NPI GH APS Round 2 Expanding Health Partnerships.pdf

U.S. AGENCY FOR INTERNATIONAL DEVELOPMENT

ROUND 2 CALL FOR CONCEPT PAPERS on

“EXPANDING HEALTH PARTNERSHIPS (EHP)”

UNDER EXISTING

NEW PARTNERS INITIATIVE GLOBAL HEALTH ANNUAL PROGRAM

STATEMENT (NPI GH APS)

No.: 7200AA19APS00013

PLEASE NOTE: This is a Round to an existing United States Agency for International Development (USAID) Annual Program Statement (APS). All interested organizations should carefully review both this Round AND the full APS, which can be found here:

[https://www.grants.gov/web/grants/view-opportunity.html?oppId=318376] Important information contained in the full worldwide APS is not repeated in this specific Round documentation.

In Round 2 entitled Expanding Health Partnerships (EHP) of the New Partnerships Initiative (NPI) Global Health (GH) Annual Program Statement (APS) No. 7200AA19APS00013, USAID is requesting the submission of concept papers focused on promoting new and underutilized partnerships to address health priorities to prevent child and maternal deaths, control the HIV/AIDS epidemic and combat infectious diseases globally. This Round 2: EHP, is intended to diversify and broaden USAID’s partner base, as described in the NPI GH APS. Round 2: EHP will be utilizing modality three (3) of the NPI GH APS whereby prime award recipient(s) will issue sub-awards to advance health programs at the country level through the engagement of local new and underutilized partners (NUPs) (including locally established partners), with between 50-75 percent of total funds obligated to the prime recipient used for such sub-awards.

The prime recipient(s) will serve in a mentorship role and not work with beneficiaries directly.

Sub-awards will be consistent with the country context and USAID Mission and Bureau for Global Health (GH) priorities. Unless otherwise stated herein, all terms and conditions of the NPI GH APS apply. USAID anticipates issuing up to three (3) awards under Round 2: EHP.

Issuance Date of Round 2: EHP July 12, 2019 https://www.grants.gov/web/grants/view-opportunity.html?oppId=315120

Questions Deadline before the Submission of Round 2: EHP Concept Papers: July 17, 2019 at 4:00 pm ET

Deadline for Submission of Concept Papers for Round 2: EHP: August 2, 2019 at 3:00 pm

ET

SECTION I: FUNDING OPPORTUNITY DESCRIPTION

The U. S. Agency for International Development’s Bureau for Global Health (USAID/GH) is pleased to issue Round 1 under the New Partnerships Initiative Global Health (NPI GH) Annual Program Statement (APS). Under Round 2 entitled Expanding Health Partnerships (EHP), USAID/GH is seeking concept papers that incorporate interventions that will build upon and expand USAID/GH’s efforts to address health priorities to prevent child and maternal deaths, control the HIV/AIDS epidemic and combat infectious diseases globally.

USAID is seeking to support applicants in partnerships as defined in the NPI GH APS as modality three (3): a prime organization (or consortium) that will serve in a mentorship role to either local new and underutilized entities (modality 3a) and/or locally established partners (LEPs) that are new and underutilized (modality 3b) as sub-awardees, receiving a specific amount of the total obligated funds to the award(s).

Through this Round, the resulting award(s) will work with new and underutilized partners as described in this document and in the APS, based on the belief that a larger and more diverse partner base will expand the available ideas, capabilities and networks needed to sustainably address shared development challenges.

Proposed interventions and activities will be consistent with USAID/GH priorities and specific to the health needs identified by the USAID Mission in countries where activities will be implemented. Applicants are encouraged to reference APPENDIX C (USAID GLOBAL HEALTH PRIORITY COUNTRIES BY HEALTH SECTOR) of the NPI GH APS to see a complete list of USAID priorities in the health sector by country.

A. Round 1 Background Although USAID has a long history of working with local partners, with the current focus on the Journey to Self-Reliance,1 there is an opportunity to expand USAID’s partnerships with local entities and locally established partners and their networks in order to contribute to a more sustainable, long-term integrated health care system. Through USAID’s Effective Partnering and Procurement Reform (EPPR) process2, which is part of the USAID’s Transformation Process, there is a more concerted effort to reach out to new and underutilized local partners that have not yet fully engaged with USAID funding and projects.

