of PLWHA, and bring to bear legal
information to protect them.

"Safety nets" in this case refers to financial (micro-credit) and legal
services which are needed by PLWHA and OVC. Note: In the short to medium
term micro-credit may be avaialbale from another USAID implementing
partner. Community-based paralegals, for example, can help facilitate
legal aid activities, assist in raising community awareness of legal
protection services and link clients with legal aid organizations. In
some cases village elders or religious leaders can be trained to provide
these services. PLWHA often are unable to work on a regular basis or, if
terminally ill, risk losing their house, land or other possessions.
Micro-credit facilities, small loans, "merry-go-round" arrangements
(which involve mutual aid society members taking turns at lending each
other money out of a revolving fund) can assist PLWHA to start or
strengthen a small business that their children or other family members
can carry on, or expand small-scale production. Improved business skills
and increased savings and household income can be critical to improve
food security, reduce dependency and stigma, and encourage expansion of
similar groups. Where appropriate, the recipient is encouraged to work
with existing groups providing these services.

**Expected Outcomes:**

-   PLWHA have increased access to a range of health services, and are
    systematically referred by community care providers for OI/STI
    treatment, ARVs and TB services as needed.

-   PLWHA have increased access to psychosocial support services.

-   PLWHA and OVCs have increased access to legal protection, credit and
    other forms of livelihood security.

-   Local organizations serving PLWHA and OVC are strengthened (better
    strategic planning, financial management, human resource
    utilization, and quality assurance) to become more sustainable.

-   Community -based programs decrease stigma and discrimination against
    PLWHA.

-   Links to programs in other sectors (e.g., agriculture, education,
    small business development) are forged as appropriate to better
    serve PLWHA needs.

**SECTION II**

**A. Performance Monitoring & Evaluation**

Monitoring of results is a key element of USAID programs. USAID seeks
data and information to improve performance and effectiveness, as well
as to inform planning and management decisions. Accurate and timely
monitoring will enable the recipient to adapt to changing conditions and
make mid-course corrections as necessary. Data also must be available to
demonstrate program impact. As part of the Performance Monitoring Plan
(PMP), special emphasis will be on standardized Emergency Plan
indicators. The applicant will be given guidance from the Cognizant
Technical Officer (CTO) on these and specified formats. Additional
indicators and targets for achievement of the activity objective and
each of the three results will be developed by the recipient and
submitted as part of the overall PMP for this activity. The PMP
submitted by the recipient will be subject to approval of the USAID CTO,
based on pertinence, feasibility and funding availability.  Indicators
and targets for each result under the Cooperative Agreement should
illustrate how the Award will contribute to improved utilization of
services among target groups. Targets should also reflect progress
towards the Millennium Development Goals.

The recipient is expected to fully engage local partners, particularly
GOK partners and NGOs in their intervention areas, in planning and
monitoring of program efforts. Given the decentralized nature of the
planned award, the complexity of tasks that are to be undertaken, and
the multitude of other interested parties, including the GOK, other USG
partners and other donors, special efforts will be required to keep all
parties informed and engaged in the planning, implementation, and
reporting of activities. Therefore the recipient will be expected to
participate in, and in some cases take responsibility for organizing,
regular meetings among the different stakeholders, their counterparts at
the district, provincial and/or central levels, USAID, USG agency
partners, and other donors. One of the outcomes of these
coordination/organizing responsibilities is to ensure that targets for
specific program areas are met in a geographic area without duplication
of effort or reporting by the various players in the same program area.

**B. Substantial Involvement Understanding**

USAID will be substantially involved during the implementation of the
program in the following areas:

1.  Approval of annual work plans and Performance Monitoring Plan (PMP).

2.  Approval of specified key personnel.

3.  Approval of subawards (consultants, subgrants, subagreements,
    subcontracts).

4.  Involvement in monitoring progress toward achievement of the
    objective and anticipated results during the course of the
    agreement.

5.  Supporting an independent evaluation of the project after 24 months.

6.  As appropriate, other monitoring as described in 22 CFR 226.

**C**. **Progress Reports**

# 

All required reports shall be submitted by the due date for approval of
the USAID CTO. Additional reports requiring review and clearances, when
necessary, are listed under each requirement. The recipient will consult
the CTO on the format and expected content of reports prior to
submission. Each report shall be submitted as an electronic file sent to
the CTO and alternate CTO along with two hard copies).

**1. Financial Reports**

Monthly baseline and pipeline reports will be submitted to the CTO
during first and last six months of the award and quarterly for all
other periods of the Award. Quarterly SF 269 financial reporting will be
submitted in accordance with 22 CFR 226.

**2. Performance Monitoring and Reporting**

a.  [Annual Work Plan.]{.underline} The Recipient will prepare annual
    work plans on a schedule and according to a format provided by
    USAID, to be submitted to the CTO for USAID approval. The first work
    plan to be submitted will not necessarily be for a full year or may
    be for more than a full year, depending upon the start date of the
    agreement. Work plans are expected to reflect extensive discussions
    and joint planning exercises at the local and provincial levels as
    discussed above.

b.  [Performance Monitoring Report]{.underline}. The recipient shall
    submit an updated report to the CTO and Agreement Officer on
    progress towards agreed performance targets every three (3) months,
    based on the PMP to be developed by the recipient in collaboration
    with USAID. This quarterly report will include information on
    activities in all intervention districts. The reports must include
    the following: 1) explanation of qualitative and quantifiable output
    of the programs; 2) reasons why established goals were not
    met/exceeded, as appropriate; and, 3) analysis and explanation of
    cost overruns or high unit costs (recipient must immediately notify
    USAID of developments that have a significant impact on
    award-supported activities). Further, notification should be given
    in the case of problems, delays, or adverse conditions which
    materially impair the ability to meet the objectives of the award.
    These notifications are expected to include a statement of the
    action taken or contemplated, and any assistance needed to resolve
    the situation. These reports and any additional reports, including
    information for Emergency Plan semi-annual reports need to meet
    reporting requirements under the President's Emergency Plan for AIDS
    Relief are expected to be produced promptly and completely.

c.  [Final Report]{.underline}. The recipient shall submit an original
    and five copies of the final report to the CTO, Agreement Officer
    and one copy to the USAID Development Experience Clearinghouse. Not
    later than 60 days after the completion date of the Cooperative
    Agreement, the recipient shall submit a final report which includes
    an executive summary of the recipient's accomplishments in achieving
    results and conclusions about areas in need of future assistance; an
    overall description of the recipient's activities and attainment of
    results by region, as appropriate, during the life of the
    Cooperative Agreement; an assessment of progress made toward
    accomplishing the Objective, Results and Expected Outcomes;
    significance of these activities; important research findings;
    comments and recommendations; and a fiscal report that describes how
    the Recipient's funds were used. See 22 CFR 226.51.

    **3**. **Management Reviews and External Evaluations**

The annual work plans will form the basis for joint annual management
reviews by USAID and program staff to review program directions,
achievement of the prior year work plan objectives, any major management
and implementation issues, and to make recommendations for any changes
as appropriate. These management reviews as well as work plan meetings
may be broadened to include dialogue across the different cooperating
agencies, and among MOH and USG partners.

At any time during program implementation, USAID may conduct one or more
external assessment/ evaluation(s) to review overall progress, assess
the continuing appropriateness of the program design, and identify any
factors impeding effective implementation. USAID will utilize the
results of the assessment to recommend any e changes in strategy if
needed and to help determine appropriate future directions. Site visits
may occur anytime after startup.

In addition to the above reviews, the recipient shall conduct periodic
external evaluations every 18 months to include at least one (1)
international and two (2) host country evaluators.

**4.** **Management Plan**

Coordination and communication with a wide range of partners, including
GOK, USG agencies, local public/private sector partners, other
cooperating agencies, awardees in other geographic regions, other
donors, and communities are vital to achieving results. Applications
should reflect a willingness to partner with non-traditional and
creative partners and utilize diverse human resources effectively. It
must be demonstrated that local partners have a significant role in
management and implementation.

A management plan for the Award will need to specify clear lines of
supervision, accountability, decision-making and responsibility among
staff. In the case of proposed prime/sub relationships, especially in
cases of geographic separation of collaborative institutions, clear
lines of communication should be established. Special attention will
need to be paid to ensuring efficiencies in operational and financial
management. Applicants should address how they intend to manage the
operational partnerships in order to maximize the input and utility of
all partner organizations, collaboratively and effectively. Applicants
should address how their regional implementation plan supports the
UNAIDS "Three Ones" principle -- in particular, national action plans,
and national monitoring and evaluation frameworks.

USAID will host a startup and annual meeting for the recipient, USG
PEPFAR partners, GOK, and other stakeholders to ensure sustained
collaboration, and to support the UNAIDS "Three Ones" principle. The
Awardee may be asked to have a standardized PMP and/or to standardize
other elements of their program as necessary.

