Specific Procurement Notice – Initial Selection Document (ISD) Template Invitation for Initial Selection Works and Operation Service (Design, Build and Operate) Employer: [insert the name of the Employer’s agency] Project: [insert name of project] Contract title: [insert the name of the contract] Country: [insert country where ISD is issued] Loan No. /Credit No. / Grant No.: [insert reference number for loan/credit/grant] ISD No: [insert ISD reference number from Procurement Plan] Issued on: [insert date when ISD is issued to the market] `The [insert name of Borrower/Beneficiary/Recipient] [has received/has applied for/intends to apply for] financing from the World Bank toward the cost of the [insert name of project or grant], and intends to apply part of the proceeds toward payments under the contract for [insert title of contract]. The [insert name of implementing agency] intends to initially select Applicants for [insert contract number and/or name, a brief description of the type(s) of Design, Build and Operations to be provided, including key performance/functional requirements, location, key qualification requirements and other information necessary to enable Applicants to decide whether or not to respond to this invitation for Initial Selection.] It is expected that the Request for Proposals will be made in [insert month and year]. Initial Selection will be conducted through the procedures as specified in the Bank’s Regulations for IPF Borrowers [insert date of applicable Procurement Regulations edition as per legal agreement] (“Procurement Regulations”), and is open to all eligible Applicants as defined in the Procurement Regulations. Interested eligible Applicants may obtain further information from the [insert name of agency] at the address below [insert address at end of document] during office hours [insert office hours if applicable, i.e. 0900 to 1700 hours]. A complete set of Initial Selection documents in [insert name of language] may be purchased by interested Applicants on the submission of a written application to the address below and upon payment of a nonrefundable fee of [insert amount in local currency] or [insert amount in specified convertible currency, i.e. US$]. The method of payment will be [insert method
1 – Qualification Criteria and Requirements [Note to Employer: Only applications that are substantially responsive to the qualification criteria and requirements in Table 1 are to be assessed against Table 2, Rated Criteria and Requirements.] Eligibility Criteria Single Entity Requirements Joint Venture Documentation No. Subject Requirement All Members Combined Each Member One Member Submission Requirements 1.1 Nationality Nationality in accordance with ITA 4.5 Must meet requirement Must meet requirement Must meet requirement N/A Forms ELI – 1.1 and 1.2, with attachments 1.2 Conflict of Interest No conflicts of interest in accordance with ITA 4.6 Must meet requirement Must meet requirement Must meet requirement N/A Application Submission Letter 1.3 Bank Eligibility Not having been declared ineligible by the Bank, as described in ITA 4.7 and 5.1 Must meet requirement Must meet requirement Must meet requirement N/A Application Submission Letter 1.4 United Nations resolution or Borrower’s country law Not having been excluded as a result of prohibition in the Borrower’s country laws or official regulations against commercial relations with the Applicant’s country, or by an act of compliance with UN Security Council resolution, both in accordance with ITA 5.1 and Section V. Must meet requirement Must meet requirement Must meet requirement N/A Forms ELI – 1.1 and 1.2, with attachments Historical Contract Non-Performance
individual and multiple contracts.] (ii) The Applicant also demonstrate, to the satisfaction of the Employer, that it has adequate sources of finance to meet the cash flow requirements on contracts currently in progress and for future contract commitments. (iii) The audited balance sheets or, if not required by the laws of the Applicant’s country, financial statements acceptable to the Employer, for the last [insert number] years shall be submitted and must demonstrate the current soundness of the Applicant’s financial position and indicate its prospective long-term profitability. Must meet requirement Must meet requirement Must meet requirement N/A Must meet requirement Must meet requirement N/A N/A 3.2 Average Annual Turnover Minimum average annual construction turnover of US$ [insert amount in US$ equivalent in words and figures], calculated as total certified payments received for contracts in progress and/or completed within the last [insert number] years, divided by [insert number of years in words] years. [In case the contracts are to be procured Must meet requirement Must meet requirement Must meet [insert number] %, [insert percentage in words] of the requirement Lead member must meet [insert number] %, [insert percentage in words] of the requirement Form FIN – 3.2
as individual contracts under a slice and package (multiple contracts) state the average annual turnover requirement to qualify for individual and multiple contracts.] Experience Criteria Single Entity Requirements Joint Venture Requirements Documentation No. Subject Requirement All Members Combined Each Member One Member Submission Requirements 4.1 DBO Experience Employer shall delete (a) or (b) depending on whether it anticipates there will be a sufficient number potential bidders with DBO experience: (a) Experience of similar DBO contracts is a mandatory qualification criterion to qualify for the long-list under ISDS 27.2(c).] The experience requirement is a minimum number of [state the number] of similar DBO contracts for [Water/ Wastewater] Must meet requirement Must meet requirement N/A N/A Form EXP - 4.1