The development objective of Round 2: EHP is to expand demand for and utilization of key health services by engaging and leveraging the expertise of local and locally established organizations, such as (but not limited to) community based CBOs, faith based organizations

1 According to USAID, 2018: “Self-Reliance” is a country’s ability to finance and implement solutions to its own development challenges. The two mutually reinforcing factors determining self-reliance are country commitment and country capacity. See: https://www.usaid.gov/selfreliance 2 USAID Effective Partnering and Procurement Reform (EPPR) https://www.usaid.gov/selfreliance https://www.usaid.gov/documents/1868/fact-sheet-effective-partnership-and-procurement-reform

(FBOs), and small businesses, while simultaneously building the capacity of such local organizations serving diverse groups. Local or locally established partners are part of a comprehensive health care system in most countries and contribute to improving access to care, reducing barriers, addressing broader social determinants for health and care-seeking behaviors, and promoting quality health care services. In many cases, local and locally-established organizations are linked to a community network that can help extend the reach of the healthcare system.

While local partners, especially new and underutilized entities, may bring new and innovative approaches to health programs, there is an opportunity to mentor and strengthen the organizational capacity of such partners to prepare for long term sustainability. Organizational capacity is considered the ability of an organization to fulfill its mission through sound management, strong governance, and a commitment to continuous improvement and the achievement of results. Round 1 will focus on enhancing the organizational and technical capacity of local new and underutilized partners, including those organizations and partners that are owned, managed by and/or represent the needs of diverse constituencies such as minority or women-owned businesses or youth-serving organizations. While many organizations have experience managing donor or private sector funds, not all are fully aware of the regulatory, contractual or administrative requirements of complying with USAID funding. Organizational development in financial management, administration and human resource planning assists in preparing for USAID routine regulatory requirements. Annual partner audits and pre-award surveys are examples of such requirements. Compliance with these requirements, as well as building managerial and financial capacity will help position local partners to receive donor and private sector funds; and contribute to longer term sustainability. Recognizing that organizations are at different stages of organizational and technical capacity, activities, tools and methodologies should be tailored to the context and individual organizations’ needs.

In line with USAID’s strong focus on demonstrated results, measurable organizational capacity development benchmarks and milestones are essential.

B. Round 1 Program Description

Per the development objective above, Round 2: EHP will seek to increase the availability and utilization of quality health services and explore opportunities to scale up promising and innovative interventions by engaging with new and underutilized local and locally-established organizations as sub-awardees. The project(s) will aim to foster local partnerships to strengthen health services for improved accessibility, affordability, replicability, and/or accountability in support of improved health outcomes. The project(s) will support country stakeholders in identifying and addressing critical barriers to proven health interventions in the USAID priority health areas of maternal and child health (MCH); nutrition; water, sanitation and hygiene

(WASH); voluntary family planning and reproductive health (FP/RH); and/or control of infectious diseases such as Tuberculosis (TB), Malaria, HIV/AIDS, Neglected Tropical Diseases (NTD), or other emerging diseases. Integrated programs can serve as a platform for improving linkages between the community and health facilities to increase access to care for difficult to reach populations.

Working through local partnerships, Round 2: EHP will contribute to USAID’s priority focus to support countries in their journey to self-reliance and recognizes the potential to mobilize communities, build local capacity, tap into existing productive efforts at the community level, scale up programming, and have an impact on the health care and services provided at the community and facility based level, with a focus on families, women and children, and youth.

Cross-Cutting Issues

Capacity Building - The award(s) will focus on mentoring and building the capacity of new and underutilized organizations in host countries. Capacity building will span each of the main result areas (see below) enhancing the long-term sustainable of local organizations and partners working in the health sector to eventually receive direct awards from donors (known as transition awards3).

Information Sharing and Adaptive Learning - Information sharing and knowledge management activities are an essential element of the Round 2: EHP award(s), which will contribute directly to each of the result areas, and ultimately to measurable progress in the achievement of the Round 1 expected results. The award(s) will facilitate information sharing among key stakeholders, including - but not limited to - ministries of health, communities, donors and multilateral partners. As in all USAID programming, incorporation of Collaborating, Learning, and Adapting (CLA) principles into the activity design is a priority and can include the adaptation of existing tools, methodologies or approaches to support and better inform program implementation and analysis.4

C. Round 2: EHP Expected Results

The Round 2 award(s) will contribute to the two NPI GH APS results through all three results identified below.

