Table of Contents Page

SECTION I - COOPERATIVE AGREEMENT APPLICATION FORMAT ............02

SECTION II - TECHNICAL EVALUATION CRITERIA
\.................................\...11

SECTION III - PROGRAM
DESCRIPTION................................................... 14

SECTION IV - USAID CERTIFICATIONS AND
ASSURANCE.......................... 28

SECTION V --
ANNEXES............................................................................53

**ANNEX 1 -- SAMPLE COOPERATIVE AGREEMENT .............................
.53**

**ANNEX 2 -USAID BRANDING POLICY
.................................................65**

**ANNEX 3 - AAPD 05-04 Certification for HIV/AIDS Program
Funds............72**

**SECTION I: COOPERATIVE AGREEMENT APPLICATION FORMAT**

**Application Format**

## 1. Preparation Guidelines {#preparation-guidelines .unnumbered}

All applications received by the deadline will be reviewed for
responsiveness to the specifications outlined in these guidelines and
the application format. **Section II** 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. Late applications will not be considered for award.

Applications shall be submitted in two separate parts: (a) technical and
(b) cost or business application. Technical and cost portions of
applications should be submitted in original and 5 copies each.
Electronic version of both applications should be provided also on a CD.

The application should be prepared according to the structural format
set forth below. 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.

Technical applications should be specific, complete and presented
concisely. The applications 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 II.**

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. To
facilitate the competitive review of the applications, USAID will
consider only applications conforming to the format prescribed below.

## 2. Technical application format {#technical-application-format .unnumbered}

Applications should be kept as concise as possible and not repeat
background information provided in the RFA. Rather, they should build on
that information, using the application as an opportunity to explain
[how]{.underline} the Applicant will achieve the results USAID seeks.
Detailed information should be presented only when required and should
be appropriately organized and referenced as attachments.

USAID requests that applications be submitted in hard copy and on CD
(prepared in Microsoft Word with a 12 point font). Inclusion of photos
is discouraged unless they can be greatly reduced in size, e.g. format
with *.jpg* extension. Original and five hard copies in English should
be presented.

Applicants should prepare their application using the following general
format:

**A. Executive Summary (maximum 3 pages)**

The Executive Summary should provide a clear summary of what will be
accomplished as well as the resources and steps required to achieve the
desired results. It should provide a short synopsis of the general
approach and methodologies and roles of contributing organizations when
appropriate.

**B. Technical Approach (maximum 20 pages)**

Applicants will submit a comprehensive, articulate plan describing their
technical approach to a) increasing wage employment, skills and
opportunities for vulnerable populations in conflict-vulnerable urban
and peri-urban areas of Haiti; and b) improving the public (shared,
common)[^1] asset base -- e.g., productive and social infrastructure --
in these areas. The hypothesis being addressed in the JOBS program is
that short-term wage employment and an improved public asset base will
discourage conflict and stimulate more employment and sustainable
livelihoods. Corollary results expected to accrue under this program
include: mitigation of civil conflict; more effective and inclusive
civil society participation in governance; and legitimate local
government providing services in key sectors.

To achieve the primary and corollary results, Applicants are encouraged
to undertake joint proposals or other group arrangements to achieve
geographic coverage and improve potential for success. In order to
maximize the potential for program sustainability, USAID has included
provision for sub-Agreements to local partners, and encourages
Applicants to incorporate participation of legitimate Haitian local or
deconcentrated technical government agencies, and Haitian NGOs, civil
society organizations (CSOs), including community-based organizations
(CBOs) and faith-based organizations (FBOs), in their plan to achieve
the results. Applicants are advised that a key factor in technical
evaluation of Applications will be the extent to which the participation
of legitimate Haitian organizations -- local government, local offices
of technical agencies, and NGOs/CBOs/FBOs \-- is incorporated in program
plans.

Efforts discussed under this Request will address the challenges Haitian
communities face in making a decent living. The program has three
anticipated results: 1) Priority Productive and Social Infrastructure
Identified through Participation of Legitimate Government (local and/or
line ministry) and Community Representatives; 2) Infrastructure Designed
and Rehabilitated with Emphasis upon Labor Intensive Construction
Methodology; and 3) Rehabilitated Infrastructure Operated or Maintained
with Local Resources. While achieving these objectives, the JOBS Program
is expected to increase the capacity of the Government of Haiti (GOH)
and its decentralized local government structures, and Haitian NGOs,
CBOs, FBOs and private commercial operators to maintain such
infrastructure over time.

The applicant should address the following in its description of its
technical approach:

a\) An overall strategy and comprehensive, detailed plan for: 1)
increasing employment in the five geographic areas; 2) renovating or
rehabilitating social and productive infrastructure with an emphasis
upon labor intensive methodology; and 3) leaving behind structures and
skills for the operation and maintenance of structures rehabilitated, in
a manner which brings community leaders and legitimate government
leaders together in a participatory, community-driven project selection
process.

b\) A discussion of the strategy, methodology, activities, resource
requirements and expected impact by the end of the Agreement for each
Result, intermediate result and any proposed sub-result. The
applicant\'s proposed targets for each indicator should also be
included.

c\) A detailed work plan for year one illustrating program benchmarks
and targets, per the program results and indicators, as described in the
program description.

d\) A brief description of the selection process and criteria it will
employ to identify local implementing partners, deliver program results
in the five geographic areas selected, select grant activities and
design and implement a training program for operations and maintenance
of infrastructure developed. The applicant shall state whether or not
they have existing relationships with other organizations, the nature of
the relationship, and how these relationships will help achieve intended
results. . The application must define the technical resources and
expertise of proposed subcontract/sub-recipient organizations. The
applicant shall clearly state its plan for managing the sub-agreements,
including: a) conducting pre-award surveys if and when required; b)
monitoring advances to sub-recipients; c) conducting financial reviews
and verification of reimbursements; and d) administering sub-recipient
audits.

All of USAID's programs under the new strategy have two common
integrating elements: gender and conflict. In terms of
[gender]{.underline}, the Applicant will be encouraged to provide
funding to activities only when local leaders have demonstrated that
each gender is proportionately represented to reflect the composition of
the community to be served. The Recipient is expected to include gender
awareness training in capacity building activities for leaders at
central, district, and community levels, and to ensure that women are
encouraged to participate actively in all discussions and meetings. The
Applicant is expected to explain their plans to undertake special
outreach to recruit women's organizations into training sessions and
workshops for institutional capacity building. In addition, the
Applicant will take into account the particular roles of men and women
in the Haitian economy -- particularly the informal economy of
low-income urban areas \-- in all program interventions. Following USG
guidance, the Recipient will be expected to disaggregate labor and other
participation statistics by sex in all program reporting. In terms of
[conflict]{.underline}, the Applicant will be encourage to provide
funding to activities only when local leaders have demonstrated an
inclusive and conflict-neutral process of project selection, and where
reasonable certainly exists that the chosen activity will not foment
conflict.

The determination of successful performance will be based upon the
achievement of the desired results and not merely the generation of
activities. The process is expected to be dynamic and will be evaluated
on an ongoing basis. If something does not work, or if progress toward
achieving targets is not satisfactory, the Recipient must identify the
reason and take steps to fix it. Above all, the Recipient must be
prepared to answer the question: \"Will what we are doing lead to the
achievement of the desired results?\" An illustrative listing of result
indicators is provided in the Program Description. The applicant will
develop and propose its own indicators as part of its program approach.
The Applicant is also encouraged to propose innovative implementation
designs to reach the desired results, and an aggressive but realistic
schedule of performance milestones as steps towards reaching those
results. Innovative approaches could include, for example, means of
ensuring post-program operation and maintenance of infrastructure
rehabilitated the role of the private sector in the program, and/or the
integration of savings formation or micro lending activities during
program implementation.

The JOBS program should be characterized by a high degree of
collaboration between Haitian NGOs, legitimate local government
authorities, CBOs and FBOs and Applicants are invited to describe the
relationships they envision with these program partners. A sub-grant
program will be integral to the success of the JOBS program and
Applicants are encouraged to design and propose a sub-grant program
consistent with USAID regulations that:

· Establishes illustrative sub-grant selection criteria that will be
finalized upon award;

> · Provides technical assistance/training to NGOs, CBOs and FBOs that
> need assistance in further developing promising proposals;

· Funds promising proposals;

· Provides technical assistance/training to sub-grantees to implement,
monitor and evaluate activities under their sub-grant;

> · Establishes a program monitoring and evaluation system, consistent
> with the JOBs Program Monitoring and Evaluation System; and,
>
> · Strengthens the technical and managerial capacity of sub-grantees to
> maintain infrastructure rehabilitation.

Applicants should estimate the dollar amount of a typical sub-grant
envisioned under this program and any minimum or maximum amounts
envisioned; the approximate number of sub-grants to be awarded per year
and the approximate total amount of the program that will be awarded as
sub-grants; and the distribution of sub-grants by program result. We
expect the grants program to promote gender equity and support a range
of activities that will lead towards the achievement of the overall
objective of the JOBS Program.

The Applicant's technical approach should be consistent with USAID\'s
philosophy of development assistance guided by four core values:
customer focus, results orientation, empowerment, accountability, and
teamwork.

Recipients are expected to work closely with the key Haitian and
international partners involved in implementation of the USAID strategic
statement to assure that activities are collaboratively programmed.
USAID particularly encourages close collaboration between Recipients and
the legitimate local government (Mayors, Councils), departmental offices
of key ministries or agencies (public works, potable water, education,
health), and active Haitian NGOs/CBOs/FBOs in the communes in which the
Recipient is working. The Recipient is expected to coordinate closely
with Haitian officials in local government and appropriate line
ministries in both the design and supervision phases, involving these
officials whenever possible in designing, procuring, and supervising all
aspects of this work in order to build government capacity. Transfer of
the skills necessary for all aspects of project selection, design and
supervision to local officials and organizations who would be
responsible for carrying out similar goals in the future is essential to
the long-term success of the activities.

USAID anticipates awarding one Cooperative Agreement (CA) to achieve the
stated results for an estimated US\$89 million for a four year program.
Because of the dynamic nature of the program and the need for
substantial involvement of USAID, the applicant will be requested to
submit a ["Continuation Application"]{.underline} annually. The
"Continuation Application" will be submitted 60 days prior to the
anniversary of the award of the cooperative agreement. At that time,
USAID and the Recipient will undertake a collaborative assessment to
determine if conditions in Haiti merit adjustments to the program and if
so how best to incorporate those adjustments into the JOBS program
implementation plan. Applicants will be required to provide an
illustrative approach to more durable employment in the targeted urban
areas annually, after the second year.

Background literature on Haiti, and the Government of Haiti, USG, and
livelihoods programs may be found through a search of \"Haiti\" in
USAID\'s Development Experience System (DEXS) at
[www.dec.org](http://www.dec.org/), among other sources of reports,
assessments and data on Haiti available from other public and private
sources.

###  C. Monitoring and Evaluation Plan (Maximum 5 pages) {#c.-monitoring-and-evaluation-plan-maximum-5-pages .unnumbered}

The applicant shall submit a Monitoring and Evaluation (M&E) Plan with
the applicant's proposed set of indicators based upon the intended
results highlighted in the Program Description. The applicant's proposed
M&E plan should permit continuous measurement of progress toward each of
the program results. End-of-project and annual targets for those
indicators must be established for the measurement of accomplishments.
The Monitoring and Evaluation Plan should include the proposed
performance indicators with definition and unit of measure as well as
targets for each desired result. Data sources, method and schedule for
collection or calculation should be noted for each indicator. Ideally,
the applicant's monitoring and evaluation plan would contribute directly
to the Mission's Performance Management Plan (PMP) for the strategic
objective entitled: "More Employment and Sustainable Livelihoods". The
extent to which the applicant's M&E plan contributes to USAID/Haiti's
semi-annual reviews and Annual Report by tracking and reporting all
applicable common indicators that measure progress toward achievement of
the JOBS program is a selection criterion.

Recipients are strongly encouraged to assure that all monitoring and
evaluation or other data collection activities under the Program are
coordinated with relevant implementing partners and/or other Haitian or
Mission entities. In this regard, Recipients are encouraged to utilize
existing resources of collaborating partners; including libraries,
documentation centers, and field personnel, to the extent practicable in
the collection and collation of selected datasets, as opposed to
generating parallel data and/or hiring separate staff. Recipients are
encouraged to collaborate closely with USAID and the expanded team to
assure compatibility of efforts and to avoid possible redundancies.

USAID encourages broad NGO and private sector networking and
collaboration in all activity undertakings. Recipients are encouraged to
participate in periodic seminars and conferences to share and
disseminate experiences among key actors in the public, private, and
parastatal communities.

D.  **Key Personnel/Management Plan: (Maximum 10 pages)**

Applicants will propose personnel with demonstrated leadership,
technical and administrative skills as well as relevant field experience
in countries with activities of similar purpose and complexity as those
described in the Program Description. Balance, diversity and
complementarities of skills in the proposed team is desirable. The
application must include the composition of the implementation team with
a job description and length of service for each position. Applicant
should specify the composition and organizational structure of the
entire implementation team and describe each staff member\'s role,
technical expertise and estimated amount of time each will devote to the
project. Application should include the names and resumes of all
important managerial and technical personnel to be assigned to this
program activity.

The Applicant is required to ensure the personnel included in the
proposal will in fact be available to staff the project should the
Applicant be selected for award. Applicants should include signed
letters of commitment with availability dates from the proposed key
personnel with their Technical Application. Failure to provide such
assurances and letters of commitment may disqualify the Applicant from
being considered for the award. USAID reserves the right to request the
Applicant to make their proposed key personnel and other representatives
available for interviews and oral discussion in Port-au-Prince, Haiti.

Information should be provided on key personnel including name, short
professional biography (with full curriculum vitae in an annex) and past
performance references for each person. In addition, the Applicant
should provide the proposed positions, and a full description of the
role of each individual within the team structure. This section should
also include a brief summary of each person's relevant work experience
for this assignment.

The Applicant\'s management and administrative arrangements should be
clearly presented, including: management approach for the overall
execution of the Agreement, logistical support, organizational structure
and chart and delineation of responsibilities between field and home
office staff.

The applicant is expected to address the question of impact monitoring
and assessment in detail. The application must describe: a) Approach,
design and methodology for impact assessment, b) Plan and strategy for
collecting data to measure achievement of intermediate results and
impact; and c) Implementation of data collection, analyses, and
reporting, including timeliness

**E.** **Organizational Capability and Past Experience (Maximum 5
pages)**

Applicant should provide a concise summary of their qualifications and
reference attachments as necessary. Applicant must offer evidence of
their technical resources and expertise in addressing problems and
issues related to working with local communities, International Public
Organizations (IPOs), NGOs and host government agencies on community
participatory planning, infrastructure development and the establishment
of operation and maintenance activities for community-level
infrastructure. The applicant should present documented experience with
monitoring/evaluation and reporting of such activities. Finally, the
recipient should address any partner/sub-recipient capabilities and
expertise, proposed field management structure(s) and financial controls
to be utilized during program implementation. .

