SAMPLE RFA - ACBAR.ORG · Web viewلطفا شرح دهید که شرکت شما چگونه...

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REQUEST FOR APPLICATION (RFA) Issuance Date: July 24/2018 Pre Application Conference Kabul: Aug 07/2018 Deadline for Question: Aug 15/2018 Closing Date: August 31/2018- 3PM Subject: Request for Applications (RFA) Number RFA-RADP-E- 18-003 Packaging Improvement Grants Reference: Issued Under Regional Agriculture Development Program-East (RADP-E) USAID Contract No. AID-306-C-16-00011 The Regional Agricultural Development Program – East (RADP-E) is a five year USAID-funded program to expand sustainable agriculture-led economic growth in the eight target provinces of Ghazni, Kapisa, Laghman, Logar, Nangahar, Parwan, Wardak, and Kabul. Packaging has a significant impact on the sales and profitability of any business specifically businesses involved in food processing and exporting. Packaging material manufacturing industry for processed and fresh fruits and vegetables is emerging and growing in Afghanistan and is faced with severe competition from the neighboring countries. This industry requires targeted activities and support, which can upgrade and uplift the industry, mainly for two reasons 1) Enable packaging material manufacturers to supply value added products and services to farmers, aggregators, processors and exporters so that their products’ safety and marketability is assured; and 2) Enable packaging material manufacturers to compete with imported packaging material; and contribute in a speedy growth of this industry. RADP-E’s targeted value chains (apricot, dairy, poultry and tomato) are diverse and has noteworthy different requirements for 1

Transcript of SAMPLE RFA - ACBAR.ORG · Web viewلطفا شرح دهید که شرکت شما چگونه...

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REQUEST FOR APPLICATION (RFA)

Issuance Date: July 24/2018

Pre Application Conference Kabul: Aug 07/2018

Deadline for Question: Aug 15/2018

Closing Date: August 31/2018- 3PM

Subject: Request for Applications (RFA) Number RFA-RADP-E-18-003Packaging Improvement Grants

Reference: Issued Under Regional Agriculture Development Program-East (RADP-E) USAID Contract No. AID-306-C-16-00011

The Regional Agricultural Development Program – East (RADP-E) is a five year USAID-funded program to expand sustainable agriculture-led economic growth in the eight target provinces of Ghazni, Kapisa, Laghman, Logar, Nangahar, Parwan, Wardak, and Kabul. Packaging has a significant impact on the sales and profitability of any business specifically businesses involved in food processing and exporting. Packaging material manufacturing industry for processed and fresh fruits and vegetables is emerging and growing in Afghanistan and is faced with severe competition from the neighboring countries. This industry requires targeted activities and support, which can upgrade and uplift the industry, mainly for two reasons 1) Enable packaging material manufacturers to supply value added products and services to farmers, aggregators, processors and exporters so that their products’ safety and marketability is assured; and 2) Enable packaging material manufacturers to compete with imported packaging material; and contribute in a speedy growth of this industry.

RADP-E’s targeted value chains (apricot, dairy, poultry and tomato) are diverse and has noteworthy different requirements for packaging materials. In addition, products in the mentioned value chains are very perishable and require significant consideration in terms of packaging to have an attractive outlook and increased shelf-life. So considering packaging as an important activity in value chain upgradation, RADP-E proposes to request solicitation from packaging material manufacturers operating in RADP-E targeted area for improvement and innovation in packaging materials needed by businesses involved in the mentioned four value chains. These grants should address certain problems which are given in the proceeding section below.

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For the purposes of this program, this RFA is being issued and consists of this cover letter and the following:

Section A – Grant Application Instructions Section B – Special Grant Requirements Section C – Selection Process Section D – Program Description Annexes

Applications must be received at the RADP-E offices in Kabul. Applications and modifications thereof shall be submitted in PDF, word or other electronic format to the RADP-E Grants Department at [email protected] or hard copy to the following address:

RADP-E Office, Darya Village Hotel and Business ParkHawa Shinasee Road Khwaja RawashKabul AfghanistanMob: 0789753227

Award will be made to the responsible applicant(s) whose application(s) offers the best value.

Issuance of this RFA does not constitute an award commitment on the part of DAI, nor does it commit DAI to pay for costs incurred in the preparation and submission of an application. Further, DAI reserves the right to reject any or all applications received. Applications are submitted at the risk of the applicant. All preparation and submission costs are at the applicant's expense.

Any questions concerning this RFA should be submitted in writing not later than the date and time specified for questions submissions to RADP-E Grants office by email to [email protected]. Applicants should retain for their records one copy of all enclosures, which accompany their application.

Pre-Application Conference The Pre-Application Conference will be conducted by RADP-E to provide necessary guidance to Potential Applicants on this RFA and on the grant application. The conference venue will be circulated to potential applicants who confirm their attendance by sending the following information by email to [email protected] not later than Aug 05, 2018 at 03:00 PM: (i) Name of the organization (ii) Name and title of the attendee (iii) Attendee’s phone # (iv) Attendee’s email address

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A maximum of two (02) persons per organization will be allowed to attend the conference. Although attendance to this pre-application conference is not mandatory, however, all potential applicants who decide to submit an application are encouraged to attend the conference. All necessary information on these conferences will be posted on the ACBAR website (http://www.acbar.org/RFP/).

Thank you for your interest in USAID RADP-E grant activities.Sincerely,Robert JacobiChief of Party

USAID RADP-East

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RADP-E Export Promotion Grant Program Table of Contents

Section A – Grant Application Instructions.............................................41. Application Procedure...................................................................................................4

A. Completion and submission of applications.................................................4B. Preparation Instructions – Technical................................................................5C. Preparation Instructions – Financial and Administrative Documentation...................................................................................................................5

B. Special Grant Requirements..............................................................6C. Selection Process...............................................................................8D. Program Description.......................................................................11Annex 1 PACKAGING IMPROVEMENT APPLICATION FORM....................12Annex 2: Budget..................................................................................21Annex 3: Mandatory Standard Provisions............................................23Annex 4: CV Form and BioData Form..................................................24Annex 5: Financial Capability Questionnaire........................................25Annex 6: Instructions for Obtaining a DUNS Number - DAI’S Vendors, Subcontractors and Grantees..............................................................33Annex 6: Self-Certification for Exemption from DUNS Requirement. . .42

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Section A – Grant Application Instructions

1. Application Procedure

A. Completion and submission of applications

Eligibility Requirements

To be considered for assistance, applicants must meet the following criteria:

Submit a completed Grant Application form; Be a legally registered Afghan business; Be operational in the RADP-E target area (Kabul, Parwan, Kapisa, Logar,

Wardak, Ghazni, Laghman and Nangarhar) for at least a year; Have a monthly sales of AFN 100,000; Be a packaging material manufacturer or a have a packing house

rendering services to businesses involved in RADP-E 4 value chains; Provide us a list of businesses who need the requested new and/or

improved packaging materials/services; As a company, has sufficient experience in production of packaging

material or delivering services in pack house to local market; Have a minimum of 5 full time employees; Provide a minimum of 50% in-kind contribution as part of their activity; For monitoring and evaluating purposes, agree to full financial records

disclosure; Agree to participate in RADP-E Basic Accounting and Marketing training

and market linkages activities; Demonstrate capacity to increase production and be able to implement

a marketing plan upon the completion of RADP-E assistance; and Demonstrate immediate (4-6 months) and measurable impact as a

result of RADP-E assistance.

Application Submission Requirements

RADP-E review committee will be responsible for reviewing all applications submitted under this RFA and management of the award and monitoring process. Applicants are required to submit a proposal of no more than fifteen (15) pages as outlined below.

Executive summary that explains the eligibility and key summary of the applicant’s unique ability to fulfill this scope of work. (1 page)

Program Description that details how the applicant will meet the Program Objective and each of the Key Activities. This should include a narrative program description about the methodology and approach with clear performance milestones/deliverables at which progress can be evaluated at each phase during the period of implementation. (7 pages)

Management and Staffing Plan that details how the applicant proposes to organize and conduct the development, design of the guide and field

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activities. This will include a brief statement on the qualifications of key staff/researchers/ designers (CVs to be attached but not counted towards the page limit). (5 pages)

Work-plan/chart that shows the key activities and outputs occurring during each phase over the period of implementation. (2 pages)

Supporting documents can include key staff CVs, training curriculum samples, documentation of registration, and other pre-existing materials that will be used as a basis for the training work.