**5. Distribution of Reports**

a\. Reports required as described in this section will be sent to the
CTO and/ or

Agreement Officer as specified.

b\. Reports and intellectual products required above will also be
submitted in electronic format and hard copy to PPC/CDIE/DI, Attn.
ACQUISITIONS, 1300 Pennsylvania Ave., Washington, D.C. 20523.

**6.** **Performance-Based Evaluation**

The Cooperative Agreement is awarded for a period of five years. USAID
will assess program performance throughout this period, and plans to
undertake an external performance evaluation approximately 24 months
after the award is made. Continuation of this award during this period
will depend on program performance, availability of funds, and
USAID/Kenya goals and priorities.

**SECTION III -- IMPLEMENTATION ARRANGEMENT**

**A.** **ANTICIPATED AWARD SCHEDULE**

The cooperative agreement is anticipated to be awarded by November 2007.

**B. FUNDING**

The Cooperative Agreements will be incrementally funded.

**C. WORKWEEK**

A five-day work week is authorized under this cooperative agreement
without premium pay.

**D. AUTHORIZED GEOGRAPHIC CODE**

The authorized geographic code for procurement of goods and services
under the cooperative agreement is 935.

**E. ELIGIBLE APPLICANTS**

To be eligible to receive this Cooperative Agreement, a consortium or
organization must be an institution of higher education, research
institution, for-profit, non-profit, or private voluntary organization.
U.S. Private Voluntary Organizations (PVOs) must be registered with
USAID, as defined in 22 CFR part 228 and Kenyan NGOs must be registered
in Kenya. Government of Kenya entities and parastatals are precluded
from applying for this Cooperative Agreement.

**SECTION IV -- AGREEMENT APPLICATION INSTRUCTIONS**

## A. PREPARATION GUIDELINES

Applications must be submitted no later than the date and time indicated
on the cover page of this RFA, to the location indicated on page 2 of
the cover letter accompanying this RFA. All applications received by the
deadline will be reviewed for responsiveness to the specifications
outlined in these guidelines and the selection criteria presented in
Section V. Section V addresses the technical evaluation procedures for
the applications. Applications which are submitted late or are
incomplete run the risk of not being considered in the review process.

Applications shall be submitted in two separate volumes: (a) technical
and (b) cost or business application. Technical portions of applications
shall be submitted in an original and five (5) copies, cost portions of
applications in an original and five (5) copies.

The application should be organized according to the selection criteria
presented in Section V.

Technical applications should be specific, complete and presented
concisely. The application should demonstrate the applicant\'s
capabilities and expertise with respect to achieving the goals of this
program. The applications should take into account the technical
evaluation criteria found in Section V.

Applicants should retain for their records one copy of the application
and all enclosures which accompany their application. Erasures or other
changes must be initialed by the person signing the application.

## **B. TECHNICAL APPLICATION PREPARATION** {#b.-technical-application-preparation .unnumbered}

USAID requests that applications provide all information required by
following the format described below. USAID requests that the
application be kept as concise as possible.  Detailed information should
be presented only when required by specific RFA instructions.  Technical
applications are limited to 35 pages (12 point single-spaced Times New
Roman font, and a minimum of 1 inch margins all around) not including
the cover page, executive summary, appendices, and certain graphics as
specified.  Pages should be paginated at the bottom. Graphics and charts
specifically requested in this technical application will not count
against the page limit for the application, and may be included in the
application. Shorter applications are encouraged.

Applicants may use appendices for such required supplemental information
as key personnel resumes, resumes of other personnel, and a list of
previous contracts, grants, and cooperative agreements and past
performance reports. Applicants are requested to limit appendices to
those relevant to the RFA. Applicants shall provide the names of the
authorized individuals to negotiate on behalf the organization.

A Technical Evaluation Panel will evaluate the technical applications in
accordance with the evaluation criteria in Section V.   The format for
the technical application is:

**1.** **Cover Page**

Include proposed Project title, RFA Number, "USAID MUSM HIV/AIDS NETWORK
623-A-07-031 RFA" name of organization(s) submitting application,
authorized individual, telephone and fax numbers, e-mail, and address.

**2.**   **Executive Summary** **(1-3 pages)**

This section should allow technical reviewers to quickly understand the
critical elements of the application including the most salient features
of the applicants' technical vision and approach, the key personnel and
management plan proposed, and the capabilities of the partners to
accomplish the desired results.

**3. Technical Application (maximum 35 pages)**

The technical application will meet the requirements of the program
description and address the selection criteria. The application will be
scored in accordance with the selection criteria.

Provide a copy of the applicant's technical application on a compact
disk formatted in word 2000 or XP.

## C. COST APPLICATION FORMAT

The Cost or Business Application is to be submitted as separate document
from the technical application. Certain documents are required to be
submitted by an applicant in order for a Grant Officer to make a
determination of responsibility. However, it is USAID policy not to
burden applicants with undue reporting requirements if that information
is readily available through other sources.

The following sections describe the documentation that applicants for
Assistance awards must submit to USAID in response to this solicitation.
While there is no page limit for this portion, applicants are encouraged
to be as concise as possible, but still provide the necessary detail to
address the following:

1\. Provide a copy of the applicant's business/cost application, on a
compact disk, formatted in MS Excel version 2002 or earlier format..

Present the summary budget by year for proposed activity including uses
of USAID funds and any other cost share. Clearly indicate the
partnerships' own commitment to match funds separate from other donor
support. The portion of this matching fund which will qualify as
cost-share under 22 CFR 226 should be clearly identified.

2\. Include a detailed budget, in US dollars, with an accompanying
budget narrative which can facilitate USAID's determination that costs
are allowable, allocable and reasonable. The budget must be submitted
using Standard Form 424 and 424A which can be downloaded from the USAID
web site:
http://www.usaid.gov/procurement_bus_opp/procurement/forms/sf424/;

Please note that the SF424 is submitted by the prime. It is a
consolidation of the primes and subaward budgets.

A detailed budget must be submitted for the prime and major
sub-recipients.

\- the breakdown of all costs associated with headquarters, regional
and/or country offices;

\- the breakdown of all costs according to each organization involved in
the program;

\- the costs associated with external, expatriate technical assistance
and those associated with local in-country technical assistance;

\- the breakdown of the financial and in-kind contributions of all
organizations involved in implementing this Agreement;

\- contributions of non-USAID or private and/ or commercial donors to
this Cooperative Agreement;

\- your procurement plan for commodities .

3\. A current Negotiated Indirect Cost Rate Agreement is required for
the prime and sub-recipients.

4\. Required certifications and representations (as attached) are
required for the prime and sub-recipients.

5\. Applicants who do not currently have a Negotiated Indirect Cost Rate
Agreement (NICRA) from their cognizant agency shall also submit the
following information:

a.  The applicant\'s financial reports for the previous 3-year period,
    which have been audited by a certified public accountant or other
    auditor satisfactory to USAID;

b.  Budget, cash flow and organizational chart; and

c.  A copy of the organization\'s accounting manual.

6\. Applicants should submit any additional evidence of responsibility
deemed necessary for the Agreement Officer to make a determination of
responsibility. This information is required for the prime and
sub-recipients.

The information submitted should substantiate that the Applicant:

1\. Has adequate financial resources or the ability to obtain such
resources as required during the performance of the award.

2\. Has the ability to comply with the award conditions, taking into
account all existing and currently prospective commitments of the
applicant, nongovernmental and governmental.

3\. Has a satisfactory record of performance. Past relevant
unsatisfactory performance is ordinarily sufficient to justify a finding
of non-responsibility, unless there is clear evidence of subsequent
satisfactory performance.

4\. Has a satisfactory record of integrity and business ethics; and

5\. Is otherwise qualified and eligible to receive a grant under
applicable laws and regulations (e.g. EEO).

7\. Applicants that have never received a grant, cooperative agreement
or contract from the U.S. Government are required to submit a copy of
their accounting manual.

In addition to the aforementioned guidelines, the applicant is requested
to take note of the following:

8\. Unnecessarily Elaborate Applications - Unnecessarily elaborate
brochures or other presentations beyond those sufficient to present a
complete and effective application in response to this RFA are not
desired. Elaborate art work, expensive paper and bindings, and expensive
visual and other presentation aids are not necessary.

9\. Acknowledgement of Amendments to the RFA - Applicants shall
acknowledge receipt of any amendment to this RFA by signing and
returning the amendment to the Agreement Officer. The Agreement Officer
must receive the acknowledgement by the time specified for receipt of
applications.

10\. Receipt of Applications - Applications must be received at the
place designated and by the date and time specified in the cover letter
of this RFA.

11\. Submission of Applications:

a.  Applications and modifications thereof shall be submitted in sealed
    envelopes or packages (1) addressed to the office specified in the
    Cover Letter of this RFA, and (2) showing the time specified for
    receipt, the RFA number, and the name of the authorized
    representative and address of the applicant. A copy of the full
    technical application should be provided in an electronic
    format (CD) formatted in Word 2000 or XP. A copy of the cost or
    business application should be provided on a separate CD in Excel
    version 2002 or earlier format.

b.  Faxed applications will not be considered; however, applications may
    be modified by faxed notice if that notice is received by the time
    specified for receipt of applications.