In this section the Applicant should indicate pertinent prior
experience, over the past 6 years, managing and monitoring contracts,
grants, cooperative agreements or other activities that are relevant to
this Program Description, in terms of subject matter, size, scope and
complexity. The Applicant should show evidence of sufficient leadership
and capacity to interact with high level officials of the host
government, as well as its track record working with other PVO/NGOs and
NGO networks and NGO institutional strengthening to achieve
sustainability. For past work noted, the name of the CTO and/or
Contracting Officer responsible should be included, together with their
current contact information, if known.

**F. Collaboration**

USAID/Haiti has proposed a new Conflict Mitigation and Management plan.
USAID's approach to working in targeted conflict-vulnerable areas is
described and presented in section "f" of the JOBS Program Description.
There are other donors and other USAID activities which also work in
conflict prone areas. The applicant's technical approach should
demonstrate an understanding of the difference in the various approaches
currently being used in the "hotspots" and how their proposed approach
builds upon, complements the work underway and facilitates collaboration
among the various activities in the five USAID targeted geographic
zones.

**G. Reporting**

The Applicant will be required to submit Quarterly Progress Reports and
annual reports to USAID. The details of the reporting (number of copies,
language, and addressees) and the content of the reports are presented
in the Program Description.

## 3. Cost Application/Financial plan format {#cost-applicationfinancial-plan-format .unnumbered}

The cost/business application should be for a period of 4 years for
using the budget format shown in the SF-424A. Submit the cost/business
application on a 3-1/2\" diskette or CD, formatted in Word 2000 and
Excel.

Cost sharing is included in the weighted criteria for selection. If an
applicant proposes a higher than minimum cost share, this may be
considered with the "cost effectiveness" evaluation. If the cost share
is less than the minimum cost share percent (10%), then the proposal
shall not be reviewed and will be deemed non-responsive.

To support the proposed costs, [please provide detailed budget
notes/narrative for all costs that]{.underline} [explain how the costs
were derived.]{.underline} The following provides guidance on what is
needed.

The Cost or Business Application is to be submitted under separate cover
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.

If the applicant has established a consortium or another legal
relationship among its partners, the Cost/Business application must
include a copy of the legal relationship between the parties. The
agreement should include a full discussion of the relationship between
the applicants including identification of the applicant with which
USAID will treat for purposes of Agreement administration, identity of
the applicant which will have accounting responsibility, how Agreement
effort will be allocated and the express agreement of the principals
thereto to be held jointly and severally liable for the acts or
omissions of the other.

The following sections describe the documentation that applicants for
Assistance award must submit to USAID prior to award. 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:

**A**. The program description, as detailed in the application on a
3-1/2" diskette or CD, formatted in Word and/or Excel.

**B**. Include a budget with an accompanying budget narrative which
provides in detail the total costs for implementation of the program
your organization is proposing. The budget must be submitted using
Standard Form 424 and 424A which can be downloaded from the USAID
website,
<http://www.usaid.gov/procurement_bus_opp/procurement/forms/sf424/> also
attached at the end of the RFA.

-   the breakdown of all costs associated with the program according to
    costs of, if applicable, headquarters or sub-offices;

-   the breakdown of all costs according to each partner 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, if any, of
    all organizations involved in implementing this Cooperative
    Agreement;

-   potential contributions of non-USAID or private commercial donors to
    this Cooperative Agreement;

-   the procurement plan for commodities (note that contraceptives and
    other health commodities will not be provided under this Cooperative
    Agreement).

**C**. A current Negotiated Indirect Cost Rate Agreement;

**D.** Required certifications and representations (as attached);

**E.** Proposed cost share contribution;

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

#### Copies of 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;

#### Projected budget, cash flow and organizational chart;

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

**G**. Applicants should submit any additional evidence of
responsibility deemed necessary for the Grant Officer to make a
determination of responsibility. The information submitted should
substantiate that the Applicant:

1.  Has an adequate financial resource 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.

**H.** 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. If a copy has already been submitted to
the U.S. Government, the applicant should advise which Federal Office
has a copy.

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

**I.** 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 and may be construed as an indication of the applicant\'s lack
of cost consciousness. Elaborate art work, expensive paper and bindings,
and expensive visual and other presentation aids are neither necessary
nor wanted.

**J.** Acknowledgement of Amendments to the RFA - Applicants shall
acknowledge receipt of any amendment to this RFA by signing and
returning the amendment. The Government must receive the acknowledgement
by the time specified for receipt of applications.

**K**. 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.

**L.** Submission of Application:

> 1\. Application 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 and address of the applicant.
>
> 2\. Faxed or emailed applications will not be considered; however,
> applications may be modified by written or faxed notice, if that
> notice is received by the time specified for receipt of applications.

**M**. Preparation of Applications:

> 1\. The Applicant is expected to review, understand, and comply with
> all aspects of this RFA. Failure to do so will be at the applicant\'s
> risk.
>
> 2\. The 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, unless that evidence has been previously
> furnished to the issuing office.
>
> 3\. The Applicant 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"
>
> \(b\) 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.\"

**N**. Explanation to Prospective Applicants - Any prospective applicant
desiring an explanation or interpretation of this RFA must request it in
writing within three weeks of issuance of the application to allow all
prospective applicants to access it before the submission of their
applications. Oral explanations or instructions given before award of a
Grant will not be binding. Any information given to a prospective
applicant concerning this RFA will be posted in Fedgrants.gov 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. This amendment may be accessed by all
prospective applicants.

**O**. Grant Award:

> 1\. The Government may award one or more Grants resulting from this
> RFA to the responsible applicant(s) whose application(s) conforming to
> this RFA offers the greatest value (see also Section II of this RFA).
> The Government may (a) reject any or all applications, (b) accept
> other than the lowest cost application, (c) accept more than one
> application (see Section III, Selection Criteria), (d) accept
> alternate applications, and (e) waive informalities and minor
> irregularities in applications received.
>
> 2\. The Government may award one or more Grant(s) on the basis of
> initial applications received, without discussions. Therefore, each
> initial application should contain the applicant\'s best terms from a
> cost and technical standpoint.
>
> 3\. Neither financial data submitted with an application nor
> representations concerning facilities or financing, will form a part
> of the resulting Grant(s).

**P**. Authority to Obligate the Government - The Grant 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 Grant Officer.

**Q**. 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 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.

**R**. 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 Agreement Officer.

**SECTION II: TECHNICAL EVALUATION CRITERIA**

**Overview**

The criteria listed below are presented by major category in order of
descending importance, so that Applicants will know which areas require
emphasis in applications. Applicants should note that these criteria
serve as the standard against which all technical information will be
evaluated and serve to identify the significant matters which Applicants
should address.

These technical evaluation criteria have been tailored to the
requirements of this RFA to allow USAID to choose the highest quality
application(s). These criteria: a) identify the significant areas that
Applicants should address in their applications; and b) serve as the
standard against which the Technical Evaluation Committee (TEC) shall
evaluate all applications. USAID will award to the applicant(s) whose
application(s) best meet(s) the program description and represent(s) the
best value to the Government, all things considered.

The Government intends to evaluate applications and award an
agreement/agreements without discussions with applicants. However, the
Government reserves the right to conduct discussions if later determined
by the Agreement Officer as necessary. Therefore, each initial offer
should contain the applicant's best terms from a cost or price and
technical standpoint.

**Acceptability of Proposed Non-Price Terms and Conditions**

An offer is acceptable when it manifests the applicant\'s assent,
without exception, to the terms and conditions of the RFA, including
attachments, and provides a complete and responsive proposal without
taking exception to the terms and conditions of the RFA. If an applicant
takes exception to any of the terms and conditions of the RFA, then
USAID will consider its offer to be unacceptable. Applicants wishing to
take exception to the terms and conditions stated within this RFA are
strongly encouraged to contact the Agreement Officer before doing so.
USAID reserves the right to change the terms and conditions of the RFA
by amendment at any time prior to the source selection decision.

**EVALUATION CRITERIA FOR AWARD**

Applications must demonstrate technically, culturally, and economically
sound, appropriate, cost effective and feasible approaches to contribute
to the achievement of the components of the JOBS Program Description.
Specific weighted criteria follow.

**A. Technical Approach 30 pts**

1\. Workability of proposed technical approach; i.e., can the proposed
technical approach reasonably be expected to achieve USAID outcomes and
geographic coverage desired while transferring operations and
maintenance capacity to Haitian organizations including governmental and
community? Does it establish a clear approach to establishing, in a
participatory fashion, priority infrastructure? Are there clear criteria
for ensuring that selected projects advance longer-term economic and
social goals?  Are staffs allocated rationally? 10pts

2\. Evidence of administratively and technically feasible rapid start-up
plan with a first payroll made within 60 days of CA signature. 10 pts

3\. Clear articulation of a participatory, inclusive, transparent and
capacity enhancing system for project selection and for participation of
legitimate Haitian organizations, local government, NGOs, CBOs, etc 5pts

4\. Innovative approaches to foster linkages between government
authorities, communities and public and private sector actors while
building government capacity. 3pts

5\. Innovative approaches that incorporate specific strategies to
address gender, conflict mitigation and or environmental protection in
community response, both in terms of service providers (e.g. NGO/CBO
staff, counselors) and in terms of target groups (e.g. communities,
youth, families, couples, etc.). 2pts

**B. Institutional Capability 20 pts**

1\. Clarity of management plan, including explicit description of roles
and responsibilities of different members of Applicant's team to achieve
results. Clarity of plan for operations and maintenance/management of
infrastructure built or renovated. Demonstrated ability to manage
resources of this level across a wide geographic area in difficult to
access, conflict-prone communities?

> 5pts

2\. Clarity of organizational plan including planned interaction between
Applicant and Haitian organizations and institutions to achieve results,
both as i) members of Applicant's team; and ii) established and new

sub-Recipients. Applicant's stated ability to quickly field a technical
team in conflict communities? 5 pts

3\. Clear and coherent monitoring plan, including list of indicators for
measuring the processes, the coverage and the intended impact of
activities. 5 pts

4\. Evidence of adequate and increased contribution/cost sharing (cost
effectiveness) by Recipient and/or sub-Recipients over the CA period and
of a well articulated "exit strategy" so that results can be sustained
by local partners in the absence of USAID funding 5 pts

**C. Personnel 30 pts**

1\. Qualifications and relevant experience of proposed technical
[personnel]{.underline}, including experience in developing country
settings with related program activities. Key personnel's demonstrated
experience in developing clear results indicators and with monitoring
and evaluation and results reporting. 15 pts

2\. Appropriateness of the proposed technical [positions]{.underline}
(long and short term) to the proposed technical approach. Qualifications
of personnel in establishing maintenance and operations training
programs and systems.

> 15 pts

**D. Past Performance 20pts**

1\. Demonstrated ability to successfully provide managerial and
technical back‑stopping for a requirement of this size and complexity
establish and maintain an extensive operation involving U.S., expatriate
and local staff in a Less Developed Country. 12pts

2\. Applicant\'s responsiveness to past clients including responsiveness
to the uniqueness of different country settings and host country
counterparts' concerns. 8 pts

USAID reserves the right to obtain past performance information from
other sources including those not named in this application.

> **SECTION III- PROGRAM DESCRIPTION**

**I. Background**

**a. Strategy Development and Linkages**

USAID is developing a new strategic statement for Haiti for a three-year
period. The Haiti strategy is governed by the four principles
established in the overall US Government's (USG) *Fragile States
Strategy* (January 2005): to engage strategically, focus on sources of
fragility, seek short-term impact linked to long-term structural reform,
and establish appropriate measurement systems.

Haiti's fragility is due to a myriad of economic, political, and social
factors with short- and long-term dimensions. In the three-year
strategy, USAID will address the country's challenges through high
impact programs with visible results. By 2010, more Haitians will be
able to support themselves and their families; they will have increased
access to primary health services and basic education; and there will be
more responsive and accountable executive, legislative, and judicial
branches of government providing increasingly effective governance.

Three Strategic Objectives (SOs) will contribute to stability: *More
Employment and Sustainable Livelihoods ("Livelihoods SO"), Increased
Access to Quality Social Services ("Services SO"), and Improved Rule of
Law and Responsive Governance ("Governance SO").*

Each SOs will have three key [demographic target groups]{.underline}:
women, youth under 25, and special concerns groups, including persons
living with AIDS (PLWA), TB patients, and trafficked persons. All SOs
will target women as participants and beneficiaries, and Strategic
Objective Teams (SOTs) will be encouraged to identify creative ways to
address and respond to violence against women in their respective
spheres. All SOs will also address youth, with different interventions
geared to different age cohorts, sexes, residence (urban, rural), and
expressed interests.

The SOs will have [three broad geographic target areas]{.underline}: 1)
conflict-vulnerable areas, in the first instance the cities and
peri-urban sending areas that surround hotspots, e.g. Port-au-Prince,
Cap-Haitian, Gonaives, St. Marc, and Petit Goave; 2) two targeted
watersheds, which will stabilize environmental conditions, mitigate the
impact of natural disasters, and create assets and employment; and 3)
other locations that are self-targeting by activity and/or provide
particular opportunities for impact, such as food insecure populations.

The JOBS Program described herein relates to the Livelihoods SO and will
focus in the first geographic target area, the conflict-vulnerable
cities and peri-urban sending areas that surround hotspots in
metropolitan Port-au-Prince, Cap-Haitian, Gonaives, St. Marc, and Petit
Goave. These initial target conflict vulnerable cities may change during
the implementation of this program. The successful applicant must be
able to respond to new vulnerable areas as the need arises in
consultation with USAID.

The rationale for the Livelihoods SO is that poverty is a key driver of
conflict and fragility. The hypothesis is that if USAID can help
alleviate poverty in key conflict-vulnerable areas, while improving the
economic opportunities in other strategic areas through other
activities, then the combination will relieve pressure in vulnerable
areas and the potential for conflict will decrease in those areas.

The JOBS program is to address the urgent and growing need to create
short, medium, and long-term jobs and improve the public hared asset
base -- e.g. productive and social infrastructure in the country
beginning in identified "hotspots" in Haiti. The hypothesis is that
short-term wage employment and an improved public asset base will
discourage conflict and stimulate more employment and investment and
lead to sustainable livelihoods. Corollary results expected to accrue as
a result of the JOBS program include: mitigation of civil conflict; more
effective and inclusive civil society participation in governance; and
legitimate local government authorities providing services in key
sectors. The Recipient is expected to establish and follow a transparent
and participatory process for project selection. The process must
include consultation with legitimate government authorities
[and]{.underline} community representatives. To assure transparency, the
consultative process should be based on established weighted criteria
that can be shared and discussed with stakeholders.

