This Form must be submitted only using the Service Provider’s Official Letterhead/Stationery1
Cover Page
Expression of Interest (EOI)
For
CVE Research Proposals 2016
(Re-advertised – those consultancy firms which have already submitted to
Procurement secured email need not to re-submit again)
Undertaking Research Project(s) under the UNDP regional and
multi-country Programme on Preventing and Responding to Violent
Extremism in Africa
Procurement Reference No.: RSC/ EOI/2016/01
Submission Deadline: September 1, 2016
Legal Name of Proposing
Organization / Firm:
Country of Registration:
Year of Registration:
Name of Signatory for this
EOI:
Designation of the
Signatory:
Date of Preparation:
Email:
Business Address:
Phone / Fax:
Skype Account:
1
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[insert here]
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Official Letterhead/Stationery must indicate contact details – addresses, email, phone and fax numbers – for verification purposes
Page 1 of 8
Table of Contents
Page
EXPRESSION OF INTEREST (EOI) COVER PAGE
Statement of Full Disclosure (use the template hereto)
SECTION I. EXPERTISE OF Institution
1.1 Brief Description of Proposer as an Entity
1.2 Financial Capacity and/or Standing
1.3 Track Record and Experiences
SECTION II. APPROACH AND IMPLEMENTATION PLAN
2.1 Approach to the Service/Work
2.2 Implementation Timelines
2.3 Reporting and Monitoring
SECTION III. PERSONNEL
3.1 Management Structure
3.2 Staff Time Allocation
3.3 Qualifications of Key Personnel
3.4 Summary of Key Personnel Qualifications
CV of Task Manager / Team Leader
CV of Senior Academic Researchers
CV of Associate Researchers / Project Staff
ANNEXES
Renewed Company Registration Certificate and/or Business License including Articles of Incorporation
or equivalent document if Bidder is not a corporation (Annex 1)
Tax Registration or TIN/VAT Certificate (Annex 2)
Tax Payment Certificate or Certificate of Tax Exemption by the Internal Revenue Authority (Annex 3)
Past Two Years Audited Financial Statements (Annex 4)
Statement of Satisfactory Performance from Top Three Firms in the Past Five Years (Annex 5)
Other Certificates and Accreditation – including Quality Certificates, Patent Registration, Environmental
Sustainability (if any), etc. (Annex 6 . . .)
Documentation Checklist (please refer to the checklist attached hereto)
Page 2 of 8
EXPRESSION OF INTEREST (EOI)SUBMISSION FORM2
Location: [insert location]
Date: [insert date]
To:
Janvier Wussinu
Deputy Country Director – Operations
United Nations Development Programme
Addis Ababa, Ethiopia
Dear Mr. Wussinu;
We, the undersigned, hereby offer to provide professional services for [insert: title of services] in
accordance with your Expression of Interest (EOI) dated [insert: Date] and our Proposal. We are hereby
submitting our EOI.
We hereby declare that:
i. All the information and statements made in this EOI are true and we accept that any misrepresentation
contained in it may lead to our disqualification;
ii. We are currently not on the removed or suspended vendor list of the UN or other such lists of other UN
agencies, nor are we associated with, any company or individual appearing on the 1267/1989 list of the
UN Security Council;
iii. We have no outstanding bankruptcy or pending litigation or any legal action that could impair our
operation as a going concern; and
iv. We do not employ, nor anticipate employing, any person who is or was recently employed by the UN or
UNDP.
We confirm that we have read, understood and hereby accept the Terms of Reference describing the duties
and responsibilities required of us in this EOI.
We fully understand and recognize that UNDP is not bound to accept this proposal, that we shall bear all
costs associated with its preparation and submission, and that UNDP will in no case be responsible or liable
for those costs, regardless of the conduct or outcome of the evaluation.
We remain,
Yours sincerely,
Name of Signatory:
Designation:
Signature:
Date Signed:
2
______________________
Company Seal: ______________________
[please mark this letter with your corporate seal]
No deletion or modification may be made in this form. Any such deletion or modification may lead to the rejection of the
Proposal.
Page 3 of 8
EXPRESSION OF INTEREST (EOI) PROPOSAL FORM
SECTION 1: EXPERTISE OF FIRM/ ORGANISATION
This section should fully explain the Proposer’s resources in terms of personnel and facilities necessary for the
performance of this requirement. All contents of this section may be modified or expanded depending on the
evaluation criteria stated in the EOI.
1.1 Brief Description of Proposer as an Entity:
Provide a brief description of the organization / firm submitting the proposal, its legal mandates/authorized
business activities, the year and country of incorporation, types of activities undertaken, and approximate
annual budget, etc. Include reference to reputation, or any history of litigation and arbitration in which the
organisation / firm has been involved that could adversely affect or impact the performance of services,
indicating the status/result of such litigation/arbitration.
1.2 Financial Capacity:
 Provide a brief description of the organization / firm financial stand which clearly indicate its strength to
Technical Panel who will appraise the proposal.
 Provide as an attachment the latest Audited Financial Statement (Income Statement and Balance
Sheet) duly certified by a Public Accountant, and with authentication of receiving by the Government’s
Internal Revenue Authority. Include any indication of credit rating, industry rating, etc.
 Provide tabular summary of the respective Audited Financial and/or its equivalent Statements in the last
two (2) years.