Deadlines

Applications must be received at USAID/RADP-E Office, as indicated in the cover letter. or in word/pdf (preferred) at [email protected]. All submissions must be submitted in English, Pashto and Dari languages and budgets must be in the local currency (Afghani). Please hand delivers your application to the following address:

RADP-E Office, Darya Village Hotel and Business ParkHawa Shinasee Road Khwaja RawashKabul AfghanistanMob: 0789753227

Late Applications All applications received by the deadline will be reviewed for responsiveness and programmatic merit according to the specifications outlined in these guidelines and the application format. Section C addresses the evaluation procedures for the applications. Applications, which are submitted late or are incomplete, run the risk of not being considered in the review process.

B. Preparation Instructions – Technical

See application submission requirements above.

C. Preparation Instructions – Financial and Administrative Documentation

1. Completed Budget. A sample budget is attached (see Annex 2)2. Completed Financial Capability Questionnaire, (Annex 4) which

includes: a. Audited Financial Reports: Copy of the applicant’s most recent

financial report, which has been audited by a certified public accountant or other auditor satisfactory to DAI. If no recent audit, a “Balance Sheet” and “Income Statement” for the most current and previous fiscal year.

b. Incorporation Papers or Certificate of Registration and Statute

c. Organizational chart

3. Documentation that the applicant has the ability to comply with the award conditions, taking into account all existing and currently prospective commitments of the applicant. The applicant must demonstrate its ability

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to segregate funds obtained from the award of a capital grant from other activities of the organization. A separate bank account is required should a grant award be made. (Documentation may include certification from the applicant’s bank or a summary of previous awards, including type of funding, value, client, etc.)

4. Documentation that the applicant has a satisfactory record of integrity and business ethics. (Documentation may include references from other donors or clients and a summary of previous awards, including type of funding, value, client, etc.)

5. Data Universal Numbering System (DUNS) There is a mandatory requirement for the applicant to provide a DUNS number to DAI. The Data Universal Numbering System is a system developed and regulated by Dun & Bradstreet (D&B) that assigns a unique numeric identifier, referred to as a "DUNS number" to a single business entity. Without a DUNS number, DAI cannot deem an applicant to be “responsible” to conduct business with and therefore, DAI will not enter into an agreement with any such organization. The award of a grant resulting from this RFA is contingent upon the winner providing a DUNS number to DAI. Organizations who fail to provide a DUNS number will not receive an agreement and DAI will select an alternate awardee.

All U.S. and foreign organizations, which receive a grant with a value of $25,000 and above, are required to obtain a DUNS number prior to signing of the agreement. Organizations are exempt from this requirement if the gross income received from all sources in the previous tax year was under $300,000. DAI requires that grant applicants sign the self-certification statement if the applicant claims exemption for this reason.For those required to obtain a DUNS number, see Annex 5- Instructions for Obtaining a DUNS Number - DAI’S Vendors, Subcontractors and Grantees. For those not required to obtain a DUNS number, see Annex 6- Self Certification for Exemption from DUNS Requirement

B. Special Grant Requirements

The applicant shall bear in mind the following special requirements for any grants awarded in response to this RFA:

Separate Account: A separate account must be established to house all funds provided under the grant, as well as all interest income.

Permitted Uses of Program Income: The Grantee will inform DAI of any program income generated under the grant and agrees to follow USAID’s disposition requirements for such program income, which is in accordance with 22 CFR 226.24. Program income earned under this agreement shall be applied and used in the following descending order:

1. Added to funds committed by USAID and the recipient to the project or program, and used to further eligible project or program objectives;

2. Used to finance the non-Federal share of the project or program; and

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3. Deducted from the total project or program allowable cost in determining the net allowable costs on which the federal share of costs is based.

If the terms and conditions of the award do not specify how program income is to be used, then number 2) shall apply automatically. Grantees who are commercial organizations may not apply Option 1) to their program income.

Use of Funds: Funds provided under any grant awarded shall be used exclusively to achieve USAID RADP-E objectives and goals. Diversion of grant funds to other uses will result in cancellation of award and retrieval of funds disbursed to the grant recipient.

Reporting Procedures: A description of reporting requirements will be included in the Grant Agreements. The types of reporting required, along with the schedule of reporting, will depend on the grant type and project duration. Reporting forms will be provided to grant recipients. Types of reporting will include the following:

Program report to be submitted during project implementation according to a schedule determined by DAI. This report will include a description of project activities and progress towards meeting the project goal; problems in project implementation; actions taken to overcome them; and plans on how the next phase of the project will be implemented.

Final program report will describe how the project objectives and goals were reached, results of the project, and problems and solutions during implementation. This information should be presented in a manner suitable for presentation to the public.

Financial reports will be submitted to DAI according to a schedule described in the grant agreements. Types of financial reports, as well as the schedule of reporting, will depend on the type of grant, length of project, and amount of grant funding. Financial reports will be required in order to receive grant installments. These reports will describe the amount of grant funds spent during the previous period, total amount spent to date, and amount remaining in each budget line item. In addition, all grant recipients are required to submit a detailed Final Financial Report.

Issuance of the final installment of grant funds is contingent upon DAI’s receipt and acceptance of Final Financial and Final Program Reports.

Project Monitoring: DAI staff will monitor projects in terms of both programmatic and financial aspects. Grant recipients will be expected to facilitate monitoring by making relevant information available to DAI staff.

Restrictions: The Grant Funds provided under the terms of this Agreement shall not be used to finance any of the following:

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1. Goods or services, which are to be used primarily to meet military requirements or to support police or other law enforcement activities,

2. Surveillance equipment,3. Equipment, research and/or services related to involuntary

sterilization or the performance of abortion as a method of family planning,

4. Gambling equipment, supplies for gambling facilities or any hotels, casinos or accommodations in which gambling facilities are or are planned to be located,

5. Activities which significantly degrade national parks or similar protected areas or introduce exotic plants or animals into such areas, or

6. Establishment or development of any export processing zone or designated area where the labor, environmental, tax, tariff, and/or safety laws of the country in which such activity takes place would not apply.

7. Pharmaceuticals,8. Pesticides,9. Logging equipment,10. Luxury goods (including alcoholic beverages and jewelry),11. Establishing or expanding any enterprise that will export raw

materials that are likely to be in surplus in world markets at the time such production becomes effective and that are likely to cause substantial injury to U.S. producers,

12. Activities which would result in the loss of forest lands due to livestock rearing, road construction or maintenance, colonization of forest lands or construction of dams or other water control structures,

13. Activities, which are likely to have a significant adverse effect on the environment, including any of the following (to the extent, such activities are likely to have a significant adverse impact on the environment):i.) Activities which may lead to degrading the quality or

renewability of natural resources;ii.) Activities which may lead to degrading the presence or health

of threatened ecosystems or biodiversity;iii.) Activities which may lead to degrading long-term viability of

agricultural or forestry production (including through use of pesticides);

iv.) Activities, which may lead to degrading community and social systems, including potable water supply, land administration, community health and well-being or social harmony.

14. Activities which are likely to involve the loss of jobs in the United States due to the relocation or expansion outside of the United States of an enterprise located in the United States, or

15. Activities, which the Grantee is aware, are reasonably likely to contribute to the violation of internationally or locally recognized rights of workers,

16. Activities to support the production of agricultural commodities for export from Malawi when such commodities would directly compete with exports of similar United States agricultural commodities to

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third countries and have a significant impact on United States exporters.

C. Selection ProcessWithin 7 working days of the deadline for submitting applications, a review panel will convene. The review panel will include team members from technical, finance and M&E departments. Throughout the evaluation process, DAI shall take steps to ensure that members of the review panel do not have any conflicts of interest or the appearance of such with regard to the organizations whose applicants are under review. An individual shall be considered to have the appearance of a conflict of interest if that person, or that person’s spouse, partner, child, close friend or relative works for or is negotiating to work for, or has a financial interest (including being an unpaid member of a Board of Directors) in any organization that submitted an application currently under the panel’s review. Members of the panel shall neither solicit nor accept gratuities, favors, or anything of monetary value from parties to the awards.