**b. Summary Country Context**

Haiti has long been the poorest country in the Western Hemisphere. The
mortality rate for children under 5 years of age is 118 and 21.9% are
stunted; only 28.1% of women use any method of family planning; half of
the population does not have access to clean drinking water; and nearly
half the population is illiterate. Haiti's annual GDP growth rate has
been negative for the past 20 years, and current per capita GDP is
estimated at only about US\$360. Over two-thirds of Haiti's 8.4 million
citizens live on less than US\$1 per day. There is extreme income
inequality: the poorest 20% account for 1.5% of incomes and the
wealthiest 20% account for 68%, creating social and economic stressors.
Haiti's population is disproportionately young, with 58% below 25 years
of age and 21% between 15 and 25. This "youth bulge" offers both an
opportunity and a challenge to effect change.

Since the end of the 29-year Duvalier dictatorship in 1986,  Haitians
have suffered through over a dozen government turnovers, including six
military regimes, three appointed transition governments and four
elected Presidencies (only one of which lasted for the full, legal
term). The government changes were capricious, almost never the result
of transparent or predicable election cycles, and were frequently
accompanied by violence and repression of dissenting voices.  Since the
resulting regimes were not regularly and predictably accountable to an
electorate, most national and local government institutions -- which
were never very strong -- have fallen deeper into corruption and
ineffectiveness.  This, in turn, further undermines the state's
legitimacy.

Due to the political and consequent social instability, since 1994 Haiti
has hosted two short-term US military intercessions and several
longer-term UN peacekeeping forces.  Haiti's army has traditionally
served as a domestic security force, but was disbanded in 1995. At the
same time, the existing civilian police was replaced by a newly
restructured national police force. Despite USG and international
community assistance, the Haitian National Policy (HNP) is not yet fully
functional.

Violent crime, particularly in urban areas, has increased. This
phenomenon has been exacerbated both by the lack of effective law
enforcement as well as a significant increase in illegal drug
trafficking and use. Haitian women are suffering disproportionately from
the increased crime, with more than 70% of the female population
reportedly experiencing some form of violence, 37% of which is sexual in
nature. Gangs now control key "hotspots" in Port-au-Prince and major
secondary cities, and there are indications that they are beginning to
expand into other areas.

A key assumption for the USAID strategy is that MINUSTAH and UNPOL
forces will continue to complement the nascent HNP for the strategy
period. Haiti's fragility is due to a myriad of economic, political, and
social factors with short- and long-term dimensions. A succession of
governments has demonstrated inadequate ability or will to provide
citizens basic services or protection. Weak and often illegitimate
government institutions contributed to- and in turn were worsened by-
corruption and Haiti's chronic, severe under development of both
economic and human resources. This negative cycle has perpetuated
Haiti's overall poverty, instability and state fragility.

The political and security crises have been hugely detrimental to
Haiti's economy. The once-flourishing assembly sector that employed an
estimated 80,000 urban workers -- mostly women -- in the late 1980s was
decimated by the international embargo of 1991-1994 and consequent
economic uncertainly. The assembly sector has only recently begun a
slight recovery, with a small increase to an estimated 25,000 workers by
the end of 2005. Should the U.S. Congress re-introduce and pass
preferential trade legislation for Haiti, this sector could rebound and
produce much needed urban jobs and contribute to stability.

Women are not only the primary workers in Haiti's assembly sector; they
also serve in important managerial roles in other parts of the formal
economy and are actors in the informal sector that accounts for over 80%
of the people engaged in some kind of economic activity. Women are
particularly dominant in domestic marketing and transformation of
household agricultural produce. Apart from other conflict in Haiti, the
sharp increase in violence against women puts at risk women's ability to
contribute to these vital sub-sectors.

**c. Summary of Conflict Vulnerability in Haiti**

USAID recently undertook a Conflict Management and Mitigation (CMM)
Assessment in Haiti. The following paragraphs are from the draft report.

> Political exclusion, widespread youth unemployment, and insufficient
> access to social services are the hallmarks of the weakness of the
> state in Haiti. The abundance of small arms and Haiti's large
> population of disenfranchised and underemployed youth provide ample
> opportunity for manipulation, recruitment, and destabilizing
> activities by key spoilers including criminal gangs, organized crime,
> and political "outs." With Haiti's history of violent political
> changes, it is clear that a strong potential exists for grievances,
> resources, and opportunities to coalesce into a destabilizing mix
> during critical windows of vulnerability throughout the term of the
> new Préval Administration.
>
> Haiti has historically suffered from weak governance stemming from an
> authoritarian political culture and public institutions monopolized by
> partisan loyalists for personal gain. Still, traditional family and
> religious networks served as a check on criminality and as enforcers
> of social norms. However, weak civil society institutions are
> increasingly being co-opted by political and economic interests and
> family networks are being eroded by economic need -- conditions which
> are fueling the growing rural exodus and the rise of criminality
> including kidnapping and the drug trade. Ineffective state
> institutions provide little counterbalance to these challenges, while
> the cycle of winner-take-all politics provides continued motivation
> for manipulating disenfranchised youth and criminal groups for
> political ends.
>
> This cycle of instability will continue relatively unabated as long as
> the pool of available economic resources continues to shrink as a
> result of environmental degradation and the stagnation of economic
> activities, and the pool of available recruits -- unemployed,
> uneducated, and politically alienated youth -- continues to grow. As
> long as various groups -- both the marginalized and the powerful --
> feel systematically excluded, these ingredients for instability will
> periodically boil over into violence as various segments of the
> society pursue extra-legal means to achieve their political and
> economic ends.
>
> In an effort to address these pressing issues, USAID and the U.S.
> Embassy are focusing on ways to utilize available U.S. government
> resources to create a comprehensive approach to the problem. The
> overall objective is to ensure that the root causes of citizen
> dissatisfaction are addressed while pursuing high-impact interventions
> to break the cycle of exclusion and ensure stability in the most
> troubled areas of Haiti. (Draft CMM Assessment, Executive Summary).

The key conflict-vulnerable areas for initial attention under the JOBS
Program are areas near the "hotspots" in the Port-au-Prince metropolitan
area (including Cite Soleil, Martissant, Bel Air, Bas Delmas, and
Carrefour Feuilles), Cap-Haitien, Gonaives, St. Marc, and Petit Goave.

The targeted conflict-vulnerable areas vary considerably by population
size and density. On the one hand, the Port-au-Prince metropolitan area
and Cap-Haitian are about 95% urban with only a small proportion of the
population considered "rural" or, more appropriately, peri-urban (which
is not a census category). On the other hand, the commune of Petit Goave
is still largely rural or peri-urban (80%), with a much smaller
percentage of the population (20%) residing in the city itself. Each of
these urban areas, and the hotspots within them, has distinct
characteristics, challenges, and opportunities which need to be
addressed if social and economic stability is to be achieved.

The Draft CMM Assessment includes a number of recommended strategies and
tactics to address conflict, and thus fragility, and Haiti. Key among
these are:

> ... there should be an immediate, concerted and integrated USG and
> donor effort to reinforce the GOH's effectiveness in the "hot spots"
> of Port-au-Prince (Cite Soleil, Bel Air, Delmas, Martissant) and in
> Gonaives, Cap Haitian, St. Marc and Petit Goave and among unemployed
> youth.
>
> ***Create Jobs and Expand Economic Opportunities***
>
> Looming large is the immediate need for widespread employment for
> vulnerable youth. Infrastructure projects linked to longer-term income
> opportunities are consistently cited as crucial undertakings,
> particularly in Haiti's "hot spots". Market-driven vocational training
> linked to job opportunities and increased access to credit would serve
> to lessen the isolation of Haiti's youth population and increase the
> possibility of trade and commerce. (Draft CMM Assessment, Executive
> Summary).

The JOBS Program in this Request is in partial response to that
recommendation.

**d. Prior and Current USAID/Haiti Conflict Management and Mitigation
(CMM) Efforts**

USAID has been engaged in areas in and around the identified current
"hotspots" for several years, particularly in Port-au-Prince and
Gonaives. Given deteriorating conditions in key hotspots in
Port-au-Prince, USAID in 2005 began to pull together programming into a
more cohesive "Urban Peace Building Initiative". Table 1 below
summarizes the USAID-funded lead implementing partners and activities
involved in the Port-au-Prince program. Note that in most cases the lead
organizations work with many Haitian government offices and NGO/CBO/FBOs
in activity implementation.

+-----------------------+----------------+----------------------------+
| **Lead Imp. Orgs.**   | **Locale**     | **Activities/Results**     |
+-----------------------+----------------+----------------------------+
| Pan American          | Cite Soleil,   | Solid waste collection,    |
| Development           | Bel-Air, Bas   | now adding rehabilitation  |
| Foundation            | Delmas         | public structures          |
+-----------------------+----------------+----------------------------+
| Educational           | Carr           | Vocational education       |
| Development           | efour-Feuilles |                            |
| Corporation (EDC) --  |                |                            |
|                       |                |                            |
| IDEJEN Project        |                |                            |
+-----------------------+----------------+----------------------------+
| EDC/IDEJEN-IOM        | Carr           | Cybercenters               |
|                       | efour-Feuilles |                            |
+-----------------------+----------------+----------------------------+
| Foundation Haitienne  | Carre          | Support 20 schools with    |
| pour l'Education      | four-Feuilles, | Teacher Training, PTA      |
| Primaire (FONHEP)     | Martissant,    |                            |
|                       | Bas Delmas     | interactive radio          |
|                       |                | instruction                |
+-----------------------+----------------+----------------------------+
| American Institutes   | Cite Soleil    | 4000 scholarships, school  |
| for Research (AIR)    |                | equipment                  |
| and Fonds de          |                |                            |
| Parrainage National   |                |                            |
+-----------------------+----------------+----------------------------+
| International         | Bel-Air, Cite  | Road repair, drainage,     |
| Organization for      | Soleil,        | building rehab             |
| Migration (IOM)       | Martissant,    |                            |
|                       | Bas Delmas     |                            |
+-----------------------+----------------+----------------------------+
| Management Sciences   | Bel-Air, Cite  | Clinic rehabilitation.     |
| for Health (MSH)      | Soleil         |                            |
|                       |                | Training of Collaborating  |
|                       |                | Volunteers. Support for    |
|                       |                | maternal and child health  |
|                       |                | services. Rehabilitation   |
|                       |                | of clinics (Aurore, St.    |
|                       |                | Martin)                    |
+-----------------------+----------------+----------------------------+

USAID/Haiti intends that the Urban Peace Building Initiative will become
the foundation of the CMM approach described below.

The activities of the International Organization for Migration (IOM)
summarized in the table above are part of the larger Haiti Transition
Initiative (HTI) program. HTI began in May 2004 in response to growing
turmoil in Haiti in the aftermath of the departure of former President
Aristide and establishment of the Interim Government of Haiti (IGoH).
HTI commenced operations concurrently with establishment of a UN
Stabilization Mission in Haiti (MINUSTAH).

The HTI program is working in key conflict-vulnerable urban hotspots and
promotes community-level stability-building measures, implementing
quick-response, visible small projects and activities promoting peace
among conflict populations. The HTI program objectives are: (1) enhance
citizen confidence and participation in peaceful political transition
with specific focus on volatile communities; (2) promote peaceful
interaction among conflict populations; and (3) constructively engage
groups that threaten the peaceful political transition. Operating within
these objectives, the HTI program has adjusted its activities, as
necessary, during Haiti's two year period of interim governance and now
as Haiti reaches the threshold of resumption of a democratically-elected
government.

From its initiation in May 2004 through March 2006 the Haiti Transition
Initiative has consisted of 418 small projects valued at almost US\$10
million. The small projects range in value from \$5,000 to \$80,000,
occasionally higher. The "grants" are in-kind, not cash, agreed with
community representatives, coordinated as necessary with MINUSTAH and
Haitian authorities. The geographic distribution of small project is:
Cap Haitien (39), Gonaives (11), St. Marc (53), Les Cayes (10), Petit
Goave (63) and Port-au-Prince (222).

As described below, USAID intends to continue support to IOM for some
similar types of activities in all hot-spots for the next few years. (At
the present time, Les Cayes is not considered as conflict-vulnerable as
other areas, although USAID and IOM will continue to monitor the
situation and be prepared to return should conditions merit.) USAID will
encourage IOM to consult with the successful Applicant to avoid
duplication and redundancy in all efforts.

Additionally, USAID/Haiti has funded the Tropical Storm Recovery Program
(TRSP) in Gonaives for a two-year period. The intent of the program was
emergency response and rehabilitation after the tropical storms of
September 2004 and not conflict mitigation, but the approach involved
some steps similar to those envisioned under the JOBS Program discussed
herein: 1) Participatory identification of priority productive and
social infrastructure, with legitimate government (local and/or line
ministry) and community representatives; 2) Infrastructure
Rehabilitation; and 3) Planning for Infrastructure Maintenance. The TRSP
has repaired 25 public buildings, provided housing 3,000 asset
restoration grants, repaired almost 10 kilometers of drainage canals
critical to prevent floods, and restored over 2,000 hectares of
irrigated farmland to production. TRSP partners also trained 21
communities in disaster preparedness and mitigation activities. These
communities are now more aware of the need to maintain the drainage
canals to prevent catastrophic losses when (not if) future storms occur.

A recent visit by the USAID CMM Assessment team found that conflict in
Gonaives had increased since the end of the program, when the short-term
jobs ended. Drawing from that lesson learned, USAID has developed a more
comprehensive sequencing of assistance to conflict-vulnerable areas for
the future strategy. USAID/Haiti's new CMM approach is described below.

USAID is also undertaking labor intensive public works through several
other mechanisms. For example, with P.L. 480 Title II resources,
Catholic Relief Services is undertaking an Infrastructure Improvement
Program aimed at mitigating the negative effects of the economic and
political crisis through the rehabilitation of infrastructure and the
generation of temporary employment.  In FY 2005, through cash-for-work
projects focused on road rehabilitation, irrigation systems, water and
sanitation facilities, and soil and water conservation structures, the
Program had an impact on the food security of more than 80,000 indirect
beneficiaries in the ten departments. Again, USAID/Haiti's new CMM
approach builds upon the experience from this project.