12\. Preparation of Applications:

1\. Applicants are expected to review, understand, and comply with all
aspects of this RFA.

2\. Each applicant shall furnish the information required by this RFA.
The applicant shall sign the application and print or type its name on
the Cover Page of the technical and cost applications. Erasures or other
changes must be initialed by the person signing the application.
Applications signed by an agent shall be accompanied by evidence of that
agent\'s authority.

3\. Applicants who include data that they do not want disclosed to the
public for any purpose or used by the U.S. Government except for
evaluation purposes, should:

\(a\) Mark the title page with the following legend:

\"This application includes data that shall not be disclosed outside the
U.S. Government and shall not be duplicated, used, or disclosed - in
whole or in part - for any purpose other than to evaluate this
application. If, however, a grant is awarded to this applicant as a
result of - or in connection with - the submission of this data, the
U.S. Government shall have the right to duplicate, use, or disclose the
data to the extent provided in the resulting grant. This restriction
does not limit the U.S. Government\'s right to use information contained
in this data if it is obtained from another source without restriction.
The data subject to this restriction are contained in sheets; and

\(b\) Mark each sheet of data it wishes to restrict with the following
legend:

\"Use or disclosure of data contained on this sheet is subject to the
restriction on the title page of this application.\"

13\. Explanation to Prospective Applicants -- Any prospective applicant
having a question regarding this RFA must request it in writing by July
17, 2007. Any information given to a prospective applicant concerning
this RFA will be furnished promptly to all other prospective applicants
as an amendment of this RFA, if that information is necessary in
submitting applications or if the lack of it would be prejudicial to any
other prospective applicants.

14\. Grant Award:

a.  The Government may award one Grant resulting from this RFA to the
    responsible applicant whose application conforming to this RFA
    offers the greatest value. The Government may (a) reject any or all
    applications, (b) accept other than the lowest cost application, (c)
    accept alternate applications, and (d) waive informalities and minor
    irregularities in applications received.

b.  The Government may award one Grant on the basis of initial
    applications received, without discussions. Therefore, each initial
    application should contain the applicant\'s best cost and technical
    application.

15\. Authority to Obligate the Government - The Agreement Officer is the
only individual who may legally commit the Government to the expenditure
of public funds. No costs chargeable to the proposed Grant may be
incurred before receipt of either a fully executed Grant or a specific,
written authorization from the Agreement Officer.

16\. The Recipient is reminded that U.S. Executive Orders and U.S. law
prohibits transactions with, and the provision of resources and support
to, individuals and organizations associated with terrorism. It is the
legal responsibility of the recipient to ensure compliance with these
Executive Orders and laws. This provision must be included in all
subcontracts/sub-awards issued under this Agreement.

17\. Foreign Government Delegations to International Conferences - Funds
in this \[contract, agreement, amendment\] may not be used to finance
the travel, per diem, hotel expenses, meals, conference fees or other
conference costs for any member of a foreign government\'s delegation to
an international conference sponsored by a public international
organization, except as provided in ADS Mandatory Reference \"Guidance
on Funding Foreign Government Delegations to International Conferences

\[http://www.info.usaid.gov/pubs/ads/300/refindx3.htm\] or as approved
by the \[CO/AO/CTO\].

**SECTION V -- SELECTION CRITERIA**

**A. OVERVIEW**

The criteria presented below have been tailored to the requirements of
this RFA. Applicants should note that these criteria serve to: (a)
identify the significant matters which applicants should address in
their applications and (b) set the standard against which all
applications will be evaluated. To facilitate the review of
applications, applicants should organize the narrative sections of their
applications in the order as the selection criteria.

The technical applications will be evaluated in accordance with the
Technical Evaluation Criteria set forth below. Thereafter, the cost/
business application of all applicants submitting a technically
acceptable application will be opened and costs will be evaluated for
general reasonableness, allowability, and allocability. To the extent
that they are necessary (if award is made based on initial
applications), negotiations will then be conducted with all applicants
whose application, after discussion and negotiation, has a reasonable
chance of being selected for award. The award will be made to the
responsible applicant whose application offer the greatest value, cost
and other factors considered.

The award will be made based on the ranking of proposals according to
the technical selection criteria identified below. To make an objective
evaluation possible, applications must clearly demonstrate how the
organization and the application meet these criteria. A Cooperative
Agreement may be awarded to the applicant or applicants representing the
overall best value to the government.

**B. TECHNICAL EVALUATION CRITERIA**

**1. Technical Approach (Understanding of Work to be Accomplished) - 40
total points**

-   The extent the application reflects understanding of the USG program
    in Kenya, including USAID/Kenya, Emergency Plan programs with other
    USG partners, and USAID regional border programs. The applicant has
    a comprehensive understanding of GOK national health policies and
    programs, and other donors' HIV and health programs in Kenya. There
    is excellent understanding of the overall program description and
    its objectives, and the applicant is able to synthesize and apply
    the lessons learned from past and current USAID agreements and other
    critical sources. **(10 points)**

-   the application demonstrates technical leadership, creativity,
    innovation, and soundness in advancing evidence-based best practices
    for HIV/AIDS, TB services, and programming. It shows an
    understanding of, and a proposed approach for addressing, key issues
    and challenges, in particular the continuity of services at
    "imperative sites" (Attachment F). It identifies best practices to
    be applied, and specific results to be achieved for: increasing
    knowledge health seeking behaviors for HIV/AIDS/TB services;
    increasing availability of non-clinic and clinic-based HIV/AIDS/TB
    services; and strengthening HIV/AIDS and TB service delivery support
    systems to extend these services at the community, sub-district, and
    district levels. It adequately addresses gender and the other
    "guiding principles" of this RFA. The extent to which the
    application demonstrates that it can/ will provide referral services
    to other USAID APHIA II implementing partners that otherwise would
    not be available. (**15 points**)

-   the application presents a viable approach for actively engaging a
    variety of partners, including government, non-governmental
    organizations, private and commercial interests, and communities in
    the planning, provision, management and sustaining of HIV/AIDS and
    TB services and commodities for the population groups in this RFA.
    It addresses the organizational strengthening needs of local
    consortia and sub-partners and presents a realistic and sustainable
    plan to transfer responsibility to these partners as they gain
    capacity. (**5 points**)

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-   plans for rapid start up and/ or management transistion of current
    activities of the project to ensure continuity of service, and how
    the program will manage a complex set of activities its specific
    region, including the reporting requirements. (**5 points**)

-   management and administrative structure, policies and practices for
    overall implementation of the program including personnel, financial
    and logistical support; realistic strategies or approaches for
    cost-containment and providing cost-share for activities of the
    RFA[;]{.underline} the role and level of effort for staff supporting
    these functions; and a realistic plan for monitoring the technical
    and financial activities and reporting of sub-recipients. (**5
    points**)

**2. Staffing and Key Personnel Capabilities - 25 total points**

The extent the application demonstrates that key personnel and core
technical staff have the requisite:

-   Breadth and depth of technical expertise and experience in
    management, design, and implementation of complex
    HIV/AIDS/health/community-level service delivery programs or
    components of those programs. (**8 points**)

-   Evidence of strong leadership skills and ability to build
    collaborative relationships among the program staff, partners, other
    cooperating agencies, key stakeholders, and donors. (**7 points**)

Overall staffing plan demonstrates that:

# [the staffing pattern reflects the minimum number of highly experienced technical staff sufficient to manage the range of activities needed and the optimal mix of technical personnel considered necessary to achieve all results in the specified geographical area and contribute to national policies and guidelines]{.smallcaps}**. (3 points)**

-   qualified Kenyans are proposed for leadership, technical and
    managerial positions (**4 points**)

-   proposed technical staff (other than key personnel) demonstrate a
    mix of practical technical skills necessary for extending and
    strengthening clinic and community-based integrated HIV/AIDS/TB and
    related health services and systems, and an ability to manage the
    design and implementation of key components of this program
    description. **(3 points)**

In addition to the above, the applicant should provide a letter of
commitment from each proposed key personnel and core technical staff.
Also include three references for each with telephone and email contact
information, with one of these being a host country counterpart.