Validating the needs and gaps within these results can take place during the co-creation process and allows applicants to identify opportunities for problem-solving and networking.

3 Under the NPI GH APS, a transition award is defined as a partner which previously received funding as a sub-awardee and has now transitioned to receiving direct funding from USAID or other donors.

4 According to USAID, a learning agenda includes (1) a set of questions addressing critical knowledge gaps (2) a set of associated activities to answer them and (3) products aimed at disseminating findings and designed with usage and application in mind. https://usaidlearninglab.org/qrg/learning-agenda

Result 1: Organizational sustainability of new and underutilized local entities or locally established partners strengthened

IR 1.1: Increased number of new and underutilized local and locally established sub-awardees with improved financial, managerial and/or structural capacity, and are prepared to meet USAID reporting and compliance requirements IR 1.2 Increased number of new and underutilized local and locally established sub-awardees connected nationally and internationally through formal and informal networks

Round 2: EHP award(s) will support efforts to mentor and strengthen the organizational capacity of new and underutilized local or locally established partners financially, managerially, and structurally. This will include organizational development, capacity building and sharing of information, approaches and best practices. While organizations vary in terms of individual strengths and weaknesses along the continuum of organizational capacity, the prime awardee(s) will provide mentoring and support in the application of general organizational development principles and practices, particularly in the areas of financial management, governance, administration, and human resources that further strengthen the sustainability of activities implemented by these local partners. The award(s) will conduct training and technical assistance to prepare local partners, specifically those unfamiliar with USAID requirements and reporting, to implement best practices and become eligible for direct funding from USAID through transition awards, as appropriate, feasible and requested by USAID Missions.

Awardee(s) will analyze potential sub-award organizations and their capacity levels, periodically throughout the life of the award in terms of staffing, financial management, technical expertise and potential readiness for USAID direct funding, adapting to reflect different country scenarios and context. In some cases, award(s) may create south-south learning opportunities and/or opportunities for organizations to learn from each other through formal or informal networks.

The awardee(s) will be responsible for assisting sub-awards in understanding USAID processes and preparing sub-award organizations to address the various components related to the USAID pre-award assessment for U.S based partners or a Non-U.S. Organization Pre-Award Survey (NUPAS) training5 as well as annual routine auditing requirements.6 The awardee(s) will develop a system to document results and change in terms of organizational capacity.

Result 2: Utilization of high-quality, high-impact health services, information and supplies expanded

IR 2.1 Increased number of new and underutilized local partners (including LEPs) working with USAID to expand targeted interventions for improved health services

5 https://www.usaid.gov/sites/default/files/documents/1868/303.pdf 6 https://www.usaid.gov/sites/default/files/documents/1868/591.pdf https://www.usaid.gov/sites/default/files/documents/1868/303.pdf https://www.usaid.gov/sites/default/files/documents/1868/591.pdf

IR 2.2 Utilization of high-quality high-impact health interventions at sub-national and/or national levels increased and expanded

This Round 2: EHP seeks to increase the utilization of high-quality high-impact health services by implementing evidence-based approaches to extend the demand for and access to such health services at the sub-national and national levels to reach a targeted population. Per Modality 3 of the NPI GH APS, working with a prime awardee(s), Round 2 award(s) will administer sub-awards to new and underutilized partners that are local entities and/or locally-established organizations, including but not limited to faith-based and community organizations, to implement local solutions to improve demand for, access to and utilization of quality health services. The prime awardee(s) will provide technical mentoring to sub-awardees (local entities and locally established organizations) in implementing, monitoring and reporting on technical programs that are consistent with international best practices for activities including - but not limited to - care and treatment service delivery, community engagement, social behavior change and outreach, and other activities specific to the health sector it is addressing. Consistent with USAID’s priority health foci, the award(s) may pertain to MCH; nutrition; water, sanitation and hygiene (WASH); voluntary family planning; and/or control of infectious diseases such as Tuberculosis (TB), Malaria, HIV/AIDS, Neglected Tropical Diseases (NTD), or other emerging diseases. This Round aims to harness community networks, health facilities of local and locally based partners, and develop platforms for integrated health care programs contributing to improving health services.