**e. Prior USAID/Haiti Labor Intensive Public Works Efforts**

During the volatile period during and immediately following the
international embargo and return of constitutional government in Haiti
in 1993-1996, USAID undertook a Haiti Labor-Intensive Infrastructure
Rehabilitation Program, which included a large jobs program and a more
concentrated municipal assistance program. The World Bank picked up the
jobs program in 1996 and continued it through 1997. By their end, these
programs had created over 500,000 person months of wage labor and
rehabilitated thousands of kilometers of secondary roads and irrigation
and drainage canals. (There are a number of project-specific evaluations
available at [www.dec.org](http://www.dec.org/) that describe these
projects in more detail, and have informed the JOBS Program Design.
Following are some excerpts from a USAID desk study of "Lessons Learned
form Haiti's Reconstruction Program in the 1990s" that summarizes key
findings:

> The majority of the reconstruction projects of the 1990s implemented
> in Haiti seemed to accomplish short-term objectives and address
> immediate emergency concerns. Many evaluations specified the necessity
> of incorporating objectives such as maintenance into project design.
> Other common observations across sectors were: inadequate donor
> coordination, a lack of local ownership and participation in project
> design and implementation; and the tendency to depend solely on NGOs
> to manage programs while sidestepping government capacity building.
>
> [Employment Generation]{.underline}
>
> The majority of the projects accomplished their objectives of
> short-term employment, generation of additional income, and the
> rehabilitation of essential infrastructure. Beneficiaries used the
> income earned to buy food, pay for school-related expenses, pay back
> debts, make home improvements, start small businesses, and support
> community projects. Rehabilitated infrastructure also contributed to
> improving the population's access to basic health and education
> services.
>
> The key employment generation lessons learned that were identified in
> the literature review include the following:

-   It is necessary to consider and plan for local absorptive
    capacities, especially regarding post-project operation and
    maintenance.

-   The selection of projects should reflect local needs and priorities
    and not the preferences of the implementing agency or select groups.

-   Local institution building is an essential component of job creation
    programs.

-   Implementing institutions should be politically neutral.

-   Impact analysis should be conducted during project design.

-   Beneficiaries prefer cash to food aid because of its fungibility.

-   Although NGOs can be effective in reaching the poor, of
    reconstruction efforts and hinder long-term development.

**f. New USAID/Haiti CMM Approach**

Figure 1 illustrates how the Mission plans to apply the CMM approach to
the targeted conflict-vulnerable areas. The Figure shows a process that
builds on but expands USAID's Urban Peace Building Initiative undertaken
in 2005-2006, incorporating lessons learned from TRSP and previous large
labor intensive public works projects. The key tactic is to stabilize
hot-spots and their surrounding peri-urban areas. Illustrative hot-spots
for early attention are selected neighborhoods in Haiti's capital of
Port-au-Prince and selected secondary cities of Cap-Haitien, Gonaives,
St. Marc, and Petit Goave. These cities and their communes account for
almost 2.8 million people, or about 28% of the national population.

Box #1 in the figure, "Security and Citizen Confidence Building," is the
first step in the stabilization process. USAID is supporting the
International Organization for Migration (IOM) to undertake this first
step in several of the key hotspots, and plans to continue this support
over the next few years. IOM will collaborate as necessary with MINUSTAH
and the Haitian National Police (HNP) as security is established to
undertake short-term, socially positive or neutral activities to foster
inclusion and citizen confidence building. Activities include
neighborhood clean-ups, sports events, musical events, very small-scale
infrastructure improvement such as school furnishings or sanitation,
etc.

Box #2 in the figure represents the next priority in the CMM sequence,
and would be initiated in hotspots where security permits, and/or in
peri-urban areas near hotspots, to relieve pressures on the hotspot and
to spread benefits across a broader population. The intent is to
capitalize on convergence of interest among historically antagonistic
groups through responding to community-identified priority needs, e.g.
creating short-term wage employment and thus income, while
rehabilitating valued public (shared, common) productive and social
infrastructure. The "convergence of interest" is also expected in many
cases to include requests for improved access to primary health care,
basic education, and possibly food aid. [The provision of short-term
wage employment through rehabilitation of public productive and social
infrastructure is the objective of the JOBS Program discussed in this
Request.]{.underline} Provision of health, education, and food aid will
be provided through other partners \-- Government of Haiti, USAID, other
donors, and/or private sector. The successful JOBS Program Applicant
will be expected to collaborate closely with these other partners to
assure that all assistance is complementary and expressed needs are met
in an efficient manner.

Activities to address needs in Boxes #1 and #2 may be undertaken
concurrently, and will require significant collaboration between the
successful JOBS Program Applicant, IOM, and USAID. USAID anticipates
that the IOM work would focus more specifically in the hotspots, and
much more on the [process]{.underline} of bringing people together to
identify needs, to collaborate, to create public space and inclusion.
The type of small projects undertaken by IOM is expected to be similar
to, but more focused than, those IOM implemented under the Urban Peace
Building Initiative: renovation of sports and cultural infrastructure;
short-term, technically simple rehabilitation of water kiosks,
electricity, roads and public squares; "Play for Peace" sports
tournaments and socio-cultural events; and creation of alternative
activities for at-risk youth.

In comparison, USAID intends that the JOBS Program would work in the
hotspots but also in urban and peri-urban neighborhoods around the
hotspots, and will focus more on the [outcomes]{.underline}, i.e. income
from short-term jobs and rehabilitated priority productive and social
infrastructure. It is also likely that the JOBS Program infrastructure
projects would be larger and technically more complex than those
undertaken by IOM, in order to generate more wage employment quickly.
There must be close collaboration between the two programs both to avoid
duplication and to complement each other's work and achieve the desired
results quickly and efficiently.

Boxes #3 and #4 in Figure 1 represent somewhat longer-term efforts that
could be carried out simultaneously with activities in Box #2, assuming
conditions are stabilized. USAID/Haiti intends that the successful JOBS
Program Applicant will focus primarily on the "short-term jobs and
infrastructure rehabilitation" during the initial year or two of the
Cooperative Agreement. Depending on conditions in Haiti, the Applicant
could move into activities in Box #3 for skills training for durable
employment and asset formation in the next two-year period , and Box #4
for local government capacity building, central government support and
public-private partnerships. Transforming unstable hotspots will be
uneven; thus flexibility will be maintained among the boxes of
activities in Figure 1. The two-headed arrow in Figure 1 indicates that
USAID CMM activities can be expanded or contracted, depending on the
level of stability in a given area, the opportunity, as well as the need
and potential to enhance stability. USAID's Policy Coordination and
Program Support (PCPS) Office will provide oversight and management of
the overall CMM approach across the USAID portfolio. This flexible CMM
approach should lead to effective deployment of Mission resources in the
targeted conflict-vulnerable areas.

**II. Achieving Program Results**

The long-term goal of the proposed JOBS Program is two fold: to increase
wage employment, skills and opportunities for vulnerable populations in
conflict-vulnerable urban and peri-urban areas of Haiti; and to improve
the public (shared, common)[^2] asset base -- e.g., productive and
social infrastructure -- in these areas. The hypothesis is that
short-term wage employment and an improved public asset base will
discourage conflict and stimulate more employment and sustainable
livelihoods. Corollary results expected to accrue include: mitigation of
civil conflict; more effective and inclusive civil society participation
in governance; and legitimate local government authorities providing
services in key sectors.

USAID has budgeted up to \$89,000,000 in support of this objective
(subject to the availability of funding.) There are three primary
results: 1) Priority Productive and Social Infrastructure Identified
through Participation of Legitimate Government authorities (local and/or
line ministry) and Community Representatives; 2) Income from Labor
Intensive Construction of Community-level Infrastructure Generated; and
3) Rehabilitated Infrastructure Operated or Maintained with Local
Resources.

The Program is a critical piece of USAID's cross-cutting Conflict
Mitigation and Management (CMM) approach and a key contributor to
achievement of its Employment and Livelihoods SO. USAID intends that the
Recipient will achieve complementarity and/or synergy activities will be
assured through a consultative process that will involve the Recipients
and USAID\'s CMM partner group. (The CMM group will be a natural
outgrowth of the current Urban Peace Building and TSRP groups.) USAID
will periodically convene meetings among the various partners in the CMM
"group" to assure that all resources are programmed in a complementary
and timely manner, and that the Program activities are well integrated
with other relevant USAID, GOH, and other donor activities in the
targeted areas.

Almost all of USAID's activities in Haiti work with and through Haitian
NGOs, CBOs, and FBOs. During FY 2007 the Mission plans to develop simple
learning modules on key issues related to at-risk youth, violence
against women, and "culture of peace" that can be provided to all such
groups across all sectors. This modules will be shared with the
Recipient should they wish to utilize them for staff training, as well
as to ensure that its sub-grantees have access to and can utilize the
modules for their staff training as appropriate.

In carrying out the JOBS Program, the recipient will:

-   Ensure that all USAID funds, including funds provided to
    sub-grantees, are managed and disbursed per USAID regulations and
    the cost principles;

-   Provide overall technical direction and management oversight for the
    program;

-   Provide all administrative and logistical arrangements for program
    operations, except for those arrangements and operations funded
    directly under sub-grants;

-   Comply with 22 CFR 216, USAID Environmental Procedures.

-   Initiate activities within the key conflict-vulnerable areas as
    follows: "hotspots" in the Port-au-Prince metropolitan area,
    Cap-Haitien, Gonaives, St. Marc, and Petit Goave.)

-   Build on results achieved under the Urban Peace Building Initiative,
    the Haitian Transition Initiative, the Tropical Storm Recovery
    Program, and other related program activities.

-   Collaborate closely with USAID, GOH, and other donor programs to
    assure complementarity of efforts.

-   Follow a transparent and participatory process for project
    selection, including consultation with legitimate government and
    community representatives and communicate the outcome of the
    consultative process with stakeholders.

-   Follow national and international norms for different types of
    infrastructure rehabilitation, with a general guideline being to
    "build back better."

-   Incorporate appropriate HIV/AIDS prevention information, education,
    and communications activities in all worksite activities.

-   Monitor O&M of completed projects during the life of the CA, to gain
    understanding of which approaches work and which do not, and to
    apply any "lessons learned" to program activities.

Finally, USAID's prior experience with similar programs suggests the
following illustrative criteria as a starting point. The Recipient may
propose a two- (or more) phased process, with different and
progressively more demanding criteria for each phase.

-   Geographic location: The project must be within the USAID targeted
    conflict-vulnerable areas, or must foster a definable economic or
    social link with such areas. A phased approach to coverage of the
    five areas is acceptable, but the Recipient is expected to achieve
    relative balance in the USAID targeted areas, based on population
    density, need, and relative presence or absence of other major
    wage-generation and infrastructure rehabilitation activities.

-   Need: Within the targeted geographic areas, the project should
    benefit and employ those populations most in need.

-   Labor intensive: The project should generate significant short-term
    wage labor, with emphasis in the first two years on unskilled labor
    and a possible shift to more skilled labor in the following years.

-   Inclusion of women and youth: The project should benefit women and
    youth as participants (e.g. employees) as well as beneficiaries.

-   Community driven: The participation of community based
    organizations, legitimate local government leaders/authorities,
    should drive the identification process for activities to be carried
    out.

-   Technical soundness: The project must be of high technical quality
    and be designed to facilitate maintenance with resources likely to
    be available at the local level. "Make-work" projects are
    [strongly]{.underline} discouraged.

-   Economic or social value: The project must be useful to the broader
    community and have identifiable economic and/or social value beyond
    the short-term employment generated.

-   Environmentally sound: The project must be environmentally sound.
    USAID will collaborate with the Recipient in the development of an
    Environmental Checklist to be used to screen all program-funded
    activities. Any which fail the USAID-approved screening process will
    be excluded.

-   Ease and speed of implementation: USAID expects that the Recipient
    will be making its first payroll for projects within 60 days of CA
    award.

-   Non-competitive project selection: The project should not create
    competition with other GOH or donor-funded projects for labor or
    materials. Wages paid should be no less than the legal minimum wage
    in Haiti, by labor category.

-   Complementary projects or benefits: Projects that complement or
    leverage other USAID, GOH or donor resources should be sought where
    possible. Examples of complementarity might include: follow-on
    rehabilitation of canals or roads begun as short-term community
    confidence-building activities by IOM, MINUSTAH, or other groups;
    rehabilitation of electric, water and sanitation systems to serve
    health facilities and schools; rehabilitation of road segments or
    bridges to connect national road segments funded by other donors;

-   Conflict-sensitive: The project should be selected in an inclusive
    manner (Government [and]{.underline} community consultation) and
    should involve infrastructure that is less attractive for patronage
    or corruption that might lead to future conflict.

Post-project operations and maintenance (O&M) plan: Project selection
and preliminary design should include plans for establishment of an
explicit post-project operations and maintenance plan that has a
reasonable probability of success and can be overseen by capable Haitian
government officials and organizations. The post-project O&M plan should
not be predicated on continued Recipient technical assistance or other
involvement, and should be as independent as possible of other donor or
NGO inputs. In order to ensure adequate capacity and involvement of the
appropriate Haitian government officials in monitoring and overseeing
the operation and maintenance of the rehabilitated infrastructure, the
O&M plan should include specific detail on the cost and required
training for government officials to take on an active oversight role.

-   

The Recipient will approve individual projects, subject to the process
and criteria established in the Recipient's Application and approved by
USAID as part of the CA award.

**RESULTS #1. Priority Productive and Social Infrastructure Identified
through Participation of Legitimate Government Authorities (local and/or
line ministry) and Community Representatives.**

**Indicators: (Applicants are invited to propose additional indicators,
or refine the indicators below)**

1.1 Number of projects identified, by commune and type.

1.2 Number of projects selected, by commune and type.

1.3 A listing of primary reasons for non-selection, to help inform the
process.

**RESULT #2. Infrastructure Designed and Rehabilitated with Emphasis
upon Labor Intensive Construction Methodology**

**Indicators: (Applicants are invited to propose additional indicators,
or refine the indicators below)**

2.1 Road and Street Rehabilitation

2.1.1 Roads rehabilitated (secondary or tertiary roads, only) -meters

2.1.2 Street paving (meters paved with concrete road tile)

2.1.3 Gabions installed -- m2

2.2. Public Utilities Rehabilitation

2.2.1 Electricity restored -- number of people served

2.2.1 Running water restored -- number of people served

2.3 Building Rehabilitation

2.3.1 Primary school classrooms - number of students affected

2.3.2 Health clinics -- number of people served

2.3.3.Market rehabilitation -- number of market stalls created or other
quantitative capacity

2.3.4 Other public buildings -- number, type, etc

2.4 Solid Waste Collection

2.4.1 Debris removed -- m3

2.4.2 Drainage canals cleared -- Km

2.4.3 Sediment removed -- m3

2.4.4 Streets cleaned -- meters cleaned or m3 waste removed

2.5 Irrigation Rehabilitation

2.5.1 Canals rehabilitated -- meters or kilometers

2.5.2 Sediment removed -- m3

2.5.3 Areas open to cultivation -- hectares

2.6 Environmental Protection and Environmental Protection-related
Activities

2.6.1 Mangrove protection -- area protected/preserved[^3]

2.6.2 Ravine rehabilitation/clearing/protection --number of ravines, or
m3 debris removed

It is emphasized that this listing is [illustrative]{.underline} and
that the actual set of projects will be a result of the consultative
process established under Result #1.