1.3 Track Record and Experiences:
Provide the following information regarding corporate experience within the last five (5) years which are
related or relevant to those required for this Contract. You are advised to use the format below:
No.
Name of project
Client
Contract
Period of
Types of
Status or
References
Value
activity
activities
Date
Contact Details
undertaken
Completed
(Name, Title –
Mr., Mrs., Dr. to
properly
address, Phone,
Email*)
* Be sure the correct email address is/are indicated
SECTION 2: APPROACH AND IMPLEMENTATION PLAN
This section should demonstrate the Proposer’s responsiveness to the EOI TOR by identifying the specific components
proposed, addressing the requirements, as specified, point by point; providing a detailed description of the essential
performance characteristics proposed; and demonstrating how the proposed methodology meets or exceeds the
requirements.
Page 4 of 8
2.1 Approach to the Service/Work Required:
Please provide a detailed description of the methodology for how the organisation/firm will achieve the
Terms of Reference of the project, keeping in mind the appropriateness to local conditions and project
environment.
2.2 Reporting and Monitoring:
Please provide a brief description of the mechanisms proposed for this project for reporting to the UNDP
and partners, including a reporting schedule.
2.3 Other:
Any other comments or information regarding the project approach and methodology that will be adopted.
SECTION 3: PERSONNEL
3.1 Management Structure:
Describe the overall management approach toward planning and implementing this activity. Include an
organization chart for the management of the project describing the relationship of key positions and
designations.
3.2 Staff Time Allocation:
Provide a spreadsheet will be included to show the activities of each staff member and the time allocated
for his/her involvement. (Note: This spreadsheet is crucial and no substitution of personnel will be tolerated once
the contract has been awarded except in extreme circumstances and with the written approval of the UNDP. If
substitution is unavoidable it will be with a person who, in the opinion of the UNDP project manager, is at least as
experienced as the person being replaced, and subject to the approval of UNDP. No increase in costs will be
considered as a result of any substitution.)
3.3 Qualifications of Key Personnel:
Provide the CVs for key personnel (Team Leader, Academic Researchers, Associate Researchers/Project
staff (if any)) that will be provided to support the implementation of this project. CVs should demonstrate
qualifications in areas relevant to the Scope of Services. You are kindly advised to use the format below:
Name:
[insert here]
Position for this Contract:
[insert here]
Nationality:
[insert here]
Contact information:
[insert here]
Area of Specialization:
[insert here]
Years of Relevant Experience:
[insert here]
Countries of Work Experience:
[insert here]
Language Skills:
[insert here]
Educational and other
Qualifications:
Summary of Experience:
[insert here]
Highlight experience in the region and on similar projects.
Relevant Experience (From most recent):
Period: From – To
Name of activity/ Project/
funding organisation, if
Job Title and Activities
undertaken/Description of
Page 5 of 8
applicable:
actual role performed:
e.g. June 2004-January 2005
etc.
etc.
References no.1 (minimum of 3):
Name: [insert here]
Designation: [insert here]
Organization: [insert here]
Contact Information – Address; Phone; Email; etc.: [insert
here]
Reference no.2
Name: [insert here]
Designation: [insert here]
Organization: [insert here]
Contact Information – Address; Phone; Email; etc.: [insert
here]
Reference no.3
Name: [insert here]
Designation: [insert here]
Organization: [insert here]
Contact Information – Address; Phone; Email; etc.: [insert
here]
Declaration:
I confirm my intention to serve in the stated position and present availability to serve for the term of the
proposed contract. I also understand that any wilful misstatement described above may lead to my
disqualification, before or during my engagement.
Signature of the Nominated Team Leader/Member: _____________________
Date Signed*: _______________________
* It should be signed by the proposed consultant whose CV to be attached in the Technical Proposal
Note:
All colored text is for indicative purposes only to assist in preparing this form and shall be deleted from the
final product.
3.4 Summary of Key Personnel Qualifications:
The Proposing Firm shall provide the summary of the key personnel who will be engaged in terms of their
respective role, specialization, nationality and years of experience as per the following template
No.
Name of the Consultant
Position in the
Consultancy
Team
Specialization
Nationality
Professional
Experience
(in years)
1
2
3
Page 6 of 8
No.
Name of the Consultant
Position in the
Consultancy
Team
Specialization
Nationality
Professional
Experience
(in years)
Page 7 of 8
Documentation Checklist
SN
1
Documentation Requirement
Yes
No
If “No” Reason
5
Renewed license and/or registration certificate with
Articles of Incorporation (if any) to testify legally
recognized research institution
The University and/or research institute has the
minimum required years of work experience in similar
projects indicated in the ToR
Past Two Years Audited Financial Statements or its
equivalent
Statement of Satisfactory Performance from Top Three
Firms in the last Five Years
Duly Signed CV of Task Manager / Team Leader
6
Duly Signed CV of Senior academic researchers
7
Duly Signed CV of Project Staff / Associate Researchers
8
Other Certificates and Accreditation – including Quality
Certificates, Patent Registration, Environmental
Sustainability (if any), etc.
Note: Double click on the respective Check Box and click checked in the dialogue box of your choice.
2
3
4
All other information and documentations that we have not provided automatically implies our fully compliance with
the requirements, terms and conditions of the EOI.
Name of Signatory:
Designation:
Signature:
Date Signed:
______________________
Company Seal: ______________________
[please mark this letter with your corporate seal]
Page 8 of 8