Result 3: Promising and innovative health approaches scaled-up through new and underutilized partnerships for increased sustainability

IR 3.1 Systems in place to identify, assess and measure the impact of innovative health approaches IR 3.2 Innovative health approaches scaled-up sub-nationally, nationally, or internationally through new and underutilized local partners, including LEPs

Strengthening locally-based partners and their activities will contribute to improving health system responsiveness and accountability at the sub-national or national level. Promising or impactful health approaches may serve as models for scale-up or expansion through new and underutilized partners within the context of national health systems frameworks. The award(s) will identify, measure and promote successful and innovative models, particularly those focused on expanding networks of local and locally-based partners or fostering and leveraging local networks to effectively scale-up health services. The awardee(s) will measure impact and potential for replication or expansion. Investments will support and measure sustainable local change and improve system performance in a way that facilitates country transition from reliance on donor aid and technical assistance as part of the Journey to Self-Reliance.

SECTION II: AWARD INFORMATION

Please see the NPI GH APS for award information. Additional information pertinent to Round 2:EHP only is included below.

A. Funding

Subject to the availability of funds, USAID anticipates making up to three (3) awards, which will not exceed a cumulative ceiling of $100,000,000.00 over the course of the next five (5) years.

Please note that a significant portion of the ceiling is anticipated to be funded by field support from USAID Missions. As such, the ceiling provides an estimate of the actual total award(s) funding and is not guaranteed; further information will be included in the request for full applications for selected applicants and/or consortia. Award(s) will have a global geographic focus, consistent with USAID health priority countries in Annex C of the NPI GH APS. This Round does not focus on one country or one specific region; all awards will be global in scope.

Per Modality 3 in the APS, each Recipient must have sub-awards to advance health programs through the engagement of new and underutilized local or locally established partners.

Consistent with the APS guidelines, at least 50-75 percent of total funds obligated to the prime recipient will be for sub-awards to such organizations which can be in one country or multiple countries (the overall award will have a global reach) and target multiple areas within the health sector or an integrated approach to health programs. Sub-awards will be consistent with the country context and USAID Mission and global health priorities.

B. Period of Performance

For Round 2:EHP, the anticipated start date for the award(s) is on or about September 30, 2019.

SECTION III: ELIGIBILITY INFORMATION

Please see Section III of the NPI GH APS for eligibility information regarding organizations.

Under Round 2:EHP of the APS, the organization must propose one of the two following sub-modalities to be considered eligible:

Modality 3: Sub-awards to local new or underutilized partners via prime awardees serving in a limited mentorship role. NPI recognizes the important role and capacity that established partners (defined in this APS as those organizations that already have a financial relationship with USAID above the threshold established in the APS of $25M in USAID funds in the past five years) bring to local new and underutilized organizations around the world. NPI acknowledges that many partners lack the capacity, or desire, to comply with the stringent requirements associated with awards from the U.S. Government. This modality will allow established partners to build the capacity of local new and underutilized partners to meet the requirements to become a USAID direct awardee or provide them the support they need to implement programs under this APS that have measurable impact. Established partners will play a support role to build the capacity of local new and underutilized partners (e.g., through technical oversight, compliance support, and mentoring). The prime will not directly assist project beneficiaries. NPI envisions two modalities of support under this approach, focused on partnering with either local new and underutilized entities (modality 3a) or new and underutilized LEPs (modality 3b) as sub-awardees:

● Modality 3a: Local Entity Sub-Awardees Moving to Direct Award. Prime awardees must pass at least 50 -75% of total award funds obligated to local new and underutilized partners as sub-awardees, with a goal of moving them to qualify for direct awards. In appropriate cases, USAID might pursue prime / mentor awards with a provision for transition awards to some entities during the life of the award.

● Modality 3b: Locally Established Partner Sub-Awardees. Prime awardees must pass at least 50 - 75% of total award funds obligated to sub-awards to locally established partners (LEPs) that are new and underutilized entities. An award could also have a structure in which the prime partner retains a declining percentage of the value of the award year-on-year (e.g., from 25 percent in Year 1 to 20 percent in Year 5); the average across the years must be at least 50% to LEPs that are new and underutilized.

SECTION IV: CONCEPT PAPER SUBMISSION INFORMATION

A. Round 2:EHP Concept Paper Instructions

For questions on this Round 2:EHP document, please submit all questions via email to USAID at GHNPI_APS@usaid.gov by the deadline specified on the Cover Page.