**RESULT #3: Rehabilitated Infrastructure Operated or Maintained with
Local Resources**

**Indicators: (Applicants are invited to propose additional indicators,
or refine the indicators below)**

3.1 Percentage of infrastructure projects maintained

3.2 Locally generated funds for O&M collected and utilized

3.3 Number of Persons Trained, Maintenance Crews Established, or User
Organizations strengthened.

**III. Reports**

**Quarterly and Annual Reports**

The Recipient shall submit to USAID/Haiti ten (10) copies in English of
the following reports in hard copy and on a CD. The JOBS program is
anticipated to be a high visibility program with numerous reporting
demands made on the Mission for up-to-date results. The Applicant should
address how it can help the Mission meet short deadlines for reporting
on Results.

**Quarterly Progress Reports**

Not later than two weeks following the close of each quarter, the
Recipient will prepare and submit to USAID quarterly reports. The
Recipient shall submit these reports, in English, to USAID/H's Agreement
Officer with a copy to USAID/H's Cognizant Technical Officer. These
reports will cover the three-month periods from January through March,
April through June; July through September, and an annual report
covering the period January through December, respectively. Quarterly
Progress Reports will: describe progress and challenges in achieving
desired results against established timelines and specific result level
indicators. The quarterly report will also include quarterly
expenditures per geographic region ("hotspot").

One primary and key outcome of the JOBS program will be the number of
person months (p/m) of work created. Therefore, an initial set of data
to be reported on quarterly would include:

-   Number of p/m of labor, by labor category, sex, and age cohort (e.g.
    under 25, over 25).

-   Total number of persons employed, by labor category, sex, and age
    cohort.

-   Average p/m per person, by labor category, sex, and age cohort.

A second set of data would include reporting for relevant
conflict-vulnerable areas in which Recipients are active on USAID/Haiti
PMP and on Agency-wide Common Indicators. USAID will work closely with
Recipients as these indicators are further elaborated, to assure that
Recipients\' data collection and collation is harmonized with that of
other implementing partners.

The quarterly report should include at least one success story,
preferably one per geographic area.

This report will summarize progress in relation to agree upon milestones
contained in the Implementation or Work Plans, and will specify any
problems encountered and indicate resolutions or proposed corrective
actions. (For each corrective action, the Recipient will designate
responsible parties and establish a timeframe for completion.) The
report will list activities proposed for the next quarter, noting where
they deviate from the approved Annual Plan.

The Recipient will include in each quarterly report a list of New
Partner Grant Applications received and the disposition of each
application: awarded, rejected, or rejected pending additional
information. The Recipient will include a listing of all sub-agreements
in force during the reporting quarter. At least one brief "success
story" should be included in each quarterly report.

**Annual Reports.**

At the end of each year of the CA, the Recipient will submit an annual
report covering activities of the previous year. These reports will
provide a succinct presentation of Recipient achievement of Recipient
results, milestones and targets in the previous year, with supporting
discussion as warranted, including as necessary to explain any
shortfalls. These reports will summarize progress, provide an analysis
of impact based on activities completed or in progress, and suggest
resolution of any outstanding issues. At least one of the best "success
stories" for the year should be included in the annual report.

**Final Report**.

The final report will be submitted 90 calendar days after the expiration
of the award and will include a description of the cumulative results
achieved, an assessment of the impact of the program, a summary of
lessons learned, and any particularly important success stories. In
addition, the Recipient will provide, in electronic (preferred) or paper
form, a copy of this report to one of the following: (a) Via E-Mail:
docsubmit@dec.cdie.org \<mailto:docsubmit@dec.cdie.org\>; (b) Via U.S.
Postal Service: Development Experience Clearinghouse, 8403 Colesville
Road, Suite 210, Silver Spring, MD 20910, USA; (c) Via Fax: (301)
588-7787; or (d) Online:
\<http://www.dec.org/index.cfm?fuseaction=docSubmit.home\>.

The Recipient shall submit the original and one copy of a final report
on the program to the Cognizant Technical Officer and the Agreement
Officer, respectively.

**IV. Special Provisions**

**Continuation Application:**

The program period and program amount in this RFA covers the full
program period of 48 months; during the first year of the program, the
Recipient shall proceed in accordance with the first year work-plan that
forms part of its application for funding. Thereafter, performance of
the agreement shall be in accordance with a non-competing continuation
application, submitted, reviewed, and approved as follows:

1\) The due date for the first Non-Competing Continuation Application
shall be ten (10) months from award of the assistance instrument. The
Application shall consist of a report of progress from the time of award
to the present, per the awards milestones and timeline; expenditures
incurred during that period; a work-plan for the second full year of the
program and a budget to support the second year work-plan. Work Plan
content should include detail on the estimated deployment of Recipient
and other resources (personnel, equipment, and budget) necessary to
achieve proposed Program milestones and targets together with an \"exit
strategy\" for the Recipient that demonstrates how Program impact and
critical processes will be continued after the expiration of the award.
Finally, the continuation application must demonstrate a coordinated
effort among other USAID-funded programs working within the
conflict-vulnerable target areas. Subsequent Non-Competing Applications
shall be due annually. Subsequent Non-Competing Continuation
Applications should contain the same information as the first
Non-Competing Continuation Application and work-plans for the new
program period.

2\) USAID/H will review Non-Competing Continuation Applications
according to formal or informal procedures that it will establish and
will advise the Recipient of the results of that review no later than 30
days prior to the end of the current program year. If the program is
approved for another year, and subject to funds availability, the
Recipient will be advised through a modification to the Agreement.

The first full Non-Competing Application must include specific mention
of an \"exit strategy\" for the Recipient and demonstrate how that will
be implemented over the life of Program. The \"exit strategy\" must
demonstrate specifically how Program impact and critical processes will
be continued after the Agreement termination date.

Recipients are strongly encouraged to assure that all monitoring and
evaluation or other data collection activities under the Program are
coordinated with relevant implementing partners and/or other Haitian or
Mission entities. In this regard, Recipients are encouraged to utilize
existing resources of collaborating partners; including libraries,
documentation centers, and field personnel, to the extent practicable in
the collection and collation of selected datasets, as opposed to
generating parallel data and/or hiring separate staff. Recipients are
encouraged to collaborate closely with USAID and the expanded team to
assure compatibility of efforts and to avoid possible redundancies.

USAID encourages broad NGO and private sector networking and
collaboration in all activity undertakings. Recipients are encouraged to
participate in periodic seminars and conferences to share and
disseminate experiences among key actors in the public, private, and
parastatal communities.

**V.** **Designation of Key Positions and Personnel**

Recipients must designate one position as Chief of Party for the JOBS
Program. This person is expected to be authorized to represent the
Recipient in all matters pertaining to the execution of the Program
Description with the possible exception of Agreement amendments, for
which authority shall be delegated at the discretion of the Recipient.
The Chief of Party is expected to serve as the Recipient\'s
Representative in Haiti for the purposes of the Agreement. The Chief of
Party will receive technical direction from the USAID Cognizant
Technical Officer (CTO) or his/her designee, only.

**VI. Monitoring Evaluating and Reporting Results**

**Monitoring and Evaluation:**

The Monitoring and Evaluation (M&E) Plan should include the proposed
performance indicators with definition and unit of measure as well as
targets for each desired result. Data sources, method and schedule for
collection or calculation should be noted for each indicator. The
applicant's monitoring and evaluation plan must also contribute to the
Mission's Performance Management Plan (PMP) for the strategic objective
entitled: "More Employment and Sustainable Livelihoods". Additionally,
the extent to which the applicant's M&E plan contributes to
USAID/Haiti's semi-annual reviews and Annual Report by tracking and
reporting all applicable common indicators that measure progress toward
achievement of the JOBS program is a weighted selection criterion.

Specific data required are of two types: i) those that report on
progress toward milestones and targets under this Agreement as
established by the applicant and approved by USAID/Haiti; and ii) those
to measure relevant USAID indicators as provided in its latest
performance monitoring plan (PMP) for the Livelihoods SO to which the
Program contributes.

# SECTION IV: CERTIFICATIONS, ASSURANCES, AND OTHER STATEMENTS OF RECIPIENT   {#section-iv-certifications-assurances-and-other-statements-of-recipient .unnumbered}

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

1.  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.

2.  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:

    a.  Recipient\'s name.

    b.  Recipient\'s address.

    c.  Recipient\'s telephone number.

    d.  Line of business.

    e.  Chief executive officer/key manager.

    f.  Date the organization was started.

    g.  Number of people employed by the recipient.