All applications that meet the application requirements will be reviewed by the review panel. Verification of the application submission requirements will be conducted at the USAID/RADP- E Office by RADP-E staff. If suitable applications are received, one or more awards will be made within 30 working days of the review panel meeting provided that the awardee (s) furnishes USAID/RADP-E with all the required documentation as itemized in Section A of this RFA.

The applications will be evaluated according to the evaluation criteria set forth below. To the extent necessary (if award is not made based on initial applications), negotiations may be conducted with each applicant whose application, after discussion and negotiation, has a reasonable chance of being selected for award. Award will be made to responsible applicants whose applications offer the best value.

Applications will be evaluated according to the following criteria. A total of 100 points is possible. Applicants should understand these criteria serve to: (a) identify the significant issues applicants should address in their applications, if any, and (b) set the standard against which all applications will be selected.Evaluation criteria

Proposals will be evaluated according to the following criteria. Technical evaluations are significantly more important than cost. The relative importance of each criterion is indicated by the number of points assigned. A total of 100 points is possible. Applicants should understand these criteria serve to: (a) identify the significant issues Applicants should address in their proposals, if any, and (b) set the standard against which all applications will be selected.

1. Completeness of Application (10 points) This section will mainly require the applicant to fill accurately and thoroughly all the sections of the applications and submit all the related documents

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required as attachments. In general, the following points will be considered by RADP-E during evaluation:

Is the application clear and legible? Is the contact information accurate? Is there proof of registration to operate as a legal business entity in

Afghanistan? Is there a good description and understanding of the estimated cost and

grantee cost-share? Ability for the reviewer to understand the grant application. What they

propose to do, how they will do it, what they need, impact and sustainability?

Is there a list of businesses who need the requested new and/or improved packaging materials/services?

2. Proposed Grant Activity (30 points)

This section will mainly require the applicant to write in his/her own words that basically what they require from RADP-E to improve the quality of packaging material and increase the supply of improved packaging material to exporters, processors, farmers and aggregators in 4 value chains; they should state that why the assistance they are requesting from RADP-E is important for his/her company and agribusinesses; how many agribusinesses are interested in new and/or improved packaging materials/services; how effectively they will do their marketing activities to reach potential agribusinesses. In general, the following points will be considered by RADP-E during evaluation:

Is the Activity Description section of the application completed with sufficient detail to understand what the applicant is proposing?

Are the Project Objectives clear on what the applicant will accomplish with this grant?

Does the proposed activity describe how the improved packaging material will be increased to actors of RADP-E value chain? And / or what plans do they have to target new customers?

Does the proposed activity describe how the applicant will address the problem of inconsistent quality and lack of variety of packaging material?

Does the applicant describe Raw Material Sourcing? What would be the strategy to source raw materials?

Does the proposed activity describe clear Marketing Strategy that how will he/she reach to its potential clients and how will his/her products useful in import substitution?

Does the applicant clearly describe and understand how they will address any problems with quality and variety of packaging material?

Extent to which the application addresses Women and Youth integration and how well the applicant will maintain coordination with relevant government departments.

Is there information on how the applicant will measure increased sales resulting from the grant activity?

How will the applicant keep records and any changes resulting from the grant?

3. Innovation, Risk Share and Value Chain Impact (40 points)

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Relates to section III (Proposed Grant Activity). All three of the below criteria are related to some degree. This section will mainly require the applicants to provide detail information on innovation, risk share (matching contribution) and value chain impact. In the review of applications, RADP-E evaluation committee will evaluate based upon how well the applicant addresses the below evaluation criteria:

a. Innovation:

Is what the applicant proposing innovative? Is this something new? A new business connection with an agribusiness involved in 4 target value chains?A new technology? A new packaging material? A new idea that the applicant wants to try but needs assistance? Business expansion in the current market? A new way of improving business? RADP-E will score based upon new and innovative ideas to be used for the grant assistance they are requesting.

b. Risk Share:

Is what the applicant proposing something that they are unable to undertake with current resources? Is it an activity where RADP-E can help share the risk?

Is there any matching contribution from the applicant for this activity? What is it? and how will the applicant provide the contribution?

What is the matching contribution?

c. Value Chain Impact:

Applicants who propose activities that only impact them or their business activity will score low. Applicants must demonstrate how RADP-E assistance will improve or provide benefits across the value chain. If RADP-E provides a piece of equipment how will that new technology effect their suppliers or buyers or clients or staff?

4. Sustainability of Grant Activity (20 points)

This section mainly deals with providing information on previous, current and planned assistances / loans from NGO, donor programs, banks and financial institutes. The applicant must provide detailed information on the sustainability of proposed activity. In general, the following points will be considered by RADP-E during evaluation:

Detailed information on the type and amount of assistances the business was able to receive or will receive and what happened or will happen after the assistances from NGOs and or donor programs.

Is there a plan for how the applicant will market their products once RADP-E assistance ends?

Does the applicant have a plan on applying for or receiving loans or other resources to continue the activity once RADP-E assistance ends?

DAI and USAID reserve the right to fund any or none of the applications received

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Signing of Grant AgreementsUpon USAID concurrence of the applicant, a Grant Agreement will be prepared. All reporting and contractual obligations will be explained to the grant recipients. Before receiving the first grant installment, all grant recipients must open a separate bank account as this is the only means by which grant funds will be transferred from DAI to the grant recipient.

D. Program Description

RADP-E will award Packaging Improvement Grants to qualified businesses who meet the program criteria set forth in the request for applications. All the in-kind grants will require a minimum of 50% cost-share contribution in order to be considered. Key in this solicitation is the need to receive good ideas from packaging companies and award effective grants for improvement of packaging material to be provided to actors such as exporters, processors, aggregators and farmers involved RADP-E 4 value chains of apricot, dairy, poultry and tomato. RADP-E expects to receive good applications and award 5-7 grants for improvement and development of packaging material needed by businesses involved in the mentioned value chains. RADP-E aims at receiving innovative and impactful ideas from businesses, rather receiving exact details of what RADP-E will fund, we are looking for ideas that the applicant wants to implement but is unable to do due to high cost, risk or lack of resources. Packaging improvement grants to businesses will provide cost-share funding for an equipment for packaging, dies and etc. The primary customers of companies should be RADP-E target beneficiaries in 4 value chains. The packaging companies should provide with proposal on how they can improve and develop packaging industry so that given problems faced by agribusinesses are solved:

1. Address existing needs of agribusinesses due to which they import packaging materials which often take considerable amount of time to import from neighboring countries; and are expensive;

2. Improve the quality of packaging material so that agribusinesses are confident enough that their products are properly protected, stored and transported by proper packaging;

3. Address the problem of shortage and obscene of various variety and shapes of packaging material; and

4. Enable manufacturers to produce attractive packaging materials which can assure agribusinesses that it will increase the marketability of their products.

Example of types of activities to be co-invested by RADP-E:

Equipment / dies for production of good quality of packaging material for businesses and farmers involved in value chains of apricot, dairy, poultry and tomato.

Equipment / dies for production of wide variety of packaging material (i.e. packaging materials needed in different shapes, sizes, colors and

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etc.) needed by businesses and farmers involved in value chains of apricot, dairy, poultry and tomato.

Packaging companies who deem marketing and business promotion activities to reach businesses and farmers for marketing their products.

Expected Outcomes of the Activity

The activity will contribute to the mentioned indicators of RADP-E results framework:Indicator 1.2.1 Value of national Sales of targeted commodities as a result of U.S. Government (USG) assistance.Indicator1.2.1.2: Number of farmers and others who have applied improved technologies or management practices as a result of USG assistance.Indicator 1.2.2.1: Value of incremental sales by agribusiness as a result of USG assistance.Indicator 1.2.2.2: Number of firms (excluding farms) or Civil Society Organizations (CSOs) engaged in agricultural and food security-related manufacturing and services that have increased profits or become financially self-sufficient with USG assistance.Indicator 1.2.2.4: Number of MSMEs (including smallholder farmers, lead farmers) linked to larger-scale firms as a result of USG assistance to the value chain.Indicator 1.2.2.5: Number of agro-enterprises and new business created and/or receiving benefits from the project.

Annex 1 PACKAGING IMPROVEMENT GRANT APPLICATION FORM

I.I.I.I.I.I.I.I.I.I.