Applicants are required to follow the Submission Information instructions set forth in Section IV of the NPI: GH APS and submit Concept Papers using the Concept Paper Template in Annex A of this Round 1 document.

For Round 2:EHP, interested applicants should submit a concept paper via email to USAID at GHNPI_APS@usaid.gov. Under 5 CFR 1320, the Paperwork Reduction Action, only electronic copies of concept papers will be accepted. The concept papers must be received by the deadline on the cover page of this document for Round 1 (demonstrated by the timestamp on the email when received by USAID).

When emailing a concept paper, each applicant must include the APS number and Round name and number in the subject line of the email and attachment/file name(s). USAID’s email server cannot handle more than 25 MBs of attachments per email. If the applicant must divide the submission into more than one email, please number the emails in the subject line and indicate in the email’s subject line the desired sequence of emails (i.e.7200AA19APS00013, Round 2:EHP, Email 1 of 3). It is the applicant’s responsibility to ensure that all necessary documentation is complete and received on time. In the event of technical difficulties, please contact USAID at the email address above.

All concept papers received by the submission deadline on the Cover Page will be reviewed for responsiveness to the APS and Results specific to the Round and the required format. Section V below addresses the technical review procedures for the concept papers. No additions or modifications will be accepted after the submission date. Concept papers that are submitted late or are incomplete may not be considered for the co-creation process or request for full applications (if co-creation is not held). Additional information in the concept paper not requested by the APS and this Round may adversely affect an applicant’s evaluation/review.

Clarity and specificity are important; during the merit review process, USAID may reject those Concept Papers that are vague or merely restate language found in the Round.

USAID will determine whether there will be co-creation with USAID internally or a workshop with the successful concept paper applicants (those whose concept papers receive a PASS rating). USAID also reserves the right to not conduct a co-creation phase at all and request full applications from successful concept paper applicants.

B. Round 2:EHP Concept Paper Content and Format

From the NPI GH APS: NOTE -- To be considered as a potential prime on a full application, an organization must submit a concept paper (as a prime or sub-partner) to the relevant Round.

Please note that a single organization may not submit more than one concept paper to Round 2:EHP. If an organization submits more than one concept paper, only the first one received by timestamp at USAID will be evaluated.

This section presents guidance for the structure of the concept paper for Round 2:EHP. To facilitate the competitive review of the concept papers, USAID will only consider concept papers conforming to the format prescribed below.

Concept Papers must be written in English and submitted electronically via e-mail in Word 2000 or Word 2003 text accessible or Adobe PDF. The concept paper must be written in Times New Roman 12-point font, on standard 8.5” x 11” paper, and be single spaced with no less than one-inch margins and consecutively numbered pages. The concept paper must not exceed five (5) pages, excluding responses to Section A of the template (Cover Page). Concept Papers more than five (5) pages will not be evaluated. Figures, graphics, and tables may have less than Times New Roman 12-point font. The concept paper must adhere to the template in Annex A of this document (it has been revised from the template in the NPI GH APS). Any concept paper not adhering to this format below will not be evaluated. The only document that may be submitted as Reference Material is the Certificate of Incorporation, which must not exceed two

(2) pages. Any additional reference material pages will be removed prior to evaluation.

SECTION V: Round 2:EHP Evaluation Criteria

Concept papers for Round 2:EHP will be reviewed by a Merit Review Committee according to the criteria described below. The purpose of this review is to ensure that prospective partners bring appropriate capabilities, experiences and potential contributions to the co-creation process (if held) and ultimately the implementation of activities. A concept paper is determined to be successful if it receives a PASS overall based on the three criteria below, which are listed in descending order of importance. [Note: The criteria below are for the concept paper only.

Additional criteria will be circulated as a part of a full request for applications for selected successful concept paper applicants at a future date.]

Merit Review Element

Definition

Advancing NPI principles

The extent to which the Concept Paper advances the principle of the New Partnerships Initiative for expanding and diversifying USAID’s partner base so that USAID helps to equip and fund more new and underutilized local and locally established partners to support country-level progress.