    h.  Company affiliation.

```{=html}
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```
3.  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 offeror 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

1.  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.

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

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

3.  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)          |                        |                        |
+--------------------+------------------------+------------------------+
|                    |                        |                        |
+--------------------+------------------------+------------------------+
|                    |                        |                        |
+--------------------+------------------------+------------------------+

4.  Source, Origin, and Component 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 result, 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.

+---------------+---------+----------+-------------+------------------+
| TYP           | Q       | GOODS    | PROBABLE    | PROBABLE         |
| E/DESCRIPTION | UANTITY | UNIT     | GOODS       | COMPONENT'S      |
|               | EST.    | C        | SOURCE      | ORIGIN           |
| (Generic)     | COST    | OMPONENT |             |                  |
+---------------+---------+----------+-------------+------------------+
|               |         |          |             |                  |
+---------------+---------+----------+-------------+------------------+
|               |         |          |             |                  |
+---------------+---------+----------+-------------+------------------+

5.  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.

+-----------------+-----------+-----------+-------------+-------------+
| T               | QUANTITY  | ESTIMATED | PROBABLE    | INTENDED    |
| YPE/DESCRIPTION |           | UNIT COST | SOURCE OF   | USE         |
|                 |           |           | ORIGIN      |             |
| (Generic)       |           |           |             |             |
+-----------------+-----------+-----------+-------------+-------------+
|                 |           |           |             |             |
+-----------------+-----------+-----------+-------------+-------------+
|                 |           |           |             |             |
+-----------------+-----------+-----------+-------------+-------------+

6.  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.

+----------------+---------+---------+----------+---------+---------+
| TY             | Q       | ES      | PROBABLE | NATI    | R       |
| PE/DESCRIPTION | UANTITY | TIMATED | SUPPLIER | ONALITY | ATIONAL |
|                |         | UNIT    | (Non-US  | for     |         |
| (Generic)      |         | COST    | Only)    | NON_US  |         |
+----------------+---------+---------+----------+---------+---------+
|                |         |         |          |         |         |
+----------------+---------+---------+----------+---------+---------+
|                |         |         |          |         |         |
+----------------+---------+---------+----------+---------+---------+

7.  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     |
|                       |              | UNIT COST    | DISPOSITION  |
| (Generic)             |              |              |              |
+-----------------------+--------------+--------------+--------------+
|                       |              |              |              |
+-----------------------+--------------+--------------+--------------+
|                       |              |              |              |
+-----------------------+--------------+--------------+--------------+

6\. PAST PERFORMANCE REFERENCES

On a continuation page, please provide a list of the ten most current
U.S. Government and/or privately-funded contracts, grants, cooperative
agreements, etc., and the name, address, and telephone number of the
Contract/Agreement Officer or other contact person.

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 {#certification-regarding-debarment-suspension-ineligibility-and-voluntary-exclusion-lower-tier-covered-transactions .unnumbered}

1.  Instructions for Certification

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

    b.  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.

    c.  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.

    d.  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.

    e.  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.

    f.  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.

    g.  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.

    h.  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.

    i.  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.

2.  Certification Regarding Debarment, Suspension, Ineligibility and
    Voluntary Exclusion\--Lower Tier Covered Transactions

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a)  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.

b)  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/Subgrantee
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> Typed Name and Title
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> Signature
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

[NOTICE:]{.underline}

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 {#key-individual-certification-narcotics-offenses-and-drug-trafficking .unnumbered}

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:]{.underline}

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 {#participant-certification-narcotics-offenses-and-drug-trafficking .unnumbered}

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:]{.underline}

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 subgrantee
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 {#certification-regarding-material-support-and-resources .unnumbered}

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:]{.underline}

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

#   {#section .unnumbered}

# 

## ADDITIONAL CERTIFICATIONS AND ASSURANCES {#additional-certifications-and-assurances .unnumbered}

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
            laws 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 was 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.

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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 apply.

4.  For recipients who are individuals, Alternate II applies.

b\) Certification Regarding Drug-Free Workplace Requirements

**[Alternate I]{.underline}**

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\--

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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\--

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        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;

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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]{.underline}**

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 which 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:

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i.  Are not presently debarred, suspended, proposed for debarment,
    declared ineligible, or voluntarily excluded from covered
    transactions by any Federal department or agency;

ii. 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;

iii. 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;

iv. Have not within a three-year period preceding 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, 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]{.underline}**

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 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. nongovernmental organization.

**SECTION V -- ANNEXES**

**ANNEX 1 -- Sample Cooperative Agreement**

Subject: Cooperative Agreement No.

Dear :

Pursuant to the authority contained in the Foreign Assistance Act of
1961, as amended, the U.S. Agency for International Development
(hereinafter referred to as \"USAID\" or \"Grantor\") hereby grants to
(hereinafter referred to as \" \" or \"Recipient\"), the

sum of \$ to provide support for the implementation of a Global Program
to

, as described in Attachment 1, entitled \"Schedule\" and in Attachment
2, entitled \"Program Description\" of this award.

This award is effective and obligation is made as of the date of this
letter and shall apply to commitments made by the Recipient in
furtherance of program objectives during the period beginning with the
effective date and ending . USAID shall not be liable for\
reimbursing the Recipient for any costs in excess of the obligated
amount.

This award is made to , on condition that the funds will be administered
in accordance with the terms and conditions as set forth in 22 CFR 226,
entitled \"Administration of Assistance Awards to U.S. Non-Governmental
Organizations\"; Attachment 1, entitled "Schedule\"; Attachment 2,
entitled \"Program Description\" and Attachment 3 entitled \"Standard
Provisions\".

In the space provided below, please sign the original and each copy of
this letter to acknowledge your acceptance of this award and return the
original and all but one copy to the Agreement Officer.

> Sincerely,
>
> Agreement Officer

Attachments:

1.  Schedule

2.  Program Description

3.  Standard Provisions (Mandatory and Optional)

The terms of this Agreement are acceptable to the Recipient:

BY:

TITLE: DATE:

> ACCOUNTING AND APPROPRIATION DATA

A. GENERAL

1.  Total Estimated USAID Amount:

2.  Cost Sharing Amount (Non-Federal):

3.  Total Obligated Amount:

4.  Activity:

5.  USAID Project Office:

6.  Employer I.D. Number:

7.  DUNS No.:

B. SPECIFIC

1.  A&A Request Number:

2.  Org ID:

3.  Account:

4.  Obl. Amount:

ATTACHMENT 1 SCHEDULE

1.1 PURPOSE OF AGREEMENT

The purpose of this Agreement is to provide support for the program
described in Attachment 2 of this Agreement entitled \"Program
Description.\"

1.2 PERIOD OF AGREEMENT

The effective date of this Agreement is the date of the Cover Letter and
the completion date is .

1.3 AMOUNT OF AWARD and PAYMENT

> 1\. The total estimated amount of this Agreement is \$ .

2.  USAID hereby obligates the amount of \$ for program expenditures
    during the period set forth in B.2 above and as shown in the Budget
    below.

3.  Payment shall be made to the Recipient by (TO BE DETERMINED) in
    accordance with the procedures set forth in (TO BE DETERMINED).

4.  Additional funds up to the total amount of the grant shown above may
    be obligated by USAID subject to the availability of funds and 22
    CFR 226.25.

1.4 BUDGET

The following is the Agreement Budget. Revisions to this budget shall be
made in accordance with 22 CFR 226.25.

[Activity]{.underline} [Amount]{.underline}

Program to (USAID) TBD

Total Program Amount TOTAL TBD![](media/image1.png){width="1.25in"
height="0.2701388888888889in"}

1.5 REPORTING AND EVALUATION

1..Financial Reporting 

The Recipient shall submit an original and two copies quarterly.
Financial Reports shall be in keeping with 22 CFR 226.52. An Original of
the Financial Report should be sent to the Controller, USAID/Haiti with
one copy to the CTO and the second copy to the Contracts Office in
USAID/Haiti.  Address: USAID/Haiti, 57 Harry Truman Blvd.,
Port-au-Prince.  

 

The quarterly financial report will list quarterly and cumulative
expenditures by budget line item, by Program Results, as well as by the
selected geographic regions within which the Applicant is working.

2\. Performance Monitoring and Reporting

**Quarterly and Annual Reports**

The Recipient shall submit to USAID/Haiti ten (10) copies in English of
the following reports in hard copy and on a CD. The JOBS program is
anticipated to be a high visibility program with numerous reporting
demands made on the Mission for up-to-date results. The Applicant should
address how it can help the Mission meet short deadlines for reporting
on Results.

**Quarterly Progress Reports**

Not later than two weeks following the close of each quarter, the
Recipient will prepare and submit to USAID quarterly reports. The
Recipient shall submit these reports, in English, to USAID/H's Agreement
Officer with a copy to USAID/H's Cognizant Technical Officer. These
reports will cover the three-month periods from January through March,
April through June; July through September, and an annual report
covering the period January through December, respectively. Quarterly
Progress Reports will: describe progress and challenges in achieving
desired results against established timelines and specific result level
indicators. The quarterly report will also include quarterly
expenditures per geographic region ("hotspot").

One primary and key outcome of the JOBS program will be the number of
person months (p/m) of work created. Therefore, an initial set of data
to be reported on quarterly would include:

-   Number of p/m of labor, by labor category, sex, and age cohort (e.g.
    under 25, over 25).

-   Total number of persons employed, by labor category, sex, and age
    cohort.

-   Average p/m per person, by labor category, sex, and age cohort.

A second set of data would include reporting for relevant
conflict-vulnerable areas in which Recipients are active on USAID/Haiti
PMP and on Agency-wide Common Indicators. USAID will work closely with
Recipients as these indicators are further elaborated, to assure that
Recipients\' data collection and collation is harmonized with that of
other implementing partners.

The quarterly report should include at least one success story,
preferably one per geographic area.

This report will summarize progress in relation to agree upon milestones
contained in the Implementation or Work Plans, and will specify any
problems encountered and indicate resolutions or proposed corrective
actions. (For each corrective action, the Recipient will designate
responsible parties and establish a timeframe for completion.) The
report will list activities proposed for the next quarter, noting where
they deviate from the approved Annual Plan.

The Recipient will include in each quarterly report a list of New
Partner Grant Applications received and the disposition of each
application: awarded, rejected, or rejected pending additional
information. The Recipient will include a listing of all sub-agreements
in force during the reporting quarter. At least one brief "success
story" should be included in each quarterly report.

**Annual Reports.**

At the end of each year of the CA, the Recipient will submit an annual
report covering activities of the previous year. These reports will
provide a succinct presentation of Recipient achievement of Recipient
results, milestones and targets in the previous year, with supporting
discussion as warranted, including as necessary to explain any
shortfalls. These reports will summarize progress, provide an analysis
of impact based on activities completed or in progress, and suggest
resolution of any outstanding issues. At least one of the best "success
stories" for the year should be included in the annual report.

**Final Report**.

The final report will be submitted 90 calendar days after the expiration
of the award and will include a description of the cumulative results
achieved, an assessment of the impact of the program, a summary of
lessons learned, and any particularly important success stories. In
addition, the Recipient will provide, in electronic (preferred) or paper
form, a copy of this report to one of the following: (a) Via E-Mail:
docsubmit@dec.cdie.org \<mailto:docsubmit@dec.cdie.org\>; (b) Via U.S.
Postal Service: Development Experience Clearinghouse, 8403 Colesville
Road, Suite 210, Silver Spring, MD 20910, USA; (c) Via Fax: (301)
588-7787; or (d) Online:
\<http://www.dec.org/index.cfm?fuseaction=docSubmit.home\>.

The Recipient shall submit the original and one copy of a final report
on the program to the Cognizant Technical Officer and the Agreement
Officer, respectively.

[\
]{.underline}1.6 SUBSTANTIAL INVOLVEMENT BY USAID

USAID shall be substantially involved during the implementation of this
Cooperative Agreement in the following ways:

1.  Approval of the recipient's annual work plans, including: planned
    activities for the following year, international travel plans,
    planned expenditures, knowledge management plans, event
    planning/management, research studies/protocols, and changes to any
    activity to be carried out under the Cooperative Agreement;

2.  Approval of and any changes to specified key personnel;

3.  Agency and recipient joint participation, including: selection of
    technical oversight board members, sub-grant recipients, and
    concurrence on the substantive provisions of the sub-grants; and
    coordination with other cooperating agencies; and

4.  Approval of Monitoring and Evaluation Plan\
    \
    1.7 INDIRECT COSTS

Pursuant to the Optional Standard Provision of this Award entitled
Negotiated Indirect Cost Rates - (TO BE DETERMINED), an indirect cost
rate shall be established for each of the Recipient\'s accounting
periods which apply to this Award. Pending establishment of final or
revised PROVISIONAL indirect cost rates, PROVISIONAL payments on account
of allowable costs shall be made on the basis of the following
negotiated PROVISIONAL rate(s) applied to the base(s), which is (are)
set forth below:

> Rate Base Period

TO BE DETERMINED 1/ From: Agreement Effective date

To: Until Amended

1/ Base of Application: TO BE DETERMINED

1.8 TITLE TO AND CARE OF PROPERT

Title to all property financed under this award shall vest in the
Recipient subject to the requirements of 22 CFR 226.30 through 37.

1.9 AUTHORIZED GEOGRAPHIC CODE

The authorized geographic code for procurement of goods and services
under this award is Code XXX. Local cost financing shall be authorized
in accordance with the standard provision \"Local Procurement (1998)\".

1.10 PROGRAM INCOME

The Recipient shall account for Program Income in accordance with 22 CFR
226.24. Program Income earned under this award shall be applied to the
Agreement to further the Program objectives.

1.11 COST SHARE

The Recipient shall account for cost share in accordance with 22 CFR
226.23, Cost Sharing or Matching.

1.12 KEY PERSONNEL

The following positions are considered key to the successful completion
of the project described in this Agreement. The named personnel are
approved and the Recipient agrees to submit to USAID for approval any
proposed replacement for any of the persons named below.

> [Position]{.underline} [Name]{.underline} (TO BE DETERMINED)

1.14 PERIOD OF AWARD

> This award is for a four-year period and may be extended up to ten
> years.

1.15 IMPLEMENTATION OF E.O. 13224 -- EXECUTIVE ORDER ON TERRORIST
FINANCING

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
subcontractors/sub-awards issued under this agreement.

> ATTACHMENT 2

PROGRAM DESCRIPTION\
(SEE SECTION III OF THE RFA)

Attachment 3: Mandatory Standard Provisions

**Mandatory Standard Provisions for [U.S. Nongovernmental
recipients]{.underline} can be accessed through USAID's website
[[http://www.usaid.gov/policy/ads/300/303maa.pdf]{.underline}](http://www.usaid.gov/policy/ads/300/303maa.pdf)**

**Additional/Revised Standard Provisions for [U.S. Non
governmental]{.underline} recipients are as follows:**

USAID DISABILITY POLICY (ASSISTANCE) (December 2004)

(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
    nondiscrimination 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.]{.underline}](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 within the scope of the program objectives, the
    recipient should demonstrate a comprehensive and consistent approach
    for including men, women and children with disabilities.

DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTERS (JANUARY 2004)

\(1\) The recipient agrees to notify the Agreement Officer immediately
upon learning that it or any of its principals:

(a) Are presently excluded or disqualified from covered transactions by
    any

Federal department or agency;

(b) Have been convicted within the preceding three-years 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,
    tax evasion, receiving stolen property, making false claims, or
    obstruction of justice; commission of any other offense indicating a
    lack of business integrity or business honesty that seriously and
    directly affects your present responsibility;

(c) Are 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);
    and

\(d\) Have had one or more public transactions (Federal, State, or
local) terminated for cause or default within the preceding three years.

(2) The recipient agrees that, unless authorized by the Agreement
    Officer, it will not knowingly enter into any subagreements or
    contracts under this grant with a person or entity that is included
    on the Excluded Parties List System
    ([[http://epls.arnet.gov]{.underline}](http://epls.arnet.gov/)). The
    recipient further agrees to include the following provision in any
    subagreements or contracts entered into under this award:

> DEBARMENT, SUSPENSION, INELIGIBILITY, AND VOLUNTARY EXCLUSION
>
> (DECEMBER 2003)
>
> The recipient/contractor certifies that neither it nor its principals
> is presently excluded or
>
> disqualified from participation in this transaction by any Federal
> department or agency.

(3) The policies and procedures applicable to debarment, suspension, and
    ineligibility under USAID-financed transactions are set forth in 22
    CFR Part 208.

DRUG-FREE WORKPLACE (JANUARY 2004)

\(1\) The recipient agrees that it will publish a drug-free workplace
statement and provide a copy to each employee who will be engaged in the
performance of any Federal award. The statement must

\(a\) Tell the employees that the unlawful manufacture, distribution,
dispensing, possession, or use of a controlled substance is prohibited
in its workplace;

\(b\) Specify the actions the recipient will take against employees for
violating that prohibition; and

\(c\) Let each employee know that, as a condition of employment under
any award, he or she

(1) Must abide by the terms of the statement, and

(2) Must notify you in writing if he or she is convicted for a violation
    of a criminal drug statute occurring in the workplace, and must do
    so no more than five calendar days after the conviction.

\(2\) The recipient agrees that it will establish an ongoing drug-free
awareness program to inform employees about

(a) The dangers of drug abuse in the workplace;

(b) Your policy of maintaining a drug-free workplace;

(c) Any available drug counseling, rehabilitation and employee
    assistance programs; and

(d) The penalties that you may impose upon them for drug abuse
    violations occurring in the workplace.

\(3\) Without the Agreement Officer's expressed written approval, the
policy statement and program must be in place as soon as possible, no
later than the 30 days after the effective date of this award, or the
completion date of this award, whichever occurs first.

\(4\) The recipient agrees to immediately notify the Agreement Officer
if an employee is convicted of a drug violation in the workplace. The
notification must be in writing, identify the employee's position title,
the number of each award on which the employee worked. The notification
must be sent to the Agreement Officer within ten calendar days after the
recipient learns of the conviction.

\(5\) Within 30 calendar days of learning about an employee's
conviction, the recipient must either

(a) Take appropriate personnel action against the employee, up to and
    including termination, consistent with the requirements of the
    Rehabilitation Act of 1973 (29 USC 794), as amended, or

(b) Require the employee to participate satisfactorily in a drug abuse
    assistance or rehabilitation program approved for these purposes by
    a Federal, State or local health, law enforcement, or other
    appropriate agency.

\(6\) The policies and procedures applicable to violations of these
requirements are set forth in 22 CFR Part 210.

**Mandatory Standard Provisions for [Non-U.S.,
Nongovernmental]{.underline} recipients can be accessed through USAID's
website
[[http://www.usaid.gov/policy/ads/300/303mab.pdf]{.underline}](http://www.usaid.gov/policy/ads/300/303mab.pdf)**

**Additional/Revised Standard Provisions for [Non-U.S. Non
governmental]{.underline} recipients are as follows:**

USAID DISABILITY POLICY (ASSISTANCE) (December 2004)

(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
    nondiscrimination 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.]{.underline}](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 within the scope of the program objectives, the
    recipient should demonstrate a comprehensive and consistent approach
    for including men, women and children with disabilities.

DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTERS (JANUARY 2004)

\(1\) The recipient agrees to notify the Agreement Officer immediately
upon learning that it or any of its principals:

(a) Are presently excluded or disqualified from covered transactions by
    any

Federal department or agency;

(b) Have been convicted within the preceding three-years 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,
    tax evasion, receiving stolen property, making false claims, or
    obstruction of justice; commission of any other offense indicating a
    lack of business integrity or business honesty that seriously and
    directly affects your present responsibility;

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(c) Are 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);
    and

(d) Have had one or more public transactions (Federal, State, or local)
    terminated for cause or default within the preceding three years.

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```
(2) The recipient agrees that, unless authorized by the Agreement
    Officer, it will not knowingly enter into any subagreements or
    contracts under this grant with a person or entity that is included
    on the Excluded Parties List System
    ([[http://epls.arnet.gov]{.underline}](http://epls.arnet.gov/)). The
    recipient further agrees to include the following provision in any
    subagreements or contracts entered into under this award:

> DEBARMENT, SUSPENSION, INELIGIBILITY, AND VOLUNTARY EXCLUSION
>
> (DECEMBER 2003)
>
> The recipient/contractor certifies that neither it nor its principals
> is presently excluded or
>
> disqualified from participation in this transaction by any Federal
> department or agency.

(3) The policies and procedures applicable to debarment, suspension, and
    ineligibility under USAID-financed transactions are set forth in 22
    CFR Part 208.

DRUG-FREE WORKPLACE (JANUARY 2004)

\(1\) The recipient agrees that it will publish a drug-free workplace
statement and provide a copy to each employee who will be engaged in the
performance of any Federal award. The statement must

(a) Tell the employees that the unlawful manufacture, distribution,
    dispensing, possession, or use of a controlled substance is
    prohibited in its workplace;

(b) Specify the actions the recipient will take against employees for
    violating that prohibition; and

(c) Let each employee know that, as a condition of employment under any
    award, he or she

```{=html}
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```
(1) Must abide by the terms of the statement, and

(2) Must notify you in writing if he or she is convicted for a violation
    of a criminal drug statute occurring in the workplace, and must do
    so no more than five calendar days after the conviction.