GENERAL INFORMATION / معلومات عمومی /عمومي معلومات

A. APPLICANT CONTACT INFORMATIONمعلومات غوښتونکيد اړیکې د

متقا تماس ضیمعلومات

Name of Applicant:نوم غوښتونکېد :

متقاضیاسم :

NOTE: This form is used to apply for Grant Assistance from RADP-E. Submitting this form does not constitute an award commitment on the part of RADP-E, nor does it commit RADP-E to pay for costs incurred in the preparation and submission of an application.

له: یادښت فورمه . RADP-Eدغه د سپارل فورمې ددغه کیږي کارول لپاره کولو ترلاسه مرستې بلاعوضې د RADP-Eڅخهشوی کې کولو چمتو په غوښتنلیک ددغه چې ده مانا په ورکولو د ل>ګښت هغه د نه او ده نه مانا په ژمنې د ورکول مرستې د لخوا

دی. از نوت: بالعوض های کمک درخواست برای فورم . RADP-Eاین دهی تسلیم میگیرد قرار استفاده مورد

فورم .RADP-Eاین نمیسازد وادار فورم این پری خانه هزینه پرداخت و بالعوض های کمک اهدای به را

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NAME / اسمنوم /PHONE NUMBER / شمېره اړيکې تماس/ د شماره /

Name of alternate contact:

شميره یلبد غوښتونکي د اړيکې د او نوم :شخص تماس شماره و اسم

بدیل :تماسNAME / اسمنوم /PHONE NUMBER / شمیره اړيکې تماس/ د شماره /

Name of Enterprise:نوم تصدۍ : د

شرکت :اسم

Date established:نيټه اساس :د

تاسیس :تاریخ

Location: :موقعيت

PROVINCE ولايت

DISTRICTولسوالۍ

VILLAGEقریه/کلی

Email of Enterpriseليک بريښنا تصدۍ د

شرکت ایمیل :ادرس

Registration (with which entity)

اداره ثتبونکې ) : در راجستر و ثبت

( اداره کدام

Registration Status/ موقف ثبت دCircle one

راجستر و ثبت وضعیت( حلقه را گزینه یک(کنید

a. Valid معتبر معتبراست

b. Expired شوی تیر يې تاريخ

منقضیگردیده

c. in process په

ده کې جريانجریان در

است

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A.GRANT REQUEST AMOUNT / اندازه مرستې غوضې بلا شوې غوښتل بالعوض /د کمک مقدارشده درخواست

Request from RADP-E (US$):(estimate)

)RADP-Eله ) اټکلی دالرو په غوښتنه څخهاز بالعوض های کمک RADP-Eدرخواست

( ) ( تخمینی( دالر

Grantee Contribution (US$):(estimate)

دالرو په ونډه کوونکي ترالسه مرستې د)اټکلی(

( ) :( ) تخمینی دالر شونده اهدا سهم

TOTAL GRANT VALUE:ارزښت ټول مرستې بالعوضې د

بالعوض کمک مجموعی :ارزش

List of Grantee Contribution(s):ونډه کوونکي ترلاسه مرستې د

سهم لستاهدا کاری

:شونده

B. CURRENT BUSINESS ACTIVITY فعالیت سوداګریز اوسنی

فعلی تجاری های فعالیت

Target Value Chain (Circle all that apply)

) محصول وړ پام راتاوه د کړۍ کوي صدق چې څه هغه له )کوئ

هدف مورد ارزش زنجیرهرا تمام ) اجرا قابل ای گزینه

( کنید حلقه

Apricot زردالو / Tomato / رومی/ رومي بادنجان /

Poultry مرغداری / Dairy / لبنیات

Role in Value Chain (Circle all that apply)

Packaging Material Manufacturer/ Supplier

Pack House Services

Processorمحصول کوونکی پروسسد

کننده پروسس

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دنده کې کړۍ ارزښتي په محصول د

زنجیره در نقشگزینهتمام ) ارزش

را اجرا قابل ای( کنید حلقه

بندی / بسته مواد کننده عرضه تهیهکونکی / عرضه تهیه دموادو بندۍ دبسته

بندی خدمات بستهخدمات بندۍ دبسته

Exporterصادروونکی

کننده صادر

National Traderسوداګر ملي

ملی تجار

Otherڅه بلدیگر

Products (Circle all that apply)

صدق (محصولات چې څه هغه له یی )کوئ نشانی

گزینه) محصوالت حلقه را اجرا قابل های

(کنید

Cartonsکارتن

Baskets پلاستيکي

کریت/ کريټپلاستکی

Jars/Bottles

مرتبان یا بوتل

Disposable Cups مصرفي

/ بار/ یک ګلاس پيالهمصرف

Clamshellsکلمشیل

Cansقطۍ

Labelling Material

/ مواد مواد ليبل دلیبل برای

Tetra Packټیټراپيک

Sachetsپاکت/ پوښ

Other ردیګر/ نو

a. Describe what you are currently doing (please explain your business overview, your product/services, what products do you source / manufacture, from where you source or where you manufacture, what are the main problems for your business.)

a. ياستئ؟ بوخت څه په اوس تاسو چې کړئ / تشريح : ) کوم کړئ، واضح خدمات محصولات خپل ، وليکئ اړه په تجارت خپل د وکړئ مهربانينور ) داسې او وليکئ اړه په چارو کولو بسته د او برابروئ، يې څنګه کوئ، ترلاسه يې څنګه کوئ، لاسه تر يې ځایه کومه له کوئ، ترلاسه محصولات

a. دهید شرح را تان فعلی های فعالیت انواع ( لطفا خدمات، محصوالت، کلی، مرور لطفامحصوالت برای یابی منبع چگونگی محصوالت، منبع کنید محصوالت، عمده می چالش کدام و ،

( است شما تجارت راه سر

b. Products and Market ) مارکيټ ) بازار او ها / / محصولات بازار و محصوالت

Products Name

نوم محصول دمحصول اسم

Annual Quantity (MT)

مقدار کلنۍساالنه مقدار

Annual Sales (USD)

اندازه کلنۍ خرڅلاو د( کې( ډالرو امريکايي فروشات ساالنه(دالر)

Primary Markets (Provinces)( ولايتونه ( بازارنه لومړني( والیات ( اولیه های بازار

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Total ( ټال (ټولمجموع

b. Employees کارمندان / Full Time هره

روزه ورځ / همهPart Time/Seasonal

موسمي / یا ورځني نيمه / فصلی روزه نیمه

Now / فعلی/اوسنی

*Proposed وړانديز

پیشنهادی/شوي

Now / اوسنی /فعلی

*Proposed وړانديز

پیشنهادی/شويMen / مردسړي Women / ښځې زن

*Proposed: This is the total number of employees plus any you will hire as a result of the grant.

شوي استخدامو: وړاندیز یې کې نتیجه په مرستې بلاعوضې ددغې چې ده شمېره کارکوونکو هغو د او شمېره ټولیزه کارکوونکو د یی دا ی

: نشان اند، گردیده استخدام بالعوض کمک این سبب از که کارکنان بشمول را کارکنان کلی تعداد بخش این شده پیشنهادمیدهد..

c. Sales فروشات / خرڅلا / Average monthly sales now (USD)) ډالرو ) امريکايي خرڅلا اوسط میاشتنی اوسنی) دالر ) فعلی ماهوار فروشات اوسط

Attach any supporting documents

کړئ شامل سندونه ملاتړيکنید ضمیمه را کمکی اسناد

Average monthly sales after grant (USD)) ډالر ) امريکايي خرڅلا اوسط میاشتنی وروسته مرستې تر

کمک حصول از بعد ماهوار فروشات اوسط) دالر ) بالعوض های

Describe increase in sales and income that how it will happen?

ډيری کی عاید او خرڅلا په به څنګه چې کړئ تشريحشی؟ رامنځته راولئ

در افزایش چگونگی لطفاشرح را وغیره درآمد فروشات،

دهید؟

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I.PROPOSED GRANT ACTIVITY فعاليت شوی غوښتل مرستې بلاغوضې /د شده پیشنهاد بالعوض کمکهای های فعالیت

a.Proposed Grant Activity / فعاليت شوی غوښتل مرستې بلاعوضې کمکهای د های فعالیتشده پیشنهاد بالعوض

This section will mainly require the applicant to write in his/her own words that: basically what they require from RADP-E to improve the quality of packaging material and increase the supply of improved packaging material to exporters, processors, farmers and aggregators in 4 value chains; they should state that why the assistance they are requesting from RADP-E is important for his/her company and agribusinesses; how many agribusinesses are interested in new and/or improved packaging materials/services; how effectively they will do their marketing activities to reach potential.