Technical Approach The degree to which the proposed approach is global in nature;

technically sound; innovative; and feasible considering the target population. The approach must include both capacity building of sub-awards to local new and underutilized partners (including LEPs if submitting a concept paper under Modality 3b) and administration of health interventions in multiple countries via such sub-awards. The concept paper must present a cohesive plan to identify innovative programs conducted by these sub-awards and how they would be scaled

up. The concept paper must identify how organizational capacity in local NUPs will be measured.

Institutional Capacity The degree to which the concept paper demonstrates the organization’s/consortium’s technical depth and breadth of expertise and experience to implement the proposed technical approach; the applicant must also demonstrate organizational and technical experience and expertise in managing and implementing health programs in LMICs. The applicant must demonstrate expertise in mentoring and capacity building of local organizations and experience in managing complex sub-award health programs. If a consortium, the concept paper must demonstrate an appropriate combination of organizational skills and roles across all members.

Annex A: USAID New Partnerships Initiative (NPI): Global Health (GH) APS

Round 2:EHP: CONCEPT PAPER

A. Concept Paper Cover Page – (please complete the following questions below:)

We certify that, in line with the criteria enumerated in Section III, Sub-Section A, our organization will use the following modality to provide sub-awards [please select all that apply]:

Modality 3a

Modality 3b

1. Proposed Activity Name/Title: _________________________________________

2. Period of Performance (i.e., start date and end date): ____________________

3. Total Program Amount (in USDs):

4. Total Amount of Funding Requested from USAID:

5. Applicant Organization Name: __________________________________________

6. Applicant Contact Person (name, phone, e-mail):

7. Full Address for Applicant Organization: _________________________________

8. Type of Organization [please include certification of incorporation as a

Reference Material] (e.g., US, non-US, multilateral, private, for-profit, non-profit) date of incorporation, etc.):

9. (If Applicable) Name(s) of Partner(s) Organization(s) (Applicants that are applying as Mentors must name any proposed consortium members, if applicable at the time of submission): ____________

B. Concept Introduction: (approximately 1 page). Describe why there is a strategic need for your organization’s concept to enhance the range and capacity of local new and underutilized partners, including locally established partners, to address health priorities around the world, how it differs from alternatives, and any relevant partner-specific considerations for the problem or solution. Explain how the proposed technical approach will advance the principles of the New Partnerships Initiative for expanding and diversifying USAID’s partner base and advancing countries’ Journeys to Self-Reliance.

C. Beneficiaries: Individuals/Sub-Awardee Organizations: (approximately ½ page).

Describe how your organization plans to ensure that outcomes targeting sub-awards and individual beneficiaries of the sub-award programs are met. What are the types and range of local and locally based organizations that will benefit from this intervention? Describe your organization’s experience managing partnerships with local and/or locally established partners.

D. Technical approach: (approximately one [1] page) Building on the introduction, propose an approach for how this intervention will produce the desired impact in the health sector(s) identified. Briefly describe critical barrier(s) or problem(s) that your organization’s concept addresses. Be sure to include information describing how your organization will identify and work with sub-awards in multiple countries on a global scale (not specific to one country or region) and how the approach is technically sound, innovative, feasible and appropriate for the target population. Please include a brief discussion of how the approach is potentially scalable to have an impact in the health sector(s). Please note any innovative approaches to engage and support local and/or locally established partners.

E. Results: (approximately ½ page) As specifically as possible, describe the anticipated results and/or impact of the proposed intervention(s). What are the key, quantifiable metrics related to your organization’s project’s performance or expected performance? Please outline your preliminary plans to track and report on sub award results. What is the scale needed to achieve results? What are the baselines that your organization will measure before the project begins?

F. (If applicable) Partner roles: (approximately ½ page) Describe and define the role of other entities in the partnership/consortium. Please describe the types of partners the consortium (if appropriate) will engage with and their expected relationship with the sub-award program. Please note if any partners in the consortium are new or underutilized partners (local, LEPs, or neither).

G. Applicant capacity: (approximately one [1] page). Describe your organization’s institutional capacity – technical, managerial, financial, etc. – to carry out the proposed approach. Describe how your organization has worked on complex health programs as listed in the Round 1 program description, including how your organization would plan to work on a global program. Describe your organization’s capacity to mentor local or locally established partners in the sub-award process, including demonstrated experience in organizational development and technical support to sub-awards.

I. Reference material: Please attach your organization’s certification of incorporation (please see Section A of the concept paper template).

Signature of authorized individual