Global IEE Annex G_Form for ASHA-Cleared A_E Service Provider Certification.pdf

ANNEX G: FORM FOR ASHA-CLEARED ARCHITECTURE & ENGINEERING SERVICE

PROVIDER CERTIFICATION

The following certification form is required for any awards with capital improvement activities (e.g., any other tasks related to construction or renovation). The certification form should be completed by the ASHA-cleared architecture and engineering (A&E) service provider after the IP and A&E service provider complete the CRM screening. The ASHA-Cleared A&E Services Provider certification form (available online, as well) must be submitted along with the Supplemental IEE and EMMP. The A&E Service Provider must complete and sign this certification form before the Bureau Environmental Officer (BEO) and Climate Integration Lead (CIL) can provide final approval.

ARCHITECTURE AND ENGINEERING SERVICE PROVIDER

CERTIFICATION OF COMPLIANCE

U.S. Organization Name: ________________________________________________________________

Overseas Institution Name:________________________________________________________

Award No.:________________________ Country: ______________________________

For all USAID-funded construction activities, an Architecture and Engineering (A&E) Service Provider, for which

ASHA has provided concurrence, is responsible for the engineering design and must incorporate all findings of the

Initial Environmental Examination (IEE) and Climate Risk Management (CRM) screening into the final design and construction documents. The A&E Service Provider must also adhere to the Standard Provision entitled

“Standards For Accessibility For The Disabled In USAID Assistance Awards Involving Construction” and ensure that Gender Integration is considered during implementation.

1. Initial Environmental Examination: 22 CFR 216: Environmental Procedures

2. Climate Risk Management: Mandatory Reference ADS 201mal: Climate Risk Management for USAID

Projects and Activities

3. Standards For Accessibility For The Disabled In USAID Assistance Awards Involving Construction:

Mandatory Reference ADS 303 maa: Standard Provisions for U.S. Nongovernmental Organizations

4. Gender Integration: ADS 205: Integrating Gender Equality and Female Empowerment in USAID’s Program Cycle

ASHA-Cleared Architecture & Engineering Service Provider

A&E Service Provider Name: _____________________________________________________________

Signature: ________________________________________________Date:_______________________

Authorized A&E Point of Contact: _________________________________________________________

Email Address: ________________________________________________________________________