satisfactorily commissioning. 4.2 Design Experience A minimum number of [state the number] contracts for the design of [ water/ wastewater] treatment plants undertaken as lead design engineer between 1st January [insert year] and Application submission deadline. The selected design contracts shall relate to treatment plant that: have been satisfactorily and substantially completed, and each have a minimum value of [ …] NB: The specific experience requirements may be met by specialized subcontractors. Must meet requirement N/A Must meet requirement Form EXP - 4.2 4.3 Construction Experience A minimum number of [state the number] construction contracts for [ water/ wastewater] treatment plants that have been satisfactorily and substantially completed as a prime contractor, joint venture member, management contractor or subcontractor between 1st January [insert year] and Application submission deadline. The value of the member’s participation in each selected Must meet requirement Must meet requirement N/A N/A Form EXP - 4.3
[insert year] [insert amount] Contract Identification: [indicate complete contract name, number, and any other identification] Name of Employer: [insert full name] Address of Employer: [insert street/city/country] Matter in dispute: [indicate main issues in dispute] who initiated the dispute: [indicate “Employer” or “Contractor”] Status of dispute: [Indicate if it is treated by the Adjudicator, under Arbitration or being dealt with by the Judiciary] [insert amount] Litigation History in accordance with Section III, Table 1 Qualification Criteria, and Requirements No Litigation History in accordance with Section III, Table 1 Qualification Criteria, and Requirements, Sub-Factor 2.4. Litigation History in accordance with Section III, Table 1 Qualification Criteria, and Requirements, Sub-Factor 2.4 as indicated below. Year of award Outcome as percentage of Net Worth Contract Identification Total Contract Amount (currency), USD Equivalent (exchange rate) [insert year] [insert percentage] Contract Identification: [indicate complete contract name, number, and any other identification] Name of Employer: [insert full name] Address of Employer: [insert street/city/country] Matter in dispute: [indicate main issues in dispute] Party who initiated the dispute: [indicate “Employer” or “Contractor”] Reason(s) for Litigation and decision [indicate main reason(s)] [insert amount] Form CON – 3 ESHS Performance Declaration [The following table shall be filled in for the Applicant, each member of a Joint Venture and
Physical size of required contracts items [insert physical size of items] Complexity [insert description of complexity] Methods/Technology [insert specific aspects of the methods/technology involved in the contract] Characteristics [insert other characteristics as described in Section VII, Scope of Employer’s Requirements] Employer's Name: [insert full name] Address: Telephone/fax number E-mail: [indicate street / number / town or city / country] [insert telephone/fax numbers, including country and city area codes] [insert e-mail address, if available] * Refer ITA 14 for date and source of exchange rate. Form EXP - 4.2 Specific Design Experience (Table 1, 4.2 and Table 2) [The following table shall be filled in for contracts performed by the Applicant, each member of a Joint Venture, and Specialized Sub-contractors] Applicant’s Name: [insert full name] Date: [insert day, month, year] Joint Venture Member Name: [insert full name] RFP No. and title: [insert RFP number and title] Page [insert page number] of [insert total number] pages Similar Contract No. [insert number] of [insert number of similar contracts required] Information Contract Identification [insert contract name and number, if applicable] date [insert day, month, year, i.e., 15 June, 2015] Completion date [insert day, month, year, i.e., 03 October, 2017] Role in Contract [check the appropriate boxes] Lead design Process design Detailed design Other Contract Amount [insert contract amount in local currency] US$ [insert Exchange rate and
Section V - Eligible Countries Eligibility for the Provision of Goods, Works and Services in Bank-Financed Procurement In reference to ITA 5.1, for the information of the Applicants, at the present time firms and individuals, supply of goods, or contracting of works or services, from the following countries are excluded from this Initial Selection process: ITA 5.1 (a) [insert a list of the countries following approval by the Bank to apply the restriction or state “none”] ITA 5.1 (b) [list the countries or state “none”]
Section VI - Fraud and Corruption (Text in this Section VI shall not be modified) Purpose The Bank’s Anti-Corruption Guidelines and this apply with respect to procurement under Bank Investment Project Financing operations. Requirements The Bank requires that Borrowers (including beneficiaries of Bank financing); bidders (applicants/proposers), consultants, contractors and suppliers; any sub-contractors, service providers or suppliers; any agents (whether declared or not); and any of their personnel, observe the highest standard of ethics during the procurement process, selection and contract execution of Bank-financed contracts, and refrain from Fraud and Corruption. To this end, the Bank: Defines, for the purposes of this provision, the terms set forth below as follows: “corrupt practice” is the offering, giving, receiving, or soliciting, directly or indirectly, of anything of value to influence improperly the actions of another party; “fraudulent practice” is any act or omission, including misrepresentation, that knowingly or recklessly misleads, or attempts to mislead, a to obtain financial or other benefit or to avoid an obligation; “collusive practice” is an arrangement between two or more parties designed to achieve an improper purpose, including to influence improperly the actions of another party; “coercive practice” is impairing or harming, or threatening to impair or harm, directly or indirectly, any party or the property of the party to influence improperly the actions of a party; “obstructive practice” is: deliberately destroying, falsifying, altering, or concealing of evidence material to the investigation or making false statements to investigators in order to materially impede a Bank investigation into allegations of a corrupt, fraudulent, coercive, or collusive practice; and/or threatening, harassing, or intimidating any party to prevent it from disclosing its knowledge of matters relevant to the investigation or from pursuing the investigation; or acts intended to materially impede the exercise of the Bank’s inspection and audit rights provided for under paragraph 2.2 e. below.