**3. Technical Capabilities and Past Performance -- 20 total points**

The application demonstrates that:

-   organizational and technical capabilities to achieve the results
    described in this RFA, including evidence of having successfully
    managed an award of comparable complexity and duration. The
    expertise and experience of the partner includes having managed a
    program of similar size and complexity preferably in East Africa;
    with a proven track record for accomplishing program outcomes, using
    best practices; and shows the institutional capacity to accurately
    track and report program expenditures, **(10 points)**

-   documentation of successful approaches from programs implemented by
    the applicant and its partners, and evidence of sharing these with
    and subsequent application by USAID or other donor-funded programs
    or implementing organizations. **(5 points)**

-   satisfactory past performance checks from prior donors on
    achievement of the contract/agreement objectives within the
    timeline, timeliness of reporting, responsiveness to donor needs,
    cost containment, management of personnel, overall satisfaction.
    Provide at least 2 references with current telephone and email
    contact information from the awarding agency.(**5 points**)

**4. Monitoring and Evaluation Plan -- 15 total points**

The application demonstrates:

-   what specific results will be achieved by the end of each year, the
    main benchmarks on the way to achieving these results, and how
    progress will be monitored and measured, including an understanding
    of PEPFAR indicators and reporting requirements; a minimal set of
    indicators for the Award; realistic performance targets and
    benchmarks for HIV/AIDS and TB services; and a description of the
    methodology to be used for data collection within these target
    groups that is cost-effective and timely; and how the partner will
    take into account other players in achieving targets. **(15
    points**)

**C. Cost Evaluation**

Cost will not be part of the technical review, but costs will be
reviewed by the Agreement Officer for allowability, allocability and
reasonableness. Proposals that have more efficient operational systems
that reduce operation costs will be more favorably considered.
Organizations that respond to this RFA are required to include a cost
share (e.g. cash or in kind) and describe how these resources will
contribute to the sustainability of the project, enhance services or
provide more comprehensive services. Examples of in-kind contributions
include: use of facilities, vehicles and staff, as well as utilities or
other non-cash contributions, provided the grantee can reliably track
the actual contributions of these goods or services and provide a
credible cost basis for these contributions.

The following questions will be taken into consideration (but not
limited to):

#  

-   How effective is the application in the use of grant funds?

-   Does the applicant show reasonableness of grant administration
    costs?

> \- To what extent the Recipient provides cost share? (It should be
> noted that there is no separate evaluation criteria for cost share).

# 

# 

# 

**SECTION VI -- CERTIFICATION, ASSURANCE AND OTHER STATEMENTS OF
APPLICANTS**

## PART I - CERTIFICATIONS AND ASSURANCES

1\. ASSURANCE OF COMPLIANCE WITH LAWS AND REGULATIONS GOVERNING
NON-DISCRIMINATION IN FEDERALLY ASSISTED PROGRAMS

\(a\) The recipient hereby assures that no person in the United States
shall, on the bases set forth below, be excluded from participation in,
be denied the benefits of, or be otherwise subjected to discrimination
under, any program or activity receiving financial assistance from
USAID, and that with respect to the grant for which application is being
made, it will comply with the requirements of:

\(1\) Title VI of the Civil Rights Act of 1964 (Pub. L. 88-352, 42
U.S.C. 2000-d), which prohibits discrimination on the basis of race,
color or national origin, in programs and activities receiving Federal
financial assistance;

\(2\) Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. 794),
which prohibits discrimination on the basis of handicap in programs and
activities receiving Federal financial assistance;

\(3\) The Age Discrimination Act of 1975, as amended (Pub. L. 95-478),
which prohibits discrimination based on age in the delivery of services
and benefits supported with Federal funds;

\(4\) Title IX of the Education Amendments of 1972 (20 U.S.C. 1681, et
seq.), which prohibits discrimination on the basis of sex in education
programs and activities receiving Federal financial assistance (whether
or not the programs or activities are offered or sponsored by an
educational institution); and

\(5\) USAID regulations implementing the above nondiscrimination, set
forth in Chapter II of Title 22 of the Code of Federal Regulations.

\(b\) If the recipient is an institution of higher education, the
Assurances given herein extend to admission practices and to all other
practices relating to the treatment of students or clients of the
institution, or relating to the opportunity to participate in the
provision of services or other benefits to such individuals, and shall
be applicable to the entire institution unless the recipient establishes
to the satisfaction of the USAID Administrator that the institution\'s
practices in designated parts or programs of the institution will in no
way affect its practices in the program of the institution for which
financial assistance is sought, or the beneficiaries of, or participants
in, such programs.

\(c\) This assurance is given in consideration of and for the purpose of
obtaining any and all Federal grants, loans, contracts, property,
discounts, or other Federal financial assistance extended after the date
hereof to the recipient by the Agency, including installment payments
after such date on account of applications for Federal financial
assistance which were approved before such date. The recipient
recognizes and agrees that such Federal financial assistance will be
extended in reliance on the representations and agreements made in this
Assurance, and that the United States shall have the right to seek
judicial enforcement of this Assurance. This Assurance is binding on the
recipient, its successors, transferees, and assignees, and the person or
persons whose signatures appear below are authorized to sign this
Assurance on behalf of the recipient.

2\. CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS

\(a\) Instructions for Certification

\(1\) By signing and/or submitting this application or grant, the
recipient is providing the certification set out below.

\(2\) The certification set out below is a material representation of
fact upon which reliance was placed when the agency determined to award
the grant. If it is later determined that the recipient knowingly
rendered a false certification, or otherwise violates the requirements
of the Drug-Free Workplace Act, the agency, in addition to any other
remedies available to the Federal Government, may take action authorized
under the Drug-Free Workplace Act.

\(3\) For recipients other than individuals, Alternate I applies.

\(4\) For recipients who are individuals, Alternate II applies.

\(b\) Certification Regarding Drug-Free Workplace Requirements

Alternate I

\(1\) The recipient certifies that it will provide a drug-free workplace
by:

\(A\) Publishing a statement notifying employees that the unlawful
manufacture, distribution, dispensing, possession or use of a controlled
substance is prohibited in the applicant\'s/grantee\'s workplace and
specifying the actions that will be taken against employees for
violation of such prohibition;

\(B\) Establishing a drug-free awareness program to inform employees
about\--

1\. The dangers of drug abuse in the workplace;

2\. The recipient\'s policy of maintaining a drug-free workplace;

3\. Any available drug counseling, rehabilitation, and employee
assistance programs; and

4\. The penalties that may be imposed upon employees for drug abuse
violations occurring in the workplace;

\(C\) Making it a requirement that each employee to be engaged in the
performance of the grant be given a copy of the statement required by
paragraph (b)(1)(A);

\(D\) Notifying the employee in the statement required by paragraph
(b)(1)(A) that, as a condition of employment under the grant, the
employee will\--

1\. Abide by the terms of the statement; and

2\. Notify the employer of any criminal drug statute conviction for a
violation occurring in the workplace no later than five days after such
conviction;

\(E\) Notifying the agency within ten days after receiving notice under
subparagraph (b)(1)(D)1, from an employee or otherwise receiving actual
notice of such conviction;

\(F\) Taking one of the following actions, within 30 days of receiving
notice under subparagraph (b)(1)(D)2., with respect to any employee who
is so convicted\--

1\. Taking appropriate personnel action against such an employee, up to
and including termination; or

2\. Requiring such employee to participate satisfactorily in a drug
abuse assistance or rehabilitation program approved for such purposes by
a Federal, State, or local health, law enforcement, or other appropriate
agency;

\(G\) Making a good faith effort to continue to maintain a drug- free
workplace through implementation of paragraphs (b)(1)(A), (b)(1)(B),
(b)(1)(C), (b)(1)(D), (b)(1)(E) and (b)(1)(F).

\(2\) The recipient shall insert in the space provided below the site(s)
for the performance of work done in connection with the specific grant:

Place of Performance (Street address, city, county, state, zip code)

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

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

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

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

Alternate II

The recipient certifies that, as a condition of the grant, he or she
will not engage in the unlawful manufacture, distribution, dispensing,
possession or use of a controlled substance in conducting any activity
with the grant.

3\. CERTIFICATION REGARDING DEBARMENT, SUSPENSION, AND OTHER
RESPONSIBILITY MATTERS \-- PRIMARY COVERED TRANSACTIONS \[3\]

\(a\) Instructions for Certification

1\. By signing and submitting this proposal, the prospective primary
participant is providing the certification set out below.

2\. The inability of a person to provide the certification required
below will not necessarily result in denial of participation in this
covered transaction. The prospective participant shall submit an
explanation of why it cannot provide the certification set out below.
The certification or explanation will be considered in connection with
the department or agency\'s determination whether to enter into this
transaction. However, failure of the prospective primary participant to
furnish a certification or an explanation shall disqualify such person
from participation in this transaction.

3\. The certification in this clause is a material representation of
fact upon which reliance was placed when the department or agency
determined to enter into this transaction. If it is later determined
that the prospective primary participant knowingly rendered an erroneous
certification, in addition to other remedies available to the Federal
Government, the department or agency may terminate this transaction for
cause or default.

4\. The prospective primary participant shall provide immediate written
notice to the department or agency to whom this proposal is submitted if
at any time the prospective primary participant learns that its
certification was erroneous when submitted or has become erroneous by
reason of changed circumstances.

5\. The terms \"covered transaction,\" \"debarred,\" \"suspended,\"
\"ineligible,\" lower tier covered transaction,\" \"participant,\"
\"person,\" \"primary covered transaction,\" \"principal,\"
\"proposal,\" and \"voluntarily excluded,\" as used in this clause, have
the meaning set out in the Definitions and Coverage sections of the
rules implementing Executive Order 12549. \[4\] You may contact the
department or agency to which this proposal is being submitted for
assistance in obtaining a copy of those regulations.