له ( کوئ، ترسره يې څنګه کوئ، وړانديز کار څه د تاسو چې کړئ واضح الفاظو خپلو په کې، برخه پدې څو) RADP-Eمهرباني تر لرئ، اړتيا ته شي څه) . د چې کړئ ذکر باید هم دا کړئ عرضه ته ډلو ښکيلو نور او توليدونکو کوونکو، پروسس صادرونکو، مواد بندۍ بسته ستاسې) RADP-Eد ولې مرسته

څومره به فعاليتونه بازارموندنې د دوی د لري؛ دلچسپي کې خدماتو یا موادو بندۍ بسته د ستاسې بزنسونه کرنيز څومره ده؛ مهمه ته کاروبارونو کرنيزو او بزنس. ورسيږي ته مشتریانو شویو نښه په څو تر کړي اغيزمن

: دفتر از متقاض پیشنهاد اساسا که بنویسد خود کلمات به باید متقاضی عمدتا قسمت این -RADPدرE ،صادرکنندگان به بندی بسته مواد عرضه در بهبود افزایش و بندی بسته مواد کیفیت بهبود برای

در ها کنند جمع و کشاورزان ها، کننده را 4پروسس خویش درخواست بوده چی ارزش زنجیرهاز آنها که هایی کمک چرا که سازد واضح باید متقاضی کنید؛ بیان کنند RADP-Eواضح می درخواست

زراعتی های شرکت از تعداد چی به است؛ مهم زراعتی های شرکت ودیگر شان شرکت برایرا خود بازاریابی های فعالیت موثرتر چگونه دارند؟ بهتر یا و جدید بندی بسته خدمات به عالقمندی

. رسیدن برای را خود بازاریابی های فعالیت آنها چگونه دهند می انجام پتانسیل به رسیدن به  برایموثر داد؟  حد خواهید انجام

b.Raw Material Sourcing and Packaging Material Manufacturing یابی / تولید ومنبع خام توليد مواد او تهيه موادو بندۍ بسته د او سرچينه موادو خامو د

Please describe how you will source raw materials (Packaging Material), from where you will source, and how will your source. How will you manufacture packaging materials? What problems your requested activity and products will solve in any one or four value chains of RADP-E? How will you address the problem of inconsistent supply and low quality of packaging materials? And other relevant issues associated with raw material sourcing.

شوي پيشنهاد ستاسې کوئ؟ چمتو څنګه په محصولات بندۍ بسته د رانيسئ؟ ځای کوم له او څنګه مواد خام خپل تاسې چې ووایاست مخې له مهربانۍ د ( ځنډ ( د یا ټکنۍ عرضې او کيفيت د موادو د بندۍ بسته د به تاسې کړي؟ حل ستونزې کومې مرغداري او لبنيات رومي، زردالو، توليداتو د زمونږ به فعاليتونه

لارې حل د او ستونزې نورې اړوند موادو خامو د یا او کوئ؟ حل څنګه .ستونزه

خام مواد برای چطور که دهید شرح بندی( لطفا بسته یابی) مواد منبع کجا از ، کرد خواهید یابی منبعمیاورید؟ بدست را منبع چطور و کنید؟ میکنید، می تولید را شده بندی بسته مواد و چطور ها فعالیت

برنامه در ارزش زنجیره چهار یا یک به مربوط مشکالت کدام شما پیشنهادی را RADP-Eمحصوالت

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. سازد می می حل بندی بسته مواد پایین کیفیت و ناسازگار عرضه مشکل به چگونه.پردازید؟ کنید ذکر را خام مواد یابی منبع با دیگر مرتبط موضوعات و

c. Marketing / بازاریابی

Please describe. What would be your strategy for marketing your products in domestic market? What marketing activities would you perform to increase and / or create demand for your products in export and national markets? How will you address other related problems for marketing your products?

. د ته محصولاتو خپلو پواسطه اجرا د فعاليتونو کومو د به تاسې کوئ عرضه اساس په ستراتيژۍ کومې د ته بازارونو کورنيو به محصولات خپل چې وليکئپيدا بازار ښه ته توليداتو او محصولات خپل څو تر کوئ حل څنګه به ستونزې برخې د بازارموندنې بزنس دخپل کړئ؟ پيدا تقاضا کې بازار داخلي صادراتواو

کړئ؟

. های بازار در تان محصوالت برای بازاریابی جهت شما استراتیژی دهید شرح خواهد داخلی لطفا چهرا بازاریابی های فعالیت چه بازارهای در تان محصوالت برای تقاضا ایجاد یا و افزایش برای بود؟

خواهید رسیدگی چگونه تان محصوالت برای بازارابی دیگر مرتبط مشکالت به داد؟ خواهید انجام کرد؟

d.Women and Youth Integration / ادغام ځوانانو او ښځو جوانان د و زنان سازی مدغم

Describe below how your firm will integrate women and youth during the implementation of this activity.

. ورکړي ونډه کې برخه په تطبیق د فعالیت ددغه ته ځوانانو او ښځو څنګه به شرکت ستاسې چې کړئ تشریحخواهد شریک فعالیت این تطبیق در را جوانان و زنان چطور شما شرکت که دهید شرح ذیل در لطفا

ساخت.

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e.Coordination / هماهنگی همغږي

Describe below how your firm will involve or coordinate with local MAIL/DAIL, Universities and other relevant department in the implementation of this activity.

یوځای کې برخه په تطبیق د فعالیت ددغه سره ادارو نورو یا پوهنتونو ریاست، ځایې لګونې اوبو او مالدارۍ کرنې، د څنګه به شرکت ستاسې چې کړئ تشریح. وکړي همغږی یا کار

یا و پوهنتونها، ومالداری، آبیاری زراعت، ریاست و وزارت چگونه شما شرکت که دهید شرح لطفا. کرد خواهد هماهنگی آنها با و نموده دخیل ها فعالیت این تطبیق در را دیگر مربوطه ادارات

II. Innovation, Risk Share and Value Chain Impact/ تشریک ابتکار،/ ارزش زنجیره تاثیرات و شريکول ،نوښت خطر خطر او د اغیز ، کړۍ ارزښت د محصولاتو د

a. Innovation/ ابتکار/نوښتPlease describe what you are proposing is innovative? Is this something new? A new business connection with an agribusiness involved in 4 value chains? A new technology? A new packaging material? A new idea that the applicant wants to try but needs assistance? Business expansion in the current market? A new way of improving business? RADP-E will score based upon new and innovative ideas to be used for the grant assistance they are requesting.

اړيکه نوې مينځ تر بزنسونو اړوند زمونږ که دی؟ شی نوی کوم ؟ دی نوښت آایا کوئ؛ وړانديز يې تاسو چې کار هغه کړئ، تشريح کې برخه لاندېده؟ طريقه نوې پرمختګ د بزنس د که ورکوئ؟ وسعت ته کاروبار د کوئ؟ معرفي مواد نوې بندۍ بستۍ د دی؟ نوښت ټکنالوژيک -RADPجوړوي؟

E ورکوي نمرې اساس په نوښت د طرحو د ټیم ارزيابۍ

است، جدید فعالیت آیا است؟ خالقانه میکنید پیشنهاد که های فعالیت دهید شرح ذیل در لطفاجدید تکنالوژی است؟ ارزش زنجیره چهار در کشاورزی تجارت یک با جدید تجاری ارتباط یک

به نیاز اما کند سعی میخواهد متقاضی که است جدید ایده یک است؟ جدید بندی بسته است؟چون است؟ کار و کسب بهبود برای جدید راه یک فعلی؟ بازار در کار و کسب توسعه دارد؟ کمک

RADP-E می پیشنهاد متقاضی که ای خالقانه و جدید های ایده براساس را عوض بال های کمک . کند می کمک نماید

b. Risk Share / شريکول خطر تشریکد خطر

Please address the following two questions: 1. Describe why you need RADP-E assistance, why don’t you do it yourself? 2. What and how much will you co-invest (matching contribution), if RADP-E provides you this grant?