\(2\) The recipient agrees that it will establish an ongoing drug-free
awareness program to inform employees about

(a) The dangers of drug abuse in the workplace;

(b) Your policy of maintaining a drug-free workplace;

(c) Any available drug counseling, rehabilitation and employee
    assistance programs; and

(d) The penalties that you may impose upon them for drug abuse
    violations occurring in the workplace.

\(3\) Without the Agreement Officer's expressed written approval, the
policy statement and program must be in place as soon as possible, no
later than the 30 days after the effective date of this award, or the
completion date of this award, whichever occurs first.

\(4\) The recipient agrees to immediately notify the Agreement Officer
if an employee is convicted of a drug violation in the workplace. The
notification must be in writing, identify the employee's position title,
the number of each award on which the employee worked. The notification
must be sent to the Agreement Officer within ten calendar days after the
recipient learns of the conviction.

\(5\) Within 30 calendar days of learning about an employee's
conviction, the recipient must either (a) Take appropriate personnel
action against the employee, up to and including termination, consistent
with the requirements of the Rehabilitation Act of 1973 (29 USC 794), as
amended, or

\(b\) Require the employee to participate satisfactorily in a drug abuse
assistance or rehabilitation program approved for these purposes by a
Federal, State or local health, law enforcement, or other appropriate
agency.

\(6\) The policies and procedures applicable to violations of these
requirements are set forth in 22 CFR Part 210.

**ANNEX 2 -USAID Branding Policy**

**BRANDING STRATEGY - ASSISTANCE (December 2005)**

(a) **Definitions**

***Branding Strategy*** means a strategy that is submitted at the
specific request of a USAID Agreement Officer by an Apparently
Successful Applicant after evaluation of an application for USAID
funding, describing how the program, project, or activity is named and
positioned, and how it is promoted and communicated to beneficiaries and
host country citizens. It identifies all donors and explains how they
will be acknowledged.

***Apparently Successful Applicant(s)*** means the applicant(s) for
USAID funding recommended for an award after evaluation, but who has not
yet been awarded a grant, cooperative agreement or other assistance
award by the Agreement Officer. The Agreement Officer will request that
the Apparently Successful Applicants submit a Branding Strategy and
Marking Plan. Apparently Successful Applicant status

confers no right and constitutes no USAID commitment to an award.

***USAID Identity (Identity)*** means the official marking for the
Agency, comprised of the USAID logo and new brandmark, which clearly
communicates that our assistance is from the American people. The USAID
Identity is available on the USAID website and is provided without
royalty, license, or other fee to recipients of USAID-funded grants or
cooperative agreements or other assistance awards or subawards.

(b) **Submission.** The Apparently Successful Applicant, upon request of
    the Agreement Officer, will submit and negotiate a Branding
    Strategy. The Branding Strategy will be included in and made a part
    of the resulting grant or cooperative agreement. The Branding
    Strategy will be negotiated within the time that the Agreement
    Officer specifies. Failure to submit and negotiate a Branding
    Strategy will make the applicant ineligible for award of a grant or
    cooperative agreement. The Apparently Successful Applicant must
    include all estimated costs associated with branding and marking
    USAID programs, such as plaques, stickers, banners, press events and
    materials, and the like.

(c) **Submission Requirements**

At a minimum, the Apparently Successful Applicant's Branding Strategy
will address the following:

(1) **Positioning**

*What is the intended name of this program, project, or activity?*

Guidelines: USAID prefers to have the USAID Identity included as part of
the program or project name, such as a \"title sponsor,\" if possible
and appropriate. It is acceptable to \"co-brand\" the title with USAID's
and the Apparently Successful Applicant's identities. For example: \"The
USAID and \[Apparently Successful Applicant\] Health Center.\" If it
would be inappropriate or is not possible to \"brand\" the project this
way, such as when rehabilitating a structure that already exists or if
there are multiple donors, please explain and indicate how you intend to
showcase USAID\'s involvement in publicizing the program or project.
*For example: School #123, rehabilitated by USAID and \[Apparently
Successful Applicant\]/ \[other donors\].* Note: the Agency prefers
\"made possible by (or with) the generous support of the American
People\" next to the USAID Identity in acknowledging our contribution,
instead of the phrase \"funded by.\" USAID prefers local language
translations.

*Will a program logo be developed and used consistently to identify this
program? If yes, please attach a copy of the proposed program logo.*

Note: USAID prefers to fund projects that do NOT have a separate logo or
identity that competes with the USAID Identity.

(2) **Program Communications and Publicity**

*Who are the primary and secondary audiences for this project or
program?*

Guidelines: Please include direct beneficiaries and any special target
segments or influencers. *For Example: Primary audience: schoolgirls age
8-12, Secondary audience: teachers and parents--specifically mothers.
What communications or program materials will be used to explain or
market the*

*program to beneficiaries?*

Guidelines: These include training materials, posters, pamphlets, Public
Service Announcements, billboards, websites, and so forth.

*What is the main program message(s)?*

Guidelines: *For example: \"Be tested for HIV-AIDS\" or \"Have your
child inoculated. \"* Please indicate if you also plan to incorporate
USAID's primary message -- this aid is \"from the American people\" --
into the narrative of program materials. This is optional; however,
marking with the USAID Identity is required.

*Will the recipient announce and promote publicly this program or
project to host country citizens? If yes, what press and promotional
activities are planned?*

Guidelines: These may include media releases, press conferences, public
events, and so forth. Note: incorporating the message, "USAID from the
American People", and the USAID Identity is required.

*Please provide any additional ideas about how to increase awareness
that the American people support this project or program.*

Guidelines: One of our goals is to ensure that both beneficiaries and
host-country citizens know that the aid the Agency is providing is
\"from the American people.\" Please provide any initial ideas on how to
further this goal. **(3) Acknowledgements**

*Will there be any direct involvement from a host-country government
ministry? If yes, please indicate which one or ones. Will the recipient
acknowledge the ministry as an additional co-sponsor?*

Note: it is perfectly acceptable and often encouraged for USAID to
\"co-brand\" programs with government ministries.

*Please indicate if there are any other groups whose logo or identity
the recipient will use on program materials and related communications.*

Guidelines: Please indicate if they are also a donor or why they will be
visibly acknowledged, and if they will receive the same prominence as
USAID.

\(d\) **Award Criteria.** The Agreement Officer will review the Branding
Strategy for adequacy, ensuring that it contains the required
information on naming and positioning the USAID-funded program, project,
or activity, and promoting and communicating it to cooperating country
beneficiaries and citizens. The Agreement Officer also will evaluate
this information to ensure that it is consistent with the stated
objectives of the award; with the Apparently Successful Applicant's cost
data submissions; with the Apparently Successful Applicant's project,
activity, or program performance plan; and with the regulatory
requirements set out in 22 CFR 226.91. The Agreement Officer may obtain
advice and recommendations from technical experts while performing the
evaluation.

**MARKING PLAN -- ASSISTANCE (December 2005)**

(a)**Definitions**

***Marking Plan*** means a plan that the Apparently Successful Applicant
submits at the specific request of a USAID Agreement Officer after
evaluation of an application for USAID funding, detailing the public
communications, commodities, and program materials and other items that
will visibly bear the USAID Identity. Recipients may request approval of
Presumptive Exceptions to marking requirements in the Marking Plan.

***Apparently Successful Applicant(s)*** means the applicant(s) for
USAID funding recommended for an award after evaluation, but who has not
yet been awarded a grant, cooperative agreement or other assistance
award by the Agreement Officer. The Agreement Officer will request that
Apparently Successful Applicants submit a Branding Strategy and Marking
Plan. Apparently Successful Applicant status confers

no right and constitutes no USAID commitment to an award, which the
Agreement Officer must still obligate. ***USAID Identity (Identity)***
means the official marking for the Agency, comprised of the USAID logo
and new brandmark, which clearly communicates that our assistance is
from the American people. The USAID Identity is available on the USAID
website and USAID provides it without royalty, license, or other fee to
recipients of USAID funded grants, cooperative agreements, or other
assistance awards or subawards.

A ***Presumptive Exception*** exempts the applicant from the general
marking requirements for a *particular* USAID-funded public
communication, commodity, program material or other deliverable, or a
*category* of USAID-funded public communications, commodities, program
materials or other deliverables that would otherwise be required to
visibly bear the USAID Identity. The Presumptive Exceptions are:

Presumptive Exception (i). USAID marking requirements may not apply if
they would compromise the intrinsic independence or neutrality of a
program or materials where independence or neutrality is an inherent
aspect of the program and materials, such as election monitoring or
ballots, and voter information literature; political party support or
public policy advocacy or reform; independent media, such as

television and radio broadcasts, newspaper articles and editorials; and
public service announcements or public opinion polls and surveys (22
C.F.R. 226.91(h)(1)). Presumptive Exception (ii). USAID marking
requirements may not apply if they would diminish the credibility of
audits, reports, analyses, studies, or policy recommendations whose data
or findings must be seen as independent (22 C.F.R. 226.91(h)(2)).

Presumptive Exception (iii). USAID marking requirements may not apply if
they would undercut host-country government "ownership" of
constitutions, laws, regulations, policies, studies, assessments,
reports, publications, surveys or audits, public service announcements,
or other communications better positioned as "by" or "from" a
cooperating country ministry or government official (22 C.F.R.
226.91(h)(3)).

Presumptive Exception (iv). USAID marking requirements may not apply if
they would impair the functionality of an item, such as sterilized
equipment or spare parts (22 C.F.R. 226.91(h)(4)).

Presumptive Exception (v). USAID marking requirements may not apply if
they would incur substantial costs or be impractical, such as items too
small or otherwise unsuited for individual marking, such as food in bulk
(22 C.F.R. 226.91(h)(5)). Presumptive Exception (vi). USAID marking
requirements may not apply if they would offend local cultural or social
norms, or be considered inappropriate on such items as condoms, toilets,
bed pans, or similar commodities (22 C.F.R. 226.91(h)(6)). Presumptive
Exception (vii). USAID marking requirements may not apply if they would
conflict with international law (22 C.F.R. 226.91(h)(7)).

\(b\) **Submission.** The Apparently Successful Applicant, upon the
request of the Agreement Officer, will submit and negotiate a Marking
Plan that addresses the details of the public communications,
commodities, program materials that will visibly bear the USAID
Identity. The marking plan will be customized for the

particular program, project, or activity under the resultant grant or
cooperative agreement. The plan will be included in and made a part of
the resulting grant or cooperative agreement. USAID and the Apparently
Successful Applicant will negotiate the Marking Plan within the time
specified by the Agreement Officer. Failure to submit and negotiate a
Marking Plan will make the applicant ineligible for award of

a grant or cooperative agreement. The applicant must include an estimate
of all costs associated with branding and marking USAID programs, such
as plaques, labels, banners, press events, promotional materials, and so
forth in the budget portion of its application. These costs are subject
to revision and negotiation with the Agreement Officer upon submission
of the Marking Plan and will be incorporated into

the Total Estimated Amount of the grant, cooperative agreement or other
assistance instrument.

\(c\) **Submission Requirements.** The Marking Plan will include the
following:

\(1\) A description of the public communications, commodities, and
program materials that the recipient will be produced as a part of the
grant or cooperative agreement and which will visibly bear the USAID
Identity. These include:

(i) program, project, or activity sites funded by USAID, including
    visible infrastructure projects or other programs, projects, or
    activities that are physical in nature;

(ii) technical assistance, studies, reports, papers, publications,
     audio-visual productions, public service announcements, Web
     sites/Internet activities and other promotional, informational,
     media, or communications products funded by USAID;

(iii) events financed by USAID, such as training courses, conferences,
      seminars, exhibitions, fairs, workshops, press conferences, and
      other public activities; and

(iv) all commodities financed by USAID, including commodities or
     equipment provided under humanitarian assistance or disaster relief
     programs, and all other equipment, supplies and other materials
     funded by USAID, and their export packaging.

\(2\) A table specifying:

(i) the program deliverables that the recipient will mark with the USAID
    Identity,

(ii) the type of marking and what materials the applicant will be used
     to mark the program deliverables with the USAID Identity, and

(iii) when in the performance period the applicant will mark the program
      deliverables, and where the applicant will place the marking.

\(3\) A table specifying:

(i) what program deliverables will not be marked with the USAID
    Identity, and

(ii) the rationale for not marking these program deliverables.

\(d\) **Presumptive Exceptions.**

(1) The Apparently Successful Applicant may request a Presumptive
    Exception as part of the overall Marking Plan submission. To request
    a Presumptive Exception, the Apparently Successful Applicant must
    identify which Presumptive Exception applies, and state why, in
    light of the Apparently Successful Applicant's technical proposal
    and in the context of the program description or program statement
    in the USAID Request For Application or Annual Program Statement,
    marking requirements should

not be required.

(2) Specific guidelines for addressing each Presumptive Exception are:

\(i\) For Presumptive Exception (i), identify the USAID Strategic
Objective, Interim Result, or program goal furthered by an appearance of
neutrality, or state why the program, project, activity, commodity, or
communication is 'intrinsically neutral.' Identify, by category or
deliverable item, examples of program materials funded under the award
for which you are seeking exception 1.

(ii) For Presumptive Exception (ii), state what data, studies, or other
     deliverables will be produced under the USAID funded award, and
     explain why the data, studies, or deliverables must be seen as
     credible.

(iii) For Presumptive Exception (iii), identify the item or media
      product produced under the USAID funded award, and explain why
      each item or product, or category of item and product, is better
      positioned as an item or product produced by the cooperating
      country government.