6\. The prospective primary participant agrees by submitting this
proposal that, should the proposed covered transaction be entered into,
it shall not knowingly enter into any lower tier covered transaction
with a person who is debarred, suspended, declared ineligible, or
voluntarily excluded from participation in this covered transaction,
unless authorized by the department or agency entering into this
transaction.

7\. The prospective primary participant further agrees by submitting
this proposal that it will include the clause titled \"Certification
Regarding Debarment, Suspension, Ineligibility and Voluntary
Exclusion\--Lower Tier Covered Transaction,\" \[5\] provided by the
department or agency entering into this covered transaction, without
modification, in all lower tier covered transactions and in all
solicitations for lower tier covered transactions.

8\. A participant in a covered transaction may rely upon a certification
of a prospective participant in a lower tier covered transaction that it
is not debarred, suspended, ineligible, or voluntarily excluded from the
covered transaction, unless it knows that the certification is
erroneous. A participant may decide the methods and frequency by which
it determines the eligibility of its principals. Each participant may,
but is not required to, check the Non-procurement List.

9\. Nothing contained in the foregoing shall be construed to require
establishment of a system of records in order to render in good faith
the certification required by this clause. The knowledge and information
of a participant is not required to exceed that which is normally
possessed by a prudent person in the ordinary course of business
dealing.

10\. Except for transactions authorized under paragraph 6 of these
instructions, if a participant in a covered transaction knowingly enters
into a lower tier covered transaction with a person who is suspended,
debarred, ineligible, or voluntarily excluded from participation in this
transaction, in addition to other remedies available to the Federal
Government, the department or agency may terminate this transaction for
cause or default.

\(b\) Certification Regarding Debarment, Suspension, and Other
Responsibility Matters\--Primary Covered Transactions

\(1\) The prospective primary participant certifies to the best of its
knowledge and belief, the it and its principals:

\(A\) Are not presently debarred, suspended, proposed for debarment,
declared ineligible, or voluntarily excluded from covered transactions
by any Federal department or agency;

\(B\) Have not within a three-year period preceding this proposal been
convicted of or had a civil judgment rendered against them for
commission of fraud or a criminal offense in connection with obtaining,
attempting to obtain, or performing a public (Federal, State or local)
transaction or contract under a public transaction; violation of Federal
or State antitrust statutes or commission of embezzlement, theft,
forgery, bribery, falsification or destruction of records, making false
statements, or receiving stolen property;

\(C\) Are not presently indicted for or otherwise criminally or civilly
charged by a governmental entity (Federal, State or local) with
commission of any of the offenses enumerated in paragraph (1)(B) of this
certification;

\(D\) Have not within a three-year period proceeding this
application/proposal had one or more public transactions (Federal, State
or local) terminated for cause or default.

\(2\) Where the prospective primary participant is unable to certify to
any of the statements in this certification, such prospective
participant shall attach an explanation to this proposal.

4\. CERTIFICATION REGARDING LOBBYING

The undersigned certifies, to the best of his or her knowledge and
belief, that:

\(1\) No Federal appropriated funds have been paid or will be paid, by
or on behalf of the undersigned, to any person for influencing or
attempting to influence an officer or employee of any agency, a Member
of Congress, an officer or employee of Congress, or an employee of a
Member of Congress in connection with the awarding of any Federal
contract, the making of any Federal grant, the making of any Federal
loan, the entering into of any cooperative agreement, and the extension,
continuation, renewal, amendment or modification of any Federal
contract, grant, loan, or cooperative agreement.

\(2\) If any funds other than Federal appropriated funds have been paid
or will be paid to any person for influencing or attempting to influence
an officer or employee of any agency, a Member of Congress, an officer
or employee of Congress, or an employee of a Member of Congress in
connection with this Federal contract, grant, loan, or cooperative
agreement, the undersigned shall complete and submit Standard Form-LLL,
\"Disclosure of Lobbying Activities,\" in accordance with its
instructions.

\(3\) The undersigned shall require that the language of this
certification be included in the award documents for all sub-awards at
all tiers (including subcontracts, sub-grants, and contracts under
grants, loans, and cooperative agreements) and that all sub-recipients
shall certify and disclose accordingly.

This certification is a material representation of fact upon which
reliance was placed when this transaction was made or entered into.
Submission of this certification is a prerequisite for making or
entering into this transaction imposed by section 1352, title 31, United
States Code. Any person who fails to file the required certification
shall be subject to a civil penalty of not less than \$10,000 and not
more than \$100,000 for each such failure.

Statement for Loan Guarantees and Loan Insurance

The undersigned states, to the best of his or her knowledge and belief,
that: If any funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee of any
agency, a Member of Congress, an officer or employee of Congress, or an
employee of a Member of Congress in connection with this commitment
providing for the United States to insure or guarantee a loan, the
undersigned shall complete and submit Standard Form-LLL, \"Disclosure
Form to Report Lobbying,\" in accordance with its instructions.
Submission of this statement is a prerequisite for making or entering
into this transaction imposed by section 1352, title 31, U.S. Code. Any
person who fails to file the required statement shall be subject to a
civil penalty of not less than \$10,000 and not more than \$100,000 for
each such failure.

5\. PROHIBITION ON ASSISTANCE TO DRUG TRAFFICKERS FOR COVERED COUNTRIES
AND INDIVIDUALS (ADS 206)

USAID reserves the right to terminate this \[Agreement/Contract\], to
demand a refund or take other appropriate measures if the \[Grantee/
Contractor\] is found to have been convicted of a narcotics offense or
to have been engaged in drug trafficking as defined in 22 CFR Part 140.
The undersigned shall review USAID ADS 206 to determine if any
certifications are required for Key Individuals or Covered Participants.

If there are COVERED PARTICIPANTS: USAID reserves the right to terminate
assistance to, or take other appropriate measures with respect to, any
participant approved by USAID who is found to have been convicted of a
narcotics offense or to have been engaged in drug trafficking as defined
in 22 CFR Part 140.

The recipient has reviewed and is familiar with the proposed grant
format and the applicable regulations, and takes exception to the
following (use a continuation page as necessary):

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

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

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

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

Solicitation No.
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Application/Proposal No.
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Date of Application/Proposal
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Name of Recipient
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Typed Name and Title
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Signature
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Date \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\[1\] FORMATS\\GRNTCERT: Rev. 06/16/97 (ADS 303.6, E303.5.6a) \[2\] When
these Certifications, Assurances, and Other Statements of Recipient are
used for cooperative agreements, the term \"Grant\" means \"Cooperative
Agreement\". \[3\] The recipient must obtain from each identified
sub-grantee and (sub)contractor, and submit with its
application/proposal, the Certification Regarding Debarment, Suspension,
Ineligibility and Voluntary Exclusion \-- Lower Tier Transactions, set
forth in Attachment A hereto. The recipient should reproduce additional
copies as necessary. \[4\] See ADS Chapter E303.5.6a, 22 CFR 208,
Annex1, App A. \[5\] For USAID, this clause is entitled \"Debarment,
Suspension, Ineligibility, and Voluntary Exclusion (March 1989)\" and is
set forth in the grant standard provision entitled \"Debarment,
Suspension, and Related Matters\" if the recipient is a U.S.
nongovernmental organization, or in the grant standard provision
entitled \"Debarment, Suspension, and Other Responsibility Matters\" if
the recipient is a non-U.S. non-Governmental Organization.

##  PART II - OTHER STATEMENTS OF RECIPIENT

1\. AUTHORIZED INDIVIDUALS

The recipient represents that the following persons are authorized to
negotiate on its behalf with the Government and to bind the recipient in
connection with this application or grant:

Name Title Telephone No. Facsimile No.

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

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

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

2\. TAXPAYER IDENTIFICATION NUMBER (TIN)

If the recipient is a U.S. organization, or a foreign organization which
has income effectively connected with the conduct of activities in the
U.S. or has an office or a place of business or a fiscal paying agent in
the U.S., please indicate the recipient\'s TIN:

TIN: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

3\. CONTRACTOR IDENTIFICATION NUMBER - DATA UNIVERSAL NUMBERING SYSTEM
(DUNS) NUMBER

\(a\) In the space provided at the end of this provision, the recipient
should supply the Data Universal Numbering System (DUNS) number
applicable to that name and address. Recipients should take care to
report the number that identifies the recipient\'s name and address
exactly as stated in the proposal.

\(b\) The DUNS is a 9-digit number assigned by Dun and Bradstreet
Information Services. If the recipient does not have a DUNS number, the
recipient should call Dun and Bradstreet directly at 1-800-333-0505. A
DUNS number will be provided immediately by telephone at no charge to
the recipient. The recipient should be prepared to provide the following
information:

\(1\) Recipient\'s name.

\(2\) Recipient\'s address.

\(3\) Recipient\'s telephone number.

\(4\) Line of business.

\(5\) Chief executive officer/key manager.

\(6\) Date the organization was started.

\(7\) Number of people employed by the recipient.

\(8\) Company affiliation.