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. کړئ ځواب پوښتنې دوه لاندې وکړئ، د . 1مهرباني پانګونه RADP-E ولې په کوئ؟ ترسره نه پخپله ولې فعاليت شوی وړانديز یاستئ، اړ ته مرستوکه وي، ونډه څومره يا او څه تاسو به درکړي؟ RADP-Eکې مرستې ته تاسو

: دهید پاسخ را ذیل سوال دو های. 1لطفا همکاری به این RADP-Eچرا شما چرا دارید، نیازنمیتوانید؟ گرفته بدوش را به RADP-Eاگر. 2فعالیت ، کند اهدا شما برای را بالعوض کمک این

( گرفت؟ ( خواهید سهم بالمثل کاری سهم هزینه تشریک در مقدار چه

c. Value Chain Impact اغیز کړۍ ارزښت د محصولاتو زنجیره/ د تاثیرات

ارزشApplicants who propose activities that only impact them or their business activity will score low. Applicants must demonstrate how RADP-E assistance will improve or provide benefits across one or more of 4 targeted value chains of RADP-E. If RADP-E provides a piece of equipment how will that new technology effect their suppliers or buyers or clients or staff? Describe below;

هغو . غوښتونکو د لري اغیز باندې کاروبار پر ددوې او دوې پر یواځې چې پیشنهادوي فعالیتونه داسې چې وي لږې به باید غوښتونکينمرېد ه څرګند چې د RADP-Eکړي محصولاتو د څنګه به . RADP-Eمرستې د که شي ثابت ګټورې لپاره کړیو له RADP-Eارزښت

. روښانه کې ځای لاندی په کړي اغيزمن کارمندان او بيپار پيرودونکي، کوونکي، عرضه څنګه به تکنالوژي نوې دا نو شي ورکړل سامان نوی کوم لوريکړئ.

برساند، منفعت و سود شان های تجارت و خود به فقط شان پشنهادی های فعالیت متقاضیانیکه . های همکاری که دهند نشان باید متقضیان کرد خواهند حاصل کم در RADP-Eامتیاز چگونه

زنجیره .هایسراسر میشود اصالحات و بهبودی ایجاد سبب و شده واقع مفید ارزش) RADP-Eاگر عرضه ( باالی چطور جدید تکنالوژی این سازد، فراهم را تکنالوژِ ابزار و وسایل

. دهید شرح ذیل د لطفا بود؟ گذارخواهد تاثیر کارکنان یا و مشتریان ، خریداران ، کنندگان

II.Sustainability of Grant Activity دوام فعاليت د مرستې بلاعوضې پایداری /دبالعوض های کمک های فعالیت

a. Previous assistance / مرستې تيرېشده دریافت قبلی های همکاری

List all current, past or planned assistance you have received from any other NGO/donor program.

کړي ترلاسه ادارو مرستندویو نورو له چې مو مرستې شوي پلان او تېر اوسني، .ذکرټول کړئ / دولتی غیر های نهاد از شده دریافت شده پالن و قبلی، فعلی، شده دریافت های همکاری تمام

. کنید لست را دیگر کنندگان تمویل

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b. Sustainability / پایداریدوام / Describe below how you will continue with the activities proposed in this application after RADP-E assistance ends.

دي شوي غوښتل کې غوښتنلیک دغه په چې ته فعالیتونو هغه څنګه به تاسې چې کړئ واضحد چې دې له .RADP-Eوروسته ورکوئ ادامه شي، بشپړې مرستې

های همکاری ختم از ادامه RADP-Eبعد را درخواستنامه این در شده پشنهاد های فعالیت چگونه. داد خواهید

c. Loan / قرضه/پور Describe in detail any loans or financing you have or are planning to receive. If NO then state why you have not tried to obtain formal (or informal) loans

. ولې چې کړئ څرګند دلیل ددې نو نه، که کړئ ذکر سره جزیاتو له لرئ پلان کولو ترلاسه د یې یا او کړي ترلاسه اوسه تر چې مو پیسې یا پورونه هغه . کړې دی نه کوښښ کولو ترلاسه پورونو غیررسمي یا رسمي د پورې تراوسه مو

مفصل بطور دارید پالن آن حصول برای که را مالی های کمک یا قرضه هر مفصل بطور لطفا . غیر یا رسمی بطور گیری قرضه برای چرا اینکه دلیل باشد، منفی جواب صورتیکه در نمائید بیان

. کنید ذکر را اید، نکرده تالش رسمی

For RADP-E Review and Evaluation Committee Useلپاره RADP-E د کمیټی ارزوني او بررسی د

ارزیابی و مرور کمیته استفاده RADP-EبرایRecommendation:

وړانديز

:پیشنهاد

Comments / نظریاتکتنې /

Reject

رد

مستدر

Request additional information

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معلومات اضافي وړاندیز د

بیشتر معلومات برای درخواست

Accept

منل

قبولی

Review Committee Members:

غړي کمیټې بررسۍ د

مرور کمیته :اعضای

NAME

نوم

اسم

TITLE

موقف

کاری موقف

SIGNATURE

لاسليک

امضاء

DATE

نيټه

تاریخ

1

2

3

4

5

6

Annex 2: Budget

BUDGET Applicant/Organization Name Grant Title Exchange Rate:

1 USD = ____ AFS

Description Quantity

Unit

Unit rate AFS

Total Amount AFS. (Quantity*Unit Rate)

RADP-E Funding (USD)

Grantee/Other Contribution (USD)

Total (USD)

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Subtotal

Subtotal

Subtotal

Subtotal Totals

Description of Budget Line Items:1. Wages/Per Diem – Under “Description” list the title or type of activity i.e. Wages or Per Diem for… Supervisor, Unskilled labor, etc. Under “Unit” put P/D (Person Days). Under “Quantity” put the number of days worked (to be verified by signed time sheets). Under “Unit Price” list the amount to be paid per unit. Indicate if it is a community contribution or to be paid by CLP grant funds. Under NO circumstances do we pay Government Employee Salaries.

2. Materials and Supplies - List items to be purchased/used for the grant activity and show the basis for computation (unit cost). Generally, supplies include any materials that are expendable or consumed during the course of the project. Include materials and supplies contributed or purchased by the applicant as well as those to be purchased with RADP-E funds.

3. Travel and Transportation - Itemize travel expenses of project personnel by purpose (e.g., travel to work site, travel to farmer field days, project monitoring etc.). Show the basis of computation (e.g., six people to work site at $X bus/taxi fare). Will require verification and proof of expense such as fuel receipts, bus/taxi tickets or justification to be approved by RADP-E. Remember to include Travel and Transport costs that are Grantee contributions and can be verified.

4. Other Direct Costs –List items that are not covered under Materials and Supplies (e.g., rent, contractor for specific design/construction or installation activities, security during construction etc.) indicate the basis of the computation.

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Annex 3: Mandatory Standard Provisions

All Mandatory Standard Provisions and Required as Applicable will be included and be part of the resultant grant award(s).

Mandatory Standard Provisions for Non-US Nongovernmental Recipients:(http://www.usaid.gov/missions/sa/usaidsa/mandatorystandard.pdf)

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Annex 4: CV Form and BioData Form

Curriculum Vitae

Proposed position in the project:

Name (First, Middle, Last):

Citizenship:

Education:Name and location of institution

Major(s) or Degree(s) obtained:

Language proficiency – indicate proficiency on a scale of 1 (poor) to 5 (native):

Language Reading Speaking Writing

Membership of NGOs or other professional bodies:

Key skills and qualifications relevant to the project (e.g. computer literacy, etc.):

Employment history:

Position Title

Employer’s name and address

Dates of employment Short description

of tasks performedFrom(month, year)

To(month, year)

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Other relevant information: (e.g. publications, seminars/courses etc.):

Annex 5: Financial Capability QuestionnaireAccounting System and Financial Capability Questionnaire

For DAI Grant Recipients

The main purpose of this questionnaire is to understand the systems adopted by your institution for financial oversight and accounting of grant funds, especially those provided through the U.S. Federal Government. The questionnaire will assist DAI program and accounting staff to identify the extent to which your institution's financial systems match the requirements of the U.S. Federal Government. This information will help the program staff work with you and your institution to review any problem areas that may be identified; thereby avoiding any problems or oversights which would be reportable should an audit of the program or institution be required.