(iv) For Presumptive Exception (iv), identify the item or commodity to
     be marked, or categories of items or commodities, and explain how
     marking would impair the item's or commodity's functionality.

(v) For Presumptive Exception (v), explain why marking would not be
    cost-beneficial or practical.

(vi) For Presumptive Exception (vi), identify the relevant cultural or
     social norm, and explain why marking would violate that norm or
     otherwise be inappropriate.

(vii) For Presumptive Exception (vii), identify the applicable
      international law violated by marking. (3) The Agreement Officer
      will review the request for adequacy and reasonableness.

In consultation with the Cognizant Technical Officer and other agency
personnel as necessary, the Agreement Officer will approve or disapprove
the requested Presumptive Exception. Approved exceptions will be made
part of the approved Marking Plan, and will apply for the term of the
award, unless provided otherwise.

\(e\) **Award Criteria:** The Agreement Officer will review the Marking
Plan for adequacy and reasonableness, ensuring that it contains
sufficient detail and information concerning public communications,
commodities, and program materials that will visibly bear the USAID
Identity. The Agreement Officer will evaluate the plan to ensure that it
is consistent with the stated objectives of the award; with the
applicant's cost data submissions; with the applicant's actual project,
activity,

or program performance plan; and with the regulatory requirements of 22
C.F.R. 226.91. The Agreement Officer will approve or disapprove any
requested Presumptive Exceptions (see paragraph (d)) on the basis of
adequacy and reasonableness. The Agreement Officer may obtain advice and
recommendations from technical experts while performing the evaluation.

**MARKING UNDER USAID-FUNDED ASSISTANCE INSTRUMENTS (December 2005)**

**(a) Definitions**

***Commodities*** mean any material, article, supply, goods or
equipment, excluding recipient offices, vehicles, and non­deliverable
items for recipient's internal use, in administration of the USAID
funded grant, cooperative agreement, or other agreement or subagreement.

***Principal Oficer*** means the most senior officer in a USAID
Operating Unit in the field, e.g., USAID Mission Director or USAID
Representative. For global programs managed from Washington but executed
across many countries, such as disaster relief and assistance to
internally displaced persons, humanitarian emergencies or immediate post
conflict and political crisis response, the cognizant Principal Officer
may be an Office Director, for example, the Directors of USAID/W/Office
of Foreign Disaster Assistance and Office of Transition Initiatives. For
non-presence countries, the cognizant Principal Officer is the Senior
USAID officer in a regional USAID Operating Unit responsible for the
non-presence country, or in the absence of such a responsible operating
unit, the Principal U.S Diplomatic Officer in the non-presence country
exercising delegated authority from USAID. ***Programs*** mean an
organized set of activities and allocation of resources directed toward
a common purpose, objective, or goal undertaken or proposed by an
organization to carry out the responsibilities assigned to it.

***Projects*** include all the marginal costs of inputs (including the
proposed investment) technically required to produce a discrete
marketable output or a desired result (for example, services from a
fully functional water/sewage treatment facility).

***Public communications*** are documents and messages intended for
distribution to audiences external to the recipient's organization. They
include, but are not limited to, correspondence, publications, studies,
reports, audio visual productions, and other informational products;
applications, forms, press and promotional materials used in connection
with USAID funded programs, projects or activities, including signage
and plaques; Web sites/Internet activities; and events such as training
courses, conferences, seminars, press conferences and so forth.
***Subrecipient*** means any person or government (including cooperating
country government) department, agency, establishment, or for profit or
nonprofit organization that receives a USAID subaward, as defined in 22
C.F.R. 226.2.

***Technical Assistance*** means the provision of funds, goods,
services, or other foreign assistance, such as loan guarantees or food
for work, to developing countries and other USAID recipients, and
through such recipients to subrecipients, in direct support of a
development objective -- as opposed to the internal

management of the foreign assistance program.

***USAID Identity (Identity)*** means the official marking for the
United States Agency for International Development (USAID), comprised of
the USAID logo or seal and new brandmark, with the tagline that clearly
communicates that our assistance is "from the American people." The
USAID Identity is available on the USAID website at
[[www.usaid.gov/branding]{.underline}](http://www.usaid.gov/branding)
and USAID provides it without royalty, license, or other fee to
recipients of USAID-funded grants, or cooperative agreements, or other
assistance awards

**(b) Marking of Program Deliverables**

(1) All recipients must mark appropriately all overseas programs,
    projects, activities, public communications, and commodities
    partially or fully funded by a USAID grant or cooperative agreement
    or other assistance award or subaward with the USAID Identity, of a
    size and prominence equivalent to or greater than the recipient's,
    other donor's, or any other third party's identity or logo.

(2) The Recipient will mark all program, project, or activity sites
    funded by USAID, including visible infrastructure projects (for
    example, roads, bridges, buildings) or other programs, projects, or
    activities that are physical in nature (for example, agriculture,
    forestry, water management) with the USAID Identity.

The Recipient should erect temporary signs or plaques early in the
construction or implementation phase. When construction or
implementation is complete, the Recipient must install a permanent,
durable sign, plaque or other marking.

(3) The Recipient will mark technical assistance, studies, reports,
    papers, publications, audio-visual productions, public service
    announcements, Web sites/Internet activities and other promotional,
    informational, media, or communications products funded by USAID
    with the USAID Identity.

(4) The Recipient will appropriately mark events financed by USAID, such
    as training courses, conferences, seminars, exhibitions, fairs,
    workshops, press conferences and other public activities, with the
    USAID Identity. Unless directly prohibited and as appropriate to the
    surroundings, recipients should display additional materials, such
    as signs and banners, with the USAID Identity. In circumstances in
    which the USAID Identity cannot be displayed visually, the recipient
    is encouraged otherwise to acknowledge USAID and the American
    people's support.

(5) The Recipient will mark all commodities financed by USAID, including
    commodities or equipment provided under humanitarian assistance or
    disaster relief programs, and all other equipment, supplies, and
    other materials funded by USAID, and their export packaging with the
    USAID Identity.

(6) The Agreement Officer may require the USAID Identity to be larger
    and more prominent if it is the majority donor, or to require that a
    cooperating country government's identity be larger and more
    prominent if circumstances warrant, and as appropriate depending on
    the audience, program goals, and materials produced.

(7) The Agreement Officer may require marking with the USAID Identity in
    the event that the recipient does not choose to mark with its own
    identity or logo.

(8) The Agreement Officer may require a pre-production review of
    USAID-funded public communications and program materials for
    compliance with the approved Marking Plan.

(9) Subrecipients. To ensure that the marking requirements "flow
    down\'\' to subrecipients of subawards, recipients of USAID funded
    grants and cooperative agreements or other assistance awards will
    include the USAID-approved marking provision in any USAID funded
    subaward, as follows:

*"As a condition of receipt of this subaward, marking with the USAID
Identity of a size and prominence equivalent to or greater than the
recipient 's, subrecipient 's, other donor 's or third party 's is
required. In the event the recipient chooses not to require marking with
its own identity or logo by the subrecipient, USAID may, at its
discretion, require marking by the subrecipient with the USAID Identity.
"*

(10) Any 'public communications', as defined in 22 C.F.R. 226.2, funded
     by USAID, in which the content has not been approved by USAID, must
     contain the following disclaimer:

*"This study/report/audio/visual/other information/media product
(specify) is made possible by the generous support of the American
people through the United StatesAgency for International Development
(USAID). The contents are the responsibility of \[insert recipient
name\] and do not necessarily reflect the views of USAID or the United
States Government. "*

(11) The recipient will provide the Cognizant Technical Officer (CTO) or
     other USAID personnel designated in the grant or cooperative
     agreement with two copies of all program and communications
     materials produced under the award. In addition, the recipient will
     submit one electronic or one hard copy of all final documents to
     USAID's Development Experience Clearinghouse.

**(c) Implementation of marking requirements.**

\(1\) When the grant or cooperative agreement contains an approved
Marking Plan, the recipient will implement the requirements of this
provision following the approved Marking Plan.

\(2\) When the grant or cooperative agreement does not contain an
approved Marking Plan, the recipient will propose and submit a plan for
implementing the requirements of this provision within ***\[Agreement
Oficer fill-in\]*** days after the effective date of this provision. The
plan will include:

(i) A description of the program deliverables specified in paragraph (b)
    of this provision that the recipient will produce as a part of the
    grant or cooperative agreement and which will visibly bear the USAID
    Identity.

(ii) the type of marking and what materials the applicant uses to mark
     the program deliverables with the USAID Identity,

(iii) when in the performance period the applicant will mark the program
      deliverables, and where the applicant will place the marking,

\(3\) The recipient may request program deliverables not be marked with
the USAID Identity by identifying the program deliverables and providing
a rationale for not marking these program deliverables. Program
deliverables may be exempted from USAID marking requirements when:

(i) USAID marking requirements would compromise the intrinsic
    independence or neutrality of a program or materials where
    independence or neutrality is an inherent aspect of the program and
    materials;

(ii) USAID marking requirements would diminish the credibility of
     audits, reports, analyses, studies, or policy recommendations whose
     data or findings must be seen as independent;

(iii) USAID marking requirements would undercut host-country government
      "ownership" of constitutions, laws, regulations, policies,
      studies, assessments, reports, publications, surveys or audits,
      public service announcements, or other communications better
      positioned as "by" or "from" a cooperating country ministry or
      government official;

(iv) USAID marking requirements would impair the functionality of an
     item;

(v) USAID marking requirements would incur substantial costs or be
    impractical;

(vi) USAID marking requirements would offend local cultural or social
     norms, or be considered inappropriate;

(vii) USAID marking requirements would conflict with international law.

\(4\) The proposed plan for implementing the requirements of this
provision, including any proposed exemptions, will be negotiated within
the time specified by the Agreement Officer after receipt of the
proposed plan. Failure to negotiate an approved plan with the time
specified by the Agreement Officer may be considered as noncompliance
with the requirements is provision.

**(d) Waivers.**

(1) The recipient may request a waiver of the Marking Plan or of the
    marking requirements of this provision, in whole or in part, for
    each program, project, activity, public communication or commodity,
    or, in exceptional circumstances, for a region or country, when
    USAID required marking would pose compelling political, safety, or
    security concerns, or when marking would have an adverse impact in
    the

cooperating country. The recipient will submit the request through the
Cognizant Technical Officer. The Principal Officer is responsible for
approvals or disapprovals of waiver requests.

(2) The request will describe the compelling political, safety, security
    concerns, or adverse impact that require a waiver, detail the
    circumstances and rationale for the waiver, detail the specific
    requirements to be waived, the specific portion of the Marking Plan
    to be waived, or specific marking to be waived, and include a
    description of how program materials will be marked (if at all) if
    the USAID Identity is removed. The request should also provide a
    rationale for any use of recipient's own identity/logo or that of a
    third party on materials that will be subject to the waiver.

(3) Approved waivers are not limited in duration but are subject to
    Principal Officer review at any time, due to changed circumstances.

(4) Approved waivers "flow down" to recipients of subawards unless
    specified otherwise. The waiver may also include the removal of
    USAID markings already affixed, if circumstances warrant.

(5) Determinations regarding waiver requests are subject to appeal to
    the Principal Officer's cognizant Assistant Administrator. The
    recipient may appeal by submitting a written request to reconsider
    the Principal Officer's waiver determination to the cognizant
    Assistant Administrator.

**(e) Non-retroactivity.** The requirements of this provision do apply
to any materials, events, or commodities produced prior to January 2,
2006. The requirements of this provision do not apply to program,
project, or activity sites funded by USAID, including visible
infrastructure projects (for example, roads, bridges, buildings) or
other programs, projects, or activities that are physical in nature (for
example, agriculture, forestry, water management) where the construction
and implementation of these are complete prior to January 2, 2006 and
the period of the grant does not extend past January 2, 2006.

**ANNEX 3 - AAPD 05-04 Certification for HIV/AIDS Program Funds**

PROHIBITION ON THE PROMOTION OR ADVOCACY OF THE LEGALIZATION OR PRACTICE
OF PROSTITUTION OR SEX TRAFFICKING (ASSISTANCE) (JUNE 2005)

(a) The U.S. Government is opposed to prostitution and related
    activities, which are inherently harmful and dehumanizing, and
    contribute to the phenomenon of trafficking in persons. None of the
    funds made available under this agreement may be used to promote or
    advocate the legalization or practice of prostitution or sex
    trafficking. Nothing in the preceding sentence shall be construed to
    preclude the provision to individuals of palliative care, treatment,
    or post-exposure pharmaceutical prophylaxis, and necessary
    pharmaceuticals and commodities, including test kits, condoms, and,
    when proven effective, microbicides.

(b) Except as noted in the second sentence of this paragraph, as a
    condition of entering into this agreement or any subagreement, a
    non-governmental organization or public international organization
    recipient/subrecipient must have a policy explicitly opposing
    prostitution and sex trafficking. The following organizations are
    exempt from this paragraph: the Global Fund to Fight AIDS,
    Tuberculosis and Malaria; the World Health Organization; the
    International AIDS Vaccine Initiative; and any United Nations
    agency.

(c) The following definition applies for purposes of this provision:

Sex trafficking means the recruitment, harboring, transportation,
provision, or obtaining of a person for the purpose of a commercial sex
act. 22 U.S.C. 7102(9).

(d) The recipient shall insert this provision, which is a standard
    provision, in all subagreements.

(e) This provision includes express terms and conditions 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.

> (End of Provision)

[(Recipient's name)]{.underline} certifies compliance as applicable with
the standard provision entitled "Condoms" and "Prohibition on the
Promotion or Advocacy of the Legalization or Practice of Prostitution or
Sex Trafficking."

Name of Organization:

Print Name:\
Title:

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

[^1]: The term "public" does not imply Governmental ownership or
    control. It is meant to convey shared or common assets, as opposed
    to private or individually-owned assets.

[^2]: The term "public" does not imply Governmental ownership or
    control. It is meant to convey shared or common assets, as opposed
    to private or individually-owned assets.

[^3]: The recent FAA Sections 118/119 report for Haiti Biodiversity and
    Tropical Forestry indicates that coastal mangroves are a
    [highly]{.underline} threatened and biologically (as well as
    physically and economically) valuable resource in Haiti. Substantial
    areas of mangrove occur on the coast in and around certain "Hotspot"
    communities particularly Cap Haitian, Gonaives, and Port au Prince.
    The recipient is expected to support, and if needed guide,
    community-led job creation activities that will protect, enhance,
    and lead to better management of mangrove sites. Mangrove and
    coastal area mitigation measures should be incorporated for any
    unintentional adverse effects of the jobs programs (e.g. siltation
    and pollution from newly cleaned canals) that can be identified.