\(c\) Recipients located outside the United States may obtain the
location and phone number of the local Dun and Bradstreet Information
Services office from the Internet Home Page at
http://www.dbisna.com/dbis/customer/custlist.htm. If an applicant is
unable to locate a local service center, it may send an e-mail to Dun
and Bradstreet at globalinfo@dbisma.com.

The DUNS system is distinct from the Federal Taxpayer Identification
Number (TIN) system.

DUNS:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

4\. LETTER OF CREDIT (LOC) NUMBER

If the recipient has an existing Letter of Credit (LOC) with USAID,
please indicate the LOC number:

LOC:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

5\. PROCUREMENT INFORMATION

\(a\) Applicability. This applies to the procurement of goods and
services planned by the recipient (i.e., contracts, purchase orders,
etc.) from a supplier of goods or services for the direct use or benefit
of the recipient in conducting the program supported by the grant, and
not to assistance provided by the recipient (i.e., a sub-grant or
sub-agreement) to a sub-grantee or sub-recipient in support of the
sub-grantee\'s or sub-recipient\'s program. Provision by the recipient
of the requested information does not, in and of itself, constitute
USAID approval.

\(b\) Amount of Procurement. Please indicate the total estimated dollar
amount of goods and services which the recipient plans to purchase under
the grant:

\$\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\(c\) Nonexpendable Property. If the recipient plans to purchase
nonexpendable equipment which would require the approval of the
Agreement Officer, please indicate below (using a continuation page, as
necessary) the types, quantities of each, and estimated unit costs.
Nonexpendable equipment for which the Agreement Officer\'s approval to
purchase is required is any article of nonexpendable tangible personal
property charged directly to the grant, having a useful life of more
than one year and an acquisition cost of \$5,000 or more per unit.

TYPE/DESCRIPTION QUANTITY ESTIMATED UNIT COST

(Generic)

\(d\) Source, Origin, and Componentry of Goods. If the recipient plans
to purchase any goods/commodities which are not of U.S. source and/or
U.S. origin, please indicate below (using a continuation page, as
necessary) the types and quantities of each, estimated unit costs of
each, and probable source and/or origin. \"Source\" means the country
from which a commodity is shipped to the cooperating country or the
cooperating country itself if the commodity is located therein at the
time of purchase. However, where 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. Any commodity whose source is a non-Free World
country is ineligible for USAID financing. The \"origin\" of a commodity
is the country or area in which a commodity is mined, grown, or
produced. A commodity is produced when, through manufacturing,
processing, or substantial and major assembling of components, a
commercially recognized new commodity results, which is substantially
different in basic characteristics or in purpose or utility from its
components. Merely packaging various items together for a particular
procurement or re-labeling items does not constitute production of a
commodity. Any commodity whose origin is a non-Free World country is
ineligible for USAID financing. \"Components\" are the goods which go
directly into the production of a produced commodity. Any component from
a non-Free World country makes the commodity ineligible for USAID
financing.

TYPE/QUANTITY EST. GOODS PROBABLE GOODS PROBABLE DESCRIPTION UNIT
COMPONENTS SOURCE COMPONENTS ORIGIN COST

(Generic)

\(e\) Restricted Goods. If the recipient plans to purchase any
restricted goods, please indicate below (using a continuation page, as
necessary) the types and quantities of each, estimated unit costs of
each, intended use, and probable source and/or origin. Restricted goods
are Agricultural Commodities, Motor Vehicles, Pharmaceuticals,
Pesticides, Rubber Compounding Chemicals and Plasticizers, Used
Equipment, U.S. Government-Owned Excess Property, and Fertilizer.

TYPE/QUANTITY ESTIMATED PROBABLE PROBABLE INTENDED

DESCRIPTION UNIT COST SOURCE ORIGIN USE

(Generic)

\(f\) Supplier Nationality. If the recipient plans to purchase any goods
or services from suppliers of goods and services whose nationality is
not in the U.S., please indicate below (using a continuation page, as
necessary) the types and quantities of each good or service, estimated
costs of each, probable nationality of each non-U.S. supplier of each
good or service, and the rationale for purchasing from a non-U.S.
supplier. Any supplier whose nationality is a non-Free World country is
ineligible for USAID financing.

TYPE/ QUANTITY ESTIMATED PROBABLE NATIONALITY RATIONALE

DESCRIPTION UNIT COST SUPPLIER for (Generic) (Non-US Only) NON-US

\(g\) Proposed Disposition. If the recipient plans to purchase any
nonexpendable equipment with a unit acquisition cost of \$5,000 or more,
please indicate below (using a continuation page, as necessary) the
proposed disposition of each such item. Generally, the recipient may
either retain the property for other uses and make compensation to USAID
(computed by applying the percentage of federal participation in the
cost of the original program to the current fair market value of the
property), or sell the property and reimburse USAID an amount computed
by applying to the sales proceeds the percentage of federal
participation in the cost of the original program (except that the
recipient may deduct from the federal share \$500 or 10% of the
proceeds, whichever is greater, for selling and handling expenses), or
donate the property to a host country institution, or otherwise dispose
of the property as instructed by USAID.

TYPE/DESCRIPTION - QUANTITY - ESTIMATED - PROPOSED DISPOSITION

(Generic) UNIT COST

6\. PAST PERFORMANCE REFERENCES

List past performance references for similar programs to this RFA.

7\. TYPE OF ORGANIZATION

The recipient, by checking the applicable box, represents that -

\(a\) If the recipient is a U.S. entity, it operates as \[ \] a
corporation incorporated under the laws of the State of, \[ \] an
individual, \[ \] a partnership, \[ \] a nongovernmental nonprofit
organization, \[ \] a state or loc al governmental organization, \[ \] a
private college or university, \[ \] a public college or university, \[
\] an international organization, or \[ \] a joint venture; or

\(b\) If the recipient is a non-U.S. entity, it operates as \[ \] a
corporation organized under the laws of
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ (country), \[
\] an individual, \[ \] a partnership, \[ \] a nongovernmental nonprofit
organization, \[ \] a nongovernmental educational institution, \[ \] a
governmental organization, \[ \] an international organization, or \[ \]
a joint venture.

8\. ESTIMATED COSTS OF COMMUNICATIONS PRODUCTS

The following are the estimate(s) of the cost of each separate
communications product (i.e., any printed material \[other than non-
color photocopy material\], photographic services, or video production
services) which is anticipated under the grant. Each estimate must
include all the costs associated with preparation and execution of the
product. Use a continuation page as necessary.

**CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND
VOLUNTARY EXCLUSION LOWER TIER COVERED TRANSACTIONS**

\(a\) Instructions for Certification

1\. By signing and submitting this proposal, the prospective lower tier
participant is providing the certification set out below.

2\. The certification in this clause is a material representation of
fact upon which reliance was placed when this transaction was entered
into. If it is later determined that the prospective lower tier
participant knowingly rendered an erroneous certification, in addition
to other remedies available to the Federal Government, the department or
agency with which this transaction originated may pursue available
remedies, including suspension and/or debarment.

3\. The prospective lower tier participant shall provide immediate
written notice to the person to whom this proposal is submitted if at
any time the prospective lower tier participant learns that its
certification was erroneous when submitted or has become erroneous by
reason of changed circumstances.

4\. The terms \"covered transaction,\" \"debarred,\" \"suspended,\"
ineligible, \"lower tier covered transaction,\" \"participant,\"
\"person,\" \"primary covered transaction,\" \"principal,\"
\"proposal,\" and \"voluntarily excluded,\" as used in this clause, has
the meanings set out in the Definitions and Coverage sections of rules
implementing Executive Order 12549. 1/ You may contact the person to
which this proposal is submitted for assistance in obtaining a copy of
those regulations.

5\. The prospective lower tier participant agrees by submitting this
proposal that, should the proposed covered transaction be entered into,
it shall not knowingly enter into any lower tier covered transaction
with a person who is debarred, suspended, declared ineligible, or
voluntarily excluded from participation in this covered transaction,
unless authorized by the department or agency with which this
transaction originated.

6\. The prospective lower tier participant further agrees by submitting
this proposal that it will include this clause titled \"Certification
Regarding Debarment, Suspension, Ineligibility and Voluntary
Exclusion\--Lower Tier covered Transaction,\" 2/ without modification,
in all lower tier covered transactions and in all solicitations for
lower tier covered transactions.

7\. A participant in a covered transaction may rely upon a certification
of a prospective participant in a lower tier covered transaction that it
is not debarred, suspended, ineligible, or voluntarily excluded from the
covered transaction, unless it knows that the certification is
erroneous. A participant may decide the method and frequency by which it
determines the eligibility of its principals. Each participant may, but
is not required to, check the Non procurement List.

8\. Nothing contained in the foregoing shall be construed to require
establishment of a system of records in order to render in good faith
the certification required by this clause. The knowledge and information
of a participant is not required to exceed that which is normally
possessed by a prudent person in the ordinary course of business
dealings.