The questionnaire should be completed by the financial officer of your institution in collaboration with DAI program staff. This questionnaire is informational only, and will not have any bearing on the agreement to support your institution based on the technical merit of the proposal. Therefore, please answer all questions to the best of your knowledge.

While 22 CFR 226 does not cover awards to non-U.S. recipients, DAI shall rely on the standards established in that regulation in determining whether potential non-U.S. recipients are responsible to manage Federal funds. A determination shall be made on the potential recipient's ability, or potential ability, to comply with the following USAID and federal-wide policies:

1) 22 CFR 226.20 - 226.28 (Financial and Program Management) (See Mandatory Reference, 22 CFR 226.20 - 226.28);

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2) 22 CFR 226.30 - 226.37 (Property Standards) (See Mandatory Reference, 22 CFR 226.30 - 226.37);

3) 22 CFR 226.40 - 226.49 (Procurement Standards) (See Mandatory Reference, 22 CFR 226.40 - 226.49); and

4) 22 CFR 226.50 - 226.53 (Reports and Records) (See Mandatory Reference, 22 CFR 226.50 - 226.53).

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SECTION A: General Information

Please complete this section which provides general information on your institution.

Name of Institution:

Name and Title of Financial Contact Person:

Name of Person Filling out Questionnaire:

Mailing Address:

Street Address (if different)

Telephone, Fax, Email (if applicable)

Enter the beginning and ending dates of your institution's fiscal year:

From: (Month, Day) To: (Month, Day)

SECTION B: Internal Controls

Internal controls are procedures which ensure that: 1) financial transactions are approved by an authorized individual and are consistent with U.S. laws, regulations and your institution's policies; 2) assets are maintained safely and controlled; and 3) accounting records are complete, accurate and maintained on a consistent basis. Please complete the following questions concerning your institution's internal controls.

1. Does your institution maintain a record of how much time employees spend on different projects or activities?

Yes: No: 2. If yes, how?

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3. Are timesheets kept for each paid employee?

Yes: No: 4. Do you maintain an employment letter or contract which includes the

employee’s salary?

Yes: No: 4. Do you maintain inventory records for your institution's equipment?

Yes: No: (if no, explain)

5. How often do you check actual inventory against inventory records?

6. Are all financial transactions approved by an appropriate official?

Yes: No: 7. The person responsible for approving financial transactions is: ________________ Title: ______________

8. Is the person(s) responsible for approving transactions familiar with U.S. Federal Cost principles as described in OMB Circular A-122?

Yes: No: 9. Does your institution use a payment voucher system or some other procedure for the documentation of approval by an appropriate official?

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Yes: No: 10. Does your institution require supporting documentation (such as original receipts) prior to payment for expenditures?

Yes: No: 11. Does your institution require that such documentation be maintained over a period of time?

Yes: No: If yes, how long are such records kept?

12. Are different individuals within your institution responsible for approving, disbursing, and accounting of transactions?

Yes: No: 13. Are the functions of checking the accuracy of your accounts and the daily recording of accounting data performed by different individuals?

Yes: No: 14. Who would be responsible for financial reports? ________________________________________

SECTION C: Fund Control and Accounting Systems

Fund Control essentially means that access to bank accounts and/or other cash assets is limited to authorized individuals. Bank balances should be reconciled periodically to the accounting records. If cash cannot be maintained in a bank, it is very important to have strict controls over its maintenance and disbursement.

An Accounting System accurately records all financial transactions, and ensures that these transactions are supported by documentation. Some institutions may have computerized accounting systems while others use a manual system to record each transaction in a ledger. In all cases, the expenditure of funds provided by the USAID-funded program must be properly authorized, used for the intended purpose, and recorded in an organized and consistent manner.

1. Does your institution maintain separate accounting of funds for different projects by:

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Separate bank accounts: A fund accounting system:

2. Will any cash from the grant funds be maintained outside a bank (in petty cash funds, etc.)?

Yes: No: If yes, please explain the amount of funds to be maintained, the purpose and person responsible for safeguarding these funds.

4. If your institution doesn't have a bank account, how do you ensure that cash is maintained safely?

5. Does your institution have written accounting policies and procedures?

Yes: No: 6. How do you allocate costs that are “shared” by different funding sources, such as rent, utilities, etc.?

7. Are your financial reports prepared on a:

Cash basis: Accrual basis: 8. Is your institution's accounting system capable of recording transactions, including date, amount, and description?

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Yes: No: 9. Is your institution's accounting system capable of separating the receipts and payments of the grant from the receipts and payments of your institution’s other activities?

Yes: No: 10. Is your institution's accounting system capable of accumulating individual grant transactions according to budget categories in the approved budget?

Yes: No: 10. Is your institution's accounting system designed to detect errors in a timely manner?

Yes: No: 11. How will your institution make sure that budget categories and/or overall budget limits for the grant will not be exceeded?

12. Are reconciliations between bank statements and accounting records performed monthly and reviewed by an appropriate individual?

Yes: No: 13. Briefly describe your institution’s system for filing and keeping supporting documentation.

SECTION D: Audit

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The grant provisions require recipients to adhere to USAID regulations, including requirements to maintain records for a minimum of three years to make accounting records available for review by appropriate representatives of USAID or DAI, and, in some cases, may require an audit to be performed of your accounting records. Please provide the following information on prior audits of your institution.

1. Is someone in your institution familiar with U.S. government regulations concerning costs which can be charged to U.S. grants (OMB Circular A-122 "Cost Principles for Nonprofit Institutions" and OMB Circular A-110 "Uniform Administrative Requirements for Grants and Agreements with Institutions of Higher Education, Hospitals and Other Non-Profit Institutions")?

Yes: No: 2. Do you anticipate that your institution will have other sources of U.S. government funds during the period of this grant agreement?

Yes: No: 3. Have external accountants ever performed an audit of your institution's financial statements?

Yes: No: If yes, please provide a copy of your most recent report.

4. Does your institution have regular audits?

Yes: No: If yes, who performs the audit and how frequently is it performed? 5. If you do not have a current audit of your financial statements, please provide this office with a copy of the following financial statements, if available:

a. A "Balance Sheet" for the most current and previous year; and b. An "Income Statement" for the most current and previous year.

6. Are there any circumstances that would prevent your institution from obtaining an audit?

Yes: No: If yes, please provide details:

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CHECKLIST AND SIGNATURE PAGE

DAI requests that your institution submit a number of documents along with this completed questionnaire. Complete this page to ensure that all requested information has been included.

Complete the checklist: Copy of your organization's most recent audit is attached. If no recent audit, a "Balance Sheet" "Income Statement" for the most current and previous fiscal year. All questions have been fully answered. An authorized individual has signed and dated this page.

Optional: Incorporation Papers or Certificate of Registration and Statute is attached. Information describing your institution is attached. Organizational chart, if available is attached (if applicable).

The Financial Capability Questionnaire must be signed and dated by an authorized person who has either completed or reviewed the form.

Approved by: _________________________

Print Name

_________________________

Signature

__________________________Title Date _____________

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Annex 6: Instructions for Obtaining a DUNS Number - DAI’S Vendors, Subcontractors and Grantees

Note: There is a Mandatory Requirement for your Organization to Provide a DUNS number to USAID RADP-E

I. SUBCONTRACTS/PURCHASE ORDERS: All domestic and foreign organizations which receive first-tier subcontracts/ purchase orders with a value of $25,000 and above are required to obtain a DUNS number prior to signing of the agreement. Your organization is exempt from this requirement if the gross income received from all sources in the previous tax year was under $300,000. Please see the self-certification form attached. II. MONETARY GRANTS: All foreign entities receiving first-tier monetary grants (standard, simplified and FAAs) with a value equal to or over $25,000 and performing work outside the U.S. must obtain a DUNS number prior to signing of the grant. All U.S. organizations who are recipients of first-

tier monetary grants of any value are required to obtain a DUNS number; the exemption for under $25,000 applies to foreign organizations only. NO SUBCONTRACTS/POs ($25,000 + above) or MONETARY GRANTS WILL BE SIGNED BY DAI WITHOUT PRIOR RECEIPT OF A DUNS NUMBER. Note: The determination of a successful offeror/applicant resulting from this RFP/RFQ/RFA is contingent upon the winner providing a DUNS number to USAID RADP-E . Organizations who fail to provide a DUNS number will not receive an award and USAID RADP-E will select an alternate vendor/subcontractor/grantee. ------------------------------------------------------------------------------------------------------------ Background: Summary of Current U.S. Government Requirements- DUNS and Reporting in FSRS Database The Data Universal Numbering System (DUNS) is a system developed and managed by Dun and Bradstreet that assigns a unique nine-digit identifier to a business entity. It is a common standard worldwide and users include the U.S. Government, European Commission and the United Nations. The DUNS number will be used to better identify related organizations that are receiving U.S. federal funding, and to provide consistent name and address data for electronic application systems.

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The U.S. Government requires that all applicants for first-tier monetary grants (i) and all first-tier subcontracts/purchase orders of $25,000 or above have a DUNS number prior to DAI issuing an award to that entity. REQUIREMENT FOR DAI TO REPORT DATA IN THE FSRS DATABASE: In addition, in accordance with the Federal Funding Accountability and Transparency Act of 2008; FAR 52.204-10, “Reporting Executive Compensation and First-Tier Subcontract Awards” (Revised July 2010); and Subpart 4.14—―Reporting Executive Compensation and First-Tier Subcontract Awards,‖ effective March 1, 2011, DAI is required to report any newly awarded first-tier subcontracts $25,000 or above in the FSRS (Functional Security Requirements Specifications) database at http://www.fsrs.gov. In accordance with AAPD 11-01 amended, all foreign entities receiving first-tier monetary grants (standard, simplified and FOGs) with a value equal to or over $25,000 and performing work outside the U.S. must obtain a DUNS number prior to signing of the grant. All U.S. organizations who are recipients of first-tier monetary grants of any value are required to obtain a DUNS number; the exemption for under $25,000 applies to foreign organizations only. In accordance with the AAPD as well as 2 CFR Parts 25 and 170, DAI is required to report on grantees in the FSRS database. The reported information for subcontracts and grants will be available for the public to view at http://usaspending.gov. Instructions detailing the process to be followed in order to obtain a DUNs number for your organization begin on the next page.

THE PROCESS FOR OBTAINING A DUNS NUMBER IS OUTLINED BELOW:

1. Log on to the D&B (Dun & Bradstreet) DUNS registration

website to begin the process of obtaining a DUNS number free of charge.

http://fedgov.dnb.com/webform/index.jsp Please note there is a bar on the left for Frequently Asked Questions as well as emails and telephone numbers for persons at Dun & Bradstreet for you to contact if you have any questions or difficulties completing the

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application on-line. DAI is not authorized to complete the application on your organization’s behalf; the required data must be entered by an authorized official of your organization.

2. Select the Country where your company is physically located. 3. You will first be asked to search the existing DUNS database

to see whether a DUNS number already exists for your organization/entity. Subcontractors/grantees who already have a DUNS number may verify/update their DUNS records.

4. Potential DAI subcontractors/vendors/grantees who do not already have a DUNS number will be shown the screen below. To request a new DUNS Number, the ―Request a New D-U-N-S Number‖ button needs to be selected.

5. Enter the information regarding your organization listed on the next three screens. (See screen shots below.) Make sure you have the following information available (in English) prior to beginning the process of entering this section in order to ensure successful registration.

Legal Business Name (commas are allowed, periods are not

allowed) Address Phone Name of Owner/Executive Total Number of Employees

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Annual Sales or Revenue (US Dollar equivalent) Description of Operations

6. Note that some fields are Optional, however all other fields

must be completed to proceed further with the application process. For example, all applicants must complete the Organization Information sections. The Company Name and Physical Address fields are self-populated based on information previously entered during the initial DUNS search. The question marks to the left of the field provide additional information when you click on them.

7. You must select the legal structure of your organization from

the pull down menu. To assist you in selecting the appropriate structure that best represents your organization, a brief description of the various types follows: • Corporation – A firm that meets certain legal

requirements to be chartered by the state/province in which it is headquartered by the filing of articles of incorporation. A corporation is considered by law to be an entity separate and distinct from its owners. It can be taxed; it can be sued; it can enter into contractual agreements.

• Government - central, province/state, district, municipal and other U.S. or local government entities. Includes

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universities, schools and vocational centers owned and operated by the government.

• Limited Liability Company (LLC) - This is a type of business ownership combining several features of corporation and partnership structures. It is designed to provide the limited liability features of a corporation and the tax efficiencies and operational flexibility of a partnership. Its owners have limited personal liability for the LLC’s debts and obligations, similar to the status of shareholders in a corporation. If your firm is an LLC, this will be noted on the organizations registration and licensing documents.

• Non-profit - An entity, which exists for charitable reasons and is not conducted or maintained for making a profit. Any money earned must be retained by the organization, and used for its own expenses, operations, and programs. Most organizations, which are registered in the host country as a non-governmental organization (NGO) rather than as a commercial business, are non-profit entities.

Community based organizations, trade associations, community development councils, and similar entities, which are not organized as a profit making organization, should select this status, even if your organization is not registered formally in country as an NGO.

• Partnership- a legal form of operation in which two or more individuals carry on a continuing business for profit as co-owners. The profits and losses are shared proportionally.

• Proprietorship-These firms are owned by one person, usually the individual who has day-to-day responsibility for running the business. Sole proprietors own all the assets of the business and the profits generated by it.

8. One of the most important fields that must be filled in is the

Primary SIC code field. (See screen shot below.) The Primary Standard Industrial Code classifies the business’ most relevant industry and function.

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9. If you are unsure of which SIC Code your organization’s core business falls under, please refer to the following website: http://www.osha.gov/oshstats/sicser.html

You will need to enter certain keywords to bring up the potential SIC Codes. In the case above, ―Research‖ was entered as the keyword, and resulted in the following:

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PLEASE NOTE: Many of the DAI subcontractors and grantees fall under one of the following SIC codes: 8742 Management Consulting Services 1542 General Contractors-Nonresidential Buildings, Other than Industrial Buildings and Warehouses or one of the codes within:

Industry Group 357: Computer And Office Equipment Industry Group 355: Special Industry Machinery, Except Metalworking Industry Group 356: General Industrial Machinery And Equipment Industry Group 359: Miscellaneous Industrial And Commercial

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10. Description of Operations- Enter a brief description of the

primary services you provide the example below, ―agricultural technical assistance‖ was chosen as the

primary function of the business. 11. The Annual Sales or Revenue figure should be provided in USD

(US Dollar) equivalent.

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12. Once all of the fields have been completed, click on ―Submit Your Request‖ to be taken to the Verification page.

13. Note: Representative (Principal, Owner or Officer) needs to verify and provide affirmation regarding the accuracy of the data under criminal or civil penalties as per Title 18, Section 1001 of the US Criminal Code.

14. Once ―Yes, Continue‖ button is clicked, the registration application is sent to D&B, and a DUNS number should be available within 24-48 hours. DUNS database can be checked in 24-48 hours by entering the Business Information in the Search window – which should now display a valid result with the new DUNS number for the entity.

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Annex 6: Self-Certification for Exemption from DUNS Requirement

Legal Business Name __________________________________

Physical Address __________________________________

Physical City __________________________________

Physical Foreign Province __________________________________

Physical Country __________________________________

Signature of Certifier __________________________________

Full Name of Certifier (Last Name, First/Middle Names)___________________________________

Title of certifier ___________________________________

Date of Certifications (mm-dd-yyyy) ___________________________________

The sub-contractor/vendor whose legal business name is provided herein, certifies that we are an organization exempt from obtaining a DUNS number, as the gross income received from all sources in the previous tax year is under USD $300,000.

*By submitting this certification, the certifier attests to the accuracy of the representations and certifications contained herein. The certifier understands that s/he and/or the sub-contractor/vendor may be subject to penalties, if s/he misrepresents the sub-contractor/vendor in any of the representations or certifications to the Prime Contractor and/or the US Government.The sub-contractor/vendor agrees to allow the Prime Contractor and/or the US Government to verify the company name, physical address, or other information provided herein. Certification validity is for one year from the date of certification.

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