9\. Except for transactions authorized under paragraph 5 of these
instructions, if a participant in a covered transaction knowingly enters
into a lower tier covered transaction with a person who is suspended,
debarred, ineligible, or voluntarily excluded from participation in this
transaction, in addition to other remedies available to the Federal
Government, the department or agency with which this transaction
originated may pursue available remedies, including suspension and/or
debarment.

\(b\) Certification Regarding Debarment, Suspension, Ineligibility and
Voluntary Exclusion\--Lower Tier Covered Transactions

\(1\) The prospective lower tier participant certifies, by submission of
this proposal, that neither it nor its principals is presently debarred,
suspended, proposed for debarment, declared ineligible, or voluntarily
excluded from participation in this transaction by any Federal
department or agency.

\(2\) Where the prospective lower tier participant is unable to certify
to any of the statements in this certification, such prospective
participant shall attach an explanation to this proposal.

Solicitation No.
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Application/Proposal No.
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Date of Application/Proposal
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Name of Applicant/Sub-grantee
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Typed Name and Title
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Signature
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

1/ See ADS Chapter 303, 22 CFR 208.

2/ For USAID, this clause is entitled \"Debarment, Suspension,
Ineligibility, and Voluntary Exclusion (March 1989)\" and is set forth
in the USAID grant standard provision for U.S. nongovernmental
organizations entitled \"Debarment, Suspension, and Related Matters\"
(see ADS Chapter 303), or in the USAID grant standard provision for
non-U.S. nongovernmental organizations entitled \"Debarment, Suspension,
and Other Responsibility Matters\" (see ADS Chapter 303).

**KEY INDIVIDUAL CERTIFICATION NARCOTICS OFFENSES**

**AND DRUG TRAFFICKING**

I hereby certify that within the last ten years:

1\. I have not been convicted of a violation of, or a conspiracy to
violate, any law or regulation of the United States or any other country
concerning narcotic or psychotropic drugs or other controlled
substances.

2\. I am not and have not been an illicit trafficker in any such drug or
controlled substance.

3\. I am not and have not been a knowing assistor, abettor, conspirator,
or colluder with others in the illicit trafficking in any such drug or
substance.

Signature:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Date:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Name:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Title/Position:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Organization:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Address:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

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

Date of Birth:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

NOTICE:

1\. You are required to sign this Certification under the provisions of
22 CFR Part 140, Prohibition on Assistance to Drug Traffickers. These
regulations were issued by the Department of State and require that
certain key individuals of organizations must sign this Certification.

2\. If you make a false Certification you are subject to U.S. criminal
prosecution under 18 U.S.C. 1001.

**PARTICIPANT CERTIFICATION NARCOTICS OFFENSES AND DRUG TRAFFICKING**

1\. I hereby certify that within the last ten years:

a\. I have not been convicted of a violation of, or a conspiracy to
violate, any law or regulation of the United States or any other country
concerning narcotic or psychotropic drugs or other controlled
substances.

b\. I am not and have not been an illicit trafficker in any such drug or
controlled substance.

c\. I am not or have not been a knowing assistor, abettor, conspirator,
or colluder with others in the illicit trafficking in any such drug or
substance.

2\. I understand that USAID may terminate my training if it is
determined that I engaged in the above conduct during the last ten years
or during my USAID training.

Signature:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Name:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Date:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Address:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

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

Date of Birth:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

NOTICE:

1\. You are required to sign this Certification under the provisions of
22 CFR Part 140, Prohibition on Assistance to Drug Traffickers. These
regulations were issued by the Department of State and require that
certain participants must sign this Certification.

2\. If you make a false Certification you are subject to U.S. criminal
prosecution under 18 U.S.C. 1001.

FORMATS\\GRNTCERT: Rev. 06/16/97 (ADS 303.6, E303.5.6a) When these
Certifications, Assurances, and Other Statements of Recipient are used
for cooperative agreements, the term \"Grant\" means \"Cooperative
Agreement\". The recipient must obtain from each identified sub-grantee
and (sub)contractor, and submit with its application/proposal, the
Certification Regarding Debarment, Suspension, Ineligibility and
Voluntary Exclusion \-- Lower Tier Transactions, set forth in Attachment
A hereto. The recipient should reproduce additional copies as necessary.
See ADS Chapter E303.5.6a, 22 CFR 208, Annex1, App A. For USAID, this
clause is entitled \"Debarment, Suspension, Ineligibility, and Voluntary
Exclusion (March 1989)\" and is set forth in the grant standard
provision entitled \"Debarment, Suspension, and Related Matters\" if the
recipient is a U.S. nongovernmental organization, or in the grant
standard provision entitled \"Debarment, Suspension, and Other
Responsibility Matters\" if the recipient is a non-U.S. nongovernmental
organization.

**CERTIFICATION REGARDING MATERIAL SUPPORT AND RESOURCES**

As a condition of entering into the referenced agreement,
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ hereby certifies that it has
not provided and will not provide material support or resources to any
individual or entity that it knows, or has reason to know, is an
individual or entity that advocates, plans, sponsors, engages in, or has
engaged in terrorist activity, including but not limited to the
individuals and entities listed in the Annex to Executive Order 13224
and other such individuals and entities that may be later designated by
the United States under any of the following authorities: § 219 of the
Immigration and Nationality Act, as amended (8 U.S.C. § 1189), the
International Emergency Economic Powers Act (50 U.S.C. § 1701 et seq.),
the National Emergencies Act (50 U.S.C. § 1601 et seq.), or §
212(a)(3)(B) of the Immigration and Nationality Act, as amended by the
USA Patriot Act of 2001, Pub. L. 107-56 (October 26, 2001)(8 U.S.C.
§1182). \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ further certifies
that it will not provide material support or resources to any individual
or entity that it knows, or has reason to know, is acting as an agent
for any individual or entity that advocates, plans, sponsors, engages
in, or has engaged in, terrorist activity, or that has been so
designated, or will immediately cease such support if an entity is so
designated after the date of the referenced agreement.

For purposes of this certification, \"material support and resources\"
includes currency or other financial securities, financial services,
lodging, training, safe houses, false documentation or identification,
communications equipment, facilities, weapons, lethal substances,
explosives, personnel, transportation, and other physical assets, except
medicine or religious materials.

For purposes of this certification, \"engage in terrorist activity\"
shall have the same meaning as in section 212(a)(3)(B)(iv) of the
Immigration and Nationality Act, as amended (8 U.S.C. § 1182(a)(3)(B)
(iv)).

For purposes of this certification, \"entity\" means a partnership,
association, corporation, or other organization, group, or subgroup.
This certification is an express term and condition of the agreement and
any violation of it shall be grounds for unilateral termination of the
agreement by USAID prior to the end of its term.

Signature:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Name:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Date:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Address:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

NOTICE: If you make a false Certification you are subject to U.S.
criminal prosecution under 18 U.S.C. 1001.

**PART III -** **SPECIAL PROVISIONS**

**(A) SUPPORTING USAID'S DISABILITY POLICY IN CONTRACTS, GRANTS, AND
COOPERATIVE AGREEMENTS**

[USAID Disability Policy -- Assistance (December 2004)]{.underline}

(a) The objectives of the USAID Disability Policy are (1) to enhance the
    attainment of United States foreign assistance program goals by
    promoting the participation and equalization of opportunities of
    individuals with disabilities in USAID policy, country and sector
    strategies, activity designs and implementation; (2) to increase
    awareness of issues of people with disabilities both within USAID
    programs and in host countries; (3) to engage other U.S. Government
    agencies, host country counterparts, governments, implementing
    organizations and other donors in fostering a climate of
    non-discrimination against people with disabilities; and (4) to
    support international advocacy for people with disabilities. The
    full text of the policy paper can be found at the following website:
    <http://www.usaid.gov/about/disability/DISABPOL.FIN.html>

(b) USAID therefore requires that the recipient not discriminate against
    people with disabilities in the implementation of USAID-funded
    programs and that it make every effort to comply with the objectives
    of the USAID Disability Policy in performing the program under this
    grant or cooperative agreement. To that end and to the extent it can
    accomplish this goal with the scope of the program objectives, the
    recipient should demonstrate a comprehensive and consistent approach
    for including men, women and children with disabilities. Questions
    about USAID's Disability Policy can be directed to Lynne Schaberg,
    PPC/P at 202-712-1891 or Lloyd Feinberg, DCHA/DG, 202-712-5725.

(c) USAID encourages Recipients to follow this policy to the maximum
    extent possible. By signing below, the Recipient acknowledges that
    it is aware of this policy and will apply it to the maximum extent
    practicable.

> Signature:
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> Name:
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Date:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**(B) DEPARTMENT OF STATE GUIDANCE ENTITLED -- SECTION 579**

**IMPLEMENTATION -- TAXATION OF US FOREIGN ASSISTANCE**

**"Reporting of Foreign Taxes**

a\. The recipient must annually submit a report by April 16 of the next
year.

b\. Contents of Report. The report must contain:

\(i\) Contractor/recipient name.

\(ii\) Contact name with phone, fax and email.

\(iii\) Agreement number(s).

> \(iv\) Amount of foreign taxes assessed by a foreign government \[each
> foreign government must be listed separately\] on commodity purchase
> transactions valued at \$500 or more financed with U.S. foreign
> assistance funds under this agreement during the prior U.S. fiscal
> year.
>
> \(v\) Only foreign taxes assessed by the foreign government in the
> country receiving U.S. assistance is to be reported. Foreign taxes by
> a third party foreign government are not to be reported. For example,
> if an assistance program for Lesotho involves the purchase of
> commodities in South Africa using foreign assistance funds, any taxes
> imposed by South Africa would not be reported in the report for
> Lesotho (or South Africa).
>
> \(vi\) Any reimbursements received by the Recipient during the period
> in (iv) regardless of when the foreign tax was assessed and any
> reimbursements on the taxes reported in (iv) received through March
> 31.

\(vii\) Report is required even if the recipient did not pay any

taxes during the report period.

> \(viii\) Cumulative reports may be provided if the recipient is
> implementing more than one program in a foreign country.

c\. Definitions. For purposes of this clause:

> \(i\) "Agreement" includes USAID direct and country contracts, grants,
> cooperative agreements and interagency agreements.

\(ii\) "Commodity" means any material, article, supply, goods, or

equipment.

\(iii\) "Foreign government" includes any foreign governmental

entity.

> \(iv\) "Foreign taxes" means value-added taxes and custom duties
> assessed by a foreign government on a commodity. It does not include
> foreign sales taxes.

d\. Where. Submit the reports to: \[insert address and point of contact
at the Embassy, Mission or FM/CMP as appropriate. see b. below\]
\[optional with a copy to \]

e\. Subagreements. The recipient must include this reporting requirement
in all applicable subcontracts, subgrants and other subagreements.

f\. For further information see <http://www.state.gov/m/rm/c10443.htm>.

**(C) IMPLEMENTATION OF E.O. 13224 \-- CERTIFICATION REGARDING TERRORIST
FINANCING**

Before making the award of a grant or cooperative agreement to a
non-governmental organization, the Agreement Officer must obtain a
certification from both U.S. and non-U.S. organizations, substantially
as follows:

> "As a condition of entering into the referenced agreement, \[name of
> organization\] hereby certifies that it has not provided and will not
> provide material support or resources to any individual or entity that
> it knows, or has reason to know, is an individual or entity that
> advocates, plans, sponsors, engages in, or has engaged in terrorist
> activity, including but not limited to the individuals and entities
> listed in the Annex to Executive Order 13224 and other such
> individuals and entities that may be later designated by the United
> States under any of the following authorities: § 219 of the
> Immigration and Nationality Act, as amended (8 U.S.C. § 1189), the
> International Emergency Economic Powers Act (50 U.S.C. § 1701 et
> seq.), the National Emergencies Act (50 U.S.C. § 1601 et seq.), or §
> 212(a)(3)(B) of the Immigration and Nationality Act, as amended by the
> USA Patriot Act of 2001, Pub. L. 107-56 (October 26, 2001)(8 U.S.C.
> §1182). \[Name of organization\] further certifies that it will not
> provide material support or resources to any individual or entity that
> it knows, or has reason to know, is acting as an agent for any
> individual or entity that advocates, plans, sponsors, engages in, or
> has engaged in, terrorist activity, or that has been so designated, or
> will immediately cease such support if an entity is so designated
> after the date of the referenced agreement.
>
> For purposes of this certification, \"material support and resources\"
> includes currency or other financial securities, financial services,
> lodging, training, safe houses, false documentation or identification,
> communications equipment, facilities, weapons, lethal substances,
> explosives, personnel, transportation, and other physical assets,
> except medicine or religious materials.
>
> For purposes of this certification, \"engage in terrorist activity\"
> shall have the same meaning as in section 212(a)(3)(B)(iv) of the
> Immigration and Nationality Act, as amended (8 U.S.C. §
> 1182(a)(3)(B)(iv)).
>
> For purposes of this certification, "entity" means a partnership,
> association, corporation, or other organization, group, or subgroup.
>
> This certification is an express term and condition of the agreement
> and any violation of it shall be grounds for unilateral termination of
> the agreement by USAID prior to the end of its term."

Solicitation No.
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Application/Proposal No.
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Date of Application/Proposal
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Name of Applicant/Sub-grantee
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Typed Name and Title
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

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

Signature \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Please indicate concurrence to standard provisions that can be viewed at
USAID website [www.usaid.gov/pubs/ads/300/303.pdf]{.underline}

Also, as per AAPD 02-04, dated March 20, 2002, it is mandatory to
incorporate the following Standard Provisions in all solicitations and
awards:

"PROHIBITIONS ON TRANSACTIONS WITH INDIVIDUALS OR ORGANIZATIONS
ASSOCIATED WITH TERRORISM:

The Contractor/Recipient is reminded that U.S. Executive Orders and U.S.
law prohibits 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. This provision must be
included in all subcontracts/sub awards issued under this
contract/agreement.\"

**ATTACHMENTS**

A. Mandatory Standard Provisions for U.S. Nongovernmental recipients can
be accessed through USAID's website
<http://www.usaid.gov/policy/ads/300/refindx3.htm>

B. Mandatory Standard Provisions for Non-U.S., Nongovernmental
recipients can be accessed through USAID's website
<http://www.usaid.gov/policy/ads/300/refindx3.htm>

**C. Marking Under Assistance Instruments (AAPD 05-11) can be accessed
through USAID's website**

**[http://www.usaid.gov/business/business_opportunities/cib/pdf/aapd05_11.pdf]{.underline}**

**D. SF 424 Application For Federal Assistance Website: This form can be
downloaded on USAID website at**:
[**http://www.usaid.gov/procurement_bus_opp/procurement/forms**](http://www.usaid.gov/procurement_bus_opp/procurement/forms)

F. IMPERATIVE SITES

  ---------------------- -------------- -------------- ------------ ------------ ------------
  **IMPERATIVE SITES**                                                           

  **Province**           **District**   **Service      **Clients on **All HIV    **Total
                                        Delivery       ART**        Clients**    Clients in
                                        Point**                                  care**

  Rift Valley            Uasingishu     MTRH           6,669        12,304       12,304

  Rift Valley            Uasingishu     Burnt Forest   931          1,707        1,707
                                        HC                                       

  Rift Valley            Keiyo          Iten DH        184          346          346

  Rift Valley            Baringo        Kabarnet DH    368          641          641

  Rift Valley            Baringo        Marigat HC     Satellite to              
                                                       Kabarnet-                 
                                                       numbers in                
                                                       Kabarnet                  

  Rift Valley            Trans Nzoia    Kitale DH      1,585        3,697        3,697

  Rift Valley            Nandi North    Mosoriot HC    1,731        3,722        3,722

  Rift Valley            Uasingishu     Turbo HC       1,227        2,682        2,682

  Rift Valley            West Pokot     Kapenguria DH  248          687          687

  Western                Busia          Busia DH       1,196        3,303        3,303

  Western                Busia          Port Victoria  573          1,312        1,312
                                        SDH                                      

  Western                Busia          Khunyangu SDH  88           611          611

  Western                Teso           Amukura HC     513          1,100        1,100

  Western                Teso           (Kocholia)     460          1,095        1,095
                                        Teso DH                                  

  Western                Mt Elgon       Mt Elgon DH    188          467          467

  Western                Mt Elgon       Cheptais HC    Satellite to              
                                                       Mt Elgon-                 
                                                       numbers in                
                                                       Mt Elgon                  

  Western                Lugari         Naitiri HC     417          915          915

  Western                Webuye         Webuye DH      1,240        2,962        2,962

  Nyanza                 Kisumu         Chulaimbo RHF  2,695        5,756        5,756

                                                                                  

  **TOTALS**             ** **          ** **          **20,313**   **43,307**   **43,307**

  \*Continuity of                                                                
  service between former                                                         
  implementing partner                                                           
  and recipient is                                                               
  imperative so as not                                                           
  to lose clients on ART                                                         
  or other clients                                                               
  served at the point of                                                         
  service                                                                        

  \* Numbers in care and                                                         
  ART as of March 31,                                                            
  2007                                                                           

  \*Current partner:                                                             
  AMPATH (implemented by                                                         
  MTRH, MUSM, IU)                                                                

  \*MTRH- Moi Teaching                                                           
  and Referral Hospital                                                          
  HC- Health Centre DH-                                                          
  District Hospital SDH-                                                         
  Sub District Hospital                                                          
  RHF- Rural Health                                                              
  Facility                                                                       

                                                                                 

  [Program areas                        1\. PMTCT                   4\.          
  covered]{.underline}                                              Counseling & 
                                                                    Testing      

                                        2\. Palliative              5\. ARV      
                                        Care: Basic                 Services     
                                        Health Care                              

                                        3\. TB &                                 
                                        TB/HIV                                   
  ---------------------- -------------- -------------- ------------ ------